DOCUMENTS Initial Application Date liDy I I q Application# 1n 10 1 r
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"
H&H CONSTRUCTORS OF FAYETTEVILLE,LLC. 2919 BREEZEWOOD AVENUE STE.400
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LANDOWNER'. Mailing Address:ity: FAYETTEVILLETn n State:NC Zip:28303 contact No': 910-486-4864 Y�E1ma_il:I Le�annaHair@Hhhomes.com
APPLICANT'. lI(]�l1 � .JZ I' ) ^a ling�pddress: 1- O � I UJ to
City:,.SpCJ''A( l Tek-.c._ Statew�.�Zip:OsYJrContact No: Email:
'Please fill 0 t applicant iAkrmation if different than landowner
CONTACT NAME APPLYING IN OFFICE:LEANNA HAIR Phone#910-22211-7512 (-60e
I!�
PROPERTY LOCATION:Subdivision: COOPERS CREEK Lot#: {SI Lot Size' . `1`)��7�f F�
State Road##112,1-x�p�,�/ � State Road/Name: 'RAY/�ROAD C� f'� Map Book&Pagb(lO / 3 R3
Parcel: O I J JUJU D 3 W IU -OLD PIN: 0 J 4 -g I- L/ (('Ja
Zoning:RA'a{OR Flood Zone: X Watershed: Deed Book&Page:D I i - I "ower Company': SOUTH RIVER
'New structures with Progress Energy as service provider need to supply premise number Vfrom Progress Energy.
PROPOSED USE: / ( �
q IOW r Irk,) / �/ \ Monor
4 SFD'.(Size ➢J x'IT}#Bedrooms#Baths Basemenl(w/wo bath):=Garage. YYY_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_ )(t Bedrooms_#Baths_Basement(wMvo bath)_Garage'._Site Built Deck: On Frame Off Frame_
(Is the second floor finished?( )yes ( I no Any other site built additions?( )yes ( )no
❑ Manufactured Home: SW_OW TN(Sizex lit Bedrooms: Garage: (site built? )Deck:_(site built? 1
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Flours of Operation: #Employees:
U Addition/Accessory/Other:(Size x__)Use: Closets in addition?( )yes ( )no
Water Supply: ✓ County _Existing Well New Well(#o/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 fiv ndred feet(500)of tract listed above?(_)yes L)no
Does the property cont ' any easements whether underground or overhead( yes Lino
Structures(existing r proposed): Ingle family dwellings -I;CIured Homes: Other(specity):
Required Residential Property Line Setbacks:fE�� Comments:
Front Minimum 20 Actual &ry )
15 q5in1
Rear
ID R .V/1f
I
Closest Side
Sidestreeticomer lot 20
Nearest Building 10
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: NC-210 TURN RIGHT AT OVERHILLS ROAD.TURN LEFT TO STAY
ON OVERHILLS,SHARP LEFT AT RAY ROAD.2ND RIGHT ONTO COOPERS AVENUE.
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 foregoing Cements are accurate and car to the best of my knowledge. Permits ject t vocation if false information is provided.
Signature of Owner or er'a Agent Oat
""`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 03111
4 MICHAEL P. GRIFFIN crrvry that under my direction and
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1 LEGEND
NORTH CAROLINA HARNETT COUNTY
CONTRACT TO PURCHASE
This contract,made and entered into this 9th day of March ,2017 ,by and
between Estate of Florence C.Wellons _ as SELLER,and
HB,H Constructors of Fayetteville,LLC as BUYER:
WITNESSETH
THAT SELLER hereby contracts to sell and convey to BUYER,and BUYER hereby contracts to purchase from SELLER,
the following described residential building lot/s,to wit:
Being all LOT/5 87 of the Subdivision known as Coppers Creek ,Phase 3 ,a map of
which is duly recorded In Book of Plats Page Part
County Registry.
1. The agreed Sale Price Is$ 45,000 ,Payable as follows:
Down Payment(payable upon execution of this contract): $ 0
Balance of Sale Price(payable at closing): $ 45,00D
2. The LOT/5 shall be conveyed by SELLER to buyer by General Warranty Deed free of all of all
encumbrances other than taxes for the current year,which shall be prorated as of the closing.The
Deed shall be subject to all Restrictive Covenants,Utility Easements and applicable zoning ordinances
on record at the time of closing.
3. Buyer acknowledges inspecting the property and that no representations or inducements have been
made by the SELLER,other than those set forth herein,and that the Contract contains the entire
agreement between parties.
4. Closing(Final Settlement)is to take place not later than: 45 days within execution of contract
,20 16 at the offices of 51nRle Source Real Estate
Should BUYER fail to close,the SELLER,at his option,may retain the sum paid as a DOWN Payment
upon the Purchase Price as liquidated damages and declare this Contract null and void and may
proceed to resell the LOT/S to a subsequent Buyer.
5. Other Conditions:
Restrictive Covenants for subdivisions are recorded in the Office of the Register of Deeds for
Harnett County in Book 7R47 Page 175-188 or ,a copy of which has been
provided to Buyer.
Building side lines shall be per plat unless otherwise controlled by governmental authority.Property
has been surveyed by 4D Site Solutions
Buyer must submit house plans to SELLER for architectural conformity and Covenant approval prior to
breaking ground.
Additionally:
'INN WITNESS WHEREOF the p�arttii�ess have executed this contract this 9th day of March,200
SELLE17_
R� a / BUYER
Application#
Harnett County Central Permitting
PO Box 65 Lillington, 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: H&H Constructors of Favetteville.LLC. Date:3/ Y// /
Site Address:s34 R 1 rc Ave n Phone:
Directions to job site from Lillington: Hwy 210 to Spring Lake. Turn Rt. at Overhills turn left to stay on Overhills.
Sharp left a Ray Road. 21 Rt. On Cooper's Avenue. t—}
Subdivision: Coopers Creek Lot: U I
Description of ProposedroWork: New Single Family Dwelling #of Bedrooms: Li
Heated SF:o7Dyf U Unheated SF:(9/V Finished Bonus Room? — Crawl Space: Slab:
General Contractor Information
H&H Constructors of Fayetteville. LLC. 910-486-4864
Building Contractor's Company Name Telephone
2919 Breezewood Ave. Ste 400 Fay., NC 28303 LeannahairColhhhomes.com
Address Email Address
74158
License#
Electrical Contractor Information
Description of Work Service Size: 200 Amps T-Pole: X Yes No
Jti1
Electrical Contractor's Company Nate Telephone
(-01 UrailrlafT1C& reek cu-rFordFCa13n {leer. P3pem.6trcliatrvtrl-
Address Email Address
Q3(c
License#
Mechanical/HVAC Contractor Information
Description of Work
Carolina Comfort Air. Inc. 919-934-1060
Mechanical Contractor's Company Name Telephone
703 N Clinton Avenue Dunn, NC 28334 carolinacomfortair(&yahoo.com
Address Email Address
29077 H-3-I
License#
plumbine Contractor Information ��]]
Description of Work #Baths .
Vance Johnson Plumbing Co., Inc. 910-424-6712
Plumbing Contractor's Company Name Telephone
3242 Mid Pine Rd. Fay., NC 28306 vaniohnson(opviplumbing.com
Address Email Address
07756 P-I
License#
Insulation Contractor Information
Tricitv Insulation, Inc. 418 Person St. Fay., NC 28301 910-486-8855
Insulation Contractor's Company Name &Address Telephone
`NOTE: General Contractor I owner must fill out and sign the second page of this application.
I hereby certify mat I have the authprity 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 signing below I have obtained all subcontractors
permission to obtain hesepermlts 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.
EXPIRED PERMIT FEES-6 Months to 2 years permit re-issue fee is$150.00. After 2 years re-issue fee
is as per current fee schedule.
Signature of Owner/Contractor/ icer(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.
4. 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 worker's 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 -me: H&H Constructors of Fayetteville. LLC. +�
Sign w/Titl e It /Permittin. Coordinator Date dy I I 1
Appointment of Lien Agent: Details - LiensNC Lien Service Page 1 of I
DO NOT REMOVE!
Details: Appointment of Lien Agent
Entry #: 624053 Flied on: 03/36/3017
Initially flied by: meaganbredshaw
Designated Lien Agent Project Property Print a Post
First American Iale Insurance Company CPC0000137 Lot 87 Coopers Reek ��� I]
345 BIRCH AVENUE ySH
Ool' - ex 0nn
Spring Lake,NC 28390 PP-
Address:1
ae :1 W Ilanwin Sc.Sum 507 Rmmgh NC Hamm Conroy O o,
21601
rem,C.Xew.nxt Contra eters:
Please post thi notice on the Job Sae
E..:pI24114-5231 Property Type
Emil:Mal Warne rem .. ... . Suppliers and Snbconlnciore
Seen thisu with you art phone to
-z Family Dwelling view dlis filing You can l nen me a Notice1
to Lien Agent for this protect
Owner Information
Oat, of First Furnishing
H@N
Corishociors of Faetlevil le,LLC.
2919 Bmaewood Auenue Ste 400
Eaymenlle,NC 28303 02/2812017
Email learn uiub®hhhomev Com
Phone 910496-0964
View Comments(ii
Iechokat Support llolline:19551690-73X4
https://apps.liensnc.com/scr/appointment/details,html?entryNumber-624853&printable= 3/24/2017
Date I
Plan Box# Pi 9 Job Name R �CI
APP # t4 c_f (> valuation p u `1 u SQ Feet 2 9"LS
Garage 9 1 $
= 3 Z9u
Inspections for SFD/SFA
Crawl_ Slab_ Mono Basement_
Footing Footing Plum Under Slab Footing
Foundation Foundation Ele. Under Slab Foundation
Address Address Address Waterproofing
Open Floor Slab Mono Slab Plum Under slab
Rough In Rough In Rough In Address
Insulation Insulation Insulation Slab
Final Final Final Open Floor
Rough In
Insulation
/ Final
Foundation Survey Y.
Envir. Health_ Other
Additions/Other
Footing
Foundation_
Slab_
Mono_
Open Floor_
Rough In
Insulation_
Final_
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 17-50041090 Date 4/11/17
Property Address 73948 *UNASSIGNED
PARCEL NUMBER 01-0504-03- -0094- -06-
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name
Property Zoning RES/AGRI DIST - RA-20R
Permit BLDG, MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1186543
Required Inspections
Phone Insp
Seg 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 / /_
20-999 114 B114 R*BLDG MONO SLAB/TEMP SVC POLE / /_
20 104 3104 R*FOUND & SETBACK VERIF SURVEY / /_
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 / /_
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 17-50041090 Date 4/11/17
Intersection
Property Address 73948 *UNASSIGNED
PARCEL NUMBER 01-0504-03- -0094- -06-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name
Property Zoning RES/AGRI DIST - RA-20R
Owner Contractor
WELLONS FLORENCE C H & H CONSTRUCTORS INC
PO BOX 766 2919 BREEZEWOOD AVENUE STE 400
SPRING LAKE NC 28390 FAYETTEVILLE NC 28303
(910) 486-4864
Applicant
H & H CONSTRUCTORS #87
2919 BREEZEWOOD AVE
STE 400
FAYETTEVILLE NC 28303
(910) 486-4864
- -- Structure Information 000 000 50X47 4BDR MONO W/ GARAGE & COV PORCH
Flood Zone FLOOD ZONE X
Other struct info # BEDROOMS 4000000 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? SEWER
WATER SUPPLY COUNTY
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1186543
Issue Date . . 4/11/17 Valuation . . . . 0
Expiration Date . 4/11/18
Special Notes and Comments
T/S : 04/04/2017 08 : 53 AM JBROCK ----
COOPERS CREEK #87 OFF OF RAY RD
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