PERMIT \k ` ( Application# aai Lf
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www.harnett.org/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
Owner(s)of Structure: Phone:
Owner(s) Mailing Address:
Land Owner Name(s): s Proc.\vi u Phone: 336 - 89-0 —/S o d
Construction or Site Address: 61 eo n ck k') 571 7 y NL 2 S2
PIN# -pC9 t3— 13 - d9 .666 Parcel# bSOLD i3 ppm 6
Job Cost:
Description of Work to be done „v-
1 1
Mechanical: New Unit With Ductwork_ New Unit Without Ductwork Gas Piping Other
Electrical*: 200 Amp_<200 Amp Service Change Service Reconnect Other*
For Progress Energy customers we need the premise number
Plumbing: Water/Sewer Tap X Number of Baths Water Heater
Specific Directions to Job from Lillington:
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Subdivision: CAPS � 5 La V i Lot#: /0
will provide the labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is CL)i1 , which entitles me to
perform such work on the above structure legally. All work shall comply with the State Building Code and all
other applicable State and local laws, ordinances and regulations.
Contractor's Company Name Telephone
Address Email Address
License#
Structure Owner/Contractor Signature: OvV /
Date: /7N
By signing this application you affirm that you have obtained permission from the above listed license holder to
purchase permits on their behalf. If doing the work as owner you understand that you cannot rent, lease or sell
the listed property for 12 months after completion of the listed work.
*Company name, address, & phone must match information on license
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Application Number 17-50042274 Date
Intersection 11/17/17
Property Address 69 PONCHARTRAIN ST
PARCEL NUMBER 05-0613- -0090- -
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name CAPTAINS LANDING
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
PROANO LUIS FELIPE OWNER
7016 COURTLAND DRIVE
THOMASVILLE NC 27360
Applicant
PROANO LUIS FELIPE #10
7016 COURTLAND DR THOMASVILLE,
NC 27360
THOMASVILLE NC 27360
(336) 870-1807
--- Structure Information 000 000 35X20 2BDR 2BA CRAWL
Flood Zone FLOOD ZONE X
Other struct info # BEDROOMS
2 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? NEW TANK
WATER SUPPLY COUNTY
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1219302
Issue Date 11/17/17 Valuation
Expiration Date . . 11/17/18 0
Special Notes and Comments
T/S: 09/15/2017 12 :26 PM JBROCK ----
CAPTAINS LANDING #10
TAKE 401 TO CHRIATIAN LIGHT RD TO RIVER
RD TO CAPTAINS LANDING TO
PONCHARTRAIN ST
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
PERMIT INCLUDES BLDG, ELEC,MECH, PLUMB
INSULATION AND LAND USE.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Work must conform and comply with the
STATE BUILDING CODE and all other State