DOCUMENTS Initial Application Date:9/11/17 Application# 11L-1 — #
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
(�
Central Permitting 1 8 E FronttStreett Liill�inpgtoonn,,NC 27546 Phone: (910)893-7525 ext:2 Fax:(910)893-2793 www.harnett.org/permits
`�-" "AR1COREE�9 'MA CORDDED UEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
Comfort Homes, Inc. Mailing Address:P O Box 369
City Clayton State NC Zip:27528 Contact Na: 919 553 3242 Email: comfrthomes@aol.com
APPLICANT':Comfort Homes, Inc. Mailing Address:P 0 Box 369
City: Clayton State:NC Zip:27528 Contact No: 919 553 3242 Email. comfrthomes@aol.com
'Please fill out applicant Information if different than landowner
CONTACT NAME APPLYING IN OFFICE:Julian Stewart Phone#919 422 1481
PROPERTY LOCATION:Subdivision: Cross Link Place Lot#:14 Lot Size:.576�aaccre/�
State Road#1441 State Road Name: Chalybeate Springs Road Map Book 8 Page:• 1T l� '1 LR N-
Parcel: 040664009214 x� PIN: 0664-60-8142.000`
Zoning:RA-30 Flood Zone'. /� Watershed:lV Deed Book 8 Page: A 4k,, (-Power Company: Duke Progress Energy
'New structures with Progress Energyas serviceprovider need to supplypremise number 19710035 from Progress Energy.
09 °8 9Y
PROPOSED USE:
Monolithic
Ql SFD:(Size M x )#52.5' Bedrooms:3 #Baths: Basement(w/wo bath):_Garage: `�Deck: 1 Crawl Space: ✓ Slab:_Slab_
(Is the bonus room finished?( )yes (✓)no wi a closet?(J yes (1)no(if yes add in with#bedrooms)
❑ Mod:(Size x )#Bedrooms #Baths_Basement(w/wo 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? )Deck: (site built? )
❑ Duplex:(Size x )No. Buildings: No. Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
❑ Addition/Accessory/Other:(Size x )Use: Closets in addition?(J yes (_)no
Water Supply: 1 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 five hundred feet(500')of tract listed above?( )yes (✓)no
Does the property contain any easements whether underground or overhead(J yes (f)no
Structures(existing or proposed):Single family dwellings:proposed Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 35' Actual 45
Rear 25 147'
Closest Side 10' 23'
Sidestreet/corner lot n/a
Nearest Building n/a
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 401 N; right on Chalybeate Springs Rd; subdivision on right
If permits ar ranted 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 oing s temennts a urate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
9/11/17
gnature of Owner or Owner's Agent Date
'"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
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September 11, 2017
Comfort Homes, Inc. has an option to purchase Lots 14, 16, 26, 39, and 43B; 'ross Link Place
Subdivision, recorded in Plat Cabinet F, Slides 499A(A)—499A(C), Harnett County Register of
Deeds.
ld • /L/� , (Seal)
111
I, Patricia F. Waite, do hereby certify that Julian R. Stewart, President of Comfort Homes, Inc.,
personally appeared before me this day and acknowledged the due execution of the foregoing
instrument.
Witness my hand and Notarial Seal, this 11th day of September 2017.
,,�o�Q,�G\A .11,'9'/mss•.
(Notary Public) 1CIV CaAR •• .0
? Yt
My commission expires 4/2/22. `1. ' tJeL 0•;=
.. ` .. .
oeroaf 1
Application#
Harnett County Central Penndbng
Ern mem below to be Meg out PO Bm 05 Edington NC 21516
by Mwnewe performing wit 910 893 71128 Fn 9108/321/3 www Plena r.•Prtmete
Mu,be mart rypenad
nem; Anon company
A.oIlcataen fcw Raaid.nttsl Buadina and_ Tia ul
Owner s Name t ���_ �
Site Address D ` otb. Dete�� -��
• C.., . . Phone _ _ \,1,-a
rm_Directions to lob site from Lillington
-.O\ a .
Subdivision C� ��C`- � n •
t
Descnptan of Proposed Work Cly _•• • • • _
Heated BF\�4 Unheated SF SZ\_Finished Bonus Roamn • ''`
`\ �±• Crawl Space ✓ Slab
A w SCfll.refLronlaador la(oBnaH.A
Slag snCompany Name Telephone a
udtl
4c r �A Q•k ' ansa0s c�\•4.5a @ 0.0\. 0
Address
co*\%I \ Email Address
License# 't
Elec-rical ontractor Information
Descnption of Work Roujsc;.ct t 3T d Service Size tooAmps T-Pole _Yes No
fend rr.-{rein/ Ediorh;e_ 9/9-4)S-454cj
Electrical Contractors Company Name Telephone
L _. = . � . _.
Address Email Address
22g 25
License #
Mechanical/HVAC Contractor Information/ /,/
Oescnption of Work Raul-hie t tn'..tpwt f
otter Ve,adj4.c
c5teate.tsa.. #4111,* 11174j•- S/9-3Z9-cwt 86
Mechanical Contractors Company Name Telephone
3wt7.54.104.3454 a. Cat.. �![_ 27S.z 9
Address Email Address
License#
plumbing Contractor Information
Description of Work Rebty(/.in t /diet oras # Baths
Ant b:7—P/Q .r6,.•{ 9/9- 739 - 1377
Plumbin Contractors Company Name Telephone
')S5 e,(Rae.. /?d. [ 2'ls20
Address Email Address
80823
License#
Insulation Contractor Information
TAO., .S1? aWj __ <, may•.- 9/9- 66/- 6??'?
Insulation Contractors Company Name 6 Ad ress Telephone
'NOTE General Contractor murfill out and sign the second page of this application
Iand that-the
hereby certrfy that I have the authority to make necessary application that the application is correct
Mechanical codes const
destruction will and the Harnett oCountyrm to t Zoning he lOtrdnance I state Plumbing and
ions in ing
hdthe information on the above
contractors is correct as known to me and that by sr no below I have obtainectrall Electrical
subcontractors
ermission to obtain these ermits 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 nobly 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 OwnerlContraactc`� "\\ - n
Officer( of Corporation Date
Affidavit for Worker's Compensation N C G S 87-14
The undersigned applicant being the
General Contractor Owner
Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury{ha.:the person(s)rirm(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)anc has obtained workers compensation insurance to cover
them
Has one(1)or more subcontractors(s)whc 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
I Department issuing the permit may require certificates of coverage of workers compensation insurance prior
to issuance of the permit and at any time during this permitted work from any person firm or corporation
carrying out the work
Company or Name V�tt�l.J��Ncko••kA ..
Sign wfl- tie •�'\_��.� _ `\
Date Q 1 7
•
l
Appointment of Lien Agent: Details-LiensNC Lien Service haps://apps.liensnc.com/Scr/appointment/details.html?entryNumber—_.
DO NOT REMOVE!
Details: Appointment of Lien Agent Flied on: 09/07/2017
Entry is 777135 Initially filed by: ComfortHomea
Designated Lien Agent Project Property
Print & Post
WFG National Title Insurance Company Cross Link Place lot 14 Eli El
550 CROSS LINK DRIVE
Onlin«www.1 ienmcANGIER,NC 27501
Arnim.:19W Hargett SL Suite 507 I Raleigh,NC Harnett County O
27601
Contractors:
Panne 1185e90-7354 Please post this notice on the lob Site.
Fat 913<89-5231 Property Type
Suppliers and Subcontractors:
wppon(42en0n7091171w99791109989791 Scan this image with your sman phone to
view this filing You can then file a Notice
-2 Family Dwelling to Lien Agent for project.
Owner Information
Comfort Homes,Inc.
P 0 Box 369
Clayton, NC 27528
United States
Email:commhomes(alaol cam
Phone 919-553-3242
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Technical Support Hotline(888)690-7384
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