DOCUMENTS Initial Application Date. /j 5//17 Application# 'lsxx\-lc(-DC)
CU#
COUNTY OF T RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street.Lillington,NCC 2754627546 Phone.(910)893-7525 ext.2 Fax:(910)893-2793 vww.harnett org/permits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIREDR1WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNERSOR1()'n0A-Inikr M(' SEWVU Mailing Address': 0< C901-C-- 1.' rii -P .
Cit : sO,V,si,rd State NC.Zip:2733a elinn)850-237 mail' :.
Y � antact No
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APPLICAAN�T':: Kisir in ?Dols AC Mailing Address. Stcxg rylll$W1n7441 JT ,
City 1�A1L4�A{_`J state: NC-Zip 27& ontactNO(319)BSI-Q7Co Email: Sas.. ca
'Please nn out applicantTllormeaon it different than landowner -3-0\1\
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CONTACT NAME APPLYING IN OFFICE: I}Q -j's(;(,1„ V\y(1'Man. Phone p'1 SI-
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PROPERTY LOCATION:Subdivision:J P�d)m O I aid LS Lot#: 5 Lot Size. ' `3W
State Road# State Road Name: n Map Book 8 Page: 2 R / / y
Parcel. 0pp 3g5 501 0055 PIN: GIS 95 ( f
- 4,0- %9 y Ole r)
Zoning':Rita CIFIooE Zone: )C Watershed':L a Deed Book 8 Pageq a�a,l 139 Power Company':_Rare de-.
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
❑ SFD'(Size x 1#Bedrooms:_#Baths._Basement(wlwo bath)._Garage:_Deck'._Crawl Space'._Slab'._Slab._
(Is the bonus room finished?(___)yes (__)no w/a closet?( I yes ( 1 no(if yes add in with#bedrooms)
❑ Mod (Size x )#Bedrooms_#Baths_Basement(wlwo bath)_Garage._Site Built Deck' On Frame_Off Frame_
(Is the second floor finished?( I yes (__)no Any other site built additions?( )yes ( )no
❑ Manufactured Home:_SW_DW 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
Si) 1l ,. 22II
1 Addition/Accessory/Other:(Size\'P • __)Use: -V- rcn\ Closets in addition?(___)yes ( I no
Water Supply: County Existing Well New Well(ft 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 ( )no
Does the properly contain any easements whether underground or overhead(_)yes (_)no
Structures(existing or proposed):Single family dwellings: ) V._16.4"
._16. ( Manufactured Homes: Other(specify): 1 D(d
l� c4
Required Residential)Property Line Setbacks: C mments: 1�6D
Front Minimumb�11 5 Actual
Rear r-st S DN11
Closest Side Ib x--{'
SidestreeVcorner lot
Nearest Building IL o
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: N C - 27 WGes*e [e-4- ri A-b
E air blot Rd . I on3r, Cza.✓nl kievx Lis Pc/
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a - • •.a L. .A aO I ' ma SAS.... `T m Y.
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 herebystate that foreg - statements are accur nd correct to the bestbesof my knowledge. Permit subject to revocation if false information is provided.
Od vLCR �i yin Owner's Aid t ] �e
✓//�j 31Bnatu of .. Oita. —/ 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 Lano Use Aoplmation Page 2 of 2 99111
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09109111 Application#
Harnett County Central Permitting
PO Box 65 Edlington NC 27546
Each section below to be filled out 910 893 7525 Fax 910 893 2793 www Parnell org/permits
by whomever pedomnng work
Must be owner or licensed
contractor Address company Replication for Residential Building and Trades Permit
name 8 phone must match ,\ f, 1
Owners Name l&a-l4'Nnr\ IV pinserrne. I Date 7 2s
Site Address S7 cnnl4 E.:11(We_ ," dre1 MC , 2� Pho
7.0 2373
Directions to lob site from Lillington N - - a a
&u-F-cn -, 1a60,
t—u Yh l o Qn1 . Lamz, Co.vonbg„4„,4r,r, & )(t .
[ten
Subdivision
1 Loup
Description of Proposed Work�1�4M li 11ngvol uAd 3I Mat at 3 of Bedrolms
Heated SF Unheated SF Finished Bonus Room', Crawl Space _Slab
ra r 0 0
fk(6un 5WA w\s c. Ci(CO 85I-c7oexlzz
Bulldin Cont r s Company Name Telephone
SWR llls6a-augl-t S+• Ratel56, Nc Tess;roc-4 R;sir5S„r, Is_
Address Z7606 Email Address GCYYY\
(oa447
License#
glectncal Contractor Information
Description of Work j--,cot 1.1 vr%rid Service Size Amps T-Pole Yes No
N-ar-k-e_ P4 U1 i r LAQ, a.J (J H X 19 1c0 S- 34) 17
Electrical Contr�appfor s Company a epIlle one
7g12U H.l Sr�ta:( h 113l11a�1, Ywt�; Katt Mol13111Yr �
AddressEl Address
la7L
NG Z7S9Z
/retail-P- c " ”
License#
filechanical/HVAC Contractor Information
Description of Work
Mechanical Contractors Company Name Telephone
Address Email Address
License#
plumbing Contractor Information
Description of Work #Baths
Plumbing Contractors Company Name Telephone
Address Email Address
License#
Insulation Contractor Information
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 Budding 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 pv sramna 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 -5 Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee
is as r current fee schedule ^�
2'M-LIR. l� aA,14d/` / 7125/20 17
Si ture of Owner/C tract / icer(s)of Corporation Date
Affidavit for Worker's Compensation N C G 8 87.14
The and igned applicant being the
General Contractor _Owner Officer/Agent of the Contractor or Owner
Do hereby irm under penalties of perjury that the person(s) firm(s)or corporation(s)performing the work
set fort 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 dunng the permitted work from any person firm or corporation
carrying out the work ,`/1,, _`
Company or `ame .A• S s V(i,S `nc' -
Sign w/Tis.t!e_.c._ !,�..! I III 1, t S llt ' s`)s Date 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 17-50041920 Date 7/25/17
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application type description CP SWIMMING POOL
Subdivision Name
Property Zoning UNZONED
Owner Contractor
NEWSOME JONATHAN D & NEWSOME RISING SUN POOLS
SHANNON 5608 HILLSBOROUGH ST
82 GOLF DRIVE RALEIGH NC 27606
SANFORD NC 27332 (919) 851-9700
(910) 850-2373
Applicant
RISING SUN POOLS INC
5608 HILLSBOROUGH ST
RALEIGH NC 27606
(919) 851-9700
- -- Structure Information 000 000 16X36 INGROUND POOL
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE POOL
SEPTIC - EXISTING? SEWER
Permit RESIDENTIAL BUILDING PERMIT
Additional desc .
Phone Access Code 1201946
Issue Date . . . 7/25/17 Valuation . . . . 0
Expiration Date . 7/25/18
Permit LAND USE PERMIT
Additional desc .
Phone Access Code 1201961
Issue Date . . . 7/25/17 Valuation . . . 0
Expiration Date . 1/21/18
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc . POOL
Phone Access Code 1201953
Issue Date . . 7/25/17 Valuation . . . . 0
Expiration Date . 7/25/18
Special Notes and Comments
T/S: 07/25/2017 11 :26 AM JBROCK ----
27 W L ONTO BUFFALO LAKE RD L ONTO
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 17-50041920 Date 7/25/17
Special Notes and Comments
CAROLINA LAKES RD L ONTO CAROLINAWAY L
ONTO GOLF DR GO TO 82 GOLF DR
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 3
Application Number 17-50041920 Date 7/25/17
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application description . . CP SWIMMING POOL
Subdivision Name
Property Zoning UNZONED
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . . LAND USE PERMIT
999 818 Z818 PZ*ZONING INSPECTION / /
Permit type . . . . RESIDENTIAL ELECTRICAL PERMIT
999 205 E205 R*ELEC UNDER SLAB / /
999 215 E215 R*ELEC. UND. POOL / /
999 213 E213 R*ELECTRICAL UNDERGROUND //
999 131 R131 ONE TRADE FINAL / /