DOCUMENTS 1 GL--ax
Initial Application Date: 1 - I a '1c Application# S 3-7L,Qc
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.harnett.org/permits
**A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION**
LANDOWNER:PF Development Group, INC Mailing Address:14131 NC HWY 50/210
City: Surf City State:NC Zip:28445 Contact No: Jimmy Pierce Email: 910-326-5257
APPLICANT*:Royal Oaks Building Group Mailing Address: 1210 Trinity Road
City: Raleigh _State:NC Zip:27607 Contact No: 919-233-3886 Email: )moxley @royaloakshomes.com
*Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:John Moxley Phone#919-233-3886/321
PROPERTY LOCATION:Subdivision: Manors of Lexington Plantation Lot#:806 Lot Size:.26 ac
State Road# State Road Name: Pittfield Run
Map Book&Page: 2015 / 134
Parcel: 09956518 0282 46 PIN: 9595-30-7168.000
Zoning:RA2OR Flood Zone:N/A Watershed:N/A Deed Book&Page: 3216 / 363 Power Company*: South River
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
SFD:(Size 41
Monolithic
4 x 40 S th
)#Bedrooms:3#Baths.
Basement(w/wo 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(w/wo bath) Garage:_Site Built Deck: On Frame Off Frame_
(Is the second floor finished?( )yes (_)no Any other site built additions?U yes (__)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 ( )no
Water Supply: ✓ County Existing Well New Well(#of dwellings using well )*Must have operable water before final
Sewage Supply: 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 (1)no
Does the property contain any easements whether underground or overhead( )yes (,no
Structures(existing or proposed):Single family dwellings:New Home Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 Actual 36
Rear 25' 35'
Closest Side 5' 21.8'
Sidestreet/corner lot 10' 29.3'
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: South on 210 to Spring Lake, Right onto 87/24 North, Right onto
Centennial Parkway, Right onto Regimental Drive, left onto Century Drive, Left onto Declaration Drive, Right onto Pittfield Run
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 foregoi st tements are accura and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
11/2/2015
Signature f O r or Owner's Agent Date
***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**
Residential Land Use Application Page 2 of 2 03/11
PLOT PLAN FOR
ROYAL OAKS BUILDING GROUP, LLC
18 PITTFIELD RUN
LOT 806, LEXINGTON PLANTATION, THE MANORS, PART 2A
ANDERSON CREEK TOWNSHIP, HARNETT COUNTY, NORTH CAROLINA
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PASE9 PART 1
MAP BOOK 2010, PAGE 84 I
CO U
0 11,142 S.F. U1 n
A o
-o
12.0' 0
CD 0
8 21.8' o PATIO 29.3' C7 Z
A 29.21 '05.7' �1
a 1 Z
ilj 11 FREMONT c CO
,9, SLAB FOUNDATION
WALK
9.0' DRIVE
111 ° 19.5'
1.5�
G10
C4
PITTFIELD RUN
50' PUBLIC R/W
NUMBER RADIUS' DELTA ARC ' CHORD BRG. CHORD '
C1 1160.00 04'03'10' 82.06 S39'39'3811' 82.04
C2 254.68 02'21'13' 10.46 N59'03'51'W 10.46
C3 25.00 98'26'17' 42.95 N11'01'20"1'1 37.86
C4 1280.00 03'29'28' 77.98 S39'56'31"W 77.97
SETBACK INFO
FFRONT W>604• 30'
LEGEND ONE SIDE 25'
ONE SIDE 10'
BFP BACK FLOW PREVENTER CORNER SIDE: 20'
CI CO CIUREBR INLET
ECM ISIWG CRETE MONUMENT
EON EXISTING DRILL HOLE
g PORNO �P E
DP DOSI NG PIPE EPK EXISTING PK NAIL
REFERENCES;
STUB
N
FR Pa D SECTION B.M. 2015 PP. 134-135
NDH NEW DRILL HOLE 30 0 30
NIP NEW IRON PIPE
NPK NEW PK NAIL
OHW OVERHEAD WIRES
PNS TELEPHONE PEDESTAL NOTES SCALE: 1" = 30'
TV CABLE TV PEDESTAL
UP UTILITY POLE 1. NOT FOR RECORDING IN MAP BOOKS.
WU WATER METER 2. THIS SURVEY SUBJECT TO ANY FACTS THAT MAY BE
1W WATER VALVE DISCLOSED BY A FULL AND ACCURATE TITLE SEARCH.
YI YARD INLET
09/09/11 Application#
Harnett County Central Permitting
PO Box 85 Ldhngton NC 27546
Each section below to be filled out
910 893 7525 Fax 910 893 2793 www harnett 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 Royal Oaks Building Group Date
Site Address Pittfield Run Phone 919-233-3886
Directions to job site from Lillington Head South on Main St. toward Front St. ;
Turn Right at NC 210 S; Turn Right on Overhills Rd. ; Turn Left on
Overhills Rd. ; Continue onto Nursery Rd; Turn Right at NC 24W/87N; Turn Right at Sawyer Rd.
Subdivision Lexington Plantation; The Lot 806
Description of Proposed Work Single Family Home #of Bedrooms 3
Heated SF 2342 Unheated SF 448 Finished Bonus Room'? NO Crawl Space Slab X
General Contractor Information
Royal Oaks Building Group, LLC 919-233-3886
Building Contractors Company Name Telephone
1210 Trinity Road, Suite 102 Raleigh,NC 27607 cobrien@royaloaksbg.com
Address Email Address
49775
License#
Electrical Contractor Information
Description of Work Electrical Rough in and Final Service Size 200 Amps T-Pole R Yes No
Imperial Electric 919-363-7474
Electrical Contractor s Company Name Telephone
PO Box 162, Apex, NC 27502
Address Email Address
19850
License#
Mechanical/HVAC Contractor Information
Description of Work Install HVAC and duct system
Stewart ' s Heating and Air 919-362-0387
Mechanical Contractors Company Name Telephone
2430 Reliance Ave, Apex, NC 27539
Address Email Address
09308
License#
Plumbina Contractor Information
Description of Work Plumb single Family home #Baths 2.5
Barbour & Pourron 919-533-4455
Plumbing Contractors Company Name Telephone
PO Box 934 , Clayton, NC 27528
Address Email Address
27132
License#
Insulation Contractor Information
Tatum Insulation II 919-661-0999
Insulation Contractors Company Name&Address Telephone
*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 sianina below I have obtained all subcontractors
permission to obtain these permits and if Api 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 u ent fee schedule
11/2/2015
Sign n re of Owner/Co tract fficer(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 Ro al Oaks Buildin Grou
Sign w/Title Plans Coordinator Date 11/2/2015
LIEN AGENT INFORMATION
Effective April 1, 2013
In accordance with North Carolina General Assembly Session Law 2012-158,
inspections offices are not allowed to issue any permit where the project cost is $30,000
or more unless the application is for improvements to an existing dwelling that the
applicant uses as a residence OR the property owner has designated a lien agent and
provided the inspections office with the information below.
Name of Lien Agent Chicago Title Company, LLC
Mailing address of Agent 19 W. Hargett Street, Suite 507
Raleigh, NC 27601
Physical address of Agent 19 W. Hargett Street, Suite 507
Raleigh, NC 27607
Telephone 888-690-7384 Fax 919-489-5231
Email support@liensnc.com
This information will be attached to the permit record and a copy provided to the
applicant. The applicant is required to post a copy on the property.
Excerpt from North Carolina G.S. 153A-357:
"(Effective April 1,2013)No permit shall be issued pursuant to subdivision(1)of subsection(a) of this
section where the cost of the work is thirty thousand dollars($30,000)or more,other than for
improvements to an existing single-family residential dwelling unit as defined in G.S. 87-15.5(7)that the
applicant uses as a residence, unless the name,physical and mailing address,telephone number, facsimile
number, and electronic mail address of the lien agent designated by the owner pursuant to G.S.
44A-11.1(a) is conspicuously set forth in the permit or in an attachment thereto. The building permit may
contain the lien agent's electronic mail address.The lien agent information for each permit issued
pursuant to this subsection shall be maintained by the inspection department in the same manner and in
the same location in which it maintains its record of building permits issued."