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DOCUMENTS • GI MS?ef411/L dlord.r205 ..1A�� 1 �/ Inl11r AppleSDon Dalt 1 1 ( I 11 AppAcatlen/ /S� `.�.; ` Q ICOUNTY OP HARNETT RE$OOJTIAL LANG UBE APPl1CATON CU/ Cantel Pennil0r g 10S E.Front Shed,Vino" � 275/0 hone:(910)33-7523 Far:(910)393-2793 wewhametl. ``11 (r` a� d� ILLI T Ll UN21-:Ql+ry 1, yy °f9'Vwmin LANDOWNER: �ar �-(�(.11�� .Ow (('--- —_____Ell� L"_ � �GY 'an-ark 7 1 IDtllfrp Address: ctly: ruye11 F11 'U e State: zp:__„___Homer Contact*: CtLO SM.—SM. -� APPLICANT: MS\ (-�{. -r4� 1,C L� NOrq Address: T V lY +I 1�p >r �t..�1 City: tt./fryixe SINe:A.1 °i PNW A ouormaton 11 diatom NIS/1 ell�ywlW� HCma/: Contact#: 10 fDt(/-4y�� CONTACT NAME APPLYING IN OFFICE: [ { A oto - Cit?/?4 i(1{4 --/ ` 1^ 1 n t Phos 1. _(L1 V 10�1U'T PROPERTY LOCATION: Subdivision wished or section: AN Yf,Cw no', ella Q \ I�`�'� �-�"J Lot I: �3 1 Lot Acreepe:�! Stets Road*: dl� State Road Name: 1 .Mr�4J —ROLA_ w `I ©It)Swoo IL cc Map SOakaPags: . Dto\-{(_13� Facet �� ��1��''''AA//tt 'n PIN: scarp — p --`1'844 ,0:0 ,,/n� zoning:�Y'1 "/?). Floodzone: watershed k' I Pepe: 3S-al / 01°l`j P (``�N��� .I Deal BDak6 owerc Camper (A.Z./yi 'New llamas with Progress Energy al cedes prodder need to supply prml.e numbly loom Propre.s Enegy. G`(1.- BP!CIPIC INR! TO TN!pp,Op�RTY FROM 11LLNNGTONI 'seri/ 1`x.4 ‘'TU [--.At 1 (1rx1AS L 17 I e) .4_,Th, wfAihnf b=a7v� PlITME0 USE: SR/(3@ea 1 I l Com: SS •(O�)/Bel a dow .. Basement(xdwo bath) oo /11. Garage``es Deo Pc=in_ crawl 8pc.CO (Is dm loots roan dished? F1 w/a octet A/• 0 so add In Nth Pbgoonw( ) 0 Mod(SIa_a IS Bedrooms_ 0 Balla_ Basement(oda ban) Geroge_ She Bulk Deck_ ON Frame/OFF (b Ile.secant floor nnWw17_My other Ste bulk editions/_) O MnM.orr.d/Ions:_SW_OW_TW(SW . ) *Beboans Crile_(she build_J Deck (she bald ) 0 Duplex (SIm_a_J Mo.Bulldogs Pa.Bsdrean.Ahl O Nome OcacNae I Roots U.. Hoes el .des: 0 AddHoWAccnnxy/OOsr Mtge it___) Umu Closets In addklorCyee Uro WWr&yply: Ltd Uotaay L) WN (N0.dwr/rgs ) muff ha..aparabM arm Wore anal Sewage Supply: Li New Soo Trek(Cordele Caddis, U Eabynp S.qb Tad(Condole pyerdid ( o u/Brana s�• Properly owner of Vii DM a i Gln codeine.m (. 14 lam.WMAve haloed N.1(Ti00')ab.a Mod above? DYES LJND Supines ltWEng. Seth M Ms,gt,sd Hand Othn(spealy) R.Pd red Rendering,Frep..ly Vie Seal.ik& Cowuswrlr Front MRamre t -30 Anus!A •3 1 Res Jr fo(i Closed Sae to .3S Sidn ked/comer bl a 0 ;i Nearest Building on same lot n permid are grayed I - , .4 • • . •..4eand laws he MIN a Noah Caroline ree4S won and We specifications of plre submitted. I hereby N •Mel lar- stair are rat correct t y knowledge. PersB she I revocation II late information Is prodded. € //, al (7l i 1 7 warWuesa Owners • •Aw.sl Dale "Thle app*esdes tepees I monde bon the halal date If no parole.have been louse A RECORDED WIMP NHP,RECORDED DEED(OR CHAIR TO PURCHASE)ARD PLAT An R.oUrng WNW.APPLYING FOR LAIC USE APoUCAIION Please use Blue or Black Ink ONLY ANO I ISF i 9 A 9 g L'Lou w m ¢ t- 5 A wA s s z Mg : i " m < 'L 2 R 0 5 N w i 3m s s s'' T m d w w i av uv �. J_ W u Aa .' Q W E Q U y$ ` 3So cr 14g PROPOSED OP VE o o u rsr 7.25 9 u & Y _._. 9 67 a 33 z F3 1 Y M /b ,09 M Nllb SNOUVO A_ SITE P 12 n 'ee oisrr .. 1 2"- •< c� `,c,E_ate CS. as ase .-�•� , . -- " A i 5 # % $ „algia iii'sA0 If3 y5 Jit ' '° i4kak- / 1 d s 'Each section below to be Rued out by whomever performing work. Must be owner Application N or licensed contractor Address,company Harnett County Central Permitting. name ea rma phone must match Information on PO Box 65 Lllllnoton,NC 27540 Ina Telephone Number 910.993-7525 www.harnettr rg Lk* � As tabfor Bullding and Trad P mit Lk Owner's Name: ' • 4 . boy — AddressDate: I�� � � aCt��- Phone. Directions to job site from Lillingtcn ` 1 Subdivision: � __- - -t3 Q l Lot. Can T e: (Please Check) Buildi Use: (Please Check) ew Moved House _ Addition _ odlderflal _Commercial Renovation Other Modular Multi-Family Total Project Cost: Description of Proposed Heated SFWork- General Contractor Information Crawl Space( ) Building Construction Cost$ Unhe ted SF Slab O Acres Disturbed Fig? COL ) Stories ��II Contractor's Company Name 9/u- 988-6'�or1 BUI ding Contractor's Company Name Telephone Adv-tA jJtr) •J �g /y��E___ �L a331� (0`ic4 ansa# R L gnature of • ner/Contractor/Offcer(s)of Corporation-Must sign back of form&workers comp Electrical Contractor Information De)nptionn of Work L Service Size: Amps T-Pale:_Yes_No T/ df� ' `I7e.r nc LLC 9/c ?2_13 I `j 37 Electrical Contractors Company Name Telephone 9147 R,,,) tit �Pz 4M ;Lis- NC ZSyF a6 el i7 -CAi9 J7c.Lcra.co,.-) Ad `I ,cis 0 c/ _t Email Address Signature of Owner/Contractor/Officers of Corporation ic I e2� U O P License# ,,y,c k..., ,,,,.r.—...—., Mechanical Permit Information Description of Work • - - mberoflJnite Type$patem _ Mecbq sea vk �. — q(goagwl - e r niton Ca '-.c se Con any NamP ' n. a •ner W koSx , � ui . .�a2 �27 Atltlrv_. - ') acerae If Si. 'ire of Officerls)of Corporation Plumbing Permit Information Description of Work 1I�77a:. Number of Baths ) Plumbing Cost$_ �nmit Jatins b.,. 1'i..m61-•, Plumbing Contractor's Company NameTelephone )490 ei+trk 0_ . LJ),,, _ n7 c- ziY $ =;)-l2 9� Address is / License# •.O ature of Cfficer(s) of Corporation Insulation Permit Information Residential ( ) Other ( ) Not Required ( ) aWpa p(�-C( leoeIns ion Contractor's tromp Nne € Atldress Telephone sIs Page 1 of 3 1/07 Homeowners Applying to Build Their Own Home Please answer the following questions then see a Permit Technician to determine it you qualify for permit under Owners Exemption. Questionnaire per G.S. 87-14 Regulations as to Issue of Building Permits(Memo available upon request) 1. Do you own the land on which this building will be constructed? Yes No 2. Have you hired or intend to hire an individual to superintend and manage construction of the project? _ Yes No 3. Do you intend to directly control & supervise construction activities? _Yes _ No 4. Do you intend to schedule, contract, or directly pay for all phases of construction work to be done? _Yes No 5. Do you intend to personally occupy the building for at least 12 consecutive months following completion of construction and do you understand that if you do not do so, it creates the presumption under law that you fraudulently secured the permit? Yes No 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 if a y changes occur including listed contractors, site plan, number of bedrooms, buil. ng and trade plan Environmental Health permit changes or proposed use changes, I certify it is m re-.o ;tY to n• the Ham U County Central Permitting Department of any and all c :nges. EXPIRED P:RMITFY S 6 • i.rs permit r issue fee is$150.08. • er 2 years re-issue fee is as per cur -lit fee . h d Signature of Owner/Co ractor/Officer(s)of Corporation Date • Affidavit for Worker's Compensation N.C.G.S. 87-14 The unders ed 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{A) or more subcontractors(s) and has obtained workers' compensation insurance to cover hem. t/ Has one or more subcontractors(s)who has their own policy of workers'compensation insurance themselves. themselvlv es. 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. I �f Company or Name: M JJ yy1Ot {- Qi(3 M A.m 9 Sign w/Title: r Date: / Residential Building Application 2 of 2 03110 DO NOT REMOVE! Details: Appointment of Lien Agent Entry X: 714553 Filed on: 09/01/2017 Initially filed by: maned Designated Lien Agent Project Property Print & Post First Amencan Title Insurance Company Lot 439 Micah's Way N PIN#0506-60-9844.000 216 Baron's Run W , Online:www liensnc corn ... .........: . Spring Lake,NC 28390 Address:19 W.Hawnrnett Countylye,t agen S4 Suite 507/Raleigh,NC a 27601 of Phone:888690-7384 , Property Type Contirartors: Feu 913-459-5231 Please Please post this notice on the Job Site. Ema1L 4uoronWlienancsom......u...i.,,..o. 1-2 Family Dwelling Suppliers and Subcontractors: Scan this image with your smart phone to view this filing.You can then file a Notice Owner Information Dale of First Furnishing lo Lien Agent for this project. MSP Covetucnon&Development,LLC 09/11/2017 427 Franklin St Fayetteville, NC 28301 United States Email:mspconstruction2©gmail.com Phone:910-483-2525 View Comments(0) Technical Support Hotline:(888)690-7384 .,. Harnett County Parcel Report I Print this page 1 , Harnett T Y Legal Description: mr, strong roots a new growth LOT/4139 ANDERSON CREEK PHil3A MAP/2004-1136 Harnett County GIS PID:01053510 0100 11 PIN:050660-9844,000 Tax Data Last Modified: REID: Calculated Land Units/Type:LT ac Subdivision:2004-1138 Neighborhood.00134 Deeded Acreage:0 41 ac Actual Year Built Acs e:0.411]I265 mTotalAcutslAreeHeated:Sq/FI Account Number:1500001136 Sale Month and Year:]/201] Owners:MSP CONSTRUCTION AND DEVELOPMENT LLC Sale Price:575000 Deed Book&Page:3527,0199 Owner Address:PO BOX 2067 FAYETTEVILLE,NC 28302 Deed Date: Plat Book 6 Page:2004-1138 Property Address 216 BARONS RUN W SPRING LAKE,NC 28390 instrument type: City.State,Zip:SPRING LAKE.NC,28390 Vacant or improved: Building count. transfer Code: Township Code:01 Transferor Split:T Fire Code: Parcel Building Value:$0 Parcel Outbuilding Value:$0 Prior Building Value:$0 Parcel Land Value:$75000 Prior OutbuildinV7500alue 0$0 Parcel Special Land Value:$0 Prior Land Value:$]5000 Total Value:$ Prior Special Land Value:$0 Parcel Deterred Value:$0 Total Assessed Nlue:$75000 Prior Deferred Value:$0 Legal Land Units,Unit Type;1,LT Prior Asp4ed Value:$75000 Prior Land Units:ac ati } OSP .. y.� IHpalgis.harnenorg/E911 App/Parcels/ParcelReport.aSpx?pin=0506-60-9844.000 1/1