DOCUMENTS Application# ) ?SOO ti-320 8
Harnett County Central Permitting
PO Box 65 Llllington,NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www.harnetl.crgtpermlts
Certification of Work Performed By Owner/Contractor
(IndMdual Trade Application)
Owner(s)of Structure: Garry Fuller Phone:(954)662-9500
Owner(s)Mailing Address: 175 Stonewheel Drive Sanford NC
Land Owner Name(a): Garry Fuller Phone:(954)662-9500
Construction�� or Site Address: 175 Stonewheel Drive Sanford,NC r
PIN#r"t SID'1 —C15 "r1 I1 5 a0O Parcel# NR r-l»I.O1 ,4 co IL
Job Cost $4300,00 Description of Work to be done Install mnkless water heater I run gas One to HWH 1
Install dedicated dreuit for HWH
Mechanical: New Unit With Ductwork_ New Unit Without Ductwork Gas PipingV 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 ✓
Specific Directions to Job from Lilington:
Subdivision: Lot#:
I Ben Ferris will provide the Mech.Hec)Plumbirg labor on this structure,
(Contractors Name) (Trade)
I am the building owner or my NC state license number is 23863L 120688 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.
Blanton's Healing 8 Mr 910-867-5309
Contractor's Company Name Telephone
1769 Pamalee Drive Fayetteville NC 28301 Jacquleitblantonsair.com
Address Email Address
23883L/20688
-
License#
Structure Owner/Contractor SignaturNillIteme - Date: 1/"7Ll1 lie
By signing this application you affirm that obtained per issio from the above listed license holder to
purchase permits on their behalf.If doing the • as owner yo stand 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
Application Number 18-50043208 Date 2/01/18
Intersection
Property Address 175 STONEWHEEL DR
PARCEL NUMBER 09-9567- - -0054- -11-
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name CYPRESS CREEK FARMS
Property Zoning PENDING
Owner Contractor
FULLER GARRY M & FULLER SUSAN BLANTONS HEATING & AIR
175 STONEWHEEL DR SANFORD, NC 1769 PAMALEE DR
27332 FAYETTEVILLE NC 28301
SANFORD NC 27332 (980) 202-5544
(954) 662-9500
Applicant
FULLER GARRY M & FULLER SUSAN
175 STONEWHEEL DR SANFORD, NC
27332
SANFORD NC 27332
(954) 662-9500
--- Structure Information 000 000 INSTALL TANKLESS WATER HEATER
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE MECH/ELE/PLU
WATER SUPPLY NA
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1227115
Issue Date 2/01/18 Valuation . . . . 0
Expiration Date . . 2/01/19
Special Notes and Comments
T/S: 01/31/2018 02 :49 PM JBROCK ----
175 STONEWHEEL DR
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 18-50043208 Date 2/01/18
Property Address 175 STONEWHEEL DR
PARCEL NUMBER 09-9567- - -0054- -11-
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name CYPRESS CREEK FARMS
Property Zoning PENDING
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1227115
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 211 E211 R*ELEC ABOVE CEILING / /
999 217 E217 R*ELEC RECONNECT / /
999 205 E205 R*ELEC UNDER SLAB / /
999 215 E215 R*ELEC. UND. POOL /
999 213 E213 R*ELECTRICAL UNDERGROUND / /
999 131 R131 ONE TRADE FINAL / /
999 125 R125 ONE TRADE ROUGH IN / /
HARNETT COUNTY CASH RECEIPTS
*1* CUSTOMER RECEIPT a«r
Oper: JBROCK Type: CP Drawer: 1
Date: 2/01/18 52 Receipt no: 232989
Year Number Amount
2018 50043208
175 STONENHEEL DR
SANFORD, NC 27330
B1 EP - PERMIT FEES
PLUM 160.08
BLANTON'S
Tender detail
CP CREDIT CARD 460.08
Total tendered $60.00
Total payment $60.00
Trans date: 2/01/18 Time: 10:44:44
** THANK YOU FOR YOUR PAYMENT **