DOCUMENTS Application# ti 396a
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)
Owner(s)of Structure: \J.ThftL rkfy'as 'tl/phone:
Owner(s)Mailing Address: 1
Land Owner Name(s): Phone:
Construction or Site Address:
PIN# Parcel#
Job Cost: Description of Work to be done 1--- 1_091_ • lax I p
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: 21 Lot#:
Vile--
I t. will provide the 0fige labor on this structure.
(Contractors Name) (rk,.e)
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 Stale 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: 1.1 .-. __r� � Date: SAW/
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 CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Application Number 18-50043900 Date 5/14/18
Property Address 72 RESERVE DR
PARCEL NUMBER 08-0645- - -0100- -04-
Application type description CP NEW STORAGE BLDG RESIDENTIAL
Subdivision Name THE RESERVE 22LOTS
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
HARRENSTEIN WAYNE R & KAREN J OWNER
72 RESERVE DRIVE
FUQUAY-VARINA NC 27526
Applicant
HARRENSTEIN WAYNE
72 RESERVE DR
FUQUAY-VARINA NC 27526
(910) 814-7344
--- Structure Information 000 000 12X16 STORAGE BLDNG
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE STORAGE
SEPTIC - EXISTING? EXIST
WATER SUPPLY COUNTY
Permit RESIDENTIAL BUILDING PERMIT
Additional desc .
Phone Access Code 1242494
Issue Date . . . 5/14/18 Valuation . . . . 0
Expiration Date . 5/14/19
Permit LAND USE PERMIT
Additional desc .
Phone Access Code 1242502
Issue Date . . . 5/14/18 Valuation . . . . 0
Expiration Date . 11/10/18
Special Notes and Comments
T/S: 04/30/2018 04 : 32 PM LLUCAS ----
72 RESERVE DR - FUQUAY VARINA
T/S: 05/01/2018 08 : 57 AM LLUCAS ----
72 RESERVE DR - THE RESERVE LOT#4
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 18-50043900 Date 5/14/18
Property Address 72 RESERVE DR
PARCEL NUMBER . 08-0645- - -0100- -04-
Application description . . CP NEW STORAGE BLDG RESIDENTIAL
Subdivision Name THE RESERVE 22LOTS
Property Zoning RES/AGRI DIST - RA-30
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . . RESIDENTIAL BUILDING PERMIT
999 131 R131 ONE TRADE FINAL / /
999 125 R125 ONE TRADE ROUGH IN / /
HARNETT COUNTY CASE. RECEIPTS
paw CUST5HERTRECEIPT 0Draaer: 1
Date: 15/14/16 52 ReceiPt no: 355429
Year Humber
Amount
2610 58043906
72 RESERVE DR
FOAUAY-VARINA, KC27526
PERMII FEES
DS $125.00
BLDG PERMIT
YAYNE HARRENSTEIN
Tender detail 8125.00
CP CREDIT CARD $125.00
Total tendered $125.00
Total payment
Trans date: 5/14118 Time: 13:49:52
aw THANK YOU FOR YOUR PAYMENT *