DOCUMENTS 09/00111 nppuuauun x
Harnett County Central Permitting f?Seo V/o/9
PO Bax 66 L4finaton NC 27548
Each section below to be filled out 910 893 7626 Fax 910 863 2793 waw harnetl ow/permits
by whomever performing work
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name&phone must match ,,tt
Owners Name _ ft& IArfStr owl ( tMC. Date 5J7
Site Address_ 30 Avery t/Dr Phone febn- 76S
ii n
Directions to job site from Ldhngto Fines neer KIM'a 1401IWti 3a4r lesx Leff otf YO/NAff
for ISaulr47 1.eMos Chalybeate. RA for &s Ie , Auer, Rad amMO.
Subdivision IMI Paid Lot 0 b7
Description of Proposed Work Neu) MS frare,(i -',✓ .5i/� #of Bedrooms 3
C
Heated SF /9O^ Unheated SF 82+0 Finished Bonus Room') Y Crawl Space _Slab
big
General Contractor Information
big fttt e_t,Lr+rttett:n1PIP. 919 k03 - 776g
Budde g Contractors Company NJ,ie Telephone
ZSSo (tap;4ol rf, Ste /as'('ra✓.cAt 2321. toida Jem1orr/fe,+es•ealt
Address Email Address /
ileiZtr
License#
,,/Ini- , a t m Co or o 0
/u
Description of Work COMSftrN�e iON Service Size POO Amps T-Pole Yes_No
2. A. Taek %t sou rlle&7r.'t. 9/973o- /Zs/
Electrical Contractor a Company Name Telephone
9161 Pak; I kid. 13utsoa,Was 27Satt
Address Email Address
211 V4
License#
echanicall VAC Contractor Information
Description of Work 44c0 tra'COA/
(ler+:UeA- Neat aftd A:r 9/a 868-Q000
Mechanical Contractors Company Name Telephone
?7?7,,Sasserisiek. etnea-zraftie, fttisti
Address Email Address
i►It7Ao2l2 113 elissl
License#
*a.) ////�1111/ nn Co�tr o too t o
Description of Work /yt�rir✓ #Baths .2
� .�- 919 SCD- d83
rArroius ram 3
Plumbing Contractors Company Nadu) Telephone
3/4o-# OtarWd. elayfe,f Ne- Z7s27
Address Email Address
11/5-2.
License#
!mutation Contractor Information
Tatar . -,usa/ztOR/ 9i7/Oil-Ong
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 pv stoning 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
EXPIRE PERMIT FEESppps����EEhh -6 Mon s to 2 years perms�/a-issue fee is$160 00 After 2 years re-Issue fee
is as p curves a edule
I tur o Owner/Contractor/Officer(s)wna// of Corporation Date —/9
Affidavit for Worker's Compensation N C G S 87-14
The undersigned applicant being the
General Contractor _Owner /77--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
1/1las three(3)or more employees and has obtained workers compensation Insurance to cover them
Has one (1)or more subcontractors(s)end 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 ie sought d 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 Nam• W 4 K *et* ;24( -hie' _
"� ^. / / x . /
Sign wITitle • /7
' Dale
DO NOT REMOVE!
Details: Appointment of Lien Agent
Filed 03116/2017
Entry# 620327 Initially filed by: wynnhomes
Designated Lien Agent Project Property Print 8 Post
investors Inle instilance Company avery pond subdivmon lot
_yd everye d dr
:
biopic sem ru6Yay sum,NC 2,526 •
Addren. ,ii, eaBeu.saltcaeingh.lic hanott County
2,611, con
Phone:xev+.Ntinw Please post this notice on the lob Site
has:713-i117.en1 Property Type Wnplienvntl auhrnntrvemn:
Email: enema owncm. __. • Scan this im with your e:phone
view this filing age
can then file a Notice
1-2 Pan dy nwelin:e to Lien Agent for ihise lect
Owner Information
wyerlollies
2550 capitol fir.
creedmonc NC 27522
United States
Email 'piney f5 wmnno:n os coon
Phone 919-528-1347
View Comments 101
'technical Support Hotline:1551116904104
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Application Number 17-50041018 Date 6/26/17
Intersection
Property Address 94171 *UNASSIGNED
PARCEL NUMBER 08-0653- - -0029- -36-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name AVERY POND 32LOTS
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
LITTLE CROSS LLC WYNN CONSTRUCTION, INC.
8625 MT PLEASANT CHURCH RD 1696 HAYES RD
WILLOW SPRINGS NC 27592 CREEDMOOR NC 27522
(919) 528-1347
Applicant
WYNN CONST INC #61
2550 CAPITOL DR
STE 105
CREEDMOOR NC 27522
(919) 603-7965
--- Structure Information 000 000 60X60 4BDR MONO W/ GARAGE & COV PORCH
Flood Zone FLOOD ZONE X
Other struct info # BEDROOMS 4000000 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? NEW TANK
WATER SUPPLY COUNTY
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1190776
Issue Date . . . 6/26/17 Valuation . . . . 0
Expiration Date . 6/26/18
Special Notes and Comments
T/S : 03/23/2017 10 : 32 AM JBROCK - ---
AVERY POND #61
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
PERMIT INCLUDES BLDG, ELEC,MECH, PLUMB
INSULATION AND LAND USE.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Work must conform and comply with the
STATE BUILDING CODE and all other State
and local laws, ordinances & regulations
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Page 2
Application Number 17-50041018 Date 6/26/17
Property Address 94171 *UNASSIGNED
PARCEL NUMBER 08-0653- - -0029- -36-
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name AVERY POND 32LOTS
Property Zoning RES/AGRI DIST - RA-30
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1190776
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-30 814 A814 ADDRESS CONFIRMATION / /_
10-999 309 P309 R*PLUMB UNDER SLAB _/_/_
10-999 205 E205 R*ELEC UNDER SLAB / /_
20 104 B104 R*FOUND & SETBACK VERIF SURVEY / /_
20 114 B114 R*BLDG MONO SLAB/TEMP SVC POLE / /_
30-50 129 I129 R*INSULATION INSPECTION _/_/_
30-60 425 R425 FOUR TRADE ROUGH IN / /_
30-60 125 R125 ONE TRADE ROUGH IN / /_
30-60 325 R325 THREE TRADE ROUGH IN _/_/_
30-60 225 R225 TWO TRADE ROUGH IN / /_
40-60 429 R429 FOUR TRADE FINAL _/_/_
40-60 131 R131 ONE TRADE FINAL /_/_
40-60 329 R329 THREE TRADE FINAL _/_/_
40-60 229 R229 TWO TRADE FINAL _/_/_
40-60 209 E209 R*ELEC TEMP POWER CERT / /
999 H824 ENVIR. OPERATIONS PERMIT _/_/_