DOCUMENTS SI 1 VZS Application# g5.000-S9 GC(
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: T.I.n w.els.an Phone: 1.1. $13 . 14*C
Owner(s)Mailing Address: s;s a keteal.nt or. Gu�..w ..4....s w1. x sst .
o
Land Owner Name(s): Phone:
Construction or Site Address: fir)
PIN#�0CD� — 14 —S p—ro 'f, Parcel#
Job Cost: {;sea Description of Work to be done Agan . e.6.... .w11 a.11
nous I.e.ltr t,.4.a t n.... *Caul 3s.7 /oar r.\.c.W 2 sale,"
Mechanical: New Unit With Ductwork_ New Unit Without Ductwork Gas Piping_Other
Electrical": 200 Amp_<200 Amp_Service Change Service Reconnect_ Other y
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 wA �,1..n. Star will provide the ? �! YS7labor on this structure.
(Contractors Name) `Q•
(Trade)
I am the building owner or my NC state license number is Q 'A. 11��. ,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.
Lae Tools t.rp.sl 9.9 • r1s -1471
Contractor's Company NameTelephone
lot Tsar Of. Car) Va.us Lit. 7iS42 6e.... (Y Ca:rlr�ttara.Nr� c. to t..
AddressEmail Address
License# 1
Structure Owner/Contractor Signature: k7✓L S. 14 Date: TI. j.
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
C ark Nie.re qct- 404 - 3444
'T C1c.k•cs1 Co. .1i 4t.»tir Or. Cr.r..r Nc 245271
L.•a.t4` !t 24412 -
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Application Number 18-50043909 Date 5/01/18
Property Address 635 TYLERSTONE DR
PARCEL NUMBER 08-0653-02- -0105- -07-
Application type description CP ADD & ALTER RESIDENTIAL
Subdivision Name VICTORIA HILLS
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
WOODSON JOHN & KATHLEEN FAIR TRADE CARPENTRY
635 TYLERSTONE DRIVE 701 TAMPA DR
FUQUAY-VARINA NC 27526 NEW HILL NC 27562
(919) 215-7639
Applicant
FAIR TRADE CARPENTRY
701 TAMPA DR
NEW HILL NC 27562
(919) 215-7639
--- Structure Information 000 000 RENOV ADD DOOR / MOVE OUTLETS
Flood Zone FLOOD ZONE X
Other struct info # BATHS NA
SEPTIC - EXISTING? NA
WATER SUPPLY UNKNOWN
Permit RESIDENTIAL BUILDING PERMIT
Additional desc .
Phone Access Code 1240688
Issue Date . . . 5/01/18 Valuation . . 0
Expiration Date . 5/01/19
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1240696
Issue Date 5/01/18 Valuation . . . . 0
Expiration Date . 5/01/19
Special Notes and Comments
T/S: 05/01/2018 02 : 16 PM JBROCK ----
635 TYLERSTONE
HARNETT COUNTY CENTRAL 'PERMITTING
P.O. BOX 65
LYLLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Page 2
Application Number 18-50043909 Date 5/01/18
Property Address 635 TYLERSTONE DR
PARCEL NUMBER . 08-0653-02- -0105- -07-
Application description . CP ADD & ALTER RESIDENTIAL
Subdivision Name VICTORIA HILLS
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 / /
999 229 R229 TWO TRADE FINAL
999 225 R225 TWO TRADE ROUGH IN / /
HARNETT COUNTY CASH RECEIPTS
xma CUSTOMER RECEIPT awx
Omer: TBROCK Type: CP Drawer: 1
Date: 5/01/18 52 Receipt no: 337453
Year Number Amount
2018 58843989
635 TYLERSTONE DR
FUGUAY-VARINR, NC 27526
81 BP - PERMIT FEES
ADD / ALTER $160.80
WILLIAM SEYLER
Tender detail
CP CREDIT CARD $96.05
CP CREDIT CARD $63.95
Total tendered $160.00
Total payment $168.88
Trans date: 5/81/18 Time: 14:23:31
as THANK YOU FOR YOUR PAYMENT **