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Initial Application Date: Di-, \ Application it I O a Lo..3 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.harnett.org/permits ""A RECORDED /SURVEY ..MAP, .RECORDED DEED(OR(((OOFFEER TO PURRCCHASE)&SITE PLAN ARE REQUIRED�WHEN SUBMITTING A LAND USE APPLICATION** LANDOWNER:/ISUII{1f1. tuciory Ihy r/ to.Mailing Address: 4)9/g &'e e CV "(1 IX) fy�1 vc City:r((ILC(1�-Ll ll� n State:a- Zip:`))393 Contact No: 9/0-y :"/ MY Email:'I.�UIF)4haireflkkOIT .e'oD APPLICANT*: SAlAl E AS (l4iv/MLon3 E R- - Mailing Address: City: State: Zip: Contact No: Email: 'Please all out applicant information if different than landowner (�/1 r (3 CONTACT NAME APPLYING IN OFFICE://( IIry�ear) )Q - cu // 7)0-Y,fo-yf�'y PROPERTY LOCATION:Subdivision: ///A' alone A c (exoylO!) 19/0,/kiliio Lot it: (o43 Lot Size: a'4)- at State Road# OW) State Road Name: Map Book&Page: at I-1 / Parcel: Oct ISloS19-O are PIN: 9S9S - yl - to04 co, CO Zoning:(UQ-ZG'IZ Flood Zone: 7. Watershed: 1i Deed Book&Page:35 bb I 0244-Power Company': 064477/C/d( "New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: / 11 cr/ ?#)1I0 Monolithic 13 SED:(Size cD x q a)#Bedrooms:T #Baths Basement(w/wo bath): UD Garage: Deck:At-Crawl Space: )� Slab:_Slab:_ (Is the bonus room finished?( )yes ( )no w/a closet?( )yes (_)no(if yes add in with#bedrooms) ❑ Mod:(Size x )#Bedrooms_#Baths Basement(wlwo bath) Garage: Site Built Deck: On Frame Off Frame (Is the second floor finished?( )yes ( )no Any other site built additions?( )yes ( )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 xJ Use: Closets in addition?( )yes (_)no Water Supply: IZ 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?(_)yes y/)no Does the property contain any easements whether underground or overhead(1)yes ( )no uk cl.LA-s&A.nw4Wk U ' Structures(existing or proposed):Single family dwellings: [it Manufactured Homes: Other(specify): Required Residential Property Line Setbacks: Comments: Front Minimum 3s Actual 31 Rear r)S Closest Side y I10 )C� Sidestreet/carner lot ryl) 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: IU c 2./G 40ct Qt7Y/ ft �G (C{/ Q 7c / r{ nt)ert7i(as Id. 7i27n /Ef{ los/ccy nn Ove41/A l tvl7//IUe f ?I1CHS XI t14/0 /007ery 7V(n ,/f un aY/17 Tuni i 4 0A Jct ity?tr , Kee" fIca's41 _ If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted. I hereby state that foregolements ate accurate andrect to the best of my knowledge. Permit subject to revocation if false information is provided. Zl 11`co Signature of Owner o nes Agent Date "'It 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,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 a months from the initial date if permits have not been issued" • Residential Land Use Application Page 2 of 2 03/11 t MICHAEL P. GRIFFIN certify that under my direction and srriMan m4 map was drawn from on actual rvvd furies. that the error of closure or the survey as calculated by coardhotes is I: IO.MM+; that the area show hereon was calculated by cordhotee Witness my nand and seal this day of MOWN 201d 99 i \? R 631) SPP NESS Gam. 11 /r—__________ S 29°46'42"W 95.60' WETLANDS 1 1 I I A I — I S Al 0 OP 1 N ? 13,2305O.FT I i-,K I 0.42 AC. � ; Application# Harnett County Central Permitting PO Box 65 Lillington,NC 27546 Each section below to be filled out 910-893-7525 Fax 910-893-2793 www.harnett.org/permits by whomever performing work. Must be owner or licensed contractor. Address,company Application for Residential Building and Trades Permit name&phone must match Owner's Name: H&H Constructors of Fayetteville, LLC. /Date: f- ' I I Q• ' / Site Address: ab a l t2 ] &.r l c1 72a,,,'._ Phoned jO" 9 s6-�0`7 Directions to job site from Lillington:_ _6 _NC Hwy 210 to Spring Lake. Turn Rt. On Overhills turn left to stay on Overhills. Continue straight onto Nursery. Turn Rt. On 24/87. Turn Rt on Sawyer. Keep Straight. Subdivision: The Manor ai Lexington Plantation Lot: toy 3 Description of Proposed Work: New Single Family Dwelling #of Bedrooms: 4 Heated SF:aOO9„Unheated SF: (.03CA Finished Bonus Room? nJ lo. Crawl Space: N Slab: General Contractor Information H&H Constructors of Fayetteville, LLC. 910-486-4864 Building Contractor's Company Name Telephone 2919 Breezewood Ave. Ste,400 Fay., NC 28303 Leannahair(a hhhomes.com Address Email Address 74158 License# Electrical Contractor Information Description of Work - Service Size: 200 Amps T-Pole: X Yes No JM Pope Electric, Inc. 919-776-5144 Electrical Contractor's Company Name Telephone 409 Chatham Street Sanford, NC 27330 electricpope(oijwindstream.net Address Email Address 21326 • License# Mechanical/HVAC Contractor Information Description of Work Carolina Comfort Air, Inc. 919-934-1060 Mechanical Contractor's Company Name Telephone 5212 US Hwy 70 Business, Clayton, NC 27520 carolinacomfortairevahoo.com Address Email Address 29077 H-3-I License# Plumbing Contractor Information Description of Work # Baths 2 . S Dell Haire Plumbing 910-429-9939 Plumbing Contractor's Company Name Telephone PO Box 65048,620 Gillespie St. Fay, NC 28306 dellhaireplumbinq(alhotmail.com Address Email Address 32886P-1 License# Insulation Contractor Information Tricity Insulation, Inc.418 Person St. Fay. NC 28301 910-486-8855 Insulation Contractor's Company Name &Address Telephone `NOTE: General Contractor/owner 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 Harnett County Zoning Ordinance. I state the information on the above contractors is correct as known to me and that by signing below I have obtained all subcontractors permission 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 re-issue fee is$150.00. After 2 years re-issue fee is as per current fee schedule. Signature of Owner/Contra L`(dN6fficer(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 perjury that the person(s), firm(s)or corporation(s) performing the work set forth in the permit: X 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. 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 during the permitted work from any person, firm or corporation carrying out the work. Company or Name: H&H Constructors of Fayetteville, LLC. Sign w/Titl : /Permitting Coordinator Date: al L I 1 cs Appointment of Lien Agent: Details -LiensNC Lien Service Page 1 of 1 DO NOT REMOVE] Details: Appointment of Lien Agent Flied 03/06/3018 Entry #: )95]36 Initially flied by: meaganbradshaw Designated Lien Agent Project Property Print 8 Post First American Tale Insurance Company 242,12000643 Lot 643 Manor 4,0 Lexington K2yI7 Plantation Online Hw liv'nsrc wm.,..,.. 266 Piltreld Run e •41 address:I9 W Hawn SLr gum 509/Rakish NC Cameron,NC 28326 II M31. 27601 Hames County Con r Throe 088-690-7384 Please peathis nmi ce on the lob Site. Feu � anmn-:crnm�..,mroperty 9-5➢1 Rm.il PType Supplier.and Subcontractors: Sean this imageyour Aman phone to with ew thiAentg You Can Noce to Lien Agent for this project 1,2 Family Dwelling Owner Information Date of First Furnishing H&H Constructors of Fayetteville,LLC. 2919 Breezewood Avenue Ste 400 Fayetteville, NC 28303 United States 01/19/2018 Email l ann ane i r@hhho mea corn Phone 910-486,4864 View Comments 10/ Technical Support Hotline:(880)690.9384 https://apps.liensnc.com/ser/appointment/details.html?entryNumber=795224&printable= 2/6/2018 AA A I—\✓� �j Date di n / Y Plan Box# I Job Name SOI Plan Name App # L4 3 oZ Q 3 Valuation /9 coo SQ Feet 02000 Garage q)_3 = aya3 Inspections for SFD/SFA Crawl Slab_ Mono_ Basement_ Footing Footing Plum Under Slab Footing Foundation Foundation Ele. Under Slab Foundation Address Address Address Waterproofing Open Floor Slab Mono Slab Plum Under slab Rough In Rough In Rough In Address Insulation Insulation Insulation Slab Final Final Final Open Floor Rough In Insulation / Final Foundation Survey V Envir. Health_ Other Additions/ Other Footing_ Foundation Slab_ Mono_ Open Floor_ Rough In Insulation_ Final HARNETT COUNTY CENTRAL PERMITTING P.O. BOX 65 LILLINGTON, NC 27546 For Inspections Call: (910) 893-7525 Fax: (910) 893-2793 Application Number 18-50043263 Date 2/16/18 Intersection Property Address 266 PITTFIELD RUN PARCEL NUMBER 09-9565-19- -0282- -15- Application type description CP NEW RESIDENTIAL (SFD) Subdivision Name MANORS@LEXINGTON PRT2B2 Property Zoning RES/AGRI DIST - RA-20R Owner Contractor PF DEVELOPMENT GROUP INC H & H CONSTRUCTORS INC PO BOX 1328 2919 BREEZEWOOD AVENUE STE 400 CARY NC 27512 FAYETTEVILLE NC 28303 (910) 486-4864 Applicant H & H CONSTRUCTORS #643 2919 BREEZEWOOD AVE STE 400 FAYETTEVILLE NC 28303 (910) 486-4864 --- Structure Information 000 000 50X42 4BDR CRAWL W/ GARAGE Flood Zone FLOOD ZONE X Other struct info # BATHS 2 . 5 # BEDROOMS 4000000 . 00 PROPOSED USE SFD SEPTIC - EXISTING? SEWER WATER SUPPLY COUNTY Permit BLDG,MECH, ELEC, PLB, INSU PERMIT Additional desc . Phone Access Code 1229277 Issue Date . . . 2/16/18 Valuation . . . . 0 Expiration Date . 2/16/19 Special Notes and Comments T/S: 02/08/2018 12 : 09 PM JBROCK ---- MAONR © LEXINGTON #643 - 266 PITTFIELD RUN CAMERON, NC 27546 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX PERMIT INCLUDES BLDG, ELEC, MECH, PLUMB INSULATION AND LAND USE. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Work must conform and comply with the STATE BUILDING CODE and all other State and local laws, ordinances & regulations HARNETT COUNTY CENTRAL PERMITTING P.O. BOX 65 LILLINGTON, NC 27546 For Inspections Call : (910) 893-7525 Fax: (910) 893-2793 Page 2 Application Number 18-50043263 Date 2/16/18 Property Address 266 PITTFIELD RUN PARCEL NUMBER 09-9565-19- -0282- -15- Application description . . CP NEW RESIDENTIAL (SFD) Subdivision Name MANORS@LEXINGTON PRT2B2 Property Zoning RES/AGRI DIST - RA-20R Permit BLDG,MECH, ELEC, PLB, INSU PERMIT Additional desc . Phone Access Code 1229277 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 10-30 814 A814 ADDRESS CONFIRMATION / / 10 101 B101 R*BLDG FOOTING / TEMP SVC POLE /_/_ 20 103 B103 R*BLDG FOUND & TEMP SVC POLE / 30-999 105 B105 R*OPEN FLOOR / / 30 104 B104 R*FOUND & SETBACK VERIF SURVEY 40-50 129 1129 R*INSULATION INSPECTION / / 40-60 425 R425 FOUR TRADE ROUGH IN / / 40-60 125 R125 ONE TRADE ROUGH IN / / 40-60 325 R325 THREE TRADE ROUGH IN / / 40-60 225 R225 TWO TRADE ROUGH IN / / 50-60 429 R429 FOUR TRADE FINAL / /-- 50-60 131 R131 ONE TRADE FINAL / / 50-60 329 R329 THREE TRADE FINAL / / 50-60 229 R229 TWO TRADE FINAL / / 50-60 209 E209 R*ELEC TEMP POWER CERT / / Harnett County 102 EAST FRONT ST P 0 BOX 65 LILLINGTON NC 27546 DATE: 2/16/18 RECEIPT #: 0000011268 TIME: 11:55 :25 CASHIER: JBROCK APPLICATION NBA: 18-50043263 LOCATION ADDR: 266 PITTFIELD RUN REFERENCE: SFD / METER ITEM DESCRIPTION PAID HOMEOWNER RECOVERY FUND 10. 00 LAND USE PERMIT FEE 25 . 00 P* METER COST 3/4" 70 . 00 PERMIT FEES 805 .00 REVIEW RESIDENTIAL PLANS 25 . 00 P* SET UP/TRANSFER FEE 15 . 00 TOTAL AMOUNT PAID: 950 . 00 PAYMENT TYPE: ESCROW