DOCUMENTS Initial Application Date:9/11/17
Application# 1 '1`LOnt-{da,l 9 l/D
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting
��..108a �E�..Front treat,ssLillliLinn�gto1n,NC 7546 Phone:(910)893-7525 ext 2 Fax:(910)893-2793 www.harnett.orglpermits
A ORDEII'SEIRttr f4,,k b- RDEO/EED(dR OF RT(fPURCHASE)&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 No: 919 553 3242 Email. comfrthomeslo3aol.com
APPLICANT':Comfort Homes, Inc.
Mailing Address:P O Box 369
City' Clayton State'NC Zip:27528 Contact No'. 9195533242 Email: comfrthomes@aol.com
'Please 011 out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:Julian Stewart Phone#919 422 1481
PROPERTY LOCATION:Subdivisio¢ Cross Link Place Lot if 16 LotLootSize: .576 acre
�
Stale Road#1441 State Road Name'. Chalybeate Springs Road Map Book&Paget �z+r/ E{QLq A
Parcel. 040664 0092 26 PIN: 0663-69-8953.000' 1 . —
Zoning: RA-30 Flood Zone: )0 Watershed:IV Deed Book&Page: IXJt"k.Ai Power Company': Duke Progress Energy
'New structures with Progress Energy as service provider need to supply premise number 38015911 from Progress Energy.
PROPOSED USE
69' 40.33' 3 2 Monolithic
4 SFD:(Size_x )#Bedrooms #Baths:_Basement(wAvo bath)':_Garage. ✓ Deck: ✓ Crawl Space. ✓ Slab:_Slab.
Is the bonus room finished?U yes (V)no w/a closet?( )yes (✓)no(if yes add in with#bedrooms)
❑ Mod.(Size_x_)#Bedrooms_it 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?( 1 yes ( )no
❑ Manufactured Home._SW OW_TW(Size x )#Bedrooms: Garage' (site built? )Deck: (site built? )
U Duplex.(Size_x )No. Buildings: Na.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
U Addition/Accessory/Other:(Size x )Use: Closets in addition?(U yes (_)no
Water Supply ✓ County Existing Well New Well at 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( )yes (✓1 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' 155'
Closest Side 10 15
Sidestreeticorner lot n/a
Nearest Building n/a
on same lot
Residentai Land Use Appl.catmn Page I of2 03/I
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 401 N; right on Chalybeate Springs Rd; subdivision on right
If permits are gr ted I agree to conform to all rdinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that Ding st ments art acc to an correct to the best of my knowledge. Permit subject to revocation if false information is provided.
\V,\ 9/11/17
S ature of Owner or Owner's Agent Date
"9t 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**
Resdentral Land Use Appluation Page 2 of 2 C3.II
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 Filed on: 09/07/2017
Entry s': 777183 Initially filed by: ComfortHomee
Designated Lien Agent Project Property Print & Post
WFG National title Insurance Company Cross Link Place lot 16 M 1 .. El
590 CROSS LINK DRIVE % ,�pp��[['.[.P
Online we,Ileums 6,7756 5-6-5-6 ANGIER,NC 27501 � frf+,[,}
AEnrw119W Pawl .Suite 501/Rrinyh NC Ilanen County O- v!
27601
Contracton:
Pnmv ssa690-13x4 Please pose this notice on the Job Site
Fay ousea5nl Property Type
Supplies and Subcontractors:
I:m.il:suorvmalitame corn......mama Scan this image with your smart phone to
view this filing You can then file a Notice
1-2 Family Dwelling to Lien Agent for this pject.
Owner Information
Comton Homes,Inc
PO Box 369
Clayton, NC 27528
United Stales
Hmaib.comfnbontespjaol cam
Phone 914553-3242
View Comments l0)
Technical Support Hotline:(888)6907384
1 of 1 9/7/2017, 1:54 PM
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September 11, 2017
Comfort Homes, Inc. has an option to purchase Lots 14, 16, 26, 39, and 438 a 'ross Link Place
Subdivision, recorded in Plat Cabinet F, Slides 499A(A)—499A(C), Harnett County Register of
Deeds.
Sie' /L,/Ira (Seal)
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.
"''III,,,•
L (Notary Public) =Q?• OTARL'�R %
My commission expires 4/2/22. `•. p O /. ‹.),c
••.•70W COO,.
09/08/11
Application#
Harnett County Central Permitting
Each teraen below to be aped out PO Sox e9l+llmpefn NC 21019
by wep,nM,performing�,a oto eaa 7025 Fax 910 9Ba 2713 wets emelt cep/permitsMust bean a hemmed
mndeob hype company name rwme s phone must mems hr Residential Building and Trades Pa
S \
Owners Name a .r.._ , stlC1D1 9
Sae Address �1 .cOCC\ :L\�C�i,_cQ t RA-SS':
- / -
��. Phone "thy-ss� 1a+ re..
Directions to lob site from Lalmgton S.S • ,� ' f_\_ . e,� s_
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Subdivision C) Cc s\..-,C' .l�\a&c
(� ,�,��� /f�� � •t
Diocletian\of P47o Work Q : -S �.Ln\ko2. ClQ Zinn !9. . , :♦,
Heated SF\\¢ > Unheated SF S t Finished Bonus Room' Crawl Space '1/
Slab
goers(Contractor Ih(ognago0
A me gi€1-tYn- 1.ava
Audding dnbactors Company Name Telephone
Ro fb.CP\ C�4y - ra.C)S. C S QcC\S�+ltrt 40i\. Cpm
Address Email Address
License#
J=lec:ncal ontractor Information
Descnption of Work Rave&iat Service Size ZOOAmps T-Pole _Yes _No
ferw..ri.-Ae41 hGael?;e 9/9-435-aS 1
Electrical Contractors Company Name Telephone
c _. . •-, . sv/...a 4(
Address Email Address
22g2
License #
Mechanical/HVAC Contractor Information�/ ,//
Description of Work Rosy'/.;.. 9-S.'.cpsr"4-otter t/ewr.4ii.c
4 enro.. f/msS:54-74;r 9/P- 3Z9-6484.
Mechanical Contractors Company Name Telephone
3't 3 S.U,ocoes4 a. c,.....,,v[_ 27R•Z 9
Address Email Address
/86 4Y
License #
Plumbing Contractor Information
Description of Work &i.1 t lrjj..4.14./S #Baths
r4.n b;7- Ad 44,09 7/9- F34 - 1379
Plumbm Contraaactors Companyl' NamemTelephone
_2ss Feeet Rao..Re. cl�y�g.tiAre 2'?.-s2.o
Address Email Address
qban
License #
Insulation Contractor Information
Ta'Ixr..,4-nt.,4Jofr -SO cWIarl44.<IZCS.rs+e.- ifY, a6/- t'F^j
Insulation Contractors Company Name &Ad cess Telephone
'NOTE General Contractor mus.: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 s1nnc below I have obtained all subcontractors
Qermrssion to obtain these ermita and if arty 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
e11 CI
Signature of Owner/Contracts
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 perjury4ha:the person(s)ifirm(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
XHas one (1)or more subcontractors(s)whc has thew 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 during the permitted work from any person firm or corporation
carrying out the work//�� f�
Company or Name `' sRC�Ir�.\kpllypla \^Q
Sign wlirtle � �
- � �.� d.[_lb-- �� Date CA —� - kr)
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