DOCUMENTS Initial Application Date:LI?1 II Application# I5 '4I aS>
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
���Cent�rall Permittinger �108( E.Front Street.Lillington,NN.0 27546 Phone:
'(j9"1'00))�893-7525 ext.2 Fax:(910)893-2793 www.harnetLorg/permits
' —"ARECORDEDFAWYWR DRIE00EE OkFEH OP qq SO&STTEPIAN ARE REQUIREDWHENSUBMITTING A LAND USE APPLICATION"
�NDOWNIRktt II(flIC*rt+irst* Raki,( ie.Mailing Address: d9/62 (lice C2 e to cal/4(/P>
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city:r(,( (C(ICU RQ state:JAti Zip: 3d302 Contact No: 4)0'*lc cLhcure1')hhontsi)n
APPLICANT': 541El. AS ( 14k QUA)E- Mailing Address:
City: State:_Zip: Contact No: Email:
'Please fill out applicant Information if different than landowner r� r�/1 ` 1/� �5 `�
CONTACT NAME APPLYING IN OFFICE:/J : Lc a )Ct. f-kN•b� r / 9iv-Y(�LC-( Ott^ ,,,,Q
PROPERTY LOCATION:Subdivision: /'/Q fr(A11a K. (exri)y/0(6��///(l4/I(lp/iien Lat#: IU 1 Lot SAlze'':T.01 AcreS
State l' r # IS r'S � State Road PIN'�IJI��' .1 "a Made &Page:dU 11/—lR
Parcel (�^ lllYY —n1 �dRo^I � ,.(�
Zoning:M-ZU� Flood Zone: A Watershed: AA Deed Book&Page: QTP Power Company*: (4,9Z'i?/C/ff
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
L�1'y'1 It Pa/ IT M000li8'
�SFD:(Siz xxJ#Bedrooms: #Bath?Basement(w/wo bath):/i)1) Garage: Deck:F4: Crawl Space:_Slab:_Slab.
(Is the bonus room finished?( )yes ( )no w/a closet?( )yes (_)no(if yes add in with#bedrooms)
❑ Mod:(Size x )#Bedrooms_#Baths_Basement(w/wa bath) Garage: Site Built Deck: On Frame_Off Frame
(Is the second floor finished?( )yes (_)no Any other site built additions?( )yes ( )no
U Manufactured Home: SW OW_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:
❑ Addition/Accessory/Other:(Size x )Use: Closets in addition?( )yes ( )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 (c./no
i Does the property contain any easements whether underground or overhead y)yes ( )no
Structures(existing or proposed):Single family dwellings: Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 ActualS�p
/ 1
Rear r)S a�J1
Closest Side h 110 I
Sidestreoucorner lot ).Ci
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03111
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
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'Pin If If oii ay/p7 fUI✓I ! -I- OA lawyer , itee, ftit.0slt/'
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 tements`� are a� cc�Antl to the best of my knowledge. Permit subje t to re location if false information is provided.
Signature of Owner o . rs Agent ate
'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 6 months from the Initial date if permits have not been issued"
Residential Land Use Application Page 2 of 2 03/11
t MICHAEL P. GRIFFIN , certify that under my direction and O N.��N
sweat/on this map was drawn from an actual field survey Mo! the offer of 113
aloe,arse Mown h herewon calculated
ey coardn r..is r: r0.aw : that the G65g63TJ - W rL/1
Penns my nand and real this day at MONTH 2017
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SITE PLAN APPROVAL
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FRONT 35'
cp rs'.JUr. . . _ _ REAR 25'
--- SIDE(ONE Swti 5'
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1 LEGEND
ORRER TO PURCHASE AND CONTRACT-VACANT LOT/LAND
Por valuable consldemllon,the receipt and legal nffiolney of which am booby acknowledged,Buyer aka Io pnldlue nd Seller
upon ncoopIa ee woos to soli sod convoy Ile Monody on 11w tens elni conditions of this Offer To ruralise and Conlmol and any
addendum or modlIlcntiol mode In nccoSRno with IB terns(together the"Centrad").
I. 'PEItMB AND DERINI'TIONS:Tho leen listed 'ell. shall have to rospecllve meaning given then as eel forth adjacent to incl
term, LLL
bethiller"I _fPDevele�u I • //�
rA4**b
(o)eilbop.My'i,'Ilio Pmpody shall Include nil dial rani oalodneribel l(elow together with nil nppmiennnees thereto Including tho
Improvements located thereon.
Sheet Address:
City: Cameron
County: NerMn ,North Camllnn
(NOTE:Oommmonlol nmlurhy overtaxes,zoning,school dhhIet;mllilnmid moll delivery may differ Rem address drown.)
Legal Description(CongdeleALL applicable)
rim RoMmin:Lots) All lots nostod tri Pad2UofManors d LexingtonPlant:Wonandlo1154 M VIIIneeat LexigtonPlmdaiIo0
PIM gook/Pegg: 2013/306409 ami Pial Book 516/756
(sl)"Parhnso Price":
S I,06 500,00 paid In U.S.Dollen upon the&laving tenet
S rah BY DUB DILIOUNCR PRO unndo papiblo 10 Seller
$ DY INITIAL EARNEST MONEY DEPOSIT made payeblo to Escrow Agent 11mned
In Pomgmel'l(f)with 111h offorby Q ends Q poso of cheek 0 official bank cheek
Q offer
S BY(ADDITIONAL)EARWEST MONEY DEPOSIT made payable to escrow Agent
named In Paragtoph 1(1)by each or Immediately available Muds such es official bank
oink or wire (Mohr to be delivered to Escrow Agent no later than
?MIR
BRING OPYY1RESSENCEMIIt sinal to said date.
S DY ASSUMPTION orate unpaid principal bninocend all eMlgnlladofSonoran him
existing Monk)nand by n reed of Imo on the Pmpmn'in ecoidaee with Ila
aiwlwd LOAN Assumption Addendum(Mondani Perm 2A641).
S DY SELLER PINANCINO In accordance will use attached Seller Plowing
Addendum(SlRndiud Pons 2A54).
S 1.696,500.00 BALANCE of the Purchase Price In cash al Setilemonl(seine or ell of which may be
paid wllh the proceeds oft new loan)
Should Boyer fail to dellvereither the Doe Diligence Poo or any hdlint Hamad Money Deposit by the BffoIIYODae,or should now
Geek or oiler Rind.paid by Ouyorbe dldenorel,for nny meson,by the hisdlutlon upon wider 11wpaymnl Is down,Dtwor shall
have ole(I)banking day after when notice to deliver good Ends to the payee.In deo event Buyer does tial timely deliver good
Rinds,Seller shall lave Ike right to terminate this Contract upon written notice to U11yor.
(o)"Earnest Money Deposit":Tim Innial Ernest Money Do poll,the Additional chat Money Deposit and any other//most
paid hi commotion wig this tmnsRellon,hereinafter colledlvoly roftnud to as"Imninl Money Deposit",shell be deposited
and hod In escrow by Usoow Agent until Closing,at which Ilse 11 will be cradled to Buyer,or until 11111 Colwell Is olheriolog
lo'mihaed.hi the oven:(I)this offer Is 1101 Moepled;or(1)n coldilln of any mulling cannot Is satisfied,then the Earnest
Money Deposit shall be roMRdod lo Blwo,In the ovoid of broads of this Contract by Beller,the SamotMaey Deposit dull bo
reftosdel to Bayer upon Buyer's moms,Inn such rotas shall not affect any Mier remedies available to Buyer tel such Meeh.In
11w avant of bitch ofthls Contrail by Buyer,limo Boniest Money Doposit shall be paid Co Seller noon Seller's res est u Ilgnldnud
Buyer 1011141z.4L441 _ Seller bdgals -A+1
���TTT Page 1 of I I
MroWlm Foe No,to ORevlred 511101,111x1 'pduln4,d font to been gqry,owdjonaly bpyr Nnl prase
WldbAbyAywaaa ehalhNC IliAss dalton NerlRCmellnnnm Aeodlen-NC5lrrlbmitlt 11
WW1 Claollea Amoctolonor14alloutino.-madw4 Yam 171
ww.IntlIt ,I..ul.mm..w*w.gWd .o.e...n»na.m1se.
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(Addlllonni Tomo)
I. Pumhnso Pelee Buyer droll payPorty-Threo Thousmul Plve Hundred nailer.(843,500)kr each Lot In Tho Minors Pad
20,Pod 2C and Part 21). Boyar Agrees to a lhro0 percent(3%)annual escalator on do purchase price Nr lois la The Minims
Pan 213.
2. Settlement Dees Bnycregrees to drama the fnlllal loll(10)lois whhln(any-five(46)dsys°film BDadlva Dale otthis
contract Those lots will he loll 638,639,340,790,731,753,754,755,756,757 In Manor al Lexington Plantation phis lot
254 In Village al Lexington Platildlon which v1Il be the Model Homo for Buya. Purthenno%Buyer agrees to hop ten(10)
unsold lames bell at all limos by°losi gon an nridhlonal lot within tidily(30)days agerihe sato°fan Inventory house
Ironing to a third party. Buyer Anther agrees l0}nohow a minded oflrvonty-faur(24)lots every twelve(12)nsonlhe.
3. Bayer's Bights:
n. Bum shall have Me right to Ilsl,sall nod market their hones In Lexington Plantation.
b. Buyer shall have Seller's permission lo contract hlvonloy home.,and a model home 011101254 prior to the lot
Selilamenl Palo and Senor n&'ees to nsslsl Buyer In obtaining,at dyer expense,building donne Rein lhocounty.
o. Buyer will bo the sole bulkier for 11,0 Manns nt Lexington PlmdadmtPon 2D(38 Lots).
a. Notwllhsmndllganytllhig 1011w conlray In gadlon 12 oflho Olferio Purdue,dyer hereby dorm lhoright to
melgn Ibis Coded to molds Idly,without rognlring written permission ofSodas however,neon may such Buyer
osslgmnoll,Bnyordmll not be relieved of any llnbllhy nater IIIc Ofkr'fo Padang,Amin n written folds*front
Selkr.
4. Seller's Obligation
a. Lot confers shall be staked aid marked priorto the Settlement Dale.
b. All lot hnprovonesnls,Including water sondes,sowor sondem,paved streell,sheet ligadlii&erosion control,
elooldool,telephone,cable,ancon mon area landscaping and anmiilles shall becompleted prior to theSohllomenl
Odle.
a, The plat for The Manors Pan 2B shall be recorded.
d. Seller warming that all Wade have bancanslrncled to NCDOTstandards mid agrees to cause mush drools to be
modeled until such time as Seller implies fora and receives NCDOTaecepinnce.
4611 u,--8ega,..de lamni rindkxengn-Dayeditim ,MeN0AduosoIHnlrolmwdlets mull web tbn nsahanmirbntlt
-1111 odd b,,,IMni party.
II Iraq pami ofa 1.01 r'eceiv'es any fill material,the same Iot shall have been compacted by meddled means mid shall
111001 or*need nlialy-five percent(95%)colli netIod cdcul°lad by lime Proctor test.
5. Bayer's Option to Purchase The Mmlm'a nt Lexington Mental Ion Purl 2C(56 lois)and Port 21.)(30 lois):
n. Sellerglmds to Buyer the Option to Purchase the 56 lois in Pmt 2C ad the 30 lots In Pmt 211 Upon nolificalioii
from Seller of Its lean to develop Me next idimo,claierpnd 2C and/or Port 21),Buyer shall have tidily(30)days to
present to dollar ml Offer to Purobmo for Mr,Lots to be developed, The Oflbr to Mallow shall contain the S111110
lamer and conditions as shell In this Oflbr 10 Pnrohnso.
Boyer Initials ___ Seller lapid, ,
Page II ell
AuMMaam l'ommHo.Ile ldK4111041,111011 'Iola Mondani Foal has broasproredJolialyby:Nall,hrollno
whmdbyASNcennl nim die NC Bar Mmrlalan Norlheorogmlie,Analalm-NCBnr lbw No.12
Nath Carolina AModallw efgahas1 a0.-ammrd ram 121'
Application#
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
Each section below to be filled out 910-893-7525 Fax 910-893-2793 www.harnett.org/permits
by whomever performing work.
Must be owner or licensed
contractor. Address,company Application for Residential Building and Trades Permit
name&phone must match
- --
Owner's Name: H&H Constructors`' /yof Fa�tye�ttyeville, LLC. Datelp�1�
S
Address: 111 RI44:I6.6 1�Un Phone910-Wine <RLD
Directions to job site from Lillington: NC Hwy 210 to Spring Lake. Turn Rt. On Overhills turn left to stay on
Overhills. Continue straight onto Nursery. Turn Rt. On 24/87. Turn Rt on Sawyer. Keep Straight. r-�
Subdivision: The Manor (a) Lexington Plantation Lot: /5J /
Descriptionof Proposed Work: New Single Family Dwelling #of Bedrooms: LI
Heated SFDIP, 7plUnheated SF:Sa' Finished Bonus Room? Crawl Space: Slab:V
General Contractor Information
H&H Constructors of Fayetteville LLC, 910-486-4864
Building Contractor's Company Name Telephone
2919 Breezewood Ave. Ste, 400 Fay., NC 28303 Leannahair(a)hhhomes.com
Address Email Address
74158
License#
Electrical Contractor Information
Description of Work Service Size: 200 Amps T-Pole: X Yes_No
JM Pope Electric, Inc. 919-776-5144
Electrical Contractor's Company Name Telephone
409 Chatham Street Sanford, NC 27330 electricpopela'7,windstream.net
Address Email Address
21326
License#
Mechanical/HVAC Contractor Information
Description of Work
Carolina Comfort Air, Inc. 919-934-1060
Mechanical Contractor's Company Name Telephone
5212 US Hwy 70 Business, Clayton, NC 27520 carolinacomfortairt@yahoo.com
Address Email Address
29077 H-3-I
License#
Plumbing Contractor Information
Description of Work # Baths oQ ..C
Dell Haire Plumbing 910-429-9939
Plumbing Contractor's Company Name Telephone
PO Box 65048,620 Gillespie St. Fay, NC 28306 dellhaireplumbing(alhotmail.com
Address Email Address
32886P-1
License#
Insulation Contractor Information
Tricity Insulation, Inc. 418 Person St. Fay., NC 28301 910-486-8855
Insulation Contractor's Company Name &Address Telephone
*NOTE: General Contractor/owner 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 sinning below I have obtained all subcontractors
permission to obtain these permits and if any 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. /LQ �
11 [
Signa ure of Owner/Contras or/Officer(s) of Corporation Date III
Y l
Affidavit for Worker's Compensation N.C.G.S. 87-14
The undersigned applicant being the:
X 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:
X 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: 1-181i Constructors of Fayetteville, LLC.
Sign w/Titlet�� .G..��+ti /Permitting Coordinator Date:t_41
Appointment of Lien Agent: Details - LiensNC Lien Service Page 1 of 1
DO NOT REMOVE!
Details: Appointment of Lien Agent
Flied on: 06/011/3011
Entry it: BBBIBB Initially flied by: m.aganbred.haw
Designated Lien Agent Project Property Print & Post
PoVAmenuan Tula lnrvnnue Company MI.P0007 7 Lot757 Manor(4 Lexington Iii .
Plantation
Urian.23131 l umnv mm a 197 PII1F1ELD HUN
AWmre 19 W Ibryat Sr Sntu suss me,gh,NC Cameron,NC 28326 ❑ eHn
27601 Damen County
Conlnemn:
Phone:888.6.90.7384 Please poet PPS notice on the lob Site
Fn:4l1-1835231
- __ Property Type Suppliers and Subeen tractors:
Fina 11
:ryyppn lummr earn Scan this mage with your smart phone to
YieW thio riling You an bait rile a Nebce
to Lten Agent for this project
1-2 Family Dwelling
Owner Information
HkH Constructors of Fa a lie Deb of First Furnishing
2919 Nretawond Avenue Ste 400
Fayetteville,NC 28301
tinned Slates 05/23/2017
Toad lea malign@mthoines mm
Phone 910H86-4864
View Comments(0l
Technical Support Hotline:(888)690.7384
https://apps.liensnc.com/ser/appointment/details.html?entryNumber=666488&printable= 6/8/2017