DOCUMENTS SE
I 1 g Application#/ pi5t O t4c' 1()33
` Harnett County Central Permitting
PO Box 65 LIllIngton, NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www.hamett.org/permits
Certification of Work Performed By Owner/Contractor
//�� (Individual Trade Application)
Owner(s)of Structure: Or"^.✓/10
5J�7nu/ Phone: `/ G� `'7(' yfe).:2
Owner(s) Mailing Address: .r n 1ID/S?77(f' .C97,2)44/...//, �C /' p c
Land Owner Name(s): ar.✓//foy, Phone: 9/O y94 y5n ;
Construction or Site Address: 3 '//u/F./y'n/�D/ 'f '-"y/ X2' �G. .2u 3Yt)
PIN# a5-3yZ1.;?—/63[. eve) Parcel# v/Oy%Do/b 28
Job Cos ' 1 J Description i Work tope dyke i / / - i / /-
,MIJ ie /,o e e/tr�'€/9/ >o/ /.4//
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
S.ec is Di t) to afromli f/gan: / / /c /yA jl
o'✓Le ''4'i/r% i
Subdivision: ��/]]J//�/ka./,'r✓d, �/ Lot#: Allo
I La /-/t Lp/✓10,1' will provide the /'/rj/flee labor on this structure.
(Contractors Name) (Tra e)
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 c mply with the State Building Code and all
other applicable State and local laws,ordinances and regulations.
a?J l/ert/.'ee6 [Ale- 9/0 y97..7123
Contractor's Company Name / /J Telephone / /
11/9 3 /�Abrn J1il�nnu!'f� 4, 2851 12,-,41 ) 49D hobo/9. , e 44
Address y/ Email Addiass
IR/a License y l yRf L
Structure Owner/Contractor Signature: /et/ g Zj Date: l07--l9'/ /
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 18-50043033 Date 1/05/18
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Owner Contractor
BENJAMIN STOUT REAL ESTATE 2B SERVICES INC.
SERVICES INC 1493 SEABROOK SCHOOL RD
PO BOX 53798 FAYETTEVILLE, NC EASTOVER NC 28312
FAYETTEVILLE NC 28305 (910) 494-2123
(910) 476-4502
Applicant
STOUT BEN
PO BOX 53798
FAYETTEVILLE NC 28305
(910) 476-4502
--- Structure Information 000 000 REPLACE SPLIT HP
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE MECH / ELE
WATER SUPPLY UNKNOWN
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1223924
Issue Date . . . 1/05/18 Valuation . . . 0
Expiration Date . 1/05/19
Special Notes and Comments
T/S : 01/05/2018 02 :44 PM JBROCK ----
R OFF 401 ON ELLIOT BRIDGE RD THEN R ON
WOODWIND TO TURN ON SURFWIND
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 18-50043033 Date 1/05/18
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1223924
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 409 M409 R*GAS PIPING / /
999 407 M407 R*MECH ABOVE CEILING / /
999 405 M405 R*MECHANICAL UNDERGROUND / /
999 131 R131 ONE TRADE FINAL / /
999 125 R125 ONE TRADE ROUGH IN / /