DOCUMENTS TOWN OF COATS ZONING PERMIT APPLICATION
I NOTE: Attach a site plan that includes property lines(front,side,and rear), location of proposed structures(including driveways,
decks,etc.),and existing structures. This plan should be drawn to scale. This form along with plans shall be submitted to the Harnett
County Building Inspections Department.
Permit No.: 3-Z7-]8- 2 Date: 5/'z-7/20N Fee:
Parcel ID": D766'1016 ?JOG 09 Area Zoned As: Cl
APPLICANT: PROPERTY
L Toy.",
OWNER:
Name(Print) TS Ia..[a vi341 ,7 i d" Name [O , of Cc
Address P D P r( la C 1 \1 Q + Address 2"5 E . ✓t'hi'n SF.
City,State Stt, : 1 hCI .J nt ,`J a; 2-1r77 City,State CLOS , NC
Zip Code Zip Code 2- CZ
Phone# CP 5 - `.3f - 2r do Phone# `110 - eg17 CI $3
Location of Property: IN-TOWN / ETJ ETJ(contiguous)
Present Use of Property: \J Di ant
PROPOSED USE OF PROPERTY:
[ ] Single Family Dwelling: #Rooms: # Bedrooms: Square Feet: 147 S 0
[ ] Multi Family Dwelling: #of Units: #Bedrooms(per unit): Square Feet(per unit)
[ ] Mobile Home(single lot): Single wide: Double Wide:
[ 1 Mobile Home Park: Section 16,Zoning Ordinance must apply
[ ] Business: t Total1 #of ctmployees per lay Type of business
[ ] Others(specify): Pi.. :e_tar c)U 13 I `\ q
[ ] Existing structure: Renovate: Addition: Demolish:
WATER AND SEWER SUPPLY:
Water: [ ] Private [ ]Public [ ] Proposed [ ]Existing
Sewer: [ ] Private [ ] Public [ ] Proposed [ ]Existing
Applicant: I certify that all of the information presented in this application is true,complete,and accurate to the
best of my knowled e. False inf motion is grounds for rejection of the application.
Signature: — Date: 3/2 7 ,// ey
r ZONING ADMINISTRATOR USE ONLY APPROuEn
Notes: Iuci.
/ /Approved: [ ,/I Denied: [ ] FOR I3 MONT116
Zoning Administrator: 7/,l' �j4l/ti' •// Date: 3/111q _
THIS PERMIT IS VALID FOR 12 MONTHS
Post Office Box 675 • Coats,North Carolina 27521
(9101 897-5183 voice • (9101 897-2662 fax
NOT FOR LEGAL USE .
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Harnett County Parcel Report http://gis.hametl.org/E911App/Parcels/ParcelReport.aspx?pin=0690-...
I vent Nsp i
Harnett
Th)CM COUNTY Legal Description: Harriett County GIS
NOM,(ARO; AA
PID:07069016200004 Tax Data Last Modified:
PIN:0690838832000 Calculated Land Unita/Type:LT ac
REID:0021955 Neighborhood:00703
Subdivision: Actual Year Built:
Deeded Acreage:ac TobUcutalAreaHeated SgFt
Total Acreage:ac Sale Month and Year.412017
Account Number:1500005694 Sale Price:$26000
Owners:COATS TOWN OF Deed Book&Page:34980266
Deed Date:
Owner Address:PO BOX 675 COATS,NC 27521 Plat Book&Page:
Instrument ryq:WO
Property Address:186 E LEMON ST COATS,NC 27521 Vacant or Improved:
City State,Zip:COATS,NC.27521 Oualiedcode:A
Building Count:0 Transfer or Spilt:T
Township Code:07
Fin Code:
Parcel Building Value:$9 Prier BVItling Value:$0
Parcel Outbuilding Value:$2000 Prior Outbuilding Value $2000
'Parcel Land Value:$8000 Prior Land Value:.V433
Parcel Special Land Value:$0 Prior Spacial Land Value:10
Total Value:$10000
Parcel Deferred Value:$0 Prior Deferred Value:$0
Total Assessed Value:$10000 Prim Assessed Value:$10000
Legal and Units,Unit Type:I.LT Prior Land Units:ac
x.. S
186
200 se?
150
et
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• •
•
I of I 3/27/18, 1:36 PM
Harnett
—"IC'', COUNTY * A AFM) E•�M's ^Depart .t
1.0P1.1CAPC.!Nt 'II ,,,,.h.,.K,•,y
Application
/for Plan Review
Application# � �7 - 300( Isfr7(00
Date Received: 3J I I g ReceivedceiBy:
Name of Project / c Ladr OP C/ Armen-,4-5
r
Physical Address of Project: ) 6 — 7 ri e 1-, 57L
Coa45 , NC 27 srZI
Plans Submitted By: ) Ci \ (iC c v,5 I '[ u c-.4 cO
911 Z ✓�
Project Phone: ( )- /cyo- 2 ft o
Contact Person/Address: r-20 N) Po p
R 0 15 v l �) k
Sht , �/� r \ cl N e 275-77
Contact Email: CO )/ St-' yc.. J D`A-Ce K$4 t v 5 (1 Vy r\. }
Contact Phone: ( q I I )-73I - /. 7 gO
Contractor's Namellnfo: I C ) t CD '. S'{ttiC4s0 LA. Ir. L
fl l/O )< I L)
/ plcocJ� roc_ 2z77
Contractors Phone: (S ) 9 )- 43 r- 2 �O
• Plans that are submitted will be reviewed as quickly as possible with an average time of review
between 7-10 working days.
• Status checks may be conducted on plan reviews by visiting the website
http:/Ihteweb.harnett.ora/Click2GovBP/lndex.isp or by calling the Hamett County Central Permitting
Office(910-893-7525,Option#2),or the Harnett County Fire Marshal's Office (910-893-7580).
• Approved plans must be picked up from the Central Permitting Office and all fees paid before any
required inspections can be conducted.
/
'Each section below must be filled out by Application# $. I-3(n
whoever is performing the work. Must be I Harnett County Central Permitting
owner or licensed contractor. Address, PO Box 65 Lillington,NC 27546
company name 8 phone must match 910-893-7525 Fax 910-893-2793 www.hamett.orglpermits
information on state license. COMMERCIAL
Application for Building and Trades Permit
Owner's Name: Town of Coats Date: 03-27-2018
Site Address: 100 E Lemon St Phone:
Directions to job site from Lillington: Hwy 27 to Hwy 55 in Coats,TR on 55 S,TL on E Lemon St,2 blocks on Rt
Subdivision: Lot:
Description of Proposed Work: 4800 SF Metal Building
Heated SF 4800 Unheated SF
General Contractor Information: Building Cost$ 180,000.00
Talon Construction Inc 919-938-2500
Building Contractor's Company Name Telephone
P O Drawer 148,Smithfield NC 27577 roy@talonstruction.net
Address Email Address
40931
Signa ure of Owner/Contractor/Officer(s)of Corporation License#
Electrical Contractor Information: Electrical Cost$ 33,500.00
Description of Work 4800 SF Bldg Service Size: 400 Amps #T-Poles
GMH Electrical, Inc. 252-239-8501
Electrical Contractor's Company Name Telephone
P.O.Box 280 Lucama,NC 27851 greg@gmhelectrical.com
Address Email Address
i9 ref /{0V,.l 16764-U
Signature of Owner/Contractor/Officer(s)of Corporation License#
Mechanical Contractor Information: Mechanical Cost$ 7,073.00
Description of Work 4800 SF Bldg #Units 1
Hines Heating&Air,Inc. 919-934-9359
Mechanical Contractor's Company Name Telephone
P.O.Box 2360 Smithfield,NC 27577 swise.hineshvac@gmail.com
Address Email Address
13732
Signa u her/ ontractor/Officer(s)of Corporation License#
111 Plumbing Contractor Information: Plumbing Cost$ 10,445.00
Description of Work 4800 SF Bldg #Baths 1
KRS Plumbing 919-320-5645
Plumbing Contractor's Company Name Telephone
1720 Braswell Rd. Smithfield,NC 27577 krsplumbing7@gmail.com
Addre C Email Address
` � 13 236
Signal re of ner/Contractor/Officer(s)of Corporation License#
Insulation Contractor Information
N/A
Insulation Contractor's Company Name&Address Telephone
`NOTE: General Contractor must fill out and sign the second page of this application
Sprinkler Contractor Information
N/A
Sprinkler Contractor's Company Name Telephone
Address Email Address
Signature of Officer(s)of Corporation License#
Fire Alarm Contractor Information
N/A
Fire Alarm Contractor's Company Name Telephone
Address Email Address
Signature of Officer(s)of Corporation License#
Driveway Access- NC Department of Transportation Driveway Access/Permit? Yes No
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 if any 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 Hamett 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 charged at full price per current fee schedule.
03/27/18
Signature of wner/Contractor/Officer(s)of Corporation Date
Affidavit for Worker's Compensation N.C.G.S. 87-14
The undersigned applicant being the:
V 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:
✓ 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: Roy B.Pope Talon Construction,Inc.
Sign w/Title: I/ SCS • ele ^ Date: 03/27/18
Jennifer Brock
From: Jo Pope cjo@talonconstruction.net>
Sent: Friday, May 11, 2018 11:37 AM
To: Jennifer Brock
Subject: FW: LiensNC Notice of Appointment of Lien Agent -Address: 186-234 Lemon Street,
Coats, 27521
Lien Agent info below.
Thanks,
Jo
Wary3o Pope
Office jfrlministrator
Talon Construction, Inc
919-938-2500
jai
wvuo.tafonconstntction.net
From: LiensNC Support [mailto:donotreply@liensnc.com]
Sent: Friday, May 11, 2018 11:33 AM
To: Undisclosed recipients:
Subject: LiensNC Notice of Appointment of Lien Agent -Address: 186-234 Lemon Street, Coats, 27521
A(n)Appointment of Lien Agent was filed on May 11, 2018, 11:32:50 AM using the North Carolina Online
Lien Agent System (LiensNC). Details of this filing include:
Project Property
Town of Coats - Public Works Building 4,800 s.f. Pre-Engineered metal building
186-234 Lemon Street
Coats, NC 27521
Harnett County
Entry Number: 850700(entry search, view related filings)
Date of Filing: May 11,2018, 11:32:50 AM
Lien Agent
First American Title Insurance Company
• Online: www.liensnc.com
• Address: 19 W.Hargett St.,Suite 507/Raleigh,NC 27601
• Phone: 888-690-7384
• Fax:913-489-5231
• Email: supporl(dliensnc.com
1
Owner Information
Town of Coats
25 East Main Street
Coats, NC 27521
United States Email: tclayton@daa.com
Phone: 910-897-5183
Design Professionals
Draper Aden Associates
930 Main Campus Drive Suite 151
Raleigh, NC 27606
Email: tclayton@daa.com
Phone: 919-827-0864
Click to view full filing details
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