DOCUMENTS Initial Application Date' C Application# I 1 SO 31410 l
ORB# CU It
COMMERCIAL
COUNTY OF HARNETT LAND USE APPLICATION
Central Fermium (Physiwll 108 E.Front Street Llllmgton NC 27546 (Mailing)PO Box 65 LLllcington NC 27546 Phone.(BCC)893-7525 opt X2 Far1910)893-2793 www Named or!permlts
LANDOWNER: 4)0inheIN Li inns Tt.nweticci+ At� i Mailing Address: I1 a'1 N Qr.ltijh .SI
City: Fi(vcu r pState:KC Zip:a7 SUN Contact 41 9tH' 710' 780A- Email: Attu' s1ernin b'•ld c mon
APPLICANT*::�JJJ C`_Cn�^SOPI OV1\6or( VEC Mailing Address: RV) N 0-4-eta t1 •
City: Nn Stern Y State: NC Zip: c..))‘./).Contact# 'I4130 7 S10d Email: (ke14 stenv..h/b.2tl(prt.(O+-.
'Please fill out apptifbant information 11 different than landowner
downer
CONTACT NAME APPLYING IN OFFICE: I BW Nc\PON hY,W Phone# 'I Vll(-7 3t-7�i cY .
PROPERTY LOCATION:Subdivision: (�1 tAyN SEfy re. Lot#: / A Lot Size:DWI
State Road# 11T Ci—21 State Road Name..11.75 "I01 N j (;\'I'r$,\SON NL Map Book&Paage`:'\�151SL13
Parcel: C)CO b4Y\ LiS I,w. (�I]I PIN: �.i � �Sr �I �II ��b 1�1 �� - �,I3.C/
Zoning Flood Zone: LC Watershed/r-n Deed Book&Page33 lot41 (9(040 Power Company': 01114-Cfr S'7 D(OJp5S
'New structures with Progress Energy as service provider need to supply premise number 3511 3 1 5 3 from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: /�
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PROPOSED USE: 1
❑ Multi-Family Dwelling No.Units: No.Bedrooms/Unit.
❑ Business Sq.Ft. Retail Space: Type: #Employees: Hours of Operation.
❑ Daycare #Preschoolers: #Afterschoolers: #Employees: Hours of Operation:
❑ Industry Sq.Ft: Type: #Employees: Hours of Operation:
❑ Church Seating Capacit : #Bathrooms: Kitchen:
IIr Accessory/Addition/Other(Siz )Use: ST hal v1 tta,
S:<yrs
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
Comments:
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 correct to the best of my knowledge. Permit subject to revocation if false information is provided.
spa) In
Signa a of Owner or Owner's Agent Date
"This application expires 6 months from the Initial date If permits have not been Issuer"
A RECORDED SURVEY MAP,RECORDED DEED tOR OFFER TO PURCHASE)AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
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30 YEARS EXPERIENCE IN MANUFACTURING AND SERVICE
www.carolinasignandservice.com
PROPOSAL/CONTRACT
Dab: 6/23/17 Phone: 919-730-7802
Customer: Drew Stephenson Email: stephensonbuildersinol@embargmail.00m
Business Name: Stephenson Builders
Furnish all labor and materials to fabricate&install....Morgan Farm Subdivision Stone Column&Signage
4 Qty: 2—1 Column w/HDU Sign on Posts& 1 Column w/Bronze or Aluminum Plaque
Type: Stone Columns&Signs on Cantilever Posts
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Footers: As Per Engineered Drawing -TBD
�- Cantilever Posts: 8°x 6"
Post Color: Stain TBD
M Sign: 2-3'x3'x1°HDU
�c Sign Type: V-Carved
Sign Colors: TBD
V. Paint Finish: SW Industrial Coatings
7[ Clear. Chromatic Waterborne Matte Clear
t( Frame: 3°Aluminum Frame&Mounting Brackets to which signs are attached
Column Plaque: 18' Round or Square
X Edge: Single Line
X Background: Pebble
$ Plaque Mount Blind Mount with Studs&Epoxy
Electrical: N/A
Columns&Signage: 316.864.62 Mx
'Each section below must be filled out by Application#
whoever Is performing the work. Must be Harnett County Central Permitting
owner or licensed contractor. Address, PO Box 65 Lillington,NC 27548
company name 8 phone must match 910-893-7525 Fax 910-893-2793 www.hamett org/permits'
information on state license. COMMERCIAL
Application for Building and Trades Permit
Owner's Name: au We r L.ivyrj tvr s-I rye -4 Qtc.Qe rite S, ger Date: 5-11- 1 "]
Site Address: :V b3 Ws LIM est , 1_01031lnv NC a7S`Ib Phone: 91q t 730-jg01
Directions to job site from Lillington: t," 4 o1 N , -flat, L2f1- I e--o Nrcityw FGfr,., edr,
Subdivision: MOtJgy VGfm Lot: `l
Description of Proposed Work: Landscor OrtCt cS;N FoSewr tt Atte 5
Heated SF — Unheated SF 1 '---
General Contractor Information: Building Cost$
-Seers ri (2All's X-r 919 - "RD-) y�e
Building Contractor's Company Name Telephone
(1 IN-1 N rlr.ler3L SI - A..J,e, NC a��U l Ax-ew r'D s rtsatj ktns.(dr
Address Email Addres
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Signature of Okedr/C tractor/Offloads)of Corporation License se##
Electrical Contractor Information: Electrical Cost$ Scf
Description of Work Ekrl.l Sena. Er 1 cn,eri , Service Size: i On Amps #T-Poles O
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ElectricLontractor's Company tName� Telephone
lle(( - 60%3
7153 gy.PFi 0- cans_ Rood• �,'r,l, o1 17 Sd4 /x l¢eahl Y2aDa7/r1-o0,run-,
Add ss -- Email Address
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Ign a of Owner/ ontractor/Officer(s)of Corporation License#
Mechanical ontractor Information: Mechanical Cost$
Description of Work #Units
Mechanical Contr 's tpp¢rty Name Telephone
Address Email Address
Signature of Owner/Contractor/Officer(s)of Corporation License# c t
Plumbing Contractor Information: Plumbing Cost$ CO 0
Description of Work C4 rl hoN #Baths
(hal /C AIS 4 "44112 /46 911.1a-*610
Phimbing Contractor's Company Name Telephone
8 /3Sq �ria,at-sla ' z2f24,
Email
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Signature of Owner Contractor/Officer(s)of Corporation License#
Insulation Contractor Information
Insulation Contractor's Company Name&Address Telephone
*NOTE:General Contractor must fill out and sign the second page of this application
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Sprinkler Contractor Information
Sprinkler Contractor's Company Name Telephone
Address Email Address
Signature of Officer(s)of Corporation License#
Fire Alarm Contractor Information
Fire Alarm Contractor's Company Name Telephone
Address Email Address
Signature of Officer(s)of Corporation License#
Driveway Access- NC Department of Transportation Driveway Access/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 if a�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 charged at full price per urrent fee schedule.
5-22/7
ignature r/ oqi ctor/Officer(s)of Corporation Date
Affidavit for Worker's Compensation N.C.G.S. 87-14
The undersigned applicant being the:
1/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: c ,r ./ /� /G4 //IC
Sign w/Title: RaftParC Date: 6--r22•"/.7
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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 17-50041467 Date 5/26/17
Property Address 94576 *UNASSIGNED
PARCEL NUMBER 08-0641- - -0051- -11-
Application type description CP STANDALONE SIGN PERMIT
Subdivision Name THE YOUNG FARM
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
SOUTHERN LIVING INVESTMENTS STEPHENSON BUILDERS, INC.
PROPERTIES LLC 1187 N RALEIGH ST
1187 N RALEIGH ST ANGIER NC 27501
ANGIER NC 27501 (919) 427-8654
Applicant
STEPHENSON BUILDERS INC -SIGNS
1187 N RALEIGH ST
ANGIER NC 27501
(919) 730-7802
--- Structure Information 000 000 SUBDIVISON SIGNS
Other struct info PROPOSED USE SIGNS
SEPTIC - EXISTING? NA
Permit COMMERCIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1193382
Issue Date . . 5/26/17 Valuation . . . . 0
Expiration Date . 5/26/18
Permit COMMERCIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1193424
Issue Date . . . 5/26/17 Valuation . . . . 0
Expiration Date . 5/26/18
Permit SIGN (BLDG) PERMIT
Additional desc .
Phone Access Code 1193416
Issue Date . . 5/26/17 Valuation . . . . 0
Expiration Date . 5/26/18
Permit SIGN (PLANNING) PERMIT
Additional desc .
Phone Access Code 1192913
Issue Date . . . 5/26/17 Valuation . . . . 0
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 17-50041467 Date 5/26/17
Expiration Date . . 11/22/17
Special Notes and Comments
T/S: 05/24/2017 09 : 13 AM JBROCK
FROM LILLINGTON TAKE 401 N L ONTN
MORGAN FARM DR 2 MILES FROM HOSPITAL
MA<NC'TT 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.
Pae 3
Application Number 17-50041467 Date 5/26/17
Property Address 94576 *UNASSIGNED
PARCEL NUMBER 08-0641- - -0051- -11-
Application description . . CP STANDALONE SIGN PERMIT
Subdivision Name THE YOUNG FARM
Property Zoning RES/AGRI DIST - RA-30
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . . COMMERCIAL ELECTRICAL PERMIT
999 265 E265 C*ELEC FINAL —/ /—
999 251 E251 C*ELEC ROUGH IN / /_
Permit type . . . COMMERCIAL PLUMBING PERMIT
999 361 P361 C*PLUMB FINAL _/ /—
999 351 P351 C*PLUMB ROUGH IN /_/—
Permit type . . . . SIGN (BLDG) PERMIT
999 179 C179 C*BLDG FINAL _/ /
999 151 C151 C*BLDG FOOTING _
Permit type . . . . SIGN (PLANNING) PERMIT
999 818 Z818 PZ*ZONING INSPECTION / /
999 820 Z820 PZ*ZONING/FINAL INSPECTION —/ /—