ELE / RECEIPT / APP HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Application Number 18-50043116 Date 2/21/18
Property Address 648 MCARTHUR RD
PARCEL NUMBER 13-9681- - -0014- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
HOLDER TOMMY LEE & GAIL C FARMER LP GAS & OIL CO. , INC.
648 MCARTHUR RD 805 US 401 S
BROADWAY NC 27505 LILLINGTON NC 27546
(910) 890-2330
Applicant
PATRICK TOMMY
1309 N MAIN ST
LILLINGTON NC 27546
(910) 237-1594
--- Structure Information 000 000 WIRE GENERATOR
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE ELECTRICAL
WATER SUPPLY UNKNOWN
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1230358
Issue Date . 2/21/18 Valuation . . . . 0
Expiration Date . 2/21/19
Special Notes and Comments
T/S : 01/19/2018 02 : 28 PM BPETRICH --
648 MCARTHUR RD BROADWAY 27505
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 18-50043116 Date 2/21/18
Property Address 648 MCARTHUR RD
PARCEL NUMBER . 13-9681- - -0014- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning RES/AGRI DIST - RA-30
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1230358
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
/999 125 R125 ONE TRADE ROUGH IN /--/--
Application# y 3i
Harnett County Central Permitting
PO Box 65 Lillington,NC 27546 - Ph:910-893-7525 - Fx',910-893-2793 - www.hamettorg/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
Owner(s)of Structure: Phone:
Owner(s)Mailing Address:
Land Owner Name(s): Phone:
Construction or Site Address:
PIN # Parcel#
Job Cost: Description of Work to be done
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
Specific Directions to Job from Lillington:
Subdivision: Lot#:
I /Awrl ec&J -R1 IA <•311 will provide the fid<\ ‘19 :0`."A labor on this structure.
(Contractors Name) (Tradef
I am the building owner or my NC state license number is ZZ5 O H ,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.
er
lncvn¢r Li' ��ns 4 O,'1 co . , Sr‘ c • n[\ f7- 8 /0_2330
Contractor's Company Name Telephone
Kos 05 40 Lnl SFr , Pc/
Address Email Address
21.50 y
License#
Structure Owner/Contractor Signature: Gt. Date: 2_21-1g
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 CASH RECEIPTS
*** CUSTOMER RECEIPT ***
Oper: 70ROCK Type: CP Drawer: 1
Date: 2/21/18 52 Receipt no: 261291
Year Number Amount
2018 50043116
648 MCARTHUR RD
BROADWAY, HC 27505
Dl BP - PERMIT FEES
$60.00
GAS PIPING
FARMER LP GAS
Tender detail
CK CHECK PAYMEM 18639 460.00
Total tendered $60.00
Total payment $60.00
Trans date: 2/21/18 Time: 14:17:08
** THANK YOU FOR YOUR PAYMENT **