DOCUMENTS Initial Application Dale'. 5/�(0/(-I Application# 111,360.1.1t-11-1q
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Ellington,NC 27546 Phone:(910)893-7525 ext2 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"
LANDOWNER:Caviness Land Development Mailing Address:639 Executive Place Suite 202
City: FayettevilleState:NC Zip,28305 Contact No: 910-339-8332 Email.. latrine@Cavinessland.Com
APPLICANT,:Caviness Land Development Mailing Address'639 Executive Place Suite 202
City: Fayetteville State:NC Zip:28305 Contact No: 910-339-6332 Email: lanineQcavinessland.com
•Please fill out applicant information it different than landowner
CONTACT NAME APPLYING IN OFFICE:Janine Lightner Phone#910-3396330
PROPERTY LOCATION:Subdivision: Forest Oaks Lot#.236 Lot Size._39
State Road IS 1117 State Road Name: Nursery Road Map Book 8 Page:bl Ola.IY
t0506-95-4906 01053608 0028 25
Zoning.RAZOR Flood Zone. X Watershed: / �`P Deed Book 8 Page:;(12(44 I 0.,41,.44,0
0 Power Company: South River Electric
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: h
Megaliths
pt SFD:(Size 444 x 39)#Bedrooms':4 #Baths:0:e Basement(wlwo bath):_Garage: ✓ Deck:_ Crawl Space:_Slab:_Slab ✓
(Is the bonus room finished?( ✓)yes 1 I no wl a closet?(_)yes ( 'no(if yes add in with#bedrooms)
❑ Mod:(Size_x )#Bedrooms_#Baths_Basement(wAwo bath)_Garage:_Site Built Deck:_ On Frame_OH Frame_
(Is the second floor finished?1 1 yes ( 1 no Any other site built additions?(_J yes 1 )no
U Manufactured Home:_SW DW_TW(Size x )#Bedrooms:_Garage:_(site built? )Deck:_(site built? )
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
D Addition/Accessory/Other.(Size_x )Use: Closets in addition?( )yes ( 1 no
Water Supply: ✓ 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) ✓ 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 It)no
Does the property contain any easements whether underground or overhead( )yes (1)no
Structures(existingr proposed): le family dwellings: I Manufactured Homes: Other(specify).
Required Residential Property Line Setbacks: Comments:
Address: 62 Angel Oak Drive
Front Minimum 25 Actual 26
Rear 20 105.37
Closest Side 10 18.12
Sidestreeucorner lot
Nearest Building
on same lot
Resident:al Land Use Application Page l oft 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: From 875 make a left onto Nursery Road and then continue to the left
on Nursery road. Make right into Forest Oaks subdivision.
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 statements are accurate the best of my knovAedge. Permit subject to revocation if false information is provided.
'P&P 7
Signa of Owner or Owners Agent Date
"'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 S months from the initial date if permits have not been issued"
Residential Land Use Application Page 2 of 2 03/11
NOTE : CONTRACTOR TO VERIFY ALL BUILDING
SETBACKS PRIOR TO CONSTRUCTION.
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ANGEL OAK DRIVE
50' PUBLIC RIGHT OF WAY
PLOT PLAN
PROPERTY OF: CAVINESS LAND DEVELOPMENT TOWNSHIP OF: ANDERSON CREEK
DATE: APRIL 27TH, 2017
ADDRESS: ANGEL OAK DRIVE
REV DATE: MAY 9TH, 2017
CITY OF: NEAR LILLINGTON, NC „ , SCALP: 1” = 30•
COUNTY OF: HARNETT i `'.-a° ' :�: ;---:REFERENCE: LOT 236
5 : = FOREST OAKS, PHASE 4
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' NC Firm License C-0887
4
NORTH CAROLINA HARNETT COUNTY
CONTRACT TO PURCHASE
This contract made and entered into this 3rd day of may, 3017, by and between Woodshlre
Partners. LLC. as SELLER, and Caviness Develonment. Inc.,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 lots, to wit:
Being all of LOPS,236 of the Subdivision known as Forest Oaks Phase 4 a map of which is
duly recorded in Book of Plats Map 3U.3 Page 5444 Part , Harnett County Registry.
Price is $ 30,000 each,payable as follows:
Down Payment(payable upon execution of this contract): $-0-
Balance of Sale Price(payable at closing): $30.000
I. The LOT/S shall be conveyed by SELLER to BUYER by a General Warranty
Deed free of all encumbrances other than taxes for the current year,which taxes
shall be prorated as of closing. The Deed shall be subject to all Restrictive
Covenants,Utility Easements and applicable zoning ordinances on record at
the time of closing.
2. BUYER acknowledges inspecting the property and that no representations or
inducements have been made by SELLER,other than those set forth herein,
and that the Contract contains the entire agreement between the parties.
3. Closing(Final Settlement) is to take place not later than:June 5, 2017 at the offices of
Lewis. Deese, and Nance. 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.
4. Other Conditions:
Restrictive Covenants for subdivision are recorded in the Office of the Register of Deeds
for Harnett County in Book 3021 Page$77-906.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 rennet Surveys:.
I
BUYER must submit house plans to SELLER for architectural conformity and Covenant
approval prior to breaking ground.
If the buyer of this transaction elects not the build on said lot(s)and decides to sale the
purchased lots instead, Woodahire Partners.LLC.have the first right of refusal to
purchase the said lot(s)back from the buyer Caviness Land Develoument.Inc.
Buyer and Seller and/or their assignees agree that the exclusive marketing for houses
built on the above lots will be through ERA Strother Real Estate/LWS Homes/Larry W.
Strother. It is intended by this provision that ERA Strother Real Estate/LWS
Homes/Larry W. Strother is to be a third party beneficiary of this contract. BUYER
covenants and agrees that,should it in turn sell any or all of the lots purchased hereunder
to a third party builder, then,and in that event, BUYER covenants to include in its
contract to sell such lots that ERA Strother Real EstatelLWS Homes/Larry Strother shall
be the exclusive marketing agent therefore and a third party beneficiary under such
contract. BUYER'S failure to include such a binding provision in its contract of sale for
such lot(s)to a third party builder, as is set forth herein above,shall result in the accrual
of liquidated damages payable by BUYER to ERA Strother Real Estate/LWS
Homes/Larry Strother in an amount equivalent to twice the amount BUYER originally
paid SELLER for such lot(s). BUYER agrees that this liquidated damages clause is not
to be construed as a penalty and that same represents a fair estimate of SELLER'S future
damages for the breach of this paragraph,which damages would otherwise not be
susceptible of accurate calculation.
Additionally:
IN WITNESS WHEREOF the parties have executed this contract this 3rd day of
May 2017.
ty
SELLER UY
Woodshire Partners,LLC. Watson Caviness
Larry Strother,Managing Member Caviness Land Development,Inc.
'Each section below to be filled out Application#
by whomever performing work. Harnett County Central Permitting
Must be owner or licensed PO Box 65 Lillington,NC 27546
contractor. Address,company 910-093-7525 Fax 910-193-2793 www.hamettorg/permits
name&phone must match
Application for Residential Building and Trades Permit
Owner's Name: Caviness Land Development Date: 5/147/7
Site Address:62 Angel Oak Drive Phone: 91033963 2
Directions to job site from Lillington: From 87S make a left onto Nursery Rd and then continue to the left
on Nursery Rd Make a right into Forest Oaks subdivision.
Subdivision: Forest Oaks Lot: 236
Description of Proposed Work: Building House #of Bedrooms: 4
Heated SF:2302 Unheated SF:585 Finished Bonus Room? Yes Crawl Space: Slab:
General Contractor Information
Caviness Land Development 910-339-6330
Building Contractor's Company Name Telephone
639 Executive Place Suite 202 janine@cavinessland.com
Address Email Address
37485
License#
Electrical Contractor Information
Description of Work electrical Service Size: Amps T-Pole: L Yes No
Southern Pride Electric 919-750-9436
Electrical Contractor's Company Name Telephone
370 Slap Out Road, Mount Olive NC 28365 southernpride.mp@gmail.com
Address Email Address
24726
License#
Mechanical/HVAC Contractor information
Description of Work heating 8 air
Carolina Comfort Air 919-550-7711
Mechanical Contractor's Company Name Telephone
703 N.Clinton Ave., Dunn, NC 28334 phillip@carolinacomfortair.com
Address Email Address
29077
License#
piumbina Contractor Information
Description of Work Plumbing # Baths 2 112
Chris Holloway Plumbing 910-624-2670
Plumbing Contractor's Company Name Telephone
737 Old NC 20 St Paths NC 28384 chrisholloway@nc.rr.com
Address Email Address
28541
License#
Jnsulation Contractor Information
Cumberland Insulation 4205 Clinton Road Fayetteville, NC 28312 910-424-7118
Insulation Contractor's Company Name 8 Address Telephone
`NOTE: General Contractor must fill out and sign the second page of this application.
Homeowners Applying to Build Their Own Home
Please answer the following questions then see a Permit Technician to determine if you qualify for permit under Owners Exemption.
Questionnaire per G.S. 87-14 Regulations as to Issue of Building Permits (Memo available upon request)
1. Do you own the land on which this building will be constructed? Yes I No
2. Have you hired or intend to hire an individual to superintend and
manage construction of the project? Yes No
3. Do you intend to directly control &supervise construction activities? Yes No
4. Do you intend to schedule, contract, or directly pay for all phases of
construction work to be done? Yes No
5. Do you intend to personally occupy the building for at least 12 consecutive
months following completion of construction and do you understand that if
you do not do so, it creates the presumption under law that you fraudulently
secured the 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 Harnett County Zoning Ordinance. I state the information on the above
contractors is correct as known to me and that I affirm that I have obtained all listed contractors
permission to obtain these permits and if Pn 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.
S1/4(1.1t7
Signature of Owner ntractor/Officer(s) of Corporation Date
Affidavit for Worker's Compensation N.C.G.S. 87-14
The undersigned applicant being the:
d 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.
✓ 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 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 Name:Caviness Land Development
Sign%/Title: Date: P5 /O//7
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 05/04/2017
Entry JY: 647317 Initially filed by: cavland
Designated Lien Agent Project Property
Print & Poet
Invaton'Title Insurance Company Forint Oaks lot 236
62 Angel Oak Drive ❑" _1El
Bumtleveh NC 28323 ;N
Harnett County y
Address:19 W Hargett Si,Suite 507/paler. t 1s
NC 27601 0
' T.
none:Se5a90.71w Property Type Coatreton:
Pat:913459-5231 Please poet this notice on the Job Site.
1-2 Family Dwelling Suppliers tad Subcontracton:
Scan this image with your smart phone to
view this filing.You can then file a Notice
Owner information Date of First Furnishing to Lien Agent for this project
Cavwins Land Development 05/042017
639 Exe udve Place,Suite 202
Fayetteville, NC 28305
United States
Evail:
janine@cavinessland.com
Phone:910.339-6330
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Technical Support Hotline:(888)690-7384
532017 Harnett Cantly Parcel Report
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�, Harnett Legal Description:
") CpuityY Harnett County GIS
strong roots•new growth LT#236 FOREST OAKS PH4 MPg2012-544
PID:01053608 0028 25 Tax Data Last Modified:
PIN:0508-95-4906.000 Calculated Land Units/Type:LT ec
REID:0079489 Neighborhood:00141
Sub vIslon:2012-544 Actual Year Built:
Deeded Acreage:0.39 ac TotalAcutalAreaHeated:Sq/Ft
Total Acreage:0.3922055 ac Sale Month and Year:9/2009
Account Number: 1400029056 Sale Price:$0
Owner 1:WOODSHIRE PARTNERS LLC Deed Book 8 Page:2668-0860
Owner 2: Deed Date:
Owner Address:PO BOX 87555 FAYETTEVILLE,NC 28304-0000 Plat Book 8 Page:2012-544
• FU lc+ a36 Instrument Type:WD
Property Address:82 ANGEL OAK DR BUNNLEVEL,NC 28323 Vacant or Improved:
City,State,Zip:BUNN LEVEL,NC,28323 QualifledCode: E
Building Count:0 Wander or Split:S
Township Code:01
Fire Cods:
Parcel Building Value:$0 Prior Building Value:$0
Parcel Outbuilding Value:$0 Prior Outbuilding Value:$0
Parcel Land Value:$30000 Prior Land Value:$25000
Parcel Special Land Value:$0 Prior Special Land Value :$0
Total Value:$30000
Parcel Deferred Value:$0 Prior Deferred Value:$0
TotalA lus:$30000 PriorA Value:$25000
Legal Land Units,Unit Type : 1,LT Prior Land Units: 1 ac
hnpl/ge.hernee org/E911N4ParceN/PwcNReportesex/ein=e506-9$4906.063 1!1