DOCUMENTS Iniksi Application Dab:04/242018 Application
CW
COUNTY OF T REhone:(IAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,LNmgbn,NC 27646 Phone:(910)8917525 ext2 Fax:(910)8932793 wwwbamenorgpmMla
'irk RECORDEDSURVEY WAP,RECORDED D®(OR OFFER TO PURCHA8P BETE PIAN ME MIMED YMBI WUBNRRIIG A LAND IME APPUCATNIP
LANDOWNER:Stephen William Browde Melia Address:255 Baptist Grove Rd
Fuquay Wine NC 27526 919-622-2873 mebswbegmell.com
Cly. Stab: Zip: Contact No: Email:
APPLICANT': Making Address:
City: Stab:_Zip: Contact No: Emelt:
'rose es out applium intoweson Y dtrwr,t tarn ladowrr
CONTACT NAME APPLYING IN OFFICE: Phone*
BOBBY B MATTHEWS&BETTY S 4 0.632 ac
PROPERTY LOCATION:Subdivision: Lot is Lot Size:
State Roedi�5126
Slob Road Name: Baptist Grove Rd Map Book&Page:
000843 0032 03 0653-38-4930.000
Parrot PIN:
RA-303516 0609 Duke Progress
Zoning: Flood Zone: )0 Wabnhad used Book&Page Power Co •
_
+dog 1 •; F:.?
'Now'buten.with Progress Energy as service provider need to soppy premise number a F "from Progress Energy.
PROPOSED USE:
Monolithm
O SFD(Siza x IS Bedrooms: It Bells:_BasamngWwo beth):_Garage:_Deck`Cravd Space:_Slab: Slab
Os the bonus room finished?(i yes Lino of a dont?(_)yea U no(d yes add N vAh*bedrooms)
O Mod:(Size x )i Be&oon._*Eats_Basement Orden bath)_Garage:_Sib Bulk Deck:_ On Frame_Off Frame_
(Is the second ism lYMed?Li yes (__)no Any other We bunt addbons?Li Yes Li no
O Manureekaed Home: SW_pw 1W(Size x 1 i Bedrooms:_Garage:,_(a8a bW87_J Deck._(alte bulit?_)
O Duplex:(Size_x__)No.Buikbge' No.Bedrooms Per Unit
O Home Occupatbn:i Rooms: Use: Hours of Opmatln: *Employees:_
25.8 12 Finished Rec Room
Er AddlbNAccsaaoryfOlkm:(Size )Use: Closets In addition?Li yes (�no
Water Supply. ✓ Conry _Existing Well _New Well(0 of dwellings using wed )'Must have operable water before final
eewugeSup*:_New Best Tank(Complete Cheddar) ✓ Ettore Septic Tank(Complete Checklist) County Sewer
Does owner attic tract of land.awn lend that conning a manufactured home within 8ve hundred teat(500)ofmaet listed above?Liyes (St)no
Does the properly contain any easements,tether underground or overhead Li yes (✓)no
exist(sin.rem.)
StrusW res(existing or proposed):Single lenity dwellings: ManuAMured Homes. Other(spody):
Required Reaidwtial Property Line Setbacks: Cornrrwrb•
35' 75' Appiattion to finish room above garage Into a me room.
Front Mb Mm_ AcaMY
25' No adddional closets or baths
Rear _
10' 20'
Closest Side
20'
mdestreeticomer lot
6'
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 ISLINGTON:
Heed North on 401 toward Fuquey.Turn left onto Chalybeate Rd.Turn rigid onto Baptist Grove Rd.4th house on the left(white house)
If permits are granted I agree conform to all old end lam of the Side of North Carolina regulating such York end the spetlkaeons of piens submitted.
I hereby state Rat foregoing memos are d correct to the best of my Imosledge. Panne subject b revocation N false intonation N provided.
4!2412018
Signature of Owner or Owners Again Dale
"lt Is eeawnaNpmpueanb responsibiity10 provide the county with any applicable Information about the subjectpropety,Including but not limited
to:boundary infomiatbn,house Lsation,underground or ovedreed sssemema,ere.The county or Its employees ere not responsible fcrony
Inwreet or missing ntomnabn that is contained wlhbnthese appliications.•"
"Tho application expires S menthe from the initial deb If permits have not been Suer
Residential Land Use Application Page 2 of 2 03/11
08109/11 Apphcaoon#
Hamed County Central Permilbng
PO Box 65 LtaNC 27848
Est moon below b boiled out 910 893 7528 Pu 99100 893 32793 waw tremae°Wounds
by Ammer pedomwnwalk
Mat he owner or boned
ocneamr Address company Aoohcahon for Residential Build ns and Trades Pentad
noon d phone must match
Owners Name Stotts,. LAMA". t3reuek Date 1/7-4/204
Site Address 2r
51 arose (iters. e4 $. t , 'Awe..., Alt Z73t6 Phone 9/9- t-Z8?S
Drec6ons tomb site from L9Yngton Kati north eel Geo/ +—.wortFwr.,�.fy� e Twn seat
ant. 04jdKc /Z4. Twn r:s ter ewfta Orr front_ /Cele 'fthlw we on
(a41 (..ildts- s.-•
,)
Subdivision tlobdy d Awlauas • Qett S Lot si
Desonptan of Proposed Work .pt;.dt no.. our 3 / ! P.s £ic-lwt#of Bedrooms
Heated SF 296 Unheated SF Fished Bonus Roon9_Crawl Space _Slab
Osman
fi toe, anekredi ar Waaler'
Building Contractor s Company Name Telephone
Address Email Address
License
e racfarinMrmrimQ
Descnption of Work kid( .44%. in Eserine Sae Amps T-Pole _Ves No
Miles Cohen Elastric. 9M-n'1-4SelP
Ebcbrsl Contractors Company Name Telephone
-ils.S- acrkikrc Downs; Pak-1k NG 276/6
Address Email Address
11319 l-
lama
l cense#
MIghWASIMIffaratrnitala
Deecnpbon of Work Install 4144; W"' Mitt
i'. b. cae.p(arlsaf as• ow..ar
Mechanical Contractors Company Name Telephone
Address Email Address
License#
EgalllogidElkIlaBEIMIBM
Description of Wok PRI #Baths
Plumbing Contractors Company Name Telephone
Address Email Address
License#
insulation Contractor InfonnaboO
is 6c conal t./ 0.r a sweet
Insulabon Contractors Company Name&Address Telephone
'NOTE General Contractor must fill out and sign the second pegs 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 Hamett County Zoning Ordinance I state the mforrnecn on the above
contractors is correct as known tome and that pv awning below I have obtained all subcontractors
permission to obtain these Permits and if apy changes occur including listed contractors site plan
number of bedrooms budding and trade plans Environmental Health permit changes or proposed use
changes I certify it is my responebrilty to notify the Harnett County Central Permitting Department of
any and all chargee
EXPIRED PERMIT FEES-8 Months to 2 yews permit reissue fee us$18000 AMr 2 yews re-issue fee
is as per[ current fee schedu
/IC 14. v/tY/tara
Signature of Owner/ContradortOffca(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 CaMractct or Owner
Do hereby confirm under penalties of perjury that the person(s) hrm(s)or corporabon(s)penfemug the work
set forth in the permit
Has three(3)or more employees and has obtained workers compensation nuance to cover them
_Has one(1)or more subcontractors(s)and has obtained workers compenabon insurance to cover
them
VHas one(1)or more subc«oeaors(s)who has their own policy of workers mmpensabon insurance
covenne themsdva
/Has no more than two(2)employees and no subcontractors
While working on the project for which this permit is sought d a understood that the Central Permitting
Department issuing the permit may require certificates of coverage of worker s compensation insurance poor
•
• to issuance of the permit and at any time during the permitted work from any person tem or caporal=
carrying out the wok
•
Campeny« W:IUwvr gar-01,-01._,sign wyfoe J L ✓C Date Li/zs/zar8
1
83518 - P649
� FOr inter(sten Kimberly 3. Hargrove
(21e„../ Register Of Deeds
> Harnett County, NC
/ Electronicely Recorded
\_��f-\ 2017 Jun 29 03:27 PM NC Rev Stamp:5 430.00
' f Bods: 3518 Pana:649 - 650 Fee:S 26.00
l TT)0AUNTY TAX ID i Instilment Number: 201 70 09533
y8064> 32 03
061.291-2017 ..rJ
Cp- 5im, .�
N ' INA GENERAL WARRANTY DEED
Excise Tac $430.00 Vs " ' SEALCU NOR TAX ADVICE GIVEN
Parol ldaWBallo. 1.1 iF edby County cnlhe_Amy of 20
By �^
Mail/Box to:GRANTEE 04. as R.ad4, %t.+-'.►""`,Nt: aris2.6
This instrument was prepared by. runic 74 t�aveAtiorDev.Adams.Howell Sizemore&l.eufestev RA,
knN
Brief desaiption for the Index:dM 4.Minor. 'Malt • n Man For.Bobby B Matthews Betty S Matthews
THIS DEED made this 221h day of hum all lb'rtein/tt//lc
GRANTOR a f.` GRANTEE
Keith Bullock Benders,Inc.(a North �f Willem Browde tied wife,
Caroli corporation) - l ry r abetk Browde
72 Overlook Coen ` -� ptist Drive Road
Angler,NC 27501 \, . waRVarua,NC 27526
Ener in appopruoe block for each Groom and Grantee: name,mailintwd�r character of entity,o.g
corporation orpartnership. I
The designation Grantor and Grantee as used herein shall include said parties, i and assigns and shall include
singular,pima!,masculine,Sunhat or neuter as required by corium. _J
WIT'NBSSFT7i,that theGrmtor,for a valuable consideration paid by the Grantee,the is acknowledged,has
mdb7thesepasmadoes went,barge*seg and convey unto the Grantee n fee or parcel of hand muted
n County,North Carolina and mole pastimhrly </ 3
it
BEING an of Let 4,as shown on map entitled"Minor Subdivision and Recoabluadoa Mapfid: B.
Matthews Bony S.Matthews",as depleted la Map 0 2016.126,Haylee Couch'R. ls*
\) '
If checked,this property N the principal residents of the Grantor. l\�C/ 2
BC Bs Ant ske Fatwlle.3 o MkRewo tnramo . ; v5
ymmdtyAr etnewmtSnew
NC f +
1
Submitted electronically by "The law office of Chad N. Mambo.' N.
in compliance with North Carolina statutes governing recordable documents
and the terns of the submitter agreement with the Harnett county Register of deeds. _