DOCUMENTS Initial Application Date: Il t31In Applicationu In S /C
DRB Cu
COMMERCIAL
COUNTY OF HARNETT LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 Fax:(910)893-2793 www.harnettorg/peanits
LANDOWNER: Herne it ('�vnf7 Mailing Address: 10 £$ /1 9
City: L- I:,.�'I. . State: 4/ L Zip: ;7 RI Home it: Contact 4:
APPLICANT': r4l , t lie (c v 1,v.Cv , h w,lvl tMailing Address: /1/1 C(K4.,, np &
City: L�.,,• - State: 11/C Zip: A 7firy Office x Contact it:
*Please hi'out applicantiintmmatipn if different than landowner
CONTACT NAME APPLYING IN OFFICE: I[. T* M.z.lie Phone#: Pf " 177' 79ZZ1/
PROPERTY LOCATION: $ubdiXision: Lot#: Lot Size:n t ":CS
State Road#: LI ,1I//S(tateee RoadName: WI' I IIC CMnccc Ctih r� /fit 3 I 0r <Maln rB000k&Page: Qd5I rcGii
Parcel: ��..tt��3 VtotO "' S °3 PIN: V (J'I t)0 / `Y -2Jc% /0
Zoning: VY ' �-)Flood Zone: 13 Watershed: 1v Deed BookBPage:33C I1 33 Power Company':
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
NsitH n , H.,� '1).1
Tvr4 lef-t c , w./lie (nem m . 1
) .t. cn Ie 4+'
PROPOSED USE:
❑ Multi-Family Dwelling No.Units No.Bedrooms/Unit
❑ Business Sq.Ft. Retail Space Type #Employees: Hours of Operation:
❑ Daycare #Preschoolers #Afterschoolers it Employees Hours of Operation
U Industry Sq.Ft. Type it Employees: Hours of Operation:
❑
Church
I_W^ SoCapacity Kyit Bathrooms Kitchen
Accessory/Addition/Other(Siznv '
Use Play GdCn oC'•['vserY
Water Supply: (L) County (_) Well (No.dwellings ) MUST have operable water before final
Sewage Supply: (_)New Septic Tank(Complete Checklist) 1 )Existing Septic Tank(Complete Checklist) 1 )County Sewer
Comments: Ili /i'eta, -'t1L., S,..r. I .. .tJ4 C.A+e 4L/
If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing statements are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
.1 fit A � aloin
Signature of Owner or Owner's Agent Date
"This application expires S months from the Initial date if no permits have been Issued**
A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
Please use Blue or Black Ink ONLY
LAND USE 5/08
'Each x'salon below must be filled out by Application#
whoever is performing the wort. Must 6e Harnett County Central Permitting
owner or licensed phonedor. Address,rnPF Box 65 Lillington,3-2793NC 27546
company name 8 phone must match 910-893-7525 Fax 910-893-2793 www.hamett.orglpermits
information on state license. COMMERCIAL
Application for Bulldino and Trades Permit
Owners Name: Harnett County Public Utilities Date: 12/13/17
Site Address: 25 Willie Cameron Rd., Lillington,NC 27546 Phone: 910-893-7575
Directions to job site from Lillington: North on Hwy 421,Turn loft onto Willie Cameron Rd., Site on left
Subdivision: None Lot:
Description of Proposed Work: Water Booster Pumping Station
Heated SF 1225 Unheated SF 0
General Contractor Information: Building Cost$ 170,000
Mizelle Construction Services Inc. 919-279-7933
Building Contractor's Company Name Telephone
1311 Elkhorn Rd., Garner, NC 27529 scoff@mizelleconstruction.com
Address Email Address
Jar d60575
Signature of Owner onlC tractor/Officer(s)of Corporation License#
Electrical Contractor Information: Electrical Cost$ 175,000
Description of Work Water Booster Pumping Station Service Size: 1600 Amps #T-Poles 1
Mizelle Construction Services Inc. 919-279-7933
Electrical Contractor's Company Name Telephone
1311 Elkhorn Rd., Garner, NC 27529 scott@mizelleconstruction.com
Address Email Address
,04>47— / 1938W
Signature of Owner on/� tractor/Officer(s)of Corporation License#
Mechanical Contractor Information: Mechanical Cost$
Description of Work #Units
Mechanical Contractors Company Name Telephone
Address Email Address
Signature of Owner/Contractor/Officer(s)of Corporation License#
Plumbing Contractor Information: Plumbing Cost$
Description of Work # Baths
Plumbing Contractor's Company Name Telephone
Address Email Address
Signature of Owner/Contractor/Officer(s)of Corporation License#
Insulation Contractor Information
Insulation Contractor's Company Name 8 Address Telephone
*NOTE: General Contractor must fill out and sign the second page of this application