DOCUMENTS a� I13 Application# l O So0'•-PSI Ur
Initial Application Date: CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamettorg/permits
'A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PIIRCIIASE)&SITE PLAN ARE REQUIRED WHEN SUBMTTING A LAND USE APPLICA1 ONr
LANDOWNER:
WYNN CONSTRUCTION,INC. Mailing Address: 2550 CAPITOL DRIVE, SUITE 105
City:
CREEDMOOR Stale:NC ZIV:27522 Contac No: 919-258-2430 Emeil'. ttreNtrs@wynnhomes.com
VV1'NN CONSTRUCTION,INC. Mailing Address:2550 CAPITOL DRIVE,SUITE 105
APPLICANT': roe fts
CREEDMOOR NC 27522 919-258-2430 Email:
Cor: Slate:_Zip: Conley No:
•Please fill out applicant information if different than swimmer
919-592{545
CONTACT NAME APPLYING IN OFFICE:
TERI TREFFTZS Pnone#
ANDERSON CREEK CROSSING n Lot*P./�'/ Lot Size: • 32-
state
PROPERTY LOCATION:Subdivision: I ✓�xs I-Q SS7 &aW
/ /I,-� fI /n1 /-]Jp Map Book BPage:•3 S
Slate Roetl# ` D � Slate Road Name: Wy l� r r� S�� 7e� . �Ov
Parcel: ID I 0 53 5P-Co 0100� r//�3 PIN: 0 Sccotcs-9a`
Zoning:RASO 9Flood Zone: �• Watershed:/OA Deed Book 8 Page3557/ adJ Power Company':
'New structures with Progress Energy as service provider need to supply premise number
from Progress Energy.
PROPOSED USE: , Q�,D Monolitt is
�� s9
4 SEE):(Size�i' x T r�#Betlroorti�#Bal •S Basement(w/wo bath):_Gara e: DWcTI( Crawl Space:_Slab:_Slab
(Is the bonus room finished?($yes ( )no wl a closet? yes ( 1 no`if yes add In with*bedrooms)
U Mod:(Size x )#Bedrooms_#Baths_Basement(why°bath)_Garage:_Site Built Deck:_ On Frame_Off Frame_
(Is the second floor finished?L__)yes ( )no Any other site built additions?LJ yes ( )no
O Manufactured Home: SW_DW_TW(Size_x 1#Bedrooms:_Garage: (site built? )Deck: (site bullt?_)
❑ Duplex:(Size_x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms:
Use: Hours of Operation: #Employees.__
Closets in addition?LJ yes ( 1 no
CI Addition/Accessory/Other(Size x 1 Use:
Water Supply: 1 County Existing Well _New Well(#of dwellings using well_)•FAuat have operable water before final
Sewage Supply:_New Septic Tank(Complete Checklist) _Existing Septic Tank(Compkle 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?( )yes (✓1 no
Does the properly contain any easements whether underground or overhead Lj yes (L)no
Structures(existing or proposed):Single familydwellings:
1 Manufactured Homes: Other(specify):
Required Residential
Property Line Setbacks: Comments:
Front Minimum 3r�c Actual3&
Rear _ CI/(("6/
Closest Side /O_`
SMestreet/earner lot�U,
Nearest Building
on same lot Page 1 of 2 03/11
Residential Lana Use Application APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTORS TO THE PROPERTY FROM LILLINOTON:
27 W TO NURSERY RD., LEFT ON NURSERY THEN LEFT ON RAY RD.,THEN LEFT INTO ANDERSON CREEK
ans
If hereby
are granted agree to mrdorm to all ordinances• • •• and
to the best of my k; of the State of nrth nowledgelinP rmllsubject to revocation d false Information is ting such work and the specifications ofprovded submitted.
I hereby state that ere!•'-• ' e —le = res = •�
: g un of Owner or • . .t' Date
'Tilt is the owner/applicants responsibility to provide the county with any applicable Information about the subject property,including but not limited
to:boundary information,house location,
mining Ind or information Nateasements,
containedm ,etc.
wiThe
h ltcoue county
aor its
ss employeesoyam not responsible for any
Incorrect
"This application expires 6 months from the Initial date N permits have not been issued"
Residential Land Use Application
Page 2 of 2 03/11
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PRELIMINARY SITE PLAN FOR
C I / Professional Land Surveyor
Charlie T. Carpenter, P.L.S. WYNN CONSTRUCTION
1940 Juniper Church Road PIN 0505-92-5172.000
) T- Four Oaks, NC 27524 PARCEL ID 01053524 0100 13
' LOT 121 ANDERSON CREEK CROSSING
C (919) 320 52812017
pleehuek300yohoo.eom P 9/18 PG245 106 VILBLIFE BRIDGE COURT
1'=30' SPRING LAKE, NC 28390
09109/11 Application#
Harnett County Central Permitting
PO Box 85 Ulln gton NC 27548
Each section below to be Plied out 910 893 7525 Fax 910 823 2793 www hamett orehiemiM
by whomever performing work
Mual be owner or lowland
contractor Addms company Application for Residential Building and Trades Permit
name a pirone must match
Ownera Name WYNN CONSTRUCTION INC Date I - I0 •r2-0 it
Sae Address 10(o IA)i d VI B�iL� Q,Ct Sp, LAkr, nitPhone 9t4-a<B-aVtD
Directions to lob site from Lillmgton 27W TO W1 RSERY RD., LEFT ON NURSERY, LEFT ON RAY,
LEFT INTO ANDERSON CREEK
Subdivision AIdbosgSofa0ria.,k gross//4 Lot laI
Description of Proposed Work NEW CONSTRUCTION, SFD #of Bedrooms �3 �b
Heated SF a 024 Unheated SF Sa't4 Finished Bonus Room'? t./R S Crawl Space _Slab X
General Contractor InfonnaticA
WYNN CONSTRUCTION, INC. 919-25-258-2430
Building Contractors Company Name Telephone
2550 CAPITOL DR., STE. 105,CREEDMOOR NC 27522 ttre0trs@wynnhomes.com
Address Email Address
46295
License#
Electrical Contractor Information
Descnption of Work NEW CONSTRUCTION Service Size 200 Amps T-Pole ILYes_No
BUFORD ELECTRIC 910-723-1937
Electncal Contractors Company Name Telephone
948 PAN DRIVE, HOPE MILLS, NC 28348 bufordelectric(o'lgmail.com
Address Email Address
31424-U
License#
Mechanical/11VAC Contractor Information
Descnpbon 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
THORNTON'S PLUMBING 919-550-4833
Plumbing Contractors Company Name Telephone
3160A Vinson Road, Clayton, NC 27527 brendaactpi@gmail.com
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 authonty 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 Harnett County Zoning Ordinance I state the information on the above
contractors is correct as known to me and that Dv sauna below I have obtained all subcontractor%
permrwon to obtain then Demote and if gigy changes occur including listed contractors site plan
number of bedrooms building and tradeplansEl lHepermtgroue
changes I certify it is my respobitYtpdythe Harnett County al Permitting Department
of
any and all changes
EXPIRED PERMIT FEES-6 M• the to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee
h,.ule
•
,I / - lo ao ,9
Signature . • -r/Contract/Is l.)of Corporation Date
Affidavit for Worker's Compensation NC 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 corporations)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
J 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� nc pnor
to Issuance of the permit and at any time dunng the permitted work from any person
carrying out the work
Company • :me WY_CC'NS -UC N, INC.
Si! • w/Tlde �Iii��i �� CONSTRUCTION, COORD. Date /- /0
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 @liensnc.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-LJensNC Lien Service https://apps.liens c.com/scr/appointment/details.hhil/entryNymber-77...
DO NOT REMOVE!
Details: Appointment of Lien Agent Piled on: 01/04/2016
Entry M: 778296
Initially filed by: wynnhomos ett
Dolyneled Lion Agent Project Property Print & Port
Investors Tik Wmance Company Alderson creek crossing subdivision lot 121 0•.JS.�I
106wil9debT*ct trio ti.,
ahei yr 41/.^e^e'e^ue*' _.._e spriig kke,NC 211190
AWeu:19W Hargett st,sut5Ofl RsW7C hornet(Coosa •r '��
rear
C.nlndon:
1nm:u11so73m Meese Pee this Wire on the lob St
e n:913Y991 Property Type
Suppliers and&bantoelun:
e we woulAilmancennr...:+.a,i---•• San this hoer with your mad phone m
1-2 Pamgy Dwelling to
this mug You can then Ne a Notice
to Lien Agent N this project
Owner Information
wpm homes
2550 capitaldc
erteaon, NC 27522
Unied Slates
Email:nanq@wywhons.wm
Phone:919.528.1247
Vow Comment.(0)
T chntoel Supped Hotline:(8S8)690-7384
•
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