DOCUMENTS Initial Application Date:3l `SI I /N Application# 1 S 5 7...Jt4_ 5 5-7
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.hameh.org/permits
"A RECORDED SURVEY MAP,PRECORDED DEED I(OOR�OFFEER TO PURCHASE)&SITE PLAN ARE
E RREQQ�UIREE�DD WHEN�SSUBBMITTING A LAND USE�A�P/P]LICATION"
LANDOWNER: Odd/ JUYvt.(/A PUUFmneS Mailing Address:3300 a.r.�u.a/7/0kIC.1 .(1(1{
City: (enrl,VAS Icon) State:WA,Zip:274Vkontact No:QLt4255 S[.SU Email! 1.i41 /L CL) (c•JeJtien(A.I
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APPLICAAN�T*.t 7 Mailing Address: �a(0 G JYVwI�j1e.�µ't dAI(jn/�r, r �/✓I
City: 6411 4le*4(1(Jl.< State: Ne Zipj`7$4Contact No: SAM, Email: I
Please fill out applicant lnformauon If different than landowner
CONTACT NAME APPLYING IN OFFICE:
1� � ����� hL�. 11 Q•. 'C /J.,'/� 1, Phone# /��/ /•�
PROPERTY LOCATION:Subdivision: MIIAAt&S a - ants l.(ztt_ Lot#lig- Lot Size:0.II
State Road# I -1p�O� State Road Name:JUL Q.kn C A' Map Book&Page: lain /O(
Parcel: 1�nlBROo\0o4p"I 1. PIN: Q(.F10 25 3-7 a
Zoning\F\"eFlood Zone 0 Watershed: K Deed Book&Page:353S/6(111 Power Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED/ USE: 1 •'
QaA•'� R bath): I Garage: AlDeck: Y .Crawl Space:_Slab:_SIa ol"
SFD:(Size.24 x 2�)#Bedrooms #Baths Basemen w/wo A Gare a tGG
(Is the bonus room finished?(_)yes (_)no wl 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?( I yes (_)no
❑ Manufactured Home:_SW_DW TW(Size )#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) I /County Sewer
Does owner of this tract of land,own land that contains a manufactured home within five hundred feet(5001 of tract listed above?(_)yes (_)no
Does the property contain any easements whether underground or ove ead(_)yes ( )no
Structures(existing or proposed):Single family dwellings: Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 15 Actual `Z'/3•'
Rear 2.5 4(s•S
Closest Side II0qq 5
Sidestreeticomer lot LU
Nearest Building
on same lot
Pe:- 1 >i 2 03..
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: (-I((1/d IL1 on f YY'Wn -bei IST..
T ct 11S LIZAS +e 14511 I, eainpedl dui_ M ,ULII15 Cr/a.
Cnh4in0. ON l/Slit Cit.,,,pionl -I.0 Amino At —
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 foregoing state ants are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
—.C—�JJp— �f IL$
(gnature of0 r or
*,es Agent Gate
....It is the ownerlapplicants 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"
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09109111 Application#
Harnett County Central Permitting
PO Box 65 Li°mgton NC 27546
Esrli Section below to918 893 752
n bebe filled out performing tog work5 Fax 910 893 2793 www harnett org/permiie
by whomeverdo
Must be owner or licensed
conbecor Address company Application for Residential Building and Trades Permit
name 8 phone must match I '.
Owners Name U--ine L.b rnttj Wont.�S Date
Site Address �1$ L11lCJn (Yc • l Phone Q(Q.QQS.$(asq
Directions to job site from Lillington 044 !t/. OYI £Cvnn1-SF .nil.lard S 1St.1-•
1 fl.t us 47 t 5 . 40 uslu G n feel( Aut rn ,✓u)ls Gree.'
C.Yn•1-invf OM I/Stip Cdati pb`J) 40 anra.Sf•
Subdivision M.v rinois A.E out/S C'7fl . Lot 147
Description of Proposed Work 5 r #of Bedrooms 2)
Heated SF 1200 Unheated SF Finished Bonus Room9 Crawl Space Slab X
lab
General Contractor Information
6UUH tat 33(i'a?2-- -)000n
Building Contractors Company Name Telephone
4'im
15C-0030Y114 Auf S1F73') Gins ypSSr
ni '- _bi'E?_u�A2Jurnui 11016.0501
A dress Z..�� Email Address
m UZ—
LElectrical rector Inform tion
Description of Work El/(.I-Y•Ird1 1514 fl Service Size SAO Amps T-Pole✓ Yes_No
W-3 GIQ.55o9Mj
Electrical Contractors Company Name Telephone
CLcttOin
Address Email Aid =ss
II4,- 1
License It
M ychanicallHVAC Contractor Information
Description of Work N[dinnk L Air
0.oraen-4-Air 33G-1444.4675D
Mechanical Contractors Company Name Telephone
Vo Crit 57--1 Lm. iia 5 ue,9-2ntr V11�,C11S11�sAl11dOr.(nWl
Address Emmaal"A`ddress
(—tat
License#
t'f Plumbing Contractor Information
Description of Work f�IlliYtlol Vlq -Cpc-eta #Baths
- 1 kr>rJnrn 2Iuwon(inr G1Qcs6 'l.ER33
Plumbing Contractors Compant Name Telephone
31t40 ,n Vtlnwov12n. La (ion -15nD Ti.,/,cdoV\, ohlsnl7rnr(� afarC)mat,
Address Email Addres cart
ZZISZ
License#
Insulation Contractor Information
51114tx4 CIh,Sula.•4ovI CtP 188Cloy
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 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 Jay slump 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 cu nt fee sched Igo
at2L�I
Signature of Owner/Contractor er(s)of Corporation Date
Affidavit for Worker's Compensation N C G S 87-14
The undersigned applicant being the
General Contractor _Owner L/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
setforth in the permit
I 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 ��-(40
��_4
��IL���J---o rn t-bwt tS
Sign wr itleZo I. J. PLn wFC cMMI. en4or Date 'lh.is I(7
DO NOT REMOVE!
Details: Appointment of Lien Agent
Filed on: 09/07/2017
Entry #: 717290
Initially filed by: wjh2013
Designated Lien Agent Project Property
Print & Post
Investors Title Insurance Company MBC 192
79 Aleah Ct EJ
online:www'Inane •corn > .,.._. •. Lillington,NC 2754N
Address:le W.Hargett Smte 507 Ralcgh,NC Harnett County
Hargett Si. Hr
21501 p• Rei'!
Phan:gts-690-734
Property Type P 9 9P Contractors:
Pae v15-09-52)1 Please post this notice on the lob Site,
Email, u000no eenmemm ....__....,.... 1-2 Family Dwelling Suppliers and Subcontractors:
Scan this image with your smart phone to
view this filing.You can then file a Notice
Owner Information to Lien Agent for this project,
WIH.LLC
3300 Banleywound Ave Suite 230
Greensboro_ NC 27410
United States
Email:trabitzluwadejumeyhomescom
Phone:919-995-5654
Slew Comments 10)
Technical Support Hotline MSS)690-73X4
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call: (910) 893-7525 Fax: (910) 893-2793
Application Number 18-50043557 Date 4/06/18
Intersection
Property Address 78 ALEAH CT
PARCEL NUMBER 11-0680-01- -0090- -77-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name MEADOWSOBUIES CREEK
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
WJH LLC WJH LLC
3300 BATTLEGROUND AVE STE 230 3300 BATTLEGROUND AVE
GREENSBORO NC 27410 STE 230
GREENSBORO NC 27410
(336) 282-3606
Applicant
WADE JURNEY HOMES #192
3300 BATTLEGROUND AVE
STE 230
GREENSBORO NC 27410
(910) 995-5654
--- Structure Information 000 000 24X24 3BDR 2 . 5BA MONO
Flood Zone FLOOD ZONE X
Other struct info # BATHS 2 . 5
# BEDROOMS 3000000 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? SEWER
WATER SUPPLY COUNTY
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc
Phone Access Code 1234293
Issue Date . . . 4/06/18 Valuation . . . . 0
Expiration Date . . 4/06/19
Special Notes and Comments
T/S : 03/15/2018 04 : 03 PM JBROCK ----
MEADOWS O BUIES CREEK #192
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 18-50043557 Date 4/06/18
Property Address 78 ALEAH CT
PARCEL NUMBER . 11-0680-01- -0090- -77-
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name MEADOWS@BUIES CREEK
Property Zoning RES/AGRI DIST - RA-30
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1234293
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-30 814 A814 ADDRESS CONFIRMATION / /
10-999 309 P309 R*PLUMB UNDER SLAB
20-999 114 B114 R*BLDG MONO SLAB/TEMP SVC POLE
20 104 B104 R*FOUND & SETBACK VERIF SURVEY /
30-50 129 I129 R*INSULATION INSPECTION / /
30-60 425 R425 FOUR TRADE ROUGH IN / /
30-60 125 R125 ONE TRADE ROUGH IN / /
30-60 325 R325 THREE TRADE ROUGH IN / /
30-60 225 R225 TWO TRADE ROUGH IN / /
40-60 429 R429 FOUR TRADE FINAL / /
40-60 131 R131 ONE TRADE FINAL _/_/_
40-60 329 R329 THREE TRADE FINAL / /
40-60 229 R229 TWO TRADE FINAL / /
40-60 209 E209 R*ELEC TEMP POWER CERT / /