DOCUMENTS lat
\ a3 1 I c Application# I rS, r 3 I 44-5J 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) C� // �7
Owner(s)of Structure: Ch,n r )e-c N ��o n o �d Phone: / /(2� h o �o�la •
Owner(s) Mailing Address; / 3 S` ci e 'er) y r (v ., e_
A- '1nden NC 8' 3 C4
Land Owner Name(s): Phone:
Construction or Site Address:
PIN# bS55 -05 — halm ir,Yo' Parcel# (, `a_ OSs-5 6 a9.-5Job Cost: Description of Work to be done C'SLIQ-.C..L.. p
lti^ e—a—t--t.seS 1_
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: G1!^a1 Sewer Tap Number of Baths Water Heater
Specific Directions to Job from Lillington:
Subdivision: ^'y Lot#:
will provide the labor on this structure.
(Contractors Name) (� �(�Tra� �)�
I am the building owner or my NC state license number is lY ,which entitles me to
perform such work on the above structure legally. All work shah 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#
Structure Owner/Contractor Signature:efY1.&2_ C �&' I,acAc 7O Date: /-2-3 -(6
By signing this application you affirm that you have obtained permission Worn 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 18-50043145 Date 1/23/18
Property Address 135 JEROME LN
PARCEL NUMBER 12-0555- - -0225- - -
Application type description CP SEWER/WATER TAP
Subdivision Name
Property Zoning PENDING
Owner Contractor
MCDONALD CHARLES C & WIFE OWNER
MCDONALD FELISA I &
135 JEROME LANE
LINDEN NC 28356
Applicant
MCDONALS CHARLES
135 JEROME LN
LINDEN NC 28356
(910) 658-1268
--- Structure Information 000 000 HOOK UP WATER TAP
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc
Phone Access Code 1225788
Issue Date . . . 1/23/18 Valuation . . . . 0
Expiration Date . 1/23/19
Special Notes and Comments
T/S : 01/23/2018 11 : 06 AM JBROCK
FROM 108 FRONT AT TAKE TURN LEFT ONTO
401 S GO ABOUT ABOUT 7 MILES TAKE R
ONTO MCLEAN CHAPEL CHURCH RD AFTER 1
MILE L ONTO WIRE RD GO DOWN 3 MILES
TURN R ONTO WALKER RD GO DOWN 2 MILES
TURN L ONTO JEROME LN
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 18-50043145 Date 1/23/18
Property Address 135 JEROME LN
PARCEL NUMBER 12-0555- - -0225- - -
Application description . . CP SEWER/WATER TAP
Subdivision Name
Property Zoning PENDING
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1225788
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
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 —/—/—
HARHETT COUNTY CASH RECEIPTS
aaa CUSTOMER RECEIPT ***
Oper: DJOHNSON Type: CP Drawer: 1
Date: 1/23/18 54 Receipt no; 227168
Year Humber Amount
2818 50043/45
135 JEROME LN
LINDEN, NC 28356
B1 BP - PERMIT FEES
PLUMBING $40.00
MCDONALD FELISA
Tender detail
CP CREDIT CARD 448.00
Total tendered 440.00
Total payment 440.80
Trans date: 1123/18 Time: 11:18:53
as THANK YOU FOR YOUR PAYMENT as