DOCUMENTS Initial Application Date:S1 ILO I l° Application* IS., C)(+l • b3l
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 swYw.hamett.org/pennita
'A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER:WYNN CONSTRUCTION, INC. Mailing Adtlress'. 2550 CAPITOL DRIVE, SUITE 105
City: CREEDMOOR State:NC Zip:27522 Contact No: 919-258-2430 Email: ttrefftZS@wynnhomes.com
APPLICANT*:WYNN CONSTRUCTION, INC. Mailing Address:2550 CAPITOL DRIVE,SUITE 105
City: CREEDMOOR State:NC Zip:27522 Contact No: 919-258-2430 Email: Wefts
'Please fill out appkant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:TERI TREFFTZS Phone#919-592-654455 �I
PROPERTY LOCA/TIOnN:Subdivision: ANDERSON CREEK CROSSING 22 Lot#: /O Lot Size' IOAn.]
State Road# , i 3y �U/State Road Name:�eJl.LI.LLL'fAf/0.14_, q . yy�+ Map�. 8�Page:030/tY l J�7
Parcel: 0/�-�L�,A/Tq t95 WOO `T3 /� PIN: Opr�1S� 1V� 1S_— O(.D -�R�.`+�t I
Zoning:�a°9--Flood Zone: X Watershed:Nl-1' Deed Book 8 Pa9244IDEP/LOS Power Company:
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: X Q�� ,,/
''/I / //�� Scr.Le/LPD ds/'NMholithic
RI SFD:(Size b7 T 5t S Bedrooms: .ft Bathe,/Basement(wM'o bath) Garage:...„..Y Deck: Crawl Space: Slab:_Slab'._
(Is the bonus room finished?( )yes X)no w/a closet?U yes ( )no(if yes add in with#bedrooms)
❑ Mod:(Size x )#Bedrooms_*Baths Basement(wMo bath)_Garage: Site Built Deck:_ On Frame_Off Frame_
(Is the second floor finished?U yes U no My other site built additions?( )yes U no
❑ Manufactured Home: SW_DW 1W(Size x 1*Bedrooms:_Garage: (site built? 1 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_U Use: Closets in addition?U yes ( )no
Water Supply: 1 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 tract of land,own land that contains a manufactured home within five hundred feet(500')of tract listed above?( )yes afi no
Does the property contain any easements whether underground or overhead Us (1)no
SWctures(existing or proposed):Single family dwellings: 1 an a ured Homes: Other(specify):
F!J
Required Residential Property Line Setbacks: Comments:
Front Minimum�3 D TActual 2 /7
Rear oL C Sid '42O
Closest Side / 0 /0,33
Sidestreet/comer lot9
Nearest Building
on same lot
Residential t and Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
27 WTO NURSERY RD., LEFT ON NURSERY THEN LEFT ON RAY RD.,THEN LEFT INTO ANDERSON CREEK
If permits are g +• • a• •- to cont•• vine Ices and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby sta-. at foregoing sL, • and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
I/�rtei s-lo as l V
Signature of Owner or,0"..."Age Date
"sit 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 is 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 03111
09 C21Nil
52$1580
o1 In
In `"co 1099 6
v
OM
1100 �. .. t 103 W 1098
W 3 I -
•
yy CO
(`7 B 2E0k
h 14 XI e
• Bim' a\
0 C7
0 3 0.33'.6' !/I
n L I,
al'
c
N50'42'23'E
70.00 H IRCAO"
EDUCATI❑N DRIVE .8z- ssi, 4.4.4=
(50' R/W) _ • SEAL 9r'
li
— — — — — = L-4486
ayy,to SURAFy��'.-A
,,.,/( ( 'C T.mDalo`
MS NV VK MEPMED nos MTI.4S 1010.MO ram /I
SITUAtMNWR[0 SYMOLISS LY RIl NO
r I�/ /
SITE RMI. MENDED 101 RAMPS It IL MMS A b MM /
111101110001 SCPSESENTS A SURVEY NAOS V NO ZaaMTm4 OMVCYMIEU.01 SALES
FNM R IN
Charlie T. Carpenter, P.L.S. PRELIMINARY SITE PLAN FORt
'\ I / Professional Land Surveyor WYNN C❑NSTRUCTI❑N
Cf 1940 Juniper Church Road
PIN 0505-86-5926,000
J I H- Four Ooks, NC 27524 PARCEL ID 01053525 0100 43
C (919) 320-5281 LOT 1099 ANDERSON CREEK CLUB S/D
PB 2017 PG 327 113 EDUCATION DRIVE
plschuck300yahoo.wm 5/5/18 SPRING LAKE, NC 28390
1'=40'
09(09/11 App1-140.—Slication# Le)^
Harnett County Central Permitting W
PO Box 85 Lillington NC 27548
Each seam below to be Mled out 910 893 7525 Fax 910 893 2793 www homed orglpennits
by whomever performing work
Must be owner or licensed
contractor Address company Application for Residential Buildina and Trades Permit
name&phone must match
Owners Name WYNN CONSTRUCTION I Date 5- /0-00 IS
Site Address /!3 L�Iavi�R . 415 lithAt—
Phone
Directions to job site from Lillington 27W TO NURSERY RD., LEFT ON NURSERY, LEFT ON RAY,
LEFT INTO ANDERSON CREEK
Subdivision 14a0-0,--€141 ll Lot / Ogg
Description of Proposed Work NEW/CONSTRUCTION, SFD #of Bedrooms LI
Heated SF4/7-)-Unheated SFI,LSS'1 Finished Bonus Room/ &in Crawl Space,Slab
General Contractor Information
WYNN CONSTRUCTION, INC. 919-258-2430
Building Contractors Company Name Telephone
2550 CAPITOL DR.. STE. 105 CREEDMOOR NC 27522 ttreffizs@wynnhomes.com
Address Email Address
46295
License#
Electrical Contractor Information
Description of Work NEW CONSTRUCTION Service Size 200 Amps T-Pole✓Yes_No
BUFORD ELECTRIC 910-723-1937
Electrical Contractors Company Name Telephone
948 PAN DRIVE, HOPE MILLS, NC 28348 bufordelectric@gmail.com
Address Email Address
31424-U
License#
ylechamcaliHVAC Contractor Information
Description of Work NEW CONSTRUCTION
CERTIFIED HEAT AND AIR 910-858-0000
Mechanical Contractors Company Name Telephone
779 SUNSET LAKE RD., LUMBER BRIDGE, NC 28357
Address Email Address
NC 200212 H3 CLASS 1
License#
Plumbina Contractor Information
Description of Work NEW CONSTRUCTION #Baths
THORNTON'S PLUMBING 919-550-4833
Plumbing Contractors Company Name Telephone
3160A Vinson Road, Clayton, NC 27527 brendaactpi@gmail.com
Address Email Address
22152
License#
Insulation Contractor Information
TATUM INSULATION 919-661-0999
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 Dermas and if 90y 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 PE' IT FEES-a M the to 2 years permit re-issue fee is 3150 00 After 2 years re-issue fee
is - •• vi t fe: in le f�
. r . . '1 !A � ( 'J-� D
I
Signature of Owns •ntractor/c.' -.4 of Corporation Date
Affidavit fo other's Compensation N C G S 87-14
The undersigned applicant being the
General Contractor _Owner J Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of penury that the person(s) firm(s)or corporation(s)performing the work
set forth in the permit
J 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
J 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 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
Co ny or Na A• ' ' ON.TRUCTION, INC. C
S n w ' set/ ONSTRUCTION, COORD. Date - I v- 0 15
LIEN AGENT INFORMATION
Effective April 1,2013
In accordance with North Carolina General Assembly Session Law 2012-158,
Inspection Departments are not allowed to issue any permit where the project cost
is $30,000 or more unless the application is for improvements to an existing
dwelling that the applicant uses as a residence OR the property owner has
designated a lien agent and provided the inspections office with the information
below: •
Name of Lien Agent TITLE INSURANCE COMPANY
19 W. HARGETT STREET, SUITE 507
Mailing address of Agent
RALEIGH, NC 27601
19 W. HARGETT STREET, SUITE 507
Physical address of Agent
RALEIGH, NC 27601
Telephone 888-690-7384 Fax 913-4859-5231
Email support @liensnc.com
The information will be attached to the permit record and a copy provided to the
applicant. The applicant is required to post a copy on the construction site.
Excerpt from North Carolina G.S. 160A-417:
"(Effective April 1,2013)No permit shall be issued pursuant to subdivision(I)of subsection(a)of
this section where the cost of the work is thirty thousand dollars($30,000)or more,other than for
improvements to an existing single-family residential dwelling unit as defined in G.S. 87-15.5(7)that
the applicant uses as a residence,unless the name,physical and mailing address;telephone number,
facsimile number,and electronic mail address of the lien agent designated by the owner pursuant to
G.S.44A-11.1(a)is conspicuously set forth in the permit or in an attachment thereto.The building
permit may contain the lien agents electronic mail address.The lien agent information for each
permit issued pursuant to this subsection shall be maintained by the inspection department in the
same manner and in the same location in which it maintains its record of building permits issued."
www.liensnc.com
Appointment of Lien Agent:Details-LiensNC Lien Service https://apps.liensne,com/scr/appointlnent/details.html?entryNumbOl ...
DO NOT REMOVE?
Details: Appointment of Lien Agent Filed on: 01/15/2019
Entry A: 783692 Initially filed by: wynnhomes
Designated Lien Agent Project Property Print & Poet
ImInsurance BJtleInsurance and
ce Companyrrmn creek subdivision lo11099 0•..--
113 education dove s:�d F
oml.e nwwli rpdn815kc,NC 28390 •f � 'O
"drat;19W.Smut St,Si*50]/PYug4NC ! hamrea Want 0 �'
27601
noes Coolntlors:
noon 888-690-7384 Plain post Nb viatica on the Job Site
i
Pn:913489.5231 I Property Type SUPPtlen std Subcontractors:r as w9owo81kmnewm:.e�n.....r Scan this Image with your void phone 10
viewI this filing You as ten file a Notice
- - Illi 1-2 Family DSwJImg to Lim Agent for this pmodest.
•
Owner information
wym homes
2550 capilal dr.
crtadmmr, NC 27522
Nulled States
Email:nanny wyimhomes.com
Phone:919-528-1347
View Commena(0)
Technical Support Holtlne:(888)690-7384
1 oft 1/15/2018,9:08 AM