DOCUMENTS 001139111
Herded County Central Permesrp
Each mace bomb MMs6rM PO au ss l+bglnn NC 27646
by storms irrbrism Mak e101ss/62e Fax 910093 27es wont hamlet nein
1St MOM.Of bird
mat Maws comps, /lsollae4en for Residential Budding and Trades Pend
neem a pre must 21010
Ows NOM McKee Homes, LW ate 41_14ner
site Address 244 Heatherwood Drive Phone 910-475-7100 l
Dtreaesne to pb site from Liknglon 127 to Docs Road,development on the led
Subdivision Oakmont Valley View Lot 187
Description of Proposed Want Single Family Home N of Bedrooms 4
Heated SF 2225 unitised SF 706 Fnehsd Bonus Room'+ No Crawl Spey _sink x
GML Development, Inc 910-475-7100,727
Building Contractor s Company Norm Telephone
109 Hay Street,Ste 301, Fayetteville, NC 28301 krivera@mckeehomesnc.com
Address Email Address
83970
Lange d �
D esatpkon of Wolk Smile Family Horns Service Size 200 Amps T-Pete Ekes n No
J.M.Pope Electric 919-776-5144
Electrical Contractors Company Name Telephone
409 Chatham St., Sanford, NC 27330 Impopeeloctric@gmail.com
Address Email Address
21326-L
Lane a
MISIIIIIMEnSardISCEISSEMEIMIERS
D nanpyn of Wont Single Family Homes
Certified Heating&Air 910-858-0000
Mechanical Contractors Company Name Telephone
P.O.Box 1071,Hope Mills, NC 28348 certifiedheatair@embarqmail.com
Address Email Address
20012-H3-1
LicenseI
ElumlunaSsalcialaidamislan
Desanpon of Work Single Family Home I Who 3
Dell Haire Plumbing 910-818-4863
Plumbing Contractor s Company Name Telephone
7612 Documentary Drive, Fayetteville,NC 28306 dellhaireplumbing@hotmail.com
Address Emei Address
32886 P1
Lanes M
SillailardlOYNECUOISEMISSE
Cumberland Insulation 910-484-7118
Insubbon Contractors Company None&Address Telephone
'NOTE General Contractor must fill out and sign the second page of this spploelort
I hereby catty that I have the authority to make necessary application that the spplrat on a oared
and Nal-Os oomtruaa via coda to the regulations in the guiding Electrical Plumbing and
Medancd codes and the Hanatt County Zonmg Ordnance I state the donation on the above
contraolara a coned a Roan to me and Nat EIMEEMEMENIIMEEILEISIDELEREAREIEWEEM
pemaaon to obtain Nese lim a and d goy changes oma minding listed contractors site plan
rumba of bedrooms building and trade plans Enwronmasat Heim pend cages or proposed use
champs I certify it a my reeporwbdny to nobly the Remelt County Central Permitting Department of
any end all dumps
EXPIRED PERMIT PEES-6 Months to 2 .an pent rousue fess 1150 00 After 2 yeas re-issue fee
of per current fes vitt
ISPuQ � 14-1 - I-
rod r XMcsr(s)ofCaporabun Date
I
Affidavit for Worker's Compensation N C 0$ 117-14
The undersigned applaad baro the
XGeneral Contractor _Owner _Officer/Agent of the Contractor or Ovnw
Do hereby can under penalties of penury that the persona) hrmle)or arponton(s)perkmnin0 the work
net forth in the pend
_Ha three(3)or mac employees and has obtained waken compensation insurance to cover ten
Ha one(1)or mon subowaaeten(s)and las*blamed waken compenesbon insurance to cover
Sm
X Has one(1)or mon nrecontracan(s)who hes thaw own policy of workers compensation insurance
mann themselves
Has no more than two(2)employees and no subcontractors
WMe waking on the protect for nick he permit a sought d a understood that the Central Permitting
Department 1141119 the permit may mown certificates of coverage of worker compansabon insurance pw
to nuance of the parvo end at any time dump the permitted work from any person firm or cdpaebon
crag out the work
Company or Name McKee Homes, LLC�
egn rtlreel)� `Qu wt-U i,�ACt. i �ac oate1l-1
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LIEN AGENT INFORMATION
Effective April 1,2013
In accordance with North Carolina General Assembly Session Law 2012-158,
Inspection Departments 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 First American Title Insurance Company
Mailing address of Agent 19 W. Hargett St., Suite 507
Raleigh, NC 27601
Physical address of Agent same as above
Telephone 888-690-7384 Fax 913-489-5231
Email support@liensnc.com
The 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 construction site.
Excerpt from North Carolina G.S. 160A-417:
"(Effective April 1,2013)No permit shall be issued pursuant to subdivision(I)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 GS. 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 agents 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"
www.liensnc.com
Appointment of Lien Agent: Details- LiensNG Lien Service haps://apps,liensnc.com/scr/appointment/details.himl?entryNomb...
DO NOT REMOVE!
Details: Appointment of Lien Agent rii.a on: 04107/2017
Entry ft: 632290
Initially flied by: jbuckwelter
Deal pteted Liu Agent Project Pr000rto Print & Post
Fist American Title Insurance Company Oakmont Lot 1871 Iameft County 0".-I!
online.wwx limmecorn ...ice-.m NC ��
Adtlmr:19 W.Hargan St.Suite 507/0.Yeign.NCO-: 0
Heol
Proper!, Tope Contactors:
Plume:11B8-690-1984 Please post this nonce on the Job Site.
Pm 911-4593211
Suppliersand Subcontractors:
Enna:yu000rtaimmcmm....r 1-2 Family Dwelling Scan this image with your smut phone to
view this filing You can then file a Notice
to Lien Agent for this project'
Owner locomotionDote of First Furnishing
McKee Homes,LLC 0421/2017
PH Hay Street
Suite 301
FayeneHlle, NC 28301
United States
Email.knverafiipmckeehomesnc.cam
Phone 910-475-7100
View Comments 101
Technical Support Hotline:(9881690-7384
I of I 4/7/17,9:011 AM