DOCUMENTS Initial Application Date:J ie�rx I U Application# I g_5(`) -{ n 3 5
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Per in 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnett.org/permits
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"A RECORDED SURVEYJnJMAP,RECORDED DEED(OR OFFER TO PURCHASE)R� &SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION*"
ND WWER:k(f UP r� ,' I'�t1 L •Mailing Address: o?9(Q St'ee'd C a))GLV A tie2 fie v'
city:r(31._(C Ow l Q state:/Lti zip: �b;U3 contact No: 9(u'L/ (e-(/�0/Email:lxsutnnhalrQhhhomes.cAn
PLICANT': S ALL{ G AS (L4k)Dctet U-2 Mailing Address:
City: State: Zip: Contact No: Email: .
'please fill out applicant information if different than> landowner
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CONTACT NAME APPLYING IN OFFICE:I I .ea_ L t L� �cu / / 7/_(U (ArvibV /�
PROPERTY LOCATION:Subdivision: /17x 41161, C (exd)G4p1 /(Q4`((T/un Lot Mit)I LotL^ySize:Si� 1 O-C
State Road# �(d d 1 State Road Name: Map Book&Paga0 n/ '!O
Parcel: C M�19 o983't pD3 PIN: ?a
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Zoning: -70X Flood Zone: ri Watershed: 1 V TTDeed Book&Page: / Power Company*: l e,9/ Q/C A'(
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:,LL) ) 0 d
n e 1 ifI y^ �� yCrawl Monolithic
�SFD:(Size W x 1 1)#Bedrooms:±#Baths^-Basement(w/wo bath):/00 Garage:Xeck:1. - 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 )#Bedrooms_#Baths_Basement(wtwo bath) Garage: Site Built Deck: On Frame Off Frame_
(Is the second floor finished?( )yes ( )no Any other site built additions?( )yes ( )no
❑ Manufactured Flome:_SWDW_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: ✓ 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) v".----County Sewer
Does owner of this tract of land,own land that contains a manufactured home within five undred feet(5001 of tract listed above?( 1 yes Q/)no
*Does the property contain any easements whether underground or overhead( yes ( )no
Structures(existing or proposed):Single family dwellings: Vt Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks:etQac� Comments:
Front Minimum 35 Actuat39L
Rear r)5 0/•6/ r
Closest Side htIIL '�•�
Sidestreet/cornertot au
Nearest Building '—
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
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If permits are granted ree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
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I hereby state that fore g statements are accurate and rrreto the best of my knowledge. Permit su ect to rev afalse information is provided.
Signature of Ownervne' rs 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"
•
Residential Land Use Application Page 2 of 2 03/11
/. MICHAEL P. GRIFFIN corny that under my d ction and
.br.:s m this mop was drawn from on octal field r that the anr of
poem of Me suety as calculated by coordinates Is L IaO #: Mat the
area shown hereon em ctadated by coo o*,ates To
!Illness my hand and swot this dor of ucwrx mra 9SAY
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LEXINGTON PLANTATION HOLDINGS
PM 9595-42-8914.000
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P 1 T T F I E L D RUN
50' PUBLIC/UTILITY R/W
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FRONT 35'
REAR 25'
510E(ONE 5I9E) 5'
510E (ONE SIDE) 10'
CORNER SIDE 20'
I F G, F N D I t
OFFEIRTO PulkCNnsu AND CONTRACT-VACANT LOT/LAND
For valnnhb conddemllon,the receipt and legal mgiotomy of Mitch am hereby acknowledged,Buyer offers to purchase and Seller
amddenthni on nwdi ioce lupus n undo In acmrdoncewtllt toll end convoy tho iuknnson lo tents anti(togethe lire"Contract").rrids 0lfer To Purchase and Gerimal mid any
I. TIMRMS AM)DEFINITIONS:The leans luted o shell have Rto respective meaning given Oleset!abrin ailment lo eachterm. ,LL
(a)"Sullen PP Doakpmgul()roue.Inc.
at(b)"Bryon": HAM Constructor ofPavetloville air Iin m Is Mathis(a)"Property':The Prgenyshall Include all that Nal`ratiodesodbod below together with all algmm4ormaem thecae Including Iia
hnprovennena locoed therean. .
Strut Addrees:
Cky: Cameron
Coady: Harnett North Carolina
(NOTE:()ovommenta authority over lams,zoning,miwol dhhids,mlll(les end mall deliverymaydiflbr from Wises shown.)
Legal Dosaiptlmn(Co npieloALL appl(enhb)
PMI Rofweneo:Lol(s) All lois looted InPmt26ofManorial La,lnaenMentMIonmdLm254 hiVISeaenLexington ppdbRga
MM Book/Pogo: 2013/306-307 and Plat Book 3341756
Bp"Forehao Price":
S 1.696 500.00 paid hsU.&Dollars upon the fhllowing terms:
S Mt BY DUO DILIGENCE PUBmae payable to Seller
S BY INITIAL RAWEST MONBY DEPOSIT made payable to Escrow Agent named
InPamgmpli 1(0 with Ms ofrbrby U oarb 0 panoral check O official bmdccheek
o oder
S By(ADDITIONAL)BARNBSTMONEY=OBIT made ppxbbloiHmmvAgom
mond In Paragraph NO bycash mImmediately available Rinds rack aofficial bank
Meek or Vito transfix to be delivered to Maori Agent no later than
77MR
BRING OP 77NR RSSRNCB mi l k mord ho said dale.
S _ BY ASSUMM'IONoftbemgeaMlnh$lpnl belmroadan obligations°fSMoronthe
existing lents)nand by a dead of taut on the Properly In accordance with 11w
attached LomAssungnlon Addendum(Standard Form 2A64).
S BY SBW.11R FINANCING In acordnnm with Inc attached Seiler ramming
' Addendabi(Smbdam Panum n 2A54).
$ 1.696 500.00 BALANCE onto Purchase Price lnoath al Solllanonl(some orall of width may be
paid wlllt the pmemds ofa new tom)
Should Bayer fall to deliver either the Duo Dlllgeneo Poor myInitial Eamon Money Doom&by Ito Wolin DMA mshould any
check or other Rud,mkt by Buyer be dlsbonored,for any roam,by the Inrdm(in Opm a4doh 11w payment Is dm",Ellin ABU
have ole(I)Winking day odor written notice to deliver good gods to(ho payee.In the'vont Buyer hoes not timely deliver good
Quids,Seiler shall have the right to terminal('No Contract uponNo:11M notice to Buyer.
(o)"Earnest Money Deposit":Ito Intal Boniest Money Deposit,The Additional Earnest Money Deposit and any other earnest
mentos paid In connection with this Imnmellmt,herdmger colkcivoly tenured 10 as"Bmesl Matey Deposit",shell bo deposited
and mold In escrow by Wamv Agcy mill Closing,at which(hm It will bo credited to Bayer,or until(Ids COntrMI Is othawlw
(Mutated.In theovmt:(I)thisoffbr Is not naepled;or(2)n condition of aay roadthngcontract is not satisfied,Irani the Barnes(
Money Depmh shall be Siulded to Bayer.In du'vont of breach adds mond by Sella,the!amenMomey Deposit shall bo
refunded to this upon Buyer's raciest,but such whim shall not afbd any other rowdies available to Guyer for snot blends(.In
Os(o'vont of i*cs h antra Contract by Buyer,the Hansel Money Deposit shall be patl to Seller noon Seller's request es liquidated
Buyer Ionia]. 7" Seller initials )-r1 _
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Application#
Harnett County Central Permitting
PO Box 55 Lillington,NC 27546
"Each section below to be filled out 910-893-7525 Fax 910-893-2793 www.harnett.org/permits
by whomever performing work.
Must be owner or licensed
contractor. Address,company Application for Residential Building and Trades Permit
name 8 phone must match
Owner's Name: H8H Co. ruc o of Fa -tteville LLC. ((�Dater p ! 'pp//
Site Address: t1 1 „ tf Phonegl0— AIp " NO(Uq
Directions to job site from Lillington: NC Hwy 210 to Spring Lake. Turn Rt. On Overhills turn left to stay on
Overhills. Continue straight onto Nursery. Turn Rt. On 24/87. Turn Rt on Sawyer. Keep Straight.
Subdivision: The Manor(a1 Lexington Plantation Lot: (n5
Description oof�f))P��roope ed Work: New Single Family Dwelling #of Bedroom :
Heated SF:«'7J nheated SF:s Tr )c1.,--Slab:
( Finished Bonus Room? Crawl Space:
General Contractor Information
H&H Constructors of Fayetteville, LLC. 910-486-4864
Building Contractor's Company Name Telephone
2919 Breezewood Ave. Ste, 400 Fay., NC 28303 Leannahair@hhhomes.com
Address Email Address
74158
License#
Electrical Contractor Information
Description of Work Service Size: 200 Amps T-Pole: X Yes_No
JM Pope Electric Inc. 919-776-5144
Electrical Contractor's Company Name Telephone
409 Chatham Street Sanford, NC 27330 electricpope(o)windstream.net
Address Email Address
21326
License#
Mechanical/HVAC Contractor Information
Description of Work
Carolina Comfort Air. Inc. 919-934-1060
Mechanical Contractor's Company Name Telephone
5212 US Hwy 70 Business Clayton, NC 27520 carolinacomfortairOyahoo.com
Address Email Address
29077 H-3-I
License#
Plumbing Contractor Information ^1
Description of Work #Baths a •�
Dell Haire Plumbing 910-429-9939
Plumbing Contractor's Company Name Telephone
PO Box 65048,620 Gillespie St. Fay, NC 28306 dellhaireplumbingf&hotmail.com
Address Email Address
32886P-1
License#
Insulation Contractor Information
Tricky Insulation, Inc. 418 Person St. Fay., NC 28301 910-486-8855
Insulation Contractor's Company Name&Address Telephone
*NOTE: General Contractor)owner 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 shining below I have obtained all subcontractors
permission to obtain these permits and if my 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 current fee schedule.
a 3)aa 1 a
of
Signature of Owner/Contractor/ icer(s) of Corporation Date
Affidavit for Worker's Compensation N.C.G.S. 87-14
The undersigned applicant being the:
X 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
set forth in the permit:
X 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 worker's 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: H&H Constructors of Fayetteville. LLC.
e31 o(a l aSign wlTitl ��Permit[ing Coordinator Dat i l�
Appointment of Lien Agent: Details- LiensNC Lien Service Page 1 of 1
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 03/20/2018
Entry #: 819951 Initially flied by: meaganbradshaw
Designated Lien Agent Project Property Print & Post
First American Title Insurance Company MLP000651 Lot 651 Manor @ Lexinglan El ' l7
Plantation it 547..
Onlmc.xx lunsnvmm... ..a... 416 PITrFIELD RUN 7 0
Addr 19W.IWryvu 9"goo,5Pl/RNVSh Nf Cameron,NC 28326 i
21601 Hamel County
Con tt
vn .858'6 17384 Please post
rime' his nob ce on I be lob Site.
Faril
Email
sup 13t
ct o r^ Property Type Suppliers and Subcontractors:
Scan this image with your art phone
sine this filing.Youvn then file a Notice
to Lien Agent for thispromo
1-2 Family Oshawa
Owner Information
Date of First Furnishing
H&H Constructors of Fayettev ala LLC
2919 Brsaewood Avenue Ste 400
Fayetteville, NC 28303
United Slates 03/01/2018
Email ieannahair@3hhhomea com
Phone.91004864864
VI ew Comments 10)
Technical Suppan Hotline:(888)690-7384
https://apps.liensnc.com/scr/appointmentldetails.html?entryNumber=819951&printable= 3/20/2018
Date <"1 glia. l
fi
Plan Box # �t-1— l Job Name ! f ?
Plan Name
•
App# t3 D Valuation 216q3 SQ Feet aSS
Garage '-{44
= `li
Inspections for SFD/SFA
V
Crawl Slab Mono Basement
Footing Footing Plum Under Slab Footing
Foundation Foundation Ele. Under Slab Foundation
Address Address Address Waterproofing
Open Floor Slab Mono Slab Plum Under slab
Rough In Rough In Rough In Address
Insulation Insulation Insulation Slab
Final Final Final Open Floor
Rough In
Insulation
' Final
Foundation Survey V Envir. Health_ Other
Additions / Other
Footing
Foundation_
Slab_
Mono_
Open Floor_
Rough In
Insulation_
Final