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DOCUMENTS Initial Application Date: I 1- a► L_�v�( Application# 1 ��] 1S' 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.harnett.org/permits **A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION** LANDOWNER: Royal Oaks Building Group, LLC Mailing Address: 1210 Trinity Road, Suite 102 City: Raleigh State:NC Zip:27607 Contact No: 919-233-3886 ext321 Email: Jmoxley @royaloakshomes.com APPLICANT*:Royal Oaks Building Group Mailing Address: 1210 Trinity Road City: Raleigh State:NC Zip:27607 Contact No: 919-233-3886 Email: Jmoxley @royaloakshomes.com *Please fill out applicant information if different than landowner CONTACT NAME APPLYING IN OFFICE:John Moxley Phone#919-233-3886/321 PROPERTY LOCATION:Subdivision: Manors of Lexington Plantation Lot#:804 Lot Size: .22 ac State Road#55 State Road Name: Declaration Drive Map Book&Page: 2015/ 134 Parcel: 09956518 0282 44 PIN: 9595-30-6028.000 Zoning:RA2OR Flood Zone: N/A Watershed: N/A Deed Book&Page:3353 / 121 Power Company*: South River *New structures with Progress Energy as service provider need to supply premise number from Progress Energy. PROPOSED USE: 61' 36' Monolithic Gil SFD:(Size 61 x 36 )#Bedrooms:5#Baths:3_5 Basement(w/wo bath):_Garage: ✓ Deck:_Crawl Space:_Slab:_Slab: {/ (Is the bonus room finished?( ✓)yes (_)no w/a closet?L j yes (✓)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 ( ) no Any other site built additions?(__)yes (_)no ❑ Manufactured Home:_SW_DW_TW(Size x )#Bedrooms: Garage: (site built?_)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?(_)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 Does owner of this tract of land,own land that contains a manufactured home within five hundred feet(500')of tract listed above?(_)yes (✓)no Does the property contain any easements whether underground or overhead(_)yes ( no Structures(existing or proposed):Single family dwellings: New Home Manufactured Homes: Other(specify): Required Residential Property Line Setbacks: Comments: Front Minimum 35 Actual 35.5 Rear 25' 25.5' Closest Side 5' 21.4' Sidestreet/corner lot 10' 22.6' 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 LILLINGTON: South on 210 to Spring Lake; Righ onto 87/24 North; Right onto Centennial Parkway; Right onto Regimental Drive; Left onto Century Drive; Left onto Declaration Drive If 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 foregoing state e s are accurate and c rrect to the best of my knowledge. Permit subject to revocation if false information is provided. 11/9/2015 Signature of Ow er or rf�s Agent Date ***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 issued** Residential Land Use Application Page 2 of 2 03/11 PLOT PLAN FOR ROYAL OAKS BUILDING GROUP, LLC 55 DECLARATION DRIVE LOT 804, LEXINGTON PLANTATION, THE MANORS, PART 2A ANDERSON CREEK TOWNSHIP, HARNETT COUNTY, NORTH CAROLINA / 0% 16 COLONY y�F PHASE B PART 1 MAP BOOK 2010, PAGE 64 N60'14'28"W 80.00' 9 9,600 S.F. 20' COVERED PORCH 25.58' N .42' [13 � p 8 JUNIPER C Y 8 SLAB FOUNDATION C1 80 2.) 8�/ 22.6' • 20.33' • fff///333 • Irs:15.67' 21.4' WALK do DRIVE 880'14'28'E 80.00' DECLARATION DRIVE 50' PUBLIC R/W LEGEND SETBACK INFO BFP BACK FLOW PREMIER SITE PLAN APPROVAL CI CURB INLET ( : CO SEWER CLEANOUT FRONT PAZ: 35' ECM EXISTING CONCRETE MONUMENT—, FRONT >60 : 30' EDH EXISTING DRILL HOLE !)IS1 F!I� USE +�� R 25' EIS EXISTING IRON STAKE ONE SIDE: 5' EIP EXISTING IRON PIPE ONE SIDE: 10' EPK EXISTING PK NAIL __ CORNER SIDE: 20' ES ELECTRIC STUB BEQRC)C)NIS____ FES FLARED END SECTION LP H MNT POLE MANHOLE NDH NEW DRI LL HOLE 1� IIIIrak41110/ NIP NEW IRON PIPE Jeci, Lon dm •r NPK NEW PK NAIL OHW OVERHEAD WIRES PNS POINT NOT SET TP TELEPHONE PEDESTAL TR TRANSFORMER TV CABLE TV PEDESTAL UP UTILITY POLE WM WATER METER WV WATER VALVE REFERENCES; r ARD INLET ( ) MELD MEASUREMENT B.M. 2015 PP. 134-135 30 0 30 111•11111 WWI IMIIIIIIIIMI■111111■11 M NOTES SCALE: 1" = 30' 1. NOT FOR RECORDING IN MAP BOOKS. 2. THIS SURVEY SUBJECT TO ANY FACTS THAT MAY BE 09/09/11 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 harnett 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 Royal Oaks Building Group Date Site Address 55 Declaration Drive Phone 919-233-3886 Directions to job site from Lillington Head South on Main St. toward Front St. ; Turn Right at NC 210 S; Turn Right on Overhills Rd. ; Turn Left on Overhills Rd. ; Continue onto Nursery Rd; Turn Right at NC 24W/87N; Turn Right at Sawyer Rd. Subdivision Lexington Plantation; The Manors Lot 804 Description of Proposed Work Single Family Home #of Bedrooms 5 Heated SF 3448 Unheated SF 758 Finished Bonus Room/ YES Crawl Space Slab X General Contractor Information Royal Oaks Building Group, LLC 919-233-3886 Building Contractors Company Name Telephone 1210 Trinity Road, Suite 102 Raleigh,NC 27607 cobrien©royaloaksbg.com Address Email Address 49775 License# Electrical Contractor Information Description of Work Electrical Rough in and Final Service Size 200 Amps T-Pole X Yes No Imperial Electric 919-363-7474 Electrical Contractors Company Name Telephone PO Box 162 , Apex, NC 27502 Address Email Address 19850 License# Mechanical/HVAC Contractor Information Description of Work Install HVAC and duct system Stewart ' s Heating and Air 919-362-0387 Mechanical Contractor s Company Name Telephone 2430 Reliance Ave, Apex, NC 27539 Address Email Address 09308 License# Plumbing Contractor Information Description of Work Plumb single Family home #Baths 3.5 Barbour & Pourron 919-533-4455 Plumbing Contractors Company Name Telephone PO Box 934 , Clayton, NC 27528 Address Email Address 27132 License# Insulation Contractor Information Tatum Insulation II 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 by sianina 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 ee schedule A4 -4• .�`/ _ 11/9/2015 Signatu/' Owner/Contractor sfficer Jr'"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 workers 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 Royal Oaks Building Group / - Sign w/Title :ns Coordinator 11/9/2015 /� ,�. `(�.�,� Date LIEN AGENT INFORMATION Effective April 1, 2013 In accordance with North Carolina General Assembly Session Law 2012-158, inspections offices 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 Chicago Title Company, LLC Mailing address of Agent 19 W. Hargett Street, Suite 507 Raleigh, NC 27601 Physical address of Agent 19 W. Hargett Street, Suite 507 Raleigh, NC 27607 Telephone 888-690-7384 Fax 919-489-5231 Email support@liensnc.com This 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 property. Excerpt from North Carolina G.S. 153A-357: "(Effective April 1,2013)No permit shall be issued pursuant to subdivision(1)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 agent's 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."