DOCUMENTS Initial Application Dater/ 11011 1 _ Application# ' )JO b 41 17150
TT 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 wrnv.hametl orglpermits
'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: Fayetteville State.NC Zip:28305 Contact No: 910-339-6332 Email: laninela�cavinessland corn
APPLICANT,:Caviness Land Development Mailing Address.639 Executive Place Suite 202
City. Fayetteville State:NC Zip 28305 Contact No' 910-339-6332 Email: laninel�cavinessland.com
*Please5o out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:Janine Lightner Phone#910-339-6330
PROPERTY LOCATION:Subdivision: Forest Oaks Lot#:256 Lot Size. 44
State Road#1117 State Road Name: Nursery Road Map Book&Page:a 0lett ,4#
P l 0506-96-8834 7 'P : 01053608 0028 45
Zoning:RA2OR Flood Zone: X Watershed: N ked
beed Book&Page:#J'7 DO /Di VS Power Company. South River Electric
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
s1 Monolithic
SFD:(Size 4 x4 )#Bedrooms:4 #Baths:2 Basement(wtwo bath)'._Garage: ✓ Deck'._Crawl Space:_Slab:_Slab ✓
(Is the bonus room finished?( 1)yes U no wl a closet?( yes (N./).no(if yes add in with#bedrooms)
❑ Mod:(Size x )#Bedrooms_#Baths_Basement(w/wo bath)_Garage._Site Built Deck:_ On Frame_Off Frame
(Is the second floor finished?( )yes ( )no Any other site built additions?( I yes U no
❑ Manufactured Home:_SW_DW_TW(Sizex )it Bedrooms:_Garage: (site built? )Deck: (site built? )
❑ Duplex.(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: *Employees:_
❑ Addition/Accessory/Other:(Size_x )Use: Closets In addition?( )yes ( )no
Water Supply: 1 County Existing Well New Well(*of dwellings using wed )'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 mat 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( )yes (1)no
Structures(existi or proposed): ngle family dwellings: Manufactured Homes: Other(specify):
Required Residential Properly Line Setbacks: Comments:
Front Minimum 25 Actual 26 Address: 689 Wood Point Drive
Rear 20 26.95
Closest Side 10 23.21
Sidestreet/comer lot
Nearest Building
on same lot
Residential Land Use Application Page 1 oft 03/I1
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINOTON: From 87S 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 and est of my knowledge. Permit subject to revocation if false information is provided.
5/i27i�
Signature ner or Owners Agent Dat
"'It is the ownerlapplicants 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 H permits have not been Issued**
Residential Land Use Application Page 2 of 2 09/11
NOTE : CONTRACTOR TO
� VERIFY ALL BUILDING
R,Cj SETBACKS PRIOR TO
,g $ CONSTRUCTION.
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PLOT PLAN
O PROPERTY OF: CAVINESS LAND DEVELOPMENT TOWNSHIP OF: ANDERSON CREEK
ADDRESS: ANGEL OAK DRIVE DATE: MAY 1ST, 2017
CITY OF: NEAR LILLINGTON, NC SCALE: 1" = 30'
e COUNTY OF: HARNETT REFERENCE: LOT 258
�/� FOREST OAKS, PHASE 4
awe O a a zc4e - /7 MAP# 2012, PG. 544
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NC Firm License C-088/
•
NORTH CAROLINA HARNETT COUNTY
CONTRACT TO PURCHASE
This contract made and entered into this 14th day of March, 20117 by and between Woodshire
Partners, LLC. as SELLER, and Caviness Development, Inc., as BUYER.
WITNESSETH
TI IAT 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 of LOT/S. 223,224,225, 226, 237. 255, 256,257 of the Subdivision known as Forest
Oaks Phase 4 a map of which is duly recorded in Book of Plats Map 2012 Page 544 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): 5240.000
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. 'fhe 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: April 13, 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 I.OT/S to
a subsequent Buyer.
4. Other Conditions:
Restrictive Covenants for subdivision are recorded in the Oflice of the Register of Deeds
for Harnett County in Book 3021 Page 877-906. 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.
7 ,
•
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, Woodshire Partners, LLC. have the first right of refusal to
purchase the said lot(s) back from the buyer Caviness Land Development, 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 Estate/LWS 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 14th day of
March 2017.
SEL ER C BUYE
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 910-893-7525 Fax 910-893-2793 www.harnettorglpermits
name 8 phone must match
Application for Residential Building and Trades Permit
Owner's Name: Caviness Land Development Date:
Site Address:689 Wood Point Drive Phone: 9103396332
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: 258
Description of Proposed Work: Building House it of Bedrooms: 4
Heated SF:1600 Unheated SF:516 Finished Bonus Room?Yes Crawl Space: Slab: I
General Contractor Information
Caviness Land Development 910-339-6330
Building Contractor's Company Name Telephone
639 Executive Place Suite 202 janine@cavinessland.corn
Address Email Address
37485
License#
Electrical Contractor Information
Description of Work electrical Service Size:_Amps T-Pole: ✓ 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 corn
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#
Plumbina Contractor information
Description of Work Plumbing #Baths 2
Chris Holloway Plumbing 910-824-2670
Plumbing Contractor's Company Name Telephone
737 Old NC 20 St Pauls NC 28384 chrisholloway@nc.rr.com
Address Email Address
28541
License#
Insulation 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 lollowing 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 ay 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 schedul
7/07
7
Signature of 0 r/Contractor/Officer(s)of Corporation Dat
Affidavit for Worker's Compensation N.C.G.S. 87-14
The undersigned applicant being the:
te 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.
le 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.
Caviness Land Development
Company or Name:
Sign w/Title:� 5/�b//7
Date:
DO NOT REMOVE!
Details: Appointment of Lien Agent F,I.a 05f04J2017
Entry 6: 617396
Initially filed by: ceviena
Dulgnated Lien Agent Protect Property
Print & Post
Investors Title Insurance Company Forest Oaks lot 256
689 Wood Point Drive 0a — 0
oouae:gww.lieome awes _. ..... Dumievel,NC 28323
Mereu:19 W Haden St..Suite 507/Raleigh. Harnett County
NC 27621
?boor 888490-7384
Properly Type Contractor.:
Fax:913489-5231 Please post this notice on the Job Site.
1-2 Family Dwelling Suppliers and Subcontractor':
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
Cavinass Land Development 05/04/2017
639 Eaeemive Place,Suite 202
Fayetteville, NC 28305
United Slates
F'1:jmine6jcavinessland.com
Phone:910-339-6330
View Comnenk(0)
7lchekal Support Hotline:(888)690-7384
5182017 Harnett Ccxnly Parcel Report
I PtlN INS Page
' ‘Harnett Lpa113pp11pTbn:
— -. totality
Seal rMMIS•now growth '.011258 FOREST OAKS P14 MAP12012-544 Harnett County GIS
PID:010530080028 46 Tax Data Leat MoANd:
PN:o5009841e34000 Cakulated Land Undo l Typo:LT ac
REID.0079485
Neighborhood:00141
SWlviekm 2012344 Actual Year Suit:
Doodad Acreage:045 ac TotalAcutalAreaHeakd:Smrrl
TelalAcnage:0.48012734ac bele 1loSN and Year:412017
Account Number:1400021106 Bak Price.$60000
Owner 1:GAYNESS LAND DEVELOPMENT INC Dead Book 4 Page:3500-0108
Owner 2: Dead Date:
Owner Address 839 EKECUTNE PLACE STE 202 FAYETTEVILLE.NC 28305-0000 Plat Book l Page:2012-544
f0 %B'`'6543 leauumentTyge:WD
Property Address:889 WOOD PONTOR SUNNLEVEL.NC 28323 Vacant or improved:
City,S44,21p:BUNNLEVEL,NC,28323 OuelINBCods:A
leading Cavan 0 TraeaNr or Spit T
Town8Np Cods:01
Fin Cods:
Parcel BW]!1g Velea:$0 Prior Bulking Van:$0
ParcelOutbuilding Value:50 Prior Outbuilding Velma:$0
Parcel land Vale:830000 Prier Land Vaasa:425000
Parcel Spacial Land Value:80 Prior Special Land Value:$0
Total NM:$30000
Parcel Deferred Value:$0 Prior Dakrrad Value:$0
TotelAoeeeeed Value:530000 PriorAeaassed Vaasa:$25000
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