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Home My WebLink AboutDOCUMENTS Initial Application Date:° I l.__I''� . Application St I 'l SC041 853 1 Cu# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext2 Fax:(910)893-2793 www.harnetl.org/permits "A RECORDED SURVEY MAP,RECORDED DEED(OR OFFERTO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" LANDOWNER:H&H Constructors of Fayetteville, LLC. Mailing Address:2919 Breezewnod Ave.,Ste.400 City: Fayetteville State:NC Zip:28303 Contact No: 910-466-4864 Email: Leannahair@hhhomes.com APPLICANT,:Same As Owner Mailing Address:Same City: Same State: Zip: Contact No: Same Email: Same 'Please fill out applicant information P different than landowner CONTACT NAME APPLYING IN OFFICE: Leann Hair Phone#910-486-48644(8] PROPERTY LOCATION:Subdivision: Anderson Creek Club Lot#:)(!CILoa.)10,1'.331 Yt�SSiz/ 3/_ C State Road*1117 [''State Road�yN��ame:'N\ursery Road /� ,/� c(� 2(J Map.@ook B paged)l V'L 1 Parcel:�01IO Pa 313<- 3 01 On IC) PIN: : f`I-IIIJc") O/�I 3 rj Zoning load Zone: / ` Watershed:/ -A Deed Book&Page?Y(r )OYU4 Power Company^: South River 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy, PROPOSED USE: w r A. O l _ / Monolithic 4 SEC:(Rize. 1 x W U1#Bedrooms. #Baths.G• asement(w/wo bath):_Garage:_Deck:_Crawl Space:_/ Sleb:_ on: (Is the bonus room finished?(i yes (__)no w/a closet?(j yes (i no(if yes add In with#bedrooms) ❑ Mod:(Size x )#Bedrooms_#Baths_Basement(w/wo bath)_Garage:_Site Built Deck:_ On Frame_Off Frame_ (Is the second floor finished?(__)yes (J no Any other site built additions?(_.)yes (.j no ❑ Manufactured Home: SW_DW_TW(Size x )#Bedrooms: Garage: (site built? I 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?( lyes ( )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 Does owner of this tract of land,own land that contains a manufactured home within five hundred feet(500')of tract listed above?( )yes L)no Does the property contain any easements whether underground or overhead ( 1 no Structures(existingngle family dwellings: 1 Manufactured Homes: Other(spedfy): Required Residential Property Line Setbalcckkjs: Comments: Front Minimum 30 Actual 5 1 + Rear 25 Fj Closest Side 10 Sldestreeticorner 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: H .2710 Nursery Road,turn left and follow Ray Road.Turn left and follow to Anderson Creek Drive. It permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted. I hereby state that foregoin elements are accurate and �rectt tootthe �best of my knowledge. Permit subj tto rev catonn If false information Is provided. Q SI Owner orDWFDes Agent � Date `I "'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 penults have not been issue" Residential Land Use Application Page 2 of 2 03/11 I, MICHAEL P. GRIFFIN . certify that under my dkcdm one wprw.rns WS map was dawn from an actual field survey that Me error at closure at the survey as calculated by coordinates is 1: 10000# : that the area shown hereon .os calculated by coordinates. MMYs my hand and sed this day at MWIN 20'Z 51'1 'IRti zo c 0 C.S. 3 SrR}z8 j1g5 6°3649 -- I I -- I I 06. I r\ I t4,7s13Q.� rci 0.34 AC. I A I me 2G DIiMNAGEo _ - 'I' rati Q \ 2353 \ PROPOSED (1 06> I I BILr,NORE NG. / g I I / ILS 069 I I s w I 0 Co I 1 I \ `v 1 I4o' S . a. I I soxc w / 5'UTILITY Ea ENem I to _ 1------ - SCHOOL SIDE DRI V E SITE PLAN APPROVAL50' PRIVATE UTILITY RW DISTRICI USE S}\ seTaacKs RONT 35' #BEDROOMS PEAR _ PIPE 10' ^ t 1 CORNER SIDE 20' 911L. 1j ^ CI P 0666'L-6 99'N34°4 %a EitPor r. I LEGEND „---'°•! Application# Harnett County Central Permitting PO Box 65 Lillington,NC 27548 *Each section below to be filled out 910-693-7525 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: Hemt Constructors of Fayetteville, LLC. Date: Ir� I t ( I y I Site Address:fe)�& x XXI-\1 Sicke d J(` IVre. Phone: 910-486-4864 Directions to job site from Lillington: Hwy 27 to Nursery Road, Turn left, follow to Ray Road, turn left and follow to Anderson Creek Drive. ,.r� Subdivision: Anderson Creek Crossing Lot: I flif, lrI„L, Description of Proposed Work: SFD #of Bedroom : q Heated SFA Ca Unheated SF:L ai 5 Finished Bonus Room? Crawl Space:V Slab:_ General Contractor Information H&H Constructors of Fayetteville, LLC. 910-486-4864 Building Contractor's Company Name Telephone 2919 Breezewood Avenue Ste.400.Fay. NC 28303 Leannahairahhhomes.com Address Email Address 74158 License# Electrical Contractor Information Description of Work Service Size: 200 Amps T-Pale: X Yes_No JM Pone Electric LLC. 919-776-5144 Electrical Contractor's Company Name Telephone 409 Chatham Street Sanford, NC 27330 electricoopeewindstream.netcom 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. Clavton,NC 27520 carolinacomfortair(glvahoo.com Address Email Address 29077 H-3-I License# Plumbing Contractor Information n Description of Work #Baths (9.r) Vance Johnson Plumbing Co.. Inc. 910-424-6712 Plumbing Contractor's Company Name Telephone 3242 Mid Pine Dr. Fayetteville NC 28306 etoepfer(rDviplumbing.com Address Email Address 07756-P-I License it Insulation Contractor Information Tri-City Insulation 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 sinning 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. Signature of Owner/Contrac'effcer(s) of Corporation Date Affidavit for Worker's Compensation N.C.G.S. 87-14 The undersigned applicant being the: X General Contractor Owner X 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. X 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. Sign w/Title:S � / Permitting Coordinator Dater. l 1 ( 1 11 Appointment of Lien Agent: Details - LiensNC lien Service Page 1 of 1 DO NOT REMOVE! Details: Appointment of Lien Agent Filed an: mnaloon Entry k: 686913 Initially filed by: meegenbradahew Designated Lien Agent Project Property Print & Post Ftai Aio eron l ale In m mace Company ACA 1068 Lot 1068 Anderson Creek Academy 1:1" 52 School Side any r't, Online:fly kerma com Sprang Lake,NC 28)90 Address:19 W.HAicFL Se Suic Sol i eile:gh NC Hamel County \Y at mol Contractors: Phone:xxewn]]X! Please post this notice an the lob Ale Fn.931-618321l Property Type SnpPtien and Subcontractors: Email': s 665119un:e ran Sean this image withn phone sress.this filing Youn then file a Noticem 1-2 Family nwelltng DenAca gem for this protect Owner Information Det, of First Furnishing II&11 Constructors of Feyenesille,LLC. 2919 Bre e zewood Avenge Ste 400 Fayeuerille, NC 28303 06. /2017 Emaill eanhai&hh ho nies corn !'hone 910-4e6-4564 VEA CommmtstO; technical Supper'l Inning 18881690-71g4 https://apps.liensnc.corn/scr/appointment/details.html?entryNumber=686913&printable= 7/14/2017