Application - WCA
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS
“Project Responsibility”
APPLICATION
Number
_________
(Office Use)
APPLICANT’S NAME: _______________________________________________________________ DATE: __________
DEVELOPER: _______________________________________________________________ PHONE #: ______________
PROJECT ADDRESS: _____________________________________ CITY: __________________________ ZIP: _____
:
PROPERTY OWNER’S NAME: ___________________________________________________ PHONE #: ______________
OWNER’S ADDRESS: ________________________________ CITY: ________________________ ST: __ ZIP: _____
CONTRACTOR: ______________________________________ LICENSE #: ____________
ADDRESS: ________________________________________ CITY: ________________________ ST: __ ZIP: _____
EMAIL ADDRESS: ___________________________________________________________ PHONE #: ______________
PROJECT CONTACT PERSON: __________________________________________________ PHONE #: ______________
(Check All That Apply)
EXIST CONSTRUCTION: __ ALTERATION __ RENOVATION __ GENERAL REPAIRS __ RELOCATION
If Relocation, is there a Natural Gas Line on the Current Site? __ Yes __ No IS BLDG SPRINKLERED? __ Yes __ No
NEW CONSTRUCTION: __ ERECT NEW STRUCTURE __ FAST TRACK __ SHELL __ UPFIT __ ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE: _____________________________________________________________________________
If UPFIT – The Shell Permit #: _____________ Is Elect Power on this Building __ Yes __ NO
***** IS THIS A CHANGE OF OCCUPANCY USE? __ YES __ NO *****
IF Yes, what was the Previous Occupancy Type? _______________ What is the New Occupancy Type? _______________
ARCH DESIGN PROFESSIONAL: ________________________________________ PH: ______________ NC REG #: ____________
ENGR DESIGN PROFESSIONAL: ________________________________________ PH: ______________ NC REG #: ____________
DESCRIPTION OF WORK: _____________________________________________________________________________
Is food or beverages prepared or served in this structure? __ Yes __ No Is The Property Located In The Floodplain? __ Yes __ No
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
laws regulationcontractor or Up To $500.00***
WILMINGTONCHRISTIANACADEMY 07-07-2016
WILMINGTONCHRISTIANACADEMY 910-791-4248
1401N.COLLEGEROAD WILMINGTON 28405
WILMINGTONCHRISTIANACADEMY
DR.JAYKNOLLS 910-799-6442
1401N.COLLEGEROAD WILMINGTON NC 28405
THOMASCONSTRUCTIONGROUP 57620
1111MILITARYCUTOFFROAD,SUITE191 WILMINGTON NC 28405
tdatena@thomasconstructiongroup.com 910-799-2295
TONYDATENA 910-799-2295
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N/A
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ADWARCHITECTS 704-379-1919 50223
TALBOTANDASSOCIATES 704-333-3312 15140
1STORYEDUCATIONALBUILDING
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25,100SF
4,331,131
25,100SF
31'-10"
1
25,100SF 1
5.5acre
325,422SF37,474SF
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✔R-15
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1
16-2010