DOCUMENTS Initial Application Date: I au) I O Application* 1 C/S5C)C) 13 fl ocr
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Ullington,NC 27546 Phone:(910)893-7525 ext2 Fax:(910)893-2793 www.hametlorg/permits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMTONG A LAND USE APPLICATION-
LANDOWNER:WYNN CONSTRUCTION, INC. Mailing Address: 2550 CAPITOL DRIVE,SUITE 105
City CREEDMOOR male.NC Zip:27522 Contact No: 919-258-2430 Email: ttrefltrs@wynnhomes.com
APPLICANT':WYNN CONSTRUCTION,INC. Mailing Address:2550 CAPITOL DRIVE, SUITE 105
City: CREEDMOOR State:NC Zip:27522 Contact No: 919-258-2430 Email: Wefts
'Please en out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:TERI TREFFTZS Phone#919-592-6545
PROPERTY LOCATION:Subdivision: ANDERSONC��R _CCROSSING �-y Lot#: W-o—LototSize: 731
State Road* IVC State Road Name: AAW11EEKI Id I I PL 8 61 ( `^y • Map Book 8 Page:SSCl 0 aA r3S
Parcel: 0 / ,'0j V.°A .)10 DID() J' PIN: O soS 4a - S-000. 000
Zoning:M�'O1 .Flood Zone: 'C Watershed:N A Deed Book 8 Page:SS / ass Power Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: ,`✓ .,/ e
SFD:(SiS Exal 4#Bedrooms#Bams�-Basement(wNro bal4/4 Garage:,Deck`�ix Crawl Space:_Slab:_Slab' t
(Is the bonus room finished?( )yes Li no wl a closet?U yes ( )no(if yes add in with#bedrooms)
❑ Mod:(Size x 1#Bedrooms_#Baths_Basement(wN.0 bath)_Garage:_Site Built Deck:_ On Frame_Off Frame
(Is the second floor finished?U yes Li no Any other site built additions?U yes Li no
❑ Manufactured Home:_SW DW TW(Size x )#Bedrooms:_Garage: (site built? )Deck: (site built?
❑ 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 )'Must 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?U yes (✓)no
Does the property contain any easements whether underground or overhead Li yes no
Structures(existing or proposed):Single family dwellings. I Manufactured Homes: Other(specify):
Required Residential Property Line Se3
Setbacks: 2 Comments:
Front Minlmum''S�J- Actual'1 t0.b
Rear /cg
Closest Side � 1?.. a 9
t/c
Sidesbeeomer lo101.10
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03/11
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 granted I agree to confo ordinances a • :ws of the - - - of North Carolina regulating such work and the specifications of plans submitted.
I hereby state Mal f• • tate ! u to and • -ci to the best of knowledge. Permit subject to revocation i Ise information is provided.
.4 . � ' ��
•nature of Owner• ,f)x nt Date
"'k Is the ownerlapplicants responsibility to providee the county with 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 6 months from the Initial date If permits have not been issued^
Residential Land Use Application Page 2 of 2 03/11
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Charlie T. Carpenter, P.L.S. PRELIMINARY SITE PLAN FORt
C / Professional Land Surveyor WYNN C❑NSTRUCTI❑N
1940 Jumper Church Rood PIN 0505-92-5200.000
--IT -- Four Oaks, NC 27524 PARCEL ID 01053524 0100 14
C LOT 122 ANDERSON CREEK CROSSING
(919) 320-5281 PB2017 PG245 100 WILDLIFE BRINE COURT
/ I plechuck300yahoo.com 1/9/18
9308 SPRING LAKE, NC 28390
09109/11 Application#
Harnett County Central Permitting
PO Box 85 Lillington NC 27548
Each swoon below to be NIS out 910 893 7525 Fax 910 893 2793 www hamea aypennits
by whomevercliceng work
Must be owc
owner r licensed
contractor Address company AoohcMion for Residential Building and Trades Permit
name 8 phone must match
Owners Name WYNN CONS RUCTION. INC � Date I` 10'07 018
Site Address 100 • a. • ,. : R e • //11�f- Sof '1 • f N Phone Q(9-a c2 t/
Directions to job Me from Lillington 27W Ta NURSERY RD., L TON NURSERY, LEFT ON RAY,
LEFT INTO ANDERSON CREEK
Subdivision 44 bit it o AJ ere 2K CAOSS I N Lot IoW
Description of Proposed Work NEW CONSTRUCTIO'WSFD - I #of Bedrooms 7
�,3
Heated SF /)Unheated SF 164? Finished Bonus Room/ r"6 Crawl Space _Slab V Miiw
General Contractor Information
WYNN CONSTRUCTION, INC. 919-25-258-2430
Building Contractors Company Name Telephone
2550 CAPITOL DR.. STE. 105,CREEDMOOR, NC 27522 ttrefitrs@wynnhomes.com
Address Email Address
46295
License#
Electrical Contractor Information
Descnption of Work NEW CONSTRUCTION Service Size 200 Amps T-Pole Yes No
BUFORD ELECTRIC 910-723-1937
Electrical Contractors Company Name Telephone
948 PAN DRIVE, HOPE MILLS, NC 28348 bufordelectricLgmail.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
Descnption 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&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 end
Mechanical codes and the Hamett County Zoning Ordinance I state the information on the above
contractors Is correct as known to me and that yv slantha below I have obtained all subcontractors
permission to obtain these permits and if g_ny 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-0 Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee
sc ed le
/ -iiOr a. kg-9o/ g
Signature e • ;r/Conti I P. r(s)of Corporation Date
Affidavatfor 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 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 it is understood that the Central Permitting
Department issuing the permit may require certificates of coverage of worker a compensation insurance pnor
to issuance of the permit end at any time dunng the permitted work from any person firm or corporation
carrying out the work
Company • -, e ' ' CONSTRUCTION, INC.
Sig /Title / �L CONSTRUCTION, COORD. Date (-3-go Pr
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 888890-7384 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 agents 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 Idtps://apps.liensnc.cadscr/appointmelNdetails.html?enhryNumber-77...
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 01/04/2018
Entry if: 77(321 Initially filed by: wynnhomee
DesIgneted Llen Agent Project Property Print 8 Peel
ltwe.ton Tek hunelwe Camping antrum crock crossing subdivision lot 122 Ot! :l]
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y.kie.NC 28390 ��
Antem:l9W Haan St.Sate 507/RilewoC Imran County Qr .t
71601 Co.Imelsm
imam Iwea96.7364 Please post this nice on the Jab Sue.
N;911.0).5311 Property TYP•
Suppliers sed 6,Moalttdon:
tows:elPcI II,lo eunl.w....mr.— Snn We image wuh Your some Phew to
-2 Family Dwelling to
this Mims You m then file•Notice
1w Lin AgM for this project
Owner Information
wytm homes
2550 cepNl dr.
creednwor. NC 27522
Units Steles
amen:n.ney®wyesmomee.com
Phone:919-528-1347
Mew Cmmcnb(0)
Eehnkal Supped ltolunet(SSS)690-7354
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