DOCUMENTS latiat AppEeMlen Date:Sisaal±r1 ApplIORm R 111 —1 (Thq-I
COUNTY OF HARNETT RESOENTUL LAND USE APPLICAT ON
Central Permitting 108 E.Front Street.UlamMn,NC 27646 Phone:(R10)899-7625 er1:2 Fax:(910)893-7793 ww.Mmetto9/pemls
'A RECORDEDSU VEY NAP.RECORDED DEED IOR OFFER TO PURCHASE)M SITE RAN ARE REOUREDWHEN SUSMmNG A LAAO USE AntsAuON'
LMDOYPNER:McKee Homes, LLC mom Address:109 Hay Street, Ste 301
col., Fayetteville dem, zip:28301 comic's: 9104757100 Email. krivera@mckeehomesnc.com
Appucm r:McKee Homes, LLC maim Ady,ea,;109 Hay Street, Ste 301
ay. Fayetteville sus NC zip:28301 °math,; 9104757100 Envy; krivera@nckeehomesnc.com
'Piece Rom soma loan Wo•Fdune Nn Sea
CONTACT NAME APPLYwo1N DPFN:E•Kelsey Rivera Reno 9104757100,727
O ROPERTY LOCATION:s,Aarebm Anderson Creek Carriage Glen Lot M: It90 La(Stir a3P
aisle Road sunt Reed yin . Nursery Road Map Book{Ppm?Ito/ 3a-1-
PacN: olog35a5 o%oO as A PIN: oSn5- 81--is RZ ooh
Zoning:RA-20R Food lone: 'C Mat
WSwd:J Deed Books Page: 34b`J / Al.$Pwwr Cauver.
Rtew structures with Program Energy as seri provider need asupply prerace number from Progress Enemy.
PairSEDUBE:
SFD:(BUe 44' eb?Y't a BedroomwjL#Betl •S who balb):Le X _Creat Spees9Gab
peer home room Mashed? � yes tno w/s closet?112yea ie(If yes add In w0)N bedrooms)
O Mod:(8 .siN Bedrooms I Bot_Basement(wAvo bath)_Orpe:_S .Butt Deck:_ On Frame_011 Frame_
(e the second bar behed?LJ yea Li no My other sib butt Salons?LJ yes Lj no
O Mmulecord Horne:_OW_DW_TW(Sire 18 Bedrooms:_Oengs:_Mile bJN? )Deck: (site 1:0110_1
O Du x:(514•___X—)No.Buildings: No.Bedrooms Per Unll:
O Hae Oaepetbn:M Rooms: Use: Hours of Operation: NEnpbywc_
O AddSbaimai ylO*w:(Ma 10): Cow,In addition?Li yes Li no
Water Supply: Comb —ERNI®Wad _New Well fR W bwabps using 1•18_)'Muse hers perch,wat bets MIS
Sewage Supply:_New Septic Tank(Complete Clean —Existing Septic Trac(Coapts Cheats') County Sewer
Does mew of tie bad of land.own land that contains•manufactured horn within he hundred feei(500)of has Wed above?LJ yes LI no
Does the property centro any easements Winter uMrgrond or overhead Li yes )no
Sb ns(Wean w poposed):SIMS fsmIly AvMIIngt:X Manufactured Name Other(pedhl:
Required Residential
lPProperly Lice Sedmeb: Comments:
Front Mlamun l Actual rry��
Rear
rY'
I •)
Omen Sate / 1 C)
bldeaeaedmmr tet
Hereat BdwN
on vera tel
Ratlemial Lan Use Apgication Paget 012 tont
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO 7111 PROPERTY PROMUWNOTON: Nursery Road to Enterance
If was en grant I pree be cone=to e weinences end kits of the Stele ofICOM Globe repclMfl ouch work and ye.peWwOwr of mine NOnYNC.
I hereby MSthat O an.twin nE Carred 10 tile tech of my knwtS Permit wheel In Wanner If Mw lnbrm.Ibn le Provided
aOwer Owner'sror�12A ant
"tt I.the owadappllanle nepw ofb*y b provide the county With any.ppyakle kderrrlekoe about the&Sect properly,Including Out nee linked
to:boundry Inkwl W ten,hem*leabn,underground or overhead enemies,It.The county or Re employees are not nepon ml.for any
Inaanaa miming InMrallon the,b Cre.thed within thea applications."'
"Thi wolfr m expires.menthe from the Initial dale If pennies keel not been leer."
ReSNenllel Land Use Applkalbn Page 20/2 03/11
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HOUSE PLAN. POTTER W/PORCH- LH
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7
PLOT PLAN Ao... Essi .vt
SUBDIVISION: ANDERSON CREEK CLUB
DM0/I s Application g
Harnett County Central Parmtlsp
MEM blow be MMM 910 MO 7675 Fixate SS Lillenolan NC 27640
Nor Mal603 2793 went Smelt ers'plmme
*whimsy pbbrwna work
Mut Soslrakind
calmer Arias "wpm altelleelathulaulaniutiamaandiadalumft
nwo6 phone Ma 11111121
News Name McKee Homes, LLC Data J� IFc I I
BM Address `Hs SC,ho\w- r-DYii.t Phone 9104757100,727
Directions to lob see from L$bnpopn Nursery Road to enterance
Subdivision Anderson Creek Carriage Glen Lot I 0 Li O
Desonption,o,f��� ° Work Sinale Family Home al Bedrooms 5
Heeled SF Unheated SF SO} FawnBonus Room,cinnti- Crawl Space _Slab X
ginEtraakiSafEMSE
GML Development, Inc 910-475-7100,727
Budding Conafebr a Company Name Telephone
109 Hay Street, Ste 301, Fayetteville, NC 28301 krivera@mckeehomesnc.com
Address Email Address
63970
License 0
ISatnd Confronter Info
Desoption of Work smile Family Home SS/V1011 Site zoo Mips T•Pole X Yes_No
J.M. Pope Electric 919-776-58144
Benet Contractors Company Name Telephone
409 Chatham Street, Sanford, NC 27330 jmpopeeleciric@gmail.com
Address Emelt Address
21326-L
Lionise 0
lintlitlearitiradkellearalEMSIN
Desalpbon of work Single Family Home
Certified Heating and Air 910-858-0000
Msdeneal Contractors Company Name Telephone
P.O. Box 1071, Hope Mills, NC 28348 codified heatair@emhargmail.com
Address Email Address
2012 H3-1
Lames N
rumpus omen Single Family Home #Batge :)•
Dell Haire Plumbing 910-818-4863
Plumbing Contractor a Company Name Telephone
7612 Documentary Drive, Fayetteville, NC 28306 dellhaireplumbing@hotmail.com
Address Email Address
32886 P1
License 0
IlleleageSSISOWSISSMIBBB
Cumberland Insulation 910-484-7118
Intuition Contractors Company None&Address Telephone
'NOTE Garter Committer must fill out and sign the second page of this apptwten
I hereby only that I hese the suthady to make neceesery notation that the application w coned
end thM-the construct= we conform to the regulators in the Budding Dna! Plumbing and
Mechanical codes and the Hamed County Zoning O'S—ae I en the information on the above
=trace=is coned as Wain to me and that
n... - w to abWn W and d aaBungee ox including lead contractors as plan
nenS d bedrooms bu rang and bade grain Environmental HWIh annul changes or proposed IMO
charges I oar*d a my responsibility to notify the Herron County Control Pomading Department of
any and all
EXPIRED P PEP-E Months to 2 yam permit reissue fee a$160 00 After 2 yuan reissue fes
a as pa currant fee schedule
- I7S 1I1-
A,l.CF/1.0.
Sr Mtn of •,,, /ContredadOl cer(s)of Corporation Date
Affidavit for Worker's Compensation N C G S 57-14
The undersigned applaarl being the
XGeneral Canada _Owner _Officer/Agent of the Contractor or Owner
Do hereby roam mater pendlas of penury that the person(s) Mn(s)or corporabon(s)performing the work
set forth in the permit
Hes three(3)of mare employers and ha obtained workers camperaatron seance to cover them
_Ha one(1)or more subcontractors(s)and las obtained workers compensation nurana to cover
Own
XHa one(1)or more subcontinents)who hes then on pobcy of workers compensation marine
covering themselves
_Hes no more then two(2)employees and no subocotreekva
Whet working on the woad for nth the permit is sought d is understood that the Central Permitting
Department issuing the permit may moue addaates d coverage of worker s compensation insurance prior
to nuance of the permit and at any tome dump the permitted work from any person firm or corporation
crying out the work
Company or Name McKee Homes, LLC
signvers^acht& r L-LLk.QAOO. oars 51 la I I�'
LIEN AGENT INFORMATION
Effective April 1,2013
In accordance with North Carolina General Assembly Session Law 2012-158,
Inspection Departments are not allowed to issue any permit where the project cost
is $30,000 or more unless the application is for improvements to an existing
dwelling that the applicant uses as a residence OR the property owner has
designated a lien agent and provided the inspections office with the information
below:
Name of Lien Agent First American Title Insurance Company
Mailing addressof Agent 19 W. Hargett St, Ste 507
Ralerigh, NC 27601
Physical address of Agent Same as above
Telephone 888-690-7384 Fax 913-489-5231
Email support@liensnc.com
The information will be attached to the permit record and a copy provided to the
applicant. The applicant is required to post a copy on the construction site.
Excerpt from North Carolina G.S. 160A-417:
"(Effeedve April 1,2013)No permit shall be issued pursuant to subdivision(1)of subsection(a)of
this section where the cost of the work is thirty thousand dollars($30,000)or more,other than for
improvements to an existing single-family residential dwelling unit as defined in G.S. 87-15.5(7)that
the applicant uses as a residence,unless the name,physical and mailing address,telephone number,
facsimile number,and electronic mail address of the lien agent designated by the owner pursuant to
G.S.44A-11.1(a)is conspicuously set forth in the permit or in an attachment thereto.The building
permit may contain the lien agent's electronic mail address.The lien agent information for each
permit issued pursuant to this subsection shall be maintained by the inspection department in the
same manner and in the same location in which it maintains its record of building permits issued."
www.liensnc,com
Appointment of Lien Agent: Details-LiensNC Lien Service haps://apps.liensnc.com/scdappointmenUdetails.html?enlryNumh...
DO NOT REMOVE!
Details Appointment of Lien Agent
Filed on: 05/18/2017
Entry k: 855310 Initially flied by: Jbuckwalt.r
Deslpated Lin Agent Pruett Proprtg Print & Post
Pint Amencan Title Insurance Company Anderson Creek Club-Academy Lot IMO ❑" sn
—
Harnett County e;'�
Oellee:wwwlienme wmme—www NC
wr?. `
Atltlmr:l9µ.W:gm S.,Suite SOLRJeigl:,NC �r>"o
27601 Coatnnan:
float ace69o4384 Thwart. Tope Please post this nonce on the lob Site
Fax:913-459.523 L Suppliers and Subcontneton:
Ems:lyywd cumi.www ww w3 Scan this image with your sman phone to
1-2 Family Dwelling view this fling.You can then File a Notice
to Lien Agent for this project.
Owner Information Deb of First Furnishing
McKee Homes,LLC
109 Hay Street 06101/20th
Suite 301
Fayetteville, NC 28301
United Slates
Email knverammckeehomesnc cam
Phone'.910-0754100
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Technical Support Hotline:(888)690-7384
I of 1 5/18/17, 1:23 PM