DOCUMENTS 1:1
Initial Application Dale: J/.7/ j j -. ' li! Application# I r") S )c )L F 1010
DRB# CU#
COMMERCIAL
COUNTY OF HARNETT LAND USE APPLICATION
Central Permitting (Physical)I Oe E.Front Street LlAnglon.NC 21646 (Mating)PO Sm 65 L�ii�i,ryppt,an NC 27546 Phone SIC)8993-75255/°pi x 2 Fax 191 01 893-2793 waw hemelt orggarmne
LANDOWNER:/7D5f&7 Tree dt,37■j 45.bAISTc"`TJlailing Address: • 0 A 0O 3349
City: 1�/r'�\T�coedsStati C Zip: ` ' Contact#919-'77`7-8895 Email: hAbr'e 11516; r 1 un--,
APPLICANT': Y to-AC& NOrrt3 (Iua con) Mailing Address: PO 6011 to 0l(
City: Litt i-y"] v1 StateN(' Z ')S 5O Contact# q ty—gni O-3g 2-2— Email:
`Please fill out applicant'ltarmation if different than landownerno
CONTACT NAME APPLYING IN OFFICE: UYW/I�D-✓1 IS /Yarn I5 p Phone q JO ` -90-3 gZ Z('� •'T
PROPERTY LOCATION:Subdivision':�,3 Pro me tT Cha-uvciI/'Ro .cL Lot#: Lot SSiize�z:•S
State Road# 1 a.c4..9 State Road Name.. Ly.SLTL"f `A..4-1--e`I2 IZol MapapB000kT&Page:P13iE93R
ParcelQ:1���Y�1,�Ln_l�)p9 Dell ,��Qy� r PIN': b5fSY'-18� 1 -SI /O•act
Zoning !Hood Zone: C Watershed:/-T1 Deed Book&Page:43 I / .3 TPower Company:
•New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
PROPOSED USE:
❑ Multi-Family Dwelling No.Units: No.Bedrooms/Unit:
❑ Business Sq.Ft. Retail Space: Type: #Employees: Hours of Operation:
U Daycare #Preschoolers: #Afterschoolers: #Employees: Hours of Operation:
❑ Industry Sq.Ft: Type: #Employees: Hours of Operation:
Church Seating Capacity: #Bath ooms: Kitchen:
of
Accessory/Addition/Other Size x )Use: `{i-V-0( v_1 �p thL 4 Cr `t•A
y. �
Water SupplC Existing Well New Well(#of dwelling�g well ) •MUST ha operable water before final
Sewage Supply: raw Septic Tank(Complete Checklist)✓*Existing Septic Tank(Complete Checklist)- County Sewer
Comments:
II 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 foregoing statements are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
74t—f-74,,,,__- (Deaau) 3-.27-1 7
Signature of Owner or Owner's Agent Date
**This application expires 6 months from the initial date If permits have not been Issued**
A RECORDED SURVEY NAP,RECORDED DEED OR OFFER TO PURCHASE)AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
i r Harnett
COUNTY * Af.O E�.� ..
am.rogarbrin+
walwomettag
4.i o-.. 'n P[.:X4 f ISI
Application for Plan 1Review Xuf,`.�so6
iP
Application# In - SOC�LI Io//7/� O ; �
Date Received: y - /. /7 Received By: Li A 12, Gl tie-Yr?5 \c().✓`T.
Name of Project: nil-t-'�/L/'rr'.2 n -:; �a / ��l.Yi'a.'�— - �/'
Physical Address of Project: 5'9 7- e-2r<*572 e / (4,-...ted) ✓C./ -
•
, NC
Plans Submitted By: 121 A- c✓r, s
Project Phone: ( `j 10 )- y-jd - 3 6C! Z-
Contact Person/Address: -�=1- 1 rep a U 2 1 i-'cv A I/1/4 143; /c- eret
7Cle>
Contact Email:
Contact Phone: ( 4/D )- bfci- 3i 112-Z ( )- -
Contractor's Namellnfo: K2 2. ri s
Contractor's Phone: ( `I/U )- ,YSL'- 3 YZ Z--
• Plans that are submitted will be reviewed as quickly as possible with an average time of review
between 7-10 working days.
• Status checks may be conducted on plan reviews by visiting the website
http:l/hteweb.harnett.orq/Click2GovBP/Index.isp or by calling the Harnett County Central Permitting
Office(910-893-7525, Option#2), or the Hamett County Fire Marshal's Office (910-893-7580).
• Approved plans must be picked up from the Central Permitting Office and all fees paid before any
required inspections can be conducted,
Application# 4 lb ri0
'Each section below,must be fined out by Harnett CountyCentral Permitting
is performing the work. Must be
owner or licensed contractor. Address PO Box 65 Lillington,NC 27548
company name 8 phone must match 910-893-7525 Fax 910-893-2793 www.hamett.orgtpermits
information on state license. COMMERCIAL
Application for Building and/ Trades Permit
Owner's Name: Pr05 pri f Fib 5 Mare•h Date:
Site Address: ! a_ / 4 C - 4
A. , !pone:
Directions to job site from Lillington: g.$ 3 y
1+c.;h,..,e-1 `f 2.1 E0..sT Trn„ard j)te..,n - -Turn Ie.P+ rm Pnn.zptJ C rrc "
Pa -
Subdivision: Lot:
Description of Proposed Work: HariC i cap h0:14-+roo rrm
Heated SF Unheated SF /2..D
/ General Contractor Information: Building Cost$ ,5=1.0 3 .O cg
NO1h4J ritQr9rr CLrlvon) * 9/0- r9o -3sfa,a
Building Contractor's Company Name Telephone
eb. 4,x (cog Is llerlieJ U* g.75Y '
Address - Email Address
ily- 74-4-24---4-' Owren f
Sign toia of Owner/Contractor/Officer(s)of Corporation License#
Electrical Contractor Information: Electrical Cost$
Description of Work Service Size: Amps #T-Poles
Electrical Contractor's Company Name Telephone
Address Email Address
Signature of Owner/Contractor/Officer(s)of Corporation License#
CU-.. fl-uhaaispl Contractor Information: Mechanical Cost$ 70-arab
4crription f Work /.-M. - ,x -• -i_ 4 #Units
4k/ — Air
Mechanical Contractks Coean N9e
a � - , OWL T/9le% Yeo
9
-g//7
Ad ess ail ddress
�� icwy7�
Signature of
Cacti
of Corporation License#
Plumbing Contractor Information: Plumbing Cost$ 4 CC LIC
Description Iof Workt'�, 'l\'\n`r G,.. e Si a. -3- Wd•,4.. ca)wr #Baths I
V-a.. GUi)): 1- -PmI innq 1v, c Glq_A`1y-acIR7
Plumbing Contractor's Company Nape) Telephone
�RSg 1�rt� e,} Ro cr,ul-N h.( . : 754,1 G,...I pia GuPla..b'11... ,ct,.,
Addrgg-�� Email Address
sz� uJ I $+„cq
Signature of wner/Contractor/Offcer(s)of Corporation License#
Insulation Contractor Information
Insulation Contractor's Company Name 8 Address Telephone
`NOTE: General Contractor must fill out and sign the second page of this application
Sprinkler Contractor Information •
Sprinkler Contractors Company Name Telephone
Address Email Address
Signature of Officer(s)of Corporation License#
Fire Alarm Contractor Information
Fire Alarm Contractor's Company Name Telephone
Address Email Address
Signature of Officer(s)of Corporation License#
Driveway Access- NC Department of Transportation Driveway Access/Permit? Yes No
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 Hamett County Zoning Ordinance. I state the information on the above
contractors is correct as known to me and if/ry 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 charged at full price per current fee schedule.
. � avt r2 .UC'2I4 1-5/ /7
*QSignature of Owner/Contractor/Officer(s)of Corporation pate
''(( Affidavit for Worker's Compensation N.C.G.S. 87-14
The undersigned applicant being the:
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:
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.
t/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: tio_/1/IQA� le /U0'/S (L2et'n)
Sign w/Ti .- Date:
-
Acoustical Ceilings
Resilient Floors
Acoustical Wall Panels SOUTHEASTERN
'��+s/+HEAS i-ER,N Hardwood Flooring
Carpel INTERIORS
P 910.893.8486 I F 910.814.0036 Ceramic Tiles
PO Box 4200 Buies Creek, NC 27506
www.southeastcrnime rio rs.com
Proposal Submitted To: Phone:
N/A Data of Proposal:
0
Street Job Name: 2-Mar-17
254 Oak Valley Farm Rd. Prospect Free Will Baptist
City,State,Zip: Job Location.
Coats, NC 27521 873 Prospect Church Rd, Dunn, NC 28334
Attention: Date of Plans:
Paul Parker I0ax:
(enter) g
Supply material and labor to install new acoustical ceiling In(2)areas behind Pulpit.
Ceiling materials to be:
2x2 Armstrong Fine Fissured#1728(flat, sq edge)w/15/16"Prelude XL grid
Price for Acoustical Callings: $1,317
Notes:
Price good thru 4/1/17
#of Addenda Recognized: 0
No insulation included above ceiling
All taxes are included
No night or weekend work included
No Demo Included In Proposal
Wire Supports for Electrical and H.V.AC. Equipment to be Installed By Each Responsible Tradesmen
We propose hereby to furnish material and labor-complete in accordance
$1,317
with above specifications, for the sum of:
Payment to be made as follow. Accounts over 30 days will accrue interest at the rate of 1 1/2%per month(18%APR)
Authorized Representative:
BRETT MATTHEWS Note: This proposal may be withdrawn by us
brettmasi-nc.com if not accepted by:
PROPOSAL ACCEPTANCE Signature:
The above prices,specifications,and conditions are satisfactory end are hereby
accepted. Southeastern Interiors is authorized to do the work as specified. Date of Acceptance:
Payment will be made as outlined above
Prospect FWB Church, Dunn
Gary Willis Plumbing, Inc
2858 Bailey Road Estimate
Coats, NC 27521 US
919-894-2987
contact@gwplumbinginc.com
ADDRESS
Prospect FWB Church
873 Prospect Church Rd.
Dunn, NC 28334
ESTIMATE# DATE EXPIRATION DATE
1528 03/07/2017 04/07/2017
SERVICE PERSON
Gary, WHW
ACTIVITY CITY RATE I AMOUNT
Material 1,992.68 1,992.68
Material
Labor 2,200.00 2,200.00
Labor
We hereby submit this estimate to rough in plumbing and tie into septic tank TOTAL $4r 192.88
out back and tie in hat and cold waterlines per code. We will go back and set .7G V
fixtures. We will furnish labor and material to complete bathroom plumbing
rough in and set fixtures.
Accepted By Accepted Date
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