BUILDING/PERMIT/RECEIPT Application# LI33 Li
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/ Owner(s)of Structure: k9N- 4 m' l.1j Phone: r - ;
.Dwner(s)Mailing Address: % if 0/4 V. r, !/a/� /
j//„/1ten).. C 27c9P q
Land Owner Name(s): ray .44, `1,,,1 1 Phone: cl/O-R`v-43 .
Construction or Site Address: wit ®i4 0.c. 4,2) L/%/i ishk,,4/' &7S-!l'/
PIN# 13 0646 Deli 01 --tercel# 19430-• 8 5c-' y_1713' 1400
Job Cost: r� � ,, Description of Work to be done t� Q U`-4PJ'.--e
15,--
16\
Mec anical: New Unit With D .,• New Unit Without Ductwork G i in
p-� g_Other_
Elea ice: 200 Amp_<200 Amp Service Change --rvice Reconnect Other
For P agress Energy Gust. ers we need •- •remise number
Plum..ng: 0 ater/Sewer Tap Nu •-r of Baths Water Heater ---
Ssecific •irections to Job from Lillin•tom
e ,FIs Ia y/ P 4 99�� k-#://6 Ctin'--,‘: ,., chi /arc' by
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Subdivision: j Lot#: IA�
r'
I �IA'tlill provide the % labor on this structure.
(Contract Name) (Trade)
I am the building owner or my NC state license number is 0\s/6„.%-e- ,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
{� -1y I
Address Emai�rddress� '-'/ NG�• �0»7
License#
Structure Owner/Contractor Signatbce: 44,.. .�
By signing this application you affirm that you Ale obtained permission from the above liste licen holder to
purchase permits on their behalf. If doing th.,s rk as owner you understand that you cannot rent, lease or sell
the listed property for 12 months after comp lion 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 18-50043324 Date 3/05/18
Property Address 2984 OLD US 421
PARCEL NUMBER 13-0640- - -0019- -02-
Application type description CP GARAGE/CARPORT RESIDENTIAL DETACHED
Subdivision Name
Property Zoning PENDING
Owner Contractor
SMITH RANDY LEWIS & BRENDA H OWNER
2984 OLD US 421
LILLINGTON NC 27546
(910) 814-2977
Applicant
SMITH RANDY
2984 OLD US 421
LILLINGTON NC 27546
(910) 890-4805
--- Structure Information 000 000 24X26 STORAGE BUILDING METAL
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE METAL BUILDING
SEPTIC - EXISTING? EXT TANK
WATER SUPPLY COUNTY
Permit RESIDENTIAL BUILDING PERMIT
Additional desc .
Phone Access Code 1229798
Issue Date . 3/05/18 Valuation . . . . 0
Expiration Date . 3/05/19
Permit LAND USE PERMIT
Additional desc .
Phone Access Code 1229806
Issue Date . . . 3/05/18 Valuation . . . . 0
Expiration Date . 9/01/18
Special Notes and Comments
T/S: 02/16/2018 10 :39 AM JBROCK ----
1. 5 MILE OUT OF LILLINGTON OLD US 421
BESIDE CHRISTIAN CHAPEL MISSIONARY
BAPTIST CHURCH
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 18-50043324 Date 3/05/18
Property Address 2984 OLD US 421
PARCEL NUMBER . 13-0640- - -0019- -02-
Application description . . CP GARAGE/CARPORT RESIDENTIAL DETACHED
Subdivision Name
Property Zoning PENDING
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . . RESIDENTIAL BUILDING PERMIT
999 111 B111 R*BLDG SLAB INSP/TEMP SVC POLE / /
999 131 R131 ONE TRADE FINAL
999 125 R125 ONE TRADE ROUGH IN / /
i
'larnett pl.neing FE
g
IG8 E €rout Etreet
Liliingtonl Hi 2734E
leiephrnc: 98-893-7525
ti* SPLES Ale 444, 11
Open 10RCCA % Drawer: 1
Date: 3'@5118 52 RRece:ot no: 27224e8
yea ro. 5318240
I ierch ID 0: 16377998
ross refq:
I Card no: xx:x4nxtxxxx4.15E
Card type: ViSA CARD
Guth code: 153825
Date: 3/05/13 6ne: lo:P9: 5
ia7ment total: =PO0.60
CARDHOLDER PiGNEIWIE GES R2CIP7 OF GOODS
GND/OP SERVICES Ih THE AIO74T 62 THE
TOTAL SHOWN AEFit IUD AGREES TO PdRFCRM
THF OULIG I Ors S :Mali IN INCCPRD-
EC.DEF' . PORE[PI NT vP HF ISSUER.
iS'
i ( -H7
/ ; moi
d . ,5,
er .i
li NARY Lt'Y7TR
' O RHE CY CEEHTY SASH RECEIPTS
* CCS I:i 7 RECEIPT 'x+
doe.: iA9uC3 ype: CP Drawer: 1
Date. 310:/18 52 Receipt no 272988
Year Heueer Amount
2018 5804332e
38e CLD is 421
1Llel3TON. NC 27546 i
FI BF PED IT FEES ISMS@
� METOL BLDG I
RANGY SHIT
i :
:, lender detail .y
FP CREDIT CARL- i?00.NN
leG.00
Total tendered i2004200.00
Totdi paynent
Ij Trans date: 3/05/18 Tome: 1.0:89:1
e. THA'6; YOU FOR ETD PAINEHT **