DOCUMENTS oaOBN, Apoacation
Hamad County Central Permitting
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Owners Name McKee Homes, LLC Date
Site Address 224 Heatherwood Drive phone 910-475-7100
DMeohone to lob site Froin Ldknglon 127 to Docs Road, development on the left
Subdmegn Oakmont Valley View Lal 188
Deeal$on of Proposed Work Single Family Home #of Bedrooms 3
Heated SF 1791 Unheated SF 670 Finished Bonus Rooms No Coral Space _Blab X
GML Development, Inc 910-475-7100,727
Building Contractors Company Name Telephone
109 Hay Street, Ste 301, Fayetteville, NC 28301 krivera@mckeehomesnc.com
Address Email Address
63970
License 0
ICS Contractor Informal
Description of Wok singe Family Home Service Site 200 Amps T-Pale E n No
J.M. Pope Electric 919-776-5144
Electrical Contractor a Company Name Telephone
409 Chatham St.,Sanford, NC 27330 jmpopeelectric@gmail.com
Address Email Address
21326-L
License M
Descnptron of Work Single Family Homes
Certified Heating&Air 910-858-0000
Medlenaal Contractor s Company Name Telephone
P.O. Box 1071, Hope Mills, NC 28348 certifiedheatair@embarqmail.com
Address Email Address
20012-H3-1
License N
plummna Contractor Irdonnatuan
Description of Wolk Single Family Home I Bags a
Dell Haire Plumbing 910-618-4863
Plumbing Contractors Company Name Telephone
7612 Documentary Drive, Fayetteville, NC 28306 dellhaireplumbing@hotmail.com
Address Email Address
32886 P1
l cense M
JpulWon Contractor Information
Cumberland Insulation 910-484-7118
Insulation Contactors Company Name&Address Telephone
'NOTE General Contractor must MI out and sign the second page of this application
I hereby nerdy that I have the authority to men necessary application that the spplaahon is correct
and that-the construction w% conferm to the regulation in the Budding Elwin* Plumbing and
Me:hence codes and the Harnett County Zoning Grdnana/ I state the information on the above
contractors a area a known to me and that by eanma beta..1 hew ehlrrrd ell eubmrereesrs
gamesmen to obtain thee ting=and if any changes occur including laled contractors site plan
number of bedrooms budding and bade plans Ernsonments Health permit changes or proposed use
charges I candy it is my mponsakty to notify the Hemett County Central Permitting Department of
any and SI changes
EXPIRED PERMIT FEES-8 Months to 2 years permit reissue fee is$18000 After 2 years re-issue fee
a as per Gunn fee schedule
red • • ctor/Dlfcer(s)dCorporabon Dale
Affidavit for Worker%Compensation N C G $ 87-14
The undersigned applicant being the
X General Contractor _Owner _Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of penury that the person(.) hrm(s)or arporabon(s)performing the work
set forth in the permit
Hes Wee(3)or more employees and he.obtained workers compensation mamma to cover them
_Ha one(1)or more subcontraclon s)and has obtained workers compensation insurance to cover
them
X1W one(1)or mon subcontractors(s)who has hew ova policy of workers compensation marines
covenng themselves
_Has no mare than two(2)employees and no subcontractors
While working on the project for which the permit s sought it is understood that the Central Permitting
Department issuing the permit may'aqua certificates of avenge of workers compensation insurance prior
to issuance one pane and at any time damp the permitted work from any person firm or corporation
amen out the work
Company or Name McKee Homes, LLC
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Sign aria r�- S. .. r • • " 0 Dab `�-T' I
LIEN AGENT INFORMATION
Effecgve 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 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."
www.liensnc.com
Appointment of Lien Agent: Details-LiensNC Lien Service Mips://apps.Iiensnc.condscr/appoinlmentMetails.html?entryNumb...
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 04/07/2017
Entry it: 632335
InMolly filed by: jbuckwalter
Designated Liu Agent Project Properto Print & Post
First Atnencan Tide Insurance Company Oakmont Lot 188 Hamm County Dt., Q
NC :N .
Heline:.www Owner=wr
AMJme:19 W.Hagen St.Suite 507 0.tletgh.NC -9'59'0
21601
Prepare Tops Contractors:
Phone:88164909394 Please post this notice on the Job Site.
Fes:913-1.119T2.3.1
Suppliers and Subcontractors:
Emausuourruallenme wm0.7.70/..0.1v. 1-2 Family Dwelling Scan this image with your smart phone to
view this filing.You can then file a Notice
to Lien Agent for this project.
Oxon Information
Date of First Furnishing
McKee Homes,LLC 0911/2017
109 Hay Street
Suite 301
Fayetteville, NC 28301
United States
Email:knvera@mckeehomesnecout
Phone 910-475-7100
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Technical Support Hotline:(R88)690-7380
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4/7/17,9:01 AM