HomeMy WebLinkAboutAPRIL 5 2016 BUILDING APPS\
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APPLICAi'T'5 MIiIE:
DEVELOPER :
CFPUA fI CENTRAL S
*** SEPARATE PERI1ITS
HANOVER COUNTY BUILDING PERMIT
APPLICA|IW TPE: RESIDENTIAL
TEASE ANSLIER ALL QUESTIONS APPLICABI-E TO YOUR pROlEcT
-project Responsibilitf,
CITYr
J0/6 27so
Prz b-12o
APPLICATIO?,I
Nunber
(Office Use)
:lz*(,c
NEW
DATE
PTIONE #:PROJECT AODRESS:t
SUBDIVISION:L.L
PROPERry OaI{ER'S tlAIilE :
otiNER'5 ADDRESS:s
COI{TRACTOR:\e€
ADDRESS: clloi
EIIIAIL ADDRESS:
PROJECT CONTACT PERSO{:
EXISTII'IG CO STRUCTION:
NEW CONSTRUCTTOH: ! rnrCr
.I.PLEASE CHECK AND AI{sNER 8EL
l-l rrr canqce
-
sF
! surnoou _sF
CITY:' I lr^..'
LICENSE S: ACCOUNT r:
CITY:
PHONE S:L1 - v3t?
5T: N(ZIp I L&\of
ST: \ICZIP: ?,Q,7
PHONE *: 9/0 lL-ty-q1 r9
PHONE #:
v ZIP: Z^wo f
GREENHOUSE
TOTAL PROIECT COST (ress ror) :
Is Any ELECTRICAL, PLUIIBIi'IG on
If the project is a Relocati
Is there Electnical. Pow€r on
PROPERW USE / OCCUPAITICY: !
DESCRIPTION OF WORK: (On
Nq-r A d
ALL THAT APPLY To YoUR PRo]ECTI
I oer cannee
! eoor- _ sr
SF I oecr
E
C4r,AJL, AS
I
t h I s B u f I d f n ?
4 A 12'x
c H PAY(
n e o n t h e c u n a e n t I t e ?5
s &I NS 'rs
fla rRarror fl RENovArroN I cerenar_ nrnmns f] RELocATToN
r,ll RESTDENCE o"(arrrro* To ExrsT[{G RESTDENCE
sr f] noncr
ftro*oo
_sF
E SHED \ t')-SF
5F OTHE R:
ToTAL SQ FT UNDER ROor: ltZ rorAl AREA sQ rr: ll L
$ ito.oo # OF STORIES:
cHAt'l I CAL l,{or k Be I n8 0o ne t o t he c e s 50 ry S t Tlrc t u re u e s
n I s t h e TE a N a u r a I 6as Li
F,o
p*
1es ,,ffinotr
INGLE FAMILY I oucrrx I rowrxouse
Y e s
)
OISCLAIMER: I hereby cedit tr al atr intomalion in is spplicadon is coffectsnd a workwil co mplywih he Srar Euilding Coou aro at ot",applhable SlaE and locat tawsand ordinances.nd regulalions. The NHC Oev€top t S€ rvices C€ ntsr wiI b€ nolified of an y chan!€s in &e .pprclEd ptsns and speci ficaiions or change in contactororconuaclor inlormaton "'NOTE Any Work Pedo w/O dle AppropitsE permils wi be in Vlohtion ol rhe NC SlaE rne, Up To 6500.0c..LOt,llNER/CONTRACTOR:Ar-l A<SIGI.IATURE:
***** *****rt*+:t* * *:*:t *** )t )**r r * *ir*** *****'*'i*'l **,r )i*** ******,r :I,1,.+*r*,
IS TTIE PROPERTY LOCATED IN A FLOODPLAIN? rl YES ENO
EXISTIT'IG II1PERVIOUS AREA:
NEl!, IIiTPERVIOT'S AREA:
NATER
SEWER
E6 creun I cour'rurur SYSTEM
SQ FT
SQ FT
errc I pRrvATE sEprrc I comlruHrw svsrrr.r
REQUIREO FOR ELECT, I4ECH, PIBG, 6A5 EQUIP, PRTFAB
lSt 3 \'r."sld
TOTAL ACRES DISTURBED:
ExIsT LAND DISTURBING prn|4rr: I-I vts I-I Ho
PRTvATE wELL I cerrnal well
PAYIE T IIETHOD: flcasx E CK AB LE TO NHC tr B L L acc00N tr trIT
E R
Hclvr SA DIS E Rc0v**)t* * ** ***,r **:t* *+ ** **)* * * '*
ZONE : _ 0F FICER:
Approval:_ City:
Comment:
DATE:_ FLOOD: _BFE+2ft=
(roR ofFICE UsE q{LV)
sETBAc(s: F:- LH:_ RH:_ ,,
*'*tto oaTE a4/!7/r2
PERMIT FEE: $
l,c: [ *.;,, St\n
BLOCK *: LOT f:
TOTAL HEATED SQ FT:
I
n
[\'\u
\,{
PRO]ECT ADDRESS:
APPLICANT, S
DEVELOPER:
OltlNER' S ADDR
CONTRACTOR:
ADDRESS:
EI'IAIL ADDRESS:
AoDroval:
Comment
FLooD:
N
PERMIT FEE: $U
4,to 1F tA >t€K Jls"e/,
CITY:
CITY:
,f/6t1-)
-7q'53l.5
PL
q
n ao l\p
NEt^l VER COUNTY BUILDING PERMIT
APPLICATION IYPE: COMMERCIAL
SE ANS}.JER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project ResPonsibility"
APPLICATION
Number
(office Use)
PHONE fi:
ztP rr Ii
ST Bl-zrn'ZEil r
*,ctiJ:!-\3Zr7o
sr:'L{ neq,ffi| s
OCCUPANT/BUSINESS TIA'4E :
PROPERTY O[',NER'S l'lAfrtE :
ESs:
-a\
PHONE
ACCOUNT f:s LICENSE *:
CITY:-tF
h
PRO]ECT CONTACT PERsON:
If UPFIT - The Shel1 Permit
*'*'Ir, IS
IF Yes, what was the Previous 0
THrs a cHANGE oF occuPANcY ustl flves
cupancy TyPe?tJhat is
)
ERAL REPAIRS f] nrlocrr Iot{[v". fllro
[*.....the' t{eDl Occupa
. (Check all
lts. n ruovarror't
Current Site? Ll
Th appl v
EXrST CONSTRUCTTON: E ALTE T ION n G E N
lf Rolocation, is there a Natural Gas Li on th e Yes No IS BLDG SPRINKLERED?
NEI{ CONSTRUCTION: E ERECT N STRUCTURE FAsr rRAcK ! sxrr-r- ! uerrr f] mo ro Exrsr srRucruRE
ACCESSORY STRUCTURE:
Is Elect Power on this Building Yes EHo
ncy Type?
ARCH DESIGN PROFESSIOTIAL:
ENGR DESIGN PROFESSIOML:
tl Dorv Fr,(e e^ -f '^,tL
DESCRIPTION OF WORK:
TOTAL PROJECT COST:
ls iood or beverages PreParod or in this suudur6? E ves I uo ls Th€ Propefty Located ln The Floodplain? fi ves I llo
te Building Code and allolher applicable Slale
sDecilicatrons
Bldq code and
# OF UNITS:
in
The
OWNEFVCONTRACTOR:SIGNATURE:
(al8liie0
Nol6: D€molilon notncrdons & asbestos lem pemil appllca{ons are to b€ submlttEd uslng lhs
contaln Asbestos or not You sre r€qulr€d to call NatonalEmlsslon Sbn&rds for Hazardous Ai
sppllcE on iorm (DHHS-3768) whethsr th€ hclllty or bullding was found to
r PollutanE (NESHAP) at (919)707-5950 8l l6ssl10 days Fior to lhe
dsmolltlon of any f€cillty orbulldlng. S6€Web Slte: hflprn^/ww.epl.stslo.nc.usilepl/asbestos/shmp.htrnl
-' BUILDING HEIGHT
TOTAL AREA SO FT :SQ FT PER FLR
TOTAL SQ FT UNDER ROOF:# OF STRUCTURES:
ACRES DISTURBED:Exsr LAND DrsruRBrNG pERMrr? E yES E No
NEW IMPERVIOUS AREA:SA FT EXISTING IMPERVIOUS AREA:
PROPERTYUSE: lOrrrce I !laenceHrtt-e EDUC lo* (m NDO OTHER:
CFPUA
CFPUA
M WELL tr zoN USE CI.ASSI FICATIONING
PRIVATE SEPTIC COMMUN ITY SYSTEM
"'SEPARATE PERtll{l REGUIRED FOR ELEC , MECH. PLBG, GAS EOUIP' PREFAAS & INSLF-S "
# OF STORIES:
# OF FLOORS:
SO FT
trE S EPT
SYSTE
lc tr
PAYVIENT METHOD: flCASH CHECK (PAYABT.E TO NHC) EBIIr Accourr flucrusn flotscown
ZONE:-OFFICER:
(FOR OFFTCE USE ONLY)
SETBACKS: F:-LH:- RH:- B:
HEV]SED DATE 1/1 1/12
BF E+XF
U-".4-cr!
,orr,tl -t{-ib
0-\
,&,,''
-1
hzcr)9I,
V \A,
PHONE #:
PHONE *:
PH: NC REG *:
PH: NC REG *:
zA)-,4
I
WATER:
SEWER:
ty
i\Eld
APPLICAMrTS NAiIE : MicilaeL
OI.JNER's ADORESS: 4049 Bel le
CONTRACTOR; DR Hcr
ADDRESS: 4049 Belte Teire El
If the pnoject is a Relocati
Is there Electnical Power on
Jo16*?sl
APPLICATION
l,lumbe r
(off:ce Use)#
VER COUNTY BUILDING PERIVIIT L6 - 51_5
APPLTCATION TyPE I RESIDENTIAL
SE ANSIIER ALL QUESTIONS APPLICASLE TO YOUR PRO]ECT
"Project Res pons ibil j.ty,,
DEVELOPER: DR Horron rnc
PRO]€CT ADDRESS: 819
SUBDIVISION: Re at La:1d all
PROPERTY OWNER,S NA}IE: DR :]c
iel s
ton Inc
rre Bfvd
CfTY: wt lnin ZlP i ?8t,17
SLOC( *: LOT S: 7t
PHONE *i 843-3s?-8400
CITY: MvrtIe Beach Sf '. sc ZlP . 29s't9
LICENSE #: 29676
ST: sc ZfP: 29s?9
EttAIL ADORESS: ltrdanielsodr..PHONE [:10-821-855
PRoIECT COUIACT PERSON: ?ar era ld PHOl.lE S: 910-46s,t9oE
ExIsrItlG coNsIRUcrIoN: f] AL RATION R ENOVAT,.ON ! ceruraal necarns ! RELocArroN
NEI.I CONSTRUCTIO!i:ERECT N w RESTDENCE or ! loo:rrol To ExrsT ,t6 REsTDENCE
**PLEASE CHEC( ANO ANSWER BELOW
fl lrr enarce $2 sF
LL THAT APPLY TO YOUR PRO]ECT:
! oer canaee sr ficoncH 'os sF
suN R00r"1 SF I coor _ sr STORAGE SHED SFI cnreuouse _ sr OECK 5F OTHER: i 1?5F
TOIAL HEATED SQ FTi 2a68 TOTAL SQ FT UNDER ROOF: 352 TOTAL AREA SO FT: :ETg
TOTAL PRoIECT COST lress ro9 :l6eooo # 0F SToRIES: 2
HAiIICAL flork Eeing Dcne to the Accessorv Stnuctu.e?Is Any EL€CTRICAL, PLU|IBING o. li I Yes n NO
CITY: Mvl tle 3e ach
, is there a Natural Gas Line on the Current Site? [Ves E rro
his auilding? f] ves I No
PROPERTY USE / OCCUPANCY:INGLE FAMILY DU2 LEX
DESCRIPTION OF I.JORK: ]-e,, resi nti
OISCLAIMER: I hereby ce.rit hat alr infomarion ln
OWNER/CONTRACTOR: Michaer D
f] rownnouse
and odinances a.d !eg!lations Ths NHC Oevebpm Se
co.tacbr inbrmalron "'NOTE Aoywork Pe rO illbe in Viotnlon o,lhe NC S
n.. SIGNATURE:
LOODPLAIN ?YES I NO
SQ FT TOTAI ACRES DISTURBEo: .r?
l ti rn9 cod 5
Bldg Co d T a !'
It*r(* *** **** * +'*t ,l* *r* * I *,t+ *
I5 THE PROPERTY LOCATED IN A
EXISTING IHPERVIOUS AREA:
iels DR Hort
Ct.=
=tr6a=:o
€
E
.€t
NEl^] ]|'1PERVIoUS AREA: 34 SQ FT EXIST LAND DISTURSING PERMIT:
C OI"II4UN I TY
CENTRAL S I cnrvare seprrc f] coMMUNrry sysr Er.1
! eRrvnrr ,rrrr ! cENTRAL r,.rELL
r
WATER: M CFPUA
sEwER: E CFPUA
,o*r, R-\5 fi
OFFICER:SETBACKS: F: '{ LH:RH: .- -t,
_ RFF+2+i=
YE5 NC
REVrsaD rATr a7lt1 ?nrt('l
SYST E r.1
TIC
EQUIRED FOR ELECT, ]IIECH, PL8G, 6A5 EQUIP, PEEFASS & IN<TRTS I"
(FOA OTTICE U5r OrLY) /
PAYMENT iIETHOD:CASH
*** * ** * +** * *** *.ra * * ** * **
rc{ (nAvABLE ro nHci f anenrcAN ExpREss E uclvrsa f ,rscovrn
Approval: - City:
_ N.^... :,r r I .rl-l| '"PEfilqlLFEE: g': 7.::'n
Corrent*
sec
L,
Ie0 l&254$t,_
b1
#
DAIE, 2/26/16
PHONE #: 9ro-921-ss56
DATE: I- LO )D:
ira't'
NEW H
PLE
APPLICANT'S NAI'IE: Mlch.lef Dan
DEVELOPER: DIt Ho rr, on rnc
PROIECT ADDRESS: 849 Bedminrs
OVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
E ANS},/ER ATL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility'
&0tu-iTt 7
16- 616
APPLICATION
Number
(Office Use)
;
DATE: 2/26/16
PHONE #: 91-r-821-8556
ZIP i )aa1l
SUBDIVISION: ,re at Landf i BLOCK #:LOT f: ri
PROPERTY OhINER'S NAI{E: DR hor n 1nc PHoNE #: 843-:sl-840C
O}'INER'S ADDRESS: 4049 Belle r re B-Ivd CITY: Myrt- le Eeach sT: sc zIP: 295r9
CONTRACTOR: DR Horton lnc LICENSE #: 296r6
ADDRESS: 4!49 Belle Terre BLv CITY: Myrtle Beach ST: sc zIP::i5r9
Efi,lAIL ADDRESS: mr dan ie t s ti drho PHONE *:910-821-8556
PROIECT CONTACT PERSON: Par E erald PHONE #: 910-465-1906
ALTE ATION R ENOVATION GENERAL RE PAI RS RE LOCATION
NEW CONSTRUCTION:ERECT NE RESIDENCE o" I aOOrrrOru TO EXISTING RESIDENCE
CITY: iii lmi not on
**PLEASE CHECK AND ANSWER BELOW A L THAT APPLY TO YOUR PRO]ECT:
! oer canaer _ sFATT GARAGE 4]2 SF
POOL 5F
! orcr
PORCH LSF
STORAGE SHED
5F OTHER: TTI
SF
SF
TOTAL HEATED SQ TOTAL SQ TOTAL AREA SQ FT:
TOTAL PROI ECT COST (t-ess ro0 i $
Is Any ELECTRICAL, PLUI4BING or ICAL Work Being Done to the Accessory Structure? fl V"t fi No
Ff : 28 68 FT UNDER ROOF: 352
# OF STORIES: 2
1619
169000
If the project is a Relocation
Is thene Electnical Powen on t
PROPERTY USE / OCCUPANCY:s
DESCRIPTION OF WORK: New resid tial
DISCLAIMER: lherebycertifyhatall information in hi
and ordinances and regulations. The NHC Developme
conlractcr intormaton. "'NoTE Any Work Performed
OWNER/CONTRACTOR: Mrchaer Da
applicalion is conectand allwork willcomplywih he State Building Code and alloher appticabte SlaE and tocat taws
Services Center will be nolified oi any changes in fre approved plans and specifications or change in contractor or
is there a Natunal Gas Line on the Cunrent Site? fl Ves Eruo
is Bu i1d ing ? [ Yes I No
LE FAMILY DUP LEX IOl^jNHOUSE
/O he Appropr ate Permitswillbe in Violation ofthe NC State Bldg Code and Subject to Fines Up To $500 00...
refs/ DR Horton rnc. SIGNATURE:
x x * x *:t +:ll:t ** * j* + j* + + + * + + + * r. * * x x * x x x * + * * * *+ ++++ *** ***+ *+* *,t**+ * *
YES ilHo
PRIVATE SEPTIC COMMUNITY 5Y5TEI4
QUIRED FOR ELECT, TIECH, PL8G, GAS EQUIP, PREFABS & INSERTS ***
EcK (eAvABLE ro ruxc; I nr"rrnrcAN ExpREss fl r,rcTvrsa I orr.orr*
(FOR OFFICE UsE oNtY) REvrsED DATE O4l1rl12
SETBACKS: F:_ LH:_ RH:_ B:_
***tr< +****** **** ****. *** ****
IS THE PROPERTY LOCATED IN A F OODPLAIN? F] ves T NO
EXISTING IMPERVIOUS AREA:SQ FT
SQ FT
TOTAL ACRES DISTURBED:
NEW IMPERVIOUS AREA: 34 98 EXIST LAND DISTURBING PERMIT:
WATER :
SEWER:
CFPUA E COP1I1UNI TY TEM PRIVATE WELL CENTRAL WELL
CFPUA CENTRAL 5E c
*** SEPARATE PERMITS R
PAYMENT METHoD: il CnSn f]
ZoNE : _ OF FICE R:
Appnoval :_ City:
**** *** **** **** *{r+* *** ***** * * * * * * * * *+ + + + * * * * * x x x x x + + + + * * + * * * x x x x* +++* *** *x*+ +***,k*x x x x
DATE:_ FL00D: _
A N
I
BF E+2ft='bBtv
! surnoon _ sF
! eneerunous e _ sF
EXISTING CONSTRUCTION: E
MECI
NEW H
NEl,/ CONSTRUCTION:ERECT NE
**PLEASE CHECK AND ANSWER BELOW
OVER COUNTY BUILDING PERMIT
APPLICA|ION TYPE: RESIDENTIAL
SotbQtslL6-7 46
APPLICATION
Number
(office Use)
E ANSI.]ER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT',S NAiIE: :. . Hcr'-'-),,Inc
DEVELOPER:
PROIECT ADDRESS; !1i :r:eele -.CITY: h,i lminsron
SUBDIVISION: rh,- Reserve aL I\'stba BLOCK #:
PROPERTY OWNER'S NAIIIE: ]R. H rton 1nc
OWNER'S aDDRESS: ,lor.l Belle r rre Blvd
CoNTRACTOR: i Ll,rr rrr Inc
ADDRESS: 407:i Belle Terre Blv CITY: MvrLle Beach
EIiIAI L ADDRESS: n,r.t.ln: e I s !c.lr h.
PROJECT CoNTACT PERSON: Far, ..z erald
ALT TlON R ENOVATION GENERAL REPAI RS
DATE:3/lA/15
PHONE #:
ZTP i 28411
LOT S:
PHONE #: .;.. .', t;.. :
ST: SC zIP: :t951!
PHONE #:
PHONE #:
910-821-8556
ATT GARAGE 416 SF
SUNROOM _SF
GREENHOUSE SF
RESTDENCE o" ! nOOttrOtt TO EXTSTTNG RESTDENCE
L THAT APPLY TO YOUR PRO]ECT:
n oer canace sr ! eoncrr LsF
POOL 5F STORAGE SH ED
RE LOCATION
SF
FTi 22ir
r5a252
PROPERTY USE / OCCUPANCY:5 NGLE
DESCRIPTION OF WORK: :: ::.,Ie Fa 1I
NEtl Il'lPERVIOUS AREA: 2l5 r
SF
TOTAL SQ FT UNDER ROOF: 2e1s TOTAL AREA 5Q
TOTAL PROJECT COST rr."" rorr : $
If the pnoject is a ReLocation
Is there Electrical Power on t
SF OTHER: 12C
TOTAL HEATED SQ FT: sser
Is Any ELECTRICAL, PLUMBING or M ICAL Work Being Done to the Accessory Structure?T Yes tr No
is auilding? [ Yes I No
DISCLAIMER: I h€rcby cerlify thal all inbrmaion in fr
and ordinances and rcgulalions The NHC Developme
conraclcr intormaton "'NOTE Any Work Performed
applica6on is conectand all work will comply wih he Slale Building Code and all olh€r applicable Stat and local laws
I Services Cenbr will be no ied of any changes in he approved plans and speciications or change in contract'r or
FAMILY DUP L EX TOhNHOUSE
Residential
/O t]e AppropriaE Permitswillbe in Violalion ofthe NC Stat Bldg Code and Sublect b Fines Up To $500.00"'
SIGNATURE:OWNER/CONTRACTOR i r.r: ctae i r:
**** **,i **,i*,*,*+* *1.*+ +++ :t{<*x
IS THE PROPERTY LOCATED IN A F PLAIN ?
EXISTING IMPERVIOUS AREA:
)* * :*,* *,* * * * t *,* r* r* r* r* r* + rt + :t * * + *,*,t +,f * * * * * * * * * * * it,t + + + + + + tr<,r r( r( r(
YES I NO
SQ FT
5Q FT
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:YES
PRIVATE l^/E L L CENTRAL I,.JE L L
PRIVATE SEPTIC ! cor.rr,lurutrv svsrrN
n [I-l ro
T\,ATER:
SEt.lER:
CFPUA N COMMUNITY
CFPUA E CENTRAL SE
YSTEM
IC
* '** SEPARATE PERI1ITS
PAYiIENT fiETTIOD: E COS, E ECK (PAYABLE TO NHC )
QUIRED FOR ELECT, IVIECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
BrLL AccouNT I ncTvrsl I orscoven
**** *** ** ** **** **,f * ***,1 i<i<i<*)k********************++*++***+**********++*****************
(FOR OFFICE USE ONLY) REVISED DATE O4l11/12
SETBACKS: F:_ LH:_ RH:_ B:_ZONE: _ OF FICE R:
Appnoval:_ city DATE :_ F LOOD:N "H'i W
I
ffi
CITY: IrE_ls__Psgs!_ ST: j!_ ZIP: 2e5re
LICENSE #: , : f ,l ACCOUNT #:
EXISTING CONSTRUCTION: E
! oecr
# OF STORIES: :
is there a Natural Gas Line on the Curnent Site? [ ves [ ruo
E
\i
NEId H
+ * + + + + + ++ + + + ++ 1. +*+ tr(
'( '(
* r( r( r( *
OVER COUNTY BUILDING PERMIT
APPLT CATION TYPE: RESIDENTIAL
ANSWER ALL QUESTIONS APPLICABLE IO YOUR PRO]ECT
"Project Responsibility"
&016- a4bo
L6-7 48
APPLICATION
Number
(office Use)
APPLICANT'S NAIIE: Mrct,ae, D.r n eIs
DEVELOPER: DR Hcr...Jr. tr.
PRoIECT ADDRESS; 1;.i rver t..k r CITY: hrir,f,riiron
SUBDMSION: Reser-re :r', :rres:
PROPERTY OWNER,S NAI\4E: ]R ]].]I on Inc
OWNER'S ADDRESS: 4.r49 ts--rIe r rre Bl vd CITY:Mvrtle Beach
CONTRACTOR: Da Hcr'- cn rr,c LICENSE *: : ! {,1,
ADDRESS: 4c49 Beite Terre BIr.CITY:MVrtle Beach
EI4AIL ADDRESS: i--,:ianieis drho
PROIECT CONTACT PERSON: ::: e,"'
ALT ATIO N
DATE: 3/ta/16
PHONE #: 91ir-821-8556
ZIP i 28 4r7
PHONE #: 84-1-3sr-84lil
ST: :ra ZIP: .t 95 i 9
Sf i sc ZIP i 2)at9
PHONE f:
PHONE #:
910-821-8556
914-612-112-t
**PLEASE CHECK AND ANSWER BELOI,I A
RESIDENCE o" ! AOOrrrOlt TO EXISTING RESIDENCE
L THAT APPLY TO YOUR PRO]ECT:
NEW CONSTRUCTION:ERECT NE
ATT GARAGE 495 SF DET GARAGE
-
SF PORCH _:___ SF
STORAGE 5H ED SF
SF
TOTAL HEATED 5Q FT i 2a32
s
DESCRIPTION OF WORK: l:e1.; L--..,r.1
OWNER/CONTRACTOR i rq: cr,ae i ra
DECK
TOTAL
129000
SF OTHER: 13]
5Q FT UNDER ROOF: . TOTAL AREA SQ
f OF STORIES:
FT: 1as91
TOTAL PROIECT C05T rress rort : $
Is Any ELECTRICAL, PLUMBING on I'lE ICAL l,Jonk Being Done to the Accessory St.ucture?I
is thene a Natural Gas Line on the Current Site?
ves I lro
I ves I r'roIf the pnoject is a Relocation
Is thene Efectrical Power on t 1S eullding? l-l ves !No
NGLE FAMILY
nt i,rl
DUP LEX TOWNHOUSE
applicatoniscorectandallworkwllcomplywiUrheSlaleBuildingCodeandattoherappticabteSraleand ocat tawsDISCLAIMER: lhereby certrfy f\ar all intlmation in rhi
and ordinances and regulations. The NHC Developme
coniacbr intormalion. "'NOTE: Any Work Perfomed
SeNices Cenler willbe notJied olany changes in he approved plans and speciticalions orchange in contracbr or
/O he AppropriaE Permits willbe in Violaiion ofthe NC SEe Bbg Code and Subjeci b Fines Up To $500 00...
rels DR Horcon rnc. SIGNATURE:
)t)*)*)*)*)*)*)*)**i8i,t:N,t,N++r(r(,t)t)t*)t)t)*)*)*)*r***+**,i*********+*******,*,*****
IS THE PROPERTY LOCATED IN A F ooDPLATN? l-'] yes I
EXISTING IMPERVIOUS AREA:SQ FT
5Q FTNEW IMPERVIOUS AREA: 31c 5
NO
T YES U"o
IIATER :
SEl.lER:
CFPUA
CFPUA
COMMUNITY
CENTRAL SE
,I.** SEPARATE PERI,IITS R
PAYMENT r,rErHoo: I crsu f] c
EXIST LAND DISTURBING PERMIT:
YSTEM PRIVATE WELL CENTRAL WELL
TIC PRIVATE SEPTIC COI4I.1UN ITY SYSTEI4
QUIRED FOR ELECT, I'IECH, PL8G, GAS EQUIP, PREFABS & INSERTS ***
EcK (payaBLE ro NHc) t] AMERTCAN ExpREss I r,rcTvrso tr DISCOVER
+ * + + +* + +* * * * *** **** * * * * * * *x*********,k*x**,k**+*,t,t*)k**)**)k*,*,***,t****,k******************+**
ZONE: _ 0F FICE R:
Appnoval :_ City:
(FOR OFFICE UsE ONLY) REV]sED DATE O4l11l12
SETBACKS: F:_ LH:_ RH:_ B:_
BF E+2ft=
N
DATE :_ FLOOD: _
A # /IW
! surunoom _sF
! cneeruxouse _ sF
BLOCK #: LOT f: -ll_
EXISTING CONSTRUCTION: !! neruovarroru ! certrenlr REpArRs f] RELocATToN
POOL _ SF
PROPERTY USE / OCCUPANCY: E
NEW
APPLICANT,S I,IA,'IE: Mi chael Da
OEVELOPER: DB. ror!on
PROIECT ADDREsS: 900 tsecimini er Lane
SUBDIVISION:ai Laod al1
PROPERTY Ot,, ER,s NAfiE: DR ro
OWNER'5 AoORESS: 4c4e Be]te erre Blvd
CONTRACTOR: DR rto:l Inc
ADORESS: 4049 BelIe Terr e 3l
EIiIAIL ADDRESS: m da:1ieI sodr
dotb )c/b3
L6 -7 59
APPLICATION
Number
(qffice Use)ffi'
ANOVER COUNTY BUILDING PERMIT
APPLICA|IOTI IYPE: R ESIDENTIAL
EASE AllSt/ER AtL QU€STIo'iS appllcaalE To youR pRo]EcI
'?roject Responsibility',
PROIECT CONTACT PERSO : srew Gunll
AL RATION R ENOVATION I crr.rrrar- nrratns f] RELocATToN
NEN CONSTRUCTION ' fi rRrcr l^l RESIDENCE o" I noornou To ExrSTIilG RESIOENCE
PHONE S:
PHONE #:
LL THAT APPIY TO YOUR PROJECTI
! orr canlcr sr pconcH r.os sF
fl eoor _ sr fl sronre e snro sF
TOTAL PROIECT COST rress r.orr :
Is Any E|-€CTRICAL, PLUiiBTNG or
If the project is a Relocatio
Is there Electnical power on
DATE: 3 1'i6
PHoNE ft 910,821-8556
CITY: i,ri t ZIP:2a4t1
ELOCK *: LOT #: ir
CITY: Myrt-le Beach ST: SC ZIP:2-Q579
LICENSE f: 2e526
CITY: lrvrrle Be
910-821-8556
91C- 612-'tr2'7
5F OTHER: 117 SF
ToTAL HEATED SQ FT: 2868 TOTAL 5Q FT UNDER ROOF i :522 TOTAL AREA SQ FT: 81?6
DECK
t
+
f OF STORIES:
HAIICAL !.lork Being Done to the Accessory Stru<tu.e?I ves [ ruo
PROPERTY USE / OCCUPANCY:
DESCRIPTION OF I,JORK: Ne,,J
a NGLE FAMTLv I ounlex
nt ial
T0t4JNHOU5E
EXIST LAiID DISTURBING PERIiIIT:
PRTvATE t,tELL ! crnraal wrrr
NC
S
YE5 NO
c D s c0v E R
iEVr56D OArt 04l11/12
, is there a Natunal Gas Line on the Current Site?fl ve' Inis suiloing? [ ves No
DISCLAIIIER lhelebycenit hal sr into.malon in p Sle 8L !Coil8nd odinances a.d legutalions. The NHC Oevetopm
conu&br hbmadon ..'|{OTE I Any work per rO N C S 5!Up 0c-"530
OWNER/CONTRACTOR: U chael DR J]!on rne. SI6IiATURE:
***rt**t,i,***)r:t,t******,*)x)r|(,i,rrt*****,1*)*r(r*,:**r**,**,r***i
LOODPLAITI ?YES t NO
5Q FT
SQ FT
TOTAL ACRES DISTURBED:
Et^, IMPERVIOUs AREA: 3 51
**** r *,* *,r,* * *r *,* *,r+* * ** *r *
IS THE PROPERTY LOCATED IN A
EX]5TII{G IIi,IPERVIOI'S AREA :
WATER:CF PUA COMMUNTTY YST E l'1
a
E R I
SENER: E Creua ! CEN-|RAL SE
+r* sl rj.1Ei.r: PERIIT;
PAYI1ENT ETHOD: tr
* * ** i** *** * * *** * *
.^,, rz-rstll).,-
* *,,It * *,r * +,i *+ *,f** * **+ rt
(F0R OaFTCF IJSE Or{LY)
SETBACKS: r: lO ' lH
DAIE :3-l q, l r-,FLooD: _
*)l+-$rr
rrc I eRrvare srprrc E comr,ruNrry sysrEm
EQUIREo FOR ILECT, ttECH, PLSG, GAS EQ{lJp, pREFABS 8 rr,lsERrs ""rcasx f]CX AB TO Nitc E R t s5 tr /i1 I s tr
nx: lb I
Approval : citv:
B F E+ 2ft=
RITIT FEE i
T
Conment:.)
'i'PLEASE CHECK AND AI{Sl,iER BELoW
Earr crnacr 412 sF
I surnoom _ sF
I-l cReENHouse qF
PHONE f: 843-157-8400
ST: sc zIP: 29579
EXISTIT{G CONSTRUCTION: E
NEW H
APPLICANT'S NAIiIE: Mich.let D:rn eLs
DEVELOPER; DR Ho 11, or f1c
PROIECT ADDRESS: t!i! Eedrni is er Lane
OVER COUNTY BUILDING PERMIT
APPLICATIoN TYPE r RESIDENTIAL
E ANSWER ATL QUESTIONS APPLICAELE TO YOUR PROJECT
"Project Responsibility"
Jotb-nb3L6-7 59
APPLICATION
Number
(Office Use)
DATE: 3/70/t6
PHONE #: 9r!'r ts2 r-855ir
28471
SUBDIVISION: ne at Landf tl BLOCK *:LOT #:
PROPERTY OIINER'S NAI1E: :n t,rr on Inc
OI.,NER,S ADDRESS: 4i4, Be].Ie T rre BIvd
CONTRACToR: DR Horr- o. rnc LICENSE #: 29.,rt
ADDRESS: 4049 Belle Te!re BI,..CITY:Mvrtle Beach sT: Il zIP: 2 e s,- e
EiIAIL ADDRESS: ,,,..iai,re s drh o PHONE #: 910-821 8556
PROIECT CONTACT PERSON: si.,..PHONE #: 910 -.72-'t t2i
EXISTING CONSTRUCTION:ALT TIO N RENOVATION G ENERAL RE PAI RS RE LOCATION
NEW CONSTRUCTION:ERECT NE RESIDENCE or ADDITION TO EXI5TING RES IDENC E
{'*PLEASE CHECK AND ANSWER BELOt{L THAT APPLY T0 YoUR PRoJECTT
CITY: l,\irl.rnrJrqt.,l ZIP :
ATT GARAGE 1r2 SF
SUNROO14 SF
GREENHOUSE 5F
TOTAL HEATED SQ
SF OTHER: 1 1l
p6p6g ros SF
STORAGE SHED 5F
Ff : 28 68
DECK
170000
SF
TOTAL SQ FT UNDER ROOF: ]522 TOTAL AREA SQ FT: 81]!
# OF STORIES:
Is Any ELECTRICAL, PLUI!1BING or l'lE ICAL LJork Being Done to the Accessory Structure?ves I t'to
If the pnoject is a Relocati.on
Is there Electrical Power on t is Building? E Yes
i.s thene a Natural Gas Line on the current Slte? [ ves [ ruo
!No
TOTAL PRoIECT COSTrressroo : $
PROPERTY USE / OCCUPANCY:5
DESCRIPTION 0F WORK: r;e,' resii
DISCLAIMER: lhereby certify hat all information in hi
and ordinances and regulations. The NHC Developme
confacbr inbmadon "'NOTE:Any Work Performed
OWNER/CONTRACTOR: Mrcrraer Da
NGLE FAMILY
ntial
DUP LEX TOWNHOUS E
applicalion is conect and all workwittcompty wih he slate Buitding code and a[ oher appticabte slaE and tocat taws
SeNices CenEr willbe nolitied olany changes in he approved ptans and specifcalions orchange in cont actcror
/O lhe AppropriaE Pemitswillbe in Violation ofthe NC StaE Btdg Code and Subjeci t) Fin€s Up To $500 00.,,
iels DF. Horton Inc. SIGNATURE:
+++*******++++,t,t,t,t)tt*+*++,t***)*)*)***,t*,t*******1.**+,t*******+***)t
WATER :
SEWER:
CFPUA
CF PUA
COMMUNITY
CENTRAL SE rc E pRrvATE sEprrc E coMMUNrry sysrEtl
IS THE PROPERTY LOCATED IN A F PLAIN? N YES I
EXISTING IMPERVIOUS AREA:
NEW IiTPERVIOUS AREA: 3051
*** SEPARATE PERI4ITS R
PAYMENT METHOD: E CISX E C
ZONE : _ 0F FICE R:
Approval:_ City:
NO
SQ FT
SQ FT
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERIiIIT:!YES F-l r'ro
YST E I"1
QUIRED FOR ELECT, MECH, PLBG, GAS EQUTP, PREFABS & INSERTS ***
ECK (pAyaBLE ro NHC) E AMERTCAT! EXpREss I mcTvrsl I orscoven
(FOR OFFICE USE OIILY) REVISED DAIE O4l11l12
SETBACKS: F:_ LH:_ RH:_ B:_
BFE+2ft=
***+ *+,k ** x * x *++ +*** x x x x,t,* + *,*,***)*,t,*,*****+,a****x*+***x,**ra****+***x*+***r(*+,*****+**xs+**x*
DATE: FL00D:
AV N
I
#trTT
PHONE #: 84r:5r-81-rf
CITY: I'ryrr le Beach ST: j!_ ZIP:jjlg
tr
! oer cenecr
-
sF E! eoor- _ sF tr
f] enrvnre wELL E cENTRAL r,iELL
NEW H
PL
APPLICANT'5 NAli'lE: Mrchaef Dan eLS
DEVELOPER: )R Hor.r on rnc
PRO]ECT ADDRESS: 7833 Cham Ia Dr
GR E ENHOUS E SF DE CK
TOTAL HEATED SQ
Ao/b- equr
L6-7 60
APPLICATION
Number
(o+fice Use)
OVER COUNTY BUILDING PERMIT
APPLICA|ION TYPE; RESIDENTIAL
ANSWER ALL QUESTIONS APPLICABLE TO YOIJR PRO]ECT
"Project Responsibility"
ZIP i 28472
SUBDIVISION; Eass:ake at l',-.ro Lake BLOCK #:LOT *: 23
PROPERTY oWNER'S tlAIvlE: DR hor on Inc
OiINER'S ADDRESS: 404e Belle r rre B Lvd
CONTRACTOR: DR Horton rnc
ADDRESS: .1049 Belle Terre Blv CITY:Mvrt le Eeach STi sc ZIP i )95'19
ElvlAI L ADDRESS: mi-.ian i e t:r 1! drho PHONE #:910-821 8556
PRoJECT CONTACT PERSON: sam I4 lson PHONE #:91C 520-1193
ALT TION RENOVATION GENERAL REPAlRS RE LOCATION
**PLEASE CHECK AND ANSWER BELOb/
RESIDENCE o" ! AOOrrrOru TO EXISTING RESIDENCE
L THAT APPLY TO YOUR PROJECT:
NEW CONSTRUCTION:ERECT N
ATT GARAGE 426 SF ! oer canace _ sF PORCH l it !SF
SUNROOM SF POOL SF STORAGE 5H ED
CITY: I,ii n r:r.i: o n
SF OTHER: 12 ()
_ 5F
SF
FT: zs,ir TOTAL SQ FT UNDER ROOF: 31 92
# OF STORIES: 2
TOTAL AREA SQ FT:9 jt1
TOTAL PROIECT COST r1."" L'u : $
If the project is a Relocation
Is thene Electrical Powen on t
1s3000
Is Any ELECTRICAL, PLUMBING or li'lE CAL l^lork Being Done to the Accessory Structure? fl V"r fl No
is there a Natunal Gas Li.ne on the Cunrent Site? [ Ves E rro
is Building? [--l v"r [El ruo
PROPERTY UsE / OCCUPANCY:5
* * + + ++* *+ + + * ** x * * jt * * * * * * * *
lels
DATE: F LOoD:
AV
NGLE FAMILY
n]-ral
DUP LEX TOU]NHOUSE
applicalion is correctand all work will comply w h he State Building Code and all orher appticabte Slale and tocat taws
Services Cenler willbe noiified olany changes in he approved ptans and specrfcations orchange in contracrrror
/O he Appropriab Permits wilt be in Viotation of rhe NC Stat_. Btdg Code and Subject b Fines Up To $SOO.OO',,
;Ft I-lcrt.:r In. SIGNATURE:
DESCRIPTION OF WORK: ue!, resid
DISCLAIMER: Ihereby cerlify hal all intormation in tlli
and ordinances and regulations The NHC Developme
contaclor informalion. "'NOTE Any Work Performed
OWNER/CONTRACTOR: Michael Da
rint Name)
:t * *** *** * * * x x:t** + *** **,*x +*** *** **x ***+ + * * x:* * ** **** *:t++ +*+ * * *
I.IATER:
SEWER:
CF PUA
CF PUA
COI,IMUNITY
CENTRAL 5E rc fl pRrvATE sEprrc n coMMUNrry sysrEM
IS THE PROPERTY LOCATED IN A F LAIN? N YES
EXISTING IMPERVIOUS AREA:
NEW II{PERVIOUS AREA: 2235
*** SEPARATE PERMITS R
PAYMENT METHOD: fl ClSn il c
ZoNE: _ OF FICE R:
Appnoval :_ City:
NO
5Q FT
SQ FT EXIST LAND DISTURBING PERMIT:I YES I--l r'ro
TEM PRIVATE Il]ELL CENTRAL WELL
QUIRED FOR ELECT, MECH, PLBG, 6A5 EQUIP, PREFABS & INSERTS X**
ECK (PAYABLE rO r'rHC I fi alenrcAN ExpREss E,lczrrso n DISCOVER
* * * * * + + ** * * * * * * * + *r. **x x +++*xxx+++**xx**,Fr.***xx++***xx,F+***xx*+**xxx++*****************
(FOR OFFICE USE ONLY) REVISED DATE O4l11l12
SETBACKS: F:_ LH:_ RH:_ B:_
BF E+2ft=
N fiHq
lii
DATE: 3/tt/76
PHONE #: 9r,.821-8556
PHONE #: 843-3s7-8400
CITY: M'1rtle Beach ST: sc ZfP:29579
LICENSE #: 296i 6
EXISTING CONSTRUCTION: E
m
NEhI
y^ 11,-* Ls".- E p*-f
ANOVER COUNTY BUILDING PERMIT ?o)L-Zszc
APPLICATION
Number
(office Use)
C"
APPLICATION TYPE I RESIDENTIAL
ASE ANSWER AL! QUESTIONS APPT1CABLE TO YOUR PRO]ECT
"Project Responsibility"
a-APPLICANTJS T,IAIiIE:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
CONTRACTOR:
ADDRESS:
PRoPERTY otJNERrS iIAME:
O!'/NER'S ADDRESS:
PHONE $:
crTY: \r) i \,^^i ,rr,+or^-eLoti-;;-LOT #:
PHONE *:
ST:
olrqJ<" +ge.S
LICENSE #:
CITY:ST: ZIP i
PHONE *:
PIONE f:
ATT 6ARAGE _ SF
suNRooM _ 5F
GREENHOUSE SF
DET GARAGE
-
SF
PooL _ sF
PoRCH _ 5F
STORAGE SHED SF
PRO]ECT CONTACT PERSON:
AL ERATION RENOVATION GENERAL REPAIRS RE LOCATION
NEhI CONSTRUCTION:ER ECT I^' RESIDENCE O" ! AOOTTTOI TO EXISTING RESIDENCE
LL THAT APPLY TO YOUR PROJECT:
SF
TOTAL HEATED 5Q FT:T0TAL SQ FT UNDER ROOF: _ TOTAL AREA SQ FT:
TOTAL PROIECT COST tress rorr :
Is Any ELECTRICAL, PLUMBING oT I]CHTNICAL l,lork Being Done to the Accessory Structure? [ V"r [ ruO
DECK SF OTHE R:
If the pnoject is a Relocati
Is there Electrical Powen on
, is thene
his Buil.din
a Natulgl Gas Line on the Cunnent Site? E yes
gr Efves ! Ho
E-1{6-
PROPERTY USE / OCCUPANCY:INGLE FATlILY
DESCRIPTION OF WORK:\os
DUP LEX TOWNHOUSE
oa\
DISCLAIMER: lherebycerlitlhalarl inbrmaiion in
and ordinances and regulaiions. The NHC Devetop
coniractor inbrmaton "'NOTE:Any Work Perfo
OWNER/CONTRACTOR :
*** SEPARATE PERJiIITS
PAYIiIEI{T ITETHOO: E CAST E
,*** * )i * * ri,t * )t * )*,**,*** * ** )t ***
ZONE: _ OF F ICE R:
Approval :_ City:
Corment:
TOTAL ACRES DISTURBED:
EXrsT LAND DTSTURBTNG penmrr: l--l vrs ! rc
is application is correci and all workwiI comptyu/ih lhe state Buitding code and a[ oher apptlcabte staE and tocat taws
ni Services CenEr willbe nolifed olany changes in tie approved ptaflsand specilications orchange in contacbror
W/O rle AppropriaE Permits witt be in Vkltation ofthe NC SraE Btdg Code and Subjecl b Fines Up To $SOO.0O..
SIGNATURE:
+,t* * )t* * * * *,*,*+,t* {<,t )t * ** * )** *
IS TI{E PROPERTY LOCATED IN A
++ * + * * * ** )k* ** ** * t * )t + )t )i rt,l+,t + *** x* )* *:tr+ +*,** * ***+ *+* *t ** *r*+* )t** * )* )*
t-oooplarul l-'i yrs E rc
EXISTING IMPERVIOUS AREA:
NEId II{PERVIOUS AREA:
SQ FT
SQ FT
COI"IMUNI TY SYSTEM PRIVATE l^1E L L CENTRAL WELL
crcua ! cENTRAL s PTIC ! eRrvarr seerrc I comr4uNrry sysrEM
EQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFAES & INSERTS ***
HEcK (IAvABLE ro rrcy I anenrcAN ExpREss I r,rcTvrsa EI orscorr***** *++,N+)t,t * )*)** *+ *,t * * * * )** *,* )t ** ** * * ++ * )t* * * **+* )t** * *+* * ** )*,** +,i ,t *
(FoR OTFTCE llSE 0{LY)REVISE0 oATt 04l 11/ 12
SETBACKS: F:_ LH:_ RH:_ B:_
DATE :_ FLoOD: _
A
BF E+2ft=
N
PERMIT FEE: $
dK
ffi)
CITY:
zrn: Z8{63
,orr, {lsltv
EIiIAIL ADDRESS:
EXISTING CONSTRUCTION: E
**PLEASE CHECK AND ANSHER BELOI,U
tr
* OF 5TORIES: I
tr,lATER:
SEt./ER:F
crcua !
ffi
DEVELOPER:
CONTRACTOR
ADDR E55 :
El4AIl- ADORESS:
D]SCLAIMER
and local
Sublcctlo
ACRES DISTU
ZONE:
WATER:
sEvltEFt:
Cdnmont PERMIT FEE;Aa
PL
APPLICAIIT'S llAl.lE: .ra rN
PROIECT AITORESS I s422 o1
OUI'IER, S ADORESS:
02 01 Ea8twooC Rd B
PRO]ECT COITACT PERSol{:
.rr*. Is T
IF Yes, rrrat r.as the Prevlous Occ
TOTAL AREA SQ FT :
TOTAL SO FT UNDER ROOF:
RBED: na
NEW IMPERVIOUS AREA:
PFTOPERTY USE: f]OrrrCe E
Qotb-eq7a
APPLICATIOfl
Nwlber
(Otfl.e use)
APPLICAITO TYPE; CO}1!4ERCIAL
ANSIIER ALL QUESTIOITS APPLICABLE TO YOIJR PRO]ECT
"Proj€ct Responsibllity"
ER COUNTY BUILDING PERMIT L6- ALL
OCCUPAI{T/BUSIIIIESS l{AlrlE : srlick
PROPERTY Otf{ER,S IIAIIE: rr
Dri
1
e CfTY I uilminqron
Plot{E #:
ZIp:2e403
Sl: E_ ZIP: 28a01
STI NC ZIP: 28{03
Ptlot{E $i 52r-sB1?
PIO E *: s2o-8128
ai€ci{icatbns
Bldg Cod6 and
q hllf,E r.s hrld b
at h6.n i0 d.y. Fltr 6 rl.
LICENSE f: 71er2
CIW: },llminqron
EKIST COITSTRUCTTOil: E ALTERAT
tf Rolocdon, b here a Natural Gas Line the
IIIEH CoiTSTRWTION I I rerCr relt STRIrcTURE I rrcr rnlcr I xelr- [ unrrr I oo ro Exrsr srnucruRE
ACCESSORY STRUCTURE:
Is Elect Porer on this Building E Yes I ttO
(Check All rhat Apply)l-l nercvlrrow [-'l crxenru neprrns l-l RELocATToN
cunenr sit8? [ ves [ ruo rs BLDG spRrNKLEneoz I ves fllno
s A cHAr.cE oF (rccupa{cy r.rr r f]ves p ro .'...
y TID€ l tllhat is the lleu occupancy Type?
ARO{ DESIGI{ PROFESSIO},IAL: M. w.lliard Archi cec rlc REG *: a0180
EiIGR DESIGN PNOFESSIOIAL:PH:NC RE6 *:
DESCRIPTION OF l.lORK: Add:tior:a Wa1lB to exiBc mercantile s
ls bod 6 borHagEs paops6d 6 3e.vod ure strrauro? [ ve. E ruo g me prop.ty locarad tn Th6 Ftoodpgnr E yes El Ho
I heretry cerlity
aM
a inlormation tttis ls cofi€ct and all 'nork will with tho Siat all otter applicable Staletrlat
be and
in codttactoa
Floes Up To i500 00'-
OWNER/CONTRACTOR:
G{-4
SIGNATURE:
Not!: bamdltm not llcaddls ll & Ignoyal glbdlaB srs lo be e6.nltod ldng dE apdlcgdon lqrrr
(r1tah Altaco5 d nd Ydr all rqlrcd b aail lha Embddl SMrd. tor H@ddrr Ae Pdlrtri. 0{ESHAF)
drrnotlh.' of my fsdfg or hi.Ing. Se A6t6loa gbl httsr xi.rr.rfr.dat€.nc-ud€prasts6lg8ldtlnp.hEnl
TOTAL PROJECT COST:1A 000 BUILDING HEIGHT:?,a ft
# OF STRUCTURES:# OF FLOORS:
Exsr rAND Drsrunenro reRunz f]vrs fl Ho
SOFT E{SINq IMPERVIOUS AFEA:
fi]msrcar.rnr-e Deouc [lr'r lconm OTHER
SQ FT PER FLR: same
n EwEr
PRIVATE SEPTIC
# OF STORIES: r
SO TT
Ea COMMUNITY
CET.ITRAL
CFPUA
CFPUA E ZONING USE CLASS|IFICAION:
COUMUNITYSYSTEM
N
''- sFl.Aai; tI t,t ]tJl'r5 In i ilr!FD FOI, il, FalI MEcrl r I tti, l,Ai; F arl I P. i,l;I t' j\ti5 8 t\iiF,r tS
PAYMENTilETHoo: ICASH I (pAyABr.EroNHc) flmenrcaxo<pREss Erc /tsA floscown
(FOR OFFrcE US€ ONLY)RSVEED DATE
'11
III2
SETBACKS: F:-LH:- RH: B:
FLOOD:BFE+2{l=
OFFICER:Approml:_ Clty:_
EAS]
JRAN,]
NEI^l
If UPFIT - The 5he11 Permit #:
DATE: 2-11-2016
CITY:
PHoi{E *: 9ao -4io-27 44
PHt 29't -3665
# OF UNTTS:
#PLE
APPLIC'NT'S TUI''IE:
DEVTLOPEN:
er l]e
PROI ECr AmRESS: s422 olein
oCCUPAI{I/8U5INESS lJl}tE : s!rr.c
PROPERTY OI},'ER 'S
O$TIER'S ADORESS:
liAqE i
C0 TRACTOR: NFer;, B
ADDR ESs :E5a ieood
Ell,AIL ADORESS: , r.e'^r:::
PRO]ECT CONTACT PERSO :
ALTERA
tf Rolocadon b here E Natural Grs ,-in
NEI.J CO},iSTRUCT IOti ;ERECT
ACCESSORY STRUCTURE:
If UPFIT - ThE Sh€lI P€TMit #
..". IS
If Yes, 'rftat ras the Prevlout 0c
AAO{ DESIGX PFOFESSIoII LI s. N.
EHGR DESIGII PROFESSIOftAL:
oESCR:PTIoit OF l/ORx: Aclrr !i
ls lood oa bovssgEs prspGred or s
OWNER/CONTRACTOR
(tldId,
Nde Dridi(, trrlasdcns t 03b.6t!)5.ei..*d
calah Albastae aa n6l. You .rr' rlqllild o crl
Corlctdon oa EV toolV o{ buirdnJ. S€. A6tc6t6
TOTAL PFOJECT COST:70 000
TOTAI- AFEA SO FT
TOTAL SQ -T UNDER ROOF
ACRES DiSTURBED:
NEW IMPERVIOUS AREA;
PROPERTY USE: fOrrrCe I
WATER:-m
CFPUA n
LJ
@MM U
SE\4'EI{CFPUA ENTRAL
...sFf.:.- :l rr |litilr\, r
PAYT,TENT METHOD: f,CasH [C
zone: C?; oFFrcER
Appro\.a1:
-
Cky:_
Cornm€nt
aPPLIATIqt rypsr CoI1AERCIAL
S€ AIISIIIR ALI. QU€STIOT|S
'PPIICASLE
TO Y!(,li PiO]ECT
"Project ResponslbiUty-
po tb' Pql a
A PP LICAT IOiI
rumber
(offlc€ Usc)
ER COUNTY BUILDING PERMIT !6 - 4L1"
((h.(r all _h.t arrly)rol I nercvarrol ! crnrnat nrnlrns ! RELocATToN
on rhe Cuner{ Sile, [l]€s ENo tS BLDG spRtNKLEceoz f] ves
n
Il:: ve CITY: {iIlni
arrd's WindcE Cover:
.)
t:CITY: wi lni
LICE15E *: ?1e12
CITY: !uitnr
illirr:1 Ar.:hirecE
1l,ral1 :]
SIGNATURE:
(FOR o FF9E
DATE:2-11-2016
Pli3flE S:
Z IP: ?6401
5T: NC ZIP: 2B{01
ST; Nc ZfP i 2s403
PIiONE *: 520-812a
No
srRt cruRE ! rrsr rnrcx []l snrr-r-f ulrrr ] aoo ro Exrsr srnucruRE
Is Elect PoHer on this Euilding E yes [ rc
Hrs a cMnGE or ocoJparcy user f ves
uplncy Typel 9Jhat ls the fleli occupancy Type?
h fissrudwe? nYes No h nre Prop€rty Llcatgd h rha Ftoodphin? E yes No
Slal6 Euilding Cod6 and atlottera tdlrable Sblc
Bldo Culc a,E
Ptl:29?-36'j;
BFE +2ft=
sppft-'jqE ar! lo b. suba{t6d iJah3 ho slChrron.a.m ::od) *r,c c. bdldho fts lrrlt toNdtfialEnlb.l ('1 sEdd(b tor r 4rftb{ At FotuEr. (N Esf Ap)-5S60 .l Lsl 10 d.y. Ftd E dr.
SIE ha$ril*m..pi .t.t6..c.! s od/Bbe ta5/at6, hrFt
BUILDING HEIGHT # OF UNITS:
# OF STORIES: r
# OF SIRUCTURES I OF FLOORS: :
Exsr trND otsruRBtNc pERMrr? E \Es EI No
SQ FT EXISTING IMPEFIVIOUS AFEA
fiuencamru f]eouc fllrr f,couoo ousn:
SYSTEM . fl WErL :l zoNlNG USE CIASS|FICATION:PTIC J PRIVATE SEFTIC :CITTMUNITY SYSTEM
.Lr,,,,Etr F,j : a: r r\r[':,1, . i.., r, I.r:!-l{r, :.r.r T :,r. ] !i r\ir ; rrl ..
EcK (pAyAa[E To Nnc; fler,renrcal exeness I l,tCrUse I oscoven
SO FT
ONLYI
r:-i:,-L RfVlSi::D OITE lyt ,12
S ETBAC KS LH:!-.r}-t't: )Ji12 B '--i-:-rl:/
N
PERMIT FEE: $
I
I
I t
FLO o D:
Crty hplloil lwJureo, 910-254-'JlJ'
NEl.,l
EXISf CONSTRUCTIOI: E
PllCalE l: 910-470-274{
PlOliE $: s2;r-5Bl ?
SQ FT PER FLR;5ame
NC RtG I: tCtBoPH: NC REG *:
DEVELOPER:
ARCH DESTGN PROFESSIOI'/AL:
El'lGR 0ESIGlil PROFESSIONAL i
*DESCRIPTION OF I,.IORK:
TOTAL AREA SQ FT :
TOTAL SQ FT UNDER ROOF
ACRES DISTURBED
NEW IMPERVIOUS AREA
PAYMENT METHOD:
ZONE:
Approval: City
WATER:
SEWER:
@mmenr CfPUn NUC €Nv tt -rc &rJ - r.ro
N
PERMIT FEE: $
NEl,{
PLEA
APPLICANT'S NAl.'lE: cathleen Adk n
PROIECT ADDRESS: 311 Judges Ro
occuPAI{T/BU5Il{ESS NAI',IE : eruten
PROPERTY oI{NER'S l,lAtlE: John R
OtlilER' S ADORESS: 1909 verrazz
OVER COUNTY BUILDING PERMTT
APPLICATION TYPE: COMMERCIAL
E ANS'JER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility,,
d2a
Free By fhe Sea
dina
o Drive
CITY: Wilrington
CITY: E!!$LEstoD
LICENSE #:
)ort-e - U1L
APPLICATION
Number
(Office Use)
PHONE #:
DATE:02-10-2016
ZIP i284o5
PHoNE *:910-431-2s75
ST: nc ZIP:2840s
I coHrnacron: tr\t*"^ Aay;"
ADDRESS: 1't9 Azale n r.-c4.t
Ei,tAIL ADDRESS: @\ (rFree-l>
PROIECT CONTACT PERSON; cathle n Adkin
OFFICER:
CITY: kJJrvtnq turnk*e 6ua;l.a^ -
-
, sIt NLzrpt)3'113
PHOI'IE *:
PHoNE #: 910-352-1619
(check Alr That Apply)
EXrsT CONSTRUCTTON: ffi ALTERAT oru p neruwrrlg! nlgruenaL REparRs
n the Current Site? l_lYes l_l No tS BLDG S
RE LOCATION
KLERED? [ v". flruolf Robcdon. is there a Natural Gas Line PRIN
NEr.r coNsTRUCTrOru: I rnecr HehJ
ACCESSORY STRUCTURE : partition
SIRUCTURE I rnsr rnacx I sner-r- ftfl uerrr I ADD ro Exrsr srRUcruRE
If UPFIT - The Shell Permit #:
U (4' ta11), plunbing for sinks. grease interceptor
Is Elect power on this Building
A cHANcE oF occupArcy user lflves frruo *****
fl ves EI no
ncy Type ? Business
*,iirr IS T
IF Yes, what uas the Previous Occ
ls iood or bo,Cagee pr€parBd a 8gl,€d ur ernrcturez fllves fl
PROPERTYUSE: llOrrrCe I
CfPUA trfI COMMUNTIY
CENTRAT !
No ls Tho Prcp€.ty to6t€d ln The Roodptatn?f]v""E*o
# OF UNITS
PHi NC REG #:
NC REG *:
DISCI.AIMER: I hereby cerljty that allinformaion i
and loc€l l€ws and oadinances and reoulalDns I h
oI chanoe in contraclq or conlraclor i;,ormation. '
Sut{ect-lo Fines Up To $500 00'-
rhis^aRplicatron rs correct and^all work will complv wih the Slale Burtdrng Code and a othe. applrcable SbleNllq Developmenr Services Center wrll be notfied of any chanoes in d.|; aDDroved otans and iircoficarionsNO lL' Any Worl Perlormed w/O lhe Appropriate Permiis wrll 6e in Vtolalion ol he NC Siate Bldg Code and
OWNERYCONTRACTOR: cathl
(a,3lfri
tloto: tloanditoo notifrcalionr E Esb€olos rqnovsl .pplbetl,ono d. to b6 submltt€d l,3ing h€ aplicatiyt roin (DHHS3788) whsth6r U€ hcitity or hritdit re! b/d b
cootsin Asbetos or not. You are requirad to cEll tlE onal Emlssim Standards lor Hazadous Ar PollutEnb (NESHAP) at (919)707-5950 st test .tO daF Fic to the
denElitk n ol a.ry bcility or building. See Asbosloo Ste: ht$r:/ ,v{w.epi.gtate.nc.urepu&sbestod6hmp.htrnI
TOTAL PROJECT COST; 4,000
CFPUA
EXST LAND DISTURBING PERMIT? [..'l YES E NO
SQ FT EXISTING IMPERVIOUS AREA:SO FT
[ueacemte [eouc I nrr f]coxoo orHERrood productio
EWELL flzONtNG USE C|-ASSIF|CAT|ON: .
PRTVAIE SEmC IICOMMUNTTYSYSTEM
'" SEPARATE PERMITS RE(JIRED FOH LLECT, IMECH, PLAG, GAS EOUIP, PREFABS & INSERTS *'
ficesn lcn (PAYABLETO NHC) flnUenrcel exeREss EMC^/|SA EOSCOven
(FOR OFFTCE USE ONLY)
SETBACKS: F:-LH:- RH:- B:
FLOOD: _ BFE+2tu_
A
Adkin
BUILDING HEIGHT: _
SQ FT PER FLR: .
# OF STRUCTURES:
SIGNATURE: fr* 1,/ '
t
REVISED OATE ,Ul tll2
n
What is the New Occupancy Type? rood productio,l
# OF STORIES:
# OF FLOORS:
cz
1<tu,
+^)\€ltt s '{-r" 5+
ANOVER COUNTY BUILDING PERMIT
APPLICATION TYPT; RESIDENTIAL
re,L+|6-7b3
cro 16 -2112
APPLICATION
Number
(Office Use )
NEW
ASE ANSWER ALT QUESTIONS APPLICABLE TO YOUR PRO]ECT
r o e c tl Re n 5 1 I I ty"
, P/^,fn*o 7 ,+,i,t u,
I
POOL 5F
TOTAL SQ
c t/
CITY:
BLOC( #:
LLL
CTTY:
LICENSE '
037l)-
CIrY': la
C (n
LAPPLICANT,S NAI{E
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVTSION:
PROPERTY OWfVf n'S Utlr ' O dc
s70
WATER: M CF PUA
-_1-
sErrrER: ILLrF PUA tr
COPIMUNITY
CENTRAL SE
tOR
PHONE #:
ZIP i
LOT #:
PHONE #:)7?)% tr
sr lL ztP
accouNT *:
Sf :L LZTP
OI^INER J S ADDRESS:
i.t^?,,CONTRACTOR:t/
ADDRESS:
EII/IAIL ADDRE5S;
PRO]ECT CONTACT PERSON:
EXISTING CONSTRUCTION:
NErd CoNSTRUCTTON, (rnrCr ru
**PLEASE CHECX AND ANSWER 8ELOl,{
ATT GARA6E
-
5F
suNRooM _ sF
GREEI{HOUSE 5F
TOTAL HEATED 5Q FT:
TOTAL PROIECT COST (Less Lor) :
Is Any ELECTRICAL, PLUI4BING or il
If the project j.s a Refocatio
Is there Electnical Power on
IS THE PROPERTY LOCATED IN A
EXISTING IMPERVIOUS AREA: |,
NEh' IMPERVIOUS AREA:
PHONE #:
PHONE *:
;rio,iT-*
))1-)1)Bu"rt^,o
AL RATION RENOVATION GENERAL REPAI R5 RE LOCATION
I THAT APPLY TO YOUR PROJECT:
! orr canncr sr ! eoncH
-sF
STORAGE SHED
-
SF
DECK SF
Fr UNDER RooF:>0 I rorAl AREA sq nrDly'd-
SF OTHE R:
E,4.
# OF STORIES:
HANICAL Hork Being Done to the Accessory Structure? [ Ves [l ruo
, is there a Natural Gas Line on the Current Site? [ Ves I to
his Buildingt I-l ves Rl ruo
PROPERTY USE / OCCUPANCY:tr NGLE F I1ILY DUPLEX ! rowr,r
DESCRIPTION OF WORK I
DISCLAIMER: lherebycertify that alliofDrmation jn tr applicaton is corectand all work will comply wih he Stale
and ordinances and regulallons The NHC Developm Se rvices Cen€rw llbe notfied otany chanqes rn he a
OTE /O he Approp ate Pemaiswillbe in Viotario^ ofthe NC
ur)c
s
and al otler applicable StEb and locatlaws
d specifications or change in contracta! r or
,r * ** )*,k ,* * ,* )r *,***!t!t,* * ,k )k,t *,* )* ** ,*,* +,* ** * ,*,* r* !t ***x,*,**rt **
oprarur l-l yEs Ff No
SQ FT
5Q FT
TOTAL ACRES DISTU
EXIS] LAND DISTURB
sETBAcKs: F: * LH: f RH:
oare l-lg-lb FLooD: _ _
00"'
D: _
ruc;rnurr, l-'1
Rwrq
YES NOE
YSTE I'1 PRIVATE NELL CENTRAL N
IC PRIVATE SEPTIC E coMr4uNrrv
*** SEPARATE PERI4ITS QUIRED FOR ELECT, MECH, PLBG, GAs EQUIP, PREFABS & INSERTS **'*
PAYMENT I'IETHOD:ficasa I cK (nAvABLE ro urcl [arlr rcco-lur I rcTvrsl florscoven
et02540&)
,***** )t* x,t ** ***:*,f ,*** *,f * **)* *** * ,*,r,r )* )* )t * **)*)*,**!t!t )t *,k )k )* *,* *,t,* )* * **,* x)r **)t,t* * ** )*,*,f ********,t **t* **
(FOR 0FFICE UsE Or\rLY)REVISED DATE 64111/12
OFFICER
Approval:_ City:t ''1V BFE+2ft=
N
Comment :-tb penMrr rr E: $
&
o^rE,3-///b
tr tr
RESIDENCE o" ! AOOrrrOru TO EXISTTNG RESIDENCE
OWNER/CONTRACTOR:srennrune I
ZONE:
NEW VER COUNTY BUILDING PERIVIIT
APPLICATIoN rypE.- RESIDEi,ITIAL
E ANST]ER ATL QIJESTIOI,IS A'PLICABLE TO YOUR PRO]ECI
<Proj ect Respons lbiJ-it5d
?8ffi4t
Nunber
(offJce Use)
APPLICAI,IT'S i{AI{E:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDI\ESION;
PROPERTY O+.J',IER'5 IIAI"IE:
OlrittgR'S aOORfSs: 2l
C(NTRACTOR:
ADDRESS:
" l,/ i n LL(
tJ,LL(
CITY:sr; V( zwt2?y.l
ST i lt-< ZIP, )Eq-,
,n f1
',,|
Daff; Z-lt-16
Pltot'IE #:
CITY: L
BLOCK *: --- LOT *:
zrP'2-fu9
PHONE *:
EMATL ADDRESS:
f,n
f] orr crnaoe
I eool- sr
f] orcr
--
sr
d.Lal<
LICEI.ISE *:ACCOUT,|T #:
CITY;U,; tni
PHONE #:
sn fl mncu _.- sF
SIORAGE SIIED
OTHER:
pHoNE #; 9b- t6 - ' zt'<
[l nr locarroru
,l.r-
PRO]ECI CONTACT PERSON:
EXISTTNG coNsTRUCEoN: n A TION I neuovarrolt I eeruearr- neeues
NEN CONSTRUCTIO , I rnrcr N
++PLEASE CHEC( ANE ANSHER BELOl.i A
RESIDENCE o" I aoorrou ro :xrsrrrue RESTDENCE
L T}IAT APPLY TO YO[,R PRO]ECT!
_sF
SF
TOTAL HEATED SQ FT:lo9 ToTAL sQ Fr UNDER aoor: 13 7 TOTAL AREA SQ FI:
TOTAL PRoIECT C0ST tr-essroO : g +o?o'
IS ANY ELECTRICAL, PLU$BING OT ItI AL
'Jork
Being Done to the'Accessory Struc.ture? [ V"r [ ruoIf the project is a Relocation
Is there Electni.cal, powen on t
PROPERW USE / OCCUPAMY: DI SI LE FAI,IILY DTJ P LEX TOI1INHOUS E
DESCRIPTION OF h]ORK:
l''-J
is there a Natural 6as Line on the current site? fl ves Itto
s Euilding? [-l.v"r l-luo .
DISCLAIMER lh€reby certry ha!at,hbmadon in flis
and odinanc€s and |€gutatons. Ths NHC De!€topmen rvic€s @nEr\dillb€ nolified ofanychang€s hcontacd inbnnaion, .-NOTET Ary Won( p€rturm€d he Apprcpriab P6rmi6will b3 in Vrolato.i orlh6 NC S
OHNER/CONTRACTOR :SIGNATURE:
ho SEta Buitsirg Cbdo and att or.,or applicab{a SEb and to..J ta,{,a
ho app rov6d dan6 en d sp€cificaions or ctangB in @n ra.Dr or
and Subjecr lc Fin66 Lh Io t500,00.-EB 9!€ cro
Ycaz
****++***++:t**+**********+
I5 THE PROPERTY LOCATED IN A P LAIN?YES Mlfi
TOTAL ACRES DISTURBED;
E(IST LAflD DrsruRBDlG pEruqrr; l-l yes l--'1 ruo
I.{ATER:CF PUA CO4YUNIry S I !r'l I euvere wer-l I
EXISTING IMPERVIOUS AREA:
NEW IiIPERWOUS AREA;
" lLr-rr-rrliurAi0'Lntffi L{d sgXf*
CENTML t,llELL
CO4I,4UNITY SYSTA9
*+ ** *,1*f * it+ * **
LL,*r, fr-5 oFFrcER:
approval: A(_ cjty:-[llna
SQ FT
5Q FT
SENER: D CFPUA I CENTRAL SE c I cnrvere secrrc I
+4! 5EP.5?1TE Pi:&iITS RE
PAYHEMT tlETHoD: E "o"r a,
RED FOR ELECT, t{ItH, pL8G, GAs Egu:pj PREFI.OS & ITJSERTS +,8:!
(PAYABLE TO NHC)EILL ACCCIJI]T tic/vIsA I orscovrnr* x* * *+:i ***:t ** ** * ***** *x* ****
FIC u5E
ETBA CKS: F
F LOOD:
151RH:8:
O+
ERiITT FEE:
Cor,Ilent
TF.
5
City lnmection kqureo, 9l tt25.i $3)
1K2,,,,.,
# oF sroRtEs3 l_
I err canaor _ sF
I sulrnoov _ sF
I onrruHo-rse _ sr
, 11:
&e ltB-3oo)'
lu-+Y3RECEIVED ulRzt Z0t6
N
appLZcATroN rvPE, RESIDENTIAL IIIOBILE Hoti'lE
PIEA5E PXII{T aLEAllY f, Al'lS}Et ALL QlrEsTlor{s
"ProJe(t Responslbillty''
a
,1i1 i'''' t
[ffi,
APPLICA T'S MME:
APPLICATICEI
|lumbcn
(offt.. Ur.)
oATEr E lv
DEVELOPER I
PROJECT ADDRESS:
SUBDIVISION:6
PRoPERry oatNER's NrJ4E;
ol^r,lEn'S ADDaESSi
ch
::ff **a**t+*'****'t*+*
No
BLoCl( {:
CITYI
LICENsE OI oo4t?k
cITY! LeLaod
zlP i
lor *r * 3'l
*:fu.p17_'7_
sr:5ls:rr:4gylpp
PHoilE Sl
PHONE
EM/IIL ADDRESSI
CON]RACTOR I
ADoRESS i
NATER:
SEI{ERI
STIN CZIP:
'R47[PI6NE {r qlo '7q9 | t r 1
PHONE $: 4IO-I 9q 1il1,*rr*-*il::
,ararroa* o, [r*,
LL
(CHECK ALL THAT APPLY)
NEl,l flOBTLE |tOl'1E I reLOClnOX oF USED I|OBTLE IiO E
SIGNATURE:
*l,l*t**a*:tt**+**a*
I r looolr,t$t? [ v
RESIDENCE / OTHER?
a-a
DLctltt& r nd.!i.dt l'1, hr..Drl$5 t!l'a.did,i4kt'.6iry r tr tr- &&l.a6dr -!.lioA..t aL lLL.dro.rlhi'' d*rEi! nrd.l|.tr lL t{Hc
D.Erehdt rtr a$Lrs,a !. dld c n,h lI .nn ai phE .g rndtalor r.rrr!a. n srsd rdr3c5hii.&n .-lxrlE L, $rrl P.twd w/Q tr r9o../rf Fnrr.
*i b. h vrd.ld ol ur li,c er. ddc c.rr ,d
OhNEN/CONTRACTO R ;
..js*J....***l*rt*!t*4*l++*r,t,|
IS THE PROPERTY LOTATED
PROPERTY IJSE/OCCUPANCY:
ruD LABEL: .HANUF ACIUR Ei
YEAR MADE: - aolu G
1 l sfio(t
SF PORCH
TOTAL PROIECT COST trld r.0 $ 5oro'@
5 E *
L eM TH 1
6AR-AG E D YES
s F
TOIAL ACRES DISIURBEDI
EXIST LAND DISTURBING PERI'IIT:
RIAL GT 0 4 o Tg rJ
(t c0 LOR {an-
runnrcnt: zot4 fl
DECK: fl YEs Xo fr.'ffiIu3*"'* -X-
dllll ves NO
5
DISCOVER
E:::ll E SE
t,/
svsreu ! enmrr weLr- f\[geurul uerr-pTrc LJ pRrvATE sEprrc [Alcor4r'{uNrw sysrE},t
t SEPAR TE SEQ(IRED F(n ELECT, IECH) PLB6, 6A5 EqUIP, PiEFABS & tNSEitS 1.'
PAYiIE!,IT METSOO I E cnsn crEc{ (payABLE To Mrc) [ allrnrcar oenrss E ucrursr tr
iEVrsEo 4/12/11
Z0 Er _oFFICER:
Approval !_ Clty I
SETBAC(s: F: LH: RH: 8I
DATE: FL(ml _ BFE+2ft- _
Comnent:PEN I? FEE: $%o
c,
C.
I
C
HANOVER COUNTY BUILDING PERMIT
I
lrA.r-^.,.r'.11a
IJII)
CENTRAI