DOCUMENTS Initial Application Date: I olaa I I / Application# gang-a:1
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnett.orglpermits
RECORDED SURVEY MAP,RECORDED DEED l
(OR
�OFFER TO PURCHASE)8 SITE PLAN ARE REQUIRED
^WHEN SUBMITTING A LAND USE APPLICATION^
LANDOWNER.\ le .41,
. O-{V• V 1 eer Mailing AddresR t /. L?J1 U )\
City: 11-1 Lnl\e Je.\('� State:(NSC. Zip:. 3�rontact No: (Rtt�MC 3-5140 Email: romac 5hai r P- 0101 .Com
APPLICANT*: ¶4:\e-n LT1 oke Qe \ Mailing�nlil�aAddress: P O. L A,L �\ Iy
City:�yt\h1P Ve\ Stateli,C zipta"Qi3Contact No: 0Q 10)N -5139 Email: SIOP(M?'P 1O )Q Ma:I . C,(YY\
`Please fill out applicant information if afferent thanlandowner
(� J -7
CONTACT NAME APPLYING IN OFFICE: ke\f n(1 CTI,�en k{I/peI{ LX''\1 Phone# ( la5I4-c- 3°1
PROPERTY LOCCA�TIONQ:Subdivision: McnLa�F� 1�Y�"f 4t �'T Lot# Lot Size: 2 0
Slate Road#(� 10 5 11 State Road Name: .Y l el ke C \'l(l. Map Booko/ 8 Page:nI
Parcel'.{{����I rr2�-.A��l31, V20� `' PIN: C55q�/� lq; SC,-Slg 3L. W
Zoning:y-Tt'NA'I Flood Zone: X Watershed: IV Deed Book 8 Page: 2)51DS 1331 Power Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
❑ STD:(Size x )k Bedrooms: #Baths: Basement(wlwo bath):_Garage:_Deck:_Crawl Space._Slab:_Slab:
(Is the bonus room finished?( )yes ( )no w/a closet?(_)yes ( )no(if yes add in with#bedrooms)
❑ Mod.(Size xx ) Bedrooms__ Baths Basement(w/wo bath)_Garage: Site Built Deck: On Frame_Off Frame_
(Is the second floor finished?(_)yes (_)no Any other site built additions?(_)yes (_)no
✓ (roY� -,,110:"11-
0!" Manufactured Home: t/SW F s_DW_TW(Size 1`i x ' 10)#Bedrooms: Garage'._(site built?_)Deck (site built? )
O Duplex:(Size x )No. Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
❑ Addition/Accessory/Other:(Size x )Use:_ Closets in addition?( )yes ( )no
/
Water Supply: /County Existing Well _New Well(#of dwellings using well 1. )'Must have operable water before final
Sewage Supply: 1/New Septic Tank(Complete Checklist) Existing Septic Tank(Complete Checklist) County Sewer
Does owner of this tract of land,own land that contains a manufactured home within five hundred feet(5001 of tract listed above?(_)yes (_Y )no
Does the property contain any easements whether underground or overhead(-_I yes no
Structures(exist' g or proposed): Ingle family dwellings: Manufactured Homes: I Other(specify):
pr pot a9
Required Residential Property Line Setbacks: Comments:C
Front Minimum t Actual O\�
Rear ZS1
Closest Side I0Z
SidestreeVcorner lot ZD
Nearest Building ID
on same lot
Residential Land Use Application Page 1 of 2 03111
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 1t In leCA-r ..y Mat I hn7N.l ak -me 1,14 .4 att
rt\ 4-40144:o�rtH•n; :fvto flair ;nln nl
Piunanel \;ntf4R(Inheh tto:11 ha abnu4 '1`Ia mars 1
Turn n're an4o m9 Leon &ace\ Ch inch Roads cattle n m;\e( r\ \ and t IQ
{h;\eg 4Qs iB•t1\ a-ea o. (c r.\ -arse Shl;r on Vne r;ght \-ccd Side Q} ar\
to • - we • el' it u•. - s II I. ,..t v• IIa •
(a•Cac3 t\xcio ([�,"•tcNflttil\1;n-Wis \C)\,O(tQ's\)inttnrr r;C�rt4tc30upVete marl ;4910
nrlVw
vr °4nrke et.evF.lt.'kt;\e total Antal f3o;ct4c� ILO Ws `rC.\\ 14u t LOA "the a r;(14/4 "rum or&
53r6ectrec Pte. Go pass-Vet;cc tAOLS cn Odor lack bbF s cbdcton oatd gat 1001 see a
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 tatements ar urate and rrect to the best of my knowledge. Permit subject to revocation if false information is provided.
191a114h
Signature of Owner or Owner's Agent Date
"'It is the owner/applicants responsibility to provide the county with any applicable Information about the subject property,including but not limited
to:boundary information,house location,underground or overhead easements,etc.The county or its employees are not responsible for any
incorrect or missing information that is contained within these applications."'
"This application expires 6 months from the initial date if permits have not been issued**
CC\DjAe. \ rte%r1\, on gcur \e 'er Lottece '*a ;, Q BIS
�c\tleu74y ;seer\ C;gam Cl kec -we. (i:9 tc;Vetcby the lcutd u:tt t]e on
u c \ear herd Vie- Wnece 44nQ "DrarY• Erw;conenera\n Ssats
ace. ' o34ed on *too kcees Wacktg We road and 44,e_ \arid ;s elenred
O.
Residential Land Use Application Page 2 of 2 03111
FACTORY EXPO HOME CENTERS NC DOI Lic#36358
115 Titan Roberts Rd., PO Box 1829 • Lillington, NC 27546 . 1-800-504-3238
BUYER Helen Gwenlce Bell BINER2 DATE
August 21,2017
MAILING CITY Bunnlevel NC ZIP 28323 PHONE
ADDRESS910.514.2239
PO Box 151
ADDRESS city Bunnlevel STATE NC ZIP 28323 CELL
ADDRESSY TBD
DELIVERY WIND ZONE
THERMAL Harnett
SALESPERSON Wind Zone 1 ZONE Therm Zone 2
Casey Seaford g THIS CONTRACTEMAIL
REVISED FROM July 28,2017 ADDRESS OWenice70(D'IGmaiI.COm
MAMODEL Huntersville by Champion YEAR P018 BEDROOMS 3 BATHS 2 DEN —
SERIAL
NUMBER 1.4),NEW 0 USED FLOOR SIZE HITCHAPPROX.
14x66 sin 14x10 so.FT. 880 •
Retail Price Model: HuntersvIlle 4 7 9.0
..Is is a cash Buyer authorizes ragony Expo Home Centers Factory Direct Discount $ (8,130.00)
to place home into the construction process. By placing home in the $ 33,639.00
construction process,buyer understands that all down payments will be Sub Total 1
handled per the Payment Disclosure and Notice of Cancellation. Buyer
agrees that the fi is must be paid as indicated under Notations Addendum"A"Upgrades 973.00
Remarks. X i X July Great American Home Sale (776.00)
NO I it UI COMM F I ION0.0% 0.00
Buyer understand that the approximate completion month for home is: - 0.0% 0.00
October Freight 685.00
Buyer understands that In the event delivery of the home does not oryr to Document Fee $ 395.00
property within 12 days after home is completed et the:factory there will be a Taxable Total $ 34,916.00
120 per day storage charge that must be paid prior to shipment. In the event
North Carolina Sales Tax lCONTRACT isx OF HALF cO
there Is an extended period of storage time needed buyer authorizes Factory $ 829.26
Expo Home Centers to re-locate the home to an off-site storage facility. Buyer
must insure the ho responsible for any damage Incurred as a result Of Sub Total 2 $ 35,745.26
extended storage. X Pitsc(non taxable)
Buyer understands that unless otherwise stated,the quoted freight price is Total 35,745.26
estimated for the current date and may not reflect fluctuating fuel surcharges, Down Payment (-) $ (3,700.00)
Department of Transportation highway construction re-routing,highway patrol
or unique complicated placements based on terrain of delivery site. Additional Payment as Agreed (-)
X Unpaid Balance $ 32,045.26
•NO VERBAL PROMISES. Changes may only be made via signed change order request and may incur extra Cha i• s. X
Buyer understands that if not paid 7 business days prior to completion,balance must be paid in certified funds. At.
Buyer earns that to unoald balance due will be mild In full on or before: I upon completion A.' X
Please read the Payment Disclosure carefully,terms shall apply after passage of 3 day right.
I UNDERSTAND THAT I HAVE THE RIGHT TO CANCEL THIS PURCHASE BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE THAT I HAVE SIGNED
THIS PURCHASE AGREEMENT. I UNDERSTAND THAT THIS CANCELLTION MUST BE IN WRITING. IF I CANCEL THE PURCHASE AFTER THE THREE-DAY PERIOD,I
UNDERSTAND THAT THE DEALER MAY NOT HAVE ANY OBLIGATION TO GIVE ME BACH ALL OF THE MONEY THAT I PAID THE DEALER. I UNDERSTAND ANY
CHANGE TO THE TERMS OF THE AGREEMENT BY THE DEALER WILL CANCEL THIS AGREEMENT.
Unless otherwise slated,if for any reason buyer is not ready to authorize construction of the above home,the amount of this purchase agreement is subject to
an Increase. If the cost of the home increases between,the date of this agreement and t 1 oyer authorizes construction,buyer agrees that the purchase
agreement amount will be adjusted to cover the increases Incurred during such time. X
HILA ,Io l ,a ra . ,IDI NL. 1INIII HNOI Ha ANuwn u r lwEFN OFAI IN AND nuVlrz AND NO onIE F NI I'IlNrvrn noN UH
IrIHW trmlul ,..1 H:11.41 Okcawllln HAS EFENPMllk wmFn6NUICONIAINInIINNImsrmfo IASLAcca ITAINI d,1 1 r,,�
BY SIGNED% ",Q IT__ i/�hes. I - - OYT�I1I' 1
Casey Seaford Factory Expo Home Centers Representative (Buyer) ':coca Bell Date
BY
SIGNED X
FACTORY EXPO HOME CENTERS MANAGER (Buyer) Date
REVIEW S ACCEPTANCE Page 1
Printed 8/21/2017 9:13 AM August 2017
NAME: l"le.1eS\ GlcPt \\ APPLICATION g:
*This application to he filled out when applying for a septic system inspection.*
County Health Department Application for Improvement Permit and/or Authorization to Construct
IF THE INFORMATION IN THIS APPLICATION IS FALSIFIED,CHANGED,OR THE SITE IS ALTERED,THEN THE IMPROVEMENT
PERMIT OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. The permit is valid for either 60 months or without expiration
depending upon documentation submitted. (Complete site plan=60 months;Complete plat=without expiration)
910-893-7525 option 1 CONFIRMATION#
Environmental Health New Septic SvstemCode 800
• All property irons must be made visible. Place 'Oink property flags" on each corner iron of lot. All property
lines must be clearly flagged approximately every 50 feet between corners.
• Place "orange house corner flags"at each corner of the proposed structure. Also flag driveways, garages, decks,
out buildings,swimming pools, etc. Place flags per site plan developed aVfor Central Permitting.
• Place orange Environmental Health card in location that is easily viewed from road to assist in locating properly.
• If property is thickly wooded, Environmental Health requires that you clean out the undergrowth to allow the soil
evaluation to be performed. Inspectors should be able to walk freely around site. Do not grade property.
• All lots to be addressed within 10 business days after cantkmation. $2500 return trip fee may be incurred
for failure to uncover outlet lid,mark house corners and property lines.etc. once lot confirmed ready.
• After preparing proposed site call the voice permitting system at 910-893-7525 option 1 to schedule and use code
800 (after selecting notification permit if multiple permits exist) for Environmental Health inspection. Please note
confirmation number given at end of recording for oroof of request.
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
Environmental Health Existing Tank inspections Code 800
• Follow above instructions for placing flags and card on property.
• Prepare for inspection by removing soil over outlet end of tank as diagram indicates, and lift lid straight up (if
possible) and then put lid back In place. (Unless inspection is for a septic tank in a mobile home park)
• DO NOT LEAVE LIDS OFF OF SEPTIC TANK
• After uncovering outlet end call the voice permitting system at 910-893-7525 option 1 & select notification permit
if multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number
given at end of recording for proof of request.
• Use Click2Gov or IVR to hear results.Once approved, proceed to Central Permitting for remaining permits.
SEPTIC
If applying for authorization to construct please indicate desired system typets l: can be ranked in order of preference.must choose one.
I—{ Accepted 1A Innovative I { Conventional I_I Any
{_I Alternative I ) Other
The applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in
question. If the answer is"yes".applicant MUST ATTACH SUPPORTING DOCUMENTATION:
(_)YES l/NO Does the site contain any Jurisdictional Wetlands?
I {YES I V�INO Do you plan to have an>Ill ' -o system now or in the future?
I__{YES I V A NO Does or will the building contain any drains?Please explain.
IYES I /NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
1 {YES f/NO Is any wastewater going to be generated on the site other than domestic sewage?
I—)YES 11NO Is the site subject to approval by any other Public Agency?
{_)YES I//NO Are there any Easements or Right of Ways on this property?
{_AYES { 4 NO Does the site contain any existing water,cable,phone or underground electric lines?
If yes please call No Cuts at 800-632-4949 to locate the lines. This is a free service.
I Have Read This Application And Certify That The Information Provided Herein Is True,Complete And Correct. Authorized County And
State Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules.
I Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
The Si :A ces able So Th i• C. ' S'te Evaluation Can Be Performed.
ti IF IZI31I11
PRO' OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10
Date: PIM M I I I Application#
PROCEDURES AND GUIDELINES FOR MANUFACTURED HOME INSPECTIONS
/� RA-20R&RA-20M Certification Criteria
I, 0/'l, t';b. GVXV understand that because I'm located in a RA-20R or RA-20M
Zoning District and wish to place a manufactured home in this district I must meet the following criteria,
verified by zoning inspection approval,before I will be issued a certificate of occupancy for this home.
1. The home must have a pitched roof, for a manufactured home, whether A-shaped or rounded,
which has a minimum rise(measured at the center of the home)of twelve(12) inches for every
seven (7) feet of total width of the home. (Example: A home measuring fourteen (14 ft.) in
width must have a twenty four(24)Inch rise as measured from the center of the roofline to the
baseline of the roof.) (See Illustrations Below.)
ri"MManpm - WPMMMnwm ' 6 _ Bowls
Roof Nl(h.PW, - ° lificasoh = , < ` :m>..
Note: Most Rounded Roofs Will Not Meet The Roof Pitch
Requirement As Illustrated. The Measurement From The Peak Of
The Roof To The Base Line Of The Roof Must Be 12" For Every 7'Of
Total Width Of The Home. (Ex:14'Wide Home=24" Roof Rise)
Continued..._.._.
Mobil.Home RA-20 RM Criteria Page 1 of 2 12/10
2. The home must be underpinned,consisting of a brick curtain wall or have galvanized metal
sheeting,ABS or PBC plastic color skirting with interlocking edges,installed around the
perimeter of the home. Skirting shall be consistent in appearance,in good condition,
continuous,permanent,and unpierced except for ventilation and access.
3. The homes moving apparatus must be removed,underpinned,or landscaped. (See examples
below.)
4. The home must have been constructed after July i"1976: :
ksthfri
Signature of Property Owner/Agent Date
• By signing this form the owner/agent is stating that they have read and understand the
Informationon this form.
MOMe Mone RA-20 RAN Criteria Page oft 12110
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HARNETT COUNTY CASH RECEIPTS
*** CUSTOMER RECEIPT *n*
Doe1
r: 12/22/17 52 Type; CP Drawer:
Receipt no: 9487A
Year Nuaber
2017 58042989 Amount
91749 TECH 2
LILLINGTON, NC 27546
A4 8P - ENV HEALTH FEES
NEN TANK $758.08
HELEN BELL
Tender detail
CA CASH PAYMENT
Total tendered $758.88
Total payeent 4750.88
$750.88
Trans date: 12/22/17 hoe: 12:17:51
** THANK YOU FOR YOUR PAYMENT a*
Application# 4aq SC1
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
Telephone Number: 910-893-7525 Fax 910-893-2793 www.harnett.org/permits
Application for Manufactured Home Set-Up Permit
(Please fill out each part completely)
Part I-Owner Information: Gov. I111.
Home Owner Information(To be completedlby owner of the manufactured home) P.O. 47 3U
Name: NeXef G \ro oe( P. (Jell Address: 1445. Mil eon e (Icl ('Juirnrh, Rd,
City: du(\(11PNPVI State: MC, Zip:WAS Daytime Phone:Rio r71 - aazcl
Landowner Information (To be completed by landowner, if different than above)
Name: Address:
City: State: Zip: Daytime Phone:( )
Pad II-Contractor Information (To be completed by Contractors or Homeowner,if applicable.
Name,address, 8 phonen. must match information on license)
A. Set-Up Contractor Company Name: f; f 1t S Cms#ruc,Fiof\
Phone: LRlOhlc9O• Qaaa Address: 40r1 WeS ('.reek RC1.
City: SRdgorfnl State: NC. Zip: o;Seliallp
State Lic# 445V10 Email: ' �1
B. Electrical Contractor Company Name: -1kit Cr. GJe.II
Phone: (91th5ILI &Q.`Sl Address: Strep Pr,„ :--
City: PAirtrl)el/P, State: Na Zip: QTRaari
State Lic# Email: CI Won ice 10 @ tjYtlnil ,CO&
C. Mechanical Contractor Company Name: V C r4 5-,J rtm,\
Phone: cgit%lxkra/rft� :31,C5Address: 11. I I C Dti_,�✓„C...CTY-Dar< Vol
City: C2J--/CS\00,y State: MC Zip: for
State Lic# F1 Email: �J
D. Plumbing Contractor Company Name: 14 P(Eft ('1, 6s'( 1
Phone: (410- r1.14•213? Address: �f
City: [Juinlet401 State: Ale. Zip: o?R33
State Lic# Email: 9wenirp. r1Ors CInu :i,
Part III-Manufactured Home Information J
Model Year: a2151 Size: \X Complete& follow zoning cHterla sheet
Park Name: Lot Number:
I hereby certify that I have the authority to apply for this permit, that the application is correct including the contractor
information and have obtained their permission to purchase these permits on their behalf, and that the construction or
installation will conform to the applicable manufactured home set-up requirements, and the Hamett County Zoning
Ordinance. 1 understand that if any item is incorrect or false information has been provided that this permit could be
revoked. 14
Signature o Home Owner or Agent Date
'Effective July 1,2004,a County Tax Department Moving Permit must be provided before a Set Up Permit will be issued. It is
purchased from the tax office of the county that the home is moved from. If the home is from a dealer, we need proof of year on the
Form 500 and if available,the serial number.
List of inspections and Egress requirements available upon request Progress Energy customers must provide Premise Number.
SETUP 04/11
FACTORY EXPO HOME CENTERS NC DOI Lic#36358
115 Titan Roberts Rd., PO Box 1829• Lillington, NC 27546 • 1-800-604-3238
BUYER I BUYER 2 DATE August 21,2017
Helen Gwenice Bell
yes PO Box 151 CITY Bunnlevel NC ZIP 28321 PHONE910.514.2239
DELIVERY TBD COY Bunnievel STATE NC ZIP 28323 CELL
MLRE
DELIVERY
WIND ZONE THERMAL
cOUNrY Harnett Wind Zone 1 ZONE Therm Zone 2
SALESPERSON „THIS CONTRACT EMAIL•
Seaford SENSED FROM July 20,2017 ADDRESS gwenice7O MmalLoom
MAKE a. BA1114 ,t DEN
moon Huntersvllle by Champion
I SEPAL FLOOR SIZE IMCH APPRO%.
NMER ,NEW OUSED 14x88 sum 14x70 so,R 880
Retail Price Modal: HuntenvllM 4 , 9.00
This is a cash transaction. Buyer authorizes Factory Expo Home Centers Factory Direct Discount $ (9,130.00)
to place home into the construction process. 8y placing home in IM Sub Tda11 $ 31,838.00
construction process,buyer understands that all down payments will be
•
handled per the Payment Disclosure and Notice of Cancellation. Buyer
00
agrees that the M3ghgaymeM must be paid as indicated under Notations Addendum"A”Upgrades
&Remarks. % `B I X July Great American Home Sale (778.00)
o.0% 0.00
Buyer understand tis the approximate completion month for home is: - D.O% • 0.00
October Freight _ 685.00
Buyer understands mel In the event delivery of the horns does not mew to Document Fee $ 395.00
property re vAll be a
$20 per day ln12 days after home is completed at thelectoty atorage dometat must play to shipment. In the eventTaxableTail_$ 34,918.00
Mere is an alended period of storage time needed buyer authorizes Faddy North Caroline Sales Tax ATex or CONTRACT $ 829.28
Expo Home Centers to relocate the Mme to an off-site storage facility Buyer
mist insure lisresponsible for anya damage damage Incurred as mutt of Sub Total 2 $ 38,745.28
eMon".nded store . X Misc inon-tasable),
'n, _' uL ;, n
Buyer understandsad the meted freight is Total
l '
C. :
*SIMS lrteanent dale and may not
celemSuch/Ming luelswn:baryes, Down Payment f $ (3,700.00))
Department Transportatbn NgtMaare+oeln Ndmay 08X^1
or unique complicated placements based on terrain
oaelNe!rsite. Addtlonal Psym"M as AGNS (
Unpaid Balance $ 32,045.29
HO VERBAL PROMSES. Charges may only be made via signed change order request and may Incur mea , 701.# X_
uyer understands that t not paid 7 business days prior to cornpihn,balance must be paid In certified funds. '
Beyer greet that the would balance due will be Pled M full pan or before: upon compleeonD %
Please read the Payment Disclosure carefully,terms shall apply after passage of 3 day right. -
I UNDERSTAND THAT I HAVE THE RIGHT TO CANCEL THIS PURCHASE BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER TIE DATE 1HAT IHIVE SIGNED
�. THIS PURCHASE AGREEMENT. !UNDERSTAND THAT THIS CANCELLTION MUST BE IN MMHG. F I CANCEL THE PURCHASE AFTER TIE THREEOAY PERIOD•I
UNDERSTAND THAT THE DEALER MAY NOT HAVE W OBLIGATION TO GIVE ME BACK ALL OF THE MONEY THAT I PAID THE DEALER. I UNDERSTAND ANY
CHANGE TO THE TERMS OF TIE AGREEMENT BY THE DEALER WILL CANCEL THIS AGREEMENT.
Unless olhenMe slated,If for any reason buyer is not ready to authorize construction of the above home,the amount of this purchase agreeoieM is subled to
an increase. If the cost of the home increases between the date of this agreement and t authorizes construction,buyer agrees that the purchase
agreement amount MN be adjusted to cover the Increases incurred during such ire. X__
'UT .. 8/21 171 ..' SIGNEDXaI ,/ o_jr_ 1frnIi, l—.-- lilt
✓ _ (Buyer) '� nice Bell Date
Here
I - z.) *7ar� SIGNED X
V (BUYsr) DateFACTORY EXPO OME CENTERS MAN GER Pagel
REWE*a ACCEPTANCE August 2017
Printed 8/21/2017 9:13 AM
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call: (910) 893-7525 Fax: (910) 893-2793
Application Number 17-50042989 Date 4/04/18
Property Address 59121 *UNASSIGNED
PARCEL NUMBER 12-0556- - -0202- - -
Application type description CP MANUFACTURED HOME RA20R/RA20M CASTERS
Subdivision Name
Property Zoning RES/AGRI DIST - RA-20M
Owner Contractor
GREENE ROY G & BELL HELEN G OWNER
PO BOX 151
BUNNLEVEL NC 28323
Applicant
BELL HELEN G
PO BOX 361
BUNNLEVEL NC 28323
(910) 514-2239
--- Structure Information 000 000 14X70 3BDR 2BA SWMH
Flood Zone FLOOD ZONE X
Other struct info # BATHS 2
# BEDROOMS 3000000 . 00
MOBILE HOME YEAR 1. 00
PROPOSED USE SWMH
SEPTIC - EXISTING? NEW TANK
WATER SUPPLY COUNTY
Permit LAND USE PERMIT
Additional desc .
Phone Access Code 1236819
Issue Date . . . 4/04/18 Valuation . . . . 0
Expiration Date . 10/01/18
Permit MANFACTURED HOME PERMIT
Additional desc .
Phone Access Code 1236827
Issue Date . . . 4/04/18 Valuation . . . . 0
Expiration Date . 4/04/19
Special Notes and Comments
T/S: 12/22/2017 12 : 08 PM JBROCK ----
SANDERFER RD - LOT JUST PASSED 1002
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Page 2
Application Number 17-50042989 Date 4/04/18
Property Address 59121 *UNASSIGNED
PARCEL NUMBER . 12-0556- - -0202- - -
Application description . . CP MANUFACTURED HOME RA20R/RA20M CRITERI
Subdivision Name
Property Zoning RES/AGRI DIST - RA-20M
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . . MANFACTURED HOME PERMIT
10 501 T501 R*MOBILE HOME FOUND. / M. WALL / /
10 814 A814 ADDRESS CONFIRMATION / /
20 818 Z818 PZ*ZONING INSPECTION / /
30 507 T507 R*MANUFACTURED HOME FINAL / /
999 H824 ENVIR. OPERATIONS PERMIT / /
HARNETT COUNTY CASH RECEIPTS
*** CUSTOMER RECEIPT ***
Oper: SHOCK Type: CP Drawer: 1
Date: 4/04/18 52 Receipt no: 387772
Year Numoer Amount
2017 50042989
59121 *UNASSIGNED
BUNNLEVEL, NC 28323
B1 BP - PERMIT FEES
SUM $175.00
HELEN G BELL
Tender detail
CA CASH PAYMENT 1175.00
Total tendered 8175.00
Total payment $175.00
Trans date: 4/04/18 Time: 12:21.44
** THANK YOU FOR YOUR PAYMENT **