DOCUMENTS Initial Application Date: 3I s) I Application# IcCSCDC-I 3 UVJ''
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.mg/permits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE��REQUIRED� �� WHEN SUBMITTING A LAND USE APPALICATION'
LANDOWNER: OW"' UU{r{1.�UI ANFvrZ1, Mailing Address:3300 61-441.1ri )YI!•iA(){ 5�
r611
City: '/i bon) State Al Zip:774 t&ontact No:an 475.5.54 Email: �rrn.b,:a.. 0.h(•1.ga,rmi /
/y� !•fdfllC cpa I
APPLICANT'.` lµ.ra,ea 1,0;47_ Mailing Address: MU E. ShappeS a-1 IA((1/Lieu f OD
City r IAlQUA4-4(I.Q- State: lit zipLl54ScontactNo: 5JM.0 Email:
*Please fill out an(information it different than landowner
CONTACT NAME APPLYING IN OFFICE:
11 , ,�`�� ry� P�-� 'C Phone# �/ ! , I
PROPERTY LOCATION:Subdivision: M,MMIIIAt t14 SOIL 5 l.I LCiC� Lot#': G07 Lot
Size:V•I q
State Road# 17 StateARoad Name'._ICP8h�H Cd' / Map Book 8 Page:2Q-17 /mica(,
Parcel: I IO(J&Obt GOGO Q3i PIN:O(AJfO ZS 7-153
Zoning)ZKJ' Flood Zone-rjI Watershed: 11( Deed Book 8 Page-353S-/Cl/77 Power Company: 60(44/116(Me 64C
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
`a SFD.(Size 214x2,4 #Bedrooms @@ II /I Monolithic
L#BathsZ�s Basement(wNro bath):,AJ Garage. AlDeck:A okrawl Space:_Slab:_Slae: �
(Is the bonus room finished?(_)yes (_)no w/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 Fame_
(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?_)
O Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
U 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) ✓ County Sewer
Does owner of this tact 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 overb (_)yes (_)no
Structures(existing or proposed)'. Single family dwellings: Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum I5 Actual SO
^,
Rear Z.S WWW
Closest Side I 0q -2'1
Sidestreet/comer lot ZV ,.
Nearest Building
on same lot
:Page lot2 2,3;1'
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: ilefla Idon C.412114+--Itularti I'T*.
4f(/_ on 42.1.5 +511-Slit Cavrrnl Aut in Mil(15 Cr//f
eonI-inv2 on 1/Slit e s..wyj # ll -Ifo Anvtp 4.4-:
If permits are granted I agree to conformryto all ordinances and laws of the State of North Carolina regulating such wort 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 f false information is provided.
4 lig
ipiwture of Owner oYs Agent Date
"It is the owneNapplicants 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 SERVICES,
IS CORRECT AND IS HEREBY APPROVED FOR STAKING ON THE
DAT SHOWN BELOW.
i
C
WADE JANET HOMES REPRESENTATIVE DAZE
SITE Pg 200 , PG186 / IMPERVIOUS SURFACE AREA
n2 �^
DESCRIPTION AREA
I
HOUSE w/ PORCH 600 S.F.
o PATIO/HVAC/MISC. 9 S.F.
?RJB \ / DRIVEWAY & WALKS 0 S.F.
'ITIY S r ALLEY PAVEMENT 0 S.F.
2
TOTAL (PROPOSED)- 609 S.F.
LOT AREA = 6,602 S.F.
X IMPERVIOUS AREA =6.98
VICINITY MAP ••
Not To Scale
SFTRACKS: \
FRONT - 15' w/PARKING IN REAR
FRONT - 55' w/PARKING IN FRONT I NOTE:
REAR - 25' I ALL DIMENSIONS, LOCATIONS AND FEATURES SHOWN ON
NEAR SIDE - 0.5 MIN 5' MAX 010 M THIS PLOT PLAN ARE APPROXIMATE AND ARE ONLY AN
ARTISTS RENDITION. EXACT LOCATION OF ALL FEATURES
OPEN SIDE - 10' ^m ARE SUBJECT TO CHANCE AND MAY NOT BE INSTALLED
EXACTLY AS SHOWN ON PLANS ANO/OR IN MODELS,
WINDOW/DOOR - 6' 1, .6 PLACEMENT OF HOME, DRIVEWAY. SIDEWALKS AND
EXTERIOR FEATURES ARE SUBJECT TO MODIFICATION AS
W DEEMED NECESSARY BY HELD PERSONNEL.
^. CUSTOMER DATE
to
I m
W CUSTOMER DATE
N
0 a
F' WADE JURNEY REPRESENTATIVE DATE
• I _m
® 24.0 I 00
1200 I >
SLAB ' O W
a2FOUNDATIONo I
,-- 24.D SITE PLAN APPROVAL
.2 1 nn
o 6,082 S. F. DISTRICT�"�, _ USE��
N 0.14 AC //BEDROOMS
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KIMBERLY
COURT
50' PUBLIC R/W
Q9/09/11 Application#
Harnett County Central Permitting
Each season below to be filled outPF Box 65 2793 www 27546
ame
910 893 7525 Fax 910 893 2793 hamatt arglpannita
by sbperforming
Must be comer or licensed
contractor Address company Application for Residential Building and Trades Permit
name phone must match /'- - c
Owners Name �.Ia4.LJvrnLz. NnwttS Date
SO Address l5 tAtP otrrl Id/G Phone 41(1.4Q5:51.9-1
Directions to job site from Lillington A./jj4 LI. Oki f.GYON i S1 .-#(ir.fppa S 1St Si-•
,la r1S <-17l5 . -to USW CAheyball An,- inAkins crcer
(.r tt-finvL on 1/51LP Caw,rp, t) 40 phna.Sf-
Subdivision (N LfiMMIWS A.I- Row S Owe_ Lot 20-7
Description of Proposed Work S P #of Bedrooms 3
Healed SF 1705 Unheated SF Finished Bonus Room" Crawl Space Slab X
� � / General Contractor Information
u 1(.LJ-i 33/4' %tOCP
Building Contractors Company Name Telephone
l3rfl06.41Hi rAllAi31Qt7_3e) ( r?#'Abort) 'rhyii4UZJalg�.lornu.�byflf3(JM
A dress
Z74-1r0 Email Address
LZ--
License#
Electric rtractor Info n tion V
Description of Work Eli(Iry ti I. ni4a!l Service Size 7Ad Amps T-Pole,..-"Yes No
(Jo GIQ.550eiN 1
Electrical Contractors Company Name Telephone
olat (en fr.nr�l4 (i13EUcsityzel
Address Email A d ss
11,021
License#
Mechanical/HVAC Contractor Information
Description of Work,14/4.149 4 AI r
m
0.v .Colrl-A1r 11 33L•?44.413D
Mechanical Contractors Company Name Telephone
PO f‘ 571 C.knnwioy�5 A1t177n7 taw/1M nrOtllloOl'1(DM
Address Email Address
p
License#
�i-1 plumbing Contractor Information
Description of Work Y(0.1MIdlvl1 "Clet54/d(( #Baths
-11;:nrian PIOpvtlorlrlr Gl4c-6 'l-(R33
Plumbing Contractors Company Name Telephone
?MAO A 1JlNS0112o. J0n2157D -rkarzoisf tlhnhivlf�A be..rClpyalL-
Address Email Addres COP%
License#
Insulation Contractor Information
lit l L I d.t�+Sin.�u lc<,I-tO 40•'18CS 'GSDC(
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 pv mama below I have obtained all subcontractors
permission to obtain these permits and if gay 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
�/ssc��he�d,,IIt�B I
2-U1 n
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 (/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
setn the permit
is 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 ins understood that the Central Permitting
Department issuing the permit may require certificates of coverage of workers compensabon 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/ LLLtL Ornu1 abill1 5S •
Sign w/Title/1 � �lPerni nfol i t24' Y Date C)Z 1l I 1.—)
DO NOT REMOVE!
Details: Appointment of Lien Agent Flied on: 09/07/2017
Entry #: 717329 Initially filed by: wJh2013
Designated Lien Agent Project Property
Print & Post
Investors The Insurance Company MBC 2217
15 Kimberly Ct
onme:,.ww.Sensw cora -, Llllinynon.NC 27546
Andress:w w HargettHamm Courtly �,-''�-
St,Suite 507:aaIc'gh.NC
Haatea
27601 era
Pbone:888-690.7384
Property Type v 9 yP Contractors:
913Jxa523 I Please post this notice on the lob Site.
email: uon,marm.o�.cort. .. .. I-2 Family Dwelling Suppliers and Subcontractors:
Sean this image with your mar phone to
ew tins filing.You can then file a Notice
Owner Information to Lien Agent for this project.
WJH.LLC
3300 Battleground Ave Suite 230
Greensboro. NC 27410
United Slates
Email:trabitzr wad jumeyhomes.com
Phone:919-995-5654
View Comments(0)
Technical Support Hotline:(ASW)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 18-50043568 Date 4/06/18
Intersection
Property Address 15 KIMBERLY CT
PARCEL NUMBER 11-0680-01- -0090- -92-
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 #207
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 1234194
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 #207
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 18-50043568 Date 4/06/18
Property Address 15 KIMBERLY CT
PARCEL NUMBER 11-0680-01- -0090- -92-
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 1234194
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 / /