DOCUMENTS ISOMApplcation Dal I' rL j t Application* 1-4a )qs
1 / I COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION C
Cental Permitting 108 E.Front Street,Llllington,NC 27548 Phone:(910)893-7525 ext2 Fax:(910)1393-2793 www.hamettory/perml°
onjED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHENSURMITTING A LAND USE APPLICATION"
yR HAM Constructors of Fayetteville,LLC. 2919 Breezewood Ave., Ste.400
Mailing Address:
Cl : Fayetteville State:NC Zip:28303 Contact No: 810488<884 Email' Leennehelr®hhhomee.com
APPLICANT': Meiling
Aa Owner Same
Melling Address:
Same
CAy: Slate: ,21p: Contact No: Seine Email: Same
'Pane M out swami Mcrmekon aalumni Nen anomer
CONTACT NAME APPLYING IN OFFICE: Leans Hair Phone 49104883884 f�
PROPERTY LOCATION:Subdivision:
Anderson Creek Club Loo is Lot
,.Size;, 3gcres
State Road#1/11177 2 S�SCI�ale Road/N�a/mee: Nursery Road /yam p�-1 ��M kS PagePOILO / 'Srr)
Parcel: oiG535Db OIW Uq PIN: ll.�— 0' I—I(VN
Zoningood Zone: 1� Watershed: E,l.t/'{f Deed Book A Pa0e3�ITPow°r Company: South River
• 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: s i pr {
Monoth
a SFO:(Size #Bedrooms#Betd!,Baament(*Avo bath)_Gmage:_{(cc!Crawl Space: Slab:_Slab'Lr`w
(is the bonus room finished?(J yes LJ no w/a closet?LJ yes LJ no(If yes add in with*bedrooms)
❑ Mod:(Size x 1#Bedroom##Baths_Basement(wrier)bath)_Garage:_Site Built Deck:_ On Frame_Off Frame_
(Is the second floor MMshed?LJ yes (J no My other site bunt additions?(J yea (,_)no
❑ Manufactured Home:_SW_0W_TW(Sire x )#Bedrooms: Gerege_(afe bullDJ D°d:_(elte bunt?,)
U Duplex:(Size x I No.Buildings: No.Bedrooms Per Unit:
❑ Home Occup°9on:#Rooms: Use: Hours of Operation' *Employees:,_
r1' I
l,y�AAddition/Accessory/Other.(Slzai�Ll ix4j IA: \—( n I. r�
� • l t.e�, wv� Closets in addllbn?(_)yea Li no
Wabr Supply: ✓ County _Existing Well New Well(#of dwellings using well )'Muss have operable water before final
Sewage Supply:_New Septic Tank(Complete Checklist) _Edaang Septic Tank(Complete ChedtlleO ✓ County Sewer
Does owner of Nis tad of land,own land that contains a manufactured home within Bye hundred feet(5003 of tact listed above?Li yea (L)no
Don the property contain any easements whether underground or overhead(y}yes LJ no
Structure'(ed'Ung rproposetl' a famed dwellings: \ Manufactured Homes: Other(specify)
Required Residential Property Lia.Setbacks: Comments'
From Minimum 30 Actual 31 11
20F
Rear _
Clow*Side
1020
/ ?
SMnbastmrror lot
Nearest Bulkikig 10
on swne lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
Hwy.27 to Nursery Road.turn let and follow Rey Road.Turn left and
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINOTON:
follow to Mdereon Creek Drive.
If permits are granted I agree to conform to all ordinances and laws of the Stab of North Carolina regulating such work and the specifications of plane submitted.
I hereby stab mal forego tenants are re aeourata and afrrary to the bat of my knowledge. Permit subject to revocation[I false Information h provided.
Signature of Owner or[ fD11(`j'e(�ent atipa r
"'t Is the owner/applkanb responsibility to provide the county with any applicable Infomhadon about the subject properly,including but not limited
to:boundary Information,house location,underground or overhead easements,etc.The county or Its employee are not responsible for any
incorrect or mining Inform ilon that is contained within thew applications."'
"This application expires B months from the initial data if primes have not been Issued"
Residential Land the Application Page 2 of 2 03/11
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PROPOSED
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N88°13'28"W 75.00'
SITE PLAN APPROVAL
aege HR DRIVE SETBACKS
'.r`iICT USE E UTILITY RAA/ FRONT
30'
' Tr'6190OMg REAR 20
1 __ SIDE 0'
`' /gyp 1 CORNER SIDE 20'
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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 8 phone must match �y nG
Owner's Name: IIH__&HCCC,Ao'n'--st-rructors of Fayetteville, LLC. Date: 3I x1171 11'1
Site Address:41P S.10�r Or we_., Phone: 910-48 -4864
Directions to job site from Lillington: Hwy 27 to Nursery Road, Turn left follow to Ray Road. turn left and
follow to Anderson Creek Drive. Reed_1
Subdivision: Anderson Creek Club Ace ' Lot: I OLQ a
Description toff roposed Work: SFD I a' se n •" 4 "�_ #of Bedrooms: 5
Heated SF:�(-15 Unheated SF: 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 Avenue Ste.400,Fav, 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 LLC. 919-776-5144
Electrical Contractor's Company Name Telephone
409 Chatham Street Sanford, NC 27330 electricpopeDwindstream.net.com
Address Email Address
21326
License#
Mechanical/HVAC Contractor Information
Description of Work
Carolina Comfort Air,I nc. 919-934-1060
Mechanical Contractor's Company Name Telephone
5212 US Hwy 70 Business. Clayton,NC 27520 carolinacomfortairvahoo.com
Address Email Address
29077 H-3-I
License#
plumbing Contractor Information
Description of Work # Baths_ .
Vance Johnson Plumbing Co., Inc. 910-424-6712
Plumbing Contractor's Company Name Telephone
3242 Mid Pine Dr. Fayetteville, NC 28306 etoepfer viplumbinq.com
Address Email Address
07756-P-I
License#
Insulation Contractor Information
Tri-City Insulation 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 sign inn 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.
C QA'd .u... ( 1 ri ves 'cc to. \,q
Signature of Owner/Contras lficer(s) of Corporation Date
Affidavit for Worker's Compensation N.C.G.S. 87-14
The undersigned applicant being the:
X General Contractor Owner X 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.
X 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 orName: H&H Constructors of Fayetteville, LLC.
Sign w/Titl&Qa4.A.Acb s.. /Permitting Coordinator Date 95 4�
r113
Plan Box# Job Name 'T 71 u
App is a19,rj
Valuation 0`9-n 2 SQ Feet 23 -7
Garage
0-g7
Inspections for SFD/SFA
Crawl_ Slab_ Mono_ Basement_
Footing Footing Plum Under Slab Footing
Foundation Foundation Ele. Under Slab Foundation
Address Address Address Waterproofing
Open Floor Slab Mono Slab Plum Under slab
Rough In Rough In Rough In Address
Insulation Insulation Insulation Slab
Final Final Final Open Floor
Rough In
Insulation
Final
Foundation Survey_ Envir. Health_ Other
Additions/Other
Footing
Foundation_
Slab_
Mono_
Open Floor
Rough In
Insulation_
Final
Harnett County
102 EAST FRONT ST
P 0 BOX 65
LILLINGTON NC 27546
DATE: 9/06/17 RECEIPT #: 0000011182
TIME: 8 : 01: 18 CASHIER: JBROCK
APPLICATION NBR: 17-50042195
LOCATION ADDR: 76 SCHOLAR DR
REFERENCE: FINISH BOUNS ROOM
ITEM DESCRIPTION PAID
PERMIT FEES 100 . 00
PERMIT FEES 60 . 00
PERMIT FEES 55 . 00
PERMIT FEES 25 . 00
PERMIT FEES 60 . 00
PERMIT FEES 50 . 00
TOTAL AMOUNT PAID: 350 . 00
PAYMENT TYPE: ESCROW