DOCUMENTS Initial Application Date: 3116) Application# I o SO 04 &SU LV
CUE
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2]93 www.hamettarglpmmits
RECORDED SURVEY MAP,PRECORDED DEEDD11(OR OFFERwTO PURCHASE)&SITE PLAN AREy��RR^EQQ�UIREEEDD WHEN SUBMITTING A LAND USE/ APPLICATION"
LANDOWNER: 0101 Juni] aoyIA.CS Mailing Address.x33n0 61-1 Igrn)YItA AL' , 1 �+
City: &IYL I ACIbort) State:A t' zip.234lAT ontact No:an t S.2,S4 Email:laLrtAbr/L Q uk+.1.Q./✓✓YL{AJ
APPLICANTl` Mailing Address: IOU O E. 5lirif.rCS 64 IA Sakti / Oil
city: K VIIQ A4rA l.L State: NC zipt1S45-Eontact No .54441 Email:
'Please fill out aOrlicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:
11 �- �,�`�� lN� R / Q,-.'' /��,I �� Phone# q
PROPERTY LOCATION:Subdivision: Ml 4(J Q)5 r Ad- &LIZ�U Lt I__ Lot#:tQ4 Lot Size:V. I—)
State Road#_nn '4 State Road Name:j(\rnburl9 a 'p Map Book&Page: 20)71 n 1418
Parcel:��.��j0r�' , i1 /,A IP • PIN: (jjiO ZS LeSfrq
Zoninghr\`r Flood Zone: / Watershed: D( Deed Book&Page:3535 /OII7) Power Company:
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: s
II1� q 99 . I . I Movmlithr
$FD'.(Sizetu x L_t )#Bedrooms 3#Baths`'Basement(wlwo bath): N Garage:_Deck:N Crawl Space:_Slab'._Slal\L
(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 Oft Frame_
(Is the second floor finished?( )yes (_)no Any other site built additions?( )yes (_)no
U 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:ft Rooms Use: Hours of Operation: #Employees:_
U Addition/Accessory/Other(Size x )Use: Closets in addition?(_)yes ( )no
Water Supply: County Existing Well New Well(#of dwellings using well )*Must haveoperable 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 ( )no
Does the property contain any easements whether underground or ov rhead( )yes (_)no
Structures(existing drrepose Ingle family dwellings: Manufactured Homes. Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum i5 Actual
Rear 2.5 _
ALL
Closest Side a
Sidestreet/comer lot Z•D
Nearest Building
on same lot
P ,.esti_ -r _.r 'thf I : 2 01.11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROMLILLINGTON: tiGOd &On E 4YbW 4ttbbXd IS"*.
4 fL LLS 4215 ea nnijnOdl dui itn AUUInn Cr/J.
enn.l-iI/slit eitiv,pictt( -a-o Ainna €±
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.
tgnature of Owner or Agent Date
"9t 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"
,e2-2 ..
APPROVAL FOR STAKING:
THIS PLOT PLAN AS PREPARED BY RESIDENTIAL LAND SERVICES,
IS CORRECT AND IS HEREBY APPROVED FOR STAKING ON THE
S DATE SHOWN BELOW.
C
I WADE JURNEY HOMES REPRESENTATIVE DATE
SITE _
ALL DIMENSIONS, LOCATIONS AND FEATURES SHOWN ON
THIS PLOT PLAN ARE APPROXIMATE AND ARE ONLY AN
ARTISTS RENDITION, EXACT LOCATION OF ALL FEATURES
ARE SUBJECT TO CHANGE AND MAY NOT BE INSTALLED
d
EXACTLY AS SHOWN ON PLANS AND/OR IN MODELS,
PLACEMENT OF HOME, DRIVEWAY, SI EWALKS ANO
J EXTERIOR FEATURES ARE SUBECT TO MIFlCATCN AS
DEEMED NECESSARY BY FlELO PERSONNEL.
Q0 CUSTOMER DATE
VICINTIY MAP CUSTOMER DATE
Not To Scale
SETBACKS: WADE JURNEY REPRESENTATIVE DATE
FRONT - 15 w/PARKING IN REAR
FRONT - 55 w/PARKING IN FRONT
REAR - 25
NEAR SIDE - 0.5 MIN 5' MAX
OPEN SIDE - 10'
1'
WINDOW/DOOR - 6' 'j 3 W IMPERVIOUS SURFACE AREA
2
5 6A DESCRIPTION AREA
/
04 7 332 S.F.
HOUSE w/ PORCH 600 S.F.
U- 110.17 AC RATIO HVAC/MISC. 9 S.F.
DRIVEWAY & WALKS 0 S.F.
I /L I 2�T / ALLEY PAVEMENT 0 S.F.
VI
II-- TOTAL (PROPOSED)= 609 S.F.
W
N i ■ LOT AREA = 1,332 S.F.
'
g HVAC® 24'0 S IMPERVIOUS AREA
=8.3%
> 1200
0 o SLAB y
O Uro w FOUNDA
ti C) 24.0 z
- 1 d' N
Z LU 2-2: _ ul
a iIN
:
W In 1 90
I ca
I —
CO 0 as, a
5fi.0'
V
5' MAINTENANCE
`
EASEMENT SpTB9CA\
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4241"
S9o�F'�< y
09(09111 Application#
Harnett County Central Permitting
Each aedian below to be filled out PO Box 65 lillmgton NC 27506
by Mortimer SOCA performingwork 910 893 7525 Fax 910 893 2793 www hamett org/permits
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name 8 phone must match I- . '-
I
Owners Name W4Cj. ,aJ rnLU KO&t445 Date
Site Address I1 ICA W\1p•>nLi G • Phone 4IQ12Q5.51,5C/
Directions to lob site from Lillinglon IJi04 (ii. On £Grnoid SI- .-(or.tQ Yf.1 S- 1ST 57—
la 41.
7--1 O1cP. (J S 42 t 5• -10 usu.( Cis YRpbo(( Auk in gut iS crar
C.r�tl*lrtvi On t/Slip e impbtf) 4o prina.5f-
Subdivision M.tn/AOu)S 4.4 nut/ owe_ Lot Z{jc.f
Description of Proposed Work 5 IZ #of Bedrooms 3
Heated SF t2O Unheated SF Finished Bonus Room/ Crawl Space Slab X
1" 1 11U General Contractor Information �2�
wl1LL �L- Fit 2lfz-?JL4001'
Building Contractor s Company Name Telephone
• là , • A I .. .. . /ireraula6e.Jurruipto e_S.CDp1
A.dress CIL!ID Email Address
Lice( GZ
Electrical Contractor Information V
Description of Work El((.Lrt(/i l �n544 A Service Size 7.1D Amps T-Pole✓ Yes_No
w-3 GIQ.5Sa•-t -1l
Electrical Contractors Company Name Telephone
Cl aytan ft,ty ilej,13El/ Jv r£o V7
Address Email A 1drbss
I 147g1
License#
MechanicalINVAC Contractor Information
Description of Work Air
0.(0Wn.cof4-Alir 336.7GK•4 5D
Mechanical Contractors Company Name Telephone
Vo 6
7c 9 Cltrimm egAS Ale,nnr7 . ral
Sltyne h,1130L�(nlM
Address Emai Address
1-471R'
License#
Pk Plumbing Contractor Information
Description of Work P(I .Molwq 4771.15471(( #Baths
-- innrininDljtMIntNr an ¶56 .483
Plumbing Contractors Compant Name Telephone
31tap A11tinSovlCD. Nair/on ?-1570 Twlta i(M4hNr(�Aaaoa�rvyy�'
Address Email Address
ulSa--
License#
Insulation Contractor Information
131 l l l dexs�i�Su prowl 4P.183 •G8oy
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 stoning below I have obtained all subcontractors
permission to obtain these permits and if as 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 ent fee schedp�
c 170117
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 V 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 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 dunng the permitted work from any person firm or corporation
carrying out the work
Company or Name UJ&{LJurti t-iame ,
Sign w/Title��Pkinlikel01/1 WV1-40rDate 4)2J 1/7
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 09/07/2017
Entry #: 717325 Initially filed by: wJh2013
Designated Lien Agent Project Property
Print & Post
Investors Title Insurance Company MBC 204
14 Kimberly Ct .. �a
nna h m'vom . .. LII nElen,NC 27546
Address:I W Harmer!Sr S ir SD7:Raleigh.NC 11 men County
27401 O Sm
Phone:388.90.7384 Pro ert Type y Contractors:
r"'911-ML523I Please post this notice on the lob Site.
Email:mannwnnieosnccom .............. 1-2 Family Dwelling Suppliers and Subcontractor:
Scan this image with your smart phone to
stew this filing_You can thea file a Notice
Owner Information morn Agent for project.
WJ LLC
33011 BanlegTuund Ave Suite 230
Greensboro. NC 27410
United States
Email:trabitzluwadejumeybomes.coal
Phone:919.995-5654
View Comments(0)
Technical Support Hotline(SOE)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 18-50043566 Date 4/06/18
Intersection
Property Address 14 KIMBERLY CT
PARCEL NUMBER 11-0680-01- -0090- -89-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name MEADOWS@BUSES 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 #204
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 1234210
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 @ BUIES CREEK #204
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 18-50043566 Date 4/06/18
Property Address 14 KIMBERLY CT
PARCEL NUMBER . 11-0680-01- -0090- -89-
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name MEADOWS@BUSES CREEK
Property Zoning RES/AGRI DIST - RA-30
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1234210
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 / /