DOCUMENTS - 1 )9 I V Application# I Cl l�.l.-1'T Y'1
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 Tradea/ Application)
Owner(s)of Structure: 4l/fef eCp✓lvecR . 0 i2 Phone: 77/0 - 797- 099'7
Owner(s)Mailing Address: // 2-e#070/r brr.e
$pnnj GAIre ,,(/'C• 1P'390
Land Owner Name(s): / n Phone: /�
Construction or Site Address: /70 /ego/r. brr✓e .J�n:S �O7e, b C. .2740
PIN#055( 4 4 to-5%tS9 •ODD Parcel# t( tis (4 a/ 6 iaDvL
Job Cost: Description of Work to be done
Mechanical: New Unit With Ductwork_ New Unit Without Ductwork Gas Piping Other_
Electrical*: 200 Amp <200 Amp Service Change_ Service Reconnect_ Other
For Progress Energy customers we need the premise number /
Plumbing: Water/Sewer Tap ^ Number of Baths Water Heater r/ e046n / X
Trr/ftw4an 444 """"'
Specific Directions to Job from Lillingtom74.1
e-e-d 4.-f'344 C a n{ . 44.0e-1 stJT.
Are? e • on Mair ,cr Tern rrf on, -"no • at!) rrye
• 114-n, kt ' Lef/114-n, A, d ondo f/verhi ll s Rd. -�- Ate( Left on - %oh>ii hn+-e. hej#.naven II {e
on 1$ yh1•
Subdivision:bLot#:
I Aid -1" will provide theirirti n %4p .(, 4149 on 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#
Structure Owner/Contractor Signature: Date: tLy 9/t0/T •
By signing this application you affirm that you h.• e obtaine %re 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
Harnett County Central Permit to 110 Lenoir Dr,Spring Lake,NC 2... https://www.google.com/maps/dir/Hamett+County+Central+permit...
Go, ,gle Maps Harnett County Central Permit to 110 Drive 13.4 miles, 17 min
Lenoir Dr,Spring Lake, NC 28390
Harnett County Central Permit
t 1. Head west on E Front St toward S 1st St
01 ml
.1 2. Turn left onto S Main St
n6 ml
✓ 3. Turn right onto NC-210 S
O Pass by Burger King (on the left)
9.6 mi
✓ 4. Turn right onto Overhills Rd
30 mi
5. Turn left onto Lenoir Dr
O Destination will he on the right
01 mi
110 Lenoir Dr
•
These directions are for planning purposes only You may find that construction
projects,traffic,weather,or other events may cause conditions to differ from the
map results,and you should plan your route accordingly.You must obey all signs or
notices regarding your route.
1 of I 7/7/2018, 1:28 PM
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Application Number 18-50044443 Date 7/09/18
Intersection
Property Address 91749 TECH 2
PARCEL NUMBER - - - - -
Application type description CP SEWER/WATER TAP
Subdivision Name
Property Zoning UNZONED
Owner Contractor
SEPULVEDA-CRUZ ULISES & VEGA OWNER
YOBALICE
110 LENIOR DRIVE SPRING LAKE,
SPRING LAKE NC 28390
(910) 797-0949
Applicant
SEPULVEDA-CRUZ ULISES & VEGA
YOBALICE
110 LENIOR DRIVE SPRING LAKE,
SPRING LAKE NC 28390
(910) 797-0949
-- - Structure Information 000 000 SPRINKLER TAP HOOK UP
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1250695 0
Issue Date . . . 7/09/18 Valuation . . . .
Expiration Date . 7/09/19
Special Notes and Comments
T/S: 07/09/2018 01:38 PM JBROCK ----
110 lenoir dr - in overhills creek s/d
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call: (910) 893-7525 Fax: (910) 693-2793
Page 2
Application Number 18-50044443 Date 7/09/18
Property Address 91749 TECH 2
PARCEL NUMBER - - - - _ _ _
Application description . . CP SEWER/WATER TAP
Subdivision Name
Property Zoning UNZONED
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1250695
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 305 M305 R*PLUMB SEWER CONNECTION / /
999 307 P307 R*PLUMB WATER CONNECTION /
999 309 P309 R*PLUMB UNDER SLAB //
999 131 R131 ONE TRADE FINAL
999 125 R125 ONE TRADE ROUGH IN //
999 315 P315 R*PLUMB HW HEATER //
HARNETT COUNTY CASH RECEIPTS
*** CUSTOHER RECEIPT ***
Oper: SBROCK type: CG 'Drawer:
Date: 7/05/18 52 Receipt no: 12787
Year Number Amount
2918 50044443
61749 TECH 2
LILLINGTUN. BPNC 27546NTT F546 Eb
Ft $40.00
PLUMBING PERMIT
SEPULVEDA-CRUZ OLISES E VESA
Tender detail $40.08
CP CREDIT CARD $40,00
Total tendered $40.90
Total payment
Trans date: 7/09/18 Time: 13:49:47
** THANK YOU FUR YOUR PAYMENT **