DOCUMENTS P.
I r' Application# I r SO -d-Ci CO
t� I ICI I
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: M—Z. /P/20 PLk 7,es, /AC. Phone:&& ) 77( ' -3 5 /
Owner(s) Mailing Address: Ped , w.- J 8 `j
cA po 44, A/_C . Z4331 - be)BS
Land Owner Name(s): S4-0"(f Phone:
Construction or Site Address: / 2 339 0 S 12-1 d 6isooc(c..wo y 41C
PIN# eek09 Hit— IS 1LI-c)(A Parcel# 13 qt,pc 1 Cy a I
c9-
Job Cost: /5O, Description of Work to be done '1" -%-)P4 /`f W e4 72"/Z L./e,l e—
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: r►- - Sewer Tap ✓ Number of Baths Water Heater
Specific Directions to Job from Lillington:
(1,,c 421 /J -fn (z 3 4 uS 4 zi bil an rfe- j v"A be " Ctm;na e_
( o A v r`P,ce pi,e o-, ,2.,y !I .
Subdivision: Lot#:
' ! .m
I * �will psrovide the PIvM1. 6I1 labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is ,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.
Gul.4 en, PLU,16IIvc /-44‘,6t rc s (9/9) 730 - <36Q
Contractor's Company Name Telephone Ciro ,
3314 Caybo,-1-an �- -C",5-C C24-33a 1 t,/7 I,2,.2 Pa 1mdsiy-errl .
Address Efl ail Address net
1)14-1 - '.' /3 559
License#
Structure Owner I Contractor Signature: A/ c__
1 Date: 1, 06C I 1
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 17-50042961 Date 12/19/17
Intersection
Property Address 91749 TECH 2
PARCEL NUMBER - - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Owner Contractor
CAM-L PROPERTIES INC GUNTER GLENN II
PO BOX 989 SANFORD, NC 3314 CARBONTON RDAD
27331-0000 SANFORD NC 27330
SANFORD NC 27331 (919) 776-2124
(919) 776-4351
Applicant
CAM-L PROPERTIES INC
PO BOX 989 SANFORD, NC
27331-0000
SANFORD NC 27331
(919) 776-4351
- - - Structure Information 000 000 RUN NEW WATER LINE
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE WATER LINE
WATER SUPPLY UNKNOWN
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1222652
Issue Date 12/19/17 Valuation 0
Expiration Date . . 12/19/18
Special Notes and Comments
T/S : 12/19/2017 03 : 17 PM JBROCK - -- -
12379 US 421 N
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
17-50042961 Date 12/19/17
Application Number TECH 2
Property Address 91749 _ _ _ _ _
PARCEL NUMBER
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name UNZONED
Property Zoning
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1222652
Required Inspections
Phone Insp Initials Date
Seq Insp# Code Description
999 305 M305 R*PLUMB SEWER CONNECTION —/—/—
999 307 P307 R*PLUMB WATER CONNECTION —/ /—
999 309 P309 R*PLUMB UNDER SLAB —/ /—
999 131 R131 ONE TRADE FINAL /— _
999 125 R125 ONE TRADE ROUGH IN —/—/—
999 315 P315 R*PLUMB HW HEATER
Cd
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HARNETT COUNTY CASH RECEIPTS
*** CUSTOMER RECEIPT ***
Oper: JBROCK Type: CP Drawer: 1
Date: 12/19/17 52 Receipt no: 192688
Year Number Amount
2817 58842961
91749 TECH 2
LILLINGTON, NC 27546
111 BP - PERMIT FEES
$48.88
PLUMBING
GLENN GUNTER
Tender detail
CP CREDIT CARD $48.88
Total tendered $48.88
Total payment $48.88
Trans date: 12/19/17 Time: 15:19:44
** THANK YOU FOR YOUR PAYMENT **