DOCUMENTS 9-3115Application# ( Y5:0433`6
Harnett County Central Permitting
SPO Box 65 Lillington,NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - w�nv.hamett.org/permits l7A Nor. 'lei,.7
t,X../( Certification of Work Performed By Owner/Contractor 9/0 - Sr(' y 9 d
- /IAA ery/ ' (Individual Trade Application)
Owner(s)of Structure: fti 30-k56r Phone: 1C2,_ 5.0/2--2-S'32-
Owner(s)Mailing Address:� / l 3`l 7 5 if r-/ 2/0 5'0i-ft
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Land Owner Name(s): "14 9 n; c / j c.c.--A-5° ''' Phone:
Construction or Site Address: )3 N 75 /J`7 Zia So //
PIN# Parcel# I'
Job Cost: Description of Work to be done N (1 weir LC_
Mechanical: New Unit With Ductwork New Unit Without Ductwork Gas Piping Other
Electrical': 200 Amp <200 Amp_Service Change Service Reconnect_v 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 will provide the labor on this structure.
(Contractors Name) (Trade)
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 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# I ,,/
Structure Owner/Contractor Signature: MiVrn.K� %icn-?, Date:
By signing this application you affirm that you have obtained permission 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, 8 phone must match information on license
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▪ NOTARY PUBLIC �.
,�/ HARNETT
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HARNETT COUNTY TAX EN
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'�/� , DEED NW(lNTRAFAM Y'pCA SONETARY CONSIDERATION. NO TITLE SEARCH. THIS
TRANSFER ISS` 'M EMh)FECT AN ESTATE PLAN.]
GRANTORS'N1. }(p S:
CARMEN IACKSO ei�hushand,JAMES WHITE
693 Winners Pointe /' tt
Whiten,NC 27377 11/
(As to a one-half q
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GRANTEES'NAME AND \I s '.a :: �/
JAMES WHITE and CARMEN�Es'TlaQteea,or their successors in trust under the
J&C min LIVING'PdtiJg M 2,2006
and any amendment that/
693 Winners Pointe S c>`l i
Whitxt,NC 27377 \\\� /// /
PREPARED BY: 3- 2- 2004' '�� ,/
Cheryl Kl)evid(ItTr)raa+Title Srorrb) v/ '/f�1
5606 W.Friendly Avenue
Greensboro,NC 27410 /1 }
AFTER RECORDING RETURN TO: C.ffcid I J /f
JAMES WHITE and CARMEN A.WHITE
693 Winners Pointe 1���i -N
Whitser,NC 27377 II � ,
UNTIL A CHANGE IS REQUESTED,ALL TAX STATEM gel-17 BE SENT TO THE
FOLLOWING ADDRESS: 111111 ______
JAMES WHITE and CARMEN A.WHITE
693 Winners Pointe / 7
�
Whitaelt,NC 27377 " \ \/A
DEED \ —J/f�/f)�
KNOW ALL PERSONS BY THESE PRESENTS,that CARM�IAJ:XtiOJ TE and
husband,JAMES WHITE,of,herein called the Grantor,in consideration btthe atilt( Dollars
(510.00)and other good and valuable consideration,the receipt of which isiterpb&y kno do
hereby grant,bargain,convey and transfer unto JAMES WHITE and CAR .WttryE, rusteea,or
their successors in trust under the I&C WHITE LIVING TRUST dated ,2,i^d0y'and
amendments thereto,herein called the Grantee,and unto Grantee's successors sign of v .t one-
half(1/2)undivided interest in and to that certain real property,with the . - , . - . and
appurtenances thereunto belonging or in any way appertaining,situated in Harnett a. ,N 3.Careliaa,
/ / / 8 45 minutes West 286 fat to a oiron stake,point of BEGINNING,located in
( ( //id
margin of NC Highway 210,containing one half ane,more or lessor 21,600
V , V//! fen.
'^-" J Tral,1'wo:
/ "LING at an iron stake cm East side of NC 210,an old comer with Walla Lee
John ewe as right-of-way South 23 degrees West 387 feet to an iron stake,a corner
cv tmath,
•thence South 67 degrees East 227 feet to an iron stake in Walter Lee
thence North 83 degrees 30 minutes West 98 feet to the point of Beginning
more or less.
;61..beinif14acquired by Grantor by deed recorded hi Book 2116,Page
rr)
42,11a\ t C
To Have and Silo d �unto the Grantee and Grantee's successors and assigns forever,
subject to Restri j e 'hTP*cord,easements,rights of way of record,ad valorem taxes,and all
liens and records�A�.
In constming / ,and the context so requires,the singular includes the plural and all
grammatical changes make the provisions hereof apply equally to corporations and to
individuals. l\/
The liability and ob ' spfihe errrantor to Grantee and Grantees successors and assigns under
the wananties and covenants conp1n�ed)t provided by law shall be limited to the extent of coverage
that would be available to Gran upda a policy of title insurance. The limitations contained
herein expressly do not relieve y 'ab' ' or obligations under this instmment but merely
define the scope,nature,and of&t b' 'J./ ligations.
[THIS INSTRUMENT WILL`)`^F��f`,,A''{K02v USW&THE PROPERTY DESCRIBED IN THIS
INSTRUMENT IN VIOLATION OF APPI)4 USE LAWS AND REGULATIONS. BEFORE
SIGNING OR ACCEPTING THIS 1NSTRUM ENTJI HE PERSO CQUIIUNG FEE TITLE TO THE
PROPERTY SHOULD CHECK WITH THE PRIATE COUNTY PLANNING DEPARTMENT
TO VERIFY APPROVED USES AND TO DETERMINE L ON LAWSUITS AGAINST FARMING
OR FOREST PRACTICES AS DEFINED UNDER STA LAW)
IN WITNESS WHEREOF,the('irantor se cut�d'Uda t this aAip day of
/
March,2006. \�'� _ \
ed, } 1 da (SEAL)
C . r• I WHITE,Granter
(SEAL)
Ar.7C/..
State of NORTH CAROLINA ) //j'j
County of GUILFORD ) /1/A)
cf% '"-••
I, notary public of said county and hea� that
CARMEN JACKSON and husband,JAMES WHITE,personally ori €d fore this day and
acknowledged the execution of the foregoing instrument. c/2
Witness my hand and seal,this the a N O day of March,2006. // or\
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e$ OF DEEDS, HARNETT
�AYCJA ELIUS HARNETT BLVD
7,7- SUITE 200
tGyT/O NC 27546
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Filed For Registration: 76;2%:36 A- ���3eM
Book: RE 2 Page:
\
Document No.: 2006003746 //. 11
DEED 3 PG$, X7,60' .
S / -
Recorder. JUDITH HAMILTON
( 1,„,"��i-�
State of North Carolina,County of Harriett
( I
KIMBERLY S.HARGROVE,REGISTER OF DEEDS / ��`\
L.lc!I)
DO NOT DISCARD /C`C
C�i /r.
* 2006003746 * , . 5
2006003746
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Application Number 18-50043390 Date 2/23/18
Property Address 13475 NC 210 S
PARCEL NUMBER 01-0513- - -0088- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Owner Contractor
WHITE JAMES TRUSTEE & J AND C OWNER
WHITE TRUST
13531 NC 210 S
SPRING LAKE NC 28390
Applicant
JACKSON NATHANIEL
13475 HWY 210 S
SPRING LAKE NC 28390
(352) 542-2832
--- Structure Information 000 000 ELE RE-CONNECT - NO WORK
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE ELE
WATER SUPPLY NA
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1230861
Issue Date . . 2/23/18 Valuation . . . . 0
Expiration Date . . 2/23/19
Special Notes and Comments
T/S : 02/23/2018 11:40 AM JBROCK ----
13475 NC 210 S
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 18-50043390 Date 2/23/18
Property Address 13475 NC 210 S
PARCEL NUMBER 01-0513- - -0088- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1230861
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
amm CUSTOMER RECEIPT ***
Oper: SBROCK Type: CP Drawer: I
Date: 2/23/18 52 Receipt no: 262908
Year Number Amount
20I8 50043390
13475 NC 210 S
SPRING LAKE, NC 20390
8I 8P - PERMIT FEES
ELE PERMIT $60.00
DAMON HENRY
Tender detail
CA CASH PAYMENT $60.00
Total tendered $60.00
Total payment $60.00
Trans date: 2/23/18 Tine: 11:43:01
*« THANK YOU FOR YOUR PAYMENT as