It is impossible to produce an example of a finitely generated flat $R$-module that is not projective when $R$ is an integral domain. See: Cartier, "Questions de rationalité des diviseurs en géométrie algébrique," here, Appendice, Lemme 5, p. 249. Also see Bourbaki Algèbre Chapitre X (Algèbre Homologique, "AH") X.169 Exercise Sect. 1, No. 13. I also sketch an alternate proof that there are no such examples for $R$ an integral domain below.
Observe that, for finitely generated $R$-modules $M$, being locally free in the weaker sense is equivalent to being flat [Bourbaki, AC II.3.4 Pr. 15, combined with AH X.169 Exercise Sect. 1, No. 14(c).]. ($R$ doesn't have to be noetherian for this, though many books seem to assume it.)
There's a concrete way to interpret projectivity for finitely generated flat modules. We begin by translating Bourbaki's criterion into the language of invariant factors. For any finitely generated flat $R$-module $M$ and any nonnegative integer $n$, the $n$-th invariant factor $I_n(M)$ is the annihilator of the $n$-th exterior power of $M$.
Lemma. (Bourbaki's criterion) A finitely generated flat $R$-module $M$ is projective if and only if, for any nonnegative integer $n$, the set $V(I_n(M))$ is open in $\mathrm{Spec}(R)$.
This openness translates to finite generation.
Proposition. If $M$ is a finitely generated flat $R$-module, then $M$ is projective iff its invariant factors are finitely generated.
Corollary. The following conditions are equivalent for a ring $R$: (1) Every flat cyclic $R$-module is projective. (2) Every finitely generated flat $R$-module is projective.
Corollary. Over an integral domain $R$, every finitely generated flat $R$-module is projective.
Corollary. A flat ideal $I$ of $R$ is projective iff its annihilator is finitely generated.
Example. Let me try to give an example of a principal ideal of a ring $R$ that is locally free in the weak sense but not projective. Of course my point is not the nature of this counterexample itself, but rather the way in which one uses the criteria above to produce it.
Let $S:=\bigoplus_{n=1}^{\infty}\mathbf{F}_2$, and let $R=\mathbf{Z}[S]$. (The elements of $R$ are thus expressions $\ell+s$, where $\ell\in\mathbf{Z}$ and $s=(s_1,s_2,\dots)$ of elements of $\mathbf{F}_2$ that eventually stabilize at $0$.) Consider the ideal $I=(2+0)$.
I first claim that for any prime ideal $\mathfrak{p}\in\mathrm{Spec}(R)$, the $R_{\mathfrak{p}}$-module $I_{\mathfrak{p}}$ is free of rank $0$ or $1$. There are three cases: (1) If $x\notin\mathfrak{p}$, then $I_{\mathfrak{p}}=R_{\mathfrak{p}}$. (2) If $x\in\mathfrak{p}$ and $\mathfrak{p}$ does not contain $S$, then $I_{\mathfrak{p}}=0$. (3) Finally, if both $x\in\mathfrak{p}$ and $S\subset\mathfrak{p}$, then $I_{\mathfrak{p}}$ is a principal ideal of $R_{\mathfrak{p}}$ with trivial annihilator.
It remains to show that $I$ is not projective as an $R$-module. But its annihilator is $S$, which is not finitely generated over $R$.
[This answer was reorganized on the recommendation of Pete Clark.]
Best Answer
If $R$ is a commutative ring with $K_{0}(R)=\mathbb{Z}$, then $\mathop{\rm Spec} R$ is connected, because otherwise $R$ would split as a product, and $K_{0}(R)$ would contain a copy of $\mathbb{Z} \oplus \mathbb{Z}$. Hence there is a well defined surjective rank homomorphism $K_{0}(R) \to \mathbb{Z}$, which must then be an isomorphism. Since $R$ has rank 1, it follows that the class of $R$ generates. This implies that every projective module is stably free.