AUGUST 20 2015 BUILDING APPSClU)
APPLICATION
ilmben
(Office Us.)
C[TY3 \4/,lt1,ur-i-n^ ST:NC ZIP: .:2Z} tJO i
LICEiISE #:
CITY:
ACCo[,NT #:
ST:ztP I
PHONE *I
(pth"u'1
and odhanc6s ad Egulalions. The NHC Dalsbpm€nt Selvics C6nErwillb€ noifu of any c*rdupa h th6 apprcyed plan6 alld 6p€dllcaton6 or ch6ng€ h contebror
con!'elrr inbrmaton. "$IOTE: Any Wo* Per6.med Wy'o ho ApploprlaE Pelmlbwll b€ in Vrohton of d.te NC
SEb Bldg Coda €rd Subjact b Fin€s Lh To
l500,Cl(1"
oHNER/coNrMcToR: KoAlertl,le luluheu SIGMTURE:
(Prtnt iht.)
'rt*t +** +t+t+* i +*t ++ +* +** *+*+*++*+ ++++ +t+***** *** * +** *+++ +++ * + +*t*l* ++*+ *** t++* **** *** t++
REt4rsE OATE r4l11/!t
------- B:-
BFFr2ft=
J,**r,r-@-
Pezls-at[
NE.'IHANovtR j3'SJ-?3,*?l$ff "tlf
$l{sJ*srrtQls-,
zorur: P-3 oFFrcER:
Comnent:
pLEASE At{SltER ALL qJESTIO}|S AppLICtBLE T0 yoUR PROIECT
cProject ResponstblUt!,"
'x4:1v
APPLIcA
T,s rui'rr, l,-(ailil,ure Aryrntl-- Ma,ha,u oarr:
DEVELOPER,
PRO}ECT ADDRESS:
SUBDNESIO :
CIWI
PROPERTY
Oi$IER'S MIiIE 3
PIOI'IE
#:
ohrNER,s ADDRE5S
t Lt* 5- ,3rA
coilrRAcxrR:
c.:lues (cru,rra.:)
AIX'RESS:
s{tEL ADDREIS I
PRO]ECT COMTACT PERSON:
Eh, cof6THrTI0r{:
I earcr Eht REsIDEilcE or
[l aoortcl To EESTT G RESTDE cE
.*PLEASE CHBC(
AII' A S#ER BELOI{ ALL T}IAT APPLY TO YOI,T
PROJECT: gT\
[arr cnneae
-
sF ! oer cannoe sr
! noa+r
-sF
F N
;-trnnor,r
-*
E poor rr 5 ,roneoe sHeo-,,
=''^-(-I enerurorr
_ sr I oecr
_ sr oTHER:
_ sF 3 -i,
rorAL HEATED
seFr;
4?-o rorAL se Fr u DER R@F. 42o rorAl AREA rq rr, 4zon5
ToTAL PRolEcT CoSTlressr-o4
: $ 3.BOO O o, ,IOOO, ---.,[-
-=N
Is Any ELECTRIGAL, PUJltBIilG or llECHrlt{ICnL tJork Being Done to the Accessory structure?
[l V", I f.fo H
If the project
is a ReLocatj.onr is there a Natunal Gas Line on the curnent site? fives Qruo G
Is there Electrical Power on
this BuiLding?KlYes I no
pRopERTy lrsE
/ occlrpANcy:
! srnele rar.nr-v
[ ruelex
! roumrouse
PHoilE *: 111."t+'1, Bi54-
oGsTr G coflsTRucTroir:
[l alreurror,r
! nerroverrou
I e elrenai neenrns
I RELocATToN
ru/$---
DESCRIPIION OF hIORK:
DlsCLAn ER I h€€by crnit hat all hbnnalion in hie app[caton b c!.nct and all t$rk vJll co.nply wih lhe SEIBCoda and Ell otl€r appkrblc SlrD .nd local la16
rs rHE pRopERTy LocarED rN a FLooDpLArir?
n yEs KI r'n
EXTSTII'IG ItitPERVIot
S AREA:
NEI{ IfiPERVIOITS AREA:
MTER:fi crpun
E cou'4rJNrrv
svsrsm
I pRrvATE wELL
! cerurnnl wer-l
ssutnr
[l cFpuA
E CENTML sEprrc
I enrvlre senr:c
I convruNrw sysrEf,l
+,Ic sElafrarE pE,r/'{ITs REQUIf,EO FOt ELECT, ltEch, pL86, GAt Equtp, PREFABS
& IIJSER?S *3r
pAy Erlr nErHoD!
E cnsr
E cxrcr (pAyaBLE
ro ruc;
f] erll rcccurr [ rcfvrsr [orscocr
**fr* *+*
*{.********a*'**{.rii{.i}t Lirrr,}****rl|.l|l+rilr*fir* r.i.tt{.rt* *i*t l|!*lr*****ilfi +*** *** t***i***iti*f*
(foa orEtcE usE or!Y)
SETBACKS: F: LH: RH:
-SQ
FT TOTAL ACRES DISTURBED:
SQ FT
sIsT LAID DTSTURBIIG PEruaIr:
f] yes l-l no
-Dtm9ovw:ns - 31
'x l5t/.t
P}0{tlE
#;
BLOCK *: " LOT *:
ApprovaL:_ City:_ DATE:_ FLoOD:
_ _AV
NEt^l HANOVER COUNTY BUILDING PERI4IT
APPLTCATION TYPE; COMHERCIAL
PLEASE ANSWTR AIL QUEsTlONS APPLICAELE TO YOUR PflO]ECI
ffis-1Y1;
l5-l\I/
APPLICATION
Number
(offlc. use)
orrr,7/Xlr(APPLICANT'S NAME:
DEVELOPER:
PRO]ECT ADDRESS:
OCCUPANT/EUSINESS
PROPERTY OU\IER'S
OI.JNER, S ADDRESS:
EIiIAIL ADDRESS:
PROJECT CONTACT
',"r'ff*t
PHONE f:
If UPFII
- The 5he1l Permit #:
.**.r 15 THrS A CTANGE
IF Yes, uhat ulas the p.evious occupancy Typel
f| ves EI*o
ARCH DESIGN PROFESSIONAL I
€NGR OESI6N PROFESSIOTIAL:
# OF I.JNITS:
BFE+2i=
N
PERMIT FEE: $
or b{ikErg was foiJrd lo
-595i at Lssr 10 dayr Fio. !o t'.
SQ FT
ZONE:OFFICER:
App(ovd:- City:-DATE: FLOoD:
"ProJect ResponsibiU.tY"
LrcENsE s: 5lU)0
cIrY: Ll,\rq,^.l,A sr:
" PHOttE #:
'tktl \(
sJ.-.UZJ
(Lne. r A11 _rrt Ao0lr
EXIST CON5TiUCTTON:
n ALTERATIOI
I neHOvarrol
I erruenal
lf
Raloca{on, is there a Natural Gas Line on the Eirent s,ruu
Ivei-f] llo
neparns l-l RELocarroN
rs eLoc spilfxrrneor
f] vur
I r'ro
-J
NE!.r coNsrRucrror,r,
ff enecr NEul srRUcruRE
I rlsr rnacx
I sHrr-r-
[ uarrr
I mo ro Exrsr srRUcruRE
AccEssoRy srRucruRE r 14l "\. l,jld,rg
DESCRIPTION OF I^,ORK:
ts fmd or bsv*8g66 prepar€d
d Bdv€d in lhis Eulrn-rae
Iv""fttno ls Tho Proporty t caod ln
DISCLAIMER: I hereby c€rnfy lhal allinlormat on rn lhis apphcaiion is.ofiecl and all work wli
and local laws and ordinances and reoulalions The NHC Developmeht ServLces Cenl€r will b
or "hanoe in contradoi or cont,aclor
Subrecrlo Frnes Up To 6500 00"'
OWNER/CONTRACTOR:
(adl1r.,
SIGNATURE:
l,lolor Domoli{m m0licsriorB ll esb€slos rqnov6l p€rmh spdicalions 8ra !o b. submit€d llsir0 tho applicslirt lo.m
coni.ii a!b.s@ or mr. Yolr 610 rcquhsd to csll lh6 NaiknEl Enrhslofl sBie.& tuf l-lesrdoG Alf Polll,ad. (NEsltAP)
d.rnoliionolanyfacilltyorbulldlng.SaAsb*tdW.bSir.:tnFJl^,ww.6ti3lat.nc.uJ€d*b5tB/aimp.Hml
rorAL pRoJEcr
cosr, )11 \ 7,q I
0 BUTLDTNG HErcHr: -15'
TOTAL AREA SO FT: i0, trL{ SOFTPERFT-R: il)Jli{ # oF sToRlEs: I
TorAL se FT UNDER RooF: (.,rI- *or srRucrunEl--*T- roFrloons: --f----l-
ACRESD|STURBED: l.5J- Exsr LAND DlsTURgtHc penMrr l-'|"=a (nro
NEwlMPERVloUSAREA:-]6.],./.4}-SoFrD(STlNGlMPERVloUSAREA:-
pRopERryusE: f]oFFrcE lnesnunrun fluenctrtrc []eouc [err f]cottoo orHER: ll- A
WATER:
#CFPUA Tl coMMUNrTv sYsrEM
[ ] WELL EzoNlNG usE cLASslFlcArloN:
sewen:
E'crpul fr cer{rnAl- seertc fle-nvrrE sEPTlc flaoMMUNlrY SYSTEM
'''lii,r'nFnrll'h.'Lllirrill.tllrli'lfol-Oli:lf(:T LlECIi ptila,,(,na'i:(llri':Jit 'li:r:.t rJlil-'l1li '
pAyMENr METHoD:
flc,osH flcuecx lRrvmLE ro NHc) f]euentcru exeness
f] ucnrtsa flotscoven
(FOR OFFICE USE ONLYJ
SETBACKS: F:-LH]RH:_ B:
Is Elect Pourer on this Building/.
occuPAr{cY usr t
I ve
s EFo ""'
What is the Net.r occupancy TYPe?
NC RE6
NC RE6
6nd allolher applicable Slale
roved olans and so€cillcarions
or rhe'NC Slare Eldg Code and
Commert
RE\,ISED DAIE IIlI/I2
CONTRACTOR:
ADDRESS:
actS-'t7Yo
pe
z 1i - ?og1
APPLICATION
llumber
(Office Use)
Dare: &; S..a , t
PROJECT
ADR PI0NE
si F/"8
= .CrTY.
il i {.^:;?h- l,-
<:*-mVo?SuBDIVISIO{: JoFp,a-k - /re alPi
PI-ONE
#:
APPLTCAIT'S
DEVELOPER:
NEt^, HANOVER COUNTY BUILDING pERtvtIT
AppLrcArrov rypE; RESfDENTIAL
PTEASE ANSI.JER
ALI" Q{JEST]ONS APPIICABLE TO YOUR PROJECT
Act€.
I o,u-
"r*, o,
ita&rrOfrtlER's
ADoREss:
%sri lerp: LWd?COITRA€TOR: LICIiISE
*:
E;AIL
ADDRESSI ST:
-
ZIP: _
PRO'ECT COT{TACT PERSOT:
EXISTIT{G CO{STRUCTION :
Pror{E
f:?/d t/2-€,6//
f] aurenarroru
[ nrruovnrror
I ceruenal REpArRs
D RELOCATION
NEH
cot{srRucrroil:
I rnrcr NEW
REsTDENcE
or
I noorrrou
ro Exrsrr*G RE'TDEN.E+.PLEASE CHECr
AfD AilSIER BELOI.J
I I ATT
GARAGE SF
f]surunoom
-
*
flenernnousE
_ sF
TOTAL HEATED SQ
FT: q TOTAT SQ
FT UNDER
ROOF: ?6q TOTAL AREA
SQ
FTI 3GVTOTAL PROIECT COSTIr-esslor1
i $
_Q. Xxr"' # OF
ST'RIES: /
YOUR PROJECT:
SF
SF
I eoncr
- sFp sronace SHED Zt O
OTHER:5F
SF
SF
"Project Responsibility,,
OIINER/COilTMCTOR:
STGilATURE:
'*'r)i*,rrirr**+**+)r+*r****,i*****(IiTlJifJ********!*)r)t*)r***)r********,r:r***rr******!r******tr***+****
rs rHE pRopERTy LocATED
rN A FL@DILArN?
fl ves E no
Is thene Electrical
PROPERW usE ,/ OCCUI
DESCRIPTION OF hORI(
ZONE: _ OFFICER:
Approval:_ City:
Cormnnt:
able Stab and local la./s
(r08 oFTICE USE OrltY)Rtvlsro oArE
U/17/7?
SETBACKS: F
:_ LH
:_ RH:_ B:_
BF
E+2ft=
N
PERJ{IT
FEE: $
EXISTII{G IttpERVIOtS AREA: _SQ FT TOTAL ACRES DISTUREEO:
NEI.J
I!,IPERVI(US
AREA: sQ
FT ExIsT LAND,DI'TURBING
,i*ffi ,,, E To
I'IATER: $a,oro I com'rur,rrry sysrEM
! nnrvarr
well I cerurnal we
ll
sEwER:
fi creur
fl cerurna.
sEprrc
n;r;;;;';r;;; L .*rr*rry sysrE,
r" SEPARATE
PERtlIIS REourRtD FoR ELEcT, rilEcH, pLBG, GAS
EQUIp, pREtTABS & INgERrs,-,PAYriErr
nErl.oD:
l]l casn
flcrtcx (,A'ABLE
r,
,*i- t] J.*r.* ExpREss
I n.zrrro l-l orscovrn*'t***tl**:t******'t**'l**'i*:******:l't******,i+****++,*++++{t+,rr!i,}*+*****,t**)t**r***,rt)***!t**********
-
DATE:F
LOOD:
I eoor
DBCIJ{$IER I
heroby
corrit ha.t a[.inb-rmafion in
t ,
:::ffiiltffifr.*i,,Bll]*"Y:,Tf.*:TL{T;":conto,*,r ie norn"J"'",r.r,i*s in the app,oved n,ai<end s@.i,,
STNGLE FAMTLy
I ouer_ex
f] roaruxouse
A
JUL
31 2015 i
Up To 3500.00..
NE!{ HANOVER COUNTY
BUILDING PERMIT
APPLZATZAil
mE; RESIDENTIAL
PLEASE AI{SHER
AtL q]ESIIO,IS APPLICAELE TO YOUR PRO]ECT
'.pnoJ ect Responslbilit!/,",ElS "l'--;::,/
APPLICAIIT'S iIA!{E:Qqean g.lue pool"s and g?Ss of, IIC - DXf6]
rll/2olao:}L
PlOlfE
fi 910?993022
%
SIBOMSIO{ Lrry: wl.tmlnsron zxp! 2S4Os
PR@ERTY O}T{ER,S
tIAt,IE:
Jeff watIs
.rrrrrDr< irhDErc. -;:^- - PloilE
*: 91036?121"4%
(xi{ER'S AIDRESS: G72B Ember wood
Rd CITy: wllminqron
C0{TRACTOR! ocean BLue pool6 and
spqs
of r;sc LICEHSE
S: ?3?60
ADDRESS: 30 govil Avenue CfTy: l,lilrr:inqrontflAlt ADORESSI Pmil€
*! 91Q?9e3Q?a
PROIECT C0ilfTACf
PERSS{I pau]"tne
punne pHmlE
*i slolsstgzz
Exrsrrt{G corlsrRucrroH: m ALTERATT0I{
fl nruovrrroN flerrurn*r- REpArRs
fl ne
r-oclrrom
tlEH
c$lsrnucrr(H:
fl rnrcr ilEtd REsrDEIrrcE
or fteoorrrou ro Exrsrri6 REsrDEilcE
*.PLEASE CIIECI(
AlD Ails}IER BELft, ALL THAT APPLY TO
Yq,R PRO]ECT:
f] arr 6ARA6E
_ sF f] orr
oARAGE sF fJponcH
_ sF
flsurunoor
_sF E] pm.
,r, T- f] ,r*ouiG _ sF
flenrexrarsE
_ sF [t orcr
:ea sF orHER:
-_
sF
TOTAL HEATED
5Q FT:TOTAL 5Q rT UilDER
RSF:TOTAL AREA
$Q FT:
TOTAL PROIECT COST6cecla1
: g gr.so-o.o.q * OF STORIEST
rs Any ELECTRTCAL, PLU!'18ril6
or ltECM,t{rcAL
uork Belng oone
to the Accessory structure?
ft ves E norf the proJect
is a Relocatlon,
ls there a Natural Gas
Line on
the current
sill n fi E nors there Electnical poxer on
this Buildingl [-'l yes El r,
'a
7m(-)a
m(:,
C
t\9
@
Fit)iet
ETExrsr LAilD DrSrURBrr{c pERr{rrr
rJ vrs
f3 uo
Rtvlsro UATE
O1/L1/L7
B:-
BFE*2ft*
tl
?ez
ts-tq8l
gcrl-?try7
APPLICATIO'{
t{uffier
(offtce Uro)
STt Nc Zfp! 284os
$Tl s€ ZfP: 2q403
pRopERw usE
/ occupAltcy:
fl sruer_r
FAfirLy
fl ourlrx flrouilrmusr
DESCRIPTIOT{ OF }&BK:
rh- .t*-.. -*-r,r *.*,r,-.'*jrl .*rrr* *.ta oqer tqq€ e"t* *ith }"tah $4,,h
3::*1]ff] IIb:l.:,Yl: :l1mT:ton tn
hrs srprharon rr
cor.ct and
"n "o* *$ *.pty wih he srar
##m:ffi[y,qfr*.'j[i[:?Yjg*XY3_f3jr^Tj:y{:11;1.9i.1e""r1 n' 1p.oa p'i'j,y sp.crrcarhnsorchd,soinconrecbrorontrcl)rln6'm.ton.'*ltlorErAnvworkPorbmcd wic h.Appropri.b p.rmtbwilt bo r,vr.rili "ir,"Ni&;tffi'c#l#!.ffiJ lJp To
$500.00-'
OAINER/C0NTRACTOR: pauline Dunne SIGO{IITURE;
*t****:t*****+:it,t*'|r(*******#l'IlrlB??*********r*r,t:l***,|,r,1*!i*******/*****.;r;X;;
rs rHE pRopERTY LOCATED
ril A FLOOOPLAI|TI
ff Vrs
EXISTXI{G
I}lpERVrotS
AIEAI rs*e ,- SQ rT
t{E},,
$pEAVr0uS Af,EAr
f JrqpffiQ rT
lrArER:
[J crrun
f] conruHrry sysrEm firnrvnre ueul
ft ceurn*l
urll
SEl,rER:
ffi crrua
fl crnrnar-
sEprrc
fl nnwarr sgprrc
ft cor*urrry sysrEf,l
*r* SEPASAIE
PERitrlS REqJTRED
FOfi ELf,CT, !iECH, p186, 6A5 EQrrrp, PSIFASS
& rilsERTS *,r*
pAynEin nErH0o:
fl crsn
E oro (pAy BLE
* **1 tr;;;; ;;;;;, --tr;;;;; ' -
m DrscovER**** *'t:i *:t*:l************+'l* ***+ *'r:t|r*****:|****'i:i,t* *!t*,1***'tl},t**** ****rr:i!t**,r***t***,i** {.*****
zot{E:
_ OFFICER:
Approval:_ City:_ ,.
Comnt:
(ron orrlcE usE onLY)
SETBACKS: F:
EI ruo
TOTAL ACRES DISTURBED:
DATE:_ FLOOD:
LH
I NH:
PEru{rT
rrr: f.
DEVEL(FER:
v
@
APPLICANT' S
NEW HANOVER COUNTY BUILDING PERMIT
APPLTCATTaN IYPE: COI,IMERCIAL
PTEASE AflSl,lER
ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"ProJect Responslblllty"
NAHE: Harold K. Jordan & Co. Inc.
DEVELOPER! .New Ilanover county schoolg PHONE $l
PROIECT ADDRESS: 4305
shipyald Boulevald CITY: wllminqton
OCCUPANT/BUStNESS NAME :
PRoPERTY ol,ll,lEn'S NAtilE r
OIIINER'S ADDRESS:CITY:
CONTRACTOR ! ,larold K. ,fordan 6 co. rnc.LICENSE
S: 25431
ADDRESSS 5129 oleander Drlve
suite 201
CITYI t.lilninqton
EtilAI L AoDRESS
: j
zabris k.ieohki cons trLrctlon. com
pROlECT CONTACT PERSON: lotrn zab!iskie
(Che<k
Al1 That Apply)
ao rS-
, s<?
15-1580
APPLICATION
Number
(Offlce Use)
DATE: 06/10 / 15
ztPtry
Hoqqald Hs Baseball Presg Box/conceasion sland
New Hanover
Counly Schoola PHONE
S;
ST:
_ zIPl_
sTl Nc zIPt 28{03
PHONE
PHONE
#: 910-256-C388
S:919-42?-8170
EXrST CONSTRUCTTON:
! ALTERATION
l-l RsUOVarrOu
J-l CeUsnAl neearns l-'l RELOCATToN
tf Relocstlon, is thero a Natural Gas Line on the -current sitrr
[vF[ n" ts BLDG spRlN-xleneor
f] ves
I no
NEt{ coNsrnucrrol:
[| enecr NEu srRUcruRE
f] rlsr rnacx
I snrr-r-
[ upFrr
I AoD To Exrsr srRUcruRE
ACCESSORY STRUCTI'RE:
Is Elect Polrer on thls Bulldlng E Yes E tlo
oF occuPANcY usE?
f] YEs
trhat ls Iype
I
NC REG
lB lood or b€vsragBs proparsd or sesved ln
ti s anrctwe? fllves [ ruo b Tho Proporty Locat€d In Tho Floodplaln?
[ ves
[l No
CodB and allolher appllcablo Stato
aooroved olens and so€cificallons
ti6ir of theNC stals Bldg code and
OISCLAIMER: lher€by c€r$ly lhat alllnformation ln lhis applicelion is correcl and allwork willcomdy with lhe
and locall6ws and ordinances and rmulalions- Th€ NHc Dsv6loomonl s6Mc€s c€nt6r will b6 noliflad ofanv,
or chanoein conl.actor or conlracloa liformallon. 'r'NOTE: Any Work Performed
WO lho Appropr1616 Permlls
Sub,ectlo Fines UpTo
$500.00"' t ,'
(PrL
Mn'.)
c.nlrln Albesloa o. nol. Yoo ero
tdquk d io csll lho Na0onsl E ntr,slm Slanda.ds for Hazardous Arr Polldaotr (NESHAP) st (elq707-5050 st loast '10 days p.lo. to fts
d6mlt8oo ot any ,6.lfify o. bufidihg. S€o A!bo6l,o6 Web Si!o: htlp:/r,,M|^r,,.ed.6rato, nc.us,l6puasb6stos/ahmp.ht nl
PRoPERTYUSE:
f]orrtce nResraunqlr fll,rencnlrte
flrouc
[eer f]cotoo orHER:press gox/conc.
wArER: EICFPUA EcoMMUNlwsYsrEM
fIWELL [zoNtNGUSEcLAsstFtcATtoN:
SEWER:
Vl CFPUA f:lcENTMLSee,rrc
[r-nvrrEsEpflc ffcouuur-rrwsvsreu
.N SEPARATE PERIJITS REOI]IREDFOR ELECT, MECH, PLBG,GASEOUIP. PR€FABS & INSERTS
''
PAYMENTMETHoD: EcAsH [i]cxecxlmvneLEToNHc) f]emenrceNexpREss EMcMsA EoscovER
(FOR OFFTCE USE oNLY)REnSED OArE 1/1 tn 2ZONE:_OFFICER:SETBACKS:
F:-LH:- RH:- B:Approval:-clty:-DATE: FLooD:---BFE+2ft=
AVN
If IIPFIT
- The shell Permit #:
+*++* IS THIS A CHANGE
IF Yes, rrhat lras the Prevlous Occupancy Typel
[|No *****
the New Occupancy
PH:910-509-3131
PH:910-523-5381
s:
!l:_l_ilt 23332-
ARCH DESIGN PRoFESSIOI{AL I
ENGR DESIGN PROFESSIONAL:
DESCRIPTION OF I,IORK :
Desiqn Elements
llD ,rones Engineeriaq NC REG
TOTAL PROJECT COST: 5O,OOO BUILDING HEIGHT: 2?I 0,,
TOTAL AREA SQ FT:596 SQFT PER FLR:-
TOTAL SQ FT UNDER
ROOF: S94 # OF STRUCTURES:
f OF UNITS:
#OFSTORIES:a_
# OF FLOORS:
ACRES DISTURBEO: 0
NEW IMPERVIOUS AREA:
EXST LAND DISTURBING
PERMIT?IEIVTS
[ ruO
SQ FT EXISTING IMPERVIOUS AREA:SQ FT
Comment PERMIT FEE:
SIGNATURE:
Wt5-Zto+
,, NEt^,
HAN0VER couNrY BUILDING PERmIT
A05 -1 XgO,, AppLrcATroN rypE: RESIDENTIAL t-/ _ _
npffiil
PLEASE ANSWER ALL QUESTIONS APPLICABLT TO YOt'R PRO]ECT
"Project Responsibif it)/'
APPLICAiIT'S NAIllE: Prestise Pools of Wilminston Inc
DEVELOPER:
Prest,iqe Poo.ls
of wi-lm..inston Tnc
PROIECT ADDRESS: 440? Addenbury
ct CIW: wilmington
SUBDIVISION:BLOCK #:
PROPERW O!,JNER'S NA|'IE: Ken
and Ansela wiliamson
OttNER'S ADDRESS: 4407 Addeobury
ct CITY: 11irqr4gt_on
CONTRACTOR: Prestige Pools
of Wilminqton Inc LICENSE #: 54579
ADDRESS: 5307 S. Collese Rd
CITY: !{il{ring!qn
EIIAIL ADDRESS: prestigepoolsofwilmingtonGgmail. com
PROIECT CONTACT PERSOIII: shane Kosnik
ALL THAT APPLY TO YOTJR
PRO]ECT:
SF OTHER:
Number
(Offlce Use)
DATE: 1
/28/20L5
PHONE
PHONE *:9r0s4?8s1:.
ZIPi 28409
LOT #:
#:
ST: fic llp:2Baa9
ST: Nc ZIP. U4t2
PHONE *:910s47e511
PHONE #: 910232s375
ExrsrrNc coNsrRucrroru:
f] ALTERATToN
fl neNovnrroN
fl eruennl REPATRS
f] ne
locarron
NEW CONSTRUCTTON:
I eneCr NEW RESTDENCE or @ nOOrrrON TO EXTSTTNG RESTDENCE
**PLEASE CHECK AND ANS}'|ER BELOTJ
[arr GARAGE
-
sF
I sunnoom
-sF
flenrrruHousE
-
sF
n orr GAMGE
fi eoor- aoo sF
sF
I PoRCH
-sF
I sronaer sHED
_ sF
I orcr
HEATED SQ FT:TOTAL SQ FT UNDER R0OF:
PROIECT COST 6-esst-otl : $ qsooo
* OF STORTES:
Is Any ELECTRICAL, PLUHBING or MECHAI,IICAL Work Bei.ng Done to the Accessony Structune?
[l V"t n ruo
If the project
is a Relocation, is there a Natural Gas
Line on the Current Site? flv"r EI no
rs there Electnical Power on
this Building?
[-lV"s E] uo
PRoPERTY
UsE
/ OCCUPANCy:
EI srrrrcr-e FAMTLY
f] ouer-rx flrowNHousr
DESCRIPTION
OF WORK: rnstallation of inground,
fiberslass swimmins pool
SF
TOTAL
TOTAL
TOTAL
AREA SQ FT: aeo
DISCLAIMER I hereby cerlify that all inbrmation in ['lis applicaton is
conect and
dl work will comply witl the State Buitding able State and local lalrrs
and otdinances and regulalircns.
The NHC Development Services Cenbr will be noified of any changres lr the change rn
co/tracbr or
conracbr inbrmation. t*lt{OTE: AnyWork Performed w/O tle Appropriab Permits will be in Violation of the NC Up To 9500.00"'
OI,INER/C0I'ITMCTOR
: shane Kosnik SIGNA\\,
*:* **
*** ***** ******,* *** * ***
*(Ii'Il #ilul** ******,*r. ** i.**** * * *:i )r:r* *,r *,r+*
** * *** )r** **,r*
**** *,r**
**
I5 THE PROPERTY
LOCATED
IN A FLOODPLAIN?
[-.l VTS
Emc)tr
mC'
I\9
co
a
Ctt
EXISTING INPER\TTqJS AREA:
NE}'I
IIiIPERVIdJS AREA :
sQ FT
sQ FT
TOTAL
EXIST
NO
ACRES DISTURBED:
LAND DISTURBING
PERMTT:
l--l yrs l-l r'ro
trrArER:
I creua
fl comuurvrry
sysrEm
f] enrvare we
ll I crrurnal wrul
sE}'lER:
[l creua
fl ceurnal sEprrc
I enrvnrr sEprrc
fl cor'rr*ruprry
sysrEy
+** SEP&IATE
PERI.lrrs RE0UTREO FOR
ELEC]',
ttEcH, pLB6, 6A5 EQUrp, pfirFABS & rHsEfiTs r*+
pAyr,rEr{r
ilErHoD: fJ cnsx
f] cxecx (pAyABLE
ro NHc) fltarrnrcor r*r*.i, il ,.rrrii - il DrscovER********'t**'t*******,t,1.*rt'F**+**x**,tr*:f**)i;t,fr*******+,t*,t *:f**,F,F,r*,t *,{.r.***,t
*******rt **,t(***,*)i****,r
ZONE:OF
FICE R :
(FOR OFFTCE UsE OfitY)
SETEACKS: F:
REVISED DATE
S4/r1172
BFE+2ft=Approval:
Citv:DATE
:_ FLoOD:
LH:_ RH:_ B:
A
\
,ffi
APPLICANTJ S
DEVELOPER:
PRO]ECT ADORESS:CITY:
SUBDIVISION:
PROPERTY O,ltlER' S
oiINERJS ADDRESS:
n' 4P'StS-,aaa
sr'!t\JCzpt 28W3
srilL zr?t 2-ttrb>.--*.'Ita-%i-2syz
Z
CONTRACTOR:
ADDRESS:
PRO]ECT COITACT PERSON:
LICENS E
CITY:
PHONE
tr
trtr
ZONE:
Approval:
-SQ
FT
5F
structure?
[ v"r I
current site?
E Yes
SQ FT
TOTAL ACRES DISTURBED:
EXIST LAI{D DISTUREING PERMIT:
I_I vrs f] Ho
urER:
[} crnul
! corluuNrry svsrrr"r
fl PRTvATE wELL
! cetlrnar wrll
sEwrn:
S craun
I CENTRAL sEPrrc
I enrvrre seprrc
E corlMuNrrY sYsrEM
*I,* SEPAIATE PEMITS REQIJIRED FOR ELECT, MECH, PLBG, GAs EQUIP, PREFABS
& INSERTS ***
pAyr,rEr{T iTETHOD:
E ClSr
E C*rec[ (PAYABLE
rO rXCl
I areercA EXPRESS
I uCTVrSl ! OTSCOVEn
)i)i*,i+)t,t***,t)t,*+*++*+)t)t*:**,i*,i)i:t***,1**'*++t +ir+,t*,',r**f t+rt,*++,* )i* )i )t)i)i:|)t*+*)t)i)t)i:t** * * rtr*,1:i + * )t
*rt )*
*+
(F0R 0FFtCE UsE 0(LY)
SETBACKS: F:LH: RH: B:
REVTSED oATt 04l1rl12
BFE+2ft=
PER IT FEE: $
aotS-'ly1)
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIUI TYPE: RESIDENTIAL
PL€ASE ANS}/ER ATL qJESTIOI{S APPLICAEI.E TO YOUR PRO]ECT
*Project Responsibility"
,-r,
N{rlI Erc{- \)r'ter Ras\.o-(,,",'
?n 6- afiS
APPLICATION
Number
(Office Use)
D^r* ?-Ll-({
_ LOT #:
PHONE
EXrSrrirG coNsTRUcrroN:
! rlrenarroru
! nrruovarroH sernrnnr- ntearns
! RElocarroN
NEUr CONSTRUCTTOru:
! rnrCr NEW RESTDENCE or ! nOOttrOl rO EXTSTTNG RESTDENCE
*IPLEASE CHECK AND ANSNER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
SF
! oecr
ToTAL HEATED Sq fi, ?1-14 TOTAL
5Q FT UNDER ROOF:TOTALAREA sQ ,r, AAl4
ToTAL PRoJECT COST(Lessror) : $ 9U,bOOOo# OF STORIES: I
fl oer ernneesr
! concu
-sF
I eoor-
-
sr
I sronacr sreo
OTHER:
SF
SF
to the Accessory
Gas Line on the
Erro
PROPERTY USE
/: JIJ srrucls rar.ttLv oun
r-ex
! To!,iNHousE
DESCRIPTION OF h'ORK:
Is Any ELECTRICAL, PLUl.tBIl{G or iIECHA,{ICAL work Being Done
If the project
is a Relocation, is thene a NatunaL
rs there ElectricaL Power on this Building?&Yes
No
d,o
I
h€re6rcoflity hat aI inhrmaion rn hrs and all workwillcomply wih he Siae AuiEing Code and .ll oher applicable SlaE and local laws
and ordansnces and regulations. The NBC Devolopmenl Setuices Cener willbe noliied ofany cMnges in he approved plans and specifications or change in contracbr or
SIGNATURE :
(P.i[t N.ne),*!*,t)*)t)i)i*)i:t*)t+**+,t,*,t++,t,++**i*******,*******t ****)i)i)i)t)i**,t!t!t,t'***,t ,t
+++,i.+***)t *** )*
* )i,i )i )i,i )t )i*)i)t )**
rs rHE pRopERTy LoCATED rN n rlooonurll
I ves NO
EXISTING II'IPERVIOUS AREA:
NEW IMPERVIOUS AREA:
ATT GAMGE
-
SF
SUNROOM SF
GREENHOUSE
OFFICER:
Comment:
City:_ DATE;FLOOD:
PHONE *:
BLOCK
EITAIL ADDRESS:
contraclor inbmarion. '"NOTE:Any Work Perromed |!_h" AoCroori"u e"nnitsw lbe in Violstion of the NC StaE P5code and
OWNER/CONTRACTOR:
b Fltnes Up To $500 0O"
\\,N\\\\\'[\ ,'".
\, .ffi,,
---:-/
APPLICANT,S MI,IE:
DEVELOPER:
APPLICATION TYPE; RESTDENTIAL
PLEASE ANSWER
ALL QUE5TIONS APPLICABTE TO YOUR PROJECT..project Responsibility/,
7m()
Nom
ma
c6'
aot5-17q5
NEhr
HAN,,ER couNry BUTLDTNG
,r**({z t5-
alSq
PROIECT
aOo PHONI S:
PR.PERT,
*r.
BLocK
#: LOT #:
OWNER,S ADDRESS:
,.rru
u PHONE
*: 9le-21t-65'?3^vvrrLrJ' r/JC verrazzano IJr' crrYt %sr: NC zre@fcoNTRAcroR:
LTGENSE
f: 14s14
ErvlAIL ADDRESS
: rcss@arrisankitc
_ tr I
Y: le1ano ST: NC ZTp: 2g4stdbathremodelinq.com ou.rrrE $. ^.^.-_pRoJEcr
aorroar
pHoNE
#' eto-46s-48s2
PHONE
#z eto_46s_4692
%ExrsrrN6 coNsrRucrroN:
fl ALTERATT0N EI neruovarroru
! e rrurnar- REpArRs
fl nelocarroru
NEW
coNsrRUCTroN:
fJ enecr NEtl REsTDENCE
or fJnoorrroN To ExrsrrNc RE'TDEN.E**PLEASE CHECK AND ANSWER BELOW
ATL THAT APPLY TO YOUR PRO]ECT:flnrr GARAGE sF I orr GARAcE
_ sF
n poRcH
_ sFI surunooN
-sF
f] eoor- * fl sronaee
sHeo sF: LJ Jrv^Hu= JnEl
-
-
L] GREENHoUSE _ sF ! oe
cr sF 0THER: t22 qF
ToTAL HEATED SQ
FT:
t22 TOTAL SQ
FT UNDER RoOF:roTAL AREA
sQ
er: /J ATOTAL PR0l ECT C0ST 1r-ess uorl
: g s: , z :: . o o
# OF
STORIES: I
l: i?"rlllil1.lr;-r:rT^ri: ::.1r.r1r.1f work Ber.ng oone
to the Accessory
sffucturer
E ves
E nou,Er t=J rE) [J NU
i: :[":":]:::"1:-: :::::':l'::.1'^'l::: ".nl*"", G3,.in" on
the
current,,r,
E]; trIs there Etectnical powen on
this Building? IEI V", f] ,lo
PRoPERTY
usE
/ occupANCy: @ srrucr-r FAMTLY
fl ouer-ex
! rornrruHouse
DESCRIPTION OF trtORK:
rore(.x(Res DIsTURBED:
EXIST LAND
DISTURBING PERIT1IT:
E
I lYes I lno
,ATER: @ crnua fJ co'lnu^rrry sysrEM
f] cnrvarE ,ELL
f] cerurnal we
ll
SEWER:
@ crnua
f] cerurnal
sEprrc
I enrvnre
sEprrc 1*ar,rrrrrr rrrr*
lrr SEPARATE
PEmrrs REQUTRED
FoR ELEcr, MECH, PLEG, GAs EQurp, PREFABS
& rNsERTs ***pAynENr r,lErH0Dr [lcesx [lcxecx (roro.ri
; ;d-ninr*r.o* ExpREss
il"r.rrrion'"ff .r.0r.**+**********)i't**+****+*:i+++:t+**,t:t+*+*,r+***,r***d!*********:t*ft**,i***+i,**rt***:r.*:t**!t***+****
(FOR OFFICE UsE ONLY)
SETBACKS: F:
DlSCt,4lMER:lherebycertiryhalall-inb'rmaUonint'i."co
:::*'[:lnT*:';li,TE'1""H:,T::::::l,f:,:Xi1,", *ir1i"".tn"o'o'*yii*nu, in
he approv€d prans arlr]
applicabb Stab and local
laws
contracbr
inlrrmarion,'"'NorE;Anvwork performed wro
t,"
apptpr""
""-u. i,,
I:;ilffiH:rllff-u3,&E or change in
contracbr or
OWNER/CONTRACTOR: Ross
sm:rh _ SIGNATURE;
t
b Fines Up To $SOO.OO...
* * * + + *
* *
* * + *
* *
* * :*
* *
*,f * * * *
* *(IiTl filu] * * * * * * * * * * *
* * * * *
* * * *i****************,****** **rs rHE pRopERTy LocATED
rN A FLooDpLArNl
I ves
EXISTING IIT1PERVIOUS AREA: _SQ FT
NEIll IMPERVIOUS AREA: % sQ FT
APPLICATTON
Number
(Office Use)
DATE. B
/2/t5
rE
e,
tr
ZONE:OFFICER:REVISED OAIE
O4ILLI|L
BFE+2ft=
Approval:
City:_ DATE :FLOOD:
LH :- RH: B:
.a.
ffi
NEW HANOVER COUNTY BUTLDING PERMIT
APPLICATIilT
TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
SUBDIVISION: Shinnwood west BLOCK #:
PROPERW
Otf'lER'S
OWNER'S ADDRESS:
I{AIrtE:
Penton New Homes, LLC PHONE
6105 Oleander Dri-ve Suite 201
CITY: wllminqton
CONTRACTOR: Penton
Construction, LLC
, LICENSE f: 5oeo3
CITY: wilminqtonADDRESS:
5105
oleander Drive
Suite 201
EMAIL
ATDRESS: PHONE
PROIECT CONTACT PERSON: PHONE
APPLICANT'S J\|iAIIIE: penton Construction, LLC
DEVELOPER! penton Construction,
LLC PHONE
PROIECT
ADDRESS: CITy: wirminqron
*z 9to-452-L4to
LOT #:
*. 9L0-452-I4L0
5T: r.rc ZIP:. 28403
ST: Nc ZIPi 28403
*: gt o-qsz-tqto
#:
lEi6Eo:al-l
**PLEASE CHECK
@nrr GARAGE
Exrsrrlrlc coNsrRucrron:
I ALTERATToN
f] neruovarron
flcrnrnal REpATRS
I nelocarroru
NEt{
coNsrRUCTroN: p enecr NEhl RESTDENCE
or
f] morrroN To ExrsrrNc RESTDENCE
AND ANSWER BELOI.'I ALt THAT APPLY TO YOUR PRO]ECT:
I+ZA I SF II DET GARAGE
sF E]PoRcH Nsr
! sur'rnooN SF
I eoor-
_ sF
lyl orcr
llTt----l sF
I sronnce suro SF
I cneeruHousE
_ sF
orHER:
l]2o--l SF
TOTAL HEATED
5Q FT:
IzgE's-l TOTAL SQ
TOTAL PROI ECT COST (r"". Lot)
I $ e0, 000
FT UNDER ROOF:
13156--l TOTAL AREA
SQ FT:
l_6--l
# OF STORIES:
l2-l
Is Any ELECTRICAL, PLUilBING
or ITECHANIGAL Work
Being Done
to the Accessory
Stnucture?
fi Ves E ruo
If the project
is a Relocation,
is there a Natunal Gas Line on the Cunnent
Site? flVes EI ruo
fs there Electnical Power
on this Building?
JI V"t E *o
PROPERW USE
T OCCUPAITIGY:
@ STHEI-E FAMILY
I OUEITX
! TOWHHOUSE
DESCRIPTION OF hJORK: Bui]d si4qle Family Residence
PeZ, (5-2o+L
dors-1n3_
APPLICATION
Number
(office Use)
DATE: l-o-zratz-ors I
ZIPI 284a9
DISCLAIMER: I hereby certify hat all inbrmation in this
applicaton is correct and all work will compty wifi tle State Building and all other applicable State and local laws
and ordinances and regulations. The NHC Development Services C€nter will be nolifled of any changes in the approved or change in
contractor or
contractor information. .--NOTE:Any Work Performed W/O he AppropriaE Permits will be in Violation of lhe NC Statelo Fines Up To $500.00'-.
OWNER/CONTRACTOR: Howard
A penron rrr SIGNATURE:
I*****************:r*********(IiTlJil"i***************************,F*xx****xx**************
sQ FT
sQ FT
El *o
TOTAL ACRES
DISTURBED:
IO-3''8-I
EXrST LAND DTSTURBTNG pERMrr: JTl veS
[-] no
wATERt
I creua
! commururry
sysrEM
f] enrvnrr
wrll I crrurRal wrll
sEhlER:
I creun
! crrurnal
sEprrc
I enrvnrr
sEprrc
f] coNrqururry sysrEM
X** SEPARATE PERJTIITS
REQUIRED FOR
ELECT, {YIECH,
PLBG, GAS EQUIPJ PREFABS
& INSERTS ***
*"lill.l:111';...H.'l'I.-H.'liT.ll1'l'-'-'.]:.H'.,.-il-..fl:ll'll.:H'-'-'...H-yJ::l...H:.':::,'*
(FOR OFFICE USE ONLY)
SETBACKS:
F: LH:
REVISED DATE
OA/LL/L2
RH: B:
BFE+2ft=
N
PER|4IT
FEE: $
rs THE pROpERTy LOCATED
IN A FLOODPLATN?
E VeS
EXISTIIIIG IITTPERVIOUS AREA:
NEhI II4PERVIOUS AREA:
ZONE:OF FICE R :
OOr"orrr:-
Comment:
City:_ DATE
:_ FLOOD:
R COUNTY BUTLDINGPERMIT
t5-dr3t
u5ruO
APPLICATIOiI
, Number
(offtce U8c)
, g-'[ -t5
ipprrcartuu ryPEr RESTDEITITIAL
futsurn ALr QuEsrroirs AppLTcABLE To yorJn
i -Project Responsibilft!fl
C,i.{.*,,LL,APPLICA}IT'5 NA}IE:
DEVEIOPER:
PRO]ECT ADDRESS:
STIBDIVISIONT
PROPERTY OTINER'S illllilE :
OdNER'S ADDRESS:
EI'TAIL ADDRESS:
PROJECT C0f{TACT PEftSOl.lr
EXISTING COI{STRUCTION :
NEW CONSTRUCTION: ERECT
**PLEA'E cHEcx AnD olo.*
_ ATT GARAGE
-
sF
_ SUNROOI4
_ SF
_ GREENHOUSE
_ SF
TOTAL HEATED SQ
TOTAL PROIECT COSTIt-csslog :
rs Any ELEciErcAL, PLUtrtErflG or
If the project
is a ,Rel
Is there Electrlcal ,Power
PROPERW USE
/ OCCUPAT{CY:
I
DESCRIPTION OF WORK:
OISCLA|ITEE I herebycerllfy trat sll lnfumadil appF0[on lD comrctand all uErkwlll comptytflttl
tlo SEte
end odlnancBa snd rEgulatlon& Tho NHc nl 8er+bm C8nsr wll DE noltlsd ot€ny chahgffi ln hs +
w/O $eflopoprlsF PermtB yyil bc tn Vtobilon othe NCcont*br lnfbrnlq(on, '-NOTET Ani Worlr
SIoUTTURE:
. *****13++++'f++**'s**r***$*
IS THE PROPERTY LOCATED III
EXISTI]S U{PERVITOUS AREA:
NET'I
IIIPERVIT,I,S AREA:
IdATER:
-
CFPUA
SEWER!-CFPUA *CENTRAL
a** sEPIttaTE
PAYIIE'|T I'iETHOD: J CASH
!*+*!* +!t
+**++*{+* *#**
ZofilE:
_ OFFICER!
Approval:- Clty:
++*,f,ltr lrfr,${.r1. rr*{.t}++** +** *****:l..*****
YEs t-{a
TOTAL ACRESED:
NG
.Fuxiffi5
SF
SF
5Q FT:
8tr and locd lewa
fn
ln conll.cbrtr C)
v'p rooooo.oe- m
*,f {.,1.**rl.,i
YEs _ ilO
_ DrscovEn
+++***rr*
aos9Sls-
7bq42u3
sq FT
SQ FT
=,
c,
6)
o
rF.
htG'(rl
EXIST LAI{D
-
PRIVATE hJELL
PRIVATE SEPTIC-
CENTRAI L
SYSTEIT
;
EUJTRED FoR ELEcr, IirEcH, P|"BG, GAs
, PREFABS
:x (PAYAELE
To NllC)
-
AI'IERICAI{ EIPRT
*jxr****** *1 ++ *dr**
**r. ***!t*****++ ++,t
i
, (.oR ofFrcE ust ot{LY)
I
SETEACKS:
F:_ LH;
I
DAITE:
I
:
zI:Pt
7,*lpj
4*.ro. *, 5
I
i
RESfDENCE or ADDITIOITI T0
i T,.UT APPLY TO TU.,R PRO]ECT:
I
-i
DET GARAGE 5F
-i POOL SF
--j oecr
-
sF
I
I
I
LTOTAL SQ FT Ut\rDER ROOF:
# OF $TORIES:
Work Belng Done to the Acce
, tf tnere a trtatural Gas Line on
I
i autlding?
_ Yes _ No
NGITE FAHILY DUPLEX
- P r --
stnucture?
Curnent
FLOOD:
,i*,lrtl.*rf *
REVISED DATE U/N/Iz
COilTRACTOR:
ADDRE5S:
,llzw.ZV-/;D
-NoYes No
: RENOVATTON
_ GENERAL
RH:
acCI
-110t
Pt01/[0i! tai Sictts Fil(:1-910-938-1144 Jun 25 2015 10:26N'EYU
NAIIUUEIl LI,,I'II I I DUI.LI.,J.NU
TEllFIl' I
APPLIcAtIdt rrper SIGNS
/ EILLBOARDS
PLEAS: PRII{T (rElXty & AI5IER AtL QUEsrtO S-Pcoject R.rpoilsibilttf
PROJEC? ADORESS:
q{ilER'S ADT'REsS:
}
cor,rrracToR:
ADORE55;
EI4AIL ADORE5S:
PRO]ECT CONTACT PERsOU:
DESCRIPTIOT OF X'RK:(tcr^/(
g
raJ
c!
==o
lr.l
Lu(J
trJ&
APPLICA T'S A}TE:
DEYELOPER i
APPLICATIOII
Iumb€r
ffii;E;
1-Zf- t?
cwxz
*fllo-.!!s-1.16P
crw:
s^IoccuPAt{T/ Bus I Ess [Ar{E:
PTOPERTY
OItrIER'S I|ATE:
PH E
':crfl. l'.Lt^ 't'tro ) sTr
LICE'6E *:
cllrt : Ja,ckJo ^^.,
(( t (sr: /.lrP: zrrl.{o
PIIONE *:
/L.zrp@:;
I necrrn
I exunee
f] orarci our
-A,otroc.t- L$zznt-* 5IGNATURE:
.r*lra. aa..':a.* a.r tr r...trr l ltt
TYPE
OF SIGN(s)
srGN 1 Heitht: -@ srg"
SIGN 2 Helght: A.t Stgn
SI6il 3 Helsht: \k" stsn
5I6x 4 HeiEht:- Sign
Di'.nsionr: G
ltn x:|LLk rct"t
Dioensions: AL.{'r x l?t t'/s t*at
oilEnsions; -T x@-rct"t
qny,:}!':"
sQ.Fr. cf sisn:,tlrrgl
sQ.Fr. of Sigr|. 29, ,t
SQ.FT. qf stgn:
.,f,.472{,3 j
EpREEsrAHDr 6 (G.ound) [r'rnnqu:r ! rno:ecrrow
l_l sHrrcle yltt,JAlLL Ll cANoPY
fotal t{uEDer of Signs on this Project:
l-'l noor
Ll orHen
Ni-*
oirensions: X- Total sQ.FT.
of SiBn:
(.or offlcE u5r oxlv) ' -t
SSTBACXS: F: p+ LHr & aA
TorAL pRorEcr cosr --
$ r&tE. ?d rs rHE pRopERTy LocArED rN a rlmorurrt? Q ves P*o
irr sEpataTE 9EtxrTs REgrInEo ro8 El-Ecl, l{lctl, Pta6, 6as Equl9, PRIFABS
& ItSEnTs .'.
pAlrErr
rrrlrD: 0 cesx
I orecr lrnvaale ro rr; I uenrcAn
rnrcss orclrr* 0 orscor.*
.o*r,
i?3 o.rr.r*,
Approval
i- City:--.ltlll- DATE:
CoEDent:
Ct, lnpection Rsqrreo, gl 0-25d#Ul
r5 5rct{(5) ol G oFf PREIrSES?
Q orr
s{t{ER,/cot{TRAcToR:
€ Plau6.,^lk3ou' cca{'\
c'oti- 1qo)
NE,, HAN.,ER lcoururv BUTLDTNG pERmrr Q€( lSegD
APPLICATION ]'YPE; RESIDENTIAL
P|-EASE AlrSt'ER AtL QU€5TI0iiS APPI-rcABLE-TO YOUR PROIECT-
"ProJect ResponslbllltY"
:*-__*.-.- ..-cI
BLOCK S:LOT #;
PHONE fi:
CITY:
LocATED rN
A FlooDPrarrur
E Yes
E ro
WATER:
flgreua E coryugw 5YSTEN
fl enrvnrr wrll f, ceHrnal wet-t-
5EWER:
dcrpun fl crnrnnl sEPTIc
fl pnrvnre sEPTrc
f] coNt"tururw sYsrEM '
r** SEPARATE PER,IITS REQUIRED FOR ELECT, !4ECH, PLBG, GAS EQUIP, PREFABS & INSERTS *+*
pAyn.ENr
,rrror]-'^tr;;' tr irr.* irotit,t to *rrl E ar',rnrcm ,*o*ttt El uc/vrsa
I orscovrn
***x*** **,f* *,k** ***+*r.*1.******t *x * ***** *** **** **x **** **** ****** ***(***************** ***x *{'
TOTAL ACRES DISTURBED:
EXrST LAND DTSTURBTNG PERmrr:
El vrs FI ruo
REYISED OATE O1I7LII2
APPLICATION
Niim6ei
(offtce Use)
5T:_ZrPi-.
srr@wt3gl3?
.ril:E.z'
APPLrcAr,rr s ilanE-r /e)...-z
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVIsION:
PROPERW OWNER,S NAIiIE:
OUINERJS ADDRESS:
CONTRACTOR:
ADDREsS:
PROJECT CONTACT PER5ON:
DISCl.qIMER: lherebycertlffthat all lnformalhn ln hls
and ordloances
conlroctor lobrmaUonl
owNER/CoNTRACToD
***
IS THE
EXISTING II,IPERVToUS AREA3
-SQ
FT
NEW II4PERVIoUS AREA:
-
sQ FT
LICENSEgO crTys
4&a rf. co PHONE S:
PHONE Si
ExrsrrNc coNsrRucrroru,
fl orruofi-r*
f] nrruovnrron
(crruenar-REPATRS
f] Rrlocarroru
NEW CONSTRUCTToN:
fl Enrcr NEN RESIDENCE or
E ADDITIoN TO EXISTING RE5IDENCE
I*PLEASE CHECK ANO ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
urnC'tr
rnoz,6,
O
tPja
(roR 0FrrcE usE otlLY)
SETBACKS: Fr- LH:- RH:- Br-
n nrr GAM6E
-
sF
l-l surunoom sF
f] cnrerunousE
-
sF
I poor
-
sF
E sromcr sHso SF
SF
I orcr
FT UNDER ROOF: TOTAL AREA SQ FT:
# OF STORIES:
Is Any ELECTRICAL, PLUIiIBING or T1ECHINICAL l,Jork Being oone to the Accessory stnucture?
[ ves EJ N9-:.
If the project is a Relocation, is there a Natural Gas Llne on
the Current Site?
[ Ves fl ruo
Is there Electrical Power on this Building?
Hves Itlo
PROPERTY USE
/
DESCRIPTION OF
D prr
GARAGE sF EPoRcH
-sF
ffi,,|htt'"st.t,B,Itoln0codo8ndatloheIapplIcabIoStateEndIocallaws
Center rvlll be nofified ol any changos ln hB spproved plans 8nd speclllcauons orchange ln conltactcr or
,ffiyabolnVIolat6nofth6NcSbloBldg..@o8ndSub.l€cttoFh6sUpTo$500.0ot..
***x*****
TOTAL PROJECT rxrr
*ffi!&ZD
ZONE:OFFICER:
SFOTHER 3
SIGNATURE:
************************ *** *************+':****** ******
Qo S,zr-
Approval :--.- CitY:-DATE:- FLO0D:BFE+2ft=
EI'IAIL ADDRESS:
PERMIT FEE:
$-
[,r\
NEId HANOVER COUNTY BUILDING PERMIT
APPLICATTON TTpe: RESIDENTIAL
PLEASE ANSWER AI.I, QTIEST]ONS APPTICABLE TO YOUR PRO]ECI
*Project Responsibility"
APPLICA T'S MI{E:
DEVELOPER:P}ON E *:
PROPERTY
OT{NER,5
Oh]NERJ S t,lAfiE :
ADDRESS:CITY:
CONTRACTOR:
ADDRESS:
EMIL ADoRESS T
PRO]ECT COI'ITACT PERSON:
LICENSE
CITY:
I oecr 5F
sr
I eoncH
-sF
! sroucr srro
OTHE R:
SF
SF
TOTAT SQ FT UNDER ROOF:rorAl AREA sA.r, A0,0D
Subleci ro Fines Up To
I5 THE PROPERTY LOCATED IN
EXISTING I PERVIOT,'S AREA:
l-l vrs E ro
TOTAL ACRES DISTURB ED;
A FLOODPLAIN?
SQ FT
(FOR OrrrCE USt or{LY)
SETBACKS: F: LH:
SEVISED oATE
04l11/12
RH:_ B:_
BF
E+2ft=
PERMIT FEE:
)clT- 17
oc
WZ t5
4t+ta
APPLICATION
Number
(office Use)
DATE:
exo:,Ect aoo z*,
SUBOrVrSrON: BLOCK #:w- LOT f: _
_ZIP i
_
ExrsrrNc coNsrRucrroN:
! nlrennrroru
l$ *rrorlo.rol'l $ crnrnnr neenrns
I RELocArroN
NEW CONSTRUCTTOT:
! enrcr EI,l RESTDENCE o" ! AOOTTTOU TO EXTSTTNG RESTDENCE
TOTAL PROI ECT C05T (ress
ror) : $ 13, SOp. .rO # OF STORIES: I
Is Any ELECTRICAL, PLU,I'IBING or MECHANICAL Work Eeing Done to the Accessory Structune?
[ V", ffito
If the project
is a Relocation, is there a Natural Gas Line on the cunrent site? ! v"t flruo
Is there Electrical Powen on this Buitding? Xtv"t I r,ro
pRopERTy usE
/ occuPANcY:
! srlcre rallrlv I ouelex
I To NHousE
coniractorinformaton'_NOTErAnyWorkPerformedw/OheAppropriatePermitswillbeinviolationoftheNCSlaE
DESCRIPTION OF WORK:
DTSCLATMER: therebyclrtithatal] int'rmation in t{J applicaton is conecrand all work will comply wih he State auiEing Code and alloher applicable SlaE and locallaws
and ordinances and reg!laiions. The NHC Development Services Cen€r willbe no!fied ofanychanges in he approved plansand specilicaiions orchange in
NEhI IIiIPERVIOUS AREA:
-SQ
FTEXIST LAND DISTURBING PERMIT:
I_I VES
[ rc
\_
MTER:
NcFpuA ! cor,fiururw svsrrm
! pRrvATE WELL
! crurnnr wrll
sEwER:Itrnun
I CENTRAL sEprrc
I nnrvrrr senrrc
f] coMMUNrrY sYsrEM
\*** SEPAIIATE PERMITS REQUIRED FOR ELECT, IIECH, PLBG, GAs EQUIP, PREFABS & INSERTS *}*
payr{ENT
ilErHOD:
! CrSn
I CXECK (PAYABLE
ro lnCl I anenrcAl,l EXPRESS
E mC/VrSo
I orsCoven
,*,* * )t
* r* r*
*,+,1* *)t)t* )t,i*+ )*)t+,t*,**,** )* )* )t***)t*t(*i( )*,t,t,t,t + ri***+,** * r*)**
**r* **** )t*i<*!**,*)* )**r*,1***,*ii** )**)*)* )**
ZONE:OFFICER:
ADDnovaf: Citv:
,I'*PLEASE CHECK
! nrr cauce
fl surunoou
-
sF
! cneenuouse
-
sr
TOTAL HEATED 5Q FT:
AI{D AiISWER BELOI,I ALL THAT APPLY TO
-
5F LI DET GARAGE
! rool
-
sr
YOUR PRO]ECT:
Comment:
DATE:FLOOD:
,]
o, ?to all -sst1
PTONE f:
PK)NE #;
llEl,{ }IA}IOUER COUfiTY BUILDI}re PERIIIIT
&PPLr(Arzut rvPf; SIGHS
/ EILLBOA*DS
dot?11 01
APPLICATIOX
lhrb€r
(Offt.. tk")
DATE: 'j Ll A
*, {.7-ltrt!9ztr:2,j:J:,
pLE&3t Pi-MT eL€liLY &
't6lGF.
ill qaJ(STr0fi:i
.' Pro j
ect Res ponsibilitY"(/- p t,t l,), tAPPLICAIIIT, S
DEYELOPE*:
PRO] ECT
occlrPA[T/BusIt€ss
PROPERTY SS{€R,S
OI,&{EE'5 AD}8E55:
ADORESS:
gI{AIL'/+1(.1
t
PRO]ECT
tI rntcr
OESCRTPTTCH OF ItrfiX:6i*
f{4
PTSNE
CIJT /
n;fi
i{,
APPLY)
DLSCI lERi : nr.*t rytty ft$ rd srq.mdd s *ri tpd€td e ffid rd ra E.t sat sFay f,ialr h. Sr& *rier€ &d. &a :5 +9lF rF*r*ti5 *r* r'd isi !rc
rs 5r6..{s} or{ oft oFr PREfrrsEs? F fi f]orr
f] rnrrsramrr'r (GrouM]
f!*crxlr
** t**t*rtit*r arit***t++*i***rt tai*al*tltat|t**tat*t**a*at * :l't
wPE OF $I€rt{S}
F
of
rorAl pRolEcr
c61: $ 3i'fr* i rs rHE prcpERTy LOCATED rN A FLmOPLATN?
f ves B *o
?A1!eErr rgrlm: nclsx f]o*u (pryABLE ro
r*.c) fl arr-r, .{cotnr ]xTttrsa l]orscovea
t*at+t*i**a**at*l****t*tt*a*rt*t+l**t+*t*r*t**r***tlt**t**t*t**+*t*i*tt*a+f**ftt+**tit.*t
(ru* orrt(r ufi rr.Yi
SITE*CKS: F:- LH: iH:,
on this Project:lt
(/'
[-1 mo:ecrtor *l nmr:Ll c,qloP\' __ortlER
'r*[*trrttttn*t+.
,*,W*',"**"'
ffcf,rED
/lif,t-#r*,*C**.***tf
ilARqJe E
IdALL
Signs
!t.
J r.*
\
d
Total lrlu*er
/
1 rietght: Sign Di.mensions;
2 r{eight: t Sign Dirnensions:
3 HelEIt: Sigt: Oi-aenslons:
4 xf,ight: Sign Dimensions:
nff
si6l.:
SIGN
5I6N
5IG{.t
Totai
Tctal
T6tal
_ Tctal
SQ"FT. of Sign:
SQ.FT. of si,ga:
SQ.FT. af Sign:
SQ"FT. of Sign:
x
x
x
zcr{E:
_ 0FFICER:
Approval:- City:- OATE:- FL@O:
Cmnt:
rfvltso o.ff ]/]a,ir?
8:_
BFE+tft.
lt
FER'{IT FEE: $
Flts{E *:
COT{TEACTOR:
plot*E
r: *r,l .7 5 : g:-Lt
sr: N( zw: i-'i'it)
ZtP:.t
1::i i
.r/.1r., 1
67x
(srt
f] ar-rrn
fl nrn6:n fl.en-ancet)r IY ft..* h f y,u.t - ,
NEI{ HSI{OVIR COTSXTY
BUI.LDIF*G PERF'IIT
*,wr'rtArr#t
rypr; SI6XS
/ BILLBil$ABS
Ptr{1I r}tix? (:,€*ql.t 6 $e;}Ar ati.I."sr:r:a}x<;
AoIE-7lo
ApFLt[&I:OX
k"rd:er
{O{fi(d Ud(
.r- *P!'o:,l:I! ResponsiliJJ.ty* ,
ApplrcAxr,s
n**i *(-:fr {Xr:-;Li#. - -- **' " "" .""*..,....
-* u*re,j.1l;i*
DEVILoPEE:
*J(i:,UyL,*{,,r_G ,'-y: ,11;-;.- i FHar{t
*:</a<J
,itu'tj!-t i
Ptorrcr Asn*ss-. j]: * *::ffi*1'
Prcp€gTY ftI{FR}S tiAl{t:
//.rulA,,*4- ,{' -'r{, jYq/
sfir8,s A00RESS:
lrr
cct{rRAcron,
*'i ';t'
--- --;-
t-ICtt{5I *:roonrssr rrr' JlyiF"rl;-_$IIIL nDofi(ss,
*"_.*€otC**til.r:).:t*@ Pls{I *:.*;y'J[].:i
PRilircT ro*o*-;; a ** *,ffi1;*i
1or-aa* aLL rrAT aPpLY) \ /
\Flt ' ,L1afl l*rer .- AL:rR
il xrmrr
I rt*nce
[l *+rr**: anr
oEscRrpTrtr or unnr/?.vf,;
\
/IV,- n- iii';i -,r'ii-*-. *t;*i _
rr sr6{(s) or. o& orr ?E€}t$rs?
f ", I r:rr ''
roral p*or?cr {osr: $ 11lit'1J
\-:S rHE pmpERTv LOCATID IH A rL0*OpLAItl? 1. ' Yes Xj t*"
0(fi.rPAt{y/8.!5l1ffi55 ]resr: la ;l*s, if
lAYtfx? flE-T
sD:
ll c*s* J cxecx {P*YrErE Yc .rttc)
f,J *:u- *r{trs.i f] *cfi:sr I orscarrt
. PERTfY FEE:. I
19 a*{aortr{-NdIl sytt vto*
*
Citu lnsnecii*n
fucur** {1
0-?.d{trfl
F'atilUfr.!:*ahi <c1! a,s a t,i::,. :. j;:',' 1':il l i i': " r.r r,li..i :,'t"Y :r, :1'r -, Cr. lj_l
- ,r.::t-:j... f,,.:.\.. 1:.ta " J..-.t.f .\ir? -!1 !.: rdl'J
STG J\Tl.t f: t''r' "'-"
TotaL llueber of Signs on this Prcjectl --*
l.r* atttai j"^i
;;R-:t-H,-*.&.
F I tY:''r.
*, Vtq
]f: y{t'!
-.S1:rtt( Z7F:
7.) 'aal
*/"-
AffCL?{T #:sv,ffiiw&;t;.!
rd Ie{;€^ft$ fli"a 'rr:li!!: "'.i iYt !.1'
-aaafa fgff ia-ir "'\ia' (
i*'rrt' rr*Yr' / '...!
' ,,'l
tirft*rtttrt!r?*rrrrrrs*rr*rrr*tr{r}+&+a}}ttt+}***i***r*tt*ir**1.t. 'trtar{+terr+r}tt**trt.
,w,, .- r -{\rYPE oF srcil(s) r_, ff "l.f*rt
ffo*rto-rxtr*s (ctund) f, ra*wrr fJ rno:er
frs,,:u,crr y*r. D***tto ffi*Vtfntst
rufufvq$frr r rpish:: d: Si6n D:nensi r"r, - 4: , -r:!i-*--. ic:al sQ.r?. .,' sj*n:
'intt i:cx 2 r+isltr
ii: - li*. l:*"'locs: -;ff- I ,"-::."
. ::::l
x : i::fl:
lots
-Ypq
APPLICANTJ S NAME :
DEVELOPER:
NEr^l HANovER couNry BUTLDTNG pERMrr {feA*
APPLICATION
Number
(office Use)
APPLTCATION TYPE I RESIDENTIAL
PTEASE ANSI{ER ALL QUESTIONS APPLICABTE TO YOUR PRO]ECT
"Project Responsibility"
Cape Fear HabitaL fot Humanity Inc DATE:
PIIONE *: gto-61'7 -'7 t 3s
I I o
0 i,,. {e 3+. crry:
Jilsi!g!s!-- zrP:
-
PRO]ECT ADDRESS:
SUBDIVISION:BLOCK #:
PROPERTY OhNER, S
OWNER,S ADDRESS:
l,lAllE: Cape Fear Habitat for H\rmanity Inc
CITY: wi lminqton
LOT #:
*: Wl:J):2-
sT :
I!- zIP :
f!3!l_
ST :
E_ zIP: 2!99!
#: 910-617-7139
PHONE
CONTRACTOR: cape Fear Habitat for Huma4itl. llg
ADDRESS: 20 N 4bh sb suire 2oo
EMAIL ADDRESS: e smond@cape f
earhabi taL . orq
pRolEcr cONTAcr PERSON: PHoNE #: sta-6L7 -'7)-3e
20 N 4th SE Suite 200
LICENSE #: 46s32
C ITY : j:-jjg! on
PHONE
! enrcr NEW REsTDENCE o"
! aoorrrou ro ExrsrrNc RESTDENcE
ANSWER BELOI,' ALL THAT APPLY TO YOUR PRO]ECT:
I nrr canacrsF E oer crnncrsr
6^r, -&--sr! eoor-
! orcx
5F
I sronnce sneo
OTHER:
SF
SF SF
TOTAL HEATED SQ FTl
//'Z TOTAL SQ FT UNDER ROOF: )217 TOTAL AREA SQ FTl. /29?
TOTAL PROJECT COST (ress
ro0 : $ es,ooo.oo # OF STORIES:
/
Is Any ELECTRTCAL, PLUIBrNG or IIIECHANICAL |,,/ork Being Done to the Accessory structure?
[ Ves
! f,fo
If the project
is a Relocation, is there a Natural Gas Line on the current Site?
! ves I uo
rs there Electrical Powen on this Building?
l-lv"t l-,1 ruo
PRoPERTY USE
/ OCCUPANCYT
I SrnClr raNrrv I ouerrx
f] rowNHousE
DESCRIPTION OF WORK:
and ordinances and regulations. The NHC Devetopmenl Services Cenier will be notilied ofany changes in lhe appro\,ed plans and specificallons or change in confiaclor or
coniractor informaton. '_NOTE: Any Work Performed w/O tre Appropriale Permils willbe in Violation ofihe NC Slab BUg Code and Suji+i r) Fines Up To
95m.0C*
OI{NER/CONTRACTOR: Esmond Ander.on cFHFH SIGNATURE: 1-:'G
,a
+,*:* ,r
+:i:*:i:+,* +i(+)* **** *** ** * * *(I iI'l Iil"J ** **** **** *,**,*+ *{.,r++:} r(** *,t + *,*,t:*,} ,*:t
*:t +** )**** )*
*,*,t :*
* *:t **
rs rHE pRopERTy LocArED rN a rlooopurrul
lll v:s wra
C)-7
EXISTING IMPERVIOUS AREA:
-SQ
FT
NEtl IMPERVIOUS AREA:
_ SQ FT
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING
=
a
PERmrr:
I-l ves
l-l uo Lg
WATER:
I creun
I coMr4uNrry svsru,r
! PRTVATE WELL
! cerurRal werr
sEr.rER:
E creua
f] CENTRAL sEprrc
! enrvnrr srcrrc
! coMMUNrry sYsrEl'l=ae,
*** SEPARATE PEMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS **' 6
PAYMENT IiIETHOD: E CISH ECXTCK (PAYABLE
TO NHC) E AIENTCAN EXPRESS
E 'CIVTSO I OTSCOVEN .O
It*'r+ )**)*
**'*r( )i'*,t)t '*+it+ ++x * )t** **+* ++*:ti.)t+ +**,t,**,***** r( r.r.:*:t )*:r*
**{.*r(+:t+*r.* x{.** r(r.t *,*{r+ + + '*x xxx x * x 'q
,o,,.R-.1oFFIcER:€W^..,}ffi:;':\',,:Wi".7!,ff,,,ooo,uuo,,,,,,$
opp.or.r' dY- .t.r,n)rur ootr'.glf /15 FLooD: hu/ BFE+2rt= E
**"".,&*da *l oarr+,,L# r 7 Jt--trrrlrau* E
EXTSTTNG CONSTRUCTTON:
f] nrrrnarrOru
f] nrlovarroru
! ceruenar neearRs
! RELoCATTON
NEW CONSTRUCTION:
*,IPLEASE CHECK AND
! suunoou SF
! cRrerunous e SF
? B"/ )?-"^ <F
NEhI }IANOVER COUHTY
BUILDII1IG PERruIT
AWLTCATTOfi TYPE..
SIGHS
/ BITLtsOARDS
eCfS-n^/-l
APPLICATISI
lltmber
ptE49E pRIlrT CLIARLY
& A}15!,'ER ALt QUtSrl(,,rS(offtco use)\e],ilrz *proJect Responstbility,
AppLICAIITTS
iIAIrlEt NorlhView Construct;on, LLC ffi]t3 8-&15
DEVELOPEfi; NorthViewPartflers, LLC ptl0NE
#: 91$87eS200
PR0IFCT ADD8E55: 4625 Fairview Dr
CITY: Wilmington
ZIP! ?8401
0CCUpAIII/BUSISE$S
$IAHE: Meridion al Fairfield Park Apartments
PEOPEftTY OId}IER'5
oklrrlEtrS ABDBESS:
Nfijrtr: Meridian at Fairfield Park,
LLC FltrlrrE
#:
6131 Falls of Neuse Rd, Ste 200
CITY: Raleigh5Tl NC
ZIP: 27609
[Ol,{trfiACTO*: Norlilvie-w Constrtictlon, ljrc. "- "
LXCE!{SE
*r S#S&S ACCOT
{T
*:
A00XE55 r g].s1 F?ltg.gf lv?r.rse nd... - crrvr trtpigl ,|lp zlgqq ," 1 sr:
ff
El'tAXL AD0RESS! .MjghgHI Pp?te(qpgete@norrhvlewp?4ryrs.com) ,,-, p$lO$E
*;
PROJECT CO!{T&CT
PE8SOru: Kennelh Dickinson (kdickinson@northviewpartners-com)Pfl0IEE
*r 919-277-111 1
ohrHER/cotuTRAcToR:N0rlhview Conslructi{)n LLC
(P.lflt ,J@)
*++*t**|******+***t **!i*,*****rr****l}**)t*t3****,t***+******+*******,t*+*t*******+*,i****{6***:ti+
TYPE of Sr6N(S)
(cl{Ect( Au_ TfiAT APPrY}
ffi e*err flnurrn
f] nrrarn
fl ruuner ffi cuarriar
our
DtSCRIPffffi 0F
hORK: Erect,hvg (2)
monilrnglsign$ as dopicted in
the atl;ached sign,plans.
and aosording to
the , ,,site plans lor the-..Veridian
at FajlngJ.djsrk,ploject a1 fpproved by th: C;ty
of vvilmingtont dated 12-4-2014.. - . ,, ,
rs sr6il(s) 0N oft oFF pftEllrsEsl H oN fJorr
DlsctAfilIF: I
heeby sdry thatellinfrmB{ot} in lhisePFtl*lqi '8fr*tddld s$wktd,tconp/yurth *}e shb Bsitrthg
codegrld
*i aEEf epp$ccDte slstrand bosl hw3
8nd srdinancss ad r€{uiaicfis, Tho NHC Dav€loprnont
softims C6n!6r r$11 ba oqtiff€d
oler}y ahsrEae ln tho
apffov€d p}ans a.d specmca$ons
c arang€ iI c{xuaobr 0roontr*cbr idfotrfiEtiot]. .FNQIE{ Any Work Psr{omed
WO &sApproFria6 FomiBwilt bE in Vlol€6&'l
ot&B NC Siahatdg cod€
afi, SL,t etD Fhoaup T0$600.@-r'- *tB t '\- \ \4 -/
SIG!{ATURE:ffi-
By By i.irahl/, Iia6.j,jPf*idenl
EI rnrrsrnruDrruG (Ground) fJ manCuee
f] nnorrcrrcmfl srurveLs f] r*nr-r- [ caNonv
Hffi!-(ry,e{
.. ISI6NlHelght: ? .,.
sI6N 2 Heisht; {'?*ij
sI6N 3 Height:
5I6N 4 thight;
a
of SiEn: l&-A SP::l#baasbi
Total l,lunrber
of, Signs on this Project: ,&
sign Dimens ,ont, l6 '.4".'Jx
--
53gn Dimenslons: #'"{.,dL x /_,......_
Sign
Dlmersions:_X--
Sign Oimenslons:
_ X_
T0TAL PR0IECT CoSTr $.!3*_qfe
{r'} git'A;tAi'E pgLi4ITS fiEQUIREII
F*q ELECI, itigci{, pLB6, 6115
EQUIp} pf{Ef.}AES
g* fffifflT5 {,e*
FAn{srfi
rlET}roo:
ffi crsrr flcxecr (pAyABre
rc r$ic) fl erll €courff
fl*./*ro florxonn
+ l'*********$******+*s*i****?t**************+***'tr***i*trt,***;r*******!r********+************
zorrffi:
ffix 'FFT.rR: f u-r^n
(For oFFraE LrsE
oltly).
SEfBAcKs:
r:"ltr' LH:-&
Appnoval:.
H{- cltytA[Ln*DArEi LOOD:BFE+2ft=
dT.TL.t) Ib . PEBHIT FEE:.S
pls.n
6^JonJ*""r- t I rl
r7lil--
ToteL SQ.FT.
Totrl SQ,FT.
rotal sq-FI.
Tota1 SQ,FT.
of S!.gn:
Is TF|E FR0PEBTY
L0CATE0
$,t
A Floospurili fr ves W *
aEvlss) oArE t/33fi2
rl
' *c. 18*185 8r'A-
c.D.tJ).
E'tq!\
*ffiV lrye*?irn **qilil**, 31&t$d"ffitr}
A
?ols- 11\>
CZ
tt -ioh7
lppr-riliii-u
Number
(offi(e Us€)
7tPt.78'/ o{
,* /a- ....-
PHgr'rE #: q*lll:,17o8
tlY: LJ,l,y,e*:f".#
__.. STq!! ZtP
A8./6
LICENSE *t /!/A" -CITY: t ', '(*, . l- .--r
stt*zllt zga4{*: ct
rq .22? - s-tui
t.
PFICNE
Ci-t 1
PROPERTY 0lrlNER'S }{AtrtE;
OI.#'IER,S ADDRESIi:
TOTAL HEATTT 5Q FT:3.;:r TorAL sQ Fr UNDER RooF, Gnt 7 rorAl AREA
sQ nt (of ),,
TOTAL PR0IECT C0STrL"ssLor)
i $ /E o*o * 0F
STORIIS: / -/.&f *-.-
Is An(g:tg:1+LUl{BrNG or }tEcHAilrtAL !.,ork Being Done
to the Accessory
stru(ture? $ves il H1
If the project
is a Relocation,
is there a Natural Gas Line on the Current Site?
fi Yes il Ho
f, Is there Electrical Power on this BuildinglHves fi No
pRopE*ry usE
/ occupA*cy:'ffi srN.Lf FAr4rLy
I ounrrx
il ror*r$w ltxp*ction ffiuec, $]l]?$4ffi]
DESCRTPTIoN oF l,lonK;
l+;,.1 -f,r1f . ..^r{
ho.Ll r,P,*.*o*;".{r:V'*,{.t,U."( ap ...**
DISCUqIMER: I nereby
cenl( ,ldfeil iifuna:ion jn t-, rs alprts!i3n h ccrte.! 8oC 8ll work wi! ccmr.; rrar
;re SEte B-j'lding Code snd a#ier s::i:*aoe SlaE and
bcat lawsDISCI-AIMER: I hereby
cedjf/ ,1df eI ;nhrrxaiiort in
&ls atolicaton is
ccrte.! 3sC all workwi! ccmrii wrfi ?re
SEte B-j'lding Code snd a!yrer sli:kaOe SlaE and bca! laws
conractor infornration.
"'llo?€: Any Worr.TP€rlorn8d WiC h., Agprogiate P?rnill e/ill be ir Vnlalbn of lhe NC See S,li CoOe_;*f, ltri rcr b Fines Up To S5OO.O0,".4 - ^ /l -r'.'--
.'/.46) i1tu11..-- srGlrATURE,
,/.'w'
ilI'": li.ji,e'
****+******,t*************,t*r.i.rra +x*+tr****ax*****************:j(*****************'*x*r****
IS THE PROPERTY LOCATED IN A FLOOOPLAIN?
N YES fI TlP
EXISTING II'IPERVIOIJ5 AREA:
**L?]:* SQ FT
NEH IMPERVIOUS AREA:
- 1/{J SQ FTPER,{Irr
ffi vrs LJ Ho
uATER:
f, crrua
I comr"runrrw SYSTEM
f] lnrvare wrll f cerurnnt wri-t
sEr,JER:
S crnua
ff crulnnl SEFrrc
f] enrvare sEPTrc
I cor+ruurw sYsr{:t't
}i' SEPARATT PEMITS RES.IIf,ED FOR EIECT, I'IECH,
PLBG, GAS EQUIP, PREFAT'S
& INSERIS i*i
pAyHENr
rErHoD:
ficasx fl cxecx (PAYABLE
ro rrHc) ffi$rnrcaH ExPEEss
t "c/vrso ff orscovEn
RtwsED DATI r,4/11/12
zoNE,
{>FOFFrGER: "l'ill:J: ?:iL ru, (' au: ttti s,tut
Approval:-ctty: l.olurt DATE:),3r1,< FLooD:
V BFE+2ft=
v nl\
NEh' HANOVER COUNTY BUILDING PERIT'IIT
APPLICATIOII IYPE; RESIDENTIAL
PLEAsE A'.ISI{ER ALL QUESIIONS APPLICASLE
IO YOUR PRO]ECT
"ProJ€ct Responsj.bi1ity''
*rcournacroR: [f,n.t'-
'l-'t'<ai Ke*, r,r..n.,;_ .* ,...... ,**t,
I alrrnrrrou
I nrruovnrron
I ceruea*l REpArRs
f nrrocarroru
liEt CoNSTRUCTroN:
f tnecr NEW RESrDsNCr or fr3oDrrrON rO EXrSTrr,IG RESTDEiTCE
TTPLEASE CHECX ANO ANSh}Ei BELO}I ALL THAT APPLY TO YOUR PRO]ECT:
fJarr GAMGE -----.--..----- sF B orr GARAGE
3z{ sr
I eoncx -- sF
ADDRESSI LLL
E!4AIL ADDRESS r
PRO]ECT CONTACT PERSON:
EXISTIN6 CONSTRUCTION:
I surunoon
-- sF
f, enrrxnousE
*-..---...-.
[ rcoi
sF floecx
*.- sF I sroRAoE sHEo
-"-***
sF
SF OTHER: SF
TOTAL ACRES DISTURBED:
IXIST LAND DISTURBING
Comment i PER},IIT
FEE: $
PI-ONE #:
PRO]ECT ADORESS:
SUBDIVISION:
!l::
CITY: r"-lr_lor r:
BLOCK *:
161y-1Q45
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATToN
ryPE.. ZONING
(Urlncorporated Areas of County)
PLEASE
PRIIT CLEARLY
& ANSWER ALL QUESTIONS
',project Responsiblllty,,
MllE: cRB-Beau, IJTrc. Menrber
of clean Ride ExpreeB,
Inc.APPLICA'{T'S
DEVELOPER!
PROJECT ADDRESS
I
SUBDIVISIOI{3
PHONE
#:704-321-1ooo
LOT
#:
#: zon
-:z:.-rooo
STI Nc ZfP: z szzr
PRoPERTY ot{NER'S
otdNER'S ADDRESS:
5932 Carollna Beach Rd.
NA}IE| cng-eeau, IrLc, Member
of clgan nlde Bxprese,
tnc. PHONE
-10815 Slkes Place. Suite 300 CITY: ch3rlotre
LICE SE #:accoll{T
*:
ADDRESS:
CITY3 chartott.e
EDIIAIL ADDRESS:PHONE
PROJECT COI{TACT PERSOI: -g"i- s, Tr.r"Eu]I. p.E pHO E #: e1o_343-96s3
sr:
*i.iii!e,-i
*:tu-4-. ru l-]tu)L)
rs YouR pRoJEcr: I commercla].
E Resldential I Neu tnstauatlon I Reptacement
! otner
DESCRIPTIOiI
0F WORK:
For Tree & Stre plan Approval O:1Iy
NorrlE &
lunsEall Con€ul.tinq Enq,Pll:9Lo-343-9853
AR€H
ENGR
DESIGN PROFESSIOML:
DESIGI{ PROFESSIOMT:
NC REG
#:
NC REG S:
c-3641
Is THE PROPERW LoCATED IN A FLooDPLAIN?
Hyes E] uo
N{T &l3ux<
t5
-45+
APPLICATIOI{
Nunber
(Offtce Use)
ir-lr-t,lDATE:
u-rr--+l '
.Iilminqron
BUILDING HEIGHT: rs, -zg,
ToTAL SQ FT UNDER
FOoR: a.eso
sr
NUMBER
OF STRUCIURES: 1
NUMBER
OF STORIES;
ToTAL SITE AREA: 1.81 AC
TOTAL ACRES
DISTURBED: 1.43
and ordlngices and rooulodolt!, Tho NHC Dovolop.nonl S,orvlc€s conbr w,ll bo nodf€d of 6ny ch6ngas ln fie spprovsd pling and 6poclfco ons or chsnge ln contraclor or
contloclo. lnto ma{on. dltOTE: Any Work Perto m6d wO tho App.oprlate Pemlb wltl bs tn vtotallon of th6 NC stat Bhg codo o;d Subl€ct lo Fln6s Up To gsoo.mn.
TOTAL PROJECT C0ST Gess r-a): $
0WNER/C0NTRACTOR: Ken
olndolff, presldenr SIGNATURE :
(Prtnt tlan€)
pRopERw use ,
f] REsTDENTTAL
fl ausrrurss
! rouc
fiaer Ecouoo
I orHrn:
liArER: fJ cFpuA ffi cor,u'ruNrrv
sysrEM_-E pRrvArE WELL zoNrNG
usE cLAssrFrcATroil:
sEr{ER: McFpuA
Ll CENTRAL
srerrc [J pRrvATE sEprrc
! coul.lururw svsrem
't* SEPAMTEI'ER'{ITS RESJIRED FOR
ELECT, MEOI, PLBGLGAS
EQI'IP' PREFABS
& II{SER]S 'I,pA'rErT l,rEnoD:
Ecrsr EcHecx <pavrsir'ro-,ui)
---h;;;;;r;;''*tr"dffi;no
flvrsr:l{.'l'{'*il'l**r**+l'd.*+l*tr.tx**,1.***t+*,t**tt*t*{.i't*t*+tt**,itir.*it{,}***,}**,i{l,|l*,t ,r**t***+ir.i.+,i**+I
(ton oTFICE UsE oilLY)
ZoNE:
_OFFICER: _ SETBACKS:
F:_LH:_RHI_B:Approval:_ clty:_ DATE:_ FLooD:
_BFE+2ft.
gsmgnl; -'lnrcr- P rok<+r.r-- +o r
-e-ry\A,r',--
A v r{
-4-^^r-"
ER'rrr FEE:
,\
$_
Co " Zoo^:r- .F"^-l f2A,r';a!"
COI,ITRACTOR;CRE-Beau. LLc
Is YOUR PROJEcT; ! accrssonv STRUCTURE (Musr bo ross thon 12
botol dtrnensrons)
[ coNsTRUcTxoN TRATLERI seasouar- sALEs
Lor fiorHrn: cer wash
l' ,i, \\
/ **, -l
'ffii'\tr--''
NE}J HANOVER COUNTY
BUILDING PERIiIIT
APPLICATI@I
rypsr RESIDENTIAL
PLEAST AtS,rER ALL QUESrl0mS appLICASLE TO yotr8 PSOJECr
"Project Responsibilit)
hs-trvv
9uz-15-
enb
APPLICATION
Nu&ber
(Of{l.e Use)
PROPERTY
OO{ER'5 iIAqE :
OHNER'S ADDRESS:
BCAT 2014
- qrr z 6 r-*k o-.*J
APPLfCAI{T' S MIIE: Levin tiea-t
DEVELOPER:
r,T
Neal properry/ r,r,C PHC$IE *:910-386-1310
PROIECT ADORESS: 209
Pinecliff Drive CITY: qilq\injton zlP
| 284a9
SUBDIVISION:BLOCK #;LOT *:
E}.1AIL ADORESS:
int e! s tatecceaot . ccm
pROIECT CoNTACT PERSOITI: l,evi-n NeaI
ExrsTtNG co.rsrRucrroN:
f llrenli:oH Q nrrovarrol IerNrnll nenaras
I RELocATroir
NEU] CONSTRUCTION:
f rneCr EW RESIDENCE
o"
D aOOrr:OH ro EXTSTING RESIDENCE
*}PLEASE CHECK AIiO ANShIER BELOI{ ALL THAT APPLY TO YOUR PRO]ECT:
f] arr arnner
sF I oer amcr
I surnoom
--*-
sF
f| cnrrrurousr
-.-
I eoor-
I oecr
TOTAL HEATED
5Q FT: 1763 TOTAL SQ FT UNOERROoF: 1763
TOIAL AREA SQ FT:1163
TOTAL PROJECT COST(.e*ror)
: $ 40,ees.00
# OF STORIES: 1
Is Ahy ELECIRICAL, PLU}1B!',16
or titaCHAr{IcAL
Nork Being Dore to the accessony
Structure?
[ V"r fi No
If the project i.s a Relocation,
is there a Natu.al. Gas Line on the Cunrent Site?
[Ves E!no
Is there Electnical Power
on this Bui.lding?
ffiV"r Ito
pRopERry usE
/ occupANcy:
[l srrelr rmrr-v
I ounlex
f] rowwouse.SePle*'c-+r-
DESCRIPTIOT{ OF HORK:
Instalf neer rood/ca.pet floorj_r3gp4i! qqsia, Replace
front porch, pqjn! Exi. i Int,& repai! roof
DISCLAIMER lhe6by corlify hal all inrorms on in 6is arplicaloo is cotr&l and dl l,Jo.l wilJ compry llrih tre StalB &rtldhg code md allolt€r appticdl.
s6! d bcd raws
and ordit&.es and regularo.s The NHc ooEbpmenl Se.yics6 c€n€r will b6 nofi€d ol ary changss h ,le approled pbns a.i, _sDecfcrlions or change in
contet r
or
contacbr Inlomalon- 'tnOTE Any Work Pcrfotu.d Wr'O ho Appropriab Permilr wittbe h \.rohfon of hc NC Srae gdg Co4"rr(O Subi*r
0I',NER/C0IITRACTOR:
Manlrus p. NeaI
rrr SIGNA
+r* + * * *,*,* *,i * * +!r *. *" **" ** * * *(l^]l1l::":**
I5 IHE PROPERT} LO{ATED
IN A FLOODPLATNI
++r* ***+.*t +* *,t r r*++ +* * +rr tIt r{ a!
+ *,*,i t+*,}*** *ri}n**)*)r *+fl ves
tf r{o ulyln$scli0nlisqj,r00,fi&2$4.g0
FT
FT
,J
mreR:
I/ creur [_l coi4MuNrry svsre
n I pRrvATE !,,ELL
I crruralr_ ne
u
sewrn:
I creul
f] cENTML
sEprrc
I lntvlre
srrrrc
fl co.r]1uNrry sysrEr4
/ .., '= .i,'.ll nr .- .t.q.::R:l Fofi
fr-:i-, ,,aai.lr prE6- GAs rairr, ptrr-,Bs & r1,rsa!:..i *.-
pAyfiEr,lr nErHoD
r lcrsx I orecx (pAyaBLE To
nncy
I arnrnrcan exoaris naz*ro I orscovrn
*
+* {.**lt '} *** * t!** * *li***:} ****,t***,*** **:r* ****:*r.***,** * r. ti !r
*f, *,t
!*l.*** r +*:t
** *++ *+**,N,i
****+)t,r**,}*
zonrz
Ut( orrrrlrlt g2
TOTAL ACRES DISTURBED:
Exrsr LAr{D DTSTURBTNG pERrilr: I--l yrs l-ll rc
PHONE
S:
CITY:
LICENSE *: 5619 4
CITY: wi.mi qton _
orr*i
,tD.
sT I IS1* ZIP I
?gl!L
*:910-368-6006
fl:,9.10-386-1310
ST:
CONTRACTOR: Inter-State Contractiag
co. of Nc, Inc
ADDRESS: 606 s. 7!h slreet
_sF
5F
sr
f] concu
-sF
I sronacr sHEr
_ sF
OTHER:
-
SF
EXISTING
'iIPERVIoUS
AREA:
_SQ
NEW IIITPERWOUS AREA:
-
SQ
ADDroval: citv: [J.L]Y1
Vtt
(FoR OFFI(E USE
O{LY) ,
5ETBACKS:
F:]f RH: p4- I
- --uN /\
I5 FL@D:BFE+2ft=
L6\
NEt^l HANOVER COUNTY BUILDING PERHIT
APPLICATZa1 n"E, RESIDENTIAL
PLEAsE
^|]SXER
AI.L QUEST]OIIS APPIICA?L€ TO YOUR P8O]ECT
"Project Resporsibility-
AP9LICAN''S M''IE:
DEVELOPER:
PRO]ECI ADORESS:
v7
SUBDIVIS I OT.I :
PftOPERTY OIOIER,S
OIOiERJ 5 ADDRESS:
o,
,/ei//* r?af
sr'tZdtPt
23Y/2
s; *'
4&@ sr&up.z+ds* q/o 7€rJor
*t 7pYr7ala /
./Vz*tlrara4r/N///a,b-E-'
COI{TRACTOR ;
ADORESS I
EIAIL ADORESS I
PRO]ECT COUIACT PERSOI,I:
lltl,ll Cot'lSTRUcTloNl
..PL[ASE CHECX AI']O A},ISTEN BELOW ALL THAT APPTY TO YOT,R PRO]!CT:
f] arr
u
GREENHOUSE
TOTAL HEAT€D SQ FT:
-_
TOTAL 5Q FT UNDER ROOF:
-
TOTAL AREA SQ
ExrsrtN6 coNsrRucrrou: F/ALIERATToN
TorAL PRorEcT cosl rr-esstoo , $ /4/<, * oF sroRtEs:
Is Any ETECTRICALT PLUllBIllG or tlEcllrNICAL work Bej.ng Done to the Accessory Structu'et E Yes
PRO?€R]Y USE
/ OCCUPANCY IsrN6L€ FAMTLv
I ouelex
f] rolxxousr
DESCRIPYIOII OF }OR(:
S IGNATURE :
SFSF
Is Any ETECTRICALT PLUllBIllG or tlEcllrNICAL work Bej.ng Done to the O.."rro"r1 I"", [ ,5 ,X*o
If the project
is a Relocation, is there a l|I!y,cl I Line on the cunreflt site? ['"t I no
rs there Electrical Power on
y)is BuildinS? BlYes L-l No
f,*..r.,r'i '*** ***'** * -,*.,-,".,.Jllil: l:Tl .,..., *...., * y',,**.
d{*r..'**.. *r* r******* *,}*** *
rs rHE pRopERTy LocarEo r n rloooeu:lt
I v:s EI m
ExrsrrilG rlrpERvrous aREA:
-sQ
Fr rorAL acREs ,rrffi.[M&o,lll00 gllllrt nna.,
NEI{ noERvrous aREA:
-
sQ FT EXIST LAilo OTSTURBTNG PERur:
ff vrs-'fJr64v7tl./
harEn:
fJ creul
I coirlr.1uN]rY svsrulr
I rnwarr wrll I CENTML WELL
SEWER:
I cFpuA
f] cErlrRAL sEPTrc
I rnrvnrr srerrc
I co+lMUN1rY sYsrE&
*T' SEPARATT PER ITS REQIJIREO TOR ELTCT, }IECH, PLB6, GAS EQUIP, PRTFABS
8 II{5IRA5 "'
pA\4ilill
rrrxoDi
n cos,
E $,rc* (paYAsLE
ro
rncl
I nrenrcAx exnerss
E *lrtto ff orscovtn
rl***rr**'r** *
*l( *a**)** rtr *,*t r
l.*** 'a
t *trr * a** *rt * * ** t)r*
***'t+*'** *** t**lr***t
,orr, -@ orrr.r.'
Approval:.*.- CitY:
(toi OrtI(E USt dllYl , , rtvIJtD oArt 0r/1r/12
'ETBA.KS:
,,'t - ,r' ^,,1 o,
J ,, ,4
FLooD: V srr*z+t=
^rl5-
hrr,a"
9st{-:evt1
DATE:
f:
$: _ LoT *:
\62 \5-v7r1
APPLTCATION
NuiiDea
(gffi(c Us.)
Coffient:PERfiIT FEE i
,,-_ii'i..,,! r
l&,J
1o.lN/Y 11 ?et 6-?l6"rt
\ NE.u HAN',ER couNry BUTLDTNG T'*rri/61y:1qqb,- NEt.t HANoVER couNTy BUTLDTNG pERI{rr'L'rr - r(1t
1J, ^ft\ ,:\ APPLIEAfImI n?8.. RESIDEI'ITIAL
f-i m til pLEAsE ansr{ER aLL grEsrrotrs appLrcABLE ro youR p*orEcr APPLrcATrol{
ltumber
\!El *":j:' ***'::1:"a (Ti:i'*)
oorr, i1elt4
*r--*,, uarc, 5tt'rtns
DEvELopER: forch,,i7oT-I7DEVELoPER: forchyt :6llo-w- B61q
t/c St{or6 g,uiUi
PRO]ECT ADORESS:
zrP:&AI
ll
slJBDryrsrdi: {'' lla q ?--
PK)NE
OT ERJS AIDRESS:
CO{TRACTOR:Ste.Ienr 04it Corn TICENSE *:6 ACcOtItT *: 9'l/
A)DRE55:
crrv: bJi lvn
EITAIL ADORESS:
PROPERW
O {ER'S MI{E:
PROJECT COIiITACT
rcr *: 55-
*t lto''111'1011*,@
PtoirE *: '111'00qq
EXrSTrr{G CONSTRUCTTOiT:
! llrenarrOr
! nrrovarrou
! eenrnar nrearns
! RELocArroN
I{E]{ COI{STRUCTIO t ! rnrCr EU RESIDEiTCE o" ! OOrrrOl TO EXISTI G RESIDEilCE
.*PLEASE CHECI( AII' AI{STER BELq{ ALL THAT APPLY TO YOUR PROJECT:
flor, ***, tl{{ sr ! o:r
ernaee ,, fr**., --!l-sF! surnoom
_sF ! eoor-
_ sr ! sronaer sHED
_
fleRe enxouse
! oecrSF OTHE R:
,q rr, lb6b rorAL sQ Fr u oER
.sF
SF
coST rress ra) : $ la0,0O0
Is Any ELECTRICAL, PLt llBlt{G on IECM fCAL flork Being Done
If the project
is a Relocation, is there a l{atural
Is there Electnical Pov,,er
on this Building?
l-lYes
TOTAL HEATED
TOTAL PRO]ECT
noor: ll'lb rorAL AREA rq
,rr ll'{h
o, ,ro.I]l-A
structure?
[ v", flno
cument Site?
[ v"s fl r,ro
to the Accessory
Gas Line on the
dno
PRoPERTY IJSE
/
DESCRIPTIOI OF
ZONE:
Appnoval:
Co rent:
DUPLEX
lruth
fr rr*.,
ur, r?5i/sr
v!! rowurouse
ECE!V
DISCL.AITER lhor€by cortiry fial all inbmabn in fiis applbaton is conecl ancl all work will comply wih tt€ Stal€ Bulldang Code
and odlnaces rx, lEguladofts. The NHC Oevglopnlent Services CenEr willbe notfod ofEny crtdEes In fie Tpto\€d pbns and
naren: ( crrua
! corf4ur{rry svsrru
fl pRrvATE hIELL
! ceurnel wrll
sEliER:
fl crn-n
! CENTML sEprrc
! nnrvare
serrrc
! coitruNrTy sysrEM
*** SEPARATE PERIIITS REQUIRED FOR ELECT, i1ECH, /PLBG, GAS EqJIP, PREFABS
& INSERTS ***
pAynE
r nErHoo:
I casn
f].rec( (payABLE
ro,,rc; fiar.. *.c,*, fl rclvrsr I orscovrn
*,*,t,**{.,it)**++*:t,}+,t,t't,t,t*,r,i*,t:f+:t:t,t'i*,t*,***:t:t+**,i,t:i,i+:f*,t.t****,i.:t:tri++rt:i.t.},**t+:i,i,t!t,t****,t:i:}r*+:i,},t,*
OF FICER:
(FOR OFFTCE
tSE OttY)
SETBACKS: F:
LH: RH: B:
iEyrsED DATE 04111/12
N
PERIlIT
_ Clty:_ DATE:_ FL@D:BFE+2ft=
--7r1-
FEE:
$ /J I
PTO E *:
contracbr lnbimallon.
otl{r{ERlcot{TRAcToR :
SIG ATURE:
rs rHE pRopERTy LocATED r{
l rroooeurr?
[ ves
ExIsrIilG lti?ERwqrs
anel: I { &0 sq rr
Et{ Ir?ERvIots
*to, }Tif-tO t,
,orllo.*r, DrsruRBED:
J3 I
EXIST
LAI$ DI5TURBII{G PERI'IIT:
T] VTS
J7 rrO