DOCUMENTS 09/09/11 AAppliic�attiio��
Application It
Harnett County Central Permitting t 0- ,U`r rn
PO Box 65 4ibngton NC 27546
Each season below to be filled out 910 893 7525 Fax 810 893 2793 www horned mg/permits SCANNED
by whomever pertaining work
Must be owner or l'cansed
=maw Address company Application for Residential Building and Trades Permit APR 13 2018
name 8 phone must match II
Owners Name 61aAf-c Sc In Nnij- Date i{- I'?-IR
Site Address 221 01a ii,U'cs Lrc.ck- ea. Phone q (4-606-7 Z82
Directions to job site from Lillington conA(,n 51 r- old (ctft r J
L- OlC.rcck- to c) z- 5lu:14.5
Subdivision Lot
Description of Proposed Work A)&J S F14 #of Bedrooms LI
Heated SF S5 4181Jnheated SF 134/3 Finished Bonus Room" Y Crawl Space X Slab _
General Contractor Information
tock Crcd. 3 udders kc `i(c(-606- la7.
Building Contractors Company Name Telephone
5100 Qacu(A4 51- xi" sCcocrcreek builder stic.44hi
Address Email Address
-SIt6
License#
Electrical Contractor Information,1
Description�{{ of Work N?,..) Aa,.Lc. 2\r�.Kli
� ,l Service Size 7p0 Amps T-Polex Yes No
11f i15oi1 P14tf.c41 Iii- 00- 1331
Electrical Contractors Company Name Telephone
12130 6i(LrtS 6fWl ra
Address Email Address
2i 2- 12L
License#
1111 Mechanical/HVAC Contractor Information
Description of Work kct vni{S I5Af Bi"'I
Dons k A-, r '114- ggb-2z53
Mechanical Contnktods Company Name Telephone
Z($541.(, 1,rx1,±01c NC
AdoreAdoreo Email Address
145S
License#
Plumbing Contractor Information
Resonation of Work NW boblic (?).4,101 #Baths
4A5itP(uw4ini ne / 4:c 662-IQ L
Plumbing Contractor Company Name Telephone
Po . 06( 1 z'll gcrny A;(-
AddressEmail Address
�1n0CLicense
Insulation Contractor Information
l_iUtcinCeirk. IYt gig" 453- /efrll
Insulation Cfntractor s Company Name&Address Telephone
5�1 cl ()ode rd rale ff
'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 by sinning below I have obtained all subcontractors
permission to obtain these permits and if gay 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 rent fee schedule
e-I / 13 / is
Sias
Owner/Contractor/Officer(s)of Corporation Date
Affidavit for Worker's Compensation N C G S 87-14
1 The undersigned applicant being the
XGeneral 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
Has three(3)or more employees and has obtained workers compensation insurance to cover them
x 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 dunng the permitted work from any person firm or corporation
carrying out the work
Company or Na `Lock ate i)J.(acr7
Sign w/Tide 71slien+ Date q I IIl i 8
Jennifer Brock
From: Rock Creek Builders <james@rockcreekbuildersnc.com>
Sent: Tuesday,April 17, 2018 8:43 AM
To: Jennifer Brock
Subject: Fwd: LiensNC Notice of Appointment of Lien Agent-Address:2271 Old Buies Creek Rd,
Angier, 27501
James Cregger
Rock Creek Builders, Inc.
919-606-7282
Begin forwarded message:
From: LiensNC Support<donotreplv(aliensnc.com>
Date: April 15,2018 at 6:30:12 PM EDT
To: Undisclosed recipients:;
Subject: LiensNC Notice of Appointment of Lien Agent-Address: 2271 Old Buies Creek
Rd,Angier, 27501
A(n) Appointment of Lien Agent was filed on April 15, 2018, 06:29:59 PM using the North
Carolina Online Lien Agent System(LiensNC). Details of this filing include:
Project Property
Old Buies Creek Rd
2271 Old Buies Creek Rd
Angier,NC 27501
Harnett County
Entry Number: 834356 (entry search, view related filings)
Date of Filing: April 15, 2018, 06:29:59 PM
Lien Agent
Fidelity National Title Company, LLC
• Online: www.liensnc.com
• Address: 19 W.Hargett St.,Suite 507/Raleigh,NC 27601
• Phone: 888-690-7384
• Fax: 913-489-5231
• Email: support(dliensnc com
Owner Information
Charlie Schmidt
6205 Gainsborough Dr
1
Raleigh, NC 27609
United States Email: James(ahrockcreekbuildersnc.com
Phone: 919-971-8881
Design Professionals
Date of First Furnishing
April 16, 2018
Click to view full filing details
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HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call: (910) 893-7525 Fax: (910) 893-2793
Application Number 18-50043489 Date 4/17/18
Property Address 2271 OLD BUIES CREEK RD
PARCEL NUMBER 04-0672- - -0064- - -
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
SCHMIDT CHARLES P & DEBORAL L ROCK CREEK BUILDERS, INC.
2271 OLD BUIES CREEK RD 5100 RAMPART ST.
ANGIER NC 27501 RALEIGH NC 27609
(919) 606-7282
Applicant
CREGGER JAMES
5100 RAMPART ST
RALEIGH NC 27609
(919) 606-7282
--- Structure Information 000 000 95X86 4BDR SETH W/GAR CRWL FN BON
Flood Zone FLOOD ZONE X
Other struct info # BATHS 5
# BEDROOMS 4 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? NEW SEPTIC
WATER SUPPLY COUNTY
Permit BLDG,MECH,ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1238658
Issue Date . . . 4/17/18 Valuation . . . . 0
Expiration Date . 4/17/19
Special Notes and Comments
T/S: 03/07/2018 11 : 01 AM LLUCAS ----
2271 OLD BUIES CREEK RD
RIGHT ON OLD COATS RD - LEFT ON OLD
BUIES CREEK RD - 2 .3 MILES LEFT ON 2271
OLD BUIES CREEK RD
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 18-50043489 Date 4/17/18
Property Address 2271 OLD BUIES CREEK RD
PARCEL NUMBER 04-0672- - -0064- - -
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name
Property Zoning RES/AGRI DIST - RA-30
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1238658
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 /_/_
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 / /
999 H824 ENVIR. OPERATIONS PERMIT _/_/_
HARNETT COUNTY CASH RECEIPTS
n* CUSTOMER RECEIPT m«4
Oper: TBROCK Type: CP Drawer: 1
Date: 4/17/10 52 Receipt no: 325877
Year Number Amount
2818 50843489
2271 OLD RUIES CREEK RD
ANGIER, NC 27581
81 BP - PERMIT FEES $1581.80
SED
ROCK CREEK BUILDERS INC
Tender detail 41501.BO
CP CREDIT CARD 41581.0E
Total tendered $1581.80
Total payment
Trans date: 4/17/18 Time: 8:47:32
** THANK YOU FOR YOUR PAYMENT **