DECKS PERMITS Application# i 9.�Coit)
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): Phone:
Construction 11``t4'ocr1Site Address: h
PIN# -- SC1'3s-ict`ttO Parcel# 0 ) 35 /°' 3'2
Job Cost: Description of Work to e done 1 _ YV 1r�r bC1 gQLA `'_
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 Number of Baths Water Heater_
Specific Directions to Job from Lillinaton:
Subdivision: � Lot#:
I J will provide the ??z,,�+ ,, ..c1�� labor on this structure.
(Contractors Name (Treble)
I am the building owner or my NC state license number is u — ,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# un/ //
Structure Owner/Contractor Signatur /14 6 l A Date:
By signing this application you affirm th t have obtained perms n from the above liste license holder to
purchase permits on their behalf. If doing t e 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, 8 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 17-50042680 Date 11/28/17
Property Address 69 KELLY CREEK ST
PARCEL NUMBER 01-0535- - -0100- -30-
Application type description CP MOBILE HOME PARK
Subdivision Name
Property Zoning PENDING
Owner Contractor
NC LAND LEASE LLC DAVIS MOBILE HOME MOVING INC
PO BOX 2533 3345 WAYNE LANE
CHRISTIANSBURG VA 24068 FAYETTEVILLE NC 28306
(910) 425-9524
Applicant
WYANT JAMES
2935 LEWIS CIRCLE
SPRING LAKE NC 28390
(910) 797-1893
--- Structure Information 000 000 14X80 SWMH 3BDR 2BTH 1992 W/ DECKS
Other struct info $ BEDROOMS 3 . 00
MOBILE HOME YEAR 1992 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? EXIST
Permit RESIDENTIAL BUILDING PERMIT
Additional desc 6X8 BACK / 8X8 FRONT DECK
Phone Access Code . 1219997
Issue Date . . 11/28/17 Valuation . . . . 0
Expiration Date . . 11/28/18
Special Notes and Comments
T/S: 11/01/2017 11 :48 AM LLUCAS - - --
ANDERSON CREEK MHP
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 17-50042680 Date 11/28/17
Property Address 69 KELLY CREEK ST
PARCEL NUMBER 01-0535- - -0100- -30-
Application description . . CP MOBILE HOME PARK
Subdivision Name
Property Zoning PENDING
Permit RESIDENTIAL BUILDING PERMIT
Additional desc . 6X8 BACK / 8X8 FRONT DECK
Phone Access Code 1219997
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 103 B103 R*BLDG FOUND & TEMP SVC POLE / /
999 111 Bill R*BLDG SLAB INSP/TEMP SVC POLE / /_
999 113 B113 R*BLDG WATER/DAMP PROOFING / /_
999 217 E217 R*ELEC RECONNECT / /
999 209 E209 R*ELEC TEMP POWER CERT
999 207 E207 R*ELEC TEMP SERVICE POLE / /
999 205 E205 R*ELEC UNDER SLAB / /
999 213 E213 R*ELECTRICAL UNDERGROUND /_/_
999 409 M409 R*GAS PIPING / /
999 405 M405 R*MECHANICAL UNDERGROUND /
999 105 B105 R*OPEN FLOOR / /
999 305 M305 R*PLUMB SEWER CONNECTION / /
999 309 P309 R*PLUMB UNDER SLAB / /
999 307 P307 R*PLUMB WATER CONNECTION / /
999 115 8115 R*OVERHEAD ELEC, MECH, PLB /_/_
999 820 2820 PZ*ZONING/FINAL INSPECTION / /_
999 101 B101 R*BLDG FOOTING / TEMP SVC POLE / /_
999 814 A814 ADDRESS CONFIRMATION / /
999 429 R429 FOUR TRADE FINAL / /
999 425 R425 FOUR TRADE ROUGH IN / /
999 131 R131 ONE TRADE FINAL / /
999 125 R125 ONE TRADE ROUGH IN / /
999 329 R329 THREE TRADE FINAL _/ /
999 325 R325 THREE TRADE ROUGH IN / /_
999 229 R229 TWO TRADE FINAL _/ /_
999 225 R225 TWO TRADE ROUGH IN / /_
999 H828 ENVIRO. WELL PERMIT _/_/
999 104 8104 R*FOUND & SETBACK VERIF SURVEY / /_
Grinet-
i5ti
iillir^
le Pr i9fc.- a or ,.
*4* °AL=A
atibr.OI N
t. r
cn.
1 ' At
?i9 VIP?:LAJr[1}Ti5_
Lard type' VIP?: LAN;;'
i:u. :ude. 99681:2•
Pat?:
-,nrrnsnt total: 4_9L..iyuj
_orma ER i g.NIALP Lig ypngq
vsGi CF SENVi ES iii I
igigg trqr H Fella+ 6 r -r Orr
THE OBLIOAT.JN5 `oc I 11 H. CHHB
BEEAPEE%ENT
1 e - 9191 ,
,74171:117.7f Tr
5re.:
Igat :PI C.A.
trm1,r
aet...i'..
,uq
59
✓«lent ;169,69
11yjgg 6iF' 1ijU l p,v.