DOCUMENTS 09/09/11 Application#
Harnett County Central Permitting \1-5 L\295-2
Each section below to be filled outPO Box 85 Lilkngton NC 27548
by whomever performing work 910 893 7525 Fax 910 893 2793 www hamett mg/permits
Must be owner or licensed
contactor Address company Asobcatron for Residential Building and Trades Permit
name b phone must match
Owners Name Watermark Homes, Inc. Date 1/26/18
Site Address 92 Trophy Ridge Drive Phone 910-483-2229
Directions to Job site from Ldlington
From 401, Left onto W Cornelius Harnett Blvd, Left onto Piney Grove Rawls rd. , Left onto Wagstaff Rd., Left
unto Roianus Ra., Desnnailbn is on reign Slce.
Subdivision The Reserve Lot 13
Description of Proposed Work Single Family #of Bedrooms 3
Heated SF 2,541 Unheated SF 1173 Finished Bonus Room/ Yes Crawl Space Slab X
General Contractor Information
Watermark Homes, Inc. 910-483-2229
Building Contractors Company Name Telephone
1308 Fort Bragg Road-Suite 201 Fayetteville, NC 28305 sharon@waternarkkhomesnc.or
Address Email Address
49261 BLD-U
License#
Electrical Contractor Information
Description of Work Electical Service Service Size Amps T-Pole _Yes_No
Sandy Ridge Electric 910-323-2458
Electrical Contractors Company Name Telephone
454 Whitehead Road, Fayetteville, NC 28305 diane@sandyridgeelectric.com
Address Email Address
L08700
License#
Mechanical/HVAC Contractor Information
Description of Work HVAC Heating and Air System
Stephenson Heating and Air Inc. 919-329-0686
Mechanical Contractors Company Name Telephone
343 Shipwash Drive Gamer, NC 27520 stephensonhvac@aol.com
Address Email Address
18644
License#
plumbing Contractor Information
Description of Work Plumbing #Baths 2 1/2
Chris Holloway Plumbing 910-624-2670
Plumbing Contractors Company Name Telephone
737 Old NC 20 St Pauls, NC 28384 chrisholloway@nc.rr.com
Address Email Address
28541
License#
Insulation Contractor Information
Cumberland Insulation-4205 Clington Rd. Fayetteville NC,28312 910-484-7118
Insulation Contractors Company Name&Address Telephone
*NOTE General Contractor must fill out and sign the second page of this application
I hereby certify that I have the authonty 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 signing below I have obtained all subcontractors
permission to obtain these Dermas 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 8150 00 After 2 years re-issue fee
is as per current fee schedule
01/25/2018
Sign- •re :• er/Contractor/Officer(s)of Corporation Date
Affidavit for Worker's Compensation N C G S 87.14
The undersigned applicant being the
X General Contractor _Owner Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s) hrn(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
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 itis understood that the Central Permitting
Department issuing the permit may require certificates of coverage of workers compensation insurance pnor
to issuance of the permit and at any time during the permitted work from any person firm or corporation
carrying out the work
Company or Name_Watermark Homes, Inc.
Sign w/Tide YAO Date 01/26/18
DO NOT REMOVE!
Details: Appointment of Lien Agent
Filed on: 01/39/3018
Entry if: 790347
Initially filed by:
watermarkhomes1309
Designated Lien Agent Project Property Print & Post
First American Title Insurance Company Reserve Lot 13 Tax Pin:0645-47-8262 0�...r 0
92 Trophy Ridge Drive •x:tii
Oeline:3ax,ijp)wpwm., Fupuay Varina,NC 27526 �"y.,^-t
Amens:tow Hargett St,Suite 507 l Raicigk NC Hamm County County Ok`no
17601
Contramon:
neoe'.888490.7354 Please post this notice on the lob Site.
Fax:913-489-5131 Property Type
Sepplien and Subcontractors:
EOWI:gu o,t6 limmo.mm,.__,.., Scan this image with your man phone to
view this filing.You can then file a Notice
1-2 Family Dwelling to Lien Agent for thuproject
Owner Information
Date of First Furnishing
Watermark Homes Inc
1308 FORT BRAGG RD
STE 201 02/02/2018
FAYETTEVILLE, NC 28305
United States
Email:sharon@watenwkhomesne.com
Phone:910-483-2229
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