DOCUMENTS Initial Application Date: 3115I ' l2 Application# ' Ia:1-' 42a0 1
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.hamett.orglpermits
^A RECORDED SURVEY MAP,PRECORDED DEED'(OR
�OFFER TO PURCHASE)&SITE PLAN ARE�REQUIREDIEDWHEN SUBMITTING A LAND USE APPLICATION^
LANDOWNER: q)OciI Juni] lrloPlM-S MailingAddress:✓300 &i44419nnvrJ A(1? 5ff72?)
City: Cela!/V\Sb ort) state:1tzip:274ltkonttactNo:Qin S•26C) Email:l '.b,-/z•Q axh1PJvrn.Lcj
APPLICAN�T-�'� waLi�hep �t�7 Mailing Address. /CULL kin 2.5 a4 dAi(.Iltl on
City: it-VI QI^wv_y.�- State: IA zip7.l545-Contact No: 5JM.Q Email:
'Please fill out apPfcant infonnaten if different than landowner
CONTACT NAME APPLYING IN OFFICE: JJ.�,�� I�� q11 Suits
C /(.� �� Phone# r
PROPERTY LOCATION:1[� Subdivision: AAO 4,(100-}+/4 Wit�Crz v. Lot fZQS- LotqSize:� 0•kk.
State Road# 1 D State Road Name: b.{'YSp arlti 0.A. • Map Book&Page:GW 1/ any
y
Parcel: I{OtdyO1 00g0 go PIN: AX 'O ZS '1t/6-II
Zoning:1/V(21->lood Zone: Watershed: INC Deed Book&Page:?"535- ICOT) Power Company': L4dia1/,//
G 1t1 l
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PR POSED USE: 22 99 s Monolithic
SFD:(Size Zt-t x 24 )/i Bedrooms:1#Baths?". Basement(w/wo bath): M. 1 Garage: Al Deck: ki Crawl Space:_Slab:_Slab
(Is the bonus room finished?( )yes ( )no w/a closet?(_)Yes (_)no(if yes add in with#bedrooms)
❑ Mod:(Size x )if 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 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: A 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) k 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 overhead( _
_)yes ( )no
Structures(existing or proposed):Single family dwellings: �// Manufactured Homes: Other(specify).
Required Residential Property Line Setbacks: Comments:
Front Minimum 15 Actuals
Rear iS aco
Closest Side 110;Y t i'
Sidestreet/corner lot ZL1 __-_
Nearest Building
on same lot
P 3.te I t12
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROMLILLINGTON: f' ii on f f 't44 d fST .
TKL us Uz1S +D ILS IiC6wrLj1 AuL itn AULI115 Cn'LJ.
Cnn-14h(J2 or I/51iL Cs&1%- pW.tl -1-0 Anvt0 S}:
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.
( tz �� 4ate
rgnature of Owner or rDate
Agent 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"
APPROVAL FOR STAKING
THIS PLOT PLAN AS PREPARED By RESIDENTIAL LAND SERNCES.
IS CORRECT AND IS HEREBY APPROVED FOR STAKING ON THE
DATE SHOWN BELOW.
S
WADE JJRNEY HOMES REPRESENTATIVE DATE
SITE ;
NOTE:
Z ALL DIMENSIONS, LOCAPCNS AND FEANRES SHOWN ON
X96 THIS PLOT PLAN ARE APPROXIMATE AND ARE ONLY AN
ARTISTS RENDITION. EXACT LOCATION OF AU. FEATURES
QG \ ARE SUBJECT TO CHANGE AND MAY NOT BE INSTALLED
ELACRY AS SHOWN ON PLANS AND/OR IN MODELS,
2 �� PLACEMENT AI HOME, DRIVEWAY, 9 MIDIS AND
US'
�j ti EXTERIOR FEATURES ARE SUBJECT TO MODIFICATION AS
p. Q DEEMED NECESSARY BY FIELD PERSONNEL.
2`
CUSTOMER DATE
VICINITY MAP CUSTOMER DATE
Not To Scale
SETBACKS: WADE JJRNEY REPRESENTATIVE DATE
FRONT - 15 w/PARKING IN Fa, PLAN APPROVAL
��y� IMPERVIOUS SURFACE AREA
FRONT — 55' w/PARKING IN FRONT QCT 2 SE�� DESCRIPTION AREA
REAR — 25' DI
NEAR SIDE - 0.5 MIN 5' MAX HOUSE w/ PORCH 600 S.F.
OPEN SIDE — 10' kBE ROOMS PA80/HVAC/MISC. 9 S.F.
WINDOW/DOOR — 6' I IC )1 6 DRIVEWAY .1c WALKS 0 S.F.
Date 1 l•J l D Adm IBS ALLEY PAVEMENT 0 S.F.
TOTAL PROPOSED = 609 S.F.
LOT AREA = 6.908 S.F.
% IMPERVIOUS AREA =8.8%
537'27'23"W
102.79
\ 06.908 S.F.
26.D' 0.16 AC
\ •
24 7
HVAC21 o
\ 1200 / 2
p rySLAB o /
FOUNDAnIXJ6 v
\ I tri
gal_ — _ ___/
1.9
0 , / o 9 0
\,0 /
/ o
N
\ 51 6'
\ _ J
EE BACK (TVP')
5' MAINTENANCE
EASEMENT
Cl
/ N
KIMBERLY
COURT
09109/11 Application#
Harnett County Central Permitting
Each section below to be Med outPO Box 85 Lillington NC 27546
910 893 7525 Fax 910 893 2793 www hamett orglpermits
by whomever performing work
Must be owner or licensed
contractor Address company Application for Residential Budding and Trades Permit
name 8 phone must match
Owners Name Visa ,brasaj ivto Date C1t211Lt7
Site Address t& ClrAlo.Lria . Phone GI4.4QSS9eSC./
Directions to Job site from LAhngton 4104 Id. oil £CviJn4'SA -&j'.kur1S lS*Si-.
TG•(c?. U s No t 5. -fo u siu Cr. ntrota Aid- in Alai is cat(
(.ylnklnwL OY1 I/SI d Ma J) +0 nnna.Sf-
Subdivision M tarlauWS Al liul/S Crone_ Lot 265
Description of Proposed Work S P17.— #of Bedrooms
Heated SF V2Jt Unheated SF Finished Bonus Room? Crawl Space _Slab
General Contractor Information
Wt.! ILL.L 32f•.as2•540(.0
Building Contractors Company Name Telephone
13-4411 land At 11 SW7 r) (lnuic& r0 --Critazaniatiairciai tbdlts cos
A dress 271-11a Email Address
ll�
License#
Electrical Contractor Information
Description of Work El!(J-nrn nSSa ll Service Size J.0) Amps T-Pole✓ Ves_No
W-3 Qla.550.1N41
Electrical Contractors Company Name Telephone
814th in rawly(i(.13f�1/O.tw-C401
Address Email A d ss
I4 21
License#
Mechanical/HVAC Contractor Information
Description of Work N(Qd-Ilrl(� Air
r•
0.orn:cblr4-Ater 4 33L•744•6130
Mechanical Contractors Company Name Telephone
PO ems 5727 e.ltrhs.4,106 EL7-av yaiehhitycoeutmot✓cowl
Address Email Address
License#
�1 Plumbing Contractor Information
Description of Work Ytt uw 4[(( #Baths
�I hrl�Jnv1 91thimie f 0tr 41( `f,6 •L{R3
Plumbing Contractors Compant Name Telephone
_311e0 A UtinCoo go. OkL Jof 2152D TM I.L+nsoltJMhinrnn,a� o flj L.
Address c Email Addres C
w S2i
License#
Insulation Contractor Information
12A,II Q.116111,S.Jt x4401 1 aka•188 •
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 authonty 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 sinning below I have obtained all subcontractors
permission to obtain these permits and if say 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-0 Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee
is as per cu ent fee schedulg_
01e128-4i 6(zu,l !-
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 1.../Officer/Agent ffof the Contractor or Owner
Do hereby 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 d 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 -UJatt iJJOrfl a� &YJeatlin -iSC�+if—�
Sign wfTitle/17 �C.G(.CJAk. PQrn1/4—CTh2r 4UDate t U II
DO NOT REMOVE!
Details: Appointment of Lien Agent
Filed on: 09/07/2077
Entry /: 717328 Initially filed by: wjh2013
Designated Lien Agent Project Property
Print & Post
Investors Title Insurance Company MBC 205
18 Kimberly Ct �" .
Onll ! nwrnm L ll' gton,NC 2750E i
Address: w Hargett Si n
Su 507 Raleigh,NC Harnett County
F T?'
2_7601 Q -41373
Phone:edawwaJw Property Type Contractors:
Fax:913-48955211 Please post this notice on the Job Site.
emaa:+uoo9mrliemna9w� ,,_,,. 1-2 Family Dwelling Suppliers and Subcontractors:
Scan this image with your sman phone to
view this filing.You can then rue a Notice
Owner Information to Lien Agent for this project.
WALL LLC
3300 Battleground Ave Suite 230
Greensboro, NC 27410
United States
Email:trabla(uuwadejumeyhomes.com
Phone:919-995-5654
View Comments(0)
Technical Support Hotline:(888)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 18-50043567 Date 4/06/18
Intersection
Property Address 18 KIMBERLY CT
PARCEL NUMBER 11-0680-01- -0090- -90-
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 #205
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 1234202
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 Q BUIES CREEK #205
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 18-50043567 Date 4/06/18
Property Address 18 KIMBERLY CT
PARCEL NUMBER . 11-0680-01- -0090- -90-
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 1234202
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 / /
30-999 205 E205 R*ELEC UNDER SLAB / /_
40-50 129 I129 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 / /