DOCUMENTS lofial Application Date: lo(at99l / Appllcotim# I Soo4inb5
t
CU/ .
. COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Renting 108 E:Front Street,LNlkptsn,NC 27548 Phone:(910)893.7525 ext:2 Fax:(910)8M-2793 k ww.hemeN.orypermIN
"A RECORDED
DSURVEYMAP,RECORDED DEED(OR OFFER TOPURCHASE'8 SITE PLAN ARE REQUIRED MEN SUBMIRINGA LAND USE APPLICATION"
WIN A Qrceor#ieS.pt.A Dc-v MallingAddress: 401 V4rctfs>•I Avenue
City: Fo y'S32J.tic Slate:N—Zit Contact No: 3/01-036700 EmaU: jr;r ht�.1216 arr.rr,ro rY1
APPLICANT': SCI Oki TA loy\3t)1J4k ling Address:
CRT SINE_Zip:__Contact No: Email:
These Ni out exam lnformallon#dNerent Nan Nndowner cc��•
CONTACT NAME APPLYING IN OFFICE: Tlrt vA-k e_ RCM St.a r4 Phone re,10)23-?—SOCSO
PROPERTY LOCATION:Subdivision: Leel *cY. Q Z,v EL Lot#: f____ Lot�1 Size' '.
Stale Road# \ \ Slate Raid Name:�.Tnrrid 1Ca}nrl P I�r�� Map Book 8 Paged"13/ / ��
Parcel::���/Q/5 � i Oi .o��SY� I S b2a q RPIN: 955 9�SS-PIC 770 Oo
Zeninglw`1101. lood Zonei4.A Watershed:X. Deed Book 8 Page:_g 3)1—d ows.w'wan?:
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.rg
PR POSED USE: l ,,ll rz11 / Jew. fib'
SFO:(Size x9b Bedrooms:41#Beths:f'�asementlw/wo bath):—Garage:,'' Decker Crawl Space:_Slab:S/Slab:_
(Is the bonus room finished?( )yes (_)no w/a closet?( .)yes (_)no(if yes add ki with#bedrooms)
O Mood:(Size_x_)#Bethooms_#Baths_Basement(w/wo bath)_Garegs'_Site Built Deck:_ On Frame_Off Frame_
(Is the second floor finished?U yes U no Any other as,built additions?( )yes )no
b Manufactured Home: SW_OW TW(Size_x )#Bedrooms: Garege:_(slte built?_)Deck: (site bulk?_
❑ Duplex:(She_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
W Sl
ater goly: k/
County Existing Well New Well(#of dwellings using well )*Must have op Ma water before final
Sewage Supply:_New Septic Tank(Complete Checklist _Existing Septic Tank(Complete Checklist V County Sewer
Does owner of this tract of land,own land that contains a manufactured home within five hund d feet(500')of tract listed above?(_)yes ( no
/Des the properly contain any easements whether underground or overhead U yes (/J no
itrudures(existing• Proposed' ingle family dwellings: Manufactured Homes: Other(specify):
Legatred Residential Property Line Setbacks:k/- Comments:
amt Minimum 5 Actual .3W
tear 9.6 .
'Oust side1Uo- /1�_
1destreeUcomer hJM
t . J
Merest Building _ ..
nsame lot0317
Residential Land Use Application Page 1 02
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY PROM LILLINGTON: •
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if permits are granted I agree to cordorm to all ordinances and laws of - of North Carolina regulating sudi work and the specifications of pans submitted.
I hereby slate Thalforegoing statements are accurate a re sl o y knowledge. Permit suMact to revocation If false Inforrnlbn Is provided.
to/P-f//"7
5 Mum of sr or Ovmers Agent Date
is the ownerfepplicants 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 er las employees are not mponsible for any
Incorrect or missing Information that is coMelnedwithin Mese applications."'
"This application expires 6 months from the initial data If permits have not ben Issued"
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Residential Land Use Application Page 2 of 2 03/11
Nqn
L NNN NC. ZT wmil'Iei plans is O(abra pur sonly Builder should verity foundation lnlmnakn
uins
There is rq USCE aNLGS moment within 3000'orthe site
R9 - TM WHIM progeny 16 not wMlna308081 flood Ward area Be detamred by Me
Q -
Thea Il al information rna1ngq�allGownn hereon was Od]IreOIr recorded pal.
'HP' u
No u0dat.d Ika search was pelltnned by me surveyor
-All distances am Measured in Met.
A6 -Tule mild reflects Me InlomeyolCmlalned on the Record Plat and does not
'-2s r1\\\\ ^ represent compliance with the flesincln9 Covenants
`c LEGEND
c0 ^ -EXISTING IRON PIPE
O -CURVE PT/PC
J,L, SURVEYED LINE
EASEMENT LINE
— — ADJOINER
OOJ N� 40 20 0 SURVEYED BY OTHERS 80
ER LOJ20
LOCATION MAP NAflCJMO.
NTS
SCALED IN FEET
"PREUMINARY PLAT-NOT FOR CONVEYANCES OR SALES"
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EIB N 46°31'55"W EIP_ I _
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28.0' rat! „ 4 12.0'
20MIN 20'MIN
EIP CRIVF
26 1
a* 112 m4N
R 25.00' I TIE-LINE diameter
_ , 55.00' S 46°31'55"E radar
L 39.27 EI`~' S ' •`31'5-"E EIP 80.00' •
CH DIST 35.36'
CHBRNG S01°31'55"E I I TORRINGTON RIDGE
(40'PUBLIC/UTILITY RNV) ' C; 5C15 - 51 - at 77')
- PLOT PLAN FOR-
FLOYD PROPERTIES & DEVELOPMENT
-SUBDIVISION -
THE MANORS AT LEXINGTON PLANTATION - PA5.T. fA*JA*
ANDERSON CREEK IND JUNE 12.2017 Q,-(H.,,,,,,Rp4��
HARNETT ROLINA SCALE 0•0K ;t0 QOf ESS/n:.4�/� !
NORTHCAROLINA F1210goon 'Y
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LICENSE* 60109 PROF SU'•Y 0- • --- 94,
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MOW 1 Application#
Harnett County Central Permitting
PO Box 65 UNnplon NC 27608
Each.eceon below m be Mletl out 910 803 7626 Fax 910 893 2793 www Manse ay/permits
by whomever Worming work
Most be w,nerLoenes0
contractor Address company Aoohcation for Residential Budding and Trades Permit
name 8 phone must midi
Owners Name Floyd 9coceck es oral Sew toPm en}- Date
Site Address i I To(r;rr }Ern (4„An3o,) CTvnorQ FM/ NG a8 +hone (iohc123 -(070O
Directions to job site from Llllington
Subdivision j.eXinc�+rnn Plrnta+inn Lot 1'11-1
Description of Proposed Work NPIs) f nns%c r is c nn #of Bedrooms H
Heated SF QS5e2 Unheated SF ci 81 Finished Bonus Room/ YeS Crawl Space _Slab _
General Contractor Information
rto rt Pcopyca;ec aryl 'be vainPmeni- (t101r'1a3 - 0700
Building Contractors Company Name Telephone
90 1. C\(sena fl.ren,io, Fn efley_ti 1NC 'aS3()5 jc.chacdl� (dnc,cr,conri
E
Address mail Address
74 I7Q--
License#
glectrical Contractor Information
Description of Work Ne;.J ('nns4 r,iri;nrs Service Size ann Amps T-Pole Yes_No
f3J{'r.c& Electr, C_ (9101
Electrical Contractors Company Name Telephone
OBIS Pon Dave_ Hoc en;us) ),IC 345f i+.orrashiicth ® ynhrn.CcnNl
Address Email Address
3l - )
License#
MechaniallHVAC Contractor Information
Description of Work N-_ .,. 'uCk' a
Cr.ar co, tnr. (cr�O)4seg-031F(
Mechanical Contractor s Company Name Telephone
1910 Pomalee Dr ) Vc. d{euhllP MC '.38.301 P.hurm9eenh.cclrneiI,coCr)
Address Email Address
295-7 PH -n
License#
plumbma Contractor Information
Description of Work N e ConS+cQcA°c n _#Baths a
Vance Soh+.snn PLnC'olnr` (91v) `la'-1-('Jia
Plumbing Contractors Company Name J Telephone
3aL12 611;6 P;nr "Dr. >uuvfLev, lle� A/C aF30(o etr,>cr10%6?!Lairlm.eom
Address Email Address
License#
Insulation Contractor Information
1escVe-\1on (910)856-3cIGQ
Insulation Contractors Company Name&Address Telephone
*NOTE General Contractor 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 Hamett County Zoning Ordinance I state the information on the above
contractors is correct as known to me and that pv shanrna below I have obtained all subcontractors
permission to obtain these inmate and if pay 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
Signature of rlContractor/ORaxr(s)of Corporation Date
Affidavit for Workers Compensation N C G S 87-14
The undersigned applicant being the
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 workers 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 iln.�.1 PcnPn4ie\ arA D2velnuimen�—
Sign w/Title y y . ' .. Date
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed 06/20/2017
Entry #: 673243 Initially filed by: Floydpropertles2007
Designated Lien Agent Project Property
Print & Post
WFG National Title Insurance Company Lot 443 Ladngon Plantation 9595-51-2077
II Torrington Ridge Il [1
onllnemomAcumssoxs...._L__._ Cameron,NC 28326 , .,�r'
Address:19 W.Hagen St.,Suite 507/Raleigh.NC Harnett County Ayti
]9W1 f3 aK,� •
Paan mow-7384
Property Type Ooase n:
eu: 533
Jope 1 Please post this notice on the lob Site.
Smell:ewronWlipunammi...ni,�.,pnna.,„.
1-2 Family Dwelling
Sunnily,and Subcontractors:
this image with yoursmart phone
hNoe to
view thisMug h can then file a Notice
Owner Information to Lien Agent forthis project,
FLOYD PROPERTIES&DEV INC
901 Arsenal Avenue,Suite 101
Fayetteville, NC 28305
United Stales
Email:jrichard6@ncw.com
Phone:910-4234700
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