DOCUMENTS 08100(11 Application it
Harnett County Central Permitting II / S U 0 VP//Z
PO Box 85 Lilkngton NC 27508
Each semen below to be filled out 910 893 7525 Fax 910 893 2793 www Parnell pro/permits
by whomever performing work
Must be owner w licensed
contractor Address company Replication for Residential Budding and Trades Permit
name 8 phone must match
Owners Name Lyon. t&v-i I de✓ 0• Date S 29'77
Site Address 2 7 f A,u r~i 40 I to.° S r- bid )t-L Phone 9l9 313 0 3 7G
Directions to job site from Lillmgton To (00/45/7 44...... Lc. Le t I -f 0.1
C <4.-/nIiIAA_ r >w rfo Hol(r> > ( -c-f+
CYDb On 1t�ff - r7
Subdivision Cu✓o ( ti Lu-leaf Lot 3 /
Description of Proposed Work /t/L✓ Co ,-i#r w-a(-.bin Ito(Bedrooms 3
Heated SF Unheated SF Finished Bonus Room') 'vitt- Crawl Space ✓Slab
General Contractor Information
Lyon (3it-; ldCf x��. - 317- 0) 70
Bodin Contractor s Company Name Telephone
�.o , IL,t Cc
Address Email Address
cc- 7S'1
License#
rgiscoicalContractor Information
Description of Work /VL'-' IV .tc11''r Service Size 2-6 o Amps T-Pole es_No
Lc .e.-s# r a— Pc,ct 9119- yti9 - 3 � y6
Electrical Contractors Company Name Telephone
6 ( y Les124 ,cc 4vcl ✓VL2 ?1? 2 •
-
Address Email Address
( L601 - Lk
License#
If blschanoallHVAC Contractor Information
Description(� of Work TI V✓�'
)awclln.l flee(IL( ( 9/0 - 9N'/ - /0 ea
Mechanical Contractor s Company Name Telephone
910(e !tic - 211 frbar c Eve ►vt
Address Email Address
License#
Description of Work t u^^-.tJ t #Baths 2-
6 i 4--Y P kM.6 n.v to , 970 -2 / y — l a z y
Plumbing Contractor s Company nNa Telephone
(l63 Y 1'\6 KfL. Oi.0 .n Alt 73y
Address f Email Address
! 0 4 Z5
License#
Insulation Contractor Information
- CI 4y K. Rio - Yd'io " GUS
Insulation Contractor s company Name 8 Address Telephone
'NOTE General Contractor must fill out and sign the second page of this application
I hereby certify that I have the authomy 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 stale the information on the above
contractors is correct as known to me and that pv manna below I have obtained all subcontractors
permission to obtain these permits and if mix 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-e Months to 2 years permit re-issue fee is 3150 00 After 2 years re-issue fee
is as per c ent f e schedu
Signal re of Owner/Contractor/Officer(s)of Corporation Date
Affidavit for Worker's Compensation NC 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) firms)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 /
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 rt is understood that the Central Permitting
Department issuing the permit may require certificates of coverage of workers compensation insurance pnor
to issuance of the permit and at any time dunng the permitted work from any person firm or corporation
carrying out the work ,d1 �
Company or Name Lyon dte,aa OGA/C �✓\C
Sign w/Tide `p !L� Y �f-c-)R,�w'(' Date S y-1
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 17-50041412 Date 5/24/17
Property Address 275 QUAIL HOLLOW
PARCEL NUMBER 03-9585-09- -0037- - -
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name CAROLINA LAKES
Property Zoning PENDING
Owner Contractor
LYON BUILDERS INC LYON BUILDERS INC
PO BOX 569 PO BOX 569
OLIVIA NC 28368 CAMERON NC 28326
(919) 498-2074
Applicant
LYON PAUL
PO BOX 569
OLIVIA NC 28368
(919) 353-0370
--- Structure Information 000 000 70X51 3BDR W/GARAGE CRAWL
Flood Zone FLOOD ZONE X
Other struct info # BEDROOMS 3 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? SEWER
WATER SUPPLY COUNTY
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1192459
Issue Date . . . 5/24/17 Valuation . . . . 0
Expiration Date . . 5/24/18
Special Notes and Comments
T/S : 05/18/2017 08 : 11 AM LBENNETT --
275 QUAIL HOLLOW
CAROLINA LAKES - LEFT ON CAROLINA WAY
- RIGHT ON QUAIL HOLLOW - IMMEDIATE
LEFT ON LEFT
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 17-50041412 Date 5/24/17
Property Address 275 QUAIL HOLLOW
PARCEL NUMBER 03-9585-09- -0037- - -
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name CAROLINA LAKES
Property Zoning PENDING
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1192459
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-30 814 A814 ADDRESS CONFIRMATION / /
10 101 8101 R*BLDG FOOTING / TEMP SVC POLE /
20 103 B103 R*BLDG FOUND & TEMP SVC POLE / /
30-999 105 B105 R*OPEN FLOOR / /
30 104 B104 R*FOUND & SETBACK VERIF SURVEY / /
40-50 129 I129 R*INSULATION INSPECTION / /
40-60 425 R425 FOUR TRADE ROUGH IN
40-60 125 R125 ONE TRADE ROUGH IN / /
40-60 325 R325 THREE TRADE ROUGH IN / /
40-60 225 R225 TWO TRADE ROUGH IN / /
50-60 429 R429 FOUR TRADE FINAL / /
50-60 131 R131 ONE TRADE FINAL / /
50-60 329 R329 THREE TRADE FINAL / /
50-60 229 R229 TWO TRADE FINAL / /
50-60 209 E209 R*ELEC TEMP POWER CERT / /
Jennifer Brock
From: Paul Lyon <lyonp@windstream.net>
Sent: Wednesday, May 24, 2017 1:50 PM
To: Jennifer Brock
Subject: Fwd: LiensNC Notice of Appointment of Lien Agent-Address: 275 Quail hollow Sanford
nc 27332, Sanford, 27332
Sent from my iPhone
Begin forwarded message:
From: LiensNC Support <donotreply(i liensnc.com>
Date: May 24, 2017 at 9:41:45 AM EDT
To: Undisclosed recipients:;
Subject: LiensNC Notice of Appointment of Lien Agent- Address: 275 Quail hollow
Sanford nc 27332, Sanford, 27332
A(n) Appointment of Lien Agent was filed on May 24, 2017, 09:41:26 AM using the North
Carolina Online Lien Agent System (LiensNC). Details of this filing include:
Project Property
Lot 37
275 Quail hollow Sanford nc 27332
Sanford , NC 27332
Harnett County
Entry Number: 658098 (entry search, view related filings)
Date of Filing: May 24,2017, 09:41:26 AM
Lien Agent
Fidelity National Title Company, LLC
• Online: www.liensnc.com
• Address: 19 W.Hargett St., Suite 507/Raleigh,NC 27601
• Phone: 888-690-7384
• Fax:913-489-5231
• Email: suppargtiliensnc.com
Owner Information
Lyon Builders Inc
P 0 Box 569
Olivia, NC 28368
t
United States Email: Lyonp(rawindstream.net
Phone: 919-353-0370
Design Professionals
Date of First Furnishing
May 25,2017
Click to view full filing details
Scan for instant access on your mobile phone
Unsubscribe
2