DOCUMENTS Initial Application Date:3 In t% Application#._S.]l Jl-‘)41
CUR
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street.Lillinglon,NC 27546 Phone:(910)893-7525 exl:2 Fax:(910)893-2793 www.hamett.orglpennits
"A RECORDED SURVEY MAP.RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REWIRED WHEN SUB/SITTING A LAND USE APPUCAI1OW
LANDOWNER:
WYNN CONSTRUCTION, INC. Mailing Address: 2550 CAPITOL DRIVE,SUITE 105
city: CREEDMOOR Slate:NC Zip:27522 Contact No: 919-258-2430 Email ttrefftzs@wynnhomes.com
APPLICANT: Mailing
WYNN CONSTRUCTION,INC. Address:2550 CAPITOL DRIVE,SUITE 105
City'.
CREEDMOOR Stele:NC Zip,27522 Contac No: 919-258-2430 Email: ttrefiUs
'Please fill out applicant information adlflerentthan landowner
TERI TREFFTZS Phone#919-592-6545
CONTACT NAME APPLYING IN OFFICE: /� 9ANDERSON CREEK CROSSING Lm#;/09$/Lot Size; -?
PROPERTY LOCATION:Subdivision: �1 ^
State Road# /0 7 State Road Name: ECx( aa. 't et-,et-, Map Book 8 Page4
ago ,S?7
Parcel: 0/0.5,35/2 6 niocO 402 PIN: 05oA -8(v - Y18 .. 00 C�
p 34vb I�OS Power Company':
Zoning:�O`ro hFlood Zone: Oar Watershed: � Deed Book 8 Page. P Y':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: 5/ Monolithic
SFD:(Size i 22'x 1/4 r71#Bedrooms #BatheL�j Basement(w/wo bath):_Garage: Deck: <Crawl Space&Slab:_Slab:_
(Is the bonus room finished?c.,4 yes U no wl a closet?( )yes/ `(�no(if yes add in with#bedrooms)
CI Mod:(Size x )#Bedrooms_#Baths_Basement(who bath)_Garage:_Site Built Dec*: On Frame_O8 Frame_
(Is the second floor finished?U yes U no Any other site built additions?U yes U 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 ( 1 no
Water Supply 1 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 (1)no
Does the property contain any easements whether underground or overhead U yes (✓)no
Structures(existing oropoS :Single family dwellings: 1 Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum, 5 Actual ,O
Rear cR S 'S6'7 /—7
Closest Side /
SidestreeUcorner lot
Nearest Building
on same lot 03/11Residential Land Use Application Page 1 of 2
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
27 WTO NURSERY RD., LEFT ON NURSERY THEN LEFT ON RAY RD.,THEN LEFT INTO ANDERSON CREEK
If permits are!r ed I ag -•t• •• o • nances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby sta - I at foregointi - - - rete aro • to the best of my knowledge. Permit subject to revocation if false information is provided.
ire
C 3U / �
Signature of . or none nt 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 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 EOR
CI / Professional Land Surveyor WYNN CONSTRUCTION
T 1940 Juniper Church Rood PIN 0505-86-4981.000
---r-1 I �— Four Oaks, NC 27524
PARCEL 10 I➢ 01053525DERSORE 42
JLOT 1098 ANDERSON CREEK CLUB S/D
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C (919) 320-5281 PH 2017 PG 327 127 EOUCATI 4 DRIVE
plschuck300yahoo.com Y/4"8 SPRING IME, NC 28390
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09/09/11 Application#
Harnett County Central Permitting
PO Box e5 Lillmgton NC 27548
Each section below to be filled out 910 893 7525 Fax 910 893 2793 www hamar am/donnas
by whomever performing work
Must be owns or licensed
cantrados Address company Application for Residential Building and Trades Permit
phone&phone must match
Owners Name WYN3rN.�CJ�O�NSTRUCTION. INC Oak 3_ 5�t1,LQ/t' r�
Site Address /19'2 /tylia/4 apt-) 2 1 s91 n� 0{ a foe Phone 4 /4 -cc58" d Yaj
Directions to job site from Lillington 27W TO NURSERY RD., LERP ON NURSERY, LEFT ON RAY,
LEFT INTO ANDERSON CREEK
Subdivision Lot /o
Description of Proposed+rWork NE CONSTRUCTION, SFD #of Bedrooms
Heated SF3119 y,Unheated SFQS.0 Finished Bonus Room VQ &Crawl Space•
X Slab
General Contractor Informatl n
WYNN CONSTRUCTION, INC. 919-258-2430
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 Size 200 Amps T-Pole'I Yes No
BUFORD ELECTRIC 910-723-1937
Electrical Contractors Company Name Telephone
948 PAN DRIVE, HOPE MILLS, NC 28348 bufordelectnc@gmail.com
Address Email Address
31424-U
License It
AtechanicallHVAC 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 it
plumbina 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&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 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 by srantna below I have obtained all subcontractors
permission to obtain these Dermas and if gpy 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 PER IT FEES-a Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee
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07 r 40`/� - S- .2-U I Yi
Sgnatureo • it/Contractor/.' v ( Corporation Date
Affidavit for orker's Compensation NC G S 87-14
The undersigned applicant being the
General Contractor _Owner 1 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 workers compensation insurance pnor
to issuance of the permit and at any time dunng the permitted work from any person firm or corporation
carrying out the work
Com,- ,,'%i ci. C NSTRUCTION, INC.
�,�/
I
, CONSTRUCTION, COORD. DetdS S -3L' / S
LIEN AGENT INFORMATION
Effective April t,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(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.44411.1(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.comlscr/appointment/details.html?entryNumbal=...
DO NOT REMOVEI
Details: Appointment of Lien Agent
Entry #: 783710 Filed on: 01/15/2018
Initially filed by: wynnhomes
Designated Lien Agent Project Property Print & Post
thve*m Title Insurance Company aodenou creek subdiviron lot 1098 ❑ Tit.
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127 education83 I£2
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n . w epilog lake, 02&l
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*deem 19 W.lintel Si.Sate 507/Petrick NC bonen Cattily ❑ '[elm
27601 -
Contractors:
!Moet BPS690.9384 please post this notice on the lob Site.
Pia:913189-5231 Property Type
Bau:=e••-P�e:J--__ = --- Supplien end Subeonneten:
Scan Nis Inter with yaw amen phone to
view this filing You no ten ills a NOMe
- - - 1-2 pemily Dwelling i L to Lim Agent for this project
Owner Information
non boron
2550 capital dr.
Mmimnq NC 27522
United States
EmsO:Henry®xyxthomee.com
Phone:919-528-1347
View Commenb(0)
Technical Support Hornet:(888)690-7384
1 of 1 1/152018,9:20 AM
Date 3Ji II rY
Plan Box It C "\ Job Name y r✓1
Plan Name
App# �� valuation'13Qfo,43; SQ Feet 3M)
Garage 4`1
= 3aE3_
Inspections for SFD/SFA
Crawl V 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 \/ 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 18-50043488 Date 3/28/18
Intersection
Property Address 127 EDUCATION DR
PARCEL NUMBER 01-0535-25- -0100- -42-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name ACADEMY@ACC PH 7 50LOTS
Property Zoning RES/AGRI DIST - RA-20R
Owner Contractor
WYNN CONSTRUCTION INC WYNN CONSTRUCTION, INC.
2552 CAPITAL DR SUITE 105 1696 HAYES RD
CREEDMOOR NC 27522 CREEDMOOR NC 27522
(919) 528-1347
Applicant
WYNN CONSTRUCTION INC #1098
2550 CAPITOL DR STE 105
CREEDMOOR, NC 27522-0000
CREEDMOOR NC 27522
(919) 258-2430
--- Structure Information 000 000 51 . 2X46 . 8 4BDR 2BA W/GARAGE & DECK
Flood Zone FLOOD ZONE X
Other struct info # BATHS 3
# BEDROOMS 4000000 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? SEWER
WATER SUPPLY COUNTY
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1232677
Issue Date . . . 3/28/18 Valuation . . . . 0
Expiration Date . 3/28/19
Special Notes and Comments
T/S: 03/07/2018 10 :45 AM JBROCK ----
ANDERSON CREEK CROSSING #1098
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 18-50043488 Date 3/28/18
Property Address 127 EDUCATION DR
PARCEL NUMBER 01-0535-25- -0100- -42-
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name ACADEMYOACC PH 7 50LOTS
Property Zoning RES/AGRI DIST - RA-20R
Permit BLDG,MECH,ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1232677
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 I129 R*INSULATION INSPECTION
40-60 425 R425 FOUR TRADE ROUGH IN
40-60 125 R125 ONE TRADE ROUGH IN
50-60 429 R429 FOUR TRADE FINAL / /
NAT CUSTOMER RECEIPTC0
PTS
*** *
Oper: 3BROCK Type: CP Drawer: 1
Date: 3/28/18 52 Receipt no: 300037
Year Number Amount
2818 50043488
127 EDUCATION DR
SPRING LAKE, NC 28398
B1 BP - PERMIT FEES
$1260.08
sib
WYNN CONST
render detail
CP CREDIT CARD $1260.80
Total tendered $1260.80
Total payment $1260.08
Trans date: 3/28/18 Tine: 9:29:36
** THANK YOU FOR YOUR PAYMENT **
HARNETT COUNTY CASH RECEIPTS
wmm CUSTOMER RECEIPT rma
Oper: JBROCK Type: CP Drawer: 1
Date: 3/28/18 52 Receipt no: 300838
Customer Location Name Amount
126363 94365 WYNN CONSTRUCTION
U0 UT-MATER TAP FEES
4300.00
126363 94365 WYNN CONSTRUCTION
U8 UT-TRANSFER SET OP FEES
$15.88
126363 94365 WYNN CONSTRUCTION
U4 UT-METER CHARGE
$78.08
Tender detail
CP CREDIT CARD $385.88
Total tendered 4385.00
Total payment $385.88
Trans date: 3/28/18 Time: 9:33:54
** THANK YOU FOR YOUR PAYMENT as