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DOCUMENTS Initial Application Date: 3 J✓/y tap/7 Application# .155M1-1 ' / .S / CU# COUNTY OF T RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E.Front Street,Edlington,NCC 27546 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnettorglpermits "A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING /A/LAND USE APPLICATION" LANDOWNER X107VZe577C Mailing Address: 76 (Ztrz..Jncr ��z-� City S n YS _ o1 / State:NC Zip die lC ontact No: &'''NT )91 1/D7D Email: Te jJ, LrXrvrl?&5c t' '(NA APPLICANT': 1 /:ed L P�`r{r MailingnAddress:Z76 `L�`t✓4urr yS r,/ City: Jfd State:/n/C Zip0' JtVContad No: &&) o)7 ( 407O Email: '7J0/ [P(]-� /3 tc5(t 'Please fill out apphcanl information if different than landowner etl (0.1. CONTACT NAME APPLYING IN OFFICE: + 1 / Phone# PROPERTY LOCATION:_Subdivision': ( Ar cAA ct LC h(} Lot ACillY {Lot Siiz✓e:• 3.2/� State Road# 7 W State Road Name: �garay ja. 116K Map Book 8,Page Parcel: b3ig5WSy 13 5090 PIN: SgU ' Si — I -iC0'°Lt Zoning:RlHood Zone: /(. Watershed A Deed Book&Page:311r I Power Company': 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: ❑ SED (Size xMonolithic )#Bedroom&_#Baths: Basement(wlwo bath):_Garage: Deck. Crawl Space: Slab: Slab:_ Is the bonus room finished?( )yes ( )no wi a closet?( )yes ( )no(if yes add in with#bedrooms) ❑ Mod-(Size x )#Bed roams_#Baths Basement(wlwo bath) Garage:_Site Built Deck: On Frame_Off Frame (Is the second floor finished?(_)yes ( )no Any other site built additions?( )yes ( )no ❑ Manufactured Home. SW DW TW(Size x )#Bedrooms- Garage: site built g ( )Deck: (site built ) ❑ Duplex.(Size x )No.Buildings. No.Bedrooms Per Unit: ❑ Home Occupation-#Rooms: Use: /, / Hours of Operation: #Employees. ElAddition/Accessory/Other':(Size 5�Use: Peck `4 - s4,..e e 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 plat contains a manufactured home within five hundred feet(500')of tract listed above?( )yes ( )no Does the property contain any easements whether undergroundoroverhead(_)yes ( )no Structures(existing or proposed):Single family dwellings: r�-�s-fveManufactured Homes: Other(specify): 5F0 Required Residential Property Line Setbacks: Comments: Front Minimum )35 Actual3S i A Rear Sl ,S Closest Side aT Sidestreet'corner lot Nearest Building on same lot Residential Land Use Application Page 1 of 2 03111 APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLING/T/O/N: r� 7 To ' iS /I L ri.7 /,1/ //)�7o t�r.SO�/I.c 'Vic( 70 CV-a t wary' )/">r (� on Cat wct+Mt I '76 on LA 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. 3 --T'1/.2,17 Signature of Owner is Agent Date '"It is the owberlapplicanfs responsibility to provide the county with any applicable information about the subject property,including but not limited to:boundary information,house Iodation,underground or overhead easements,etc.The countybr its employees are not raponsibie for any incofrect 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 <- S 33'82'25' M, I .81 .73 ) . I tiq ,^ j N 074 g...07., e '';'00-4.1'.1 �3' t'' l r .N. 1 =:84 ,1 NA:I r { "; It— C 17: ("��' I . F?.' l et t'ta .d.§qt .! x 2 01ION � �-r rti 1(� .. VieT'µir a.. Y * . i 1 a wr4 � � a 0 0 1`1 :r 11J Cr — C . ..J1 �� W 11 % '1 d ? e:".'c IX — N. 33652'15' E ( 97.8481 -> ra % . . . CLEARWATER HARBOUR =17E PLAN APPROVAL GIST' aPMg- US sr.! ZoOwl #SEDR MS _..:r 9/90/p9./ir::!11111111.11w 09109/11 Application# Harnett County Central Permitting Each asceon babes m be filed outPO Box 85 lailnpmn NC 27516 by whomever performing work 910 BB3 7625 Fax 010 883 2703 www hornetorprpsrmda Must be maw or Imenaed contactor Add1ess Company Application for Residential Buitdtna and Trades Permit name 8 phone must match Owners Name -rail ZrSTep,/ (n� Date 3 D.-)y c)0/7Site Address —7/ C/-vcArwotfr Agrt rrt.JO rl A'Cy733/riP'hone gSo)9I '1070 Directions to lob site from Lhllhngton d7 ry j,, to 2 4 70 C GJroi L)4$ -Th C/l.,rwarer /ISJ Subdivision Aso!rile /« Kr {- Lot Description of Proposed Work 41/2 04 Jct Perk #of Bedrooms 3 Heated SF an° Unheated SF Finished Bonus Room? y Crawl Space )C Slab General Contractor Information 04/4 er Building Contractors Company Name Telephone Address Email Address License# Electrical Contractor Information Description of Work Service Size _Amps T-Pole _Yes_No Electrical Contractors Company Name Telephone Address Email Address License# MechanlcallHVAC Contractor Information Description of Work Mechanical Contractors Company Name Telephone Address Email Address License# plumbhna Contractor Informatiorh, Description of Work #Baths Plumbing Contractors Company Name Telephone Address Email Address License# Insulation Contractor Information Insulation Contractors Company Name 8 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 Electncal 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 pv sinning below I have obtained all subcontractors permission to obtain these meets 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-S Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee is as per current fee schedule Gr73 i do r7 Signature of Oa as tantnaactor/Olhcer(s)of Corporation Date Affidavit for Worker's Compensation N C G S 87-14 The undersigned applicant being the General Contractor _aOwner _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 Much 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 dunng the permitted work from any person firm or corporation carrying out the work Company or Name Signw/fitle � - Date 3 S--(V do/7 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 17-50041757 Date 7/03/17 Intersection Property Address 91749 TECH 2 PARCEL NUMBER - - - - - - _ Application type description CP ADD & ALTER RESIDENTIAL Subdivision Name Property Zoning UNZONED Owner Contractor LESTER TODD & LESTER TAMMY L OWNER 76 CLEARWATER HBR SANFORD, NC 27332 SANFORD NC 27332 Applicant LESTER TODD & LESTER TAMMY L 76 CLEARWATER HBR SANFORD, NC 27332 SANFORD NC 27332 (850) 291-4070 --- Structure Information 000 000 21X24 (L) SHAPED DECK AROUND SUNROOM Flood Zone FLOOD ZONE X Other struct info SEPTIC - EXISTING? SEWER WATER SUPPLY COUNTY Permit RESIDENTIAL BUILDING PERMIT Additional desc . Phone Access Code 1198779 Issue Date . . . 7/03/17 Valuation . . . . 0 Expiration Date . 7/03/18 Permit LAND USE PERMIT Additional desc . Phone Access Code 1198787 Issue Date . . 7/03/17 Valuation . . . . 0 Expiration Date . 12/30/17 Special Notes and Comments T/S: 07/03/2017 02 : 05 PM JBROCK ---- 27 TO BUFFALO LAKE TO CAROLINA LAKES TO CAROLINA WAY TO CLEARWATER HARBOUR 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 17-50041757 Date 7/03/17 Property Address 91749 TECH 2 PARCEL NUMBER - - - - - - Application description . . CP ADD & ALTER RESIDENTIAL Subdivision Name Property Zoning UNZONED Required Inspections Phone Insp Seq Insp# Code Description Initials Date Permit type . . . . RESIDENTIAL BUILDING PERMIT 999 101 B101 R*BLDG FOOTING / TEMP SVC POLE /_/_ 999 131 R131 ONE TRADE FINAL —/ /—