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DOCUMENTS
Initial Application Date: I LP , -1 I I' Application# ' /So) 14/121 CU# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnett.org/permits '•ALECORDED SURVEY MAP,FRECORDED DEED(OR((OFFFFERTO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION- . /`LA WNNEERki HOnal / oc73F1�y 1- 0111 lie,Mailing Address: 091q l,J/Te d e C6T QC,il(fP� fie y ) Clry:`(i 4C (kc RQ Stete:lw Zip: a)1D3 Contact No: ?IO '/J(c t(fFYEmalk�fSuthtl{14ir�,�'1hh07YtL'S.�'aT d. PLICANT•: •A�-V.I - Mailing Address: City: State: Zip: Contact No: Email: •Please fill out applicant information if different than landownerea-l- rl 1 /�/y J/� / (� p CONTACT NAME APPLYING INOFFICE://i . I e.o3 ' a, Het I // (9!0'-V &J-(If&V^1I r1'�q PROPERTY LOCATION:Subdivision: •ifle I iandA C <<Xr/C/4Oi //o4/1(//en Lot#: 155 Lot t1,SiizlIe:Jag©QCfc5 State Road# -Ned G State ,Road{Name: �'�Q /l (�� Map Book&Page:IA,BTf/ GO Parcel L,;9.a th J AQ'2 t7i a 1Y] PIN: -15-1 7 1�Li i 5309 /p / { Zoning:lul-7CP- Flood Zone: i Watershed:N^T Deed Book&Page: O' �T Power Company*: l %('f/ l 7 C�'I *New structures with Progress Energy as service provider need to supply premise number "' from Progress Energy. PROPOSED USE: (In� 4 et n Nth Monolith 'SFD:(Siz_/b x y•7#Bedrooms:#BathsA asement(w/wo bath):/00 Garage: V Deck:K. Crawl Space:_Slab: Slab:L (Is the bonus room finished?( )yes ( )no w/a closet?( )yes ( )no(if yes add in with#bedrooms) ❑ Mod:(Size x )#Bedrooms_#Baths_Basement(wNio 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_OW_TW(Size x 1#Bedrooms: Garage:_(site built? )Deck: (site built? ) O Duplex:(Size_x_)No. Buildings: No.Bedrooms Per Unit: ❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees: O Addition/Accessory/Other:(Size x )Use: Closets in addition?(_)yes ( )no Water Supply: V 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 ve hundred feet(500)of tract listed above?( )yes ZI10 4 Does the property contain any easements whether underground or overhead( )yes ( 1 no Structures(existing r propose :Single family dwellings: V Manufactured Homes: Other(specify): Required Residential Property Line Setbacks:: Comments: Front Minimum 35- Actual as RearI 'i.OI Closest Side h (G Sidestreet/cofner lot JO _. 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: A) C Z/G ottiCr l f C 9, �U/`1 %i G.n C erli((Ic ad. �l2/n /6/7 /os}cc, on Oa'er'�2,/�{f ((),14/Aue r {rc(,S /if t/1/0 /0,1/lPry juin it of) aY/p7 Tu/r7 / + an Jawye,r , kuie cfcciiciti . 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 state is are accurate and corro t to the best of my knowledge. Permit subjed totorrevocattiioon if false information is provided. Li a ure ofOt wnerr`orr Ow s AgentDa t� "'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 A MICHAEL P. GRIFFIN certify Mot under my direction and ip.Ms'an this map was&am from on actual:Wel survey that the srr of daure of the aunty as calculated by coadPobs 4 e 10.000* : mat the area Mom hereon was calculated by coordinates Xlm.0 my hand and sea this day o/MMPI 2017 \ N .00 \p0 x 66 / / / 752) / / / / 1732i l ‘ N 24°49'08"E— 75.63' CD II AC10.369 FT. 024 AC. \\ 5 DO' .. PAID O 0 2833' N T PROPOSED / �\ Olo up 0TOPSAIL x7541 o m lli 50 Ile. N / A 21.] 967' �1 PORCH 0 I\ 737) I I _ I-Io P CONC oat U I I ED R. 55 524°49'08"W — 88.50' PITTFIELD RUN 50' PUBLIC/UTI LITY 9,/VV SITE PLAN APPROVAL DISTRC:- __J 18E S . SETBACKS *BEDROOMS___ __ FRONT 35' ,� I s in '� _ REAR 25' SIOE(ONE SIOEJ Dam DOD rtnatia em SIDE (ONE 510P) 10' CORNER 519E 20' REV1510V*ADD WRAP 612©/I7 I FC FLI l OFFER TO PURCHASE AND CONTRACT-VACANT LO'P/LAND For valuable considemllon,the ecelpl and legal sutficioncy of which are hereby acknowledged,Buyer offers to pylons and Seller upon umlaut agrees to soli and convoy Iho Properly on Ilia loons mrd conditions of this Offer To Purchase and Calm(and any addendum or nsodifeMiri Inde hi aecordonCo Ivllb Its terns(together the"Contract'). I. TERMS AND DEFINITIONS:The terms I(stod el shall Imo t0 respective moaning glom Mem as sat ronin adjacent to each lone. (-L` (a)"Seller": PP Dovoln s ' i t.i TWO (b)'Wgve": ,, h. o • •o , ss ,] (i9 . . . (o)"Property":Tiro Propedyshall include all lint roil estate described Below together with all appurtenances thereto Including the Improvements located thereon. Street Address: City: - Cameron County: Harnett ,North Carolina (NOTE:Oovcnnnonlal authority over taxes,zoning,school distdcis,mlillles anti mall delivery may difibr Ben addloss shown.) Legal Description:(Complete ALL applicable) Pint Roforoneo:Lot(s) All lois Panted In PAt2U of Manors at Lexington Plnnlnhionatilt Lot 234 in Village nt Loxlogton Plantation Plat Book/pogo: 2013/306.30Y and Plat Book 316/756. (d)"PurCliaso Price": S 1.696 500.00 paid Ii U.S.Dollars upon the following terms: S MI BY DUB DILIORNCU PBB made payable to Seller S BY INITIAL EARNEST MONRY DEPOSIT made payabio to Bscrow Agent named In Pmngmph 1(1)%0111 Msoftbr by 0 cash 0 personal cheek 0 official bank check 0 other S 13Y(ADDITtONAL)BARNRST MONBY DEPOSIT made payablo togscrowAgont - nxnled In Pmngmph 1(t)by cash or immediately available Ruins such as official bank check or Who transfer to be delivered lo Escrow Agent no Dior Ihan TlafE BRING OP 2NRES913NCE whit regard to said date. S BY ASSUMPTION of the unpaid prinelpal balance and all obligations ofSelloron the existing longs)secured by a deed of Mist en the Properly In accordance with the Pinched Loan Assumption Addendum(Standard Form 2A6.7). S BY SELLER FINANCING hi accordance with iho attached Seller Financing Addendum(Standard Form 2A54). S 1.696,500.00 BALANCE orate Purehasel'rke In ensh al Sollleniont(some or all afwhich luny bo paid with the proceeds ofa now Iona) Should Bayer fail to dolivereither Iho Duo Dlllgeneo Fee or nay blunt Boman Money Deposit by Po liffcm(vo Date,or should any cheek or other Mads paid by Buyer bo dishonored,for any reasea by the Institution upon which the poynsonl Is drown,Buyer shall have ono(I)banking day altar written nonce to dourer good gads to Into payeo.In the ovoid Buyer does not timely deliver good Minds,Salter shnll Ione Iho right to terminale this Conlin'upon written notices to Boyer. (o)"Ennuis(Money Deposit":The intiMi Boniest Monoy1)epos1l,Iho Additional Boniest Money Dolsosl!and any other canted anodes ImIll III conieailun with this transaction,hereinafter collectively Oared to as"ilannesl Monoy Deposit',shall ho daposlled and held in escrow by Bsorow Agan until Closing,at which limo It will ho credited to Buyer,or until this Contract Is ollwnviso lornnlhnted.In the ovoel:(I)this offer Is not nccopied;or(2)n condition of any mulling contract Is not satisfied,limn the Boniest Money Deposit shall ho roNnded to Buyer.In the event of breach of this Codec!by Sol ler,the gamest Money Deposit shall be ranted to Buyer upon Buyer's request,but such return shall not affect any other remedies available to Buyer for arab menoh.hi the cant of bleach of Phis Cannel by Buyer,the Ramos'Money Deposit shall bo phi to Seller nimn Sollars request as liquidated Buyer initials-3=) _J Seller initials Page I of hl AssooWlon FaeHa 11 ORcwlscd 7/1067,1/2311 'IIds&Inndnrd fowl lin gqyyneedJoaiiyb):Nolib Casolbm 'doted by Agrttneol Sib ileNC llrAssoclelon Noalt Cnrollnn nnrAsmoinlion-KC Rnr Fowl No.12 Noah Carolina Asrodailoa ofhUnilo,s8,Inc.-Mondani Form 121' damages mid ns Seller's solo nod exclusive remedy for such breach,but without Mulling Seller's rights under Pmngraphs 2(o)and 2(d)fordandnge to the lhoperly or Seller's rigid to within the Due Diligence No ft Is acknowledged by the parties that payment of the finmest Money Deposit to Seller hi the event ofn breach oflins Comet by Buyer Is compensatory end not punitive,such mount bohig a reasonable olinmtlon tithe actual loss That Seller would Incur ns n result eine]hived].The payment of Iha Basest Money Deposit to Seller shall nal constitute a penalty or forfeiture but twain! compensation far Sallet's anticipated loss,both polies acknowledging the difficulty detosndm0rg Seller's actual damages fir such breach.If legal proeecdhigs an brought by Iuyor or Seller agnindthe Miter to recover the Money Deposit,the prevailing party In the proceedingshall be entitled to recover Rom the nouprovalling party rensonablo attorney fees and court costs loomed In connection with the proceeding. (I)"Escrow Agent"(Inset tinino): N/A (NOTE:In the event of n dispute between Seller and Brayer over the disposition of the Earnest Money Deposit hold In escrow,n licensed real estate broker("Broker)Is required hyatnte law(and Escrow Agoid,(riot alBroker,hereby agrees)io retain the Boniest Money Deposit In the Escrow Agent's Oast or escrow account moll Escrow Agent has obtained a written mime nom tate parties consenting to Itsdispositios or until disbursement Is enteredbyacourt ofcompolontjurislidlosr.Allenmlively,if Brokers holding the Eamosl Money Deposit,the Broker may deposit thedisptited monies with Iim appropriate Mork of court in noontime°with the provisions of N.C.O.S.093A-12.) THE PARTIES AGREE THAT A REAL ESTATE BROKERAGE PIKM ACTING AS ESCROW AGENT MAY PLACE THE EARNEST MONEY DEPOSIT IN AN INTEREST BEARING 'I'ItUST ACCOUNT AND T(lA'f ANY INTEREST EARNED THEREON SHALL BE DISBURSED TO'THE ESCROW AGENT MONTHLY IN CONSIDERATION OP THE EXPENSES INCURRED BY MAINTAINING SUCH ACCOUNT AND RECORDS ASSOCIATED TI IBREWITH. (g)"Effective Dole:The dale That:(I)the last ono of Buyer mid Seller has signed or Initialed this oflbr or 11w Enol colnmorofer,If any,and(2)such signing or Initialing Is communicated to Iheparty making the offer or counterofihr,as the case may ho. (h) "Duo Diligence": Buyer's olgiohmhy during the Otte Diligence Period lo Investigate the Property mid Ilse (mentioncontemplated by lids Contract,Ino ndhugbut not necessarily limited to thetunnelsdescribed In Pasagmpl2below,to decide whether Buyer,In Buyer's solo disoanllot,will proceed with or terminate the transaction. (I)"Dice Diligence Pee":A negotiated amount,If any,paid by Buyer to Seller with This Contract for Buyer's right to conduct Duo Diligence during Iho Dte Diligence Period.It shall be the propertyof Seller upon the EDeclive Dale and shall be a credit to Buyer at Closing.Tho Duo Diligent°Pee shall be noneA mdahl°except le the event of n=tonal breach ofIlls Contract by Salle,or if this Contract is terminated underParagreph 6()o•Pamgrapph 9,ores otherwise provided In anyaddendum hereto. Buyer and Seller °nag expressly waive any silt that they may have to deny Iho right to conduct Duo Diligence or to assert may defense as to the enforceability of this Contract based on Iho absence or alleged insufficiency of any Dao Diligence Pee,It being Ilio Intent of the patties to create a legally binding connect for lltopurchase end sale of the Property without regard to the existence or amount ofnny Due Diligence Peo. (I)"Die Diligence Period":The period beginning on the EEactive Date and extending through 5:00 pan.Iwo weeks ager the ERbcttve Date odds Connect TfddBDEfNG OP THE ESSENCE with legal losald dale. (k)"Settlement":The proper execution nut deliver'to lhesettlemsent agent stroll documents necessary to complete Iha innlancilon contemplated by this Connect,including the deed,sothlomont statement,deed of trust and ether b all or conveyance documents,and liesettlolnent agent's receipt of ell Rinds necessary to complete such transaction. (I)"Settlement Dnlo"m The pantos agree that Settlement will tuko place on d5 days Rom the Effective Date of pits Contract (the"Settlement Dale"),unless otherwise agreed In writing,al a time and place designated by Buyer. (ren)"Closing":Tiro legal process which results hi(Ito transfer of Ello to the Properly from Seller to Buyer.Closing]eludes the mllow]ng slops:(I)the Sull(omonl(defined above);(2)the completion of a sntisfmwtory tills update to the Properly following the Settlement;(3)the settlement agent's receipt ofanlholsalfor to disburse ell necessary Rinds;and(d)recoRictlou In the appropriate county registy of the deeds)and deed(s)oiled,Ifany,which shall take place as soon as reasonably possible for the settlement agent nnor Sallloomonl.Upon sats reeerintlon of the deeds)and deed®enrol,'fatty,Closing shall be deemed completed end the Buyer Initials `/1pSeller hdlinls_W Pnge2 of I I As+eehilon RpmNo.12O 1tcrlyd 18001,wait 4eh+wNnd romebna inn NiemredlalntlY Or:No0h CamlI n hinted by Agaemeit Will thane nos AsmcinlIoi Noilli Catellnn iintimatIallon—NC BnrIbnn No.12 • Nnilh Cbiolhe Association Ofl ononal.hie.—SSW Point 121' proceeds ofado shall be disbursed by the settlement nom In nceerilmee with the settlement stntomeni and the provisions of Chapter ISA of the North Cnieans Ocueml Statutes,if the title update should reveal unexpected Monts,anomnbrnnces or other 11110 defects, or Witte settlement agent Is not authorized to disburse all necessary funds,then the Closing shall be suspended and the Seldom' deemed delayed tinder Paragraph 10(Delay In SolllonsonUCloshlg). (n)"Special Assessments":A charge mind file Properly by a governmental authority In addition to ad valorem taxa or by nn owners'nssoolaliou In addition to any Inglllar assessment(des),either of which may bon lien against the Properly. A Special Assessment nay be either proposed or confirmed. "Proposed Special Assessment":A Special Assessment that Is under formal considemtlon but widen has not been approved prior la Settlement. "Confirmed Special Assessment":A Special Assessment Mat has been approved prior to Settlement whether or not it Is fully payable m time of Settlement. 2. BUYER'S BUR DILSOENCie PROMS: (a)Loan:During the Dim Diligence Paled,Buyer,at Bnyor's expense,shall be entitled to pursue qualification for and approval of the Loan Italy. (NOTE:Buyer Is advised to consult with Buyer's lender prior to signing this offer to assure that the Due Diligence Porlod allows suf0cienUhne for Ilia npprolsal to be completed and for13nyer's louder to provide Buyer sufficient Information to decide whether to proceed with or terminate the tmisactlon.. (b)Properly Investigation:Dudlg the Due Diligence Period,Buyer or Buyer's agents or raprmanlalives,at Buyer's expense,shall bo entitled to conduct nil desired tests,surveys,ojgsmisnI., hlvosligmlens,examinations and inspections of the Property as Buyer dorms npproprinte,Including but NOT limited to the following: (I)Soil,Ulliliies Ahd Bnvlromnannl:Reports to determine whether Ore soli Is suitable for Buyer's Intended use and whether there is any environmental contamination,low,rate or regulation Clint may prohibit,restrict or limit Bryan's Intended use. (II)Septic/Sewer System:Any applicable Investigation(s)to determine:(1)11ro condition ofml existing sewage system,(2)the costs and expenses to Install a sewage system approved by an existing Improvement Pernik(3)Ike availability and expose to connect to a publics or community sewer system,and/or(4)whether on Improvement Permit or written°valuation may be, obtained Rom th0County Health Dopadment fora suitable ground absorption sewage system. (III)Weil Any applicable Invosllgmion(s)to determine:(I)the coml0ion of an existing private diluting water well,(2)the costs mil expenses to Install a private dr akingng water well approved by an existing Construction Penult,(3)the availability',costs and oxpelses to connect to a pnbtie or community waferr system,ore'shared private well,auUm•(I) whether a Conslniellos Permit may be obtained from the County Health Department for private drinking water twit (Iv)Review of Moments:Revlon.afire Doolomton orRostrictive Covenants,Bylaws.Articles of Incorporation,Rules and ltagulnlions,and other governing documents of any malleable owners'association and/or subdivision.Elbe Property issublcct to rogulatIol by an owiam'assoalation,If Is recommended That Buyer review the completed Owners'Association Disolosure And Addendum(Standard Porta 2M2-T)provided bySeller prior to signing this offer. (v)Appraisals:An appraisal oftho Property. (v1)Survey:A survey to determine Angkor Moro are any encroachments on Mt Properly 0on adjacent properties(fences, driveways,ole),anronelnneuls from the Properly onto adjacent monodies,road or utility casements crossig111oPropeng lack of lognl accen to a public rlgbberway,or Inde0nite or erroneous legal descriptions In previous deeds to the Property. (vii)Zoning had Covornmionlal Regulation:Invenigntion aroma or proposed zoning or other governmental regulation(lint may effect Buyer's Intended use of the Property, mjacent land uses, planned or proposed mad construction, and school attendance zones, (vitt) Flood flaunt: Invosllgallon of potential food Innards on the Property, and/or any requirement to pumlmse Rood Insurance In ender to oblahi the Loan. (o)Buyer's Obligation to Bandy Damage:Buyer shall,at Buyers expense,promptly repairs any damage to he Properly resulting Ran any nclvllles of Boyer rind Buyer's agents mid contractors,bat Bayer shall not be responsible for any damage caused by accepted polkas applicable to any N.C.licensed pinfesslonnl performing masonnble coattails,tests,savoys,examinations mid Inspections oft the Property.This repair obligation shall survive any termination oftllls Control. Royer tnlllals. Sailor Inllinls,Z>f Page of 11 Affectation Penn No.12 1)Revised VOA 'cob mnidaA burn has ami ojpia'MJolnllyby:Willi Motion piloted by Agitatininilh the fC lhrAfralaiion Neth Ca anaoerAuodeiel-NC lini fent NA 12 NonhavolGm Anatolian ofiknllesste,Inc-Mondani Pool I2T (d)Indemnity:Iluy'orwill Indolently and hold Sollor hurmless 110111 n11 loss,thane,claims,stills or costs,witch shall also mu of any eonlmol,agreement,or!Wary to any person or properly es n result of any ne11vities of Buyer nod Buyer's owlsend contractors relating to the Properlyexcept for any loss,Mango,clnhn,stilt or cosi arising out orpro.oxislog conditions oftho Property and/or out of Seller's nogligonco or Might nets or omissions.This hulomnlly shah survive this Cantrnotmid any tonnhmlims hereof. (o)Buyeas Right to Tenninnto:Beyer shall have Ilsoright to terminate this Cmimma fornny reason or no season,by delivering to Salter written notice of tonninntlen (the 'Tomdnalion Notice")daring the Duo Dingo=Period(or any agree-upon wrlgon extension of the Duo Diligence Period),Mill BRING ON TIM ESSENCE.Iffnyer Ilnselydolives the'fcrnihnlion Notice,this Control shall ho lorndnnlad end the Boniest Money Deposit shall borofondel lo Buyer. (WARNING:If Buyer is not satisfied with Iha results or progress of Buyers Due Diligenco,Buyer should terms nl°this Co111rae1, prior la/ho ayslrnllon of the Duo DAlgonce Period,unless Buyer emu obtain a written extension from Sailor.BILLER IS NOT OBLIGATED TO GRANT AN EXTENSION.Buyer's failure to dolhera'IonnhialionNotice to Seller prior to dm axpintden of dm Dno Diligence Period shall constitute n waiver by Buyer of any right to laminate this Contract based on any mailer relating to Buyer's Duo Diligence.) (NOTE: Poliowing Tie Duo Diligence Period,Buyer may still exercise n right to emanate this Contract for nay other raison ponnitied under the teens of this Connect or North Carolina law.) O CLOSING SHALL CONSTITUTE ACCEPTANCE OF TI IE PROPERTY IN ITS THEN EXISTING CONDITION UNLESS PROVISION IS OTHERWISE MADE IN WRITING. 3. BUYER REPRESENTATIONS: (n)Loam Buyer O does❑docs mol have to obtain n new loan hi coder to mellow rho Properly.If Boyar Is obtaining a new loan, Boyer Intends to obtain a loon as follows:0 Conventional❑011ier: loon m n O Pined Rale LI Adjustable Rate In the principal mascot of for a lean of year(s),nt an Initial!Moral ole not to exceed %pm annual(rho"Loan"). (NOTE:If Buyor represents that Boyar does not have to obtain a now loan In oniorlo purchasethc Properly,Seller Is advised,prior itsigninglhis afford toobtahiocumlentation gem Dnyer which dolmmshalos PINI BIu)'m•wiltha ablo 10 close on the Properly without Iia necessity of obtaining a new loan.) • (b)Other Properly: Boyar❑does❑does not have to sell or lease other real pmjmrty In order to qualify for a new loon or to compiolo purchase..(NOTE:If Buyer does imve to sell,Buyer and Seller should consider bwluding n Contingent SaleAddendumm (Stenciled Penn 2A2-T)with this offer) (o) Performance of Buyer's Plnnnehl Obligations: To Ile best of Buyer's knowlege, there aro no other circumstances or conditions existing as of Module of lids otter that would prohibit Buyer from porformog Rnyora Manelal obligations In accordance with this Cannel,except ns nay int Specifically set forth heroin. 4. BUYEROBLIGA'fIONS: (e)Owners'Association Pees/Chaiges:Buyer shall pity ally fees required for confirming Roma is39tue i Information on owners' association dues or assessment:CM payment or pmmllon and any charge made by Igo owners'association in councclioli with the disposition of dm Properly to Bayes',Including any transfer and/or document fee Imposed by the owners'nesooldllos.Buyer shall not be responsible Ar fees Incurred by Seller In completing the Owmms' Association Disclosure and Addendum(Standard Penn 2A124'). (b)Responsibility for Proppsel Special Assossmotits:Boyer shall take(Me subject to all Proposed Spacial Assessments disclosed by Salle in Paregmph 5(b),Ifmuy. (e)Responsibility for Corinth Coals:Beyer shall In rosponsIble(broil costs with inspect to mry loan obtained by Buyer,appraisal, title search,title heuance,according thedeed mrd for preparation mod recording of all Instruments requited to some the balance of the Purchase Pric unpaid at Smdenent• Beyer Initials Seller hinds, Paso 4 of 11 Assedniea remota O Dltedsed 7/2007,I/1011 pals similar('toroth's been nppottd)oinllyby:Nmlh Cvolian I4Imed LyAsnemnd midi BhMC amAmoclnman Noah Cnolamller Assockstm,—NC liar Paint No.12 Nwlheorolbe Assoch lion ofRtollo"W,int—Slundnrd Paint 111' 5, SELLER REPRESENTATIONS: (a)Ownarahlp:Seller rolnosouls that Soller: IS has owned Ike Properly fora least ono year. ❑lies owned Ileo Properly for loss sten oneyonr. Cl does not yet own trio Property. (b)Assessments:to the best of Sollars knowledge(hero are no Proposed Special Assessments except as follows(Insert'None"or Ora ldonllfcnlion of snch ossossnsonls,(Carty): None Sollor wnrra0le that there are no Confirmed Special Assessments except ns follows(Wort"Nam"or the Idonli0caIien of a11All assessmonis,Irony): None (o)Owners'Associations)mai Dna;To host ofSoller's knowledge,ownership of the Property Cl subjects CI(loos not seldom Buyer to regulation by ono ormoro owners'assoeiatin(s)end governing doannonls,which Impose various mandatory covoennln, conditions and restrictions upon the Properly and Buyer's oi)oymonl thereof,Including but not(tonal to obligations to pay regular nssonsmonls (duo) and Special Assessments. If there Is an owners' association, then ml Owners' Association Disclosure and Addendum(Standard Pews 2Al2-T)shall be completed by Seller,at Sailor's expense,and must be alinehod as ml addendum to this Coronet. (d)Solwge Systom Permit;(O Applicable❑Not AppIIonble)Seller wnnnnts that the sewage system described in the 1lnptovomton Pennll attached hereto has been installed,which moray survives Closing,but makes no galla mprosodalol as to the system. (o)Private Drinking Water Well l'a'inll:(Q Appllcablo CI Not Applicable) Seller warrants IIIA q private drinking water well has bean(mined,wbloh womanly survives Closing,but makes no Maha•roproscnlMIon as to the well.(Ifwohl Installed after July I,2005,attach improvement Minh hereto.) 0. SELLER OBLIGATIONS (a)Evidence°Mfllle:Seller agrees to use best efforts to deliver to Buyer as aeon as reasonably possible after the Bheellvo Dale, copies of MI title Information ill possossion of or available to Seller,b,oludimg bill not limited to:tido i0snraleepolicies,attorney's opinions on title,surveys,covalanls,deeds,notes Mid deeds of inns and°t aentohte relathng to Ile Properly.SelleranNed=ae(I)ally attorney presently or previously representingSolt6r to release and disclose aiiy title Insurance policy In suck attom0y'e()WI*Dliya' and both Buyer's and Seller's agents and alorilots;and(2)thePropely's tide insurer or Its igen to Mosso asddisoloso all materials In tiro Property's title lnaorots(orlltlo Insurets agent's)Me Io flow and both Buyots and Ballets agents nail Mlornayn. • (b)Access to Proporly:Seller shall provide reasamWo access to the Property(including working,oxisling ollides)through Iho calla of Closing orpoisossion by Buyor.To Ile oxlout appllcablo,Sailer shall also be soiponslblo for timely clearing that portion of tho Pronely required by the County to perform tests,Inspoellan nu(Vor ovnlnlions to dotonnhe the suitability oftheProporly for a sewage system muVor private drinking Water null. (o)Removal of Sollor'a Proporly:Seller shall remove,by the dale possession Is Indo available to Buyer,all personal property which is not a pan of Ike purchase mid nil garbage and debris Prom the Pronely. • (d)Affidavit and hnlonudgcnllon Agreement:Sailor shall gunlsh at Sotllomtanl at nifidavll and Indomnibcallan agreome t In loan satisfactory to Buyer and Bnye"a title Mentor, If any,oxoentcd by Seilor And any person or entity who lies performed or furnished labor,services,materials or rental equipment as described in N.CA.S.*I4A•8 to the Propetlywllhlm 120 days prior to(bo datoof Settlement verifying that each aueh person or entity has boon paid hi NII nod agreeing to indemnify Buyer,Buyer's lender(S) and Buyer's tido Insular Against all dos frau illy cause or claim arising lboro0an. (e)Pnymonl nod SNlsfnettawtalons:All deeds of Mist,liens and other°barges against the Properly,not assumed by Buyer,must be paid and satisfied by Sailer prior to or ill Sollleme t Such ilial nomination may be promptly oblahled following Closing.Sailor sial(mutein obligated to obtain mty such cancellations following Closing. Buyer ln111013 Seller initials Paso 5 of II Assoelellon FOUND.12Dmethtil 71,3001.11101 I ?Ids stimulant lint bon nvtdJohit :oIi Pencl bygrennal with the NC gar AaWlolPLMoebn AoibCamila. NonhCmollnn AssodMtonafiteatorsO,No.—SWIM Pon 12T (I)Title,Legal Access:Seller shall execute and deliver a GENERAL WARRANTY DEED for the Property at Settlement unless otherwise stated heroin,which shall convey fee simple marketable and Insurable title,Lite of all encumbrances except:ad valorem taxes for theournt year(prolnled through tim dale of StlllcjiwnO;utility casements and unviolalc1 restrictivecovennnls that do not mnlerinlly affect the value of the Pro tedy,and such other encumbrances as may be assumed or spcoillenll y npproval by Buyer In writing.ThoPropoity must lino legal access ton public right of way. (NOTE: If any sale of the Prepay may be a"short sale;'consideration should be given to nlladdng n Short Salo Addendum (Standard Penn 2A14-T)as ml addendum to Ills ConlrocO, (g)Deed,Excise Taxes:Seller shall pay for preparation ofa deed and all other documents necessary to porton Seller's obligations under this Connect,and for stele mid comply excise taxes required by law.The deal Is to he made to: fm directed by Bevan. (Ii)Agreement to Pay Buyer Expenses:Seller 6111111 pay at Settlement S N/A coward any of Buyer's avowal wsoolated with the purchase oldie Property loss any poi ion disapproved by Boyer's lender. (NOTE:Examples offyny&s expenses assoelalcd with Ihepu chase oldie Property Include,but aro not limited to,(111000111110118, loan origination fees,appraisal fees,ailaney's hes,Inspection lees,awl"plwpalds"(taxes,Insurance,owners'association does, me.)). (0 Payment or Confirmed Special Assessments:Seller shall pay all Continued Spealnl Assessments,If any,provided that the xnsonnl thereof can be mnsonably determined or esthnotel. (J)Late Listing Penalties:All properly lax Iota listing pantiles,ifany,shall be[mid by Seller. (k)Owners'Association Disclosure and Addendum(Standard Penn 2412-'1):If applicable,Seller shall provide the completed Owners'AssociatiouDisclosure and Addondmn(Standn:xi Form 2Al2-7)to Bayer on o•beim lho Effective Digo. (I)Seller's Failure to Comply or Breath:)f Seller fills to inaerinlly comply with any of Seller's obligations under this Paragraph 6 or Seller rnalodnlly breaches this Conhns,and Buyer elects to temmab this Contract as a result of such fnlhhro or bread,then the Bnmwl Money Deposit and lheDueDillgencePcoshall beroguded to Buyer and Seller shall inlunbnrso toTnye'MD reasonable _ costs actually Incuund by Beyer In connection with Dryer's Duo Diligence%whom affecting mw olherremedles. 7. PROBATIONS AND ADJUSTMENTS: Unless otherwise provided, lc followhig items shall be prorated Through the dale of Settlement and either adjusted between the patties or paid at Scillenent, (n)Tnxes on heel Properly:Ad valorous Toxos on hent property shell be prorated on nealwulnryenr basis; (b)Beals:Rents,If any,for the Property; (o)Dues:Owners'assaolotion regular assessments(dues)and other like chines. 8. CONDITION OP PROPERTY AT CLOSING:The Properly must be In substantially the same or bettor condition al Closing os on the dale of Ms offer,reasonable Irene and lair excepted. 9 RISK OP LOSS:Therisk ofloss or damage by lire or other casualty prior to Closing stall be upon Selleafilm Improvements oil Iia Properly aro destroyed or materially damaged prior to Closing,Buyer may terminate this Contract by written halite delivered to Seller or Seller's agent and the gamest Money Deposit and any Due Diligence Fee shall berothndod to Buyer In the eves Buyer does NOT elect to lennlnnto this Conlmed,Buyer shall be entitled to receive,In addition to the Psolxny,any of Seller's Insurance'tomcods payable on account of the damngo or deshudion applicable to the Properly being purchased.Seller Is advised not to cancel existing Insurance on the Property until after confirming recordation of the deed. JO, DELAY IN SETTLEMENT/CLOSING:Absent agreement to the contrary In this Contract or any subsequent modifcation thereto,ifa party Is nimble to complete Settlement by the Boillement Data but intends to complete the Imnmction ms Is noting In good Porth and with reasonable diligence to proceed to Settlement("Delaying Party"),and If the other panty Is ready,willing mid able to complete Sottiomont on the Settlement Date("Non-Doinyhug Party")thou the Delaying Party shall give as much notice es possible to the Non-D9layllgParty andsettlement agent and shall boo:Wiled to a delay In Settlement.Irate pontos fall to complete Settlement and Closing within fasmcen (14)days of the Settlement Date, or to fnllicr extend the Sentiment Date by%Milian ngreelnell,then the Buyer initials.4 _ Seller Page 6 of 1 I Anoclnlion Pon No.Ike seekers 7/2007.1/1911 'fhb similes farm les Into ryquovIdJohnlyby:North Coelho Mailed by Avarua'with US NC Bu Aaovlolion North Molina taAstonalion-NC acs pant No.12 NOT Carolina Msesinlwl enclitic/00,1m-aondaa Poon 121' Delaying Pony shall be In breach and The Non-Dolnying Party may tcmdnmo his Conlmcl and shall beminded to enforce any remedlos mailable to such pony under lids Connect for iho broach. I1. POSSESSION:Unless othonvlso provided heroin,possession shall be dolivered al Closing.No nllemllunns,excavation,bee or vegetation"move'anomer such activities may be done bolbre possession Is delivered. 12. OTHER PROVISIONS AND CONDITIONS:CHECK ALL STANDARD ADDENDA THAT MAY BE A PART 011 THIS CONTRACf, IP ANY, AND ATTACH HERETO.ITEMIZE ALI.OTHER ADDENDA'10 THIS CONTRACT, IF ANY,AND ATTACH HERETO. (NOPE: UNDER NORTH CAROLINA LAW, REAL ESTATE BROKERS ARE NOT PERMITTED TO DRAFT CONDI'T'IONS OR CONTINGENCIES'1'O THIS CONTRACT'.) 0 Additional ProvisionsAddendun(Pond 2A l•Y) ❑Loan Assumption Addendum(Porn 246-?) CI link-Up Contract Addeuidnm(Porn$Ahf) Cl Ownm'Association Disclosure And Addendum(Feint 2h12-1) CI Contingent Sole Addendum(Form 2A2-T) LI Sailor I'innnelng Addendum(Form 2A5-I) LI Short Sole Addendum(Form 2AI4-T) CI OTHER. Sec Exhibit A WI)attached hereto Ibradditiosal mons adds Contract, 13. ASSIGNMENTS:This Conlmel may not be assigned without the svrlllen consent of nil parties excopl hi connection with a lax- deRned minute,but Ifussigned byagreement,Men this Co tmcl shall bo binding on the assigneeand assignee's hairs and successor. 1d. TAX-DEFERRED EXCHANGE:In duo moot Buyer or Seller desires to cheat a tax-defied exchmtgo in connection with the conveyance of the Properly,Buyer mid Sailer agreo to coolromt°in effecting such exchange;provided,however,that Imre exchanging party droll ho responsible.foroil additional costs associated with such exchange,and provided further,tint n iou-oxchangltsglattysliail not online any additional linbllllywith;ospal to such lax-de enedoxahange.DnyormW Sollorehall exeenesuch additional documents, Inoluding assigDNant ofIhls COiitmd In connection thurowllh,ai no cost to the nen-oxohangbtg party,as shall be mquIed lo giveoffecl to this provision. 15. PARTIES: This Contract shall be binding upon and shall Immo to the benefit of Dryer mid Sailer mud their respective halm, successors nmtl assigns,As used herein,worn In the singular Include the plural nird the inasculino includes the feminhno and no tondos,in appropriate. 16. SURVIVAL:If any provision herein conlnlied which by Its nnbno and effect Is required to ho observed,kept or porfon nerd agar who Closing,II shall survive the Closing and remain binding upon and for the bonoOO M111°pander hereto until fully observed,kept or itoribmied• 17. ENTIRE AGREEMENT:This COntmot contains the orlllrongreement Mho parties and Martini°no roprwenlalions,Iodination's or olhor provisions other than those expressed heroin.All changes,additions or deletions heroic must bo in writing and signed by all ponies.Nothing contained heroin shall altar any tgmomo t between a IUiAi.1'OEo or brokormid Seller or Buyer as contained In any listing agreement,buyer agency agroensant,tinny other agency imminent between them. 18. NOTICE:Any notice or communication to be given to a party heroin may he given to the party or to such party's agent.Any written notice or connndnicmla in connection with Ike transaction contemplated by this Contract may bo given to a pray dr n party's agent by sending or Imnsmitiluig It to mw nailing address,e-mail address or Rix number set forth in Igo"Notice lnforinntlon"section below.Seller and Bayer puree Ihul the"Notice Information"and"Rscrow Acknowledgment"sections bolow shell not constitute a minednl pan of this Contract,and thin the nmlition ormodlilcallon grotty Wonnalion(Morelli shall not constitute a rejection of nn offer or Tho creation of a counteroffer. 19. EXECUTION:ThisContmcl may be signed In mnllipluoriginals orcotindogmnts,nil of which togothorconstimto one and thesame insbunml,and the parties adopt as tlelrseals Tho word"SEAT"beside their signatures below. 20. COMPUTATION OD DAYS:Unless olhonvlse provided,Mr purposes of this Contract,The torn"days"shall men,,consccnllve enlmulni•days,lu//el�uting So)urdays,Sundays,find holidays,whether federal,smote,local or religion.For the purposes of cnloulmhig Buyer InitInis/('/s Seller initials-te�7 ,l Page 7 of 12 Asmanllon them No.12 Ultcdrea 7/2007,11011 TIIssImWM fonnhbun npprowdlohaly hY:notlir Corolino NNW hyAgrmneninia lbeNC lint Association Noah CYuollnn gar Association—NC Dor Foaallo.12 Naha CYeolhuaAna lallanofRehm*Ina—Mondani Poser 1XI. bays,the comaoP'dnys"shell Login on 11w day following the day upon which any net or malice as provided in lids Connect woe requied Io be performed or i male. THE NORTH CAROLINA ASSOCIATION OP REALTORS°,INC.AND THE NORTH CAROLINA RAR ASSOCIATION MAO NO REPRESENTATION AS TO TNR LUGAI,VALIDITY OR ADEQUACY OP ANY PROVISION OP TIES FORM IN ANY SI'QCII'IC TRANSACTION.IF YOU DO NOT UNDERSTAND THIS FORM OR PEEL'CHAT IT DOES NOT PROVIDE FOR YOUR LBOAL NEEDS,YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY EEPORR YOU SION 1'f. Tills offer shell become n holing coMinct on Ilia Effective Dale. BUYER: SELLER: r� H&Fl st neims ofPrypltoviile1 LLC Som1Hllow.RnrLrMLC Pr £)g4eci9hu4 4,e, Ey: Co�I U. By: �+� )41 Print Name: p ' df / ' 1‘31-- Prh$Nein:iJ'un� Fl1A Title; c.,)• /VI IP TIlle: O M— Dale: _SJ.p..q"/I% Date: S 15j13 Buyer ION drSeller lnillnls Xi __ 111777 Page of 12 Mwolollon PounNo.120 Rodd7/2007,112011 TIiLr0+ulm0 famdwlani op%noredJoInIly 0y:Nmlh Camlhm Mlnlcll by AgIccIn nhdlhlk NC llMAuadallan Milli ComllnsDor Aunelalion—NC Mr I'orm No,12 No0li Cooling A°octalim attention.*lee.—glmdord Point la NOTICE INFORMATION (NOTE: INSERT TI IE ADDRESS AND/OR ELECTRONIC DELIVERY ADDRESS 13ACI I PARTY AND AGENT APPROVES FOR THE RECEIPT OF ANY NOTICE CONTEMPLATED BY THIS CONTRACT.INSEIt'1'"WA"FOR ANY WHICH ARE NOT APPROVED.) BUYER NOTICE ADDRESS: SELLER NOTICE ADDRESS: Mnlling Address: HMI Homes.e/o Kcnv Avant Mailing Address: 2919 Ireoaewoosl Ave Salto dog.PeveRevIllo.NC 2Rig1 Buyer Pug: (91014/15.01161 SnllerPexll: Buyer U-mall:golrrAvant@lddwmes.com Sallt,U- all: SELLING AGENT NOTICE ADDRESS: LISTING AGENT NOTICE ADDRESS: Firm Name: Viral Name: Acting as U Bayer's Agmd O Seller's(anb)Agoul U Dual Acting as O Seller's Agan O Dual Again Agent Mailing Address: Mallhlg Address: Individual Listing Agent: Individual SeBhg Awl: O Acting as a Designated Dual Agan(chock wily Itopplicabie) ❑Acting as a Deslgunled Dual Agent(cheek only It License ll: applicable) Listing Agent Phonon: _ Liconso Listing Agent Pod: 11: Listing Agent E- Selling Agent 11101101/: mall: Selling Agent Rollitig Agent B- malli ESCROW ACICNOWLEDGMRNT OP INITIAL EARNEST MONEY DEPOSIT Escrow Agent acknowledges receipt tribe inRial Roiliest Money Deposit nod agrees to hold and disburse Memo in AcC011lnneo \1'1111 IIIo terms hereof. Dale Pim By:_. (Signalmn) (Print mune) BuyerWeis_14 c‘ Salley Millets Page 9 or 11 Assodmlon Penn No.110 Railed 7/2e27,IA011 'IhlnavubN Elm lies goo Ndnottdlolnay by:None Cmallna Pdnudby%wamrnudlbmu NC tinAssafmlan NonbMap Dor ANalmton••NC liarl'onnNo.It 140:11;Ctrollen Axoalnllono(Ilenlnou9,Lilo Samdnndis0112T j➢XHIUI'f A A drawing lhai more specifically Identifies Ilia Properly _,X_Is clinched Isnot Masked Biiym'Inlllais A , Sailor Initials P00 10011 Assoelaltan Folin No.12 O 1bNaul)1100),111011 'Ihls slnndani Imo lm*it mmroenljalnllyhy:Nm0 Corol6w MinedbyAyrttnnnl cilli Wo NC liar llarAssacimion—NC IInrForm No.12 NanhCmoilan Asmdmlm,arnamlow$,Ino.—Standard Vann I2T ii (I Par �i lit u % i;,<ri c-,.,_ j '107 40 40 vvur�gy ypypy;;pgg J} ® 1101 1 Y C ) \\tett 0 I 11 \ b 1 � I4 �� 1 i ; "II 9). n � 4! N IO m 441 . _, r A\''''t\‘'°)r itaA x ;;;;.ASy` �ik� o8}! ,-L. 0 Pli91 "I r 44'0 14 z."1, (\\\------ oy ;; i ii: i 't 1l� ,�ti�,`�\y so riqgvni lillig. r 1‘,,.? -1,ki. A,,.,,/,a. . R Ili l r>A!elBB@roPaA° 1 ll��litnoi ' ��11�A �a 2 • I IMP SPP I N��N I� ,, �> AMBIT D (Addition)Terms) I. Purchase Price: Buyer shell pay Pony-ThreeThousnnd rive FlunaredDollars(543,500)lar each Lot In The Manors Part 213,Part 2C mid Part 2D. Buyer agrees to Three portent(3%)annual escalator on the pnrchme price for lots In The Mnnols Pail 213. 2. gotioiiion(DAte Buyer agrees to pipeline the Initial ton(10)loss rvilhln toy-flve(45)days of the Dnbctive Date ofthls contract Those lots will be lots 638,639,340,730,731,753,754,753,756,757 In Manorat Lexington Pimllalion phis lot 254 in Village at Lexington I'innlnllon which will be Ilse Mattel Home for fluor. mmhermoro,Dnyerngrces to keep tan(10) unsold homes Until at all limos by closing on on additional lot within thirty(30)days ane Menlo of an Inventory house pending to a Mild party. Boyer Anther Ogren to purchase 11111111111111111 oftwonly-four(24)lots every twelve(12)months. 3. Buyer's Rights: n. 13nyershall have Ole right to fish sell and inakcl their homes hl Lexington Plantation. U. Buyer shell have Seller's pennhsioi to constnml inventory homes,and a model Mone on lot 25)prior to the lot Sattleueh Date mid Seller agrees to assist Buyer In obtaining,at Buyer expense,building penults noes the county. e. Buyer will be Iio solo builder Nr the Mnnols at Lexington Plmnaltoli Pmt 213(38 Lots). d. Nohvlllistamlhlganything to limo contrary In Suellen 12 oftho Offerlo Awoken,Boyer hereby reserves filo right to nsslgn this Contmel to another party,without requiring written permission of Seller;however,upon any shall Buyer nssigmnoa,Buyer shall not bereliored ofmry Inability muter this Offer To Purchase,absent n written release Dom Seller. d. Seller's Obligallons: n. Lot corners shall be stake)mid matted prior to the Solllommnl Date. b. All lot Improvements,blellltlingwater smokes,sowor services,paved slreels,anocl lighting,erosion control, oleotrical,telephone,cable,all CO11101011 area landscaping and amenities shall be completed prior to the Settlement Date. a. The plat for The Manors Part 213 shall be locorded. Y`V`Ya� a. Seller warrants that nil streets hove been constructed to NCDOTslnndnrds and agrees to cause such streets to be maintained until such lino as Seller applies for and receives NCDOT acceplmee. \„ u,--6oHerras-tleolarantcsindhmetimi-BuyerdhartrprothiglIOAdlitosomptiasimsediels nnlll mabilin nmhonsoisindll -mshayped of Lot of f. If retyped ofn Lot receives any lilt material,the same lot shall have been compacted by mechanical moans mid shall meet or exceed nhiety-fivepercent(95%)compaction,calculated by Tho Proctor test. 5. Buyer's Option to Purchase'yho Mama at Lexington i'InnlnIton Part 2C(56 lols)mid Pail 20(30 lots): a. Seller mils to Dnyor the Option to Purchase the 56 lots hi Peri 2C and the 30 lots In Pm12D. Upon notification Nom Sellar of Its intent to develop the next phase,elOorPan 2C nlmdlor Purl 2D,Dryer shall have thirty(30)days to presort to Seller nu Offer to Purchase for the Lois to be developed. The Offer to Purchase shall contain the same Onus and conditions as slated in duffs Ofibr to Purchase. Buyer hdllals I Seller Initials Page l l of 11 Msnalnlim Donn No.t20ltovbed7/30/,1/2011 7hisslnndold fun Ims bttnnPNorNJalnlly by:Neem Catolka Panted by Apnnmmvim lheNC Ra,Auodnlen Nardi['Melina liar AnmlNtes-NC ms Polon No.t2 NoiIhenrolhi AuocbllanorRcaIlo ,Ina-SImldW Form orf 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.orglpermits by whomever performing work. Must be owner or licensed contractor. Address,company Application for Residential Building and Trades Permit name&phone must match ^1 Owner's Name: �^H&H�Clons uctors of Fa e -ville,le,LLC. /1Date:LeKa1 ( i tOo/- Site Address: Q% 1 • i IQ 4 C r l yP. Phone"1IQ tan - MRW 4 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. nr-+� Subdivision: The Manor @ Lexington Plantation Lot: IJ�J Description`r..].lo`,f apP,,ro�posed Work: New Single Family Dwelling #of Bedrooms: q Heated SF:obUnheated SF:Logi Finished Bonus Room? Crawl Space: Slab: 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@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 electricpope(fDwindstream.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 carolinacomfortair vahoo.com Address Email Address 29077 H-3-I License# Plumbing Contractor Information Description of Work #BathsjQ Dell Haire Plumbing 910-429-9939 Plumbing Contractor's Company Name Telephone PO Box 65048.620 Gillespie St. Fay, NC 28306 dellhaireplumbinq( hotmail.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 signing 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. Signature of Owner/Contractor icer(s) of Corporation Date 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: H&H Constructors of Fayetteville. LLC. Sign w/Title&LQ.QMAaA ft..w /Permitting Coordinator Date: OI a1 \ I-I Appointment of Lien Agent: Details - LiensNC Lien Service Page 1 of 1 DO NOT REMOVE? Details: Appointment of Lien Agent Filed on: 08/2812011 Entry it: 618555 Initially flied by: meaganbradshaw Designated Lien Agent Project Property Print & Post First American Title Insurance Company MLP000755 Lot Manor @ Lesingion Or Planation Ilnlln=.nx hrmn mm u. -a...- 287 PITTFIELD RI IN Aaamu 19W Hargett A,Sun Stri: aluah,NC Cameron.NC 28326 7nlll Hansen County Contractors: Phone xxAawlJ331 Please post this nonce on the lob Site 911-189-5131 e.,m.... .......... Property Type Supplien and Subcontractors: Scan this image with sour small phone to ew this tiling.You can then file a Nonce -E M1amdy Duellingg tol.ien Agent for this project Owner Information H&H Constructors of Fanned im LLC DeG of First Furnishing Pip Breezewood Avenue Ste 400 Fayette'tile, NC 28303 United States 05/23/2017 &mail leannahair@llhlomeswm Phone:910-0569864 View Comments(0) Technical Support Hotline:(8081690•7384 https://apps.liensnc.com/scr/appointment/details.html?entryNumber=678555&printable= 6/28/2017