DOCUMENTS Initial Application Date: `I j if t- / Application# 1 9 SOt t.al<t
COUNTY OF HARNETT DEMOLITION APPLICATION
Central Permitting 108 E.Fr nt Street,Lillington,,NN�C 27546 Phone:(910)893-7525 Far(910`)893-2793 vnm.harnett.org/permits
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City: U I I)11h Jn pp State: Zip g,'1Stf�aContact ( l-ID Y3/1 Email:
APPLICANT': -.p Vs-R. Mailing Address:
City: State: Zip: Contact# Email:
'Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: I /'c Phone# (�, �q (((
PROPERTYtate dLOCATION:S..S Subdivision:
Road Name: Qrx�lt..a l_A,✓ ra Lot Map Book Pag Lot
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9SP CIFIC O RECTIO S TO THE PROPERTY FROM LJLLINGTON: •/A e V - 1 a O e - 5 4 APS AA /\d
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Structure(s)to be demolished &removed: Single family dwelling Manufactured Home `-Other(specif
Structures (existing and--.--/or proposed): Single family dwellings Manufactured Homes Other(specify
Water Supply: ()County ( ) Existing Well
Sewage Supply: ( xisting Septic Tank ( )County Sewer
*If a new structure is to be replaced on this lot, please ensure that existing septic system is not damaged.
*If an existing well is on site and is to be discontinued, please contact Harnett County Environmental Health for assistance.
'Upon the issuance of the Certificate of Compliance, the Harnett County Tax Department shall be notified of the removal to
ensure proper listing.
*The demolition contractor is responsible for submitting verification of proper disposal prior to the Final inspection.
**PLEASE NOTE**Failure to completely demolish, remove, and clear the premises will result in the withholding of the Certificate
of Compliance. Thus,future permits for the property will be denied, and fines may be imposed for failure to complete demolition/
removal.
If p its are granted (agree to confor t. all• dinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I by state that f. 'going slaloms s.re a urate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
lor Ad ,Jis 11 ` 22- 1
SI.Iature of Ow r or Owner's At nt Date
Is application expires 6 months from the initial date if no permits have been issue"
Asbestos requirements are applicable if the occupancy use is or changes to Commercial (not residential),
or if multiple structures are being demolished & removed atone time.
An Asbestos Inspection Report prepared by an N.C. Accredited Asbestos Inspector must be provided with application to
demolish any building including residences demolished for commercial or industrial expansion or structures. It is the contractor's
responsibility to properly notify the Department of Health and Human Services Division of Public Health — Health Hazards
Control Unit at least ten (10) working days before the demolition is to begin whether or not the building is known to contain
asbestos.
I hereby certify that the information on this application is correct and that all work in connection with the above
referenced job will be performed under my supervision and that such work complies with the requirements of the NC
State Building Codes and applicable Harnett County Ordinances. Call for Inspection at proper stage of work.
CONTRACTOR/APPLICANT DATE LICENSE NO. (If applicable)
Please contact the Department of Health and Human Services for their requirements and permit information.
http://www.epi.state.nc.us/epi/asbestos/ahmp.html
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 17-50042809 Date 11/27/17
Property Address 155 OAK TOP CIR LAND
PARCEL NUMBER . 03-9576-02- -0090- -09-
PIN 0517-08-6492 . 000
Application type description CP DEMOLITION RESIDENTIAL
Subdivision Name
Property Zoning CONSERVATION DISTRICT
Owner Contractor
RES PROPERTIES OF HARNETT CTY OWNER
3404 DOGWOOD DRIVE
GREENSBORO NC 27403
Applicant
JOHNSON JENNIFER
155 OAKTOP CIR
LILLINGTON NC 27546
(919) 498-4311
--- Structure Information 000 000 DEMO DWMH TO BE REPLACED
Other struct info PROPOSED USE DEMO
Permit RESIDENTIAL DEMOLITION PERMIT
Additional desc .
Phone Access Code 1219807
Issue Date . . . 11/27/17 Valuation . . . . 0
Expiration Date . 11/27/18
Special Notes and Comments
T/S: 11/27/2017 10 : 51 AM JBROCK ----
27 TO NURSERY TO LONGLEAF S/D GO TO 155
OAK TOP
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.
Page 2
Application Number 17-50042809 Date 11/27/17
Property Address 155 OAK TOP CIR LAND
PARCEL NUMBER . 03-9576-02- -0090- -09-
PIN 0517-08-6492 . 000
Application description . . CP DEMOLITION RESIDENTIAL
Subdivision Name
Property Zoning CONSERVATION DISTRICT
Permit RESIDENTIAL DEMOLITION PERMIT
Additional desc .
Phone Access Code 1219807
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 179 C179 C*BLDG FINAL / /_
999 131 R131 ONE TRADE FINAL / /_
999 820 Z820 PZ*ZONING/FINAL INSPECTION / /_
HARNETT COUNTY CASH RECEIPTS
max CUSTOMER RECEIPT aaa
Oper: JBROCK Type: CP Drawer: 1
Date: 11/27/17 52 Receipt no: 162428
Year Number Amount
2017 50042889
155 OAK TOP CIR LAND
LILLINGTON, NC 27546
B1 BP - PERMIT FEES
DEMO $75.00
JENNIFER JWIHSON
Tender detail
CA CASH PAYMENT $100.00
Total tendered 4180.00
Total payment $75.00
Change $25.00
Trans date: 11/27/17 Time: 11:01:82
as THAW( YOU FOR YOUR PAYMENT as