DOCUMENTS Initial Epplication Date: 7 ' `14 Application# 50O J—t
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamett.org/permits
"A RECO:I ED SURVEY MAP,RECORD D DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
IMIllalligen
LANDOWNER: . _ * _ ailing Address:
City:_(49 . State: ip:th contact No: Email: 1-F`
APPLICANT,:JSJ Builders, Inc. Mailing Address:1135 Robeson Street
City: Fayetteville State:NC Zip:28305 Contact No: 910-438-0796 Email: spoteetjsj @gmail.com
'Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:Shea Poteet Phone#910-438-0796
PROPERTY LOCATION:Subdivision: Sweet Water Lot#: (� Lot Size:/ r J�I✓ �C-1
State Road# 55 ` ' State Road Name: ,a�/"f 2(.A ( './/� // Map Book&Page:4[r/! 1710
Parcel: � ))�S J q ( N 4 I Cc PIN: ( 5 '/ /— 7`7 10 �� ,t` T�y
Zoning:2 Ylood Zone: . Watershed: Deed Book&Page 4i -1 'S Power Company': .�i" IA-1 -)l UPC tr f
New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
J r, r t' Monolith
SFD:(Size s33 !u,#Bedrooms:7 #Baths:_Basement(wlwo bath): Garage: A Deck:_Crawl Space: Slab: Slab:
(Is the bonus room finished?( )yes ( )no w/a closet?( )yes U no(if yes add in with#bedrooms)
• Mod:(Size x )#Bedrooms #Baths_Basement(wlwo bath) Garage: Site Built Deck: On Frame_Off Frame
(Is the second floor finished?( )yes ( )no Any other site built additions?( )yes ( )no
• Manufactured Home:�SW DW TW(Size x )#Bedrooms: Garage: (site built? )Deck: (site built? )
U Duplex:(Size x ) No.Buildings: No.Bedrooms Per Unit:
U Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
• AdditionlAccessory/Other:(Size x )Use: Closets in addition?C )yes ( )no
Water Supply: ,X County Existing Well New Well(#of dwellings using well )'Must have operable water before final
Sewage Supply: X New Septic Tank(Complete Checklist) Existing Septic Tank(Complete Checklist) County Sewer
Does owner of this tract of land,own land that contains a manufactured home within five hundred feet(500')of tract listed above?( .)yes (Xc )no
Does the property contain any easements whether underground or overhead( )yes (X)no
Structures(existing or proposed):Single family dwellings: / Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum .3� Actual 3 l.L'
Rear _&1.L
Closest Side
Sldestreet/comer lot o
Nearest Building
on same lot
APPLICATION CONTINUES ON BACK
t
SPECIRC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
— o Start out going soul h on S. Main St/US-401 S ! NC-210 toward E Northington St.
— a Turn left.onto Elliott Bridge Rd
a Turn left onto Will Lucas Rd, go about 2 miles, Sweet Water is on the right, turn
into neighborhood on Hybrid Lane
If permits are granted I;sr'
oree to conform m nIs to outdate and correct to the best of my knows dge_ Permit isubject to revocation if false information is provided.mitted.
I hereby state that foregoin tate�nts a
Y\. / ' ign t re of'•""ner or Owner's Agent
Date
."It is the boundary information,owner/applicants ,house to underground the county with any applicable licable information about the subject property,including but not limited
to:boundary information,"house r misssing information that is contained within these pplications.gees are not responsible
This application expires 6 months from the initial date if permits have not been issued"
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NAME: 3 5.5 1(6U G LAPS 51 -MC_ APPLICATION#:
*This application to be filled out when applying for a septic system inspection.*
County Health Department Application for Improvement Permit and/or Authorization to Construct
IF THE INFORMATION IN THIS APPLICATION IS FALSIFIED,CHANGED,OR THE SITE IS ALTERED,THEN THE IMPROVEMENT
PERMIT OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. The permit is valid for either 60 months or without expiration
depending upon documentation submitted. (Complete site plan=60 months;Complete plat=without expiration)
910-893-7525 option 1 CONFIRMATION 41
VEnvironmental Health New Septic SystemCode 800
• All property irons must be made visible. Place "pink property flags" on each corner iron of lot. All property
lines must be clearly flagged approximately every 50 feet between corners.
• Plate "orange house corner flags" at each corner of the proposed structure. Also flag driveways, garages, decks,
out buildings, swimming pools, etc. Place flags per site plan developed at/for Central Permitting.
• Place orange Environmental Health card in location that is easily viewed from road to assist in locating property.
• If property is thickly wooded, Environmental Health requires that you clean out the undergrowth to allow the soil
evaluation to be performed. Inspectors should be able to walk freely around site. Do not grade property.
• All lots to be addressed within 10 business days after confirmation. $25.00 return trip fee may be incurred
for failure to uncover outlet lid, mark house corners and property lines, etc. once lot confirmed ready.
• After preparing proposed site call the voice permitting system at 910-893-7525 option 1 to schedule and use code
800 (after selecting notification permit if multiple permits exist) for Environmental Health inspection. Please note
confirmation number given at end of recording for proof of request.
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
❑ Environmental Health Existing Tank Inspections Code 800
• Follow above instructions for placing flags and card on property.
• Prepare for inspection by removing soil over outlet end of tank as diagram indicates, and lift lid straight up (if
possible) and then put lid back in place. (Unless inspection is for a septic tank in a mobile home park)
• DO NOT LEAVE LIDS OFF OF SEPTIC TANK
• After uncovering outlet end call the voice permitting system at 910-893-7525 option 1 & select notification permit
if multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number
qiven at end of recording for proof of request.
• Use Click2Gov or IVR to hear results. Once approved, proceed to Central Permitting for remaining permits.
SEPTIC
If applying for authorization to construct please indicate desired system type(s): can be ranked in order of preference,must choose one.
{_} Accepted (_} Innovative {Conventional {_} Any
(_) Alternative {_) Other
The applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in
question. if the answer is"yes",applicant MUST ATTACH SUPPORTING DOCUMENTATION:
(_)YES L N O Does the site contain any Jurisdictional Wetlands?
( )YES {✓(NO Do you plan to have an irrieation system now or in the future?
{_}YES ( ✓fNO Does or will the building contain any drains?Please explain._
i_)YES (✓NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
(✓ITIO Is any wastewater going to be generated on the site other than domestic sewage?
(_)YES {fNO Is the site subject to approval by any other Public Agency?
{_}YES { NO Are there any Easements or Right of Ways on this property?
(_)YES (VINO Does the site contain any existing water,cable,phone or underground electric lines?
If yes please call No Cuts at 800-632-4949 to locate the lines. This is a free service.
I Have Read This Application And Certify That The Information Provided Herein Is True,Complete And Correct. Authorized County And
State Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules.
I Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
Th 1 • A Complete Site Evaluation Can Be Performed.
5---f/ /
PROP• 'TY 0 V RS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10
NORTH CAROLINA SETT COUNTY
CONTRACT TO PURCHASE
This contract,made and entered Into this jSth day of Ink ni ,by and between Alverpltierl
Investors.Inc.as SELLER,and J'Sd Builders.bun as BUYER.
WITNESSETH
THAT SELLER hereby contracts to sell and convey to BUYER.and BUYER hereby contract'
to purchase front SELLER,the following described residential building lots,to wit
Being all of LOT/S g,10.11.61:16 of the Subdivision known as Sweetwater Subdivision a map
of which is duly recorded in Book of Plats Map Z),1 Page 424:01,Barnett County Registry.
Price is$j,90Qeaeh,payable as follows:
Down Payment(payable upon execution of this contract):S
Balance of Sale Price(payable at closing): S_ 112,000
1. The LOT/S shall bo conveyed by SELLER to buyer by a General Warranty
Deed Bee of all encumbrances other than taxes for the currant year,which
shall be prorated as of closing.The Deed shall be subject to all Restrictive
Covenants,Utility Easements and applicable zoning ordinances on record at
the time of closing.
2.. Buyer acknowledges inspecting the property and that no representations or
inducements have been made by SELLER,other than those set forth herein,
and that the Contract contains the entire agreement between the parties.
3. Closing(Final Settlement)is to take place not later than: Annuli 15,2014 at the -
offices of In.Should BUYER fall to close,the SELLER,at his option,may retain
the sum paid as a Down Payment upon the Purchase Price as liquidated damages and
declare this Contract null and void and may proceed to resell the LOT/S to a
subsequent Buyer.
4. Other Conditions:
Restriotive Covenants for subdivision are recorded in the Office of the Register of
Deeds for Barnet County in Book,221Z Page 1332,or ,a copy
of which has been provided to Buyer.
Building side lines shall be per plat unless otherwise controlled by governmental
tlt.l"� authority.Property has been surveyed by Enoch Enclosers,P.A.
Additionally: The seller-agues to Install an underground drainage system
betweeg,�ojs 9&10. �6r4&- rase.'*' , C ' p Q Ill H
If7 IN WITNESS WHEREO)4 the parties have executed this contract this day 15th
ofJnly2014.
4111111111.!
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Diversified Investors,Inc. Builders, .0.
Application#
09109111
Harnett County Central Permitting
pa Box 65 LiUington NC 27546 910 893 7525 Fax 910 893 2793 UMW hamett org/permtts
Each section below to be Ned out
by whomever performing work and Trades Permit
Must be owner or licensed A tion dln
for Residential Buil
contractor Address ess match Date
name&phone Inc. (910) 438-0797
Owner s Name JSJ Builders, C •3 _ Phone
�.1� � 1 '
Site Address Take 401 south, turn ri•ht on McNeil Hobbs Road,you reach
Directions l ns to job ire from sum right ri ht on Will Lucas Rd, subdivision will be on the left, i Y
turn left on Wire Rd, tum 9
Elliot Bride rd, you have passed the subdivison Lot
Sweet Water #of Bedrooms
Subdivision New Construction Slab �C
Work Crawl Space
Description of Proposed 33.9_&-Finished Bonus Room
Heated SF L�—L—Unheated SF General Contractor Information (910} 43$-0797
JSJ Builders, Inc. Telephone
Building Contractors Company Name
@nc.rr.com
Email Address
1135 Robeson Street, Fayetteville, NC 28305 jsjbuilders
Address
55120
License# Electrical Contras foatian Amps T-pole X Yes_No
New Constru Service Size
Description of Work
(910) 323-2458
Sand Ride Electric Telephone
Electrical Contractor s Company Name
keith @sandyr►d9eelectric.com
454 Whitehead Rd., Fayetteville, NC 28312 Email Address
Address
10006U
License# MechanicallHVAC C ntractor Information //�
Description of Work . l Lv )l I S - ' Ci • �.+�U
' ��' Telephone
Mechanical Contractor a Co is=fly Name �Telephone
„n n i r
'�C� C> Email Address
� w ,CO
Address 3c-t.Q 3` v ���Y
License# Plumbina Contractor information
New ?•
Description of Work w Construction #Bat
Dell Haire Plumbing N mbing (91 429-9939
Plumbing Contractors Company Name dell one lumbing @hotmaii.com
7612 Documentary Dr., Fayetteville, NC 28306 Email Addr ss
Address
24201 P1
License#
Insulation Contractor Information,
A-1 Insulation 2065 Yarborough Rd., St. Pauls, NC 28384 (910) 429-2990
Insulation Contractors Company Name&Address Telephone
bobbied49 @aol.corn
'NOTE General Contractor must fill out and sign the second page of this application
I hereby certify that I have the authority to make necessary application that the application is correct
and that-the construction will conform to the regulations in hl Building Elerma on olu the abond
Mechanical codes and the Harnett County Zoning
contractors is correct as known to mksaard that if any changes occur including bsted contractors site plan
permission to obtain these permits �C site use
number of bedrooms building and trade plans Environmental tHarnett County Central Permitting rDepartment of
changes 1 certify it is my responsibility to notify
any and all changes
EXPIRED PERMIT FEES-6 Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee
is as per current fee schedule Signature�of Owner/Contractor/Officer(s)of Corporation Date
Affidavit for Worker's Compensation N C G S 87-14
The undersigned applicant being the
X General Contractor Owner Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s) firm(s)or corporations)performing the work
set forth in the permit
Has three(3) or more employees and has obtained workers compensation insurance to cover them
Has one(1)or more subcontractors(s) and has obtained workers compensation insurance to cover
them
Has one(1) or more subcontractors(s)who has their own policy of workers compensation insurance
-
covering themselves
Has no more than two(2)employees and no subcontractors
While pa tmenng on the hproject mit may require certificates of coverage of worker stcompensat on insurance pnor
Department issuing permit
issuance of the permit and at any time during the permitted work from any person firm or corporation
carrying out the work
Company or Name JSJ Builders, inc. ,(/
President Date �!�� -�
•
Sign wlTitle /
DO NOT REMOVE!
Details: Appointment of Lien Agent
Filed on: 1010312014
Entry #: 198391
Initially filed by: jsjbullders
Designated Lien Agent Project Property
Print & Post
Investors Title Insurance Company 55 Farrow Court
Linden,NC 28356 ❑ r p
Online:www.liensnc.cont Harnett County _ 'ti•4
nk:
Address:19 W.Hargett St.,Suite 507/Raleigh,NC i•(.•M•..'ri;y
ti
w
27601 ❑ •
Phone:888-690-7384 Property Type
Contractors:
Fax:913-489-5231 Please post this notice on the Job Site.
1-2 Family Dwelling
Email: urmortt lliensnc.com.—,.. ... ...,wu
Suppliers and Subcontractors:
Scan this image with your smart phone to
view this filing.You can then file a Notice
Owner Information to Lien Agent for this project.
JSJ Builders,Inc.
1 135 Robeson Street
Fayetteville, NC 28305
United States
Email:jsjbuilder(d)nc.rr.com
Phone:910-438-0796
View Comments(0)
Technical Support Hotline:(888)690-7384
Date 1 D" q-
Plan Box# Job Name.
App Valuation I S (o SC Heated SQ Feet I may]
Garage ti
33 L(
Inspections for SFD/SFA
Crawl Slab Mono Basement
Footing Footing Plum Under Slab Footing
Fou ndation Foundation Ele, Under Slab Foundation
Address Address Address Waterproofing
On Floor Slab Mono Slab Plum Under slab
Rough In Rough In Rough In Address
Insulation Insulation Insulation Slab
Final Final Final Open Floor
Rough In
Insulation
Final
Foundation Survey Envir. Health Other
Additions/ Other
Footing
Foundation
Slab
Mono
Open Floor
Rough In
Insulation
Final