DOCUMENTS Initial Application Date: I Ial i 1 Application# 1 '75 Cl �t) 137 .A
cu#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27548 Phone:(810)883-7525 ext:2 Fax:(910)893-2793 www.hamett.org/pemltts
^A RECORDED SURVEY MAP, PLM RECORDED DEED(OR OFFER TO PURCHASE)&SITE ARE REQURED WHEN SUBMITTING A LAND USE APPLICATION"'M 1`
LANDOWNER: VE1 1SC.0 S Mailing Address:
City: I1 State:_Zip: Contact No: Email:
APPLICANT*: Lai LLC �r� �' Mailing Address: 33^0
64.4 J itsaiiIKL 4-
AUL. 64T�
City: Girt/ Imbert State: ivyup:Z�ContactNo:Y14: QS Emall1i'a D fejsk esidL jayai
`Freese All out applicant Informabon#different Man landownerInillWKJ.cowl
CONTACT NAME APPLYING IN OFFICE: I"�G��.rrrC .2030 17 Phone# Gla-GU
GS'SCr S
PROPERTY LOCATION:1Subdivision: (DU FT l X-1/14v l l 1�AciS0. Lot#: ISO Lot Size 024
Slate Road# 4 W State Road Name: j_{VIII) 1)0X..-51-•��1 Map Book&Page:74IZ l G1
Parcel: Ol bj L( I .6173 .9 Z PIN:1 64904 8 .TYC
Zoning:ea tOW Flood Zone: N Watershed: Y1 Deed Book a Page: 3451/0061 Power Company`:.2120421)4_14aCZIYIL
`New structures with Progress Enemy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
qqGG // '1 ..aa� P monolithic
SFD:(Sizer��a)#Bedrooms:LA #BethsW Basement(w/wa bath): Garage:I/ Deck:A) Crawl Space:_Slab:_ _Slab: X
(Is the bonus room finished?(_)yes ( )no w/a closet?( )yes ( )no(If yes add In with#bedrooms)
❑ Mad:(Size_x )#Bedrooms_#Baths_Basement(w/wo bath) Garage: Site Built Deck:_ On Frame_OR Frame_
(Is the second floor finished?( )yes ( )no My other site built additions?( 1 yes ( )no
O Manufactured Home:_SW DW TW(Size x )#Bedrooms: Garage: (site built? )Deck: (site built? )
O Duplex:(Size x )No. Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
O Addition/Accessory/Other:(Size x 1 Use: Closets in addition?( )yes ( )no
Water Supply: Y 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 (i)no
Does the property contain any easements whether underground or overhead(LK)yes ( )na
Structures(existing ompoae :Single family dwellings: I Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 3c2 Actual51 ••Lp
$
Raw f� (a- /pc/
("11
Closest Side I 0
Sidestreet/comer rat 2.0
Nearest Building
on same lot
{ a APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON✓I (�.Q..- 4vct I4ki17.10 6; '/2 .LLB..
L•efek ort40 h. mnLiv,ea+ limen it rVI a On-1-00-)-?)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 s omens are accurate and coned to the best of my knowledge. Permit subject to revocation if false information is provided.
•
Signature of Owner noes Agent Date
"'h 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 arm not responsible for any
Incorrect or missing Information that Is contained within these applications."'
"This application expires 6 months from the Initial date N permits have not been issued"
MICHAEL P. GRIFFIN ..ernfy lnol ..ma m✓m eown rd n iem ,aem >ex m✓ of
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I-RAIFE I B350. J.11 1.1UI' IN),?ot. MIN_
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10IAL 2020 SQ_ III.
I EcEND
ASSIGNMENT,ASSUMPTION AND AMENDMENT
OF AGREEMENT TO PURCHASE AND SELL
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"),MRT-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 fully 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:
[N WITNESS WHEREOF, Assignor,Assignee and Seller have executed this Assisltment
as of the Effective Date.
Assignor:
WADE JURNEV I jr IES,INC.
By: r Date signed: /o.es`.Zc/l
Name: Richard D. 111"or
Title: VP of Acquisitions
Assignee:
MRT—I,LLC
Date signed: .T'frer✓6
Name a c
Title: Meitner/Manager
Seller:
FIRST TROY SPE,LLC
By: Date signed:
Name:
Title:
e
EXHIBIT A
Lots to be purchased by Wade Jurney 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 k 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.
111/ 1
09/09/11 Application#
Harnett County Central Permitting
Each section below to be filled outPO Box 65 Lilhngton NC 27546
by whomever performing work 910 B93 7525 Fax 910 893 2793 www hamatt orglpannils
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name 8 phone must match
Owners Name u.2a ALA,rho LMwth L.I.C. Date
Site Address L110 4aitOr 0 V; V SE-. Phone .4 QIQ .s(
5FL/
Directions to job site from Lillington 4/1.I6(. MC.6.mat-1 w j Z 105 i itc . �tc - Oma
itilaj* on 0 nnap E. C 1 +5�
Subdivision old C> ChnLl/LLICt43L Lot 15D
Description of Proposed Work SGl? #of Bedrooms
Heated SF `?2..V Unheated SF 241 1 Finished Bonus Room9 t) Crawl Space _Slab 1(
General Contractor Information
(41-11.0 1 r 3363baCQ
Building Coh tractors Company Name Telephone ,/I
3 _b i, ... r • .. a. i a ' A. Tr 4
. . _•_, O it1"IzP(s4id/Jr tiro,.rham[5.
Address Z7/4 JO Email Address Ca fr
y4Z4Z
License #
•
Ela Contractor lno /
Description of Work Elianat.\ iA64v.l I Service Size tett Amps T-Pole J[_Yes No
449'1%4)4 Litt-I-vita1 33lR 5.9-1.40Qa
Electrical Contractors Company Name Telephone
1 l Iii0 jL n2..5}Lzoo �1(ltno avi ":7241S
Address J Email Address
IDSL(e
License #
Mechapical/HVAC Contractor Information
Description of Work ate l,nc L Air
CiartnCrx+Air 331.t-l4L 4/30
Mechanical Contractors Company Name Telephone
90. Ems 57'7 ('.11.mmans, Z?olz.
Address Email Address
Li7 IFS
License#
Plumbing Contractor Information
Description of Work Plumb 1. 1015 1.1,1440-1L #Baths Zr,5
564‘44-1Pl u rr ,Act Tnc ? c, • c-175•rX Z)
Plumbing Contractors CompanyName Telephone
1-i 63K Ectiris (.4,14t, eo .
Address Email Address
Z()4scG
License #
Insulation Contractor Information
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 sianrna below I have obtained all subcontractors
permission to obtain these permits and if au 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 $160 00 After 2 years re-issue fee
is as per current fee schedule
C
Signature of Owner/Contracto cer(s)of Corporation Date
Affidavit for Worker's Compensation N C G 3 87-14
The undersigned applicant being the /
General Contractor _Owner V Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of penury 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
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 pnor
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 Nameam/ Lill
•
Willie 1.1-Il�L
Sign Tide/I (UA,.1[.lLtO.t:G y(,Y'MI tiorelt r a4nr Date 5't1 '11
DO NOT REMOVE!
Details: Appointment of Lien Agent
Filed on: 05i11/2017
Entry #: 651163
Initially filed by: wjh3013
Designated Lien Agent Project Property
Print & Post
hlvc um
Til ie lit uwnm('ompnnc 0 FV ISO
4M1 Hallow Usk St
Online.o,.,,.,.nr..Lore Smog Lak .NC 2JIOU A%rie.
%Agrees InA Flamm ss..Anne sN Raleigh. Hnnlen Co( r r, ?ro_1
Nr]]nil 0
Phone:exeann:lxa Property Type Contractors:
Fin.'Li 1141¢'211 Pleme post this noun.on the Job Site
Fmmuruv"0n'i11T1n'"m 12 Family Dwelling 9upplien and Subcontractors:
Scan this lineae A Ilh.sur%man phone to
iew this filing-1'ou can then Ilk a Notice
Owner Information
to lien Agent tor protect
Vr1H.I I(
13011 Hanlee:'nund Ave Shite no
enenehuro NA 2"410
umw Stt,s
Finolaubitz thriermAniince won
Phone el O-9)5.Sn54
Vimw Comment+lnl
'ethnical Support Hotline:OSA1 nY0.93i
Date Sl j a I lei
#
Pian Box Ft—.0 Job Name '
App# y" I r2j Valuatic i'i`/ 19 (, 3-4) SQ Feet 0.0 `/
Garage 3 5'
_ y v 6
Inspections for SFD/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 ZEnvir. 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 17-50041373 Date 5/30/17
Intersection
Property Address 46 HALLOW OAK ST
PARCEL NUMBER 01-0504- - -0125- -92-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name OLDE FARM VILLAGE PH3
Property Zoning RES/AGRI DIST - RA-20R
Owner Contractor
D R HORTON INC WJH LLC
2000 AERIAL CENTER PKW 3300 BATTLEGROUND AVE
MORRISVILLE NC 27560 STE 230
GREENSBORO NC 27410
(336) 282-3606
Applicant
WJH LLC #150
3300 BATTLEGROUND AVE
STE 230
GREENSBORO NC 27410
(919) 995-5654
--- Structure Information 000 000 35X39 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 1191998
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 #150 - 46 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 17-50041373 Date 5/30/17
Property Address 46 HALLOW OAK ST
PARCEL NUMBER 01-0504- - -0125- -92-
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 1191998
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 B104 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 / /_