DOCUMENTS �} 1�5O0S`4 ^13_l
fii;ial Application Date: `7`24-C-----/ Application#
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 RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER: 1 tle`c6: �i� _ a /401/7 - 4 Mailing Address: 17/05 c)c,h EOr) )V1
City: t/Q( /)f l2/)/(0. State: NCZip:a Contact No: Email: /1//2
APPLICANT`:JSJ Builders, Inc. Mailing Address:1135 Robeson Street
City: Fayetteville State:NC Zip:28305 Contact No: 910-438-0796 Email: spoteetjsj @gmaif.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 t Si ze:,c3 t L
c S
State Road# 56 State Road Name: ,4-0rio/A. Map Book&P age: ti/l f 7( )
Parcel:_U. (.. SL--N PIN: 2717acid /7CC v`
Zoning: Flood Zone: Watershed: Deed Book&Page: U
/ Power Company*:
New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
// Monolithic
38( SFD:(Size 33..9A#Bedrooms:'7'#Baths:_Basement(wlwo bath): Garage: Deck: Crawl Space: Slab:_Slab:__
(Is the bonus room finished?( )yes ( )no w/a closet?( )yes ( )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?U yes ( )no
Cl Manufactured Home: SW_DW TW(Size x )#Bedrooms: Garage: (site built? )Deck: (site built? )
U Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees.
❑ Addition/Accessory/Other:(Size x )Use: Closets in addition?( )yes ( )no
Water Supply: A 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 () )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 .)5- Actual 3(f)
Rear
Closest Side /(7
Sidestreeticomer lot C O.
Nearest Building
on same lot
-_e 1 of 03;11 •
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
v Start out going souti on S. Main St/US-401 S / NC-210 toward E Northington St. _
Turn left-onto Elliott Bridge Rd
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 agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted-
I hereby state that foregoing statennts are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
25V 9
ignetj to o f Q97�ier or Owner's Agent
Date
"'it is the ownerlapplicants o responsibility, olocc location,underground county with any
head easements,etc.information about the subject property,
county or its employees are not responsible fort any
to:boundary information,house c 9
incorrect or missing information that is contained within these applications""
This application expires 6 months from the initial date if permits have not been issued"
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NAME: 3W O U L kPf'5,nc • 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 I CONFIRMATION#
VEnvironmental Health New Septic SvstemCode 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 slid back In place. (Unless inspection is for a septic tank in a mobile home park)
• DO NOT LEAVE UDE 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
(liven 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 1_) 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 (VINO Does the site contain any Jurisdictional Wetlands?
(_}YES { ✓1NO Do you plan to have an irrigation sygem now or in the future?
(_}YES ( ✓'NO 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?
(_)YES ' ( ✓1. o Is any wastewater going to be generated on the site other than domestic sewage?
{_}YES (t%1■O Is the site subject to approval by any other Public Agency?
( VfNO Are there any Easements or Right of Ways on this property?
(_)YES { ✓1NO 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 • \\Iee .1 • A Complete Site Evaluation Can Be Performed.
--�17 9. 5./ 1
PROP 'TY 0 ■' RS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10
NORTH CAROLINA I-HARNETT COUNTY
CONTRACT TO PURCHASE
This contract,made and entered into this XStb day of,jpjy 2&11 by and between Diversified
Investor■.Inc.as SELLER,and.183 Builders.Inc, as BUYER.
WITNESSETH
THAT SELLER hereby contracts to sell and convey to BUYER,and BUYER hereby contracts
to purchase from SELLER,the following described residential building lots,to wit:
Being all of LOTS 9,10*15.&16 of the Subdivision known as&scan/Ater Subdivision a map
of which is duly recorded in Book of Plata Map 2911 Page 424_4 Harnett County Registry.
Price is S 18.000 each,payable as follows:
Down Payment(payable upon execution of this contract):S,
Balance of Sale Price(payable at°losing): S_ 112400
I. The LOTS shall be conveyed by SELLER to buyer by a General Warranty
Deed free of all encumbrances other than taxes for the current 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 fourth herein,
and that the Contract contains the entire agreement between the parties.
3. Closing(Final Settlement)is to take place not later than: 4gayst 15,2014 at the
offices ofd.Should BUYER fail 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:
Restrictive Covenants for subdivision are recorded in the Office of the Register of
Deeds for Rarnett County in Book,222,Z Page 13.22.or ,a copy
of which has been provided to Buyer.
Building side lines shall be per plat unless otherwise controlled by governmental
9 I tl.l authority.Property has been surveyed by Enos Endneora.P.A.
‘A`�"�'
Additionally: The seller agues to install an underground drainage system -11 t�l ly
betweenyt 9&10. to 4d5JU w�. + A gel t>0,6
IN WITNESS WHEREOF the parties have executed this contract this day 15th
of July 2014.
B ':?•�
Diversified Investors,Inc. :. Builders, .o.
I,
•
09/09(11 Application#
Harnett County Central Permitting
PO Box 65 Lillington NC 27546
Each section below to be filled out 910 893 7525 Fax 910 893 2793 www harnett erg/permits
by whomever performing work
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name&phone must match
Owners Name JSJ Builders, Inc. _Date
Site Address 6Z FF rrr,(.t ; 0 j r kn � NC., ,� c35 2 Phone (910) 438-0797
Directions to job site from Lillington Take 401 south, turn right on McNeil Hobbs Road,
turn left on Wire Rd, turn right on Will Lucas Rd, subdivision will be on the left, if you reach
Elliot Bridge rd, you have passed the subdivison
Subdivision Sweet Water Lot /5--
Description of Proposed Work New Construction #of Bedrooms
Heated SF N J? Unheated SF (:P(o Finished Bonus Roomy /U Crawl Space Slab x
General Contractor Information
JSJ Builders, Inc. (910) 438-0797
Building Contractors Company Name Telephone
1135 Robeson Street, Fayetteville, NC 28305 jsjbuilders @nc.rr.com
Address Email Address
55120
License#
Electrical Contractor Information
Description of Work New Construction Service Size Amps T-Pole X Yes No
Sandy Ridge Electric (910) 323-2458
Electrical Contractors Company Name Telephone
454 Whitehead Rd., Fayetteville, NC 28312 keith @sandyridgeelectric.com
Address Email Address
10006U
License#
Mechanical/HVAC Contractor Information
Description of Work /1/F LL ) .2on5tr i n r
pc i nc 4 Ric 9/(' '6;S' i
Mechanical Contractor s Company �me Telephone
VC\ X_ 1 7) , /J 111 r'11. A vC (Z'39 ccrt►Cirri h a r`I"A'rnbvJ
Address Email Address YV1Ct I I, C ri--)
, (J 2 / 3)
License#
Plumbing Contractor Information
Description of Work New Construction # Baths a
Dell Haire Plumbing (910) 429-9939
Plumbing Contractors Company Name Telephone
7612 Documentary Dr., Fayetteville, NC 28306 dellhaireplumbing @hotmail.com
Address Email Address
24201P1
License#
Insulation Contractor Information
A-1 Insulation 2065 Yarborough Rd., St. Pauls, NC 28384 (910) 429-2990
Insulation Contractor s Company Name &Address Telephone
bobbied41@aol.com
*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 the Building Electrical Plumbing and
Mechanical codes and the Harnett County Zoning Ordinance I state the information on the above
contractors is correct as known to me and that by signing below I have obtained all subcontractors
permission to obtain these permits and if any changes occur including listed contractors site plan
number of bedrooms building and trade plans Environmental Health permit changes or proposed use
changes I certify it is my responsibility to notify the Harnett County Central Permitting Department of
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
Q‘,
Signat a of 0 ,=r/Con ractor/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 corporation(s)performing the work
set forth in the permit
X 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 working on the project for which this permit is sought it is understood that the Central Permitting
Department issuing the permit may require certificates of coverage of workers compensation insurance prior
to 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.
Sign wattle ' __� I f President Date 0-25--1 (/
DO NOT REMOVE!
Details: Appointment of Lien Agent
Flied on: 10iO3/2014
Entry #: 198393
Initially filed by: js)builders
Designated Lien Agent Project Property
Print & Post
Investors Title Insurance Company 56 Farrow Court
Linden,NC 28356 ❑.. T ❑
Online:www.Iierrenc.com ..- -..-. Harnett County ;;3.+-; 4•
•
Address:19 W.Hargett St.,Suite 507/Raleigh,NC I y'•5
27601 ❑ :+? d•
Phone:888-690-7384 Property Type
Contractors:
Fax:913-489-5231 Please post this notice on the Job Site.
Email; 1-2 Family Dwelling
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.
1135 Robeson Street
Fayetteville, NC 28305
United States
Email:jejbuilder@nc.rr.com
Phone:910-438-0796
View Comments(0)
Technical Support Hotline:(888)690-7384
Date li 1 -Cl - i q •
Plan Box# Job Name �S. ,_
App # --SL-Vi ?\ Valuation 1 51 C8. 7 Heated SQ Feet 1 8 7 7
Garage z S 7
233 11
Inspections for SFD/SFA /
Crawl Slab Mono Basement
Footing Footing Plum Under Slab Footing
Foundation Foundation Ele. Under Slab Foundation
Address Address Address Waterproofing
Open 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
... 1
Additions/ Other
Footing
Foundation
Slab
Mono
Open Floor
Rough In
Insulation
Final_