DOCUMENTS 09109/11 Application# c1
Hamett County Central Permitting 12g5`\
Eachaesectionbebw to be lilted out PO Box 65 Ulliigtcn NC 27546
Each
by whomever peowoOxmk 9106937525 Fax 910 893 2793 www hamett Ora/permits
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name 8 phone must match
Owners Name Watermark Homes, Inc. Date 1/26/18
Site Address 104 Trophy Ridge Drive phone 910-483-2229
Directions to job site from Lillington
From 401, Left onto W Cornelius Hamett Blvd, Left onto Piney Grove Rawls rd. , Left onto Wagstaff Rd., Left
onto RoianusRo., Destination is or F09nrSioe.
Subdivision The Reserve Lot 14
Description of Proposed Work Single Family #of Bedrooms 4
Heated SF 2,575 Unheated SF 944 Finished Bonus Room/ Yes Crawl Space _Slab X
General Contractor Information
Watermark Homes, Inc. 910-483-2229
Budding Contractors Company Name Telephone
1308 Fort Bragg Road-Suite 201 Fayetteville, NC 28305 Sharon@watennarkkhomesnc.a
Address Email Address
49261 BLD-U
License#
Electncal 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 Garner, NC 27520 stephensonhvac@aol.com
Address Email Address
18644
License#
plumbing Contractor Information
Description of Work Plumbing #Baths 3
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 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 that by manna below I have obtained all subcontractors
penntsston to obtain these permits 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 reissue fee is$150 00 After 2 years re-issue fee
is as per current fee schedule
01/26/2018
Si! re of Owner/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 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
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 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 dunng the permitted work from any person firm or corporation
carrying out the work
Company or Name Watermark Homey,Inc.
Sign w/Tide ��;1, Date 01/26/18
DO NOT REMOVE!
Details: Appointment of Lien Agent Flied on: 01/29/201e
Entry N: 790382
Initially filed by:
watt rmar khom es 1309
Designated Lien Agent Project Property Print & Post
First American Title Insurance Company Reserve lot 14 Tax Pin:0645-47-7118 1:laz
104 Trophy Ridge Drive
Online:wwwliensuc cam.. Fuquay Varina,NC 27526
Address:19W Hargett M.Suite 507 I Raleigh NC Harnett County O. 44rYo
27601
Con In etc
now 888490-7384 Please post this notice on the lob Site.
Fax:913-489-5231
Property Type
Suppliers and Sabcoatraciono
¢®vu:819wMNlirnwe omn Scan this image with yourur smart phone to
view this filing.You can then file a Notice
1-2 Family Dwelling to Lien Agent for this project
Owner Information
Date of First Furnishing
Watermark Homes Inc.
1308 FORT BRAGG RD
STE 201 02/022018
FAYETTEVILLE, NC 28305
United States
Email:sharan(c watermatkhomesnc.com
Phone:910-483-2229
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