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BUILDING Application # 1 150 LD 1 I / 'Each section below to be filled out Harnett County Central Permitting by whomever performing rk. PO Box 65 LIIIIngton, NC 27548 contractor. or. AddrTesess, , n company o Must bmevnr owner s 910-893 -7525 Fax 910- 893 -2793 www.harnett.org/permlts ng name 8 phone must match Application f. r Residential Building and Trades Permit Owner's Name: Royal Oaks Building Group, LLC Date: 24 l ? 1 ! I Slte Address: Lis NO hit a Phone: 919.233.3886 Directions to job site from LIIIIngton: Head South on Main St toward Front St; Turn Right at NC 210 3; Turn Right on Overhills Rd; Turn Left on Overhllls Rd; Continue onto Nursery Rd; Tum Right at NC 24W/87N; Turn Right at Sawyer Rd Subdivision: Village of Lexington Lot: ( Z 7 Description of Proposed Work: Single Family Home /, # of Bedroorr)s: 3 Heated SF: 1 702. Unheated SF: ( Finished Bonus Room? N� Crawl Space: 't Slab: ✓ General Contractor Information Royal Oaks Building Group, LLC 919.233.3886 Building Contractor's Company Name Telephone 1210 Trinity Road, Ste 102 Raleigh, NC 27607 kwesterman©royaloeksbg.com Address //� `� Email Address 49775 Signature of Owner /Contractor /Officer(s) o Corporation License # Electrical Contractor Information Description of Work Electrical Rough - In and Final Service Size: 200 Amps T -Pole: 1 Yes No Imperial Electric 919 363 - 7474 Electrical Contractor's Company Name Telephone PO Box 162, Apex, NC 27502 Addres J Email Address �� 19860 Signature of Owner /Contractor /Officer(s) of Corporation . License # MechanIcaIINVAC Contractor Information Description of Work install HVAC and duct system Stewart's Healing and Air 919-362-0387 Mechanical Contractor's Company Name Arai 11 2430 Reliance Ave, Apex, NC 27539 41,r s ru e *wA'ri1 ` ff 1 4f A 4 Air. £ a Address Email Address 09308 Signature of Owner /Contractor /Officer(s) of Corporation License # Plumbing Contractor Information Z Description of Work plumb single family home # Baths Barbour and Pourron - 919 - 533-4455 Plumbing Contractor's Company Name Telephone PO Box 934, Clayton, NC 27528 Address / Email Address 10672 Signature of Owner /Contractor /Officer(s) of Corporation License # Insulation Contractor Information Tatum Insulation II 919 Insulation Contractor's Company Name & Address Telephone `NOTE: General Contractor must fill out and sign the second page of this application. Residential Building Application 1 of 2 03/10 • Homeowners Applying to Build Their Own Home Please answer the following questions then see a Permit Technician to determine if you qualify for permit under Owners Exemption. Ouestionnalre per G.S. 87 -14 Regulations as to Issue of Building Permits (Memo available upon request) 1. Do you own the land on which this building will be constructed? _ Yes _ No 2. Have you hired or intend to hire an individual to superintend and manage construction of the project? _ Yes _ No 3. Do you intend to directly control & supervise construction activities? _ Yes _ No 4. Do you intend to schedule, contract, or directly pay for all phases of construction work to be done? _ Yes _ No 5. Do you intend to personally occupy the building for at least 12 consecutive months following completion of construction and do you understand that if you do not do so, it creates the presumption under law that you fraudulently secured the permit? _ Yes _ No 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 if env 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 - 8 Months to 2 years permit re -issue fee is $150.00. After 2 years re -issue fee is as urrent fee schedule. ._4 l Adair" 2444/ Signature of Owner /Contractor /0 "cer(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 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: 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. V 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: Royal Oaks Building Group LLC v /7 ,,/� • Sign wfIltle: , � 4 :dye/pr Date: 2 /44 Residential Building Application 2 of 2 03/10 • } Plan Box Number - fl 1 Job Name Date: ,Q•,22-)/ Required Inspections for SFA/SFD Appl. # 1 ) so(:QGD I Valuation /' j, /'7 7 Sq. Feet 4,2Cx1 Sequence 10 R* Bldg. Footing 10 �/ R* Mono Slab 10 -30 � %'" R* Elec. Temp Service Pole 20 ? Foundation Survey 20 R* Building Foundation 20 c Address Confirmation Slab 30 -999 Open Floor 30 -999 R* Bldg. Slab Insp. Mono 30 -999 z„-- R* Elec. Under Slab 30 -999 vim... R *Plumb. Under Slab Crawl 40 Four Trade Rough In 40 Four Trade Rough In >. 2500 40 Three Trade Rough In 40 Three Trade Rough In> 2500 40 Two Trade Rough In 40 Two Trade Rough In> 2500 40 One Trade Rough In 40 One Trade Rough In > 2500 50 R* Insulation 60 Four Trade Final 60 Four Trade Final > 2500 60 Three Trade Final 60 Three Trade Final > 2500 60 Two Trade Final 60 Two Trade Final > 2500 60 One Trade Final 60 One Trade Final > 2500 999 BrivittepecatiansTennit