JULY 9 2015 BUILDING APPS7-otr
t7\L
15-00079
APPLICATIOfII
l{umben
(offtco ute)
DATEi,ol-06-L5
PHONE
#: 8.43;3.{l-,491f,,,
ZIPI
esall
PHOt'lEil: -E*"L^i"Hg3!-
ST: sc ?XPtzgstz
Ptl0NE
#r
PHofr/E
#: S6Jt-242-gaaL
NEhI HAI{OVER
COUNTY BUILDTNG PERIIIIT
APPLXCATTAN TYPE I COfrIII1ERCIAL
PLEASE
ffSmr ALr qUE$TIONS APPLICASLE T0 Yfi,fr pRoJtCl
"ProJect Responslbllit'/'t
\)da
d
d
\)5
eZ
APPLIOryUT'5 1fiFlE: Davld
E. !{arner
DEVELOPER: .pafa1llount Deve]"or:meat corD.
PR0IECT ADDRESS:
r3o ltrayets LaneCITY: .nttmlnqron
OCG,PAI{T/BUSIIIESS l,lAllf
: Bayshore Commone
MilE: gffmington Developm€nt parrnere, tlc.
_eQf__E_rlargood Drive, Sulte sCIWI uyrtle Beach
/./st Co,
EI'IAIL ADDRESS:
PRO]ECT COI{TACT
: DaDhne
Biqley
LICE!{SE *: 7ZO -{
cr?Y:
n'A3 .,, *r7fu.zwtzTdo(
PROPERTY OH{ER'S
06IER,S ADDIESS:
d
a phn ab E Dclcr ctmcre , n-p-4- .
t-\yttt t<--uLU r
rcrr rL?r.r&-!E r 'w_f (cn€ck
AtI That Apply)
Exrsr ccnsrRucrron:
f] aLTERArrort,
f] nemvnrrql
f] cercul
lf Rolocutton, ts thsre a NaturatGas Line on the cilrerr
Stet
flvFflf.U
BEPATRS
f! nerccErron
ls BLDG SPRINKLEHEDT
ffives flruo
IrtEr{ cot{srRucrrril:
ffi EREcr uEr{ sTRUcTURE
n FAsr rRAcr
ffi sxrll
I uerrr
fJ noo r0 Exrsr srR(rcTURE
ACCESS0RY STRUCTURET
Is Elect Poerer
on this Building fif ves ffi uo
PH:864-242-9e61
PH:--
If UPFIT
- The
Sftell Penrnit #:
**.** r5 THrS
A CHAilCE
OF OCOTrAICV tSE?
flws ffirS r*r'*
IFYes,}fidtB8'thePrevious0Ccupan.yT}pe?-$hatisthetl*rC|ccupancyTyp€}
ARCI{ DESIGH PROFESSIOf.IAL:
EI{& DE5I6I FROfESSIOilAL:
David Ie. Na&amore NC REG *i 2592
l.lC REG
*:
(httl{r{,r}
itt*o: Dcmol,ton rud6ca[orc & xbecb* rorrnl pemh applba{one
ai u Ue nrfmmC uclrE
he agp[cldon tuil P]I{t-376t) y,hohcr tlc h6l0v or
bult&lo
nie faud h
co0b&t
A6teffi6 or
not Yw ers IEq(Srd Ir caf dlo Nrdoosl Em baron $a'rffrd0 b( tbzaddlr Ar Foiln8rilr (NESfrlAPl
s (919m7{950 er bls ,0 dcrs pris b ttc
damo{toi o,
{ny ffilly or h.ddrr$ $ee Arlecbo lrbb sila: trpfJrmr.cpa.stilr,i'uu,rbii/eb6ruElntunp.
hrit
TOi'ALPROJECTCOST:
$zro,ooo BUILDINGHEIGHI:221.8" #OFUNITS:3
TOTAL
nnel so rr i 4 , igo , ,, 8Q FT pER FLR: 4. soo ,- ,# OF STORIE$: +
#OFFLOORS: r -TOTAISQFTUNDEh ROOF:
e.qqg._
., #OF STBUSruRE$:3
ACRES DIS1URBED: 2.93 Acre.s**
NEw I MPERvtOtl$ AREAs - -1-q6r ?8 6' 4
E(ST IlND DISTURBS\B PERIJIIT?EI\GS EINO
DESCRIPTION
0F IIORK: New
pprlf;qgcrlo.gor-8300Fq.
rt. cr reu"rr ghgpqes.,.- - --. ,.....,,
la
fbod or
bevwagm
rcpatd a eenrod kr fIs srucilre? frl ves
fi No b The Blopdty Locarcd ln the Floodflaln?
[ ves Et ruo
sAF'T P(ISTING|MPEFVIOUSlSglg 32,23a.4 SO FT
pRopERTyusE f:oFFtce flnesrer,mnr.rr Elmencnr.lnlE
Emuc flrpr f]cotloo orHER:-
WATER: mCFPl,rA flsOMMthrrTYsYBTEM EIWELL [JZON!T,IGUSEC|-AS$|F|C TION:
sBfirER:
Eicrnn ficrurner-sEprrc flnElvnresEpnc 63ffir*u.uwsysrcu
". $EPARATT TJEBMITS
NEAUEED FON
E[TC]". MTOH, PLBTi,
GA$ EOUIP, PREFAtsS {II{SER S ""
PAYI,IEurMEIIoD:
fromn fioreo<lrnvlsrsrorerc) finurnlcar.rgpnEss f3usvrsn fJnxseorm
ft+arir+a{*ltr*#r**r+*}+}ra*att*t *t#r**.*tt*tr)httt*}r
(FOR
OFRGI SE O|{LY}RE1I8€D DATE #11'12
ZONE:--OFFICER:SETBACK$: F:_LH:_ RH:_ B:_
-BFE+2F-
N
I
t
-.!
DlqgAlllER: I
f$rsby cert ty that 6li lDformalton in thls epplirallon is crnsct srd sll work will cornply h,ttl tho Sldtg Bulldn0 6ode and all other aDDllcalle
$are
?M,local lqwt ard q.dinar@e. and r6ggla[ons.
Tb9-Ntte_Cbvehpncn! Servkcs Ccfier wi! be mtifiaS of any drarues ln ni approved otans qrd irincltibi0ons
OIi/NER/CONTRACTORT R. Eclc itrnecc / SGNATURE
l{ -.- ' ?_817*
Apprwa[__.
Clty:-DATe_FlOODl
PERMIT
rEE:
$,**--j
HXl(abe
?G 6-lbs3
pER,,rr ?otf -
6eo
APPLICAIIT'S l{A[.lE: Ar&r Mobi l i ty
DEVELOPER: AT&T Mobi I i ry Ptlot{E *: (919) 621-5s47
PROIECT AIDRESS: 5055 New
Cenrer Drive (418-168)CITY: J:_lEr.lg!9!_ ZfP : 28403
OCCUPAI{T/BUSI ESS MXE: American Tower Corp.
APPLICATIOI{
Number
(office Use)
OATE:_
PROPERTY OdI{ER' S
O{NER'S ADDRESS:
NEW HANOVER COUNTY BUILDING
APPLICATIOTT ryPE: CO{ttltlERCIAL
PLEASE ANSI{ER ALL QUESTIONS APPTICABLE TO YOUR
"Project Responsibility"
PRO]ECT
NAl,lE: American Tovre! Corp.PHONE#: (617) 375-75
ST: MA
ZIP:02116
ST: GA ZIP:
303,
S: _*i J2]2)-i2J:3331-
116
Huntinqton Ave., 11th Eloor CIW: goston
CO{TRACTOR: MasTec Network Soluti.onsLICE SE *: 70037 ACCoU T
*:
CIW: At
tantaADDRESS: 4401 NoRrHsrpE pARKwAy Nw surrE 600
EitAIL ADDRESS : lynG ramseydeveLopmentsof
utions. com
PROIECT CCII|TACT PERSoi{: Lyn A. Fitzsimons
PHO'IE
PHO{iIE
PROFESSIOttAL:
PROfESSIO{AL:
Vertical Solutions
Occupancy Type?
PH: (888)321-6187 C REG *: 039736
PH: _19.9-gll-?.L-6-1-9:_ Nc REG *: 03e736
DESCRIPTION 0F l.lORK: Remove
and teplace antennas and add equipnent as per drawinos
hciliv or building
al l6.st '10 day.
# OF UNITS:
# OF STORIES: 1
# OF FLOORS: 1
Exsr LAND DrsruRBrNG pERMrr? f-''lves
I r.ro
SQ FT EXISTING IMPERVIOUS AREA:
pRoPERryusE: florrrce f]nesmumnr f]uenceunle
leouc lmr lcoHoo orHER:!s]_]__s.j+s_
wATER:)ZbFpuA flcoMMuNrysysrEM EIWELL LlzoNtNGusEcLAsstFtcAloN:
sEwER: fiCFPUA ECEI\ITML SEprrc tlpRtVATE SEmC
fl COMMUN|TY SYSTEM
{ "'srpeneE pERl,rlS REouTRED FoR ELECT. MECH pLaG. cAS Eaurp pHEFAas & TNSERTS -'
PAYMENT METHoD: f]ce.su flcxecx pnvnalE ro NHc)
f]alll rccourr EMc /tsA
I orscoven
(FOR OFFTCE USE ONLY)
SETBACKS: F:-LH:- RH:- B:
BFE+2ft=
SO FT
REVISED DATE rylfi2
ZONE:_OFFICER:
Approval:_ City:_DATE: FLOOD:
Comment
N
PERMIT FEE: $
Exrsr cor{srRrrcrro :
E ALrERArro*
a *rrlffffi'E:'Jil*. REpArRs
E RELocArror{
lf Relocation, is there a Naturatcas Line on the rent
Site?
[vi-[No ts eLDG spAfixreneoz ftves flruo
NEu coNSTRUcTroNt
! rnecr r{Ew sTRucTURE
! rmr rnacx
f] sxrr-r-
! uerrr
! noo ro ExrsT sTRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The
Shell Permit #:
Is Elect Pol,er on
this Building El Yes E *O
IF Yes, lfiat
ARCH DESI6
EI{GR OESIGI{
*rtr* Is THIS
A ctut!,t6E
Has the Prevr.ous Occupancy Type?
Vertical Solutions
oF (rcuPAr{cY usE? EYES Elrc
t{hat is the s
ls fmd or b€verages prspared or ssrvod ln this srruaure?
flves [ ruo b Ths Propony
OWNEFYCONTRACTOR:SIGNATURE:
(Ordr', . {P lilrl.}
Not6: Oeholilion not.ficatiorls & asbostoc rsnovslpormil applicaf,oos aro b betho apdicrlio.r
cor ein Asb€sloa or rct You era r€quil€d to call tha Nalionsl Emi'libn S:tardan!3 ior Hezrrdous Ar Polllllants
domolidon of arry fadlly or tulldLrO. Sso Arbe3t6 Web Sita: hthl xrv*.epi.stats.nc.us/6puasb6to6/shmp.htrnt
TOTAL PROJECT
COST: S2o, oooBUILDING HEIGHT:
I:_
SO FT PER
FLR: 336TOTALAREASQFT: 336
TOTAL SQ FT UNDER ROOF:.3S- # OF STRUCTURES:
J---
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
NEW HAN,,ER t?')Il -?:*'-,'I: PERMTT
bSfuL*
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICATION
Number
(office Use)
DATE: 5/11/t5APPLICANT'S NA}TE:
DEVELOPER:
Dennis True
PHONE #:
PROIECT ADDRESS: 1042
ocean Ridse
SUBDIVISION: Landfall
CITY: wilmington ZTP: 28aI7
BLOCK #:LOT #:
#:
ST: MA ZIP:02090
PROPERTY OWNER'S NAIIIE! rom soltys PHONE
OWNER'S ADDRESS: 461 Sandy va11ey Road
CONTRACTOR: True Builders LLC
ADDRESS: 4124 Long Leaf Hilts Drive
EMAIL ADDRESS:
dmtrueGtruebuilders. com
CITY: Westwood
LICENSE #: 41342
CITY: Wilmington NC
ST:
#:PHONE
PHONE
ZIPz 28409
9r0 .392 .8656
PROIECT CONTACT PERSON: Dennis rrue
#: 910.540.6200
ExrsrrNc coNsrRucrror:
! ALTERATToN
I neuovarroru
[ crruenal REPATRS
I nelocnrrou
NEW CONSTRUCTION:
I eneCr NEW RESTDENCE or E] nOOrrrON TO EXTSTING RESTDENCE
**PLEASE CHECK
ALL THAT APPLY TO YOUR PRO]ECT:
I orr GARAGE
SF
I nrr GARAGE
AND ANSWER BELOW
_sF sF
E PoRcH s7o sF
! sronncr sHED
_lsurunoolr _sF
! cnrrrr+rousE
_ sF
! eoor-
! orcr
SF
SF
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBINGPERMTT:
F*l ves
[-] ruo
(FOR OFFICE UsE ONLY)
SETBACKS: F:
REVISED OAIE 04/LL/12
SF oTHER: 3e00
TOTAL HEATED
SQ FT:
39OO TOTAL
SQ FT UNDERROOF: sqro TOTAL AREA
SQ FT:441 0
TOTAL PROIECT COST(ressr-ot) 3
$ r,:oo,ooo
# OF STORIES: Z
Is Any ELECTRICAL, PLUilBING
or MECHAI{ICAL Work Being Done
to the Accessory Structure? fl Ves E ruo
If the project is a Relocation, is there a Natunal Gas Line on the Cunnent Site? [ ves E ruo
Is there Electnical Power
on this Building?
lEly"r ff to
PROPERTY USE
/ OCCUPANCY:
I STruCI-T FAMILY
! OUEITX
! TOWruHOUST
DESCRIPTION OF hIORK: Erecting a separate Iiving space, considered the main house
to the existing
property, which
already contains what is considered the guest house
and ordinances and regulations.
The NHC Development Services Center will be notjlied
of any changes in he approved plans and specifications or change in
contractor or
contractcr inbrmation. ..-NOTE: Any Work Performed W/O
he Appropriate Permits will be in Violation of the NC State Bldg Code and Subject tc Fines Up To
$500.00'-'
OWNER/CONTRACTOR! Dennis |i. rrlre SIGNATURE:
(Print Name)
* * * * * * * r( * * * r( * r( * * * * r( X * * i( * * ,t {< {< * * X X r< * * * * * * * * * * * ,k
* * * * * * * * * * * * * * r( * ,f
* * ,t
* * * * * * * * * * * * * * * * * r. *,F * * *
rs rHE pRopERry LocArED rN A FLOODPLATN?
Ir veS El
'uO
EXISTING IIvIPERVIOUS AREA: 2860 SQ
NEW IMPERVIOUS AREA: 4470 , SQ
FT
FT
r^rATERr
I creua
I couNururry sysrEM
! nnrvarr wrll ! crrurnnL t^tELL
sEr^iER:
I crnun
! cerurnnl sEprrc
! enrvnrE
sEprrc
I commurtrrry sysrEM
*** SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *:I'*
T cnsx
il cxecx (nAvABLE
ro NHc)
fi nmenrcaN ExpREss
U mclvrsa ffi rrscortnPAYMENT IiTETHOD: L
****{.*{.r.r(**************r.r<****************xxr(*r(**************xx**r.***r<************r(******
ZONE:OFFICER:
Appnoval:_ City:DATE:FLOOD:
LH:_ RH:_ B:
BFE+2ft=
' NEW
HANovER couNTY BUTLDTNG PERMTT -*&15-tL(-{'4'
d* appLrcarrofi rypE: RESfDENTIAL
CfiS PLEAsE ArtsxER
alr- QuEsrrors ApprrcaBl€
ro youR
pRolEcr APPLrcATrol{
U"l J[.,i .- Numbe rAE l> _..project Responsibility', (orrice use)
B I *<-[
BLOCK *: LOT
#: --pRofllry NtER's llr,le-3!),=qop tre s pHorE
*: gJr-.s-C- ty77
OhlltlER' S ADDRESS | >L5 ,5/'pl l <, ?r CITv: d,: ) lnai..t /;. ^, .r.iEiil 7Sf i^,/e zl,P r2- I 4 o c,
CONTRACTOR:LICENSE
ADDRESS: /5/Z 5 |1-
7Z CITY:
sr.JU!zrp?_L* Z*t 7(o '253 -y z-o/
*: 9/4
EqAIL ADDRESS
i /< a-.
)t No Pu+vs x
a ,4'o L -<
*
AOSUZLr
PHOI'IE
PROJECT COiTTACT PERSOI'I:
ExrsTr,rc coNsrRucTroN:
! aLrr*arro, B'*.rouorro^ ! eetennr-
nrearns
fl nrloca
NE}I COI{STRUCTIOH:
! TNtCr EIII RESIDENCE
O"
! MOITTOI TO EXISTING RESIDENCE
"PLEASE CHECK AI'ID ANSWER BELOW
ALL THAT APPLY TO YOUN PRO]ECT:
[arr ernlce
_ sF ! orr cnnaer
sr I-l poncs <E
! surunoor.r5F
! cRe rruxousr
_ sr
! eoor-
I oecx
TOTAL HEATED SQ FT:?L)oe_ TorAL sQ
5F
fl sronacr srro
SF
SF
SF OTHER:
FT UNDER
ROOF:2toe:> TOTAT AREA SQ FT:
f OF STORIES: LTOTAT PROIECT COST lress rorl
t $ /9, o
ac>
rs Any ELEcrRrcAL, pLurilBr G or ltEcHAr{rcAL
work Being Done
to the accesso.y
structure?E yes Erf the project
is a Rel.ocation,
is there a Natural 6as Line on the current
slt.l !v"ars thene Electnical. power on
this Building?
pv", fl to
pROpERw USE
/ occupailcyr
! srruCle
ramrlv
fl ourlex ffroutHOuse
DEscRrprtor{
oF ypxxl
Oc?z,s ,?s
f Zrfqr.,re.z__-, alacu
T, L
e 5 C,o.utel Bn-/)2 r^/ oS c-r7 ; Ee^^.r.la
I z!roo'*2.ty',)a<:
rs
applcsron,s correcl snd a work wi[ colrlFty wilh ihe slale Buitdino
and ordin ances and reg ul. ons. The NH C oe velopmen r
s€ ryices cen Er wiI be noltied of an y
changes in rhe approved ptan
conracbr inbrmalon. hNoIE:Anylpl Perlormed
wo ue Appropriab Penhils
wi[ be in viotalioa ofthe Nc
strE
OI{'NER/CONTMCTOA,
.K*UNq B/,+_Z-/'- SIGNATURE:
/
DISCLAIMERi lhereby cedity tlar all inbm.!on in his apptrcstion is
corcct snd a workwi[
***r)r*)i******** ************(ll'IlJil"J********** **
rs rHE pRopERTy rocATED
rN
l rlooorrerr?
! vrs
i5
SQ FT
SQ FT
hrArER: E-cFpua ! cor.ruur,rrw
svsrer,l
! pRrvATE I,ELL
! cerurml wrrl
srwrR:p crnua
f] CENTRAL
sEprrc
! cnrvare senrrc
f] coMMUNrry sysrEr4
*}1 SEPARATE PERI4I]S REQUIRED FOR ELECT, IIECH, PLBG, GAS EQUIP, PRIfABS & JNSERTS 'I*payr,lEflr ErHoD:
E casx
n cr,rc( (pAyABrE
ro nr.) ! *r*r.on
,iorri, U rilrrii "Dorr.orr*
* * )t:f ,i )* )t
*,*** **+* +**:l *)t)* *,r
** **+*:*** *)**)t * )t,| * *)t+* ** )t
**,** t:t *,i :t * * ,t,t * ** )t*ir )*1* *,i )t:f * *)t )t*)**)* )t
*,* * )i,t
(FoR oFTICE UsE O LY)
SETBACKS: F:
TION
Zraao
No
M"
all
oher applicable Stab and tocatiaws
o.change in
coniracbr or
b Fines Up Io $500 00.,.
* * * )t,t *)t * ****,t*)** *** + 't * * ,t:*:* :* rt
*
+:t+*
NO
EXISTIiIG IIiIPERVIoUS AREA:
_
NEW IMPERVIOT'S AREA:
TOTAL ACRES DISTURBED:
ZONE:
Approval:
OFFICER:_ B:_
-
BFE+2ft=
PERIiIIT FEE: $
EXIST LAND DTSTURBTNG prnnrr, l--l vrS I--l rc
iEvIsED DATE
04l11/12
Comment:
_ city:_DATE:_ F
LOOD:
LH:- RH:
Itz rs-l;b8
APPLICANT'5 I,IAltlE:
OEVELOPER:
*N o Y\ a*s-$
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICAfiAN
TYPE: RESTDENTIAL
PLEASE AflSNER
ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility''
617 Barks.lale Rd-
BLOCK #:
aols - 6357
APPLICATICXT
Number
(Office Use)
DATE:6/30i2QJ,
#: cr
n-cn1-t'rt r
PHONE
PRO]ECT ADDRESS:
SUBDIVISIOII I
ZIP::sqoE
PROPERTY O!.INER,5
O.JNER,5 ADDRESS:
}{AitlErPHONE
LOT #:
fi 910-4 65-2695
5T:4s- ZIPt2$A&
ST: jg_ ZIPt ?548e
*: g1,o-lir:59s3
$i 91c-880-2731
CITY: wilmi.rqt nn
CONTRACTOR:Coast:'l Home Ren6vat.iorr-sLICENSE #:
ADDRESS:
CITY:
E|IAIL ADDRESS; i nfot?roasf ath.mrrFn.\.^li 6nq -(-om PHONE
PH&.IE
PRO]ECT CONTACT PERSON:
ExrsrrNc
cq{srRucrron:
I alrenarroru
f] nrruovailoru f]eeHennl REpArRs
f] nrlocarroH
NEI.J
CONsrRUCrlOr,r:
I rnrCr ilEhr RESI0EICE or
I ADDITI0il TO EXrST]NG RESIOENCE
*TPLEASE CHECI( ANO ANSI{ER BELCI^I
ALL THAT APPLY TO YOUR PROIECT:
[nrr GARAGE
_ sF
I survnoou
_ sF
I enernHousE
_ sF
f oer GARAGE
fl eoor"
fl orcx
TOTAL
SQ FT UNDER R@F:
sr
I roncH
--sFf] sronnee sHED
-
sF
oTHER: .l.o c2 sr
TOTAL AREA 5Q FT:
SF
5F
TOTAL HEATED SQ FT:
TOTAL PR0JECT COSTIlesst-ot) I $ 59?e.00# OF sTORIES:
Is Any ELECTRICAL, PLUmBIilG
or tilECHAr{ICAL t{ork Being Done
to the Accessory Structurel
ffi Ves ffi ruo
If the project
ls a Relocation, is there a Natural Gas Line on the Current SiteT
I ves H *o
rs there Electrical Power
on this Building?
mves N]lruo
occupANcy:
flsrilcr-r FAMTLY
I ouelex
I rownHousrPROPERTY USE
/
DESCRIPTION OFIIORK:
xi.tciien Remodel., neu
cabi.netrv anci celrlrtsriaD
OISCLAIMr R: I hereby cenify that all inbmarion in his application is
corect and all work will comply wih he Stale Building Code
and all olhel appli:able Stab and locai lils
and ordinances and rsgulations. The NHC Devslopment Servicrs Cenler will be oolilled o, aoy changes in trle approved plans and 5pecificalions or chan0e in contBcto r
or
conrac@r inlbrmation.
"'NQTE: Any Wort Perlormsd w/o he AppropriaE Permlts will be in violarhn otthe Nc slale Bldg code and s{tbject to Fines up To
$500.00""
^ Vqa./uAa.!ONNER/COf.ITRACfOR: coasrat...aeme-.F.erlovalions Tnc. SIGNATURE | -*-g-l/fflL.e-U
******rx**+r*****!i*********(IlTlJll"J*******r***********+******,***+*+*:li***+*+****N*****+**
IS THE PROPERTY
LOCATED IN A FLOODPLAIN?
T: YEs il *O
EXISTIIE TilPERVIOI S AREA:
_ 5Q FT
NEW
II4PERVIOUS
AREA:
_ 5Q FT
*
TorAL AcREs orsrungsd;
(FOR oFFTCE USE 6JLY)
I
SETBACKS: F:3!_ LH:.
lnryecti** ilryurreo, ? j f.25d.0W i
EXIST LAND DISTURBING PERilTT:
I- I VES
[f T\lo
-_1
r,rATER:
E] crpua
I commururrv sysrEm
f enrvarr we ll I cerurnal wrllY
sEWER:
ffi creua
I cerurnal sEprrc
I nnrvare sEprrc
I comruHrw sYsrEM
I{T SEPARATI PEHI4ITS REQUIRED FOR TLEfT, I'IECH, PLB6, GAS EqJIP, PREFASs & IHSERTS "T*
pAyr.tg1r ri'tETHoD:
fl cnsg
t cxecx (pAyABLE T0 NHc)
fi anrnrcm ExpREss
il "c/rrto f orscoven
OF FICER;
REVISED oATE 04111/12;tWt LA' e: lY
V BFE+2ft=
-
v x '\. -4l
*4
Cofiment:
Citv: iJ tt.^ DATE :
WFLooD:,-r**)rr*,
n.JS-
CITY: wi lminqton
,olt - tobbo
?€Z
t5- t"71Y
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATIOTT
TYPE: RESIDENTIAL
PTEASE ANs(ER ALL OUESTIONS APPIICABTE TO YOUR PRO]ECT
"Project Responsibility"
Cape Fear SoIar Syslens/Roberlr Parke!
4508 Wedqefield Dr.
CITY: l,lilmlnqtron
BLOCK *:
APPI.ICANT'S NAfiE:
DEVELOPER: N/A
APPLICATION
Number
(Office Use)
DATE: 24Junrs
PRO]ECT ADDRESS:
SUBOIVISION:
PHONE
*: -i-2-]-91-L9.9:!5.11-
ZIP i 2s4o9
LOT *;
PROPERTY 0|{NER'S
OI,INER'5 ADDRESSi
ltlAlilE: Harold Jalvis PTONE*: (910) 547-3207
ST: Ig_ zIP: 2
o4o9
sr: JL zIP: _?!3!l
*: -l2t9j3-9-2:l!JJ-
#: {910)409-ss33
4608 l4edqefield Dr.
CITY: !|ilminstor
CoNTRACTOR: cqpe Fear solar systems LICENSE *: 6s67'7
AODRESS: 901 Marrin
stleer CITY: l,r lmingt.on
ElilAIL ADDRESS: supporL@CapeFearsolarsvstems . com PHONE
PRoJECT CONTACT PERSoI'|: EtoberE parker PHONE
ExrSTII,rc coNsTRUcTIoN: @ alrrRarroru
f] neruovnrroru
[ cetenal neenrns
f] RELocArroN
NEW CONSTRUCTTON,
! EReCt NEW RESIDENCE
o" ! lOOrrroN TO EXISTING RESIDENCE
*TPLEASE CHEC( AflD AI.ISWER BELOI,I ALL fHAT APPLY TO YOUR PRO]ECT:
I arr crmcr
sF fl oer canaorsr lnoncr
-sF
f] surunoom
_ sF
! e neruouse
_ sr
ff noor
I oecx
SF
I sronace sreo
OTHE R:
SF
SF
TOTAL HEATED
5Q FT:TOTAL
5Q FT UNDER ROOF:TOTAL AREA SQ FT:
ToTAL PRoJECT C05T tLess Lor) z $ et,tss.zz
# OF STORIES:
Is Any ELECTRICAL, PLUI'IBING
or iIECHAJ{ICAL
l.Jork Being Done to the Accessory Stnuctu.e?
E Ves E
If the project is a Relocation,
is thene a Natunal Gas Line on the Cunrent Si.te?
Eyes
Is thene Electrical Power on this Building?fiv"t fl ruo
pRopERry usE
/ occupAr,tcy:
@ srNer-e ramrrv
I ounrsx
! TowNHousE
DESCRIPTIoiI OF WoRl(: lnsEaII Rooftop
sola! phot.ovolraic sysrem.
OISCLAIMER: lhereby cedrt U.r attarbmarion in
his aqpticadon is
coffecl and a two.k wi[ comptywih he SEG Buitding
and o.d in
ances and reo ula ons. Tho NH C Development S€ rvices Cen ler
wr be norjled ot any changes n he approleo pran s
fic
contact r in
b rm
ation
"'NOTE Any Work Pe.iormed
WO
'le
Appropnate pe.m irs
will be n vio tation o I
rhe N
C StaL ahg Cod€\
No
E rro
SIGNATURE:
Io S500 00"'
amc,m
m(f,
c
-.trg
GN
rse,d
OWNER/CONTRACTOR:,ronn Donoqhue
EXISTIIIG IIIPERVIOUS AREA;
_SQ FT
I'IEI.J
IMPERVIOUS AREA:SQ FT
ZONE :
OFFICER:
TOTAL ACRES DISTUREED:
EXIST LAND DISTURBINGPERrlrr;
f] ves
I r,ro
wrren:
[l9r eua
E commururrv svsrer,r
! pRrvATE I,ELL
! crtrnlr well
sEwER:
fcFpuA ! crtrnal seerrc
I pRrvATE sEprrc
E cor,uquntw sysrem
}** 5EPARATE PERI4ITS REQUIRED FOR ELECT, IIECH, PLBG, GAS EQUIP, PREFABS
& INSERTS *'^
pAyr'lE T r,rETHoor
Iclst Icrrcx (pAyaBLE To r,uc1
[ arrnrcan rxrness
E raruaro
! orscoven
*,* * * *,i* * *,t,t:*,* *,t
*,**t *
**:t*t * r*,r,*
t *,t,t *,1,* * *,**,r* *,* r*
*,r * **** ***,r,** * I *,t *)t*** * a *,* *,r i ri,i*,* * *,r r*,r *,*,i t )*
(FOn oFFIC€ USE oXLY)
SETBACKS: F: LH:
iEvrsED DATE
04l11/t2
B:_
BFE+2ft=Appnoval:_ Cj.ty:
Coment:
,*****,*,i)rr**)i*,|,r,***********JIiTIJil"J*r******r**** ***.sx******lrl
rs rHE pRopERry LocArED
rN r rlooolurHt fl ves dno
DATE:FLOOD:
RH:
Jr."rr r.r,
,S5-
NEW IIANOVER COUNTY BUILDING PERITIT
AP,LI c Af IoN
IyP.; R ESIDENTTAL
dPr.Je.t Res pons
lblllry!
atPt I(tt{I,s ruqfiE: x.n corf.! ,r!
DTVTLOPER:Pilollf f
| 9to-45r-5605
zlPt 2att2
SLOC(
tr _ LoT
f:
PROPERTY ONNER'' TAI,IE I Pllol{E *. 910*{58-5605
CIIY: larolhA 860)1
CONISAII0RI
Be6f cohsitlctlo cohr.nv, rncLI(EiEE
t: {a2a3 aacdfiir a:
CITY:
PflOlilE t: t1o-{53-55o5
PROIECI COmAar PERSON, rG!
colf€!Pt{oflE
f. 910-033-{065
ExrsTri{G coNsrRUaTroN:
E aLrERArroN fliElovATJoN EcEtEnat REparis
E iElocArro,il
IIGI.I COITIITRUC]rc
: A EIECT IITH RI5IOEIEE Or E AODITION
IO EXISTII,{G RE9TDENCE
..PLEAsE TI{ETI(
AIO AI{SIEN 6ELd{ ALT THAT APPLY TO
Y(lln PiO]ECI1
g c.o. rr.or, r,nc
ZoilE:
_oFFICER: sEIBAc(s:
r:_ LH:_ RH:_ s:_
ToTAL HEATED SQ r1: lfz?_ TOIAL Sq FT UtioER BOOFT
-31!!_ TOIAL AREA SQ FT! 2iq!_
TOTIL PROIECT
CGTGsl"!
: t a11o.ooo
S OF STORIES:
,
ts Ary ELEaTttcAr, pLr[6r[6 or tEcHlllrcAt rorr B€liE Dore to the A.c.ssory strL,ctur.t
O yas Cl ibIf the proJect
ls . Relo.atto0,
ls ther€ a N€tu.al cas Llne on the Cur.ent Stte) Oyes OXols the.e Electrlc.l polte. oo thls Bu .dloc?
Oyes Elfto
PROPERTY
US!
/ OCCUPAI,Ift:
AsIl€LT fABILY E DUPTEX
! rO+UOr-rSI
Blerr oucr jg- sr lorr onuce
_ si @rmcs ur sr
flsrnoon
-sr
[eoor_sr I sronm
*ro_r,
f]earrurousr
-
sr lotcr_sF oftEn:
-'sF
EXISTIIIG
lllPEivlqrs AiEA:
_se Fr
I{El{ Ift?Etvlous AiEA.
_sQ FI
irarEi:
E crpuA p cowurw svsrrt
I eawert
xrlt I ceumL utLL
sEr{ER:
E cFpuA
E CENTRAL
sEpTrc
I mrver srlrrc @ courulrw svsra
r.. srparATE pEf,lETs nEQurxto FoR ELEatr oE<H, pLoc, 6rs igjrf, piErass & tttJERts .ir
FAylrEr,ErlroD: Qcrsx prr:rx (pay sLE
ro r{H.) Q rrr.i
r"a.rrr 'On.rvrro
O*a,orr.a
oESCRIPIIO 0F lO8(: €l4q,b lrBl1v BoE d strb. r!.re dort.
Eliecttvo.
d,{NER/CO{TMET0R
: xon colf .r SI6i'qTUXEI
rs riE pRopERTy Locat[o t a rloooxutr Q vrs @ rc
IOIAL ACiES DISTURBED:
EXI5T LATID DI5TUiBII{G
PERIiIT, ITN YEs CN rc
BFE+2ft=
fr lloH
gots -blfus
15-17 63
aPPiiAfiA]
OATE: 6/30/14
_
piolEcr AO0RISST ,oS rop ii]tq r,n
Appnoval:_ clty:_ DATI:_ Flooor
i
I
JDl5- osug15-1596
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
NAIIlE:
D.R. HortonInc
PROIECT ADDRESSi f605 Vancorrver Ct.
CITY: wilminqton
SUBDIVISION: waterside
at woodfake BLOCK #:
DEVELOPER:PHONE
APPLICATION
Number
(office Use)
. DATE
i 6/t6/t5
#:_
ZIPi 284L2
PROPERTY
OWNER'S NAIYIE:
OhINER,S ADDRESS: 4013
D.R. Horton, fnc
Befle Terre B1vd.
CITY: lYyrtlc Beclll
LOT #: 24a
PHONE #: 843-646-2318
ST: sc zIPi 29519
CONTRACTOR: D. F. :lort-on, rn.r .
ADDRESS:
4073 BeIle Terre Bfvd.
EMAIL ADDRESS ! emfacuncloGdrhorton .
com
LICENSE #: 29515 ACCOUNT #:
CITY: MyrtIe Beach
ST: sc zIPa 29519
*: aq3-eqe-zsta
#:843-646-2378PROIECT CONTACT PERSON: Enrique Morales
PHONE
PHONE
EXTSTTNG CONSTRUCTTOru:
! ALTERATTON
! neruOVnrrOr,r
! Ceruenal REPATRS
! ne lOCarrOr!
NEI.,J CONSTRUCTION:
I ENTCT NEW RESIDENCE Or
E AOOTTTON TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWERBELOW
SF
SF
ALL THAT APPLY TO YOUR PRO]ECT:
@ nrr GARAGE 3sj
E orr GARAGEsF
E PoRcH 337 sF
f] surunoom
_sFI eoor-
! cnreruHousr
! orcr
I sronncE sHED
_ sF
SF OTHER:SF
TOTAL HEATED
SQ FT:
r7r3 TOTAL
SQ FT UNDER ROOF: zqetTOTAL AREA
SQ FT2 2451
TOTAL PROIECT COST(resst-ot) | $ rrs, eor
# OF STORIES: r
Is Any ELECTRICAL, PLUMBING or" MECHANfCAL Work Being Done
to the Accessory Structure?
ffi Ves E *o
If the pnoject
is a Relocation, is thene a Natunal Gas Line on the Cunnent Site? ffi V"r E *o
Is thene Electnical Powen
on this Building?
l-'l y"r El ,o
pRopERTy usE
/ occupANcy:
I srruclE FAMTLY
! ouer-ex
f] rowruHousr
DESCRIPTION OF WORK: SinqIe Family Residential
and ordinances and regulations. The NHC Development Services Center will be notified
of any changes in he approved plans and specifications or change in contractor or
contactor information. -.-NOTE:AnyWork Performed W/O he Appropriale Permitswill be ln Violation of the NC State Bldg Code and Subject to Fines Up To $500.00.-.
OWNER/CONTRACTORI
EnriqueMorat-es /D.R..Horton, Inc. SIGNATURE:
(Print Name)*{<************************r<r(********1.**********************r.***r<***************r.********
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
[-..I VTS
EXISTING IilPERVIOUS AREA: SQ FT
NEt{ ImPERVIOUS AREA: 3t4e . SQ FTYEs
ITI r,ro
r,lATERt
I creun
! comNururry sysrEM
f] enrvnrr we ll ! crrurnaL wELL
sEr^rER:
I crnua
f] crrurnnl sEprrc
! nnrvarE
sEprrc
! commuurry sysrEM
(FOR OFFICE USE ONLY)
SETBACKS: F:
*,r.* SEPARATE PERMTTS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUTP, PREFABS
& TNSERTS ***
J cnsx
il cxecr (nAvABLE
ro NHc)
fl arr-r- AccouNr
I mcrursn
I orscovenPAYMENT IIIETHOD: t
****{<**,1.r(r.r<,1.r({.,k****Xr(***********r(,k*r(*,t***r<Xr(******{.,trk************)k******d(*****r.*******r(*
SF
NO
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING
.2r
PERMIT:
{7
ZONE :OF FICE R :
REVISED DATE 04/LT/12
LH:_ RH:_ B:_
ooo.or-o-City:DATE:F LOOD:BFE+2ft=
NEr.r
HAM),ER
corr*ry rrr?{r("1
f.*lPl 9'Dl
\-' d3l
s
trPLIcAtIqt IVPE: RESIDEiITLAL
PLEASE A'{STER
ALL QUESTIOI{S APPLICABLE TO YOUR PROJECT
Troject Res ponsibil
iqf
, lhlers fino
PERSOI:
APPLICATTOIT
tad€p
(offtce Lr5! )
APPLICAI{T' S
DEVELOPER:
fo,n
PROJ ECT
SUEorVISrO{ :
PROPERTV
flIER's
ff{ER,s AIMESS:
COI{TRACTOR:
ADDRESS:
E AIL A['REsS:
PROJECT C(trITACT
P}O E *:
DATE:
t_oT
*:
CITY:
LrcEiEE
*:
CITY:
Exrsrrre
ffirR crp r
! ar-rrnarrot
I nrrcvarror
I cereml nrearns
! RELocATrot
Er qrcrnrrro ,
ff r*- rB REsIDETEE
o"
! lmrrm ro Exrsrrrrc REsDEEE
..PLEASE O€Cf, IXI AEI'ER T€1fl ALL IHAT TPPLY TO
YtlN MO'ECT:
@rrreannar 111 t loeremrae_sFM**o Io0 ,,Esunnoon_sF !mr__sr Isromee $tED_,SF
5Fflenr*rusr_ sr lorcr
_ sr orHER:
TOTAL HEATED SC TT, A.I}4. TOTAT SQ FT UXIER
ROF, A,b(2I TOTAL
AREA
Sq,r =
A,bbI
TOTAL PROIECT GOSTo.esr-o
| $ l/0,000
* OF
STORTES: A
rs Anlr ELEcrEcar-,
Pui8tre or iEoraxrcal
rork Being DorE
to the Accessory
structure?
! ves Ernorf the pnoject
is a Rerocation,
is thene a ilatural Gas/ Line on the current
sitel fl ves fi rcIs there Electrlcal poHer on this Building?
[v", (l ro
PROPERTY
tSE
/ OCCIPATEY:
SII{GLE FA}IILY
! rorwousr
DESCRTPTI(nI OF I€NX:
DISCIAER lher€bycerdry
t|dal hbmalbn h fiis 4plbaton b c.flrctsrd sllwrkwtl conply wifi fie SEE 8tjiEhg codg drdrd ddlnt|ces ad rEgurarbrE TtE taHc De€bprngar seolc€s oenbr wir be rEtfu of
aly danges rn
tne appor€d ptsrs
aE sp9
qplhdb Sbb srd locd larvs
h conffir or
Up To
tSOO(Ir"
REWsED OATE O4l11/12
csttEbr himabn. "rNoTE: Arly \rJoft F6rforflEd
w/o tl6 Appllprtsb pefnits w$ oe tn'vtsibn of fi€ Nc s1ats frg cods
on{ER/qxrnEroR, Craiq Sl$1gn9 src
AruRE: I
rs rHE pRopERTy LocarED
rrr l rrcopr.errr
E ws
EXISTIIG I:l?ENN'tq's AREA:
Ei I!?ERUTq'5 AREA:
xeren: S cran
! ccFr{'[{rry svsrem
I pRrvATE t.lELL
I cerrnal well
sEliER:
I crrua
! cE[rRAL
sEprrc
! enwarr seerrc
! co,tf(Nrry s\ErEM
*** SEPAltarE PERltrrs REQUTRED
FoR
ELEcr, llEcH, rLBGj GAs EQUTP, PREFABS
& rt{sERTs *'**
pAyrlErr
iETtoor
! asn
I orrcx (payaBLE
ro "*l d rr.i trc(Irin
-
E *l*ro E rrr.*.*** +{'t +* **++
++*+***'t
ttf f+*'*t+i++*,t i.,*+**,r.*+*+*,t *r.* +++:r **** f*+ *++ *****,r++t*** *,* + t,} *,r:F,r,r,a*:a,r
OFFICER:
SQ FT
SQ FT
TOTAL ACRES DISTURBED:
EXIST
LalI' DISNNBUG
PERIII: I r.r
fr,.
(FoR OFFTCE
rrSE rY)
SETBAC(s: F:LH :_ RH:_ B:ZONE :
Approval:
ComErrt:
BFE+2ft=
N
Citv:
DATE:_ FLOOD:
PERIIIT
FEE:
i
ter=t
r-..,
:.1
c..
1,.'
tr:
(_)
trJ
G,
AC@UiT
*:
PlDr{E *: qo.nq4.6b1q
-sr'ffi,@-
Plo E
*: q}'"lolt'Tbn
P:
5
2ot{ - b'3Zo
15-1755
AIPII(ATIOfl
DATE: 1/10/r4
Plot'lE
t: 910-{53-5505
ZIP:
l!!.l!
9
PIIONE l: 9ro-4ss-r605
cIrY: q.lolllr E.acb 5I: g_ zlp:.!!!2!_
LICEIEE
a: {Bz,{B ACCOUITIT
,,
CrlY: laroula B.!ch
NEhl HANOVER COUI{TY
BUILDING PERII1IT
AAplrcArto IypE! RESIDEI,ITIAL
PleAgE IX'TTTT ALL QUT5IIo,15 APPLICABLE TO \tnN PM]TCI
,,proJect R.rponslbllltl/
pRotEcT ADmEs5: s434
xai aaraalt
aTPLICA|{I'S
MtlE: x.n col!.r
DEVTLOPEN:
BLoO(
i: _ LoT
,r
PROPERTY
oll{ER'5 ,{M€: !E qa!6 rr.ot
olillER'S ADDiESS: 1202 N
,riie Palk Blvit
Co IeACTon:
s.oof ca.truollon c@pdy, rEo
ADOf,ESSt 1202 d !.h. !.!r Blvd sT : .!g_ zI? :
llIltlEIIAII AD'RC55I PIoltE
t: e10-{!3-5601
pHOilE t, 910-333-a065
Extslritc c{msriucrro[:
I lrrrrlrroN ! nEovnrrm flcrmaar nrearrs
! rerocerror
NEI cotilslRl,crrolr EI E&EaT ttEtit iEstDEt\:cE
o"
floorrror To ExrsT!\rc ntsroEirct
t.PlEAsE CIIECK
AtO A'ts{Ei BaLdt A!t- fl/tt apply lo yon gnolEcrr
PIo]ECT CoNIACT pERsofir x€n colf6r
@lrr camce
lre sr fiorr GARAGG
_ sr B]co*cn
3t;_ srf| srrnoor
-
sr I eoor
_ .r [ ,.*ou,
*.]_ ,,
[cr:ruousr
_ sr florcr _ sF oTHER:
_ sF
ExIsTrt'tG
lltpERvrqrs AiEAr
_sQ rr
NEI ITWETVIOJS
AtEAt
_sQ Fl
urrr:
! oeua pl cu+rurrw
svsrrr
I lnmte
urr I crrrnll mrr
iEl,{€R:
D crpuA
flcrN'nA sEpTrc
I crrvrrr srcrrc flccrnwrrw s"srtn
...5EpAnArF Fanittrs iElorRlo For
Elt(ir IIE(H, pL36) 6A5 EQulp, pRElAls E IlisEnrs ...
pry.E,{T
rrrmDr Q cn'e Q o:a 6r "*.* ,o r* j O;..; ;;;- ' fj;;Jo"'-'ijlrr.",r,*.*..**;*_".,,...
ToIAL HEATED SQ FTr
?1e3 ToIAL SQ FT tI{DeR ROOF:
2e3s TOTAL
AREI SQ FT: ,3Le_
TOTAL PROIECT
COST(ELA
r , 31.o,ooo # OF STOnIES:
:_
rs Any EtEcrircal, plt,lrsrMi or it€a rNr(af 0..r se1n8 oom to the A..s36ory
strxtur"l @ ves Q noIf th€ prolect ts s Relocation,
ls there a [aturat Grs rlne otr the current
slt€t OV". Ol,|oIs there
tl€.trlcat po$€r
d thts e,ttarngl tr!ves E No
'ROPERIY UsE
/ occuPAltcY:
E sI GLf
rmrrv I ouerU [rcU*ousr
)ESCiIPTIoI! OF !{On(: a1n.1.
!.i:rlv
!@ e slabr
!!.sry ood.
n.r.,.ortv..
0flNER/COITRACTOR: xo c.ii.!
IOTAI AaRES DISTU8BED, _
EXrsT LAilD.DTSIUREIIG pEi IT: 0 Vrs Q|rc
:OiIG:
-(IFFICER:
SETBAC(s:
F: L.I: RH: E:
lPprov.l:_ clty:_ DATE:_ rLooD:
s Eol
Ct'4.)
f] surunoor.r
-
sF
fl ene rnxousE
-
sF
NEt^l HANOVER
C0UNTY BUILDING PERIyIIT
APPLTCATION
TYPE: RESIDENTIAL
PLEAs€ AilsLrER alt q,rEsrrgNs AppLICAglE
r0 youR
pRglECT APPTICATION
"proJect Responslbilitf, ,J-T::-..E ,> I r
.ri-rvr!r-v---D,
(gfficc Use)
n/appwcxn,s n!u{E:
[)lf fl.l e&{ __ _ ^* narr,
?-t-i,fOEVELOPER: 6sd* r. (r, -:l--:;--;-.
PRO]ECT ADORESS:
tlEl.J coNsrRucrrol{:
[J rnrcr NE[.J
REsrDEtcr
or f(oorrror{ To
ExrsrrNc BEsrDEr{cE
lrpLEAsE cHEo( Ar,rD msrcn irlor+ ALr rxAT AppLy
ro youR pRolEcr:
[arr GARAcE
** sF D oer 6ARA6E
sr I-l poacn <E
--.
f-I poor
_ sF
f orcx
--
sF
5F
SF
UNDER
RooF: i_iS-I*-_ ToTAL AREA SQ
FT:
I :lTOTAL HEATED
TOTAL PBO]ECT
sQ FT:
!!-L TOTAr SQ FT
C0ST(r-essr-o,
i $ &ax.z>, ct<:Ifr OF STORIES:
i
Is Any ELECTnICAL, pLulrtBllre or HECHAI{ICAI
l.lork Belng Done
to the Accessory structune?
ffv", D *oIf the project
is a Relocation,
is there a Natural 6as
Line on
the current slte? f ves 11 ,ors th€re Electrical Power on this Building? fJ yes lJ uo
eRoPERTYusE
/occuPAxcv: ffirruGLE FAMILv
IoueLrx Iror,r1xous6 f:]a'a,3Y3 4::-N:'!r't'i' ir'-'
'o:','-':'y,o: *L' ft'! l#f:1,:',f'f t*T r 'it+k*'i, lw;tt,:vl!?r,u*.. ;Jroltg,r'DlsGLAtMERlhe,'byccnityhslatif,bmo1ionhhi58pplic,toni'cooecl84dsll9oriwilcomp,yslfr$€S,ial?E,uo,n0.od.;ffi4w;1>DlScLAl[,ERlhe,'byccnityh8lalif,bmo1ionhhi58pplic,toni'cooecl84dsll9oriwilcomp,yslfr},€S,ial?ExL{in9too.maao'.ffilNLl-
:1,::f:T::::.:q'*:*T:,TX:,T:::::*:::"'-3::::1yll'i"l:'t"t:h:ry* t b":!oJo,u19r3'n1,*,*.i'*",'o*-li*."re in
con,,.cbro,
n*,^tfoi'^t{conlracbr inbrmation.'-IVOTE: Any Work Perfomed WiO he Approptiats Permils
willbe in
Viobrlon ot rhe NC Sbre af,d Subiccl
b Fines
th-Io
tSo\Cr',
Tdwnzn/coarRAcroR: /v ttc / c C' /"\\ .t/ (?tlnt
**f-/*.-
I5 THE PROPERTY LOCATED
IN A FLOOOPTAIi'I?
N YES [J T,lo
ExrsTrt6 tnpERvrous mm, 'fJD sQ rr TorAL
y'xew $.rpERvrous *e*:4*_4-_
sqx Exrsr
J
IIATER:
flceua I co+rururw sysrEm
Ienrvarr urrll
sErrrERr
fi'*eua f] crnrnnr-
sEprrc
f! enrvare sEprrc
SIGMTURE:
,
******.*r***;;;;;
ACRES
DIs
LAI{D DISTURBIIIG PER
fl crnrnal wrul
f] cor't'rururw sYsrEl
/ | / nEusm DArE
o4ll:/rt
: tk RH: ilk s:
A
-,{* BFE+2rt=
PTMIT FEE: g
2Dtt-b3Et
k. lr-lr;c
-,.. ?
,,1 I
ZtPz
$.t .,,1?'t,
l
WW$aWt
rT+ 5FP&iATE PERI,IITS REQUIRED
TOR ELECT, {i1ECH,
PLBG, GAS EQUIP, PREFABS
& JNSESTs tia
pAyltErr FtErHoD!
f clsn flcxrcr (pAyaBLt
ro
r*lc) f,rurenrcarcir*rs E*rriio f orscoven*, * * I I * r 't * * * * * a
** ** * ra*
** r*
* * * * * * * * * * + * * *t * * a
*+ * * 'i * *t r * *,t +:i * * + + * * * + + *
*trt * * *
* * r+
** + + ta r * * *
Coffiient:
8L0CX t: / I0T #:SUEDIVISION:
y,/FR0PERTY OhlN[R'S
Oh,I{ER,S ADDf,ESS:
,,,/eourRAcroR:
ADORESS:
EHATL ADDRESS;
,y'RoJecf coilnAcr PERsott:
srd!,,:'ztP:(tft'I
ExrsrrNc cor{srRucrroti,,
f ar-rrRarron
I RENovATToN
I cenenar- REpArRs
I nrr-ocruou
PH0I{E
s:
?lt ) i /*t t-,+ i2-::-
ao|s-rp3fi>
15-15s8NEW HANOVER
COUNTY BUILDTNG PERMIT
APPLICATION TYPE
: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPL]CABLE TO YOUR PRO]ECT
"Project Responsibility"
NAI}IE:
The Coastal Cypress Buildinq Company
DEVELOPER:
PROIECT ADDRESS! 321 Gresory Rd
CITY: wilminsron
SUBDIVISION: Parkside at Mayfaire BLOCK #:
PROPERTY OWNER' S NAIvlE
: Th,tr Four f r,i, L'-C
OWNER'S ADDRESS: 311 Judses Rd Suj-re 3-D
CfTY: wilminston
CONTRACTOR: The
Coastal Cypress
buifdinq Companv
LICENSE #: 1I999
ADDRESS:
311 Judses rd
CITY: Wilminqton
EilAIL ADDRESS: sreveGcoasralcypressbuiJ-ding. com
PROIECT CONTACT PERSON: st-eve swain
u
tr
APPLICATION
Number
(Office Use)
DATE: 06,,08,15
PHONE #:
ZTP: 28405
PHONE
LOT #: 25
#: 970.212.22A1
ST: t'lc
ZIPIZjq
ST: Nc ZTPi 28405
#: 910.2L2.220jPHONE
PHONE #: 91.0.2t2.220j
f] nrr GARAGE
AND ANSWER BELOW
-SF
ExrsrrNc coNsrRucrroru:
I ALTERATToN
! nrruovarror{
f] crrue nal REPATRS
! nrlocnrron
NEW coNsTRUCTroN:
@ enecr NEhr RESTDENCE
or
! aoorrroN To ExrsTrNG RESTDENCE
**PLEASE CHECK
SUNROOM
GR E ENHOUS E
SF
! orcr
SF OTHER:SF
TOTAL HEATED
SQ FT:
2s00 TOTAL
SQ FT UNDER ROOF: 36sB TOTAL AREA
SQ FT:
TOTAL PROIECT COSTlressr-ot1
! $ :so, ooo
# OF STORIES: z
Is Any ELECTRICAL, PLUIIIBING
or MECHANICAL Work
Being Done
to the Accessory
Structure?
fl Ves il fUo
If the pnoject
is a Relocation,
is there a Natunal Gas Line on the Cunrent Site? ffi Ves E fVo
Is thene Electnical Power on
this Building?
l-ly"r flto
pRopERTy usE
/ occupANCy:
I srrucle FAMTLY
! ouelrx
! rowruHouse
DESCRIPTION
OF WORK:
tlo4s!ruct SinsLe Family resi-dence
and ordinances and regulations. The NHC DevelopmentServices Centerwill be notlled
ofanychanges in tre approved plans and specifications
orchange in conlractoror
contraclor information. .."NOTE:AnyWork Performed W/O he Appropriate Permitswill be in Violation of the NC State Bldg Code and Subject to Fines Up To $500.00-..
O[^INER/CONTRACT0R ! :rre-".e :rv,,arnSIGNATURE:
(Print Name)*********:f*************:tr.****************,k*************************X*********{<**********
SF
El oer GARAGE 520 sF
E PoRcH 038 sF
I eoor-
_ sF ! sronncE sHED SF
rs rHE pRopERTy LoCATED rN A FLOODPLATN?
[ VeS [El
sQ FTTOTAL
NO
ACRES DISTURBED:
36A4 sQ FTEXIST LAND DISTURBING PERITIIT:
I].II VTS
tr]] T,TO
REVISED DATE O4/IT/L2
LH:_ RH:_ B:_
EXISTING II{PERVIOUS AREA:
NEhI IMPERVIOUS AREA:
r^rATERr
I crnun
! coururur,rrry sysrEm
! enrvnre we
ll ! crrurnal wELL
sEwER:
@ creua
f] cerurnnl sEPTrc
I enrvnrE sEPTrc
I comNururrY SYSTEM
(FOR OFFICE USE ONLY)
SETBACKS: F:
*** SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS **{'
I casr
il cxrcr (eAvABLE
ro NHc)
f] menrcaN ExpREss
il mczvrsa
fl orscorenPAYMENT METHOD:
t
* * * r. * r. * r. r< r. r< * * * * * * * * r( * * X X * * * * * * >k
* * >f X * r< * * * * * r. * * r< ,f
* * r( * * * * * * * * r( * * * * * * * r. * * r( r( X
* ,t X r. ,!
* X * * * * * * r. t *
ALt THAT APPLY TO YOUR PROJECT:
ZONE:
-
OFFICER:
Approval:_ City:DATE:F LOOD:BF E+2ft=
c.^1?€L \s-r11t
DATE:
NEW HANOVER COUNTY BUILDING PERMIT
APPLIGATIOII |YPE: RESIDENTIAL
PLEASE AI{SI{ER ALL QUESTIO S APPLICAAL€ fO YOUR PRO]ECT
"Project Responsibilit/'
l,lllllE: cape Fear Habitar for Humanity rncAPP L I CAI{T'5
DEVELOPER:
PRO]ECT ADORESS:
SUBDIVISION :
CITY: wilminqton
BLOCK *:
PROPERTY ol[tlER' S
oNr[tlER'S ADORESS:
MitE: CaDe Fear l{abitat for Humanitv lnc
20 N 4tt! St Suite 200CITY: wllminqton
*zW
ST:gZIP:.2@
sT:
IL zIP:
41!!
#:
E!:ill:zl:-
*: 910-617-7L39
CoNTRACTOR: cape Fear Habit.at for Humanity rnc
ADDRESS: 20 N 4rh
sr suire 2oo
LICENSE *: 46s32
CITY: vlilminqton
EtilAIL ADDRESS: esmond@caoefearhabitat - oio PIIONE
PROIECT CO|{TACT PERSON: esmona Anderson PTl()NE
tr
trn
ExrsrrNc coNsrRucrroN:
! alrrnnrrou
f] neruovrrroN
f] oerutnar REPATRS
f] RELocArroN
NEI,' CONSTRUCTTOA:
@'eneCt NEt{ RESTDENCE o" I mOrrrOH TO EXISTTNG RESTDENCE
*'PLEASE CHECK AiID AI{SI{ER BEL(X ALL THAT APPLY TO YOUR PRO]ECT:
sF ! oer anaeesr ffieoncx J?-sF
! coor
fl oecr
SF
! sronnee SHED
_ sF
TOTAL HEATED
SQ FTI
// 5-) TOTAL SQ FT UNDER ROOF:
/iTTZ TOTAL AREA SQ FT: /]?2
TOTAL PROIECT COST lress rog : $ es,ooo.oo* OF STORIES:
I
rs Any ELECTRTCAL, PLUIIBING or IIECHA ICAL work Being Done to the Accessory Structure?
[ Vet I lo
If the project
is a Retocation, is there a ilatural Gas Line on the current site?
f] ves I uo
rs there Electrical Pobier on this Building?
Eves flHo
pRopERTy usE
/ occupAr{cyr
I srnere FAMTLY
n ouer-rx
I TouN]rousE
DESCRIPTION OF !'IORK:
SQ FI TOTAL ACRES DISTURBED:
-SQ
FTEXrST LAirD DTSTURBTiTG PER rr: n VeS
fl r,lo
ATT GARAGE
SUNROOMSF
GREENHOUSEOTHE R:SF
D(E!An/ER l heeby ceniry lhat aI inbmalbn h his app$caton 6 corect and
all*!rk wi! complywlfi fie St E Euildhg Cod€ and 6l oher applicable Stab and local laws
6nd odinances srd rEgulatbfli The NHC tleveloprnenl Servi:es CeflEr wiu be noffed of ery chdues In the @pm!,ed pbns aE specilkations or change ln
@nt&tor or
conr&br lnbrmslbn. "'NOTE: Any Work Perfomed w/O he AppDpriab Pemitswllb€ ln Vblarbn ot rhe NC StraE Bldg Code andjlDjecr b Finos lJp To
35m.0{r"
OWIIER/COI{TRACTOR 3 Esmond Anderson cFHFH SIGNATURE 3 ,:' z/--€:'
+i.r.* r,*,i ,* )r,*
'* +*,8* * ****** ** ** *(ii'll JiTJ * * ******** ++* + +:r.,t:r,r. *:*:* {.:} )t
'}
*:t
'}
*,* *,t:r,t t:r a,r:r. +:r. + +:t:*:r *:r,t,*:* *
rs rHE pRopERTy LoCATED rN A FLOODPLATN?
E yES fr ro 711{w-
EXISTING IIiTPERVIOT'S AREA:
NEW IIiIPERVIOUS AREA:
IdATER:
I CFPUA
E COM.lUNrry SVSrem
I PRTVATE [.'ELL
! CeHrnel Urrll
sE ER:
EI cFpua
EI CENTRAL sEprrc
I enrvarr sEprrc
E coilr'njNrry sysrEM
*'* SEPARATE PERIIITS REQUIRED FOR ELECT, I4ECH, PLBG, GAS EQIJIP, PREFABS & INSERTS **}
pAynEr{r
rriErHoo:
I casr
f] oiec( (payABLE
ro rxc) E anrnrcAr{ ExpREss
I nczvrsr E orscorta
:t:t:*:t*** *:****)**)i.*,1.**,*:l*,*,1***,*,t****,***,i*'i*+ +,t:l {r * * )t ,},t * + ++++ t,i +:* )t,a,t,*,t *,1,* *,} t + * rr:},}.1.
* +,1'}+:}++++,}
t\ I (fon oFFrcE ust olLY) ^ REvrsEo o fE
o4lllll2
zoNE: k'
-1) oFFrcER: :L n'l sETBAc(s: F:a.. LH:
.i nr:;_ a:[
Approval:- city:l'\rl-Ir' DArE:llrl'5 FLooD:
-
,.
'/t,fi. * eFE+2ft=
AV-l{
6omgn11
-U\i
r):::l;
=tI
o
=
-t(D
-oc
_8.o
o
N>(Jt-r.
*:J
gots- bfi7
APPLICATIOT,I
Number
(Of+lce Use)
PI()NE #: 910 61? ?139
ZIP z Zi*,
LOT #:
P}ONE
<utilt \t airP'L"i c\,f ioree l.,3n:lhJ
L rlpe
nutt rrr t
;C rS _Us?a--
/s-/73o
APPLICATIOII
l,lumber
(Offi.e Use)
DATE:
.'JU.' sz - (,\c, r! (cr
/-!-.r plottlE
*: ?to-lqr_rrr=
PROIECT CONTACT nrnSON:,
-..lG-C._ri=_S L-.g ->!^ pHoNE
s: y
to-,/ ,14 g tt 3
E,ISTING Co STRUCTION:
fi o,-rr*orr ilj;r-
NEt{ CONSTRUCTIOI,
! TNECT NEW RESIDEIiICE
O"
ff-O"'ON TO EXISTING RESIDE CE
r*PLEASE CHECX AiID AI,/s}'ER BELOI{
ALL THAT
APPIY TO YOUR PRO]ECT:
APPLICAI{T'S
DEVELOPER:
NEW HANOVER COUNTY BUTLDING PERI TT
APPLICaTIaN
rypE: RESIDENTIAL
pLEASE AUSIUER
ALL QUESIIONS ApptICABt-E TO yOUn pROIECT
"project R€sponsibiLitf,
c,.-\ S t-...-Jo.-rCi
PRO]ECT ADDRESS:
PHOITE
*:11_y q l__.1t3
SUBDIVISION:ELOCK
ztl: pX\,
))
LOT
*:
lT::i]t.Y:1:s ryE'-rrl+r":tre'5v l-=1rr plorE
*: ?ro' 'l 3t ' 6
vd(
cor{TRAcroR: {! tr i"- , 5ri- l.-s on LrcENsE
*: 3 pS'd Sr trylarp,t )9,9t2
ADDRESS:
. --; lIEi sr{-:(np, ) I V t,
I arr ernaer
-
sF n oer eanrer sr
fl eoncn
.__- sFf] surunoom
_sF E noor-
_ sr -,rr*on,
,ri-_ sF! cne erurousr
-
sr ! orcx 5p
irrr^, 6ZV-*
rorAL HEATED ,9 ,rr
6)Y rorAL sQ
Fr ur{DER
^oor'rZVr'""- iffo3o"*ro ,O
TOTAL PROIECT CoSTlressrorl
1 g 55'no f OF
STORIES:
a
Is Any ELECTRICAL, pLU,SItG or tilECHA
tCAt- l.,ork Being Done
to the Accessory Structunerf the project
is a Rer.ocation,
is there a Naturar Gas
Line on
the current
rs there Electrical power on
thj.s
Building?fives fl ruo
PROPERW USE
/
DESCRIPTIOI{ OF
OCCUPAI{CY:
t,,,oRx:
trI
RH:Dr
l/
PERfiITFEE: $
[.,,srror-e mr,rrlv
f] ourLex
.[ rowNHousE
^', lJ J l\^.1
r"--,
s -.1 I
&tt- ov,r
,T:f:T:*', j""f:lfily"I 11,1'^l?i"#*ti*;tTjlaTu";:1ff
l;:i",and ordmsnces sno r€gulalions Tne
NHc Devetopmenr services c€rter wil be nari"i
"r
""".nri'
-' '' "'! v'lc'l! eli q,r ww dno ar
ooer aDDljcable
sEE and loca'li
conrracbr inlormston.
'-NoTE. Any
wo,t perromed wo rh. a.n.^h,i,b o-*',....,, -^ ,-1,.-,-]l!" i-.le alproved pbns 8nd specirrcslons tI chsnge F
corr,acbr orcontract r iDbmsdon. rnNoTEiAny work performed wo he Appropriab perm* *'ir i"l,'v[i" '-" ''"' ricalons or.hsnge jn conrracbriion
ofrhe NC Srats Eldg Cooe ano Sr:opcr
o/ ines 14 ro $500.00',.q,{NER/cor{rRAcTon: G C
i SIGNATURE:
* * ** * * * *
*** **, * ** * * * * *
** ** "(Ilill J31J* ** *, * ** * * *,
IS THE PROPERTY LOCATED
IN A FLOOOPIAIN?
N YEs
ExrsTrirc lt4pERvrdrs aXga: l&O gq p1
NEH rMpERvrot
s aREA: O sQ FT
llarEi:
I crrua
! coMMUNrw
svsra.r
f] pRrvArE !,,ErL
ft crurnrl well
sEwER:
[7 creun
I .ENTML sEprrc
f] cnrvare
,rorrc I corr"ruNrw sysr€r(
(roi 0rfrcE usE
6r!Y)
SETBACKS:
F: LH:ZONE:OF FICER:
Approval:
*** sEPAltaTE pERt4rrs REQUTRED
toR
EtEcr, r{EcH, pLB6, GAs
EQU,p, pREFAB' & rNsERTs **
p^yritE*r rlETHoD:
flcasr lcxrcx (pAyaBLE
. *.1 E]-i^r;;;;r;, "E;:;;;" '-rr..rr.
*'t** **:r:r*** '*'!t** **** *** *!* r*:I 'r** *:*i *,* +rt * *
*:|+*:****** * *:t:t **:t* *,1)t *** **
******1+:t***:r* ***t **,** *:*
n, 6)Y
r
ffiv"r
I ro
site?
[ves [[ruo
iEvIsED DATE
04l11/12
B FE+2ft=
TOTAL
* * *:r * *:*:**
'*
* *.* * *,i,1* * *
*,* * * *,t:i * * *,r,* *,k *
**
r{o
ACRES DISTURBED:
Exlsr lal{D DISIURBING prnnrr, l-".l yrs [--.1 uo
-m
c-)m
ma
C
=
NA
CJ
FJ
Comment:
Citv:DATE:_ F LOOD:
^.(1U\
)
ffi
APPLICAT,ITJ S M'4E :
DEVELOPER :
APPLICAII ,I TyPE: RESIDENTIAL
PLEASE ANSWER
ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
aolS-.bzx,l
DATE:
APPLICATION
Number
(Office Use)
2-r-A)-
NEI^I HANOVER COUNTY
BUILDING PERMIT
P}ONE
tlPRO]ECT ADDRESS;
SUBDIVISION:
PROPERTYOWI,IER' S
OI,JNER, S
LICENSE f:'bt?l>ACCoUNT *r
PHONE *:
ST:
srtEzrir-W/ffi *,)-H^2{V
CONTRACTOR:
ADDRESS:
EMAIL ADDRESS:
r CLTY: la/t''Zllat ffiV:
PtroNE : 27q+%Y
l-l oup r rx
-Al/d
# OF STORIES: "2,,
to the Accessory
Gas Line on the
Eho
INGLE FAMILtL &fi
C-
contactcr 'nbmalon "1{OTE Aay Worl Petlor.dw/O rle Appropriale Pem(s wrllbe in Volarion ol rt'e NC S
owNER/coNrRAcron, /il07- *tcxrup srGNAruRE:
- (prinr iane)+**,* *)t* *,t,**,* *,*,* t +*****!t)t**)*)*)**+***,t)***,*rt++**++**t**)krt)t*)t)**+*
rs rHE pRopERTy LocATED rN r rloooplarul
l-] yes EL*o
wercn t
/yeua E colruutrrv svsrem
! pRrvArE wELL
f] cerurnal well
sewrn ,
ffcr nua
E ceruranl se errc
f] pRrvarE sEprrc
I couuur,rrw svsre r,r
'*** SEPAIIATE PERI]ITS REQUIRED FOR ELECT, MECI{, PL8G, GAS EQUIP, PREFABS
& INSERTS '* '}'T
pAyr,rEr{T
irErHoD:
Icrsx flcrecK (PAYABLE
ro
rrcl Iarlr acco-nrr
E nclvrsl f] orscoven
*,t**,* )* )*
*,t** )**)** **** **x +**)t*!*)t* *,*,t,f )k )t
* )*)t,t***,k)**,**rt++*i<***,*,t*,.*,t * )*
**,r )t,{?)3
* )t
* )* )t*)k* ***x,*t**,**
o $500 00"'
,*,* +,f *8* !t )t !t,F )fr,t
** *,*,* * **
\€r $ -
llyt
LOT f:
PRO]ECT CONTACT,/)
EXISTIT{G CONSTRUCTIoN:
I nr-rrnarrOn El neNovarroN
f] crtrnal nrnarnS
I RELOCATToN
irEtl CoNSTRUCTIOT:
! rnrcr NEhi RESIDENCE o" $aOOrrrOru TO EXISTING RESIOENCE
}*PLEASE CHECX AND ANSWER BELOW
ALL THAT APPIY TO YOUR PROJECT:
! nrr canner
-
sF
f] orr cnmcr
sr
I eoncx
-sF
! surunoom
-
sr
I nool
-
sr
I cRrrnHousr
_ sF goecx /b 0 sr
ToTAL HEATED ,q,-,. /4/O ToTAL sQ FT UNDER aooT:
/A@ ToTAL AREA ,q,,, /#O
TOTAL PROIECT COST tress rotl : $
Is Any ELECTRICAL, PLUI{BrNG
or I4ECHIINICAL l^Jork
Being Done
If the project is a Relocation, is thene a Natural
Is there Electrical Power on
this Building?[ves
PROPERW USE
/ OCCUPANCY:
F[
DISCLAIMER: lherebyceiii9 hal all inbrmalion in his appllcario. is correctand all work willcomply wih he Slate
and odinances and rcgulaiions The NHC Developmenl Serulces C€nbr wilibe notfpd ofany changes in he
\l ,/
EXTSTING IrlPERVIot s aaea', y/{ sg t ToTAL ACRES orsrr\ry'0, ,t/tr
NEw l,rpERvrous aa,r', 4( se fi Exrsr LAND ,rrrr*rY"u or*fir, 5 ves
fi r,ro
stnucture)
[ vur [f no
current site? [ ves I r,to
n"*r/.L
and all oher applicable StaE and local laws
[-l sroRace srro,
Grr^,
/ao,M',
/-
OF
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIU,I TYPE: RESIDENTIAL
PLEASE ANSWER AtL qJESTIONS APPLICABLE TO YOUR PRO]ECT
JDIS-bJqS
lr n??
APPLICATION
Number
\t'o*tl;&.,r;m3
ACCOUNT *:s,&EffiW/colrrRAcroR: Va*l CPrvt-*x7rt*-
PROPERW OhNER,S
OWTER,S ADDRESS:
ADDRESS:
EtqAIL ADDRESS:
ffiarr enM6E
fi t{ sr
f suxnoom
-sF
fl onreHHousE
--
sF
LICENS
CITY:
f] eoor
-
sF
fl orcrSF OTHER:
o,?/8A23-'oNV
SF
SF
TorAL HEATED SQ FT: aK"a rOTAL sQ Fr UNDER ^OOrrLilL** roTAL AREA SQ "' 7 /p/
ToTAL PR0lEcT CoST(uessr-or) , E
33Ori-O# OF STORIESI
L-
Is Any ELECTRICAL, PLU!{BfNG or ITIECHA'IICAL llork Being Done
to the Accessory Structurel
f-l Yes E fUO
If the project
ls a Relocation, is there a Natural Gas Line on the Cunrent Sitel f, ves t *o
Is there Electrical Power on this Buildingt fi ves f] ruo
SINGLE FAI{ILY
ui
ld)*n
I ountrx
I
rU,
PROPERW USE
I OCCUPANCY:
DESCRIPTION OF WORK:
PRO]ECT COI{TACT PE
Exrsrrr,rc cot{srRucrron:
f] alrenarroru
f neuovarroru
[ eeruennl
' cto'
REPAIRS
'-Lo/Y1 '
l_J nrlocarroru
NEH CoNSTRUCTION; p rRrCr NEIJ RESIOEilCE or f, ADDTTTON T0 EXTSTING RESIDENCE
I'PLEASE CHECX AND AI'ISWER BEL0[^I ALL THAT APPLY T0 Y0UR pR0lECT!
I oer cARAGEt, E ponc*
73(, s,
E sronacr sHED
-
:r,rrtorn
rn(,
e
t
t\9
F't=,
iJl
O|SCIAIMER I hereby certify fiat aB hbmatbo in tris applic.ton is con6ct and all work will comply with fie SEle Building Code and all ohet apPlicStall' and hcal lrus
and ordinances and regulations. The NHC Development Services Center will
bs oodried ol any changes in the approvedif,
contracEr or
conracor hbrmodon- "'NOTE: Any Work Perrorm€d W/O lie Approfliab Permirs will bs in Violslion of lhes up To
3500.00"'
f,m
C-,l!
mI
cr
l
r\9
r.Ja(rl
oWNER/CONTMCT0R: Pat -l 0arn{)dt3nr:,-. srGNA
,r*'r+*i,r.r**,i**+***+**++*****(IitllJit]*1******************+********
rs rHE pRopERw LocATED rN A FLooDplur,n
Ff ves ff No
; ** *,t* * *+****
EXISTING IMPERVIOJS AREA:
_5Q FT
NEtlJ IMPERVI0US AREA:
---
5Q FT
TOTAL ACRES DISTUREED:
EXI5T LAND DISTURBINGPERnrr:
I'J vrs
il uo
BFE+2lft=
,
l'm?H
PERMIT FEE:
t^rArER:
@-1y ft cor't'rururw sysrEm
f] enrvarr
wrrl
; cr*r*orfi$t'Jilffifi6rp
;,^,il;
ffi^ fr.r*r*. sEprrc
ffnrvare sEprrc
;.*rr*r* sysrE, !fuqurg0,9]e254ffi1
*r* SEPAIIATE PERI'IITS RE$JIRED FOR ELECT, HECH)
PL86r GAS EQt,IPr PREFABS & INSERTS rri
*yill.[Hi...H.'11.H.'ff-'l-l:1'j'-':.].ii'.,..H::i'.1'f3ll.-.Hfflil.,..?.'.'-11oxl.
11 - o - (FoR oFFrcE usE q{ry) ,&) rr-:r,nux *n^&a8 REVrsEo
DATE s4/!!tt2
,orr, lkl{ 0FFrcER: sETBACKS: r,'*)\ rn: ?0' nx: id( e,,% i
Approval:-* Ci.ty:
c
rl6
SUBDIVISION: . -. BLOCK *: LOT *:
NEhI HANOVER COUNTY BUILDING PERMIT
APPLTCATION IYPT; COMMERCIAL
PLEAS€ AIISHER ALL QUESTIOTIS APPLICABL€ TO YOUR PRO]E(T
"ProJect ResponslbilitY"
APPLICANT, S NAnlE :
DEVELOPER: NIA
PROJECT ADDRESS:
s351 Ginqervrood Drive
_ CITY: i,rilminqEon
NAIIE ! cosrco rlholesale
NAIIE : CosEco I'tholegale corportagion
999 Lake Drive CITY: rssaquah
Jelani Drummond
,OrS- ffigt,
15-L757
APPLICATION
Number
(office u5a)
DATE: 6. 30. 1s
PH0NE lf : lrlA
zrp:
zilii-
occuPANT/BUSTNESS
PROPERTY OI4NER,S
OI.INER,5 ADDRESS !
PHONE ll r
ST:
(425) 313 -8100
g zIP::g!3_
CONTRACT0Ri l.tiller construction gerviqqg, I4q,LICENSE fit 72V.9__-
ADDRESS: 8104 Edqewater Avenue CITY: Balrimore
PHONEEHAIL ADDRESS: ielani.drummond@.lnillerrefriqeration.com ..
PROIECT C0NTACT PERS0N: .]elani Drummond PHONE
ST: r.ro ZIP: zrztt
f,: (41o) s66-3500
ll: (410) 856-3600
(check
AII lhat APPIY)
EXrsT CON5TRUCTTON:
ffi AlftnArrOU
I nrnovarroru.
fl eeuenar- REPATRS
I nrlOCArroru
lf Retocarton, is rhere a Nalurat Gas Line on the Culrent Site?
ff Ye;f] No lS BLDG $PRINKLERED?
EI ves
f] t'to
NEii coNsrRucrroN:
fl enrcr NEN srRUcruRE
flFAsr rRAcK
fl snrr-r-
[ urrrr
f] roo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- ThE ShEllPermit #:Is Elect Por,,er on this Building fl ves f] No
0F occuPArr,cY usE?
flvrs [lNo *****
tlhat is the New occupancy Type?
-
ARCH OESIGN PROFESSIONAL' H@ PHI (206) 962-6870 NC REG *i 6425
ENGR DESIGN PROFESSIONAL! T.E. INC
_ PHr 142s1970-3753 NC fl86 lti A22846
DESCRIPTION OF I'IORK: convert exist' Produce cooler inro Dairv cool'er; consLrucE new Produce cooler
ts
food or beverages prepared or served in rhis srrucruret
flves f] No ls The Propsrty Locat€d ln Tho Floodplain?
f] Yes
I r'lo
rrrr* Is THIS A CHANGE
IF Yes, what was the Prevlous Occupancy Type?
OWNEF/CONTRACTORI Jerani DrumnrondSIGNATURE:
tQ$bmor) (Prifll
tlrno)
Noto: Dsfiiolito{r nolmcsuons & asboslo8 reflroval psmh appllcsuong aro lo be Eubmlflod wlog lho spplhalbn ,orm
DISCIAIMER: I
h€r€by conify rhar all informailon ln this applhalion ls
correcl and-all work.will comdv with lhe Stato Euilding C-ode.ajl-d-?,1-olh:jPll1..y9 Stut"
*y;#L;ilt"?I{sl3i*,Hfr,:tij:nrl,,*..i*^11*n8irr?ei'iltri+*gm: t,:g:l$rT,#lg,T,eJ,'#,t S1,'83ill,138fr8f'&iB'#lP&3#Eq'ts"on'SubJectloFrnesuprossoo.ooin'-' ii-Woiii'i;'idmiiWicilheAppropriaiepermitswittdeiavto O-l z t ,Y
whsthor thg wBs found lo
conlatn Asbesros or not. You are requlred to call tho Nstlonal Emlssbn Slsndsrds fot Hazsldous Ajr Pollutants (NESFIAp)
8l (919)707-5950 st tessl
dernoliion of any tadlhy or bulding, See Agbesto3 Wob Slte: hftpr/$vlv.epl.state.trc.usropussboslog/shmp.html
TOTAL PROJECT COSTI $153, OOO BUILDING HEIGHT:# OF UNITS:
TOTALAREASQFT: Z8OOSQ FT PER FLR:II OF STORIES:
# OF FLOORS:.TOTAL SQ FT UNDER ROOF:# OF STRUCTURES:
10 dsys prior to ttts
ACRES DISTURBED: N/A
NEW IMPERVIOUS AREA:
u;a
Exsr LAND Dr$ruRBtNG pERMlr? f]VeS EI ruO
SQ FT EXISTING IMPERVIOUS AREA:N/A
pRopERryusE: fJoFFrcE IIRESTAUMNT ffin,lrnceruTllE flEDUc f apr [coruoo orHER;
WATER: ECFPUA flCOMMUNIWSYSTEM IWELL DZONINGUSECLASSIFICAT0N:
SEWER: ECFPUA @CENTMLSEPTIC LIPRIVATESEPTIC DCOMMUNITYSYSTEM
"' SEPAfTAIE PEllMlts flt-QtrlREll ljOR
EtECl,l,4Ectl. PLtlG. GASi tQL,lP. PllEFAttS & INS{iR IS
"'
PAYMENTMETHOD:
[CnSn [lCneCXpaveBLETONHC) IAMERTCANEXPRESS fllICmSn fJorsCOVen
(FOR OFFTCE USE ONrY)REVISED DATE {/I
"I2ZONE:OFFICER:SETBACKS: F:_LH:_ RHr_ B;_
Approval:- City:-DATE:- FLoOD:
-
gpE+2fr=,
AVN
PERMIT FEE: $
SQ FT
Comment:
PROJECT ADDRESS
SUBDIVISION:
PROPERW OT'INER'S MtilE :
5t*<-
NEW HANOVER COUNTY BUILDING PERII4IT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSI.'ER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"ProJect Responsibility"
BLOCK #: _ LOT #:
APPLICAI{T'S
DEVELOPER:
Qots-Qeqt
/r17.4 o
APPLICATION
ilumber
(office use)
*,(g).9)*e*e o
sr: ^IfrrP:f-
sr: )(
zrP: X
*'t qrc svoqrto
PHoNE *: bnYo-urno
PHONE
PHONE
EXTSTTNG CONsrRUcrrON:
f] Arrenrrroru
[ nrruovnrroru
fl eruenrl neearns
I RELocArroN
**PLEASE CHECK AND ANSWERALL THAT APPLY TO YOUR PRO]ECT:
! arr crnaee
! oer
oannee sr
! eonor
-sF
NEw coNsrRucrroil:
E ERECT NEI,I RE5TDENCE o"
ff-ortro* ro ExrsrrNc RE5TDENCE
- dela+<A < 4
BELO{
SF
! surunoom
_sF! nool
-
sr
! sronrce sHeo SF
! eneeruHouserr I telrr\ _ ZqtlJ_-.:_:__SF
tr DECK
TOTAL HEATED
Sq TT: X TOTAL SQ FT UNDER NOOT. /9J- TOTAL AREA SQ FT: ft
TOTAL PRoJECT CoSTlressrorl z
$ I
bOO # oF SToRIES: I 6
Is Any ELECTRICAL, PLU BII{G or tlEC}Ul ICAL Work B€ing Done to the Accessory Structune?
[ V", $ ruo E
If the project
is a Relocation, is there a Natunal Gas Line on the current site?
fives firuo
=rs thene Electrical Power on this Building?ffiv"r [l ruo o
pRopERw usE
/ occupAr{cy,
flsrruer-r rmrlv ! ouplex
E roi^,NHousE
=DESCRIPTION OF IdORK:
OISCLAIMER lhereby cenify fiat all inbmation in
his applicalion is conect and
dl work willcomply wib t|€ Stale Brilding Cod6 and all ofier +plicable Stab and
bcd layvs
ald ordinaE€s ald Egulatons. The }lHC Delrelopment Seryicos
Canbr will be notfed o, any charg€s in he +plovod plars dEl +lecificalions or chdrge in
+,i:|,i )*
** )i,l )* )*
**,* * **** *** **** *(iitllJil"]** *** * * * * *
rs rHE pRopERTy LocATED rN
A FL@opLArir?
[ ves
EXISTII{G II{PERVIoUS AREA:
_SQ FT
NEtl IITTPERVIOUS AREA:
5Q FT
E
TOTAL
EXIST
{.ttr :t
+,i,t:f :t:l,t'ti.*,t*)***)t)i.,}*,t'i)i:i**)*****:t,}:i.
t{o
ACRES DISTUREED:
LAI{D DTSTURBTIG pERnrr: I VeS
ft m
liArER:
f] ,rruo
{r*lJNrw sysrEm
! enrvrre wer-r-
fl cENTRAL wELL
*{'* SEPAIIATE PERIIIITS REQUTRED FOR ELECT, I'|ECH, PLBG, GAS Egrlp, PREFABS
& INSERTS *{.:r
pAyrirEilr
ritErloD:
I casn
I c'rro( (pAyaErE
ro Hxcl
I ar,renr.on ,ir*ri, E nclrrso I orscorrn:t*)it,i+,irti(t *:t,i** **:l.'t,*** {(*:*:i )i:*+*
*** t)t++,t*t,t )t,tt+ *,t+ r*,i
t,},t*+ + tf + ++****++ +**+ *+ ***t,r:f *** *+** **
sEhrER:
Qf cFpua
! cerurnnr
seerrc
! pRrvATE sEprrc
! commururw svsrrm
ZONE:OFFICER:
(FOR OFFICE USE O,ITY)
SETBACKS:
F: LH: RH:
SFSF
m
REVISED DATE O4l11112
DATE :
OfiINER'5 ADDRE551 90y,*-. CIIY:
COTTITRACTOR:
AIDRESS:
EtilAIL ADDRESS:
PROJECT COI{TACTPERSON:
PHONE
Approval:
City:_ DATE :
FLOOD:
B:,"..#ys-
contaclcr infcrmalion,
OW]IIER/CONTRACTOR:SIGNATURE:
\ r ---- IL$\ RE.E\\ED ru\\rr m$
W2) 5 )11q
V'r'-l--'. trlFlrl HaiInuEll rnrily\, trrr?r r\yrra ^trrrr.?? ^NEr,l HAMovER
courury BUTLDnuG pERmrr 1l) 5 - ( tl OjAPPLIcaruott rY}sr
COIIfiERCIAL ( I
Plra$E ANsL?n
ArL Que$lrols ApFII6ABLE
ro youg
prolrcr APPLfCATfoil
"pnoject Responribllity- tiunber
(offj,(c t
sc)(wa€c u'c,*oil*,, ** prnte, y'*/4q,-d*{nsr d*d _aa"ra:,,6:*rs3*SEVEL@Ef,:P!O{E $:
PXO]ECT APDRESS;
o{cuPttrYl8usl}rrss
PBOPERTY {['J}IER'5
sh,arx,5 &00tE$s:
CONTRAfiOi:
ADDftESS:
EIAIL AS8RESS;
pRolEcr cofiTrfT aERsoil:
zte
4K4b3
{ITY: /Llt
PHd{E
*: QtA:zillgr?
-srrW'
g
&t
r*, o,
REPATRs
f] n*oclrrot
rs BLDG SPRTNKLHREDz
f, ves firu0
NEt{ cowsreucrror:
I EREcr HE], sTRUCTUnE
I rlsr rucr
f] sxer-r-
[ urrrr fJ ADD
ro Exrsr srnuc?ugs
ACCESSORY STRUCTURE:
DlsctAlMiR: I lB(cby cerrfy thal all lntor.xauoa
h thls
apolkatofl ls ca{recl ard dl '{ork will
coircy wth rhs sratp Bulrorn0 code and dl olhe, ar#rcabre s?Bte
and local hws 8r.d o{dlf,8ncas
tFd rB,H,atims" Ii.e-Nf9_^bcveiopfltem serrrc*'i Centei,iifi6l nori66o-1i.ru rMrfr,R iA .M
.^^hd -r-
(a{*L4 ,$nxr*fX::mffi_aj:Ir: fltpemrr epprEcors
l.; o ber{bf}rEd url,U rre
epy'&rrbnform@txthas.r*ooo,rd.You!,"trq*''drocrnutsx"rr,."iB'rrions*o"rr,oxr,,tr*fiil;;iltJmlffil#H.THYTU*Hr:
d"t'o'gon 0t in, 6dftr or
n{$diry. sea AsbB!,tarlryG. s[b: **u,tu*rr."pt,ar.rc.u"apyeraq;ogrf*;;;. i ]
rCITAL pftoJscrco$r: {e"*:o BUtLDtNc HacHT:
:i:*sr;{-ft ilffiJffF,,:, - jlI^,I}:___
rorAL se Fr urvorn
noo}ffi i oi
iirijirTnr*
-
# oF
sroRrrs:
ACBESDIsTuRBED:
+'c ri'' " v' vrr
_.-..-:- #oFFLooRS;:-
*t*iuten*or;;-Etu- soFr 3:"lf:.]:3..1?TNGPERMIT?IJvEs nNo
25orr,.*r,
;',,,*;ffi $.{H:::'ffiffi
ffi'Ex;
#rq EFffiWt,ffi*;;#,#xE#***F*T** . ri(,,.r i-t. rn-, SSPARA"TE P;R},1II,s REOI]IFED FOR B,EC:
'^*u*' ** *' -
"u I* n
ff*.o *T^ilI
ffi:T #:il[,ffi sJ:$r##tu-,* *,^^ ^. ]"' .'
h
irr' n/;FX-,,. 51f(zzr, dNlp )
*zr, 3-,qr?m3t tC
-\(:
PT{}IE
Pts{t
/ (chrck
Al] rh.t repry)
Exrsr coltsrRucTror{:
fl/lr.renlrron
I REsovATr0r{ [.5!rrenrr.
lf
Ribcstion, is &ere a Narural Gas Line on the Current
Site? l_lYes l*lNo
__-7--
rf upFrr
- rhe shel.l Permit *: rs Elect poEer on )is Buildlne ffi*t E ruo
r**.r rs ,rrfilJlr-occ,rncy us,, flves $Jd "o*,,rFYas,}&atr,a3thcPreviou9occUpan(yType}.-h[ratlsthe-tieg0((upancyType}-
eil€n DESItil PRO78!SI0|{AL: pH:
. . r,lC
BE6
#:
-,:oEscRlPir0tlPr
MRK:{nuc/4
b-frsi,^tq drrl /a4 !{zlk^ib/t/,L/4 6l-irro E_l.r-:,ialre*WMW;*K rrrpelroo*o,nn .oooprr,nrflves Wt{-
-City:'tpiGTAl PERMTI FEE: $
vrrcur. urr-'. .1
*
^oii'{r-d,Jr$"#{ii
o)"''
*\5
PRO]ECT ADDRESS;
SUBDIVISION:
),ots-G los
APPLICATION
Number
(Offic€ Use)
RECE\V ED JUL O T 1015
ffi
APPLICANT'S M E:
DEVELOPER:
NEW HANOVER COUNTY BUTLDING PERMTT
APPLICATTdN TTPE; RESIDENTIAL
PLEASE AI,ISXER
ALL QUESTIOTIS APPIICABI-E TO YOUR PRO]ECT
,.project Responsibilit)/,
BLOCK
T:
5- l1'71
DATE :
*i
LOT
*;
zllt
J tt+'";
PROPERTY OT{NER,S
O,tt{ER'S ADDRESS:
COI'ITRACTOR:
ADDRESS:
t{ME:
5T:
EiIAIL ADDRESS:
PRO]ECT CONTACT PERSON:
SF
FT UNDER
f
ROOF :
T.TAL AREA
'q ,r, q( I
OF STORIES:
/
rs Any ELEcrnrcAL, pturlBrirc or rilEcHArrcal work Being Done
to the accessory structure? Z v", D4oIf the project
is a ReLocation,
is thene a Natural Gas
Line on the Cunrent
,ri, D G {*rs thene Electrical. Power on
this Building?[v"s [l Uo
OCCUPANCY:
ramr,r-v
fl ourlex TOUNHOUSE
LICEI.ISE :
rfY:
//).)A1tv+o- st:Jt,
ztp:Z*//
PIOIE
s: f ,.; ,Ja/t -//gt:(
l-l poor- qE:/
lyloecx .//) sr
- TOTAL SQ3 4z)ud).'
EXTSTTNG COT{STRUCTTON:
I al'rrnarror
I neruovarr2ru
! errenal neearns
I RELOCATTON
I{E}' CONSTRUCTIOT:
f] INtCr NEW RESIDENCE
O"
{*O"'A TO EXISTING RESIDEI{CE
"PLEASE CHECI( AtlD AIIISWER
BELOI'I
ALL TXAT APPI,Y TO YOUR PRO]ECT:
I arr eanncr
I suunoom
-
sF
sF ! orr eaRroe
sr [-l poncH
! sroRaer srro SF
OTHER:fl eneerxousr
-
sr
TOTAT HEATED SQ FT:
T0TAI PROIECT COST 1r-ess uq
i g
PROPERW USE
/
DESCRIPTION OFNOR(:
S:L:'!:"i::5: :lTlr,:i!:":.y.:rp:T,^?'"-,. ""0,p..-,,*"i"""il'l"Ji":f ff ffi1":lconlracbr inbmaron. "I{OTE: Any Wort perfomed yryfuptiab pemis
"irri" ir,V-io
rlion
orfi" NC SreE Bldg Code oE Subiecl
:r**)i*** ***,* **,r* x* **
***,r* **
f*ili i ii'il{ * * *****+*+ *** *:r:} *
******* 't** 'f 'i **,* **t* *** * *,t )t
*:k* * *,i*:r **rs rHE pRopERTy LocarED
r{ a rlooopurr?
I-'l yrs B ro
EXISTI]{G IIIPEBVIoUS AREA:
_SQ FT
NElt IHPERVIOT
S AREA:
_ sQ FT
TOTAL ACRES DISTURBED:
ExIsT LArttD DTSTURBING peRnrr, l-'l vrs
l-l rc
DATE:
(roR orrrcE usE qitY)
SETBACKS: F:
LH: RH: a.
ityrsED DATt O4l11/r2
BFE+2ft=
wArER:
E crrua
I coMMUNrry
svsrer,r
I pRrvArE t,,rEL!
fl crlrnal well
sEwrn:
p crnun
I .ENTML sEprrc
I enrvarr
,rorr. f, coir,UNrw sysrEr.,l
*** SE,ATRATE pERr4rrs REQUTRED
FoR ELEcT, r,rEcH, pLB6, cAs EQUrp, pRErABs
I rNsIRTs *.]
pAyrirEr,rr
rErBoD:
Icasr f]cnecK (payaBLE.
rr.l E*rir;;;;;r;, '-Erirrrr^"'trrr,"rr*
* *:l:r *l *+**,t'*,t** +**'l *** ****:| *** *:|* ******** 1**:r **:r:r,*rN*:r* * *
**,r:t** ***** *r*** *,*,* t(**
** *** **
ZONE:
_ oFFICER:
Approval:_ City:
Comment:
FLOOD:
PtI IT FEE:
,-a-S_
CITY:
PlioNE
s; </D -;Ur| - i)Ati'
NEt^l HANOVER COUNTY BUILDING PER!4IT
10rs Q*to
APPLICATION
t{umber
(office us.)
CHAI'IGE
PLEASE
APPLICATI$T |YPE (Check one):
OF USE OT{OCCUPANCY CERTIFICATION
AIISNER ALI- QUESTIOI{S APPLICABL€ TO YOUR PRO]EC]
'Project, Responslblllty"I DATE:APPLICA'{T'S MIIE:
DEVELOPER:
occuPAl{T/Bu5rt{Ess tlAttE :
PROPERW O{iIER,S AIIE:
CO TRACTOR:
ADDRESS:
EitAIL ADDRESS:
PROJECT COT{TACT PERSO]'I:
AROI DESIGI{ PROFESSIOIAL :
EI{GR DESIGI{ PNOFESSIOIIAL :
crw:
*:
s:
ST:ZIP iOT{NER, S ADDRESS:
I
crw:44
LICENSE#:
CITY:
ACCOUNT f;:*,LL@t,)*
Pror{E *: qP'?e0'19
PH:
PH:
NC REG *:
NC REG *:
DESCRIPTION OF }ORK:
and ordinancos and rcgulslions. The NHC Developmont Servhos C€ntsr will be notifi€d ol any changes in th€ approv€d plar6 and sp€cilicatioos or chanqe in co.ltractor or
"oiraaor
into.mation.--t,tolE: Any work p6rfomed wo lhe Appropflate Permils wlll be an Violstion of lhe Nc slste Bldg Cods and Subject lo Fines Up To 3500 0O-
check one:
! connercial
frResidential Is THE PRoPERW LOCATED IN A FL@DPLAIN?
[ v"t flqo
TOTAL PROIECT G05T (uss t'oo I I Mk
O}INER/CONTRACTOR:
rorAL AREA sq n, l0 l) o*ri'r'rl'rlio*,
# oF STRUCTURES |
-l--$
!!-TFLOORS: / # 0F uNrrs:
BUILOING HEI6HT:
-
/
IS FOOD OR BEVERIGES TO BE PREPARED OR SERVED IN THIS STRUCTUNC?
[ YCS
I UO
rs rHERE a MTuRAL GAS LrNE LOCATED ON THE PROPEiW?
EJ' E to
Is THERE CURRENTLY ELEGTRICITY oN THE BUILDING?
l-l ves plo
rrrArER:
! cFpuA
E coMtluNrw sYsrEl,Lbf RrvATE h,EtL
srwER:
f[ cFpuA
I cENTRAL sEPrrc
peirvare sEPrrc
E coMMUNrw sYsrEM
OFFICER:
**+ SEPAMTE PERhITS REQUIRED FOR ELECT, TIECH, PLBG, 6A5 EqUIP, PREFABS
& INSENIS
'**
ooTi[.i'*Hi----..8-?:1.-.,-8fl ::l.l'l'fl l:-r#],-,-8.T.1'.r:1T---ffYli:l--H#-'::[-
(FOR OTfICE UsE ONIY
SETBACKS: F:-
F LOOD :
TOTAL SQ FT UNDER
pRopERw
usE:
E orrrce
! RESTAuMNT
! mrncmrrle
I aer
! couoo
}ITIAT I{A5 THE PREVIOUS OCCI'PA CY
]{HAT IS THE NET OCCUPATrcY TYPE:
ZONE:
ADoroval: Citv: DATE:
*A,*-Z /b*<
REVISED
4/12112
. 8:_
BFE+2ft=
'/
,o
PHONE
Comment :
RH:
Hr ,.r,
t-\c-.-
P}ONE *:
PRO]ECT ZIP,.
(e
zff- t6'{1
?ots-6ttlt
APPI.ICATION
Number
(Offi(e Use)./
o^fEt
b-11. l5M'4E :
NEt^l HANOVER COUNTY
BUILDING pERMfT
APPLICATIUt|
rypF; RESIDENTIAL
PLEAS€ AiISUER
ALT QUESTIONS APPLICABLE TO YOUR PRO]ECT
"project Responsibilit}/,
CITY:PRO]ECT ADDRESS:
SUBDIVISION:BLOCK
f:
PHONE
r:
PHONE
PROPERTY O},IiIER,5 I'IAI,IE
:
OUNER'S ADDRESS:
LOT
#;
*,
ST:
_ ZIP:_
EXISTING CO STRUCTION: K
PHoNE
T: 0l?ltl-2?zg
ALTERATToN
I nenovarror
I erurnal nrearns
I RELocATToN
NEW CONSTRUCTIOI'I:
! rNtCr NEhI RESIDENCE
O"
! EOOrrrOr TO EXISTIITIG RESIDENCE
i.I.PLEASE CI{ECK AND AiISI,'EN BELOW
AI.L THAT APPLY TO YOUR PRO]ECT:
!arr caRacr
! sunnoou
_sF
sF ! orr eanacr
sr
I noncn sF
Ll,c
LICENSE
#:
:'!i',**;T"n *; *' tufiP'oz*r-*c,
PHONE
*r
5F
! sronace sueo SF
TOTAL HEATED
5Q FT:TOTAT SQ FT UNDER ROOF:
TOTAT PROIECT CO5T1r-essrory
: t ?,5@.A f OF STORIES:
PROPERW USE
/ OCCUPAT.ICY:FAMILY
fl ounlex
! rowuousr
DESCRIPTIOI{
0F lt 0R(:
sF
,rrr^, /Z
-s,
?VrngwAtlfr(
T0TAr aREA Sq
t lt
S(frt^-
FT:
rs Any ELEcrRrcAL, pLUiiBr'rG
or EcHAtucAL
work Being Done
to the Accessory structure? 6, Zrf the project
is a Rerocation,
is there a Naturar Gas Line on
the current
sit"l ! v",rs there Electnica] power on this Building? ffve, f] uo
Dlscl-AlMER|lherebyceniryhatallinbrms1ioninhisapplica6oniscorcc!6nd"rr"
:::#:[:l;flf"r'.:li,:*L""T[:,i'::fl:ilxx":":.::.,'":""':::ll;::ti;i:{;;;i;;idr;;,#."IIIil:#"ffi;:::"'"',:"T::H$","::-'ffi Hi:;#J; :
- fr^; -ru- "'
"' u:
ffiIfi : :"tff:
Wry"J'
rN
*,|,| ,*
* *,r **,r * *,N,r !r**i*** **** *(i
l'Il JiltJ * * **** **** **,*:**,1*,r****:i*:***
rs rHE pRopERTy r.ocATED
rN
l rtooonurr? Svrs
EXISTII{G IMPERVIoUS AREA: _SQ FT
NO
TOTAL ACRES DISTURBED:
SQ FT
EXIST LAND DISTURBTNG
,rR
rr, f-l yrS [-l rc
NArER:
f| creua
fl coMMUNrry
svsrem EI enrvarr we rl ! CENTRAT wELL
sEr.rER:
fl creua
! cENrMr sEprrc $ cnrvarr
,ro.ra I coMMUNrry sysrEr4
(FoR
orfrcf usE oritY)
SETBACKS:
F: LH:
COIIITRACTOR:
ADDRESS:
EI{AIL ADDRESS:
PRO]ECT CO''TTACT
I cnrrrxousr SF
E poor-
fl orcx
No
nto
NEW IMPERVIOUS AREA:
ZONE:OTFICER:
Approval:
*** SEPMATE PERMITS REQUIRED FOR ELECT, I.IECH,
PLB6, CAS EQUIP, PREFABS
& INSERTS *T.
paynE
r irErHoD:
Icosx lcnrcK (pAyABr.E.
*.1 D-iir;;;;;, 'tr.irJrio^''norr.or*
r** )t:*
**:**** * **)***+**:* +*:** *,* )t** *:tr * ***:r *,r*+
**:*+,*)t***** )*+*)t )t
*,r,t** r**,1,* * *l*r*)** )t,t,t * !t*
**,i*** **
RH:
-
B:
PTRiIIT
iEVtsEo DATE
04l1l/i2
BFE+2ft=
FEE: $
CTTY:
Conment:
_ City:_ DATE:FLOOD:
ffirn,-,
"Project Responsibility"
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: FACILITY LICENSING
PLEASE PRINT CLEARLY & ANSHER ALL QUESTIONS
,ols @n
APPLICATION
Number
(Offt." Llr" )
APPLICAI{T'S
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OWNER,S tlA E:
OWNER'S ADDRESS:
LOT
CITY:
5T: ZIP t
pRorEcr co racr pERsoN:
ZrLr"er F\eW "/ pHoNE
*:qb -Ltb-\qob
(CHECK Ar-t- n{Ar APPLY)
! nour-r
crnr ! ADULr cARE-DFs
I crrlo cARE-Home
! curro cane
cetren D(nlr
DEscRIPrIor{ oF }oRK: frL-6 zr.lSpt.\. .t
PHONE #:
DISCLAIMER: I horoby cerrii/ that allinformation in this applicarion is correcl and allwork willcomply with lh6 Stale Building
6nd ordinances and rsgulalions. Th€ NHC Development Services Cenlsrwillbe notified ol any changes in lhe approved
contraclor inlomalaon.
"'NOTE: Any Wo* Porlomed w/O th6 Appropriale Pormits willbo in Violation ol th€ NC Sl6t6
SIGNATURE :
,**,t,t*,**,1,i,l:i,t*:*,t ,t****)t*,t*a,*,t'*,*,*'t,*,t,t*'**,t*,*,t,*,*:*)t)r,i)**,*,*)i*,*,*,t,*,*,t,*,*,*,t,t)i)i*:*rt**)i,*)i*+:i
TOTAL * OF PERSONS UNDER CARE:AGE RANGE OF PERSONS UNDER CARE:
rs CARE To BE pRovrDED oN A 24 HR
aasrsl
I ves
I ro
IF NO, WHAT ARE THE HOURS PER OAY?
WHAT IS THE TYPElCLASSIF ICATION SPECIFIEDBY THE STATE LICENSING AGENCY WHICH YOTJ ARE APPLYING?
rs rHE pRopERTy LocATED rN A FLooDeLATNJ
I v"s $ruo
rs ELEcTRTcAL powER oN rHE BUTLDTNG?
fi ves
I H_o
rs A NATuML GAs LrNE oN rHE pRopERTyl
I ves
$ uo
rorAl sQ t: Z5OD
{.* PLEASE ATTACH A COPY OF THE APPLICATIOI{
& F IOOR PLAN YOU ARI SUEMITTING TO THE STATE *+
(FOR OFFTCE USE C[LY)
SETBACKS:
F:_ LH:
F LOOD:
RevIsED
4/12/tZ
RH: B:
BFE+2ft=
,orr,IrLl t,Zot{
PHONE
*:
EIIAIL ADORESS:
and allolher applicable Srate and local laws
r.lATER:
! crrun ! co!1MuNrry
svsrrr.r
! pRrvarE WELL
sEwER:
n creua
I CENTRAL sEprrc ! nnrvarr
srerrc fl col,ll,4uNrry sysrEM
**f SEPARATE PERIiIITS iEQUIRED FOR ELECT, IilECH, PL8G, GAS EQUIP, PREFASS
& IIISERTS ***
pAyrlEr'rr mETroD:
E casH I cxrcx (PAYABLE
ro
NHc)
[ arll rccour,n
fr ncrvrsa f] orscoven
ZONE : _ OF FICER:
Approval :_ City:
Comment:
DATE:
,J*rrr
rrr,
,-?d-
zrP:
Z8\ol
CONTRACTOR:
ADDRESS:
LICENSE f: ACCOUNT #:,rr. Utl^.,tQ- sr,!1-zp,_gyZ
OhINER/CONTRACTOR:
(P.tnt ilar€)
?€z
t5-l.t
NEhJ HA],IOVER CCIU}ITY BUILDING PERTiiIT
trPLICATTgl{ TYPEI RESIDEiITIAL
pLEASE AllStlER ALL SJESTIoiIS AFpLICABTE
T0 YOt R pRolrCT
oProJect Responslbllftf
APPLICAI{T'S l{AfiE
! ocean Blue Pools and Spas of Nc
DfVELOPER:
ocean Bl-ue Pools and Spas of NC
PROIECT ADDRESS: 3614 Rosewood Landinq -Dtrr\re CfW; castle Hayne
SUBDXVISIO[TI; River Bluffs BTOCX *: _ LOT *:
Pl0{rIE *: 9l-0*611*19?5
PI{O{E f: 910-?ee*3022
ZIPz
!!!
pROpERW (XS{ER'S l\l*}lE: uarianne Bonit
OOIER'S ADORESS : 3 q! .lBsEeqse-q,,!4qdr!rs- !r1yc CITY: Castle Hayne
C0IIITRACTOR: qqqtt B1ge, Poqls eld,g$ep, ol,!i!LICEiXSE *: 73?50
AI$RESS: 30
Covil AvenueCfTY: Willnington
EltAtL ADDRESS:
oceanblue6g€ymail. com
PROIECT COi{TACT PERSOT{:
,}iancy cqlls,s.o
ALL ffiAT APPLY TO YOJR P&O]ECT:
plmilE
P}MilE
ST: Nc ZIPz28429
ST: NC ZI,Pz 28403
*: 910-799*3022
f,:910-799'3a22
ExrsrriE cff{srRucrrox:
fJ ALTERATT0N
fl nrnwnrroN flerNenA- REpArRs
f] nrlocnrron
ilru cmsTRUCTrtr{:
fl enrcr rttErd
REsruEr{cE or
E morrror To ExrsrrNc REsrDtt{cE
rrplEAsr cxE(l( Aro fi{gl{Ei BgL&d
f]arr GARAGE
-
sF
f]suNnoon
-sF
[l noor- 2?6 sF
I sronaer sHED
-
sF
flcnemnousE
-
sr[Joecx 464 5FOTHER:
TOTAL HEATED 5Q FT: TOTAL SQ rT UIIIDER ROOF: TOTAL AREA
3Q FT:
-
ErnTOTAL pROIECT C$STrcer-ai
I $ zgrqge # OF STORIES:
_ ()
Is Any ELECTRICAL, PttfiBlrl6 or IIECHAiIICAL hlork Belng Done to the Accessony Structurel
[l Ves
fJ Xo q
If the praJect
ls a Relocation, is there a Natural Gas Line on the Current
Sitel
n Y* E ruo E
Is there Electrlcal Poner on this Building?
f$lv"r fl rno :e
pR#ERw usE
/ occupAflcy:
ffi sruele FAitrLy
f] ruer-ex
flro*unousr *=
OESCRIPTI0ff OF l{o*f,1 inetall in-qround pool (23' x 12') and stone pavers {4' on 3 gidee 10'
on -o
fl osr GARASE sr fJ PoRcH
-
sF
s
OlSCLAltlER lhemby cerffy {nat
sll inbrmstion ln
&is applkatm ic conact ard a[ workwi$ comply wilr &c Stal3 Buiulng Code and dl
otBr eplbabk SEt rid hcal lfis
and odintrlcr8
ed rcgdatoo$ Th6 NHC Deysh,pmonl Saryicos Ccnt&r will h6 no0fiid s, sfiy chauos in
hc 4prorlfd p{an$
sld 6p6cifca$ons or
ch*19,s in
conFaEbr or
con8elcr inbrma{on. -'lrlOTEr AnyWork Pwbrnod WllS
&s A0pioprisb
&nni6 wil bs in violatbn
ollh6 HC $lala Bdg Code and &biect b FinEs l$ To
$500.0S*
Ol'fiERICOHTRACTOR:SIGNATURE:
SF
r'tr,r!r*,r,r**** *r***,t,r!r *******JIffiJil"i* * *** *:F't * 'r **+'r*:t't *,tr*,r**,r 'i t,i !r{ii'rt **'t *$:t,r irrr,r *!rf ,r
f *ii,t,r:i
rs rHE pRopEBw LocArED xx A FLoooFLAil{?
I1'l ves 1r] m
ExISTrilG IfiPERVIOTS
AREA: 3+4,8 - - Sq rT
i{El{ I}iPERVIOUS AREA: 3872 gQ rT
TOTAL ACRES DTSTURBED:
EXIST LAHO OISTU*8I}6 PER'(IT! IT'1 VES
f3 rUO
I{ATERT
ffi crnua
fl cor'rmunrw sysrE}t
I nnrvarr wru fl crr*rrnaL u,ELL
sEHER:
ffi crnua
fl ceNrnal scprrc
fl nnrvtre srprrc
f] cou,ruurry sysrEr,r
(FOR STTICE USt 0rLY)
SETBACKS:
F:
**r Sf,pAltSTE pEfiilITS ftfryJlR$f fOfi €LSrT, I''l[{H, pLgS, 6*5 IQUIp, p&EFA85 & Xt{5,EfiT$ ***
pAyltEilr
nErloD:
El.** Ecres (pAvABLE
ro rlr) flmrnrcln GxpREss
E ol*ro fJorscorcn
*,i * * tt*'i
'l. i** tl*t** ***t **ti '***'i*:i ****!f .r* ** +i(** :lrl*il **+*** * * ****:f !tr
f ** * *,r)i t **)i ri
***,1* *,r
+**,i t **rl {.*
xEwsrD 0ATE suu,/12
LH: RH:_ 8:_ZONE:OFFICER:
'/ '/?zts-b1lrt
APPLI(ATIOIII
ilumber
(office Use)
DkrEt:2!gl!wLL
Approval:_ City:_ DATE
:_ FLOOD:
BFE+2ft**u
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATI(N |YPE (Chech one):
! cnance oF usE or Soccunmcv cERrrFrcATroN
QUESTIOI'IS APPLICABLE TO YOUR PRO]ECT
Responsibiltty"
CITY:
LICENSE *:
CITY:
&o tf- 6'lle
APPLICATION
NumbeP
(offt.. U5e)
APPLICANT'S M}tE :
DEVELOPER:
PRO]ECT ADDRESS:
O!'INER'S ADDRESS:
CONTRACTOR:
ADDRESS:
PRO]ECT COt{TACT PERSON:
DATE:
PIIONE *:
ST:
_ ZfPi
proE*:
tl>l'1?13.
ARCH DESIGN PROFESSIOML: PH:- NC REG *:
DESCR!DrIOi{ oF t{oR[: 't ga.nZ,"-' oC fV<.A-{ D<e-
*,7y6@
P}ONE *:
DiffilMER, th.r"by *,{, th"t"|l trf"-"rion in this applicanon is correr and sllwort willcomply wilh th€ Slal€ Building Code snd all olher spplicable Slate and locallaws
uia orain"nc""
"na,"grtrtion6.
Th€ NHC Dsvelopm€nt Service6 Cenrerwillbe nolified ol any ch€ng€s inthe approv€d plans 8nd sp€cilicalions orchang€ in contraclor or
ilnrlaaoi intor."tion.-*noTE: Any wort perfomod WO the Appropdate Psrmits will be ln violation ol lh€ NC StEt€ Bldg Code and Subiecl lo Fines up To
$500.00'-.,2
check one:
I conmerciat
/Residentiat rs rHE pRoPERw LocArED rN a FLooDPLATN? $vu flu"check one:
I conrmercial lzf Residentia] Is THE PROPERTY LocArED l a FLq)DPLATNT
y.r"t yJ :" /)
rorAr pRolEcT G0sT1r-essr,or1:
$- n / u ;z L/
or,lrrtER/cor{TMcroR: sTG ATURE: /Jzzz - z5'zZr/a "{\
(P.lnt [a'ie)
AREA PER FLOOR:TOTAL AREA SQ FT:
# OF STRUCTURES:
BUILDING HEIGHT:
TOTAL SQ FT UNDER ROOF:
UNITS:
* OF FLOORS:*oF
rs FooD oR BEvERAGES ro BE PREPARED oR SERVED rN THrs srRucrune I
f] v.t @ ruo
rs IHERE A ttaTT RAL GAs LrNE LocATED oN rHE PRoPERw?
E y9,
fln"
rs rHERE cuRRENTLy ElEcrRrcrw oN rHE BUrLDrl,lG?
Ll Yes lzl No
urarER:
f| ,rouo
dro*uurw svsrrm
I PRrvArE t,,lELL
irri*' I eeva,
-/cewaal sEPrrc [-enrvarr srprrc
fl coMMUNrw sYsrEM
ZONE:
aoDroval: Citv: DATE:
pAynEr{T
nETHOD:
I CASH
I cxrcr (PAYABLE TO l,lHC)
fieru lccounr I uclvrsr fl orscoven
)i )r,i +:l )**
'*
*)** *,* 't
!* 'i 'i:t )r***,t tr :i + * * *,t ** +:i,i *,**,**,t** *+'i+,*,1* **)***,*,i* * * :|,* ,( 't **,t *,t,1 *,t,* ,l:* )t,i *,r **+'t*,t*,t +
OFFICER:
(roR orrlcE usE olllY
SETBACKS: Fi- LH:_ RH:
F LOOD:
+*+ SEPARATE PERhITS REQUIBED FOR ELECT, MECHJ PLB6' 6A5 EqUIPJ PRTFABS
& INSERTS ***
REVISED 4/12112
B:-
BFE+2ft=
il
PERIiIIT
FEE:
,
pRopERrY
usE:
! orrrce
fl RESTAUMNT
fl r'rrncaNrrlr
!
!l'r
I coroo
IIHAT I/UAS THE
I,JHAT IS THE
PREVIOUS OCCUPANCY
NEtd OCCUPANCY WPE:
wpE:
Comment:
oCCUPAIIT/BUSINESS NAIiE:
-;;;;,-;;-;; -*, PI.NE *:
EI,IAIL ADDRESS:
NEhI HAIIIOVEF COUNTY
BUTLDING PERI4IT
APPLIC/TT&I ryPE.. CoI'II,IERCIAL
PLEASE At{SHrR
ALL qUESTIO}JS APPLICABLE TO YOUR pRolECT
"'project Responsibilitll,
APPLTCAiIT'S l|AilE:p61s;l-6ffi6iE--l
DEVELOPER:
OCCUPATIT/BUSIIIIESS NEltE :
PROPERTY OT${ER'S i{AIIE :
OflER'S ADORESS:7tP:
LTCEiISE
#:
152ffif'-:*1
CITY:
sr:|fiil zrp: [p+a6i*l*:tqWf*1J
*:
E,IiAIL ADDRESS:
PTENE
*:
1
427 Mititary
eutofrSurrelli
PlffirlE
*:
5T:
PRO]ECT COI{TACT
PI{}NE
pt0l'tE
i**** JS THIS
A CHAIlreE
IF Yes,
rfiat nas
the previous Occupancy Typel
ARCH DESIGTTI PRoFESSIoT{AL :
EI,IGR
DESf6'l PROFESSIOML:
DESCRIPTION OF I.JORK:
oF occupAr{cY usE} fIYES
lclothing/rerart I lfiat is
Exrsr col{srRucrrox,.fl. ALrERtrrff{ p *.rJffiffi 'fiStli'r*L REpArRs
ft nrlocarron
lf
Relocation,isthereaNaturalGasLineontheCunentsite?
py*= flr.ro tsBLDcspiiilxrineoiffiv* EI"o
HEtd
cot{srRUCrro{:
fl enrcr ilEH
srRUfiuRE fJFAsr rRAcK
f] sner-l
fl unrrr ;3 aoo
ro Exrsr srRrrcruREACCESSORY STRUCTURE:
If UPFIT .. The
Shell permit *:rs Elect poi{er on
this Buitding B ves f] *O
ls food or
beveragos prsparsd or
senred in
rhis s*rrrtr.reZ
E ves
f] r.ro b The pmperty Locstod tn
Tha FloodSain?
f] yes E] ,u*
i,fiffi,H^l f,|o"H?t:",P, },,'i ?U;BLHiiT,]: 1fi'a"BgtrXffi:."ig;tr:Ayc"Jllg1* yr,,comdv with rhe
s,",e
u"iloltg
^c*:^^:lg:pq*epdicabre stare
SffiFlqsngl[f+"Jg{trt$?.qor nrormaron
"'NorE
h"r-w;;-kp;#;ffiil,1fihJifi#,,$,i#i}#"}H;ffiF#'}*ii#gehflfuSagTf,
ffiffim?iffi"ffi3ffiimtrYflT:]jgYg:gTT{gu*rornr{D}rH$-s7s8}wr*u,€rther,*cirityo{h,irrk€$,astoundroffi iffi ,:#J
;ffi:?#go;l;H*m emeshn sta
Ja,us;;
*i*i,;J,H#il iru;ild;;ffi
itrffiT ffi ", _I#:mT*dornolltlon ol any facillty or building. S6e Asb€stoc W6b Sits:
TOTAL PROJECT
Cosr'
lrG,frill BUtLDtNc HETGHT:
Fs-l
TOTAL AREA
Se rr : [ia-'ii-l Se
Ff pER FLR:
I [-l pg *****
the Ns occupancy
rypel
lGiffiii---l
PH:[EE!ffi--l rc
PH:
---
ffc
SIGNATURE}
RE6 *:
RE6 #:
OWNEFYCONTRACTOR:
(Aialtnr)
TOTAL SQ FT UNDER ROOF:
ACRES
DISTURBED:-
NEW IMPERVIOUS AREA:
fr
tPrtr* Flsfn€)
#OFSTRUCruREr--
#
oF UNITS:
fi-f
# OF
STORTES:|1------I
#OF FLOORS:
SO FT
(FOROFFTCE U$EOHTY)ZONE:-OFFICER: ' s',*l}K;;:-" , Lr. r,Lr. Rrm$EnoArEirlri1znpp,uvil*civ: **;^rrl- $ffiffI:
r:-LH:-RH:-B:-
T-*TtuBFE+&_
2DSJaL{VY
15=529
APPLTCATIOT{
Number
(Office use)
EXST |-AND DISTURB|NG pERMr?nyEs m NO
SQ FT EXSTTNG IMPERVIOUSAREA:
PRoPERTYUSe: floFFrcE EIREsTAuRANT f]mencnrnLE IEDUc
[nrr f]mr.roo orHER:
I't/ArER: mcFPUA DcoMMUNrrys\(srEM
_trwElL flzoNrNcusEcr_AssrFrcATrog:sEWER:
mcFRA flceNrnar-sEpnc flfifueresEmc n6Muirmrriiiieu
PAYME*Tr ff necoven
N
PEHMIT FEE: $
Csmment
CITY:
CONTRACTOR:
ATDRESS:
APPLICANT'5
oEvEr_opEn;
(or \t- lt61
NEr^r
HANovER
couNry BUTLDTNG pERr{rr -lols- GN(
applrcarroN
rrpr: RESIDENTIAL
PLEASE ar{su€R ALt- QuEsrrols appl-rcaBlE To youR
pR6JECT AppLfcATIOl{
"Project
Responsibillty'' Numb€r'
(offi.c Use)*rr
DArEt {-?t
PRO]ECT AIDRESS:
SUB0IvISIOt{r
IS
ztp:ZEIZN
LOT
f:
PROPERTY
O{I{ER,5 MI.IE:
B*YC .\
ol Ei,s aDDREss! Plo E
*:
-
CITY:
co mAcroB: >qz{atJ lW O9*x7 _ LrcENsE
s:
Xii"#,,!ug%W.i€6.,^*,^..-\;;;ar'zM-*,v-2p8,/4EitAf L AIrDtEss: to'r'Y**
PROJECT COMIACT PERSOfl: /1,{,r [i= C,<--ag!- ; . - ;..^o,',
,-r-,_ ...,n_-o- ,-
pHONE
*:
.{ lO _
61r__XlZ)
EXTSTTNG CO STRUCTTON:
! a.reRarroru
[ neuovnrror
I eerrnrl neearns
I RErocArroN
SF
6po
(foR
orflct usE qi!Y)
SETBAC(s; F:
LH: RH:
lEwsED DAIE 04l11/12
8:
BFE+2ft:
il
PTI IT
I{EN CO STRUCTIOI:
I rNrCr NEW
RESIDEICE O"
I ADOrrrOrr TO EXISTII{G RESIDE CE.TPLEASE CHECT AID AiiSUEi ALL II{AT APPTY TO YOUR PROJECT:
SF OTHER:
TOTAT HEATED SQ FT: NO TOTAT SQ FT U DER ROOF:
Abo ToTAL AREA sQ FT:
ToTAL PROJECT CoSTqressroq
| $ qacr."'# 0F
STORIES: I+-rs any ELECTiTCAL, ptUnBrNG or tlEcHArJrcAL
work Being Don€
to the accessory structure?
[t-v", I mrf the project
is a Rerocation,
is there a Natural Gas Li.ne on the cunrent
s*-, n *- 'gd
fs thene Electnical pou,er on
this Building? [ v", ffio
pRopERw usE
/ occupaNcv,
! srHcr,r
rlmrlv fl oupLrx
D roIJNHOUSE
DESCRIPT!oi{
0F }'ORX:
3l::fl:f*' fff:ilr#".l ?iJilfJHtH*f ,Ul*:*"*',.o".0snd ordn snces snd resu lBtons Thc NH
c De
vetopment se rvices c€ nte r
wiI be n"rr.; ;;;r-;;;'' "'"' "'s e
c E DU run
s wot .nd 3ll oih€ r aootrabre staE snd rocsr I
contrscbr inbmrion.:-t{orE:Any wort pqf,onneo wo fie ApDroDrrEE pem," -, "" " "",,11"^i.lu#'j-*o
d"nlAtr""'*rions oichange rn
conrracor orcontr&br inbmrlton. riNOrE:
^ny
wot:gfiaftned wO fie App@prrDE pe,in* *,r, i"lif-"r"i"" o,r," NC SreE alds
OHIER/CONTNACTOR:
S IGNATURE 3
rs THE pROpERTy TOCATED
r a FLOO0PT
IN?
E yEs Wrc
EXISTII{G IITIPERVIOI,S AREA:
-sQ
FT ToTAL AcREs DISTUREED:
NEW IT,IPERVIOUS AREA:
_SQ FT EXIST
t "-
uArER:
! crnun
! coMr,ruNrry svsren
w{war, ,,r.'
Jl:,:;:::r"
ptnnrr' l-l vrs
E ro
sErrrER r
fl craua
I CENTMT
sEprrc fl4-nrvare ,rrrr, g- aor*rrr, ,rrr
'*+ SEPMATE PERI,4ITS BTQUIR ED FOR
ELECT, ECH, PLBG, GAS EQUIp, PREFAOS
& INSERTS **rpAyilEirr ETHoD:
E cosx El-crrcl. {l*.or., . ,*;- tr ;;;rcar{ ExprEss E ncurrsr E orscovs********:l*+*tr*******:r*+****+*:r****,|+*****+**+***r**********.******-*ri.*l'*'*'il****H*****
ZOI{E:
_ OFFICER:
ADDrova.l.: Citv:
Comm€ nt:
BE LOI'
SF
f] arr ermer
I surunoom
-
sF
fl eoor-
_ sr
f] oer
ennaer sr
! eoncx
[f'sronae r sneo
laso st
...-__ sF
! eRerwousr
_ sr
! orcx
DATE:- FLOOD:
rEE:
I
84376s7446
dctl; c,JS I
is-\abLt
APPLICATIM
l{uuben
rffi
MTE:
CIrY: ii.:t;- \ i;ks*[i/:zt?. t.(i{'2.
tccd,ilT
f:
* a**'t*al*** t ****tt**+*a* t*+**
ri*f,t*ttlt*t***r+***a ********rt*t* ***:i
May 05 15
08:50a Lowcountry Signs
r RECEIVED MAY 0 7 2015
PNO]ECT ADDRESS:
OCCIJPII{I/BI SINESS
Mi{E: -l
PNOPERTY OI8{Ef,95
O3[TER'S ADDRESS:
GDTTRAICTOR:
ADORESS:
NEhI HANOVER
CflNilTY BUILDI}IG PERI{TT
APPLTC,TTOI
ry"f.. SI€ilS
/ BITLBOARDS
sfloflE
#:
(illt'illt](tttt1 ZIp: 3 ?iC3
-------T--
4;.;i - --RopE
#: -lcl -7t7-L,571
PSOIECT COIITACT PERSOT{:
PlloflE $:
lq:s '7c\t-'v )?/
DESCRIPTMT OF IdORK:
rs slgtl(s) ot{
ffi oFF PRE}II5ES?
'oN
[orr
DISCIAI}IERi t hsoby
eltty ,Eta! lnfmatbn 1n ,li8
€ppll€lim is ffilcr r.rd dl sk willsCy tifi tD StaB 8lildng Code end
.fl ofier appJisb,o
SEb
ed st brc
ard orclmnrc 8rd ra0Biaions Tns
I.l{C O€vdoFngn
Sruis C€r,Df will b€ mtfcd qf 8ny otEog€ io u|e argoed Clc *d Gp@fcgtorE ct chsng€ h cofiuadDr q
sTr--/-
zlpt
Sciitc-j
PlrotrE #: 7i,?€; .1LiLii," { rr.j)\
TYPE
0F SrGir(S)
fJ rxessrnuoruc (6,.ound)
I snnclr[ ryu*t. flmo:r<rror E nmr
lil/[tALL LI CnnOpv LIoTHER
Totaf llur6er
of Signs on this eroject: -1.
SIGN 1 He1ght: Sign Dimensiont, -5 X k' Total SQ.F*.
of Sign: LtJ
SICN
2 lleight: Slgl Dlrnensions:-X_ Total SQ,FI'.
of Sign:
SIGil 3 lleight; 51gn Dturensions:_ X_ Total SQ.FT.
of Sign:
SICN 4 Height: Sign Dinensions:_X_ Total SQ.F1'. oF Sign:
, .,_j.' i'- /
TorAL PRoIECT cosrr
7 "2e2 rs rHE PRopERTy LocATED rN
A Fl@DpLo:u?
f, ves E *o
Appnwal:_ Ci
PLEASE PRITfT Cr-EARty
I AlJSrfR
ALL qlJEsTrOrE
subi$rE Fio€6 r.Jp
Io$500,to-
-/'
pAyHEt{t
tiElt{0o:
f! casrl fJorm (pAvAELE To r$c) flerlr Accourlr
drr.r*rn I orsconn
,*8,[il;;,
{,itr tnspecfi*n **qurrea, $l
il'Z}d'ffir})
PERfiTT
FEE: S
;i: i...-
.:"
APPIICffT'S
DEVELOPEft:
do,
EFIAI!. ADORESS:
(CHECK
ALr-
Tt{rT APpLY)
cqla"co: in&marbn
0*{ilER/COI{TRACIaR:
(roR oFFrcE
ust REvtsED
darE r/38/12
a: fllfi