DOCUMENTS Initial Application Date: 5) IBI I-7 Application# 1
cue
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27548 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hameti.org/permits
^A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)8 SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION^
(
LANDOWNER: r ` R. 1 l C. C Mailing Address:
City: II` State:_Zip: Contact No: 2 Email:
APPLICANT*: Wi R I.LG Mailing Address: 33L17 GZ.t1 ttraird.AUL 5-F.G ZBO
City: Ctiw1J*barb State: AJGzip:Z71-Iln Contact No:Qt 4'445 Stabt.(EmaIl1&bLfl P /Ad %urnsr.
*Reese All out appdcant infomiation if Afferent than landowner inorvteSCo
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i[2.0-10CONTACT NAME APPLYING IN OFFICE: l 1L1 (.L. 10 1 I? Phone# Q14I4^yyGQS-SCEs`' /
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PROPERTY LOCATION:Subdivision: Old c� �L".C'V l u l l 1. t, Lot#:\W Lot Size:O-ZOt
State Road# I,b State Road Name: I-t&1IQ I(� Map Book 8 Page:J'aIZ l 541
,Parcel: a..oo '"x95j
. a 7 .83 PIN: O'1+I.'1$ ' 4o(.0
Zoning:yo.Zb PA Flood Zone: N Watershed: Y Deed Book 8 Page:3�ISI /D601 Power Company: 510Qlilir YTC
'New structures with Progress Enemy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
gp�� �p1 p ''II Monolithic
SFO:(Size❑M_x )#Bedrooms:1#BathsZSBasement(wMro bath):/v Garage:V Deck: Crawl Space:_Slab:_ _Slab: X
(Is the bonus room finished?( )yes (_)no w/a closet?( )yes ( )no(k yes add in with#bedrooms)
O Mod:(Size x )#Bedrooms_#Baths_Basement(whim bath) Garage: Site Built Deck: On Frame Off Frame_
(Is the second floor finished?( )yes ( )no My other site built additions?( )yes (_J no
❑ Manufactured Home:_SW_DW TW(Size x )#Bedrooms: Garage: (site bulk? )Deck: (site built? )
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
U Home Occupation:#Rooms: Use: Hours of Operation: 3/Employees:
❑ Addition/Accessory/Other:(Size x )Use: Closets in addition?(,J yes (_)no
Water Supply: V County _Existing Well New Well(#of dwellings using well )*Must have operable water before final
Sewage Supply: New Septic Tank(Complete Checklist) _Existing Septic Tank(Complete Checklist) x County Sewer
Does owner of this tract of land,own land that contains a manufactured home within five hundred feet(500')of tract listed above?( )yes ( )no
Does the property contain any easements whether underground or overhead(1)yes ( )no
Structures(existing oro :Single family dwellings: I Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 3Actual 3L-r-
Rear Z 2,9
Closest Side I 0
Sidesleet/comer lot 20
Nearest Building
on same lot
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:II �ll'2_ DO. IMAM WU f Q 6 -r�x,
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L¢ G� 1p h. main�l ri vin Tvrin 2. 0 n4-n 1c' rrnh-I-51-.
If permits are granted I agree to conform to ell ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing s ements are accurate andndcorrect to the best of my knowledge. Permit subject to revocation if false information is prodded.
/ .Chi. b l i k t ��I
Signature of Owner nee.Agent Date
"It Is the ownerhpplicants 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 S permits have not been Issued"
MICHAEL P. GRIFFIN orderaid 2.2.1
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1 LEGEND 5 \
ASSIGNMENT,ASSUMPTION AND AMENDMENT
OF AGREEMENT TO PURCHASE AND SELT.
THIS ASSIGNMENT, ASSUMPTION AND AMENDMENT OF AGREEMENT TO
PURCHASE AND SELL (the "Assignment") is made and entered into as of the latest date on
which it is signed by any party(the"Assignment Effective Date")by and between WADE JURNEY
HOMES,INC.,a North Carolina corporation("Assignor"),MAT-1,LLC,a North Carolina limited
liability company("Assignee")and FIRST TROY SPE,LLC ("Seller").
RECITALS:
WHEREAS,Assignor and Seller entered into that certain Agreement to Purchase and Sell,
dated August 18, 2016, (the "Contract"), whereby Assignor agreed to purchase from Seller, and
Seller agreed to sell and convey to Assignor, the real property known as 21 lots in Olde Farm
Village, Harnett County, North Carolina(the"Property"); and
WHEREAS, Assignor desires to assign its rights and to delegate its obligations under the
Contract to Assignee, and Assignee desires to accept such assignment and delegation, all as
provided herein; and
WHEREAS,Assignor,Assignee and Seller now mutually desire to amend certain terms
and conditions of the Contract;
NOW THEREFORE, in consideration of the premises, and for other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged,Assignor, Assignee
and Seller, each as applicable, agree as follows:
1. Recitals. The foregoing Recitals are incorporated into this Assignment and made
a part hereof by this reference to the same extent as if filly set forth in the body hereof
2. Assignment and Delegation. Assignor does hereby assign, transfer, sell and
convey unto Assignee all of Assignor's right, title and interest in, to and under the Contract and
does hereby delegate to Assignee all of Assignor's duties, obligations, and responsibilities under
the Contract with respect to the property identified in"Exhibit A"attached hereto (the"Lots").
3. Assumption. By execution hereof, Assignee does hereby assume and agree to
perform any and all duties, obligations and responsibilities of Assignor under the Contract,
including, without limitation, the obligation to timely purchase the Lots, and agrees to be fully
responsible and liable as the Assignee under the Contract.
4. Assignor's Representations and Warranties. Assignor represents, warrants and
covenants that each and all of the following are true and correct as of the Effective Date of this
Assignment and will be true and correct as of the date of Closing under the Contract:
IN WITNESS WHEREOF, Assignor,Assignee and Seller have executed this Assignment
as of the Effective Date.
Assignor:
WADEJURNEV IES,INC.
By: A" 111 Date signed: "e'er'e /l
Name: Richard D. or
Title: VP of Acquisitions
Assignee:
MRT—I,LLC
B Date signed:/ or ifi
Name: an nm ace
Title: Mem r/Managcr
Seller:
FIRST TROY SPE,LLC
By: Date signed:
Name:
Title:
0
EXHIBIT A
! Lots to be purchased by Wade Jumey Homes:
• Lots 129, 130, 132,and 139,Olde Farm Village, Phase 3,as shown on a map recorded in
Book of Maps 2012, Pages 597-598.Harnett County Registry.
Lots to be assigned to and purchased by MRT— 1, LLC:
• Future lots 19-25,58-61,REID#010504 0125 35;
• Lots 135, 136, 140, 141, 147 and 150,Olde Farm Village, Phase 3,as shown on a map
recorded in Book of Maps 2012, Pages 597-598,Harnett County Registry,and
• Any remaining common area/open space not previously conveyed.
09109/11 Application#
Harnett County Central Permitting
Each section below to be filled out PC Box 85 Wigton NC 27546
by whomever performing work 91(I 993]525 Fax 910 893 2793 www hamett org/peanita
Must be owner or licensed
contractor Address company Ageltcation for Residential Building and Trades Permit
name&phone must match
Owners Name LIJ Ju rh.4.f irlornG5 [-LC Date 6IIIIn
Site Address in L\d\1nt� /'4' 11,/ ICPhone QIG•44S•SLai
Directions to lob site from Lullington ' I oil, jiC. 1-i'11.11,l Z105,144- z 4.4
Subdivision oteik Gann tit LI%L Lot 1v.e
Description of Proposed Work SLS #of Bedrooms f--1
Heated SF liras Unheated SF 34%i Finished Bonus Room" A) Crawl Space _Slab 1(
General Contractor Information.
LWU 1 C_ 536•Z?z- 36649
Building Co tractor s Company Name Telephone
3 _.. •., s. ., • , • . / 44.6 ~<_, o "ratinateoh40.. Iter tfhO ne6.
Address 41410 Email Address Co*
License#
•
ElectricalContractor o tto /
Description of Work C1a1,4(tau NS} 11 Service Size Z Amps T-Pole y Yes_No
Cru Mdon f.(LC4 .'a l 2r3C.-561-4 QOQn
Electrical Contractors Company Name Telephone
I l 11rp jl T20 shot O QtlJfillave l-12.1
Address J Email Address
105111
License#
Nlechapical/HVAC Contractor Information
Description of Work aid,tins L Air
e.nrxr+
63Air .334t1G0-1 4730
Mechanical Contractor s Company Name Telephone
9D• SEA. 571 GjrtmgiNS 4"7017
Address Email Address
l-IZ15S
License#
Plumbing Contractor Information
Description of Work PioMb t nc‘ Z'h44-(d f #Baths 2 .S
l(Lt.44.4 Pau rr.toin4 TnC. 33‘1 • 44-76. Z.)
Plumbing Contractor s CompanyTlame Telephone
1d 6 3g lrcwtis L&vc ED
Address Email Address
Z
License nseU
#
Insulation Contractor Information
lgulld.w6-11,14RAail Oki 3311 • -4 l .5573
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 by signing below I have obtained all subcontractors
permission to obtain these oermns and if gay 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$150 00 After 2 years re-issue fee
is as per current fee schedple
11111
Signature of Owner/Contractosdcer(s)of Corporation Date
Affidavit for Workers Compensation N C G S 87-14
The undersigned applicant being the /
General Contractor _Owner V Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s) firm(s)or corporabon(s)performing the work
set forth in the permit
Has three(3) or more employees and has obtained workers compensation insurance to cover them
Has one(1)or more subcontractors(s)and has obtained workers compensation insurance to cover
them
/Has Has one(1) or more subcontractors(s)who has their own policy of workers compensation Insurance
covering themselves
Has no more than two(2)employees and no subcontractors
While working on the project for which this permit is sought it is understood that the Central Permitting
Department issuing the permit may require certificates of coverage of workers compensation insurance poor
to issuance of the permit and at any time dunng the permitted work from any person firm or corporation
carrying out the work
Company or Name L 1tt-4�l/l.
Sign w/Tme'lti,Q�wri-i-(',aof-rAf nail-enc Date 5�ll� n
DO NOT REMOVE!
Details: Appointment of Lien Agent
Filed on: 05/11/2017
Entry it. 651146 Initially filed by: wjh2013
Designated Lien Agent Project Property
Print & Post
inveawv Tale lmumoee rm11.11 OFV lift
10 Hallow Oak S:
°311"."aro:n.ec con . . Spring Lake.NC Lfii IVU
alphas In a Hawnm.Fln[4p 0.00,0Hamer Countq + w:1
et Lent ❑ -1. o
Imo.:anna+u-,na Property Type Contractors:
Fm.in+aw-++',1 P[ewe pont Do Room on the Job Sire
Amok 010001t0 - I-2 Family Dwelling suppliers and Subcontractor:
Scan this imagea ith sc .mart phone u
w Das tiling.Youan than file a Nonce
Owner Information m orn Agent for this n ld
e
WJH,I If
)300 Baal eg:nund Ave Suite 211
llieenshora. NC 2.410
Unncl Sam
Fined o:L+ia '.ulcilmp hwnc%cum
Phonc 91 a-9V5-$e54
View C'ommalb 101
I ethnical Support Hotline:M8100=184
Date SL 12 I1 \�
Plan Box# — Job Name
App# `t / oZ
Valuation 17 Z�1� SQ Feet `t Z�
Garage 3 9
= 2_223
Inspections forSFD/SFA /
Crawl_ Slab_ Mono 1/ 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 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.
Application Number 17-50041372 Date 5/30/17
Intersection
Property Address 10 HALLOW OAK ST
PARCEL NUMBER 01-0504- - -0125- -83-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name OLDE FARM VILLAGE PH3
Property Zoning RES/AGRI DIST - RA-20R
Owner Contractor
MRT 1-LLC WJH LLC
1714 E CENTER ST 3300 BATTLEGROUND AVE
LEXINGTON NC 27292 STE 230
GREENSBORO NC 27410
(336) 282-3606
Applicant
WJH LLC #136
3300 BATTLEGROUND AVE
STE 230
GREENSBORO NC 27410
(919) 995-5654
--- Structure Information 000 000 36X39 4BDR MONO W/ GARAGE
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 1191972
Issue Date . . . 5/30/17 Valuation . . . . 0
Expiration Date . 5/30/18
Special Notes and Comments
T/S: 05/12/2017 03 : 25 PM JBROCK ----
OLDE FARM VILLAGE #136 - 10 HALLOW OAK
ST
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 17-50041372 Date 5/30/17
Property Address 10 HALLOW OAK ST
PARCEL NUMBER . 01-0504- - -0125- -83-
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name OLDE FARM VILLAGE PH3
Property Zoning RES/AGRI DIST - RA-20R
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1191972
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-30 814 A814 ADDRESS CONFIRMATION / /
10-999 309 P309 R*PLUMB UNDER SLAB / /
20-999 114 B114 R*BLDG MONO SLAB/TEMP SVC POLE / /
20 104 8104 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 / /