DOCUMENTS Application#
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www.harnett.org/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
Owner(s)of Structure: (I'f�,U... Phone:
Owner(s)Mailing Address:
Land Owner Name(s): Phone:
Construction or Site Address:
PIN# Parcel#
Job Cost: Description of Work to be done L�
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: Lot#:
will provide the 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 Signatur-• Ma* . Date: /0 NO 1/%y
By signing this application you affirm that you hav/obtained permission from the above listed license holder to
purchase permits on their behalf. If doing the work as owner you understand that you caFSnot 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 15-50037346 Date 11/10/15
Property Address 10 BELLA HOWINGTON DR
PARCEL NUMBER . 13 -0630-01- -0029- -10-
Application type description CP NEW STORAGE BLDG RESIDENTIAL
Subdivision Name MAMIE BELL PH# 1&2&5 46LOTS
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
BECKER JASON A & SYLVIA OWNER
10 BELLA HOWINGTON DRIVE
LILLINGTON NC 27546
Applicant
BECKER SYLVIA #70
10 BELLA HOWINGTON DR
LILLINGTON NC 27546
(808) 333-0804
--- Structure Information 000 000 12X16 STORAGE BUILDING
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE STORAGE BLDG
SEPTIC - EXISTING? EXIST
WATER SUPPLY COUNTY
Permit RESIDENTIAL BUILDING PERMIT
Additional desc .
Phone Access Code 1115948
Issue Date . . . 11/10/15 Valuation . . . . 0
Expiration Date . 11/09/16
Permit LAND USE PERMIT
Additional desc .
Phone Access Code 1115955
Issue Date . . . 11/10/15 Valuation . . . . 0
Expiration Date . 5/08/16
Special Notes and Comments
T/S : 10/23/2015 12 : 30 PM DJOHNSON - -
MAMIE BELL RIDGE LOT 70
TAKE OLD 421 TOWARDS SANFORD, THEN LEFT
INTO MAMIE BELL RIDGE ON TILDEN
HOWINGTON DR THE LEFT ONTO BELLA
HOWINGTON DR BLUE HOUSE ON CORNER
10 BELLA HOWINGTON DR
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 . . . . . 15-50037346 Date 11/10/15
Property Address 10 BELLA HOWINGTON DR
PARCEL NUMBER . 13-0630-01- -0029- -10-
Application description . . CP NEW STORAGE BLDG RESIDENTIAL
Subdivision Name MAMIE BELL PH# 1&2&5 46LOTS
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 / /