NCC216852_Contact Update Record (Site Contact)_20231204

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Tev.Holloman 12/4/2023 5:00:37 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC216852
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2021-6852
Original NOI No.* 75325
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
H&H Constructors of Fayettville, LLC
Project Name South Lakes SF-8 AR-1
Address 1517 Old Honeycutt Rd, Fuquay-Varina, NC
County Wake
Latitude 35.5810
Longitude -78.7410
Date COC Issued* 12/10/2021
Prior Rescission Date This field will populate only if COC has already been rescinded.
Which Contacts Have Billing Only
Changed?* Legally Responsible Individual Only
Site Contact Only
BOTH Legally Responsible Individual and Site Contact
Has Billing Contact Choose'Yes'to revise Billing Contact details.
Changed? Q No
4) Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 732-644-0555
NEW Billing 919-215-6304
Telephone No. (Optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Justin Heaton
(Previous)
Site Contact Title Vice President
(Previous)

Organization H&H Constructors of Fayettville, LLC
(Previous)
First Name(New)* Jonathan
Last Name(New)* Massey
NEW Site Contact* Reflects any revisions above
Jonathan Massey
NEW Site Contact Land Development Manager
Title
NEW Organization Dream Finders Homes
This field is not required on the NOI form and may not pre-populate.
Site Contact Email [e-mail]
(Previous)
NEW Site Contact [e-mail]
Email*
Site Contact 732-644-0555
Telephone No.
(Previous)
NEW Site Contact 919-215-6304
Telephone No.*
Site Contact Mailing 7200 Falls of Neuse Road,0, Raleigh, NC
Address(Previous) 27615-5384
NEW Site Contact Street Address
Mailing Address* 7200 Falls of Neuse Road
Address Line 2
City State/Province/Region
Raleigh NC
Postal/Zip Code Country
27615-5384 us
Change Requested Jonathan Massey, Land Development Manager,via email on 12/4/2024
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 12/04/2023