DOCUMENTS Initial Application Date: 3I 15) I L] Application) 60014-S sc)S
CU#
COUNTY OFT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NCC 2754627546 Phone:(910)893-7525 exl:2 Fax:(910)893-2793 www.hamett.orglpmmits
"A RECORDED SURVEY MAP,PRECORDED DEEDD(OR OFFER TO PURCHASE)&SITE PLAN ARE�REQUIRED� EDWHEN SUBMITTING A LAND USE/ APPLICATION'
LANDOWNER:/ 0 4011 Jura]11 �'IDrA.LS Mailing Address..r�/✓a:,,\.') 131444/griii✓1tA AU{ �
City: t611(tf AS 't�1✓t) State:11re Zip:214lttontact No':QCI an.5.54 Email: 1✓/4'7r1LQO onag..Arn(il./
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APPLICyAN�T�" ILZw s—,[0 (�1(f47 Mailing Address: /01r,E. St tS 474 SA IG/�CU OD
City: FHLI Qin4401 - State: Pe Zip:,,s4SContact No: Sd/41 Email:
'Please fill out appfcent information if different Man landowner
CONTACT NAME APPLYING IN OFFICE:
1��.�,J���� Ic� q1 Q� a /qJ�� 1! Phone# 9^1
PROPERTY LOCATION:Subdivision: AA1 A40.05 as. Bolts ems Lot#Jte) Lot Size::'xOt)
State Road# 10 State Road Name:_LtVV k1L1��4 C'k•on Map Book&Page:eon/ 0144
Parcel. t/I�CllaC0\ co PIN: a00P.07S�rt.S3s L-
Zoning:RR' Flood Zone Watershed: 0( Deed Book&Page:3535-1Clan Power Company': 6nt tllu' Elwrr
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: s
e / Monolithic
❑ SFD:(Size/o��LL x?4 )#Bedrooms #Baths`_Basement(w/wo bath): &Garage: Deck:A/ Crawl Space:_Slab:_SIabdd
(Is the bonus room finished?( )yes (_)no wl a closet?( )yes ( )no(if yes add in with#bedrooms)
❑ Mod:(Size x )#Bedrooms_#Baths Basement(w/wo 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 bullt?_)
❑ 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: X 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) bc 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 ( )no
Does the property contain any easements whether underground or Werhead(_)yes ( )no
Structures(existing or proposed):Single family dwellings: l,// Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 15 Actual . 2)
Rear
Closest Side I�10C
Sidestreeticomerlot 2D
Nearest Building
on same lot
-, a.. mss_. c=1 :a,., Page l =12 23. .
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: TUI/A /A/on E iron+-h,ulard Is1'l_.
T 11.. 11S 4ZAS +61261i L Crcw not AuL ih AJL1115 Cr/a.
Cnn.l-f nos on 1/511 t, Cats .tpbtsI -{-O An.no 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 ents are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
MeiLlY7 4161S
of Owner orr's Agent Date
"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"
=9 Je 2o2 J+
APPROVAL FOR STA
/ THIS PLOT PLAN AS PREPARED BY RESIDEN1AL LAND SERVICES,
IS CORRECT AND IS HEREBY APPROVED FOR STAKING ON THE
CoDATE SHOWN BELOW.
m 4/ DATE
V WADE JURNET HOMES REPRESENTATIVE DATE
• Q
oo2 � IMPERVIOUS SURFACE AREA
h DESCRIPTION AREA
Q0 HOUSE w/ PORCH 600 S.F.
aliPr
PATO/HVAC/MISC. 9 S.F.
�g 4J DRIVEWAY & WALKS
*
2` ALLEY PAVEMENT 0 S.F.
TOTAL (PROPOSED)- 609 S.F.
-M- LOT AREA = 11,670 S.F.
% IMPERVIOUS AREA =5.2%
741/7/
,Not mry careA5;,1.212• _ ..,....-- 6., \�
� � J
VVV 111n
NOTA' I i I .F
ALL DIMENSIONS, LOCATIONS AND FEATURES SHOWN ON -- _
THIS PLOT PLAN ARE APPROXIMATE MD ARE ONLY AN a
ARTISTS RENDITION, EXACT LOCATION OF ALL FEATURES ARE SUBJECT TO CHANCE AND MAY NOT BE INSTALLED
EXACTLY AS SHONN ON PLANS AND/OR IN MODELS, > CQ
PLACEMENT OF HOME, DRIVEWAY, SIDEWALKS AND I O
EXTERIOR FEATURES ARE SUBJECT TO MODIFICATION AS I Cr rsj
DEEMED NECESSARY BY FIELD PERSONNEL. 110:670 7AC S.F. a
91 3'
CUSTOMER DAZE I I Z co
CUSTOMER DATE I i 0- 0 0 V/
W r o
WADE .UFNET REPRESENTATIVE DATE Ib1 Z ~ NW
Fn ES i
I
■
[w
0 z24.0
SETBACKS: Im M 0 1200
SLAB s Na
FRONT - 15' w/PARKING IN REAR It HFOUNDATONL
I co
FRONT - 30' w/PARKING IN FRONT T".
REAR - 25' 240
NEAR SIDE - 0.5' MIN 5' MAX
OPEN SIDE - 10' \ I
WINDOW/DOOR - 6' S' MAINTENANCE A \
EASEMENT 3 i
4;2' CE\^�
A
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so � 0 1
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P .0 �2 of
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09/09/11 Application#
Harnett County Central Permitting
Each section below to be filled out PO Box 65 Ldknoton NC 27548
910 893 7525 Fax 910 893 2793 www hamett erg/permits
by whomever performing work
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name&phone must match /1.� . e
Owners Name (.IJIVLJJrflU/d /TUWL�J Date 1.12thQ
Site Address 10 YAvhSIYX I% fnC'. Phone GIQQQs.z$ci
Directions to job site from Lillington 1./.04 tti. on tCnn S4 .4-ci, ! 1S II*51-.
T(r.CP a S yo t 5. 40 uctu G teiyto ti Ant- in gulfs cat(
C.(�v1klnv OV1 I/Sid C4atipti(J1 40 As,na.Sf-
Subdivision M l41 (1tt1S /LP null C Crete- Lot 303
Description of Proposed Work 5E-2- #of Bedrooms S
Heated SF MCC)Unheated SF Finished Bonus Room/ Crawl Space Slab X
�" � � General Contractor Information 22��`l--
b1,UU 1(Ui 3.2it lfZ'?71ta0
Building Contractors Company Name Telephone
leclair 4avnr(AAP cwt') (.lruyKkr&ni -Th ;+ze hcthleakirnaj MmfS(Dm
A dress �J Z....1�1.� Email Address
4G?bv
License#
Electrical frac or Information
Description of Work Elt(.1-r'tc.1 CR514 M Service Size TAD Amps T-Pole✓ Yes_No
W-3 Gla.55D"Mgt
Electrical Contractors Company Name Telephone
Clays fjj't4iet shalt ywl
Address Email Atldress
112221
License#
MechanlcallHVAC Contractor Information
Description of Work Nted-lAt 4 Air
0.0mRtr4-Ater 336.744.4'W
Mechanical Contractor s Company Name Telephone
PO SOS 57.1 0..kn,M„9N5 Ale 7-7o7 YoxAZtlsftvrs7alfldoPY-,cam
Address Email Address
(Alit
License#
Plumbing Contractor Information
Description of Work V(l)lvtlolvl1 leCirt(( #Baths
�I hrl fn PLUyAtnth4 GLAc-66 . 4 33
Plumbing Contractors Compant Name�� Telephone
_3L do 0tP\5 V1 CD. 1:ru.(Jofl215ZD 1fdA45OI1MhI r.04. O414r L'
Address C' Email Addres __''II ark
(.L.t Ki
License#
,/ Insulation Contractor Information CG
5itittv6 Lbt,Sll_(a4do EA 4v1'1W 'CZ
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 by signing below I have obtained all subcontractors
permission to obtain these permits and if aay 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-S Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee
is as per Cuent fee sched Ip_
42W41 412U 11.7
Signature of Owner/Contractor er(s)of Corporation Date
Affidavit for Worker's Compensation NC G S 87-14
The uncle/signed applicant being the
__General Contractor Owner L/Officer/Agent of the Contractor or Owner
Do here confirm under penalties of perjury that the person(s) firm(s)or corporation(s)performing the work
set fort in the permit
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 LJ_h .SLiu rn u.1 t-IomtS /
_ u.!- :.1.�s Y' u Ja / . Date r r'21110
Sign wfTid
a
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 09/07J7017
Entry #: 717238 Initially filed by: wJh7013
Designated Lien Agent Project Property
Print & Post
Investors Title Insurance Company MBC 203
ID Kimberly Cl J . 0
Doll ( vnni L ll nylon,NC 27546 kyr
Address: W Hargett St Stutc 507 Raleigh,NC Haman Countyyamssaw.,,
27601 O[tj'n
Phone:888-59F7184
Property Type Contractors:
FMK:nU-1x9-5231 Please post his notice on the Job Site.
Ethan::mwnruliemncrom .,...>,. ...
I-2 Family Dwelling Suppliers and Subcontractor:
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.
WJH,LLC
3301/Battleground Ave Suite 230
Greensboro. NC 27410
United States
Email:wbitzt wadejurneyhomes.com
Phone 919-995-5654
View Comments(0)
Technical Support Hotline:(8X8)690-7384
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Application Number 18-50043565 Date 4/06/18
Intersection
Property Address 10 KIMBERLY CT
PARCEL NUMBER 11-0680-01- -0090- -88-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name MEADOWS@BUIES 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 #203
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 1234327
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 #203
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 18-50043565 Date 4/06/18
Property Address 10 KIMBERLY CT
PARCEL NUMBER . 11-0680-01- -0090- -88-
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name MEADOWSOBUIES CREEK
Property Zoning RES/AGRI DIST - RA-30
Permit BLDG,MECH,ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1234327
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 / /