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PERMIT / RECEIPT
HARNETT COUNTY CENTRAL PERMITTING P.O. BOX 65 LILLINGTON, NC 27546 For Inspections Call : (910) 893-7525 Fax: (910) 893-2793 Application Number 18-50043065 Date 6/04/18 Property Address 1391 PEACH FARM RD PARCEL NUMBER 13-0539- - -0020- - - Application type description CP FAMILY CARE FACILITY(6 OR LESS) Subdivision Name JIMMY & ANDREA CURRIN Property Zoning RES/AGRI DIST - RA-30 Owner Contractor LUCAS PAMELA BRINKLEY OWNER 7676 LUCAS COURT GAINESVILLE VA 20155 Applicant EMBERTON KENNETH 2071 CORRINNA ST FAYETTEVILLE NC 28301 (571) 283-3701 --- Structure Information 000 000 4 PATIENTS 3 EMPLOYEES 24-7 Flood Zone FLOOD ZONE X Other struct info # BEDROOMS 4 . 00 PROPOSED USE GROUP HOME SEPTIC - EXISTING? EXIST WATER SUPPLY COUNTY Permit MISCELLANEOUS INSPECTION Additional desc . Phone Access Code 1224542 Issue Date . . . 1/09/18 Valuation . . . . 0 Expiration Date . Special Notes and Comments T/S: 01/09/2018 04 :33 PM LLUCAS ---- 1391 PEACH FARM RD NC 27 WEST - TURN RIGHT ONTO PEACH FARM RD - APPROX ONE MILE ON LEFT SIDE OF ROAD 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 18-50043065 Date 6/04/18 Property Address 1391 PEACH FARM RD PARCEL NUMBER 13-0539- - -0020- - - Application description . . CP FAMILY CARE FACILITY(6 OR LESS) Subdivision Name JIMMY & ANDREA CURRIN Property Zoning RES/AGRI DIST - RA-30 Permit MISCELLANEOUS INSPECTION Additional desc . Phone Access Code 1224542 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 999 812 A812 C*ALCOHOL REQUEST LICENSE / /_ 999 822 H822 ENVIR. HLTH/SANITATION FINAL / /_ 999 880 F880 FM*ABOVE CEILING / /_ 999 878 F878 FM*AGST/UST PIPES /_/_ 999 852 F852 FM*DAYCARE INSPECTION / /_ 999 854 F854 FM*FINAL INSPECTION / / 999 850 F850 FM*FIRE ALARM _/_/_ 999 884 F884 FM*FIRE MISC INSPECTION _/ /_ 999 870 F870 FM*FIRE WORKS / EXPLOSIVES / /_ 999 856 F856 FM*FIXED FIRE SUPPRESSION /_/_ 999 882 F882 FM*FOGGING OR FUMIGATION _/ /_ 999 858 F858 FM*SPRINKLER CERT TEST / /_ 999 864 F864 FM*SPRINKLER-FLOW / /_ 999 860 F860 FM*SPRINKLER-FLUSH / /_ 999 862 F862 FM*SPRINKLER-HYDRO / /_ 999 866 F866 FM*STANDPIPE / /_ 999 872 F872 FM*TANKS-ABANDON IN PLACE / /_ 999 874 F874 FM*TANKS-INSTALLATION / /_ 999 876 F876 FM*TANKS-REMOVAL / /_ 999 868 F868 FM*TENTS _/ /_ 999 818 Z818 PZ*ZONING INSPECTION / /_ 999 820 Z820 PZ*ZONING/FINAL INSPECTION / / 999 808 G808 C*GROUP HOME / /_ 999 830 D830 C*DAY CARE INSPECTION / /_ 999 H824 ENVIR. OPERATIONS PERMIT / /_ 999 826 H826 ENVIR HLTH/SANI PLAN REVIEW / /_ BARRETT COUNTY CFS. RECEIPT`.' *** CUSTOMER RECEIPT *a" Poet: EDROCK Type' CF Drawer: Date: 6!04/13 52 Receipt no: 375138 Year 043065 Amount 261E 50043065 1391 PEACH FARM RD LILLIN6TON, NC 27546 __ Bi BP - PERMIT FEES $100.80 GROUP HOME/FAMILY CAFE PAMELA 'LUCAS fender detail 4708.00 CP CREDIT CARD $100.00 Total tendered 4100.00 Total Payment Trans date: 6!04113 Time: 15:00:16 ** THANK TOU FOR YOUR 3AYMER7 **