DOCUMENTS Initial Application Date: I e+"/.1./ 6/ 7 Application# \OehLt3 ) 1 I
CU/
COUNTY OF HARNETT RESIDENTIAL.LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27548 Phone:(91 0)893-7525 exl:2 Fax:(910)893-2793 www.hamett.orglpennits
^A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION^
LANDOWNER
VVYNN CONSTRUCTION,INC. Mailirg Address: 2550 CAPITOL DRIVE, SUITE 105
City: CREEDMOOR stele,NC Zip:27522 Contact No: 919-258-2430 Email: ttreftzs(ojwynnhomes.com
APPLICANT*:WYNN CONSTRUCTION, INC. Mailing Address:2550 CAPITOL DRIVE, SUITE 105
City: CREEDMOOR state:NC Zip.27522 Contact No. 919-258-2430 Email: ttrefftre
'Please fill out applicant information if different man landowner
CONTACT NAME APPLYING IN OFFICE:
TERI TREFFTZS Phone#919-582{545
PROPERTY LOCATION:Subdivision: ANDERSON CRFEEEK CROSSIIN.G. Lott it <4 s2#. ,
SbbRoad#'n cJ I State Road Name: rod.1 l)M1lpV\ \`—'2 W$
i ✓QMap Book&Page• , 04O5
Parcel: 16) 1.6a5 <Oion ( PIN: C)��1r1"lQ `J u i .73.9Q.• Qon
Zoning:RA-)04 Flood Zone:x Watershed:IJA Deed Book&Page:pO I 1 337 Power Company:
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
tp� 4Y�1 //�� MongklRic
Pf 8F1):(Sbe,gL� �Betlrooms7 #Batha Basement(w/wo bath?_Garage:$ Deck:_Crawl space:_Slab'._SI
(Is the bonus room finished?(oyes ( )no wl a closet?LJ yes A no(II yes add in with#bedrooms)
U Mod:(Size_x )#Bedrooms_#Baths_Basement(wANo bath)_Garage:_Site Built Deck:_ On Frame_Off Frame_
(Is the second floor finished?I )yes (___)no Any other site built additions?(U yes ( )no
❑ Manufactured Home:_SW_DW_TW(Size x )#Bedrooms:_Garage: (site built? )Deck: (site bulk? 1
❑ Duplex:(Size_x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: //Employees:
❑ Addition/Accessory/Other:(Size_x )Use: Closets in addition?( )yes (__)no
Water Supply: ✓ County _Existing Well New Well(#of dwellings using well 1 Muet 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?( 1 yes (✓)no
Does the property contain any easements whether underground or overhead(_J yes (✓)no
Structures(existing or• o••s-• .Single family dwellings: 1 Manufactured Homes: Other(speciy):
Required Residential Property Line Setbacks: Comments:
Front Minimum 3,C Actual 'S Co
Rear (SC 3g• 77
Closest Side / O / 0
Sldestreetcorner toy" D
Nearest Building
on same lot
Residential Land Use Application Page I of 2 03111
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
27 W TO NURSERY RD.,LEFT ON NURSERY THEN LEFT ON RAY RD.,THEN LEFT INTO ANDERSON CREEK
If permits are grant • conform to all ordinances and la . of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state ih= m r:are correccorrecto the best my knowledge. Permit subject to revocation N false Information Is provided.
DRa
Sig no wner of Oor • e'ant
t/
•••R Is the owner/applicants responsibility to provide the county wi I 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 8 months from the Initial date H permits have not been issued^
Residential Land Use Application Page 2°f 2 03/11
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Charlie T. Carpenter, P. L. S. PRELIMINARY SITE PLAN FORt
iTh I / Professional Land Surveyor WYNN C❑NSTRUCTI❑N
L/ 1940 Juniper Church Road
PIN 0505-87-7290000
--F___ Four Oaks, NC 27524 PARCEL ID 01053525 0100 48
LO1106
C (919) 320-5281 PBT 2017 APG 327 NDERSON CREEK CLUB S/D
/ I 51 RING ISE,ATION DRIVE
plechuck300yohoo.com 12/12/17
1•=30' SPRING LAKE. IC 28390
09109/11 Application#
Harnett County Central Permitting ,
Each Becton below to be filled outPO Sox 66ltlbnplon NC 27546
whomeverby performing
��� 9106037626 Fax 0106034703 www llama mg/permits be owner or Mensal
'p^ ^M U company AaolIcatlon for Residsntlal Budding and Trades Permit
nems 8 phone must match w /
Owners Name WYNN ,ONSTnRU-C�-TION. INC Date /4/a9/a'0/7
Site Address 1/451 '?t.tt.L'x,l IOIn le 'VC 1 L'flc 1YL Phone Q 1 Ci'/a kik -rani a)
Directions to job site from Lillington 27W TO NURSERY R ., LEFT ON NURSERY, LEFT ON RAY,
LEFT INTO ANDERSON CREEK
Subdivision t e.7 : So . ' .' a - a 0 r! ZI/ . Lot j
Description of Proposed Work NEW CONSTRUCTION, SFD #of Bedrooms t�6M1ti
Heated Scar 391, Unheated SF 50 6 Finished Bonus Room" Li 2L Crawl Space _Slab
General Contractor Informat
ion
WYNN CONSTRUCTION, INC. 919-25-258-2430
Building Contractors Company Name Telephone
2550 CAPITOL DR., STE. 105. CREEDMOOR, NC 27522 ttrefftzs@wynnhomes.com
Address Email Address
46295
License#
glectncal Contractor Information
Description of Work NEW CONSTRUCTION Service Size 200 Amps T-Pole4Yes_No
BUFORD ELECTRIC 910-723-1937
Electrical Contractors Company Name Telephone
948 PAN DRIVE, HOPE MILLS, NC 28348 bufordelectric@gmail.com
Address Email Address
31424-U
License#
Mechanical/HVAC Contractor Information
Description of Work NEW CONSTRUCTION
CERTIFIED HEAT AND AIR 910-858-0000
Mechanical Contractors Company Name Telephone
779 SUNSET LAKE RD., LUMBER BRIDGE, NC 28357
Address Email Address
NC 200212 H3 CLASS 1 - -
License#
Plumbing Contractor Information
Description of Work NEW CONSTRUCTION #Baths CS
THORNTON'S PLUMBING 919-550-4833
Plumbing Contractors Company Name Telephone
3160=A OMAR RD., CLAYTON, NC
Address Email Address
22152
License#
Insulation Contractor Information
TATUM INSULATION 919-661-0999
Insulation Contractors Company Name 8 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 Electncal 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 Dv stanina below I have obtained all subcontractors
permission to obtain thus 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 'ERMIT FEE onths to 2 -ars •-rmit re-issue fee is$150 00 After 2 years re-issue fee
is - •-r cu -i fee - `
% w./rte i I a73 ;/P-0 /
Signature of • 7.Tontractor/Offic j • •/•rporation Date
Affidavit for Worker's Compensation N C G S 87-14
The undersigned applicant being the
General Contractor _Owner J Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s) firm(s)or corporation(s)performing the work
set forth in the permit
J 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
1 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 Cs 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 dunng the permitted work from any person firm or corporation
carrying out the work -----
Comp
Comp or Nam- :•ni TRUCTION, INC. ,� /
Sig winds i///e/�'� ' CONSTRUCTION, COORD. Date (3/ 24%�� c
LIEN AGENT INFORMATION
Effective April 1,2013
In accordance with North Carolina General Assembly Session Law 2012-158,
Inspection Departments are not allowed to issue any permit where the project cost
is $30,000 or more unless the application is for improvements to an existing
dwelling that the applicant uses as a residence OR the property owner has
designated a lien agent and provided the inspections office with the information
below:
Name of Lien Agent TITLE INSURANCE COMPANY
Mailing address of Agent 19 W. HARGETT STREET, SUITE 507
RALEIGH, NC 27601
Physical address of Agent 19 W. HARGETT STREET, SUITE 507
RALEIGH, NC 27601
Telephone 888-690-7384 Fax 913-4859-5231
Email support @Iiensnc.com
The information will be attached to the permit record and a copy provided to the
applicant. The applicant is required to post a copy on the construction site.
Excerpt from North Carolina G.S. 160A-417:
"(Effective April 1,2013)No permit shall be issued pursuant to subdivision(I)of subsection(a)of
this section where the cost of the work is thirty thousand dollars($30,000)or more,other than for
improvements to an existing single-family residential dwelling unit as defined in G.S. 87-15.5(7)that
the applicant uses as a residence, unless the name,physical and mailing address,telephone number,
facsimile number,and electronic mail address of the lien agent designated by the owner pursuant to
G.S.44A-11.1(a)is conspicuously set forth in the permit or in an attachment thereto. The building
permit may contain the lien agent's electronic mail address. The lien agent information for each
permit issued pursuant to this subsection shall be maintained by the inspection department in the
same manner and in the same location in which it maintains its record of building permits issued."
www.liensnc.com
Appointment of Lien Agent:Details-LiensNC Lien Service https://apps.liensnc.com/scr/appointment/details.html7entryNumbet'._
DO NOT REMOVE!
Details: Appointment of Lien Agent Fled unsnon
Entry M: 770931 Initially flied by: wynnhomes
Deal gneted Lien Agent Project Property Print & Post
Investors Title Nennrce Company endemn creek subdivision lot 1104 n -I11
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Suppliers and SubeanMelen:
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view this filing You can then Me a Nonce
- 1-2 Fernley Dwelling to Lien Agent for line project
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Owner Information f,
namy r.wynn
2550NNW d[
9reedmoor,NC 27522
United Stilt.
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Email:
nancy@wynnhomee.com
Prone:919-525-1347
View Commend(0)
2Eeeeafl support enigma:(BBS)690.7314
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