The URL can be used to link to this page

Home My WebLink AboutAPRIL 2 2018 BUILD APPSClaar Form Prlnt NEW HANOVER COUNTY BUITDING PERMIT APPU CAf ION TYPE : RESIDENTIAI PL€A5E ANSWER AU OUES'IOI(S APPtICAStE TO YOU8 PiOIECI 'ProJCct nctponrlblllh/ t{nz.uro- 3}6 itubl^ffi APPLICANT,S NAME:Date PROjECI ADDRTSS: suaDrvlstor{: OTYi Wl L^4 - r-oT f: ?.tP. Z F o7 PROPERTY OWNE85 NAMEI L OWNER's ADDRESS CONTBACTOR ADDRESS:U EMAII AOORESS I PRO,lECT CONIACT PERSON W/+$ ?*t Clrnl: (r/ t-d4 ztP .? W 03 Oottsr, / tbtetoc ucENsE {: ,0 t { 7 cfir: LtB. BCH st: q\<zt,.. ? tA Ib PHONE 'IrL 'T I <r- EXISTING COI{SfRUCIION: E Alteratlon {Renovatton D Generat Repalrs NEW CONSTnUCTION: Cl Erect New Reridence E Additlon to Exlsfln! Resldence tr Relocaflqr '..PIEASI cHEcK AND Ail .T- I Att Garaae (St)-_ tr Oet Garage (SF)_ t- Porch (SFl I S{/nroom (St)_ iJ Greenhouse {5F) _ tr Pool (Sf) D oeck (5F) Tolsl Acra3 Dlsturbed: (v) _ (Nl _x_2ft= PI{ONE PHONEi lo /e 5t1t fOF pernit fcc: 3 f Storage Shed (SF) _ fl other (sF) ls the propored work dranginS the exlstlng footp,int? E Yes 6 No TOTAT SQ Fr UltlDER ROOF Uor proposed wort) Heated:Unhoated: TOTAI PROTECTCOST {less Lot): $:l-btooo lsthe proposed work changingthe number of bedrooms? tr YcsA o lsanyElectrlcal,Plumbln!orMechanlcrlworkbelngdonetotheAccessoryStrrdureEYesEttlo lfthepro.ledlsaRalocftlon,isthereaNauralGarUneonthE.unentrlte?EYesONo rs there Electrical Power on this Buildint? E Yes fl ,{o Prop.rty t r./ o.cupancy: Ellntlc Fsmlly E ooplex D Townhousc Drrcription oI Worl: d l.ws rnd ordlnan..i rnd reSul.tiont. Ihe NHC Dcv€lopmert S?Di.e! Clnt€r wlllb. notii.{, of iny dl.n!6 h ti i.fom.tloi. "'NOTI: Any w!* pcdomed wilhout lh€ . ppTopi.tc p€rnlls wlll bo lx viol.tjon ot th€ NC 5u!. rpe.lflc.tiore or (n.n,e NttLa f*t-<tn Sitnaturaiowner/Conti.ctor: "Llccnsed Quo fief 15 the property located in a floodplain? O v4(no Exlitlng lmpewlous Areai _ Sq Ft New lmpervlour A.ea:Sq tt Erlstln3 tand Dlitu.blnt Permit: O Yes E No wArER: B/cfPUA E communhy syrtem O Pavate well 0 centralwell E Aqua sEwER: El'--ct .on"'R:\5- PUA E Community Syrtem D Private Scptlc El Centrslseptic E Aqua *rr,ry'A rrrrlAOtficer: Appro,al, 0 nComtncnt: Clty: Criy lnsprtion Requrreo, 9i 0-254.09r.rr1 ll Clear Form Print Qr. ri1I ffi iB APPLICANT'S NAME:Date 3 R WlLU ztP: ?Fyo? LOT f PROJECT ADDRESS SUBDIVISION: PROPERTY OWNER'S NAME:L OWNER'S ADDRESS CONTRACTOR ADDRESS:o EMAIT ADDRESS I PROJECT CONTACT PERSON: W*T- 10 PHONE H CITY: g,u t <-44 ,n-28o3 Oo lrsi, /y'<sloe LrceNse s ,bEV7 crw: l,uP , SC H sr 4v <zle: ? E-9 [b PHONE 1l o b/e 5/1 t rL EXISTING CONSTRUCTION: L Alteration MRenoualion . General Repairs-L NEW CoNSTRUCTION: ! ErectNew Residence E Addition to Existing Residence ! Relocation *i,*PLEASE CHECK AND ANSWER BEI.OW ALL THAT APPLY TO YOUR PROJECT*** E Att carage (5F)_! Det Garage (sF)_a Porch (S F) . Storage Shed (5F)_ tr Other (SF) L l Sunroom (51-l tr Pool (sF) I G.eenhouse (S F)tr Deck (sF) ls the proposed work changing the existing footprint? ! Yes E No TOTAL SQ FT UNDER ROOF Aor proposed wotkl Healed:.Unheated: TOTAT PROJECT COST (Less Lot): S :t-D t o oo ls the proposed work cha nging the n u mber of bed rooms? Ll YesE[ No ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure E Yes E No lf the project is a Relocation, is there a Natural Gas Line on the current site? E Yes ! No ls there Electrical Power on this Building? El Yes E ttlo Property Use/ o€cupancy: ELiingle Family n Duplex E Townhouse Description of Work:.T tLo a E taws and ordinances and regularions. The NHC Development Servrces Centerwillbe notified ofany changes in the approved soecifications or chanee in contractor EC Owner/Contractor:6a<:i (*t -i-r :-t Signature: "Licensed Quolifier" Print Nome ls the property located in a floodplain? tr vd(ruo Existing lmPervious Area: - Sq Ft New lmpervious Area Sq Ft Existing Land Disturbing Permit: ! Yes I No WATER: EllcFPUA E communitv System ! Private Well E central Well fl Aqua SEWER: B/CFPUA D community System ! Private Septic E centralSeptic E Aqua Zone: - Officer: - Setbacks (F) - (tH) - (RH)- (B) -Approval: - City: - Date: _- Flood: lA) - (V) - (N) - BFE+2ft= - information "'NOTE:Any work performed without the appropriate permits wil beinviolationoftheNCStateB TotalAcres Disturbed Comment:Permit Fee: S NEW HANOVER COUNTY BUILDING PERMIT APPLICAT| ON TYPE: RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROIECT "Proiect Responsibility" CITY PHoNE qlo b /h 5/1/ en*3t>7st: APPLICANT'S NAME: NEW HANOVER COUNTY BUITDING PERMIT APPLICATION TYPE; RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPTICASLE TO YOUR PROIECI "Proied ResponslbiliV' f?- --b"t&CITY rc-l€ Application Number (oftice use) /i tdU'Date /\ ZIP:PROJECT ADDRESS: suBDtvrsroN:d PROPERW OWNER'S NAME: OWNER'S ADORESS: CONTRACTOR: ADDRESS: L<-)r/-tn +onsSC Y. PHONE #:to Ll 70 63? CITY CITY: L--u CP,'r-t PHONE: ztP: ^z(+3o f )-s o EMAIL ADDRESS: PROJECT CONTACT PERSON D Greenhouse (SF) o BLDG TICENSE ';sT:!(zrP:)?<{ t I<)>)_(r) PHONE 4e 7)4 a-16) EXISIING CONSTRUCTION:,EQAlteration E Renovation D General Repairs NEW CONSTRUCrION: n Erect New Residence E Addition to Existing Residence f] Relocation ** *PI.EAsE CHECK AND ANSWER BETOW ALL THAT APPLY TO YOUR PROJECT**I tr Att Garage (SF)_ )Eftunroom (Sr) tr Deck (SF) ls the proposed work changing the existing footprint? n Yes E[ No TOTAT SQ FT UNDER ROOF llor prcposed work) Heated:2-/ o sP?unr,"","a, TOTAL PROTECT COST (Less tot): S )-Boa ls the proposed work changing the number of bedrooms? tr Yes N ls any Electrical, Plumbing or Mechanical work beinB done to the Accessory Structure.)< Yes E No lf the project is a Relocation, is there a Natural Gas Line on the current site? tr YesF No ls there Electrical Power on this Euilding? I? Yes tr No Property Use/ Occupancyjls Singh family n Duplex ! Townhouse Description of Work; 9|,lflR lB I I r44rlfl &r r.rr|tsy-r<]r.,...." ji.-.t<- gorc\ -fo ScZr er-x)rn, DISCLAIM€R: I hereby certit thar al ion in laws and ordinances and regulatio NHC Develop information. +*'NOTE: Any owner/contractor: "Licensed Quolifier" this application is correct and allwork willcomplywith the State Building Code and allother applicable State and local ment Services Centerwillbe notilied ofany chanBes in the approved plans and specifications or change in contractor e appropriete permitswiilbe in violation ofthe NC State Bldg Code and subiect to fines upto S500.m... Signature: ls the property located in a floodplain? ! Yes Existing lmpervious Area: _ Sq Ft Suo TotalAcres Disturbed: New lmpervious Area:Sq Ft Existing Land Disturbing Permit: fl Yes ! No WATER: TpCFPUA ! Community System ! Private Well n CentralWell n Aqua SEWER: PCFPUA ! Community System ! Private Septic ! Central Septic E Aqua zone; - Officer: - setbacks (F) - (tH) - (RH) - (B) -Approval: - City: - Date: - Flood: (A) - (v) - (N) - BFE+2ft= - Comment:Permit Fee:5 E Det Garage (SF)_ tr Pool (SF)_ n Porch (SF)_ n Storage Shed (SF)_ E Other (SF)_ ffi' NEW HANOVER COUNTY EUILDING PERMIT APPI I CAflON rV P E : RES| DENTtAt PTEASE ANSWER ATI- QUESIIONS APPLICABL€ TO YOUR PNOJECT "Prorcct Re3pon3lbtlltl/ 2t\ts-1A(l18;gSg Applk.llon l{umber (orfc€ u!e) applICANT,S NAME, Ptantation Bu ding ot Wihington, tnc Date:3/5/18 PRorEcr ADDRtssr 7iD Hanover s[.ctw. Wllmhgton aP. 24441 n I.OT fl: pRopERTy owr{ER,s ttltttt: PBC Holdlngs, LLC PHONE f. 910.443.0746 OWNER'S AoDRESS: PO &x 2473 61n. Wilml n9ton zPt ztJ4u? GorrtrRACToR: Plantation Building ol Wlmlngton, lnc 68712 aoonss: PO bx 2473 atry, Vvimlnston SLDG uCEt{SC f: sr: NC 2UO2 EMAII. ADDRESS:roseman plantationbuildingcorpcom pxo!',E.9l O 763.876--6- pRoJEct co TAGI pERsoN. Steve Scharf PHOt\tE. 910.899.0702 EXI$lt{G CO STRUCIION: 0 Altera on E Renova on E General Repalrs NEw CONSTRUCTION: fl Erect New Resldence E Addl0on to Exlstlng Resldence D R€locatlon ...PLEAIII CHECI( AiIO A'{5WEi IEIOW ATI. TxAr APPLY ID YOUi PiO'ECT'" E Att Garage (sF) - tr Der Garage (sF) _ Blrch grl 220 O Sunroom (sF) _D Pool (sF)! Storage Shed (SFl _ D Greenhouse (SF)D Deck (sF)D Other (sF) 220 15 the proposed work chanSinS the existinS footprint? E yes E No TOTAI. SQ FT UNDEi ROOi Aor proposed wotkl Heated: 16 unheatedi TOfAt PROTCCT COs? ([ess tor]: S r20,000 ztP ls the proposed work changlng the number of bedrooms? B yes 0 No ls any ElGctdc!|, Plumbht or Machlnlcrl work belnt done to the Accessory Structure E lf the proJect ls a ielocatlon, ls there a Natural Gas Llne on the cu ent slte? tr yes tr ll ts there Electrical Power on thls BultdinSl W4s E no ffj,fl'ffild#8 Bfl,l',y no o.,0"' o rownhouse :Ufty Engineeg'tng ROW Revlew I Propenv Use/ D6crlptlon of L$,t and ordlnanaes.nd retulatlons. lhe NxC D€v€bpftant Se.vker Center wlllbe nodlled of ary ch.nter lo th..pproved plrn3 and ipeclfrr.tloni or rll.nli h Goot,aato, lnro.matlon. "'NOT[: any woTl p.dormqd wlthoul lh..pprogrlate permlti u/lll b€ ln vlol,tlon ol the NC Srate0ld8 @de and.ubJect to fln.r uDto 95m,m... ownerTcontractor; An9€li Boselln SlSnature: "Llcensed Awlvlef P nt Nome ls the prop€rty located in a floodplaln? tr ves tr.t6- Erlstln3 hpervlous Ar"", 0 sq fl TotalAsresDtsturbed; 125 ,{€w lmpervlous Area:2285 Sq Ft Exlitlnt Land Dlsturblnt Pclmlt: E:f6i tr t'lo WAIER: E 4PUA D Communlty System E Private Well E Central Well E Aqua sEwER: O€IPUA E communlry system El Prlvate septtc E central septic E Aqua b' [*t4.1' lext 4'l' lel ls/(fzone, ?'5 oficer: Oftr serb apprwatt 0Y- crtv: ILIA oate:| (Al _ (vl _ (ol X ore+att= _ Srde P€rmlt Fee: $Comnent: Sctbqc lo/. o t width,dffithffin iitrfs/:trUl reg"' i ru'<nr SUBDIVISION; ffi, NEW HANOVER COUNW BUITDING PERMIT APPLICATION fYPEr RESIOENTIA! PLEASE ANSWER AI.I, OUESNONS APPTICASLE TO YOIJR PRO'ECI "Prolect Re!poirlblllty" 2ot0'3\Eo 18-8516 Appkatlon lll,mber (ornce u!€) AppUcA I,s NAME. Plantation Building ol Wlmlngton, lnc Oate 315118 nover t.CtTy. Wilmlngton 26401PROJECT ADDRE55:ZlPl SUgDlVlSlONl pRopERw owNER,S rulMe: PBC Holdlngs, LLC owNER,s ADDREss. PO Box 2473 PHONE [:910.443.0746 cly: Wlmington zlP. :z64lJ2 CONTRACTORT Plantation Building o, Wilmlngton, lnc BLDG LICE SE I:88712 ztp,2uo2ADDRE55T PO Boi2473 GMAtt ADDREssT roseman@plantatlonbuildingcorp.com cmr WllmTngm sr: NC pHoitaT-1T76ir.a766- pRoJEcT cot{TAcr pEnsoN. Steve Scharf PHONC:910.899.0702 EXISIING COI{STRUCTION: O Alteratlon E Renovation E General Repalrs NEW CONSTRUCTION: E Erect New Resldence C Addltlon to Existlng Resldence E Relocatlon .''PLEAs€ CHECI( ANO ANSWER BE ATI TNAT APPTY IO YOUR PRQIECTT" EI Det Garage (sF) _ tr Pool(SF) tr oeck (SF) #orcttlsel 160 E storage shed (sF)_ tl orher (sr) ls lhe proposed work changing the existing footprlnt? O Yes O No TOTAT SQ Fr UNDER ROOF lJor prcposed wotkl Neatcdi 1833 unheatedr 160 TOTAT PRO,IECT COST (tess l-ot): 5 120,000 ls th€ proposed work changlng the number of bedrooms? E vcs E wo lsanyEl.ctrlcal,PlumblngorMccrrrnlcrlworkbeingdonetotheAcces3oryStructureEYerEl{o lf the prolect is a Relocetlon, ls there a Natural Gas Llne on the curr€nt slte? E yes tr ls there Electrlcal Power on thls Buildlngl g'fes tr Ho Use/ Occupancy: -E1h frmfty D Duplex E rownhouse on of work, Bt ld a drEle lamlli home.' -C[ty Englneering ROW RevleurProperty Descrlptl lawgandordlnanccs and.etulationr. The t{HC Devalopm€nt Sarvlaer C€nt€rwlll be notltled ofaoy chanEa! ln lheapproved planr and 3gednc. oni or ch.nge ln @nt.actor hro.matlon. ...iloTtrAnV worl p€dormed wlthout the appropriate pe.mltr wlll be In violallo0 ol th€ f{C Stal€ 8&t Code and rublect lo rln.. up lo SSm.00"' Angsla Foseman Sltnature:Owner/contraclor: "Llcensed Quoryler' ls the property located in a floodplain? E Ycs Exlstln8 lmpervlou3 area: j- sq rr f{ew lmpervlous Ar""r 2129 sq rt sEWER: EI-UFPUA tr Community System E Private Septic tr Cenlralseptlc El Aqua zoac, Q.,'3 orflcer: Dlb sauactrs lr! I5l { ut 9,l'tnxl -*. Exlsllng Land DlsturblnS P€tmlt: 125Total Acrcs Dlsturbed Approval:OL cttv:-:L!U- oatc:tlood: (A)W)s slricf,Un ep,.c.loSe) Comment:yi +(OY\+6elbacE Pot l-r8) /L "4tr No I E Att Garate (SFl _ E sunroom (SFl _ E Greenhouse (SFl EK WATERT 6)<f PUA EI communlly system E Prlvate well E central Well El Aqua (effr'rcd NEW HANOVER COUNTY BUITDING PERMIT APPLICATION rYPEi RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPTICABLE TO YOUR PROJECT "Project Responsibilit/' 2or8'3t>U 18-910 Application Number {office use) AppgcANT,s NAME: McKee Homes, LLC p31g.3/15/18 PROJECT ADDRESS:'1637 Pointino Grif{on Way ctw. Wilmington 4p. ?841'l sUBDtvtstoN: Cameron Trace tOT #: 102 owNER,s ADDRESS: 109 Hay St., Ste 301 CITY Fayetteville 21p.28301 CoNTRACTOR: GML Development s1p6 u6sx5s 6. 63970 ADDRESS:109 Hay St., Ste 301 ctTy. Fayetleville sT: NC 21p.28301 EMATL ADDRESS: krivera@mckeehomesnc.com pHONE: 910-475-7100 727 PROJECT CONTACT PERSON Kenny Jones pXolrr: 91 0-475-7 1 00,721 EXISTING CONSTRUCTION: n Alteration E Renovation E General Repairs NEW CONSTRUCrION: m Erect New Residence fl Addition to Existing Residence ! Relocation .T.}.}PLEASE CHECK AND ANSWER BEI.OW ALL THAT APPLY TO YOUR PROJECT*** E Att Garage (sF) 410 tr Det Garage (SF) E Porch (SF)260 ! sunroom (SF)n Storage Shed (SF) _ ! Greenhouse (SF)_tr Deck (sF) ls the proposed work changing the existing footprint? m Yes n No TOTAL Sq FT UNDERROOF lfor proposed workl 1193196;1791 unhg2lgd;570 TOTAT PROJECT COST (Less Lot): S 89,750 lstheproposedworkchangingthenumberof bedrooms? B Yes E No lsany Electrical, Plumbing or Mechanical work being done to the Accessory Structure E yes n No lfthe pro.iect is a Relocation, istherea Natural Gas Line on the current site? E Yes E No ls there Electrical Power on this Building? E Yes ! No laws and ordinances and regulations. The NHC Development Services Centerwillbe notified oI any changes in the approved plans and specifications or change in contractor information. "'NOTE: Any work performed without the appropriat€ permits will be in violation of the NC State Bldg Code and subject to fines up to S5OO.OO... owner/cont1361s1; Kelsey Rivera Signatu ''". Kelsey Rivera orqildy ,gEd by ftby B vera "Licensed Qudlilier" ls the property located in a floodplain? E Yes El No Existing lmpervious Area: _ Sq Ft Total Acres Disturbed: .3 A New lmperviou5 g1e3; .30 ACI€S Sq Ft Existing Land Disturbin8 Permit: Dl Yes fl No WATER: E CFPUA tr Community System ! Private Well E Central Well E Aqua SEWER: 6 CFPUA tr Communitysystem E Private Septic E Central Septic E Aqua zone: _ officer: _ setbacks (F) _ (l-H) _ (RH) _ (B) _ Approval: _ City: _ Date; - Flood: (A) - (V) - (N) - BFE+2ft= -Comment:Permit Fee: S |tr,o' ,,'.t)- , 1:..!\..,/ l' l.;ffi' pROpERTy OWNER,5141yg; McKee Homes, LLC pHONEf: 910-475-7100,727 ! Pool (sF)_ n other (sF)_ Property Use/ occupancy: B Sintle Family E Duplex n Townhouse Description of work: New Construction, Sinqle Family Home t, NEW HANOVER COUNTY DEPARTMENT OF BUILDING SAFETY 230 GOVERNMENT CENTER DRIVE . SUITE 170 WILMINGTON, NORTH CAROLINA 28403 Telephone: 910.798.7308 Fax: 910.798.781 I Internet : www.nhcgov.com 4 to 7 WORKING DAYS TURNAROUND TIME FOR PERMIT ISSUANCE STATEMENT OF NDERSTANDING am submitting an application for a residential building permit to New Hanover County. And, as the applicant or person submitting the application, I check the box/boxes below to acknowledge that: tr lh ve attac an official CFPUA receipt or document that has acknowledged an approval of the payment made to CFPUA. n I have attached an official proof of a Zoning sign-off from the City of Wilmington, for this work that will be done in the City of Wilmington. tr I have attached an official proof of an approval granted by the New Hanover County Environmental Health Department, for this work that requires an approval from Environmental Health. !f the application is correct and complete with the required drawings, and if there are no corrections or revisions to plans and drawings, and if there are no further clarifications required by New Hanover County; New Hanover County can guarantee that the buitding permit will be issued within 4 (four) to 7 (seven) working days after the official submittal date/time (the stamped date/time notation made by the Building Safety Department on the application or submittal document). ! understand that the 4 (four) to 7 (seven) working days only begins when the applicatio n is submitted orior to 4:30 pm on any working-day. Signed in acknowledgment: Kelsey Rivera 3/1s/ 18 Signature Printed Name '1637 Pointing Griffon Way RiveraKel Address for the proposed residential work: Date z< --. ,.:' . i'ffiot NWV FIAITIO/ER @UNry zuI LU I{G FEFM IT AFRIOATIOhI TY?E FEIDE.IIIAL EEASEAT{9'IBAI-O.ENCi6AIH.JCAS.E]O\(I.RFfiOET " Rtoiect ftGponribility' ut o1,^q Date:V _z*Y oTt fJ, lrzn zP._z-!r.l I ucB{s#6Snt-f g: fucz JolS - 3t3v 18-914 ApCicdio0 Mrrtu€r (ffi@ue) AFHJCANISt\lAME PROECIAODFS SJBDVI9OT.I: PROFffi TOANERSMME OTY c s$,h tJic..Fro.JEr qLq ?6! Lb-lY( OVVNERSADDFFS @NIIRAOOR ADDFES Ofi: !rJ, EMAILADOFFS PTIONE PRO,EST @ITTIACI PEF$N:ft Ft-o{E DCSING@NSIFI CnON: 0 Aterdion U fuiordion D C€neral frpEirs NBAI @NSIRJCnON: tr Bed tl6\, Feidence tr Addition to Edding FBjdone tr Bocdion -".REASECHEC(ANDANSA/H BE.OA/AII1HATAFPLYTO \OURPM. T"' h cil ! D srnroom (s)_ D tuol($,_ tr Geenhoue($) D De*($)_ lsthe propos wo* dardngthe oddingfootprint? tr yes e/No TOTALAFfUNOffiROOF(forproposedwork) Heated:/Jel - tfihested: TOTAL PROlgr Gr (Le$ tot ) :$ibg loc l8th6 propoed work dransingthe numbq d bedrooms? U ves y'f.fo grudure E Yes o Yes Or(o /ruols any Eedricd, Plumbing or Medtmi€l work b€ing done to the A@ry the orrrent dte? O goragB $ed (S) D qher(s1 s-7 ,ilE De6c,rption of Work: {- Dtso-AtMER ttset!, stify thd aI ttE intormdlon in t his applicatio.r is corred sd dl ,{ork will corply with the Sde Brlldhg Ode srd dlottE +plicab{e gde a.d locd wlll be in \iioldion oI the itcgde Bdg @e aa sJbied to fines up t o $500.m''informatlon. "' i01E lny lsthe prop€rty I worx p€rlormed lriltpn lE_{troprlqle p€rmits 3dI. hal,rz ng lmpervious Arear - q rnpqvrousxe:ALlk.A Sgnature: Total Acres Cigurbedl L '/lBi$i R Na,R Biging Land Dsurbing turmit: tr Yes O No sAlR y'oflrA o ommunity q/sern El frivate \^Ell tr tuitrd\ bll tr Aqua gVR \E'lct+LrA tr ommonity q/gern tr fri\rate Sptic tr Gntralsptic tr Aqua Zone: - Officer: - Satbacks (D - (ljt) - (Fl'f) -(B) -Approval: - Oty: - Date: - Bood: (A) - M - (N) - BFE+2ft = -Omment Fermit fue: $?13,0 l( r {Ntaq,sl \L\tr H E{e(s)_g,516, 1q lYl lx trYes fropefly usd n Yes NEW HANOVER COTINTY DEPARTMENT OF BI.JILDING SAFETY 230 GOVERNh{ENT CENTER DRIVE . SL'ITE I7O WILMINGTON, NORTI{ CAROLINA 28403 Telephone: 910.798.7308 Fax 910.798.7811 Internet www.nhcgov.com Printed Name Date ffi; t, REGULAR RESIDENTIAL B UILDING APPLICATION STATEMENT OF UNDERSTANDING am submifting an application for a residential building permit to New Hanover County. And, as the applicant or person submitting the application, I check the box/boxes below to acknowledge that: {t aia @tacn an official CFPUA documentthat acknowledged approval of the payment made to CFPUA. tr I did not attach an ofiicial proof of a Zoning sign-off from the City of Wlmington, for this work that will be done in the City of Wilmington. tr I did not attach an official proof of an approval granted by the New Hanover County Environmental Health Department, for this work that requires an approval from Environmental Health, And because I did not attach the official proof of approvals along with my application for permit; New Hanover County cannot guarantee that the building permit will be issued within 4 (four) to 7 (seven) working days after the official submittal date/time (the stamped date/time notation made by the Building Safety Department on the application or submittal document) Signed in acknowledgment: I Signature \ Acldress for the proposed residentialwork: (pt Vl