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BUILDING W/ CONT NAMES & LIEN *Each section below moat be filled out by Application# \`- whoever k performing the work. Must be Harnett County Central Permitting owner or licensed contractor. Address, PO Box 85 LJllIngton,NC 27648 company name a phone must match 910-893-7525 Fax 910.893-2793 vmw.hamettorgrpemdle Information on pate license. COMMERCIAL Aaalication for Bulidina and Trade.Permit Ownees Name: Campbell University Foundation,Inc. Date: 9-25-17 Site Address:40 TT Lanier St.,Bules Creek,NC 27508 Phone: 919-730-1858 Directions to Job site from Llllington: 421 South toward Rules Creek for 3 miles,take a left on Leslie Campbell Ave. toward Campbell University. Follow the first roundabout to TT Lanier,the Jobeke will be on the right. Subdivision: NA Lot: NA Description of Proposed Work: Two slory new Admissions Building for Campbell University. Heated SF 13,443 Unheated SF NA General Contractor Information:Building Cost$ 5,548,000 T.A.Loving Company 919-734-8400 Building Contractor's Company Name Telephone 400 Patetown Rd.Goldsboro.NC 27530 nmcdonald@taioving.com Ad / Email Address _/L 325 S net of Owner/Con or/OffIcer(e)of C tion License# Electrical Contractor Information: Electrical Cost$ 498,000 Description of Work New electrical service for the building Service Size: 120208 Amps #T-Poles One Watson Electric 910-483-4193 Electrical Contractor's Company Name Telephone 369 Wilkes Rd.Fayetteville,NC 28308 TOostello®welsonelec.com Address Email Address 213U Signature of Owner/Contractor/Officer(s)of Corporation License# Mechanical Contractor Information: Mechanical Cost$ 475.000 Description of Work New HVAC for the building #Unite One AHU Superior Mechanical 919-738-9026 Mechanical Contractor's Company Name Telephone PO Box Radioman,NC 27317 Jburchamesupmech.com Address Email Address 12051 Signature of Owner/Contractor/Officer(s)of Corporation License# plumbina Contractor Information.Plumbing Cost$ 131,000 Description of Work New plumbing work for the building #Baths One ACME Plumbing 919-730-5441 Plumbing Contractor's Company Name Telephone 636 Foster St..Durham,NC 27702 geraldbyrd@acmeplumbing.com Address Email Address 11987 Signature of Owwner/Contractor/Offlcer(s)of Corporation License# insulation Contractor Information Insulation Contractor's Company Name&Address Telephone *NOTE: General Contractor must fill out and sign the second page of this application Commercial Building Application 1 of 2 08110 Sprinkler Contractor Information Associated Fire Protection 919-5534021 Sprinkler Contractor's Company Name Telephone PO Box 26022,Raleigh,NC 27611 mhouston@etp-nc.com Address Email Address 29247 Signature of Offloads)of Corporation License# Fire Alarm Contractor Information FA Contractor Is under Watson's scope of work. Fire Alarm Contractor's Company Name Telephone Address Email Address Signature of Offloads)of Corporation License# pdvewav Access- NC Department of7ransportation Driveway Access/Pemdt? ✓ 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 Hamett County Zoning Ordinance. I state the information on the above contractors is correct as known to me and If!By 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 end all changes. Expired Permit Fees-6 months to 2 years permit re-Issue fee Is$150.00. After 2 years re-issue fee Is charged at full price per current fee schedule. 14 1 J6D—A/ 9-25-17 Signature of Owner/Contractor/Of6cer(a)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 penury 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 (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 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 Name:T Loving Company Sign w/Title: C .--- Date:9-25-17 Commercial Building Application 2 of 2 08/10 DO NOT REMOVE Details: Appointment of Lien Agent FILA on: 01/70n017 Entry I: 712757 Initially filed by: TALoving Dulgnated Lien Agent Profeet Property Print & Post • Chimp 7100 Compaq,LLC I 40 IT Limier St Suits Creek,ryc 27506 pi, .0 Hamott Com7;46-,h7.1 - .1dvw:rowHEW u.gww5staddab.Nc • • 176:0 ❑t7V43 4 n...:130-690.7314PreperW Type ntreelon: Pi w:913Jroax31 Place pat this notice s the lab Site. i Otlw Lima:.101116oS.m._.., —llil_ Suppiien sad gabweasron: Sun this imago with your nun phone to ,Oats of First Furnishing view nth Syed Your thou file*Notice Owner information kuou Agent redid.project . .09/18/201 TA.Loving Company 400?noon Aad OoWrbmn,NC 27530 United Stales 8usII:omedomId®klovleg.com Phos:919-734-8400 View Common(0) TabnlW Supper flatus:(108)690-7384 •