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DOCUMENTS
1 It Initial Application Date: 9-25 /y Application# 1 �l: ni- J a 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 .t " /(3,5—TWHENSUBM„I TTING A LAND USE APPLICATION” LANDOWNER: I I -"ng Address: Jo /1)6 :5)..74B)))d City: \1IJ � _Stat Zip 5'ntact No: Email: /(// APPLICANT*: J53 a)j)d( .r3 Ti�C Mailing Address: 1 133 fa)b 'JoYI 6 City: «4P 'V/�/� State ip ontact No: 9 Email: 6pOttE 15\ )Y�GIII sCOrY) *Please fill out ap licant information if different than landowner �J C[Vet CONTACT NAME APPLYING IN OFFICE: (J1 I ? fT} Phone# 91) 'T'3g 0 9q6' 6' PROPERTY LOCATION:Subdivision: �-sct ( Lot#: \\I) Lot Size:- 3(ct/ff�� State Roa1d�# �1 State Road Name: RAJ-r 5\J..) C._ Map Book&Page:96) / —1 [Q Parcel: V\ b 54(4 LX14 tl��{ PIN: ( 1'4 — 1t1 q I '7•0 0 C)-Fp Zoning: od Zone: Ll Watershed:_iLft Deed Book&Page: V Power Company*: *New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: 2. Monoli c ❑ SFD:(Size 3? )39 )#Bedrooms:7 #Baths: Basement(w/wo bath): Garage: A Deck:_Crawl Space:_Slab: Slab:4 (Is the bonus room finished?( )yes (_}no wl a closet?U yes ( )no(if yes add in with#bedrooms) O Mod:(Size x )#Bedrooms_#Baths Basement(w/wo bath)_Garage:_Site Built Deck:_ On Frame Off Frame_ (Is the second floor finished?( )yes ( )no Any other site built additions?Li yes Ci no ❑ Manufactured Home:_SW_DW_TW(Size x )#Bedrooms: Garage: (site built? )Deck: (site built? ) ❑ 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 U 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?(i yes U no Does the property contain any easements whether underground or overhead(_)yes (_j no Structures(existing or proposed):Single family dwellings: Manufactured Homes: Other(specify): Required Residential Property Line Setbacks: Comments: Front Minimum 35 Actual 36 Rear o/5�, Closest Side /C-' Sidestreeticomer lot a0 Nearest Building , on same lot Residential Land Use Application Page 1 of 2 03/11 APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: © Start out going south 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 foregoin sta = -nts are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided. — ignat of ■ er or Owner's Agent Date f ***It is the owner/applicants responsibility to provide the county with any applicable information about the subject property,including but not limited to:boundary information,house location,underground or overhead easements,etc.The county or its employees are not responsible for any 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" • 17:::-;sbeniial Land o i:.r::ticali"-•- Pant• °— 0 Pad Hip w 6 R 19A9 Z$ ° V ®�a 3S C.) '' w N l y m .„i - GQ $ 8 �a C/3NNp E" 643 Milli en 3 I I ( 61; W n w e d � -a Ad2T,L5.6LS O d u xrn w ,09'L9T � J °o 7 � o g C C Vl x 1 "':' 8r N w I O1 o O e_ 58ll! <S) p xN c o, m h'm� oo©� m 05 LI_ _ 3„ZI,45.64Ni 7 C E O Q ] p 9t 0 D.. I ., C.T..7 I4 l 011 PR I R.. . . 0. ;{, t 21 E O N sz71., L s o Da 1101-11g t3 a x z x 11 104 z as smo...1u oso:n YorATA'bwmaime n iany w19arnua,vb■sa3aura mwmnmtii NAME: V 16Ll1kf 5,16c . 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# V Environmental Health New Septic$ystemCode 800 • All property irons must be made visible. Place "pink property flags" on each corner iron of lot. All property line%must be clearly flagged approximately every 50 feet between corners. • Platt "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. ID 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 given 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 (✓rNO Does the site contain any Jurisdictional Wetlands? (_}YES (ZNO Do you plan to have an irrigation system now or in the future? (,_}YES ( ✓`NO Does or will the building contain any drains?Please explain. [_IYES 1 VINO Are there any existing wells,springs, waterlines or Wastewater Systems on this property? {`}YES "{ t/riVO Is any wastewater going to be generated on the site other than domestic sewage? (_)YES (VINO 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 {✓NO 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• le • A Complete Site Evaluation Can Be Performed. 67/. / PROP. •TY 0 ►' RS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE 10/10 NORTH CAROLINA HARNETT COUNTY CONTRACT TO PURCHASE This contract,made and entered into this 1.5th day of ME 201,4,by and between Diversifier' Investors.Ins.as SETIPA,and JSJ Builders.Inc.,as BUYER. WITNESSETS THAT SELLER hereby contracts to sell and convey to BUYER,and BUYER hereby contracts to purchase front SELLER,the following described residential building lot/s,to wit: Being all of LOT/S 9.10,IC&16 of the Subdivision known astweetwater Subdivision a map of which Is duly recorded in Book of Plats Map 2.Q1j Page 424.0.Barnett County Registry. Price is$ 28,000 each,payable as follows: Down Payment(payable upon execution of this contract):$ Balance of Sale Price(payable at closing): $ 112,000 I. The LOT/S shall be conveyed by SELLER to buyer by a General Warranty Deed free of all encumbrances other than taxes fbr the current year,which shalt 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 heroin, and that the Contract contains the entire agreement between the parties. 3. Closing(Final Settlement)is to take place not later than: gggaaf15,2014 at the - ofices of 131.Should BUYER fail to close,the SELLER,at his option,may retain the turn 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 as=County in Book;927 Page 1122,or ,a copy of which has been provided to Buyer. Building side lines shall be per plat unless otherwise controlled by governmental ltl,t authority.Property has been surveyed by Enoch Rnsinearn.P.A. ,.. „26o..t.as -to -tebi.4 ^ Additionally: The seller.agaess to install an underground drainage system �C iLL1� between o 9&10. se 4e41~ 14.?-•50-'' IN WITNESS WHEREOF the parties have executed this contract this day ISth of July 2014. B Diversified Investors,Inc. 7'4 Builders, •e. • I 09/09111 Application# Harnett County Central Permitting PO Box 65 Liliington NC 27546 Each section below to be filled out 910 893 7525 Fax 910 893 2793 www hamett org/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 4/0 crol o 0 Ct)r� L nC1P 1, UC �3 35/. Phone (910) 438-0797 Directions to fob 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 16 Description of Proposed Work New Construction #of Bedrooms Heated SF log Unheated SF 5:9_9 Finished Bonus Room9 N 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 1 Service Size Amps T-Pole X Yes No Sandy Ridge Electric (910) 323-2458 Electrical Contractor s Company Name Telephone 454 Whitehead Rd., Fayetteville, NC 28312 keith @sandyridgeelectric.com Address Email Address 10006U License# Mechanical/HVAC Contractor Information Description of Work AID 1 _n r rt )- U r1 OPA-A-i f i Pil Hroc -i n e, A ; 9/0/5i Mechanical Contractors Compaq Name Telepho e /1 bi /f r►• ./ / C ` Maw Yr7 4.C�Y Addreesss 2 V ItF Email Address Mai`l,Cah C�f)/2f/`_ / X J`/ ca--)7 License# Plumbing Contractor Information Description of Work New Construction #Baths Dell Haire Plumbing (910)429-9939 Plumbing Contractors Company Name Telephone 7612 Documentary Dr., Fayetteville, NC 28306 dellhaireplumbing @hotmail.com Address Email Address 24201 P1 License# Insulatiog Contractor Information, A-1 Insulation 2065 Yarborough Rd., St. Pauls, NC 28384 (910)429-2990 Insulation Contractors Company Name&Address Telephone bobbied41@aol.com *NOTE General Contractor must fill out and sign the second page of this application l 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 my 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 Signet kof Ow ikon rector/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 waffle _.�� _President Date 9-,2-LCl/V • • • DO NOT REMOVE! Details: Appointment of Lien Agent Filed on: 10/03/2074 Entry #: 198396 Initially flied by: jsjbuilders Designated Lien Agent Project Property Print & Post Investors Title Insurance Company 40 Farrow Court Linden,NC 28356 ❑ Online:www.liensnc.com W, ..,•.e...., Harnett County T❑H' r� Address:19 W.Hargett St.,Suite 507/Raleigh,NC =i y r 27601 ❑ 4 ' Phone:888-690-7384 Property Type Contractors: Fu:913-489-5231 Please post this notice on the Job Site. 1-2 Family Dwelling Email:suanortfa]liggog.cos ....•,_..._.-.. 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:spoteetjsj®gmail.com Phone:910-438-0796 View Comments(0) Technical Support Hotline:(888)690-7384 v Date ' I q • Plan Box # LT Q Job Name App # A-1 3-a Valuation / k 3 ) O 8 Heated SQ Feet II IS Garage hi8 as 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 F oun dation Surve y En vir. Health \__ Other Additions/Other Footing Foundation Slab Mono Open Floor Rough In Insulation Final