HomeMy WebLinkAboutDOCUMENTS 2..1 g 1 I l 11. Application#11SCIOU PCO tic
Harnett County Central Permitting
PO Box 65 Lillington,NC 27546 - Ph: 910-893-7525 - Fx:910-893-2793 - www.hamett.orglpermits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
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Owner(s)of Structure: Cs-eiArc )(1-tt qb fPhone: 1 k SS.a a j r9�
Owner(s) Mailing Address: 3 R.04-t b a.LCJILkj C. 14.
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Land Owner Name(s): Phone:
Construction or Site Address:
PIN# pin�it-t 01 -cII DUI` Parcel # b', 0.04E LL?
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Job Cost: Description of Work to be done -fiV oLC--- La..D W A-t air
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 cus ers we need the premise number
Plumbing: Water/Sewer Tap Number of Baths Water Heater
Specific Directions to Job from Lillinoton:
Subdivision:u� Lot#:
I S 9�`.n LUY,�'j r''Kwill provide the l�-' labor on this structure.
(Contractors Name)0 (Trade)
I am the building owner or my NC state license number is I [?J 3(J ,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.
C n ractor's Company Name Telephone
_5-14 ° L1 t 6e.g0 . ,c ted
Address Email Address
a7 O
License#
Structure Owner/Contractor Signature: 44/441.41,c rY' 44A41Date: t- 0- -� J/7
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
Bldg Insp scheduled before 2pm available next business day.
Application Number 17-50042978 Date 12/21/17
Property Address 3164 OAKRIDGE RIVER RD
PARCEL NUMBER 05-0644- - -0013- -
Application type description CP SEWER/WATER TAP
Subdivision Name
Property Zoning RES/AGRI DIST - RA-20M
Owner Contractor
TRUELOVE BOBBY B & GERALDINE CAIN
INC
544OAKRIDGE GDUNCAN ROAD
3164 OAK RIDGE RIVER ROAD FUQUAY-VARINA NC 27526
FUQUAY-VARINA NC 27526 (919) 552-6942
(919) 552-2593
Applicant
TURELOVE GERALDINE
3164 OAKRIDGE RIVER RD
FUQUAY-VARINA NC 27526
(919) 552-2593
--- Structure Information 000 000 HOOK UP WATER TAP
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code . 1222934 0
Issue Date 12/21/17 Valuation . . .
Expiration Date . . 12/21/18
Special Notes and Comments
T/S: 12/21/2017 10 :54 AM JBROCK ----
3164 OAKRIDGE RIVER
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Page 2
Application Number 17-50042978 Date 12/21/17
Property Address 3164 OAKRIDGE RIVER RD
PARCEL NUMBER 05-0644- - -0013- - -
Application description . . CP SEWER/WATER TAP
Subdivision Name
Property Zoning RES/AGRI DIST - RA-20M
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1222934
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
aem CUSTOMER RECEIPT xam
Uper: TBROCK Type: CP Drawer: 1
Date: 12/21/17 52 Receipt no: 194837
Year Number Amount
2817 58842978
3164 OAKRIDGE RIVER RD
FUGUAY-VARINA NC 27526
B1 BP - PERMIT FEES
PLUMBING PERMIT $48.00
GERALDINE TURELOVE
Tender detail
CN CHECK PAYER 6470 $40.80
Total tendered $48.80
Total payment 440.88
Trans date: 12/21/17 Time: 18:58:08
me THANK YOU FOR YOUR PAYMENT am