DOCUMENTS ct
Initial Application Date: V/1 I i) l V Application# g 50113`L Ole L
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.harnelt.org/pmmis
kit '^A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PIAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION^
,esw • -H&H CONSTRUCTORS OF FAYETTEVILLE,LLC. 2919 BREEZEWOOD AVENUE STE.400
• Mailing Address:
T1FCAAYAETTEVILLE NC 910-486-4864 LeannaHair@Hhhomes.com
C , State: Zip_ Contact No: Email:
A �1Trxi- � i'V��" Q1� � �� " Mng
Address:SAME
City: SAME State:_Zip: Contact No: SAME SAME
Email:
'Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:LEANNA HAIR Phone#910-221-7512
COOPERS CREEK 4 Q^ 3�'T
PROPERTY LOCATION:Subdivision: Lotti O d Lot Size; 0•J r.
State Road#1121 State Road Name: RAY ROAD %ap Book&Page:DIIV , ?a3
4arc&: Oteco4oUoyl4 O \ fes_ IN: 0S01—fl-I3ao .ono
Zoning:RA.'Y,OR Flood Zone: K Watershe6%_ ) e8 Page: ISI 0`t' / O�#g3 Power Company': SOUTH RIVER
`New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROP ED USE:
WD:
t C Atha";
/ Monolithic
V6 SFD:(Size SV'x S,L)ikedrooms5 #Baths: Basement(w/wo bath): �arage: /Deck Crawl Space.__Slab:_ _Slab:_
(Is the bonus room finished?( )yes 1 1 no w/a closet?( )yes ( )no(if yes add in with#bedrooms)
U Mod:(Size x 1#Bedrooms #Baths_Basement(w/wo bath)_Garage:_Site Built Deck On Frame_Off Frame_
(Is the second floor finished?( )yes ( )no Any other site built additions?( )yes ( 1 no
O Manufactured Home:_SW_DW_TW(Size x 1#Bedrooms: Garage: (site built? 1 Deck: (site built? 1
❑ Duplex:(Size_x 1 No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
❑ Addition/Accessory/Other(Size x 1 Use: Closets in addition?(.J 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) ✓ County Sewer
�r, Does owner of this tract of land,own land that contains a manufactured home within five hundred feet(500')of tract listed above?( 1 yes (✓)no
*Does the property contain any easements whether underground or overhead( )yes (✓Ino
Structures(existing oCO" ingle family dwellings: I Manufactured Homes: Other(specify):
L(�
Required Residential Property Line Setbacks: Comments:
4 Front Minimum 20 Actual '1
4 Rear 15 3t'S
*'Closest Side 10 )O.S
Sidestreet/comer lot 20
Nearest Building 10
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: NC-210 TURN RIGHT AT OVERHILLS ROAD.TURN LEFT TO STAY
ON OVERHILLS,SHARP LEFT AT RAY ROAD.2ND RIGHT ONTO COOPERS AVENUE.
If permits are granted I a ee to conform all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that forego g statements accurate and correct to the best of my knowledge. Permit subjed to revocation if false information is provided.
°
Si afore of Owner or Owner's Agent 0
"'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 issuer
Residential Land Use Application Page 2 of 2 03/11
( MICHAEL P. GRIFFIN , certify that ands my direction and q
sup
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drawn map was a.e from octad field sone, that the errorof 61'7p
closure of Me survey as caudated by rr+>^omv is 1: ,a000# : that the m2
ono shower hereon was calculated by coadb,oms
Whine my hand and seal this day of MONTH 101& 0
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DANDELION PLACE 1
50'RAV(PUBLIC B UTILITY ACCESS)
SET5ACK5
FRONT 20'
REAR 15'
SIDE IO'
CORNER SIDE 20'
Cl R=50.00'L=35.76'550°47200 35.00'
I FC. FNI n
NORTH CAROLINA HARNETT COUNTY
CONTRACT TO PURCHASE
This contract,made and entered into this 11th day of May ,2018 ,by and
between Estate of Florence C.Wellons as SELLER,and
H&H Constructors of Fayetteville,LLC as BUYER:
WITNESSETH
THAT SELLER hereby contracts to sell and convey to BUYER,and BUYER hereby contracts to purchase from SELLER,
the following described residential building lot/s,to wit:
Being all LOT/S 82 of the Subdivision known as Coopers Creek Phase 3 ,a map of
which is duly recorded in Book of Plats_Page Part
County Registry.
1. The agreed Sale Price is$ 40,000 ,Payable as follows:
Down Payment(payable upon execution of this contract): $ 0
Balance of Sale Price(payable at closing): $ 40.000
2. The LOT/S shall be conveyed by SELLER to buyer by General Warranty Deed free of all of all
encumbrances other than taxes for the current year,which shall be prorated as of the closing.The
Deed shall be subject to all Restrictive Covenants,Utility Easements and applicable zoning ordinances
on record at the time of closing.
3. Buyer acknowledges inspecting the property and that no representations or inducements have been
made by the SELLER,other than those set forth herein,and that the Contract contains the entire
agreement between parties.
4. Closing(Final Settlement)is to take place not later than: 45 days within execution of contract
20 18 at the offices of Single Source Real Estate
Should BUYER fail to close,the SELLER,at his option,may retain the sum paid as a DOWN Payment
upon the Purchase Price as liquidated damages and declare this Contract null and void and may
proceed to resell the LOT'S to a subsequent Buyer.
5. Other Conditions:
Restrictive Covenants for subdivisions are recorded in the Office of the Register of Deeds for
Harnett County in Book 2841 Page 175-188 or a copy of which has been
provided to Buyer.
Building side lines shall be per plat unless otherwise controlled by governmental authority.Property
has been surveyed by 4D Slte Solutions
Buyer must submit house plans to SELLER for architectural conformity and Covenant approval prior to
breaking ground.
Additionally:
IN WITNESS WHEREOF the parties have executed this contract this 11th day of November 2018
.1
, - _-
SELLER f emiza BUYER h ---)
fl t 51wt(Pors of- txvdbwilleCLL
Application#
Harnett County Central Permitting
PO Box 65 Lillington.NC 27546
•Each section below to be filled out 910-893-7525 Fax 910-893-2793 www.harnetl.org/permits
by whomever performing work.
Must be owner or licensed
contractor. Address,company Application for Residential Building and Trades Permit
name&phone must match
'
Owners Name: H&H Constructors of Favetteville,LLC. Date: (If I I I18
.)Site Address: a NA/1M NUL NjfyIL.Ice LL 21-an Phone:
Directions to job site from Lillington: Hwy 210 to Spring Lake.Turn Rt. at Overhills turn left to stay on Overhills.
Sharp left a Ray Road. 2nd Rt. On Coopers Avenue. .
Subdivision: Coopers Creek T Lot: O a
�,�fI Description of Prop,o,S;e,d Work: New Single Family Dwellin of Bedrooms
'IWeated SF:3M31 "9nheated SF: g13 Finished Bonus Room? yawl Space:_ _Slab:
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 Leannahairrdhhhomes.com
Address Email Address
74158
License#
Electrical Contractor Information
Description of Work Service Size: 200 Amps T-Pole: X Yes No
Sandy Ridge Electric 910-323-2458
Electrical Contractors Company Name Telephone
454 Whitehead Road keith@sandvridgeelectric.com
Address Email Address
10006U
License#
Mechanical/HVAC Contractor Information
Description of Work
Carolina Comfort Air, Inc. 919-934-1060
Mechanical Contractor's Company Name Telephone
703 N Clinton Avenue Dunn. NC 28334 carolinacomfortairavahoo.com
Address Email Address
29077 H-3-I
License#
Plumbing Contractor Information,*
Description of Work #Baths
Vance Johnson Plumbing Co., Inc. 910-424-6712
Plumbing Contractor's Company Name Telephone
3242 Mid Pine Rd. Fay., NC 28306 vaniohnson(Wviplumbinu.com
Address Email Address
07756 P-I
License#
Insulation Contractor Information
Tricity Insulation, Inc.418 Person St. Fay., NC 28301 910-486-8855
Insulation Contractor's Company Name&Address Telephone
*NOTE: General Contractor I 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 signing below I have obtained all subcontractors
permission to obtain thestpermits 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 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 a Iper current fr-a schedule.
' 1 , „ 6111 l lb
• -ture o'r•wner/Contractor/Officer(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 ork.
Company or e: H&H Constructors of Fayetteville, LLC. r'
Iign w/Titie: , 'Avl-,f`� /Permitting Coordinator Date: �, '((f(D
Appointment of Lien Agent: Details -LiensNC Lien Service Page 1 of 1
DO NOT REMOVEI
Details: Appointment of Lien Agent Filed on: 06/13/2018
Entry N: 868220 Initially filed by: meaganbradshaw
Designated Lien Agent Project Property Print & Post
First American'fit¢Insurance Company CPCO00082 Lot 82 Coopers Creek Er -0
21 Dandelion Place
Unlme. ww'ii cornu.,..�. Spring Vke,NC 28390
Atltlrer.19\V.FWgn SI,suite 501/Raleigh NC Hemet County Q
17601 Con
Mart assbPo 734 Please post this notice on the lob Site
fv.913409a731 Property Type Suppliers and Subcontractors:
[mail,SUM]; mer term.w...... Scan this Image with your amara phone to
view tilts filing You can then Ne allotce
1-2 Family Dwelling Ic Lien Agent for this protect.
Owner Information
Date of First Furnishing
H&H Constructors of Fayetteville,LLC
2919 Breezewood Avenue Ste.400
Fayetteville, NC 28303 051214018
United States
EmeiC leannahar@hhhomes cum
Phone 910-086-4864
View Comments(0)
Technical Support Hotline:(888)690-7384
https://apps.liensnc.com/scr/appointment/details.html?entryNumber-868220&printable=Y 6/13/2018
Date L9 �k� r
�t l
Plan Box# l Job Name
Plan Name
App # � oi Valuation 3ag1gsa SQ Feet 3, Y37
Garage Ye3
31Qa n
Inspections for SFD/SFA
Crawl_ Slab V 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 \/ Envir. Health_ Other
Additions/Other
Footing
Foundation
Slab
Mono_
Open Floor_
Rough In
Insulation_
Final
Harnett County
102 EAST FRONT ST
P 0 BOX 65
LILLINGTON NC 27546
DATE: 6/29/16 RECEIPT #: 0000011351
TIME: 9:48 :46 CASHIER: JBROCK
APPLICATION NBR: 18-50044291
LOCATION ADDR: 21 DANDELION PL
REFERENCE: SFD / METER
ITEM DESCRIPTION PAID
HOMEOWNER RECOVERY FUND 10 . 00
LAND USE PERMIT FEE 25 . 00
PERMIT FEES 1200 . 00
REVIEW RESIDENTIAL PLANS 25 . 00
P* SET UP/TRANSFER FEE 15 . 00
TOTAL AMOUNT PAID: 1275 . 00
PAYMENT TYPE: ESCROW
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call: (910) 893-7525 Fax: (910) 893-2793
Application Number 18-50044291 Date 6/29/18
Intersection
Property Address 21 DANDELION PL
PARCEL NUMBER 01-0504-03- -0094- -01-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name
Property Zoning RES/AGRI DIST - RA-20R
Owner Contractor
WELLONS FLORENCE C H & H CONSTRUCTORS INC
PO BOX 766 2919 BREEZEWOOD AVENUE STE 400
SPRING LAKE NC 28390 FAYETTEVILLE NC 28303
(910) 486-4864
Applicant
H & H CONSTRUCTORS #82
2919 BREEZEWOOD AVE
STE 400
FAYETTEVILLE NC 28303
(910) 486-4864
--- Structure Information 000 000 53X56 . 8 5BDR 3BA SLAB W/GARAGE
Flood Zone FLOOD ZONE X
Other struct info # BATHS 3
# BEDROOMS 5000000 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? SEWER
WATER SUPPLY COUNTY
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1248640
Issue Date . . . 6/29/18 Valuation . . . . 0
Expiration Date . 6/29/19
Special Notes and Comments
T/S : 06/18/2018 09 :43 AM JBROCK ----
COOPERA CREEK #82
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 18-50044291 Date 6/29/18
Property Address 21 DANDELION PL
PARCEL NUMBER 01-0504-03- -0094- -01-
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name
Property Zoning RES/AGRI DIST - RA-20R
Permit BLDG,MECH,ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1248640
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-30 814 A814 ADDRESS CONFIRMATION _/_/_
10 101 B101 R*BLDG FOOTING / TEMP SVC POLE / /_
20 103 B103 R*BLDG FOUND & TEMP SVC POLE / /_
30-999 111 Bill R*BLDG SLAB INSP/TEMP SVC POLE / /
30-999 309 P309 R*PLUMB UNDER SLAB / /_
30 104 B104 R*FOUND & SETBACK VERIF SURVEY / /_
40-50 129 I129 R*INSULATION INSPECTION / /_
40-60 425 R425 FOUR TRADE ROUGH IN / /_
40-60 125 R125 ONE TRADE ROUGH IN / /_
50-60 429 R429 FOUR TRADE FINAL / /_
50-60 209 E209 R*ELEC TEMP POWER CERT / /_