DOCUMENTS Initial Application Date: I I av 11 O Application# I S SCC) I l9 9
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Ullington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 wvnv.hamett.org/pennis
'A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)8 SITE PLAN ARE REQUIRED WHEN SUBMTIING A LAND USE APLICA110N-
LANDOWNER:WYNN CONSTRUCTION, INC. Mailing Address: 2550 CAPITOL DRIVE,SUITE 105
City CREEDMOOR State:NC Zip:27522 Contact No: 919-258-2430 Ercall. ttreftizsgwynnhomes.com
APPLICANT:WYNN CONSTRUCTION,INC. Mailing Address:2550 CAPITOL DRIVE, SUITE 105
City: CREEDMOOR State:NC Zip:27522
Contact No: 919-258-2430 Email ttreffizs
*Please M out applicant IMormation x different than landowner
CONTACT NAME APPLYING IN OFFICE:TERI TREFFTZS Phone It 919-592-6545
PROPERTY LOCATION:Subdivision: ANDERSON CREEK CROSSING Q n /� Lot#: 101.3 Lott Size' ./d�� � ✓
State Road# `7 O State Road Name: /I IdIn tP . CJI�i 19-9 (Lt. Map Book 8 Page; ST7/ OZtLA
Parcel: /p 33—,0 le 0 DV I S PIN: 0..5.0 - 92 • oocD
Zoning:11Aa`5nRReFlood Zone: )C Watershed{' -I Deed Book 8 Page:' '71 392-5—Power Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
o YMon:dile
{d SFD:(SizexLO,;#Bedrooms # "Basement(wFxa batfGarageX Crawl Space: Slab: Slab
(Is the brows room finished?U yes U no w/a closet?U yes ( )no(H yes add in with*bedrooms)
❑ Mod:(Size_x )#Bedrooms_*Baths Basement(wMro bath)_Garage:_Site Built Deck:_ On Frame_ON Frame_
(Is the second floor finished?U yes U no Any other site built additions?U yes Li no
❑ Manufactured Home:_SW_DW_TW(Size x I*Bedrooms:_Garage: (site bullt?_)Deck: (site built? )
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: *Employees:_
❑ Addition/Accessory/Otte[(Size x )Use: Closets in addition?Li yes Li 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?( 1 yes (✓1 no
Does the property contain any easements whether underground or overhead( )yes (✓)no
Structures(exstig or proposed):Single family dwellings: 1 Manufactured Homes: Other(specify):
Required ResidentialalProperty Line Setbacks:etComments:
mlFront MInImuJ AetuaIS6.13
Rear l•v
Closest Side /9,4 / /.77
SidestreeUcomer lot d V
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 1 agree to conform to all radio:•.— : • laws of the State of North Carolina regulating such work and the s ifications of plans submitted.
I hereby state that foregoing s • : e and co r o t - best. m eaaedge. Permit subject to revocation if a information is provided.
Sip • • -r or Owns?. nt/I Date
"it Is the owner/appikants responsibility to provide 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 N 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 FOR,
C Professional Land Surveyor WYNN C❑NSTRUCTI❑N
1940 Juniper Church Road
PIN 0505-92-5269.000
— rri — Four Oaks, NC 27524 PARCEL ID 01053524 0100 15
C (919) 320-5281 LOT 123 ANDERSON CREEK CROSSING
/ PB2017 PG245
plachuck300yahoo.com 1/9/18
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09/09111 Application#
Harnett County Central Permitting
PO Box 85 Ltlingbn NC 27548
Each eerbm below to be Med out 910 893 7525 Fax 910 893 2763 www hamett erg/pemiM
by whomever performing work
Must be owner or licensed
contractor Address company Application for Residential Buddina and Trades Permit
name&phone must match
Owner a Name WYNN CONSTRUCTION INC ,,,{ Date
Site Address cq0 (A)110d.11CQ a(i ANC.. Sp(1R4LAk4 -Phone 9t9-a5?-ayso
Directions to Job site from Llllington 27W TO NTIRSERY 613., LEFT ON NURSERY, LEFT ON RAY,
LEFT INTO ANDERSON CREEK
Subdivision )4/V Soli C(.32-64 U(OSS"f4 Lot 1.903
Description of Proposed Work NEW CONSTRUCT44, SFD #of Bedrooms 51 Heated SF a/S?& Unheated SF 79A Finished Bonus Room/ A/O Crawl Space _Slab k "N0
General Contractor Information
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#
Electrical Contractor Information
Description of Work NEW CONSTRUCTION Service Sze 200 Amps T-Pole Irlyes_No
BUFORD ELECTRIC 910-723-1937
Electrical Contractors Company Name Telephone
948 PAN DRIVE, HOPE MILLS, NC 28348 bufordelectricalomail.com
Address Email Address
31424-U
License*
fritechamcal/HVAC Contractor Information
Description of Work NEW CONSTRUCTION
CERTIFIED HEAT AND AIR 910-858-0000
Mechanical Contractor a 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 Contractor a 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 authority to make necessary application that the application is correct
and that-the construction wAl conform to the regulations in the Budding 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 pv manna below I have obtained all subcontractors
permission to obtain these permits and if may changes occur including listed contractors site plan
number of bedrooms building and trade plans Environmental Health permit changes or proposed use
changes I catty it is my responsibility to notify the Harnett County Central Penndbng Department of
any and all changes
EXPIRED PERMIT FEES-6 Months to 2 years permit re-tissue fee is$150 00 After 2 years re-issue fee
ytrent - '• r lo
Signa ure of Owner/Contractor ¶r , 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 corporabon(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
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 worker a 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
Compan Na a t'VYNN CON - • ION, INC. ,.l
S se'f..a %p;_ CONSTRUCTION, COORD. Date I" /0 -02-0 I p
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 9134859-5231
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. I60A-417:
"(Effective April 1,2013)No permit shall be issued pursuant to subdivision(1)of subsection(a)of
this section where the cost of the work is thirty thousand dollars($30,000)or more,other than for
improvements to an existing single-family residential dwelling unit as defined in G.S. 87-15.5(7)that
the applicant uses as a residence,unless the name,physical and mailing address;telephone number,
facsimile number,and electronic mail address of the lien agent designated by the owner pursuant to
G.S.44A-11.1(a) is conspicuously set forth in the permit or in an attachment thereto. The building
permit may contain the lien agent's electronic mail address.The lien agent information for each
permit issued pursuant to this subsection shall be maintained by the inspection department in the
same manner and in the same location in which it maintains its record of building permits issued."
www.liensnc.com
Appointment of Lien Agent Details-LiensNC Lien Service https://apps.liensnc,com/scr/appointment/details.html?enlryNumbei ...
DO NOT REMOVEI
Details: Appointment of Lien Agent
Flied on: 01/71/3018
Entry #: 782316 Initially filed by: e.
wynnhom
Designated Lien Agent Project Property Print 8 Post
•
Investors'MN hwlmtt Company endnvon artek crossing subdivision lot 123 ❑
90 wadi*bddgmd. �ft�•V�,F'
oeae:yrew 11766m6auw, ...: spring lets,NC
Address:19W.11•6611 St.Sults 507/Y4ire,NC . i hanll Cau* El 0
31601 Contnelon:
Pbene:no-690.738 Please post Ws notice an the lob Site.
ew:913-1596211 'i Property Type
Sepplkn and Subcoatneten:
Enna wooaealivinmene.,...7•---i , Sean this Image with your amen phoncta
I - view IN,filing,You can then Ilk a Notice I
I 1-2 Family Dimling to Lien Agent far this project
Owner Information
w 1m berms
2550 capital dr.
creedmoor, NC 27522 li
United States
Hnlail:nmcY@wwmbomes.com
Plena:919-5281347 i$
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ElaeleY Support Hotline:088)690-73W
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