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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 View Comments(0) Technical Support Hotline:(888)690-7384