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NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLfCANT'S NAME: Michael Saieed AIA (Arch/Rec) Desisn Elements,Inc (Devef Aqent)
t 6-2928
APPLICATION
Number
(Office Use)
DATE: 14 ocr 16
DEVELOPER: .B.T. Corrisan; 734 Robert E. Lee Dr., Wilmington, NC 28412 PHONE #: 9ta-29i-a348
PROIECT ADDRESS: 1611 Dusty Milfer Lane - Surre 130 CITY: witminqron, NC ZIP.284r2
OCCUPANT/BUSINESS NAME: ravern on 17
PROPERTY OWNER'S NAME:
OWNER,S ADDRESS: 1201
Pointe at Barclav - Cameron Manasement, Inc (Aqent) PHONE #a 9IA-257-2324
Gl-en Meade Road (Aqent)CITY: wifminston (Aqent)ST: NC ZIPi 2l4otJ
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Exrsr coNsrRucrroru: ! ALTERATToN 3 *rrJiffffi'E^:"'il'.*^L REeATRS ! nerocarroru
lf Relocation, is there a Naturat Gas Line on the trent site? fl v"?[ rno ts BLDG spfiilxltneD? El ves [ ruo
NEt^t coNsTRUcTroN: ! rnecr NEW STRUCTURE E FAST TRACK ! snrr-r- [ uerrr ! noo ro Exrsr STRUCTURE
ACCESSORY STRUCTUREi open-Air Canopy (Cover over existing concrere slab)
If UPFIT - The Shell Permit #: 2016-4844 Is Elect Power on this Building B ves E ruo
***** rs rHrs A CHANGE oF occupANcy usE? [ves fl No *****
wasthePreviousoccupancyType?-WhatistheNew0ccupancy
PROFESSIOML: Michael Saieed RA, AIA /aka Mitchell PH: 910-509-3131
PROFESSIO1llAT- t PHt 910-270-3141 NC REG #: 185r8
DESCRIPTION 0F WORK! Interior Restaurant "Upfit" of an exisitng Building Shelf Lease tenant space
ls food or beverages prepared or served in this structurez fl ves fl *o ls The Property Located ln The Floodplain? [ ves EJ nro
DISCLAIMER: I hereby certify that all information in this application is correct and all work will comply with the State Building Code and all other applicable State
and local laws and ordinances and regulations. The NHC Development Services Center will be notified of anv chanoes in the aooroved olans and Sbecificationsor chanoe in conlraclor or contractor information. -*.NOTE: Any Work Performed W/O the Appropriate Permils will 5e in Violation of the'NC State Bldg CoOe anOSubjectio Fines Up To $500.00.--
WATER: ECFPUA ECOMMUNIrySYSTEM EWELL EZONINGUSECLASSIFICATION: RB,/(cD)
SEWER: E]CFPUA ECENTRALSEPTIC fIENIVNTCSEPTIC ECOMMUNITYSYSTEM*" SEPARATE PERMITS REOUIRED FOR ELECT, t\ilECH, PLBG, cAS EeUtp, PREFABS & INSERTS *-
PRoPERwusE: EoFFlcE ERESTAUMNT [uencnrulLE EEDUc EApr EcoNDo orHER:
Approval:_ City:_ DATE:_ FLOOD: A v N
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PAYMENTMETHoD: flcnsn ficnecr(eAvABLEroNHc) [arr-r-AccouNT f]ucnnsl f]orscoven
(FOR OFFTCE USE ONL'ZoNE:-oFFlcER: SETBACKS: F:-LH: RH: B:
CONTRACTOR! Premier Homes on Your Site LLC LICENSE #: NC 59335 ACCOUNT #: N/A
ST: NC ZTPi 2e4a6ADDRESS 2 pa Box 4232 CITY: wilminqron
EMAIL ADDRESS! msaieeduadesiqnele.com (Developer Agent)
PROIECT CONTACT PERSON: Michaef Saieed, Arch/Rec (Developer Aqent)
PHONE
PHONE
#: (GC) 443-6739
f: 910-so9-3131
IF Yes, what
ARCH DESIGN
ENGR DESIGN
Type? A2 Restaurant
NC REG #: B"?3
OWNER/CONTRACTORT uichaet saieed AoR(pe.,,qt Asenr)SIGNATURE:
(Qualmer) (Prtnt Name)
contaln Asb€stos or not. You are r€quired to call the National Emlssion Standards for Hazardous Air Pollutanb (NESHAP) at (919)707-5950 at loast lO days prior to the
demoliton of any facility or building. Se€ Asb€stos Web Site: http://vvu,w.epi.state.nc.us/epi/asbestos/ahmp.html
TOTAL PROJECT COST: Est $325K BUILDING HEIGHT: Est 2o '-0 "
TOTALAREASQ FT: Esr 35s0 upflr SQ FT PER FLR: gsr.3550 Upfit
TOTALSQFTUNDERROOF: Esr 8, 850 #OFSTRUCTURES: (1)shell Brdo
ACRES DISTURBED: None
NEW IMPERVIOUS AREA: Not Applicable
# OF UNITS: rwo (2 )
#OFSTORIES: one (t)
#OF FLOORS: one (1)
EXST LAND DTSTURBTNG pERMtr? [veS E No
SQFT EXISTING IMPERVIOUSAREA: Exisrnq comm cenrer SQ FT
REVISED OATE 4111112
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PERMIT FEE,$ I/St[ --