The invention relates to a cement concrete pavement 3D printing equipment and a construction method, belonging to the technical field of pavement paving. The equipment includes vehicle-mounted system, batching system, control system, printing system and leveling system. Among them, the batching system is set on the vehicle-mounted system, the batching system is connected to the printing system, and the printing system is equipped with a control system. Through the printing system and the control system, the Concrete is laid on the road surface, and the printing system is equipped with a leveling system, which can level the road surface paved with concrete. The invention combines 3D printing technology with concrete pavement technology, uses a mechanical arm to replace the portal steel frame used by traditional 3D printing machines, realizes the three-dimensional movement of the machine, and installs the mechanical arm on the vehicle-mounted system, so that the machine can Moving around makes the printing area unrestricted, realizing large-scale, integrated and fast printing construction on the road.