JANUARY 14 2016 BUILDING APPSfr
NEW HANOVER COUNTY
BUILDING PERMIT
aPPLIcarIoN IypEr R ESIDENTIAL
PL'I.!: AIISIJ" ALL QUit;iCI! APPII(A8L! TO YOUR
PiO]ICT
"Project Responsibility,,
f .-,
)DtTll C)
6 - gt57
APPLTC^TION
Nunbea
(o{{ice use)
APPI-ICANT'S NAHE:LL
DEVELOPER:
PRO]ECT ADDRESS
SUBOMSIO
: ,.'l-l 4
4k
c) \,CITYi
DA;E
PHONE ':
BLOCK *toT d:
p$nE
{t ?/o -}3/ -/L/ 7
71p 1 -* /o
PROPERTY
OiNTR'5 NiIE:
OI,JNE R , S ADDRTSSJ }:,2-
CONTRACTO
ADORESS:
EHAIL ADO
p<
r r( (
JTY:
LICENSE *:
CI'TY
5F OTHE R
?
Rl
:)L
RESS:
PRO] T CT CONTACT PERSOII
suNRool'r
.--_*- sF
srt lzzTp>)?./ o I
s'r:(up: >lYa /
PHONE (: 7/,.)
STCRAGE SHID
-
SF
">7
/ -/
z-oFc PH1NE *t 2./ o -> 7/ -/ / 7 ?
EXTSTIN6 CONsTRUCTTON:
fl AL:ti;TtCN
! nrNovarror
{o*,r^o, neearns
f] RErocATroN
r.l€l.l CoNSTRUCTIO T
f] rnecr NEw REsIDEt{cE
o"
f noorrrou To
Exrslrrl6 RESIDENCE
T.PLEAST CH€CX AM) A}ISETR EEIOI.J AI.I THAT APPLY TO YOUR PRO]€CT:
! arr
cnnaee sr n DEr 6AR^GE sr
f nongi 3 o o ,,
! cnr:Hnousr sr f, oecx
TOTAL HEATED
5Q FT
i
TOTAL PROJECT COST I
",,Lou: g / S'oo
POOL
_ \t
,f' ,
SF
TOTAL AREA 5Q FI; _
IJo
'v'rc
IOTAT 5Q FT UNOER ROOF:Ttoc>
* OF STORIES:
I5 Any ELfCTRICAL, PLUfiBItG
o. }IECHAIICAL
t/ork Eeint Oone
to the A((essory Structurel fl Ves [ ruoIf the proje(t is a Relocation,
is there a Natural Gas Line on the Current Site?
D yes
Is the.e Elect.ical Po(e. on
thi.s 8u11di.f) E yes lJo
pR@ERTy UsE
/ OCCUpAflCy:
I SrnCle ramrrv DUPTEXTOil,\HOUSI
DESCRIPTION
0F HoR(r ,"r'.- !a
.t \
,>,.- I
DISCLAIMER: ln..qhv.en,t tlal arr rihrFiln. r r.i5
arir.t..tc. s c. ,!iL,3ad a[ worr 11$
c.nrr; wr'l l]lr Slurc auErng Cod.
n)d.rJ rnnros ani r.q.,li,ror! lherifa i){.vcroptrre. r Sc ry,ces (lr!!,e,r r€ro ....,," r...:..*:neall,c,rcp,r"sano
,N o'loraoc!.able Stau aid tocaites
. r.ar.ns or changer. con ll.cb, or., frOtt
^.y
t,or rr( n\.,j,-.s.,\cNC Siale lr
OWNE R/CONTRACTOR :
lf. :,1 LrJ.. )
GNATURE:
YES
254-09fi
I5 THE PROPERTY LOCATED
IN A FLOODPLAI ?
Exrsrrrvc rMpGRvrors orco,
7l f o Se ct
N€W II.4PTRVIOUS
AREA: T ) SO CT
I.JATER
i
SEWER:
w{,,o
M c reua't-
.., lri]1ii4.'t DaI1IiIt5 {tQtiNtD r-c6
tLL(I, :.ri
PAYIEI{T
ETHOO: [J-<lS-'
f CteCX (payAsrr ro xrK)
COXXUNITY SYSTEiiPRIVA T€ i,lJELL
CEIiTFAL S'PTT'PnlV/1TE SEPTIC
NO
ToTAL ACREs ITSTURBED, (.r\
EXIST LAT,JD
DISTURBIIIIG NTRIII: f
! cerrnal well
f] co'wulrrw svsrEn
ff-*,6
(rl, l,tHG Ci,S tQUlri, pliLliia: t tNl
a;:S ...
! urrrcor, e xonrss
! ,crursr DISCOVER
C,BD/
zlNE:4bL crFrcER
AlL.roval:-_ Cit
(FCr{
0r.r(r usl rrl Y)
ar;rF 5":4
.; At2<m s,-i s
C$: F. ah t
,r*Ot
74
,,4L ^'.'tf4,,41i1""
,"r{ c4rrr/12
8F E+ 2ft=
connentr. tlo _GxTdzo4-
?tful{€t4 Petrn z-f-fe,t}
u,zaiq_ Jr*rr,
,r,, ,4 Cec7zFzc,,,ti.L- a= RP,-,reF,tF, .7t1- .-6R< a,4oe7( .,.r1j'3 pe7L-.nri=;+aL<*k Zel>rt>a- ano x-* o,Vay,
Yll
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: R ESIDENTIAL
PLEAsE ANSWER ATL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility"
2otL-t3L
15-3583
APPLICATION
Number
(office Use)
APPLICANT'S NA E: :.a. r.r.i-,):,, Ir c
DATE: 1r:s r5
DEVELOPER:PHONE #:
PROIECT ADDRESS: ,i,:, "'.rn..,:ver .'
SUBDMSION: I,Jat er s ide at i\roodlake
CITY: wi lrn i ..rto.
LOT #: 24 9
OWNER,S ADDRESS: 4i].r: peLle ]erre Bl-i.]
CONTRACTOR: D F.. Iio rr on
CITY: M./rt 1e Beach ST : j:_ zIP :
_::jj:_
LICENSE #: 296r6 ACCOUNT #:
ADORESS:
4al3 Bette Terre Blvd
CITY: Mi,rtle Beach
PROJECT CONTACT PERSON: I: .
i,.,:
EXISTING CONSTRUCTION:A LTERAIION R ENOVATIONGENERAL RE PAIRS
NEW CONSTRUCTION:ERECT NEW RESIDENCE oTADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND AN5[,{ER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
PHONE #: .ta 5rr al84
PHoNE
S: 9r0-581 0r84
RE LOCATION
ST:-.:riZIP:',5r1
No
!No
ATT GARAGE 432 SF
SUNROOM SF
DET GARAGE
-
SF
POOL SF
PORCH 222 SF
STORAGE SHED5F
GR E ENHOUS ESFDECK
5F OTHE R:SF
TOTAL HEATED SQ FT:
:,r',a ToTAL SQ FT UNDER ROOF: :,,:: ToTAL AREA
5Q FT:
r..:
TOTAL PROJECT COSTrr.".rott : $ -..r..; # OF STORIES: .l
Is Any ELECTRICAL, PLUIiIBING or IiIECHANICAL |.Jork Being Done to the Accessory Structure? [l Ve. I
If the project is a Rel.ocation, is there a Natunal Gas Line on the Cunrent Site? n Yes
Is there Electrical Powen on this Euilding? EYes I No
PROPERTY
UsE
/ OCCUPANCY:SINGLE FAMILY DUP L EXTOWNHOUSE
DESCRIPTION OF WORK: :rl.:,le F.rmrl/ P.es r.:lenl irl
OWNER/CONTRACTORi
I'tictaet Daniets D.F..rtortonInc. SIGNATURE:
and ordinances and regulations. The NHC Development Seruices Cenbr will be notlied of any chang€s in t'e approved plans and specifcations or change in
contracbr or
conuactor intorma[on.
"'NOTE: Any Work Perfomed w/O he Approprial€ Permits will be in Violalion of lhe NC Slate Bldg Code and Subject tc Fines up To $500 00"'
(Print Name)1.+1.i.1.+,t++**++*****,t+++r.1.*1.{.+tf+**********r(N(,t)i{.+++++++,*++**+***)****)t)t)*******i.,tr(x+{.1.,t*,*+++
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EI YEs
EXISTING II{PERVIOUS AREA:
-5Q
FT
I NO
TOTAL ACRES DISTURBED:
I NO
(FOR OFFICE UsE ONLY) REVI5ED DATE O4l11/12
SETBACKS: F: LH: RH: B:
BF E+2ft=
EXIST LAND DISTUREING PERMIT:
N YES
I,** SEPARATE PERIiITTS REQUIRED FOR ELECT, MECH, PLBG, GAs EQI'IP, PREFABS & INSERTS ***
pAyl4ENT LETHOO:
E aOr* C*raK (PAYABLE TO NHC)BrLL ACCOUNT
E r.rclvrsa
I orscovrn
***++**********i(*)t++,*+*t******)*)***,*,*,t*,t,t,t***,k**r(*****,t***,*,*++******r****)****i(***++*,*,t+*,**
Nfi \tLl e
!
Approval :- City:_ DATE:- FL00D:
;:\
ZIP i 2d4t )
BLOCK
#:
PROPERTY O|,INER'S tlAr'lE: p.R. Horton, rnc. PHO{E
#: 843-646 2-il8
EIIAIL ADDRESS: mL.ianietsGdrhorron. com
NEI^J IIVIPERVIOUS AREA: ,1] ] SQ FT
I^IATER:
I cFPUA
E COMMUNITY 5YSTEM
E PRIVATE t^JELL
I CTruTNAI WEIT
sEwER:
@ CFPUA
E CENTRAL SEPTIC
I ENTVNTT 5EPTIC
E COMMUNITY sYsTEM
ZONE : _ OF FICE R:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: R
ESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsj.bility"
D. R. Horton, inc. DATE:
PHOt'tE *:
JrrtI -413L5-2966
APPLICATION
Number
(Office Use)
APPLICANT'S NAflE :
DEVELOPER:
10/20,/15
PROIECT ADDRESS: ', r- r rrteeL. :'.,p
SUBDIVISION: r.Le ieserre .l: iie:rl 3.i)'
CITY: I{i lmi not on ZIP|;N4t1
LOT #: -.
PHONE #: !1r -r: 3!-l
ACCOUNT #:
BLOCK #:
PRoPERTY ObINER'S NAJVIE: , .. : ,
CONTRACTOR: D. R Hort-{rn 1nc
ADDRESS: 40lJ Belle Terre Blvd
LICENSE #: 2e.,r5
Efi,lAIL ADDRESS : pCBa I.le ro s e La drhorron .
corr
PROJECT CONTACT PERSON: ll,1lL ,) --rL,ler,,, ePHONE f: 843-331-12C4
EXTSTTNG CONSTRUCTTON:
! nrrrnnrrOru
!RENOVATIONGENERAL RE PAIRS RE LOCAT ION
NEW CONSTRUCTION:ERECT NEW RESIDENCE oTADDITION TO EXISTING RESIDENCE
*,*PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE 4C I SFDET GARAGE
-
5FPORCH 2.; r 5F
! surunoou
_ sF
I cReerurouse sF DECK
SF OTHER:
SINGLE FAI'1ILYDUPLEX TOWNHOUSE
tr POOL SF5F
SF
STORA6E 5H ED
TOTAL HEATED
SQ FT: -,a, TOTAL SQ FT UNDER ROOF: , ,i ToTAL AREA SQ FT: :,
TOTAL PROIECT COST rr-ess i-ori : $ ro:, ose # OF STORIES: 2
Is Any ELECTRICAL, PLUI4BING or IyIECHANICAL Work Being Done to the Accessory Structure?
If the project
is a Relocation, is there a Natunal 6as Line on the Current Site? [ ves fi ruo
Is there Electrical Power
on this Building? EYes I No
Yes No
PROPERTY
USE
/ OCCUPANCY:
DESCRIPTION OF WORK: sinqLe Eamiiy Residential
T
PArcel ID # R0 4 4 0 0
- 0 01- 5 52 -0 0 0
DISCLAIMER: lhereby cedfy hat all intrmation in tris applicaton is
corect and all work willcomply wih he Siate Bullding Code and all oher applicable StaE and local laws
andordinancesandregulationsTheNHCDevelopmentServicesCenErwillbenolifiedofanychangesinheapprovedplansandspecincalonso.changeincontractror
contracbr informaton. "'NOTE: Any Work Pertormed W/O he Apprcpriate Pemits will be in Violalion of the NC Slale Bldg Code and Subiect tc Fines Up To $500 00"'
owNER/CONTRACTOR: :niirip SI6NATURE:Ba 1d.- rose / DR Hort on
***x,***+**,i.+++,t:*+*,t*,t,***r.it+'++:*****,i,t+*++*++*++'i1*+******+1.*+********r(r(***,r*1.1.1.1.++***+**,*
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA:
-SQ
FT
NEW II,IPERVIOUS AREA: ]5" 5Q FT
COI.IMUNITY SYSTEM
! enrvarr wELL
E cENTRAL wELL
YES I NO
TOTAL ACRES DISTURBED: , ,]-I
EXIST LAND DISTURBING PERI{IT:
[-l vrs I NO
SETBACKS: F:- LH:- RH:- B:-
BF E+2ft=
b lqbg
il
WATER:
SEt^JER:
CF PUA
CF PUA
! celtrnnl sEprrc
E pRrvATE sEPTrc
I commuurtv svsrtm
**,t sEPARATE PERJ,IITs REQUIRED FoR ELECT, MECH, PLBG, GAs EQUIP, PREFABS & INSERTS *l**
pAyrilEr,JT
mETHoD:
I cmn f]cuecK (PAYABLE To NHc)
E BrLL Accoul{r
E uclvrsl I orscovea
* * * + :t x * * ,t + * * r( t t + * ,* ,* ,t + x ,* x i. t * * * r( + ,t + * r( r( * * * * ,t * * ,* ,*
* * * * * rr
* i. * * + * x * r( * * + * * * * + * x x * * * {r + * x x '* * *
'(
* )k
* i' +
(FOR OFFICE USE ONTY) REVISEO OATE O4l11/12
ZONE:OFFICER:
O!'INER'S ADDRESS: 10li Belle Terre Blr'.1. CITY: Mvrtle Beach ST: sc ZIP: 29519
CITY:
]4::=_:sl:I_ 5r: j:_ zIP:
::::
PHoNE #: g4) 64a 23.tj
Appnoval:- CitY:- DATE:- FLOOD: - -- , -
J,.+,
dn(J 00trud qfu)Az'2
*
Cd ttll ZoiltNG -t(c A(Pcrv6>
s,6Proj.ct Rr3ponsibtlltF
rlce
$
n
DEVELOPER:
PRolEcT ADoREssi
occuPArfl /BUsrNEss MxE:/Yl{rJia
O$IER'S ADOREsSi
c
CONTRACIOi;
I Gntac
AIX'RESS:
EitAIL AIDRESS:
HEh' HIII{OVER COI'NTY BUILDII{G PERIIIT
APP LIcATToIT,Iryf
: COIiIIERCIAI.
PTEASE rrGiet AlL qJ€STIOrlS
ArrLrro[Lt T0 IU,|l tnOrECI
)016 -)?+
lf? tf-Ttr?t
APPLTCATIO{
lluBb€r
:lil.Em11m
=mq
lt c+'J^Pl(}liE-l
Ur.)
6Ca r'e
ld
CII':
P,xr (.,,
\f
ZlP.
ZlPt
PROPERTY (mER'S I.IATT :ia tan@ 6r(r t'eld ULI PHO{E *:
ST:
-Tn-ttt)
@
PNO]EIT CIIITA€T PERSOT{:
CITY:
LICBISE *: 1
CTTY:.</{.rto
UAt I c^Ao9-c5rv\
rn4
s$( ut29&3
p1gy6 s2
tcz-7*-*36
PttritE t:
Exrsr co{srrucrroir,
! rlrrnrrror n *rriil^i'r&t
E?iii.* nrparns
l-l mlocarrol
f Rrbcrson, is fierE 8 Nar]Et Gas
Lhs m rhe dnerr slaz
[v""-[ xo s SLDG sPi-tNKLEReoz
I ves
I uoa
r{Er c( srRrrcrrsr,
fftnecr Et.l sTnrcflnE
I rrsr rracr
f] snr.r.
I Uerr
! ADo To ExtsT SnuCnnE
ACCESSOtrY STRUCTUiT:
If UPFn
- The 5he11 Pendt *:Is El€st PolrEr on 1ils Eutldhg E Yes [ rc
..'.. $ DrrS A OUIrcE (} OCOTATCV
US:l
I ves P(rc .'o.
1s ti! il O€suparcy IypctllEt
If YR!, drat r.6B the Pr€vt
anol tcslo ProFESsIo{ L:
firr Oc(uPancy 1)pr?
d -ta*Ln€
t
c
Plt
I
PH:
7-i(}o:rc REG
RE6
*, Ot l96
*: oiffiaZ
lB lbod d bd,usgs tr€pflEd r rvtd h rtls
*rnre? flves lr Thr ftwdry Locded h np Fbodddn?
E ve" ZlHo
EI'GR OESIET PTOFESSIOtAL:
D€SCRIPTION OF I.JORI(:a oo\
ACRE9 U TURBED
NEIIV IMPERVIoI.JS AREA
E(ST LAI{O DISruRBING PEFINIT?
trYEs
E
pnopEnryu€E EoFFrcE Eneerruann flnncomr-e fleutr(x,r Ecotoo OTHER
(F(B OfFTCE USE
a)t4
SQFT EOSNNG PERVIOUSARE'i:
WAIER:
EoFUA Ecotluu{tlY 8l/sflql
[ltEr EZO$$(I US ClliSslFlcATloll:
8E/tlER;
zICRle Ef CENIRAL 6EmC Ll PRMATE EEPl'lc EeOIi,llrillTYSYlSrE
_' :iairAQArE ,riqMTs RE(rurREc, FoR ELE Ci . it€ Cn fl fi<l cA:.i riou ? i:! ar Ags 6
li{sEF rs "'
PAYI,ENT
MErlrOg:
ECr$r ElqrEq(PAYAErf TO l,lHC) EAr{EneAil ECRESS EirC/vtSA E
zoNE:lAX oFFr
tL.r, # *x;X-alf REYE€D OAIE
FLooe__
t; al.!al9l rt.I
[4lI
)--l
rqPPlo(,*_-
-ltc(Ar'
At.*znnlr
APPLICAIITJ
5 NTI'IE
:
mE
F
Anon (tice
TOTAL PROJECT C!gT;E
{ OF S[OR|ES: s'
{ OF STRUCTURES:
#
)ott -2?l
/s-.zdr-+
APPLICATION
Number
(off1.. usc)
APPLICAT{T, S I.IA',IE :
DEVELOPER:
P!es t ige Pools of wilmington Inc
PtO E *:9:0-s4?-8s1r
PRO]ECT ADDRESS:136 In.Iet ?oi.t Dr crw:WilminqLon ZIP, 2e1i2
OfiER'S ADDRESS:136 r.n.Let point dr CITY:h,i1n i ngton 5T: IS_ ZIP:
?g!!i_
Prestiqe PooIs of wilminqton inc LICET{sE t: 545i9
ADDRESS:530? SouLh Col leqe !dCITY: wi.IrningEonSr|:tc ZIP | 284'-2
E|.!AIL ADDRESS: p!es.asep oo.l- sofwr lninqton€ qmai i . comPllolrlE *: 9:0-232 :3? s
PRO]ECT COiITACT PERSOI:Shane PHIIE #: 9i0-232-5315
Exrsrrr{G co.rsrRucrroir:
f] alrenarrotr
! nruovarroru
fl cetent ntearns
I RELocarroN
NEI.' COT{STRUCTION.
! TNTCT EW RESIDENCE O"
I AOOTTTOI TO EXISTING RESIDEI{CE
+*PLEASE CHEC( At{} At{SI{EE SELd{ ALL THAT APPLY TO Y(IJR PRO]ECT:
f] oer ernace sr
! eoncr
-
sF
DATE: i2-22-2J1:
I arr elnaer
-
sF
! sulnoor,r
-sF
I cneruouse
-
sr
P00L 275 SF
! sronaee sHED
-
sF
SFDEC K5F OTHE R:
DESCRIPTIO OF I'IORX:INsrallatsion of in oround sHim,linq poof
DGCLATIER I heGby certt hal sI hbnnalim n $ is ap9Lcaton b conect snd al woft ttll comdy Yvi'| tr SBe auilding
dld oftlinanco! a.d €gulatbn3. fhe NHC Dewlopme.l S€waos Conbl willb€ nodfed of *ty ctE rges h tt€ +Pmvod
contacbr irtrmalot- "'NOTE:Anywori Perr\crrted wrc he Appropriaa Fermiawll be in vrob|ilfl ot trE Nc Stsb
0| \,lER/CONTRACTOR:SIGNATURE :
EXISTIiIG IITPERVIOJS AREA:
-SQ
FT
NEP T PERVIOIJS AREA:
-
SQ FT
b FiEs Up To
1500.00"'
TOTAL ACRES DISTURBED:
-
EXrST LAfiD DrSrUnBr!/G cER rT:-fr ves I-l ro
*** SEPARATE PEMITS REQIJIREO FOR ELECT, I1EC
payirErr
rtEr]()o:
I c^sr
I cr=cx (PAYABLE rO r)
H, P
I
SETBACKS: F:- LH: RH:- B:-
LBG. GAs IOUIP, PRTFABS & ]NSLRTS
"'
*rr*ra* arrars E ncl*sn
I orscovrn
** r,l !r,i t+,|!t***,*i.rit!*,***,i**!i!t+'l ** t* *'*t* ++
pl*:able StaE rtd local l s
REV1S€D 0ATE S4l11/12
BFE+2lt=
-
N
Shane Kcsnik
(Pr1nt ll.n€)*1:r:I**,r:*a,**'!,*';*+**tr,r.***,ir,Jr**t t.t l'l J* r * * * r. *,l! *,i *:r' *t*,4 +*** + + 1+ a,i,a * ** * ** +*,**,1* !t
** 'f*rr**** 'l*
rs rHE pRopERTy LocATEo rI{ A FLooDPLATx?
El YEs I|lo
I'JATER:crnul
I co{,rt {rrY svsrex
fl PRrvArE uIELL
! ceHrnll welr
crpul
D cENTRAL sEPTrc
I enrvarr srerrc
I coMMUNrrY sYsrEM
SEhIER ;
*** r i**!tr**,rt,rtt *,*t,it't ilt, * r*
*'lt'i* *** *rt**r**t'i t't*:***'t t'*
(foR oaFIcE ust ottY)
ZONE:
-
oFFICER:
ap:.ov3l:- city:- DATE:- FL00D:
-
A
Coment i
PERIiIT FEE:
i 7\.4)
s7 NEI{ HANOVER COUNTY BUILDING PERilIIT
APPLIcATIott rYPE: RESIDENTIAL
PLEAsE ANSTER AtL q]ESTIOiIS APPTICABLE TO YOUR PRO]ECT
"Project ResPonstbility''
BLOCk f: LOT #:St BDMSION: .n]et Poin!
PROPERTY Olri{ER',S M E: Meiissa tlArdin PHXE *: l![!f!!$!
CONTRACTOR:
TOTAL HEATED SQ FT: ! TOTAL SQ FT UNDSR R@F: O TOTAL AREA SQ FT: O
TOTAL PROIECT COST {Less Lor) : f re,zso.cc * 0F STORIES:
Is Any EI-ECTRICAL, PLtIBI G or tiEcllAllICAL l./ork Being Done to the A.cessorv Structure?
fl V"s f] ffo
If the project
is a Relocation, is there a l'latural Gas Line on the current site?
flves flHo
Is there ELectrical Porrer on this BuildinS?
[Ilv"t f]Ho
pRopERTy usE
/ occuPAt{cY:
@ srnere ralrlv ! ouer-ex
! Tot"lNHousE
APPLTCAITJ
5 iIA'4E:
DEVELOPER:
PRO]ECT ADDRESS:
RECEIVEI) OEC
31 M[
NEt4l HAI{OVER COUNTY BUILDING PERIVIIT
APPLICATIOII
ME.. RESTDENTIAL
PLEASE ANSUER
ALL qUEST]OiIS APPLICAELE TO YO(N PRO]ECT
+roject Responsibilitf
CTTY:
BLoC(
*:
2@
LICE!.ISE
*:
CITY:
2otG2Bb
\5-59X
APPLICATION
ttumber
(oFFice Use
)
lalto
l6
c
DATE:
PTONE
#:
LOT
#:
PHONE
#:
5T:
ACCOU{T *3
PHONE
*:
PIONE
f:
aez284E
SUBDIUISrof,l :
PROPERry OiWER'S MItiE:
OIdNER'S ADDRESS:
COIITRACIDR:
ADDRESS:
ET4ATL AI'DREss:
PROJECT CONIACT PERSON:
ZTP I
0
fl Q9,
5c
sr: fVzrp:
'fi*'fitoq
-DcrsrI G
@ STRUCEOI:
! alrenerror,r
I neuovarron
!GENERAL
REpArRs
I ur_oclrron
NEtrr
cot{srRucrron:
I rnecr NEl{ RESTDEICE
o"
fl mornox ro ExETrrG RESTDEITTCE.*PLEASE CHEC(
AI[' ANUER BELOII ALL THATAPPLY
Io YOUR PROf,ECT:
SF
! oer erneoe
I roncr SFn SToRAGE
SHED <E
5F
u DECK
SF OTHER:5F
TOTAI- HEATO SQ F7:010 ToTAt sQ FT
t,[,ER
a,,,r, 1b5 TOTAL AREA SQ FT:
# oF.
SToRIES: A.
PROPERTY
tsE
/ OCOJPA
Cy:
B sruele reurlv DUPLD(
I rowurcusr
DESCRIP'I-IO OF KIOR(:
Na"{ Rec,dea
I-aI Cr"
l }cu
.hon
3b51
--rs tury ELEcrRrcAL, pl,rtsr G or [ECMflrcAL tdork Being Done
to the Accessory Structure?
[ vo flro .
rf the project is a Rerocation,
is there a Natural Gaslline on
the current
,ri", rrI'fo*rs there Electrical pouer on
this Building?
f.lves firuo
DISCLAIUEE I h€r€by cardry het a[ hfrmadon h his.pp[cetdl b corrBctEnd
a[$orkwtfi colnplywlfi tle SEb Bj&hg Cod6 and
s[ olh6.and odinances
dd tegulatonr The NHCOevebpment Servbes Csnt
rwil be
nofEd ofaiy dEtges in fie +ptDYea,
applhabla Stsb and tocat tsnls
corltsEcbr hbmabn. ".NOTE Any Pernils
w{lb€h Yroblion
ofhe NC l+ To $50o.0O..
ohlNER/C0{TRACToR:SIGNA
+*:a+*+**+,.*+t:t:t*+:i+***:ts+*++*++**+**,1++*****,*++.t*+:***,r+**+******
! lYEs 1.4 uo
Ecrsr G $rpErrrrous AREA: AV
a5 sQ Fr TOTAL ACRES DISTURBED:
,ls
NEhl
rltPERwotjs
*ea Qva,5 5Q FT E)CIST LAIu, DI5TURBING
PER!,IIT:
Fl Yes
IZ uo
WATER:
Z CF
PUA
! comrunrx svsrem
fl cRwere
wrlr CENTRAL WELL
SEWER:CF PUA
f] cemul seerrc
n PRIVATE SEPTIC
Cq{ UNITY SYSTEM
+** SEPARATE PERETS REEJTRED FoR
ELEcr, trEcH, PLBG,
6as Equrp, PREFABS
& rt€ERTs +**
payr4E
r rilErHoD:
I asn
I orso< ('A'ABLE
m ,r,c1
fl o.i
;;; ' E;;;^-'-'fr;*.***'i'l**:t*++++.*,t*:r+*t:*t+,t+:t**'t*+*+a***++**++'f***+,a*+++,t**+,t,t**,3,f,t****,i*+++,r.+++,t**++**+:i:t!t+*
ZONE: OFFICER:
(FOR OFFICE USE OTLN REVSED DAIE
€4l11/U
SETBACKS:
F:_ LH: RH:_ B:_
ADDnoval: Citv: _ DATE:_ FLOOD:
_ _ BFE+2ft=
- -
Dl-Erzr
SubFct
b
Comment:
Jr*- rrr,
$-JC4oo
SF
pf nn cnmce q1l
.-_._l--
Ll suilRoorl
_sFf] enermousr_tr PoOL <E
TOTAL PRoIECT COST(6 td)
, $ tZO. CrT-\
I5 TIIE PROPERry LOCATED
IN A FL@DPLAIN?
trtr
NEhI HANOVER COUNTY
BUILDING PERMIT
APPLICATION N?E.. RESTDENTIAL
PLEASE AISflER ALL qJE5T]OXS APPLICABLE TO YOUR PRO]ECT.project Responsibilitlp
crry:
BLOCK
$:
CTTY:2@
LICEI.ISE
#:
CITY:
A,PPLTCANTJ
5 NAI4E:
DEVELOPER:
PRO]ECT ADDRESS
SUBDIUISIoN I
PROPERTY OhINER'5 I,llU!,IE:
OIO'IER'S ADDREaS:
CONTRACTOR:
ADDRESS:
EMAIL ADDRESS:
DATE:
PTONE
#:
2fD.
LOT
*:
PHONE
5TZTP:
ACCOUM
*:
ST:
PTONE
*:
SF
t
0
PRO]ECT COI,'TACT PERSON:
DCrSraE @{sTRUCTrofl:
I ar_reurron
!
NEW
colsrnucEoru,
[l enrcr NEhr REsTDENcE
**PLEASE CtIECtr AND BELOId
ALL T}UIT APPL
ATT GARAGE SF
I suunoou
pnour r: 'Y4*-q
RErovAr-roN
fl eerenal REpArRs
n REloclt-ror{
o.
! oorrroru To EcrsEr*i REsrD$rE
Y TO
}OUi PRO]ECT:
I orr ceuee
_ sF(.onor lo ?.5F
0c
SF
tr POOL SF
! sronaer sreo SF
I eneennansr 5F
n DECK
_ 5F otHER:
ToTAL HEATED
sa
FT: 1150 rorAL se
Fr 1IDER
R@F. A60a
ToTAL pRolEcT cosTGs6ro0
; $ tLp.trD # oF
SToRr;;-A
rorAl A*EA
sa
fi, A6 aA
PROPERTY usE
/ OCotp/rrlcy:
[t srruele rnurlv[ruelo<
! ro^r,rouse
Is A'y EECTRIAL, p,m G
or EC'UUtrCAL
,,ork Being Done
to the Accessory Structure? [ Ve, I Ho
rf the projest
is a Rel,cation,
is there a iraturar Gas
Line on
the current
sitel fives flxofs there Electrical power on
this Building?
FVes flruo
50n o
tl(
DESCRIPTIO{ OF M'ru(3
hon
DECLAIiIER I n€cby cerdry
ftd a[
inturnebn tr!
fiis qdbafon b coflEctsnd an wortwil complywifi he Shle Bufldhg Code
ld a[
otErapp[cabb St b and locBj
hdsand odhances
ad rEgulEdonE TI€ NHCDevebpment ScrviresC€nErwi, be no66ed
ofery ctB|g6s h h€ apgorEd
.oflt'-br hbma&n. -..NOTE: AryWb.k PsrtorlrEd
W/o h YDdon offt€ NC
OWNER/@ITTRACTOR:
Lb To tsOo.OC-
S
+**+:F,**:*+**++*++**,r :*:r***+:i+*****:i**++*:i:***+**+*:t***** *+**+:*+**++*+**++****I5 TTIE PROPERTY
LOCATED A FLOODPLAIN?
I IYES l11 r0
ECTSTITIG
I PExtrIOTls
AREA: ?Ofi sQ Fr,ls
NEU IIIPER\IIOUS AREA2 2A SQ FI E)CTST
LAI$ DISTUREIiIG PERI,IIT: E] YES
FI ilq
t*+ SEPARATE PERHrrs REQJTRED FoR
ELEcr, trEcH, pLBGr 6As EQt
rp,
'REFAB'
& ,EERT' s**
pAyMErr irErHoD: E.,qsn
Ecsr.r (,A,ABLE
m,*, Eili ;*il-'firl^lo*'ti"orr.*r*
'ts+***:Fi*+++++**'l+t*t:t:i+:t:t**,trt,t*++'art++***+,arl.+*t+t*:!+rt,t:r+,a.t*++:t,t**+++*+****trF*+*:t**:F+rt:t**+
(.0R oFFrcE USE q{LY)
REVISED DATE
94/]I./12
ZONE :OFFlCER:SETBACKS:
F: LH: RH: B:
Appnoval:_ Clty:_ DATE:_ FLOOD. _ oEErl!:=
AVt{
$biEct
b
conrnent:PERI{IT FEE:l,l\4,oo
)otb'29o
b<locI]
APPLTCATTON
llrmber
(OFiice t
se)
NIa^t
TOTAL ACRES DISTURBED:
r,uren:
I creua
I coriluNrry
svsrru
! enwars wer_r-
[ CENTRAL WELL
, sEr,tlER:
E creun
fl crurur_
seerrc
! pRrvArE sEprrc
[.**,,rrrv ,rsrrn,
APPLICANT'S
DEVELOPER:
NEhI HAM)VER COUNTY BUILDING PERMIT
APPLIaTI$I TYPE: RESIDEIIITIAL
PLEASE AIIS}IER ALL QIJESTIO{S APPLICASLE TO YOI'R PRO]ECT
"Project Responsibilitf
5tvrns frrro s9 tle S.lr.l?n; $nil/in 0l,t
an
,Yl t rr
o. kt0 PTIONE *:
2ol'*2'lz
t23scD
APPLICATI()I{
ltumber
(Office use)
,orr- t^llol$
o11g-1fi:8614
ztP:&01
ll4^-.r-
PRO]ECT AIDRE
SUBDIVISIO :
0lc 00
ss:
,lirt0
c
llcrw:
PROPERTY O {ER'S M}tE:e,lUtl rtlC['to*ne:
OW{ER,S ADDRESS: 5t0 0lr4
CONTRACTOR:5teue15
lv.,ll\o CornffA
ADDRESS:(o0
LICEiIS t0 ACCoUIT *:
CITY:
LOT #:
PK)trE *: 1L0''1C1'S l! 1 1
sT: NO
ztPrlgqT?
b,lz
BLOCK *:
cho loi
2.0CITY:
eS. C
0EI,IAIL ADDRESS:PIONE #:
PRO]ECT COTTACT PERSOiI:)taoi r oh o
Ison
EXrSTrl{G CO 5TRUCTTON:
! AlrrmrrOU
! nerovAtroN lecruenal nremns
! RELocATToN
itEtrt cot{sTRucTrot{,
! rnecr EH RESTDENCE o"
E aoorrrot To ExrsTriG REsrDEt{cE
I*ELEASE CHECK AiL AI{sl{ER EELotJ ALL T}U[T APPLY TO YOIrR PROIECT: / - tf or uo*u,
'llf sr ! otr ernaee ,, d **., 05 t
I surnoou
-sF
E poor
-
sF ! sroue e sHED
-
sF
! cnerurousr
-
sF ! oecrSF O'THER:5F
TOTAL HEATED SQ FT:t111 FT
UIIDER,*,,0,1 1 TOTAL AREA SQ FT:a\qITOTAL SQ
TOTAL PROIECT COST (Less Loo: $ lflo,oo0
# OF STORIES: A
No
No
d SINGLE FAMILY
tr DUPLEX
! rouruxousr
DESCRIPTIOT{ OF !'IORK:tlt f n r 0
Is Any ELECTRICAL, PLUIIBII{G or EctUtNIcAL tJork Being Done to the Accessory Structure?
[ Ves fl
If the project
is a Relocation, is there a Natural Gas,Line on the Current Site?
[Ves
Is thene Etectrical Power on this Building?[v". fino
tr
0
and odinalces d regulalbns. The NHC Cb!€bpment SeNbes CenEr wifl be noiified ofaoy danges io the eplo\ed pbns
aU qecifcatrons or ctange in
contrebr or
conracbr htonrletEn
"'lloTEi Anv work
Cr n9
Permits
willbe in Vbtatbn of the NC SEE Btdg Code
SIGNATURE :
o $s0O.0O"
* )t
*:i *:t ii +:t:i:t **,*,*,1.,t
OI'fl{ER/CO TRACTOR:
,*t'*******,[*,*
F
LOODPLAIN?
*,1.,1.,* *,* * ,t,t,t,* ,*,*,t * * * )*
* ,i,t,* ,*
*,1.
IS THE PROPERTY LOCATED II{ A
+,* +,* *,*** )i:*,* )i
*l )i,** * * ++:i ++* ++:** *
E vrs El rp
l1t TOTAL ACRES DISTURBED:
'lsEXISTING IiPERVIOUS AREA:
EH II|P ERVICI'S AREA:t1t
SQ FT
SQ FT
creul
! colr4urrw svsren
! pRrvATE wELL
creua
f] CENTRAL sEprrc
! enrvarr seerrc
EXIST LAiD DISIURBIiIG
eennrr: f] VeS
d*
!,IATER :
SEI{ER:
ZONE:
OFFICER:
Appnoval:_ City:_ DATE:_ FL@D:
_
Comnent:
! crurnal well
! cor.rr,rulr rw svsrru
(FOR OEFICE USE OI'ILY) REVISED OAIE O4l11l12
SETBACKS:
F:_ LH:_ RH:_ B:_
}T* SEPARATE PERI'IIITS REQUIRED FOR
ELECT, I1ECH,,PLBG, CAs EqJIP, PREFAES
& INSERTS ***
pAyr,rEirr
flErHoo:
I casx flcnecK (pAyAsLE
- nray
firr,. *a**, I ucrvrsa
! orscoven
*****,i*ri)*+,t+:t*,*,i*,****,**t)*)t)t!t*{.***)t:t,f,t)*,*,t:B*++*:t***,},**++++:t**,*,t*,t,t+,t*:t**t**:f +:i,t,* !****,*t:*!* *,}
PERIIIIT
FEEi $ill.do
*rrJTz:e;@
PROPERW USE
/ OCCUPATICY:
PHoNE *: ,.111'0b11
4tr
BFE+2ft=
flarK € lr.lssf 0rr Asl I
NEhI HANOVER COUNTY BUILDING PERITTIT
APPLICATI { TYPE: RESIDET'ITIAL
PLEASE ANSI,'ER ALL QUESTIOI'{S APPLICABLE TO YOUR PRO]ECT
"Project Responsibiliqd
5t'/ons A0
,nsgth 5.lro16 6uil/in 0ttnn
$tn o. 7a
?^oll.'2"14-4fi2
APPLICATIOITI
itumber
(Office U5e)
I,IAfrIE :
lorch!,1 o o,l
lo
DATE:
PHON
e *t 1t0-1q
ztP
,&Al ltPROJECT ADORESS:CITY:
SUEDIVISION:'firl a g BLOCK #: _ LOT *3
PROPERW CII{ ERJ S M',IE:tlLfi1 r{e ftonne:proNE
*: W'1q1'5011
O {ER,S ADORESS: 5 100 2.0CITY:sr
9ztpi94i3
COI'ITRACTOR:Ste{enr 0,aitotiCornaA
tbL Accourr *: 5'lL
ADDRESS: 5. L00 0n
EIi,IAIL ADDRESS:
c o
1ofi o eS PtoitE *:
PROJECT COT.ITACT PERSON:Staci Njloholaon Pro E #: (1'|bqq
EXrsrr{G co sTRucrroil:
! nlTEnlrrot
! neuovarroN
! ertrmr- nrearns
! RELoCATTON
1{E}' COI{STRUCTTONt
! eneCr NEH RESTDEIiICE o"
! nOOrrrOl TO EXrSTrilG RESTDEI{CE
J
(
**PLEASE CHECX
| 4 Arr GAPaGE
AI{SI|ER
6o
BELO{ AL
SF
I surnoou
-
sF
! cnreurousr
-
sr
! oecr
_ sr OTHER:SF
TOTAL HEATED Sq TT. 1150 TOTAL SQ FT U DER NMT' fl504. TOTAL AREA
*"' Q6OO'
TOTAL PROIECT COST tr-ess uoo : I lAo,
000* oF SToRIES3 A
AND
PROPERTY UsE
/ OCCUPAMY:
d
L THAT APPLY TO YOUR PRO]ECT:! oer eanaes ,,
ffi*., lol ,,
E poor
-
sF I sromee sHED
-
sF
Is Any ELECTRIGAL, PLtltBr G or tlEclt flICAL tJork Being Done to the Accessory Structure?
[ V", fi ffo
If the project
is a Relocation, is there a Natural Gas/ Line on the curnent site?
[ ves fl ruo
rs there Electrical Power on this Building?
l-lv"t Im
t'lt1t
0n lco
SIIiIGLE FAMILY
n Dt,P LEX
! rowruuouse
c
f 0
D|SCLA|ITER I heeby certi, ha a[ infrrmatbn in his applicaton is conect and dl work will comply witr he SEte BuiEhg Code and allofier applicabb StaE 8nd local laws
aM odinaices and r€gulalbns. The NHC De\€lopment SeNices CenEr wi[ be notfed ofanycianges in lhe apprc\€d pbns and sp€clfcalions or change in
conlr&br or
fupropriae Permilswillb€ in Violatbn of llle NC StaE Eldgo
$50O.0O"
fi9 SIGITATURE :
I5 THE PROPERTY LOCATED IN A FLq)DPLAIN?
ix,*,* * r.:* :*:*,* )* ,* r( {. * *,**,* *,t
I ves
d**********uu* ********++ '*++:tr+:t
to
,f,t + + +++ +*******,*,**+ * +,1. ,t,* )i
*
Ao81 TOTAL ACRES DISTUREED:
'ls
contacbr hbrinalion. ".ilOTE: Any
oiS{ER/CO TRACTOR 3
CF PUA
Zry:v*'
EXISTIiIG IIID ERVIOTJS AREA:
NE!'l IiPERVIoUS AREA:
4tr
COI"IMUNITY SYSTEM
I enware well
EXIST LAND DISTURBITG PERMIT:
l--] vrs
d*
! ceurnal wru
! col,tNulrw svsrer.r
aow
SQ FT
SQ FT
HATER :
SEIER:creul
! cEr,rrRAL sEprrc
l-l pRrvare seprrc
*** SEPARATE PERI4ITS REQUIRED FOR ELECT, MECH,PLBG, GAs EqJIP, PREFABS & IIISERTS i!**
pAylrEl{r
nEmoD:
E crsr EcxecK (PAYABLE
ro ,rxc) EsrLL acco.J]ir
E rclvrsr I orscovrn
,t
*,!* +*+,t,t++++,!li i. * * )* ,r,B,B
* +,t + +rt,t,* +++ +:!,t )t )t )t,**
l.+*+ +++:t*+*:f ,**,t
*** )t** )t )t,t)i * )*:* )*,* )*
* * )** )*
* ,*,*
* * * *** * *
(FoR OFFICE U5t ol'lLY) REVISED DAIE O4l11/12
SETBACKS: F:- LH:- RH:- B:-ZONE:
_ oFFICER:
Approval:_ City:_ DATE:_ FLoOD:
-
BFE+2ft=
undef Dr, gdv
Comnent:
N
PERMIT FEE:
sr$T:rrr.W
APPLICANT'S
DEVELOPER:
CITY:
DESCRIPTION OF I{OR(:
$_]_u1.oo_
lv" \i'j\Lt
2otL'2lc/NEW
DEC i 1 2015
HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE.. RESIDENTIAL
PLEASE ANSWER
ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibilit}f
APPLTCATION
Number
(Office Use)
APPLICAT{TJS NAIIIE:
Bill Clark Homes
of wilmingron,
LLC DATE:.
a2/n/ts
DEVELoPER:
Bill Clark Homes of wilmingron,
LLC PHoNE
$: 9r.0.3s0.1744
PROIECT ADDRESS: 225 Royal Fern Rd. CITY: wiLmingron ZIP: 2a472
SUBDMSION: River oaks BLOCK
#:LOT #: 2
PROPERry Ott[{ER'S MrlE: Bill Clark Homes
of wilmington, LLCPHONE f: 910.350.1744
OiNER'S ADDRESS: 127 Racine Dr. suite 201
CITY: wilminqton ST: NC
ZIP: 28403
CONTRACToR: Bill ctark Homes of wilmington,
LLC LICENSE #: 34585
ADORESS:
t27 Racine Dr. suite 201 CITY: wilminqton ST: NC
ZIP: 28403
EIiIAIL ADDRESS:
rgill@Billc1arkhomes.
com PHOI{E *: 910.3s0.1744
pROIECT CoNTACT PERSO,I: Richard ci11/Bi11 Clark Homes
of wil-mingEon,
LLC PHONE S: 910.3s0.1?44
EXISTING COI{STRUCTION :ALTERATION R ENOVATION
! ceHrnal neelrns
!RE LOCATION
NEW CONSTRUCTION:
E ERECT NEhl RESTDENCE o" ! lOOrrrOH TO EXISTTNG RESTDENCE
**PLEASE CHECK AI{D Ar{St4lER BELOU, ALL THAT APPLY TO YOUR PROIECTi
[| err eanace 5855F
suNRoot4
GREENHOUS E
NATER :
SEWER:
CFPUA
CFPUA
! oer canace
! eoor
SQ FT
SQ FT
SF
EXISTING IMPERVIOUS
AREA: O
NEll IIIPERVIOUS AREA: 423e
TOTAL ACRES DISTURBED: .4G
EXIST LAND DISTURBING PERIT1IT:
sr
I eoncu181 5F
5F
! sroRlee sreo
OTHER: Patio: 120
AQUA {
AQUA
I No
dTo $500.0Cr"
,l** *** **+,*
**** **)r,l
**
YES NO
SF
SF
s & It{sERIs *r*
nclvrsA l-l orscoven
:* :* ,*
*,i***,**,t * **** **
SF
5F DECK
TOTAL HEATED SQ FT:2531 TOTAL SQ FT UNDER ROOF: 33e8TOTAL AREA SQ FT: :sre
ToTAL PROIECT CoST sess r-os ,: $ \L4,53O # oF SToRIES:
r w/ron
Is Any ELECTRfCAL, PLUiIBING
or i|ECHAI{ICAL
Work Being Done
to the Accessory Structure? [ yes
If the project
is a Relocation, is there a Natural Gas Line on
the Curnent Site? ! Ves!No
Is there Electrical Power
on this Building?
l-l Yes!No
PROPERTY
UsE
/ OCCUPANCY:
SINGLE FAI.4I LY
! ouerrx
!TOt{NHOUSE
DESCRIPTION OF I.JORK: New
construction
of singte family residence
and ordinances and regulatjons. The NHC Development Services CenEr will be nodfied ofany changes tn lhe appro\,ed plans and specificalions or
conlracbr intormaton.
"'NorE: Any work Performed wo he AppropriaE perm its wi be in
violalion of the Nc slaE Btdg
OWNER/CONTRACTOR:
Richard citI,/BCH
of wilminsron SIGNATURE:
***+*)**)r)r******************(i!lllJil"]**********,****)*)*)r***++***
IS THE PROPERTY LOCATED
IN A FLOODPLAIN?
I-I YESI NO
PAYIiIENT METHOD:
*,*** ** x **,*,*,i * *,t
**** **,* *:|,t* * *** * * *
+*** * *,r *,t * * )*,*** **
(FOR OFFI(E UsE OattY)
ZONE: OFFICER: sETEAcKs: F:
Approval: City: DATE: FLOOD:
EM
tr PRIVATE I,]E L L
CENTRAL U]E
LL
n
PRIVATE SE PTIC
tr COMMUNIry SYSTEM
* * t:l *,t )t:t )*
*** ** * *:t,*,t )t
B:
! cor,ruuurw
svsr
l-l crrurRal
srprrc
*** SEPARAIT PTR
TTS REQIJIRED
'OR
ELECT, I"IICH, PLBG, GAs EqJIP, PREFAS
Ecasr
fl CHECK (PAYABLE TO I{HC)
tr AI'iERICAN EXPRESS
REVISED DATE O4l11/12
BFE+2ft=
N
LH:RH:
d 1,5 0,s
tr
tr
tr
3ob'
t5--
fr2 3Lt(8
APPLICANT'S l,lAllE: Bill clark HorfleB of wilmington, LLC
DEVELOPER:
Bill Clark Homes of Wilmington, LLC
PROIECT ADDRESS: 237 Royal Fern Rd.
SUBDIYISION: River oaks
NEW
E0 ffie 11 21"APPLICATION
Nunber
(office Use)
PHONE
S: 910.350.1744
PHoNE *: 910-3so-1?44
5F
SF
HANOVER COUNTY BUILDING PERMIT
APPLICATIfiI TYPE: RESIDENTIAL
PLEASE AI.ISWER ALL QUESTIOI'IS APPLICABLE TO YOUR PRO]ECT
"Project Responstbility"
CITY: wilmington
BLOCK #:
PROPERTY OhINER'S l,lAIvtE: BiIl C1ark Homes of wilrnington. LLC
C[{NER'5 ADDRESS: 127 Racine Dr. suite 201 CITY: wilmington
CONTRACToR: Bill clark Homes of l^Iilmington, LLC LICENSE S: 34s86
ADDRESS:
127 Racine Dr. suite 201 CITY: wilmington
EIi,IAIL ADDRESS: . rgil1@Biltclarkhomes . com
DATET 1,2/ to / t5
PHONE #: 910.380. 1744
ZIP i 284L2
LOT #: s
PHoilE #: s10.3s0.1744
sT :
!q zIP : 2 J:4-r 3,
sT: ryq zIP: ?!1!f
PROJECT CONTACT PERSoN: Richard ci11/Bill Clark Homes of wilmington, LLC
EXTSTTNG CONSTRUCTTON:
! AlreRarrOru
! neruOVarrOUGENERAL REPAIRS
f] nrrocnrror
NEt{ CONSTRUCTION:
E ERECT NEW RESIDENCE o" ! AOOrrrOru TO EXISTING RESIDENCE
I.,*PLEASE CHECK AND AI{S}'ER BELOhI ALL THAT APPLY TO YOUR PRO]ECT:
I arr eanace
SUNROOM
GREENHOUS E
! oer eanaer
! eoor
SF
Z PoRCH 238, 160 5F
STORAGE SHED 171
ss8 SF
SF
5F
5F
TOTAL HEATED SQ FT: 3301TOTAL SQ FT UNDER ROOF: 442s
TOTAL AREA SQ FT3 4s3e
TOTAL PROIECT CosTlressros z
$ l9/,4?O# OF STORIES: 2
Is Any ELECTRICAL, PLUI4BING or MECHAI,IICAL Work Being Done
to the Accessory Structur e?
! Yes
If the pnoject
is a Relocation,
is there a Natural Gas Line on the Current Site? !
T No
Yes No
DEC K
OIdNER/CONTRACTOR:
Richard ci1l/BcH of wilminsron SIGNATURE:
** + * ** * * * * * **** **** * * * * * ** *(i!TI
lil"] * * * * * * * *
** + * * * x x* x* jr* *** *
SF OTHER: PATIO
- 111
* **+
**** **** ** **
**
YES I NO
REVISEO DATE
94111/12
BFE+2ft=
Is there Electrical PoHer on this Building? !Yes I No
PROPERTY USE
/ OCCUPANCY:SINGLE FAMILY
! ouelex
! ronrnuousr
DESCRIPTION 0F hIORK: New
constructj-on of single family resrdence.
and ordinances and regulaiions. The NHC Development Services Cenbr will be notfied ofany changes in ihe approved plans specifcalions or
contactor informalion. '.NOTE: Any Work Performed W/O fie Approp.iare Perm its will be in Violation of the NC
SlaE Btdg Up00'*
YEs
E no
TOTAL ACRES
DISTURBED: 1.05
EXIST LAND DISTURBING PERMIT:
MTER:
SE ER:
! creua
! cour.ruurw
sysrEr4
n pRrvATE wELL
! crnul
I ceurml
srerrc
! pRrvATE sEprrc
!cenrner uteu
AAUA{! colrNurrw svsrim 4-q,9 h{*** SgpllRATE pERIIITS nfQ{,IRtO FOA
!LEC?, ryeC{, pLB6, 6,q5 EqUIp, pRra!,Bs & I$SE
pAyMENr METHoD:
I crsl lcxrcK (PAYABLE
ro
uc1 ! anenr.*
,*o*ri, E r.frrio
RI5 * 'F*
DISCOVER
* * * :* )* ,*
* ,*
* * + il.
* * * * * + * )* )*
* * * * * * )t
* * * + + * )*
* * * * * * * * * * :* )*
* * * * * * * * * + :* ,*
* * * + )t
* * * ,t * * * * *
t jt * * * * + )k ,*
* * * + )t )*
(FOR OFFICE USE ONLY)
SETBACKS: F:
FLOOD:
N
I
DATE:
LHRH:B
4 lla+""
Is THE PRoPERTY LocATED IN A FLooDPLAINI
E
EXISTIiIG III.IPERVId,S AREA
3 o SQ FT
NEN Ii,IPERVIOI
S AREAs
3s8s SQ FT
ZONE: OF FICE R:
Approval: _ City:
^J{KU
CO TRACTOR:
AIDRESS:
€;e#",sa9^-
APPLICATION
Number
(Offi(e Use)
NEW HANOVER COUNTY
BUILDING PERMIT
APPLIcATIott
ryPr: RESIDENTIAL
PLEASE ANSI{ER
ALL Q{JESTIO}.IS APPLICABLE TO YU,R PROJECT
"Project Responsibility,,
6 aCTO
-z ) z <-APPLICAIVT'S I,IAI,IE :
DEVELOPER:
.r'.8
PROJECT
ADDRESS: Z/
SUBDIVISION:a775
PROPERTY
O[tr{ER's IIAITE :
Ot/tNERr
5 ADDRESS:2o
5 J7
#
s ta 22 c-
lZ
zzin oR CTTY
D
PHOtilE
*:
2o
clry: h2
ELOCr *: _ LOT *:
P}ONE
f :
zIP
| 2 F//2,//T-
f?t") 2zr-z-r?
st r-/,?ztp, ,?.?/os-
srit 4
*r Gto )
rPt 2FfuS-
s77-73?
: /,<zlL
a 2 24lu o b R-
LTCE SE f: {eo zy'
CITY:
6
rrt
L;t(-
L. OOEI{AIL ADDRESS;
PRO]ECT COI{TACT/lL€- lre 7re,v
PtottE
PtoitE *:a7-
3?PERSON:
Exrsrrr{G
co srRucrroN:
I mrrRrrror
! nelovnrroru
f] eerueRal neenrns
! nelocarroN
NEl.i CONSTRUCTION
H ERECT NEi.I RESIDEIICE
O"
! MOTTTOT TO EXISTII{G RESIDENCE
*'PLEASE CHEC( ATD ATSIER BELO{ ALL THAT APPLY TO Y(UR PRO]ECT:
ffi arr erRace
5Z/__ sr DET GARAGE PORCH/87 sr
! suraoom
-
sF
I eoor
-
sr STORAGE SHEDSF
I enetrxouse
-
sr ! oecr
srE
tr
TOTAT HEATED Sg N: 235/ ToTAt SQ FT UNDER RooF:s27 TOTAL AREA SQ rr: 32?4
TOTAT PROIECT C05T 1r-ess roj : $./2aooo* oF sTourEst //2
Is Any ELECTRICAL, PLUIiBIIG
or |IECHAI{ICAL Work Eeing Done to the Accessory
Structur€?
[ V"t I lO
If the pnoject
is a Relocation, is thene a Natural 6as Line on the Curnent site? [ ves I uo
Is there Electrical Power
on this Building?[ves l]l to
pRopERry usE
/ occupA cy,
[l srrcr-r ramrr-v
! ourr-ex
I T0^lNHousE
D
IPTION OF HORX:
l€-C)
s^.2o * O o
-// V^aoo
SF OTHER;SF
a-/
R: lherebycerlify halalr inbrmation m hrs applicalion is conectand all work willcomply wih rhe Slaie Building Code and allober appli€able SraE and bcallaws
and ord in
6nces and regu latons The NH
C De vebphent Se rvices C€n!€r wiU be notiied of an y changes in he appro ved plan s
D
conracbrhbrmaton'"NOTE:AnyWorkPe.fomedwOheAppropnaEPermitswillbeinVblationoftheNCStab
o. change in conlracbror
Fines Up ro S50O.OO"
ot.INER/CONTRACTOR:/,rc6 tra77E/v SIGNATURE :
***,* !*,**
***+ **,*,***** *** **** *(ilTiiilt],*,r )t+** ***!i,i,**,t,t** !t !t r(,* ,i,* * )*,t,* )*****,*,t*,r,t,+ +,i,t** *,* )r,f,*)*)****
AV
Cofircnt:
t5 THE pROpERTy LOCATED rN A FLOODPLATN?
E yES ffi rc
EXISTIT,IG II,IPERVIOUS AREA :/82 FTTOTAL ACRES DISTUREED: .3?
NEN I PERVIOI S AREA: 147 SQ FTEXIST LAI'ID DISTURBING PERI'IIT:YES
EIm
urrn,
I crnua
S co MUNrry
svsrrm
I pRrvATE r.rELL
I cerurnnr uell
sErrlER:
[l creur
fl CENTRAL sEprlc l-l pnrvare srerrc
! cor4MuNrry sysrEM
.T! SEPAIATE PERMIIS REQUIRED FOR ELEC], I{ECH, PLBG, GAS EQUIP, PREFABS & INSERTS *}*
pAy Eir ir€rHoD:
f] cos,
E orecK (PAYABLE
ro ritrc) flAl,renrcall ExpREss
E n.zrtto fl orscoven
**** *,1* ,t )*
* * ,t )*:t
* ,*
*,f *
+**,t,t*****,t *:t
t *:* * * ,t )t )*:t :*
+,t * ** ***** )t*** )i
*,* ,*,| * )t,t
** )t
* **,f *+ *****,f++i,l+*+,i,1
ZoNE:
_ OFFICER:
(FOi OFFTCE USE qtttY) REvrSEo DATE 6al11/12
SETBACKS: F:_ LH:_ RH:_ B:_
Approval:- City:- DATE:- FLoOD:
-
BFE+2ft=
-
f€T76.1/CH L
PERIiTT FEE:
t lLiGt t .<ro
RECEIVED DLi 14 2015
NEhI HANOVER COUNTY BUILDING PERMIT
APPLICATIA N'PE.. RESIDENTIAL
PLIASE AI{Si{ER ALL QUESTIO,IS APPLTCABLE TO YOUR PRO]ECT
"Prcje€t Responsibility''
2dA'96
tf - 31"13
APPL I CATIOI{
Number
(office Uie)
APPLICANT'S iIA}tE:
DEVELOPER:
FS
L.L-C- dba Ramalack
DATEi 12/ 13
/20rs
PIIONE #: 979 3A9 9121
PROIECT ADORESS: 12s Gazebo ct CITY: wj.lmington
ztP:2ylLL
22
SIrBDMSIo : Inlet Point Harbor PIN 313107.58.2670.000
PROPERTY $trlER's t{AntE: Carole Manzelfa PHONE #:
ot$lER' S ADDRESS: 12s Gazebo ct CTTY:V{l 1m inq LonsT:
I!_ zIP: j3l!l_
CoNTRACTOR; r'sI. L. C. dba RarnJack
ADDRESS: 4122
Bennett uenorial Rd suite 304
CITY: Durharn
ST:gZIP:3@
EiIAIL ADDRESS:
cnarlie ramackusa. comPtlOl{E *: 9t9-3a9-9't2i
pROIECT COI{TACT PERS(I{: Steve Calandr:ino PK)i{E S: 919 309-912-t
EXTSTTNG Cd{STRUCTTON:
I ArrrUrrOru
[ nerOVlrrOr'r GENERAL REPATRS
! nerOCArrOH
r,rElr coflsTRucTroir r
I rnecr NEH RESIDENCE o"
I morrrol To EXI5TTNG REsroE cE
i.*PLEASE CHECK AM) $TS}'ER BELO{ ALL THAT APPLY TO
Y(x'R PRO]ECT:
f] rrr cnnncr
-
sF I oer eanaee
-
sF
I surnoou
_sF ! eoor-
_ sr
I enerlxrusr
-
sr I orcx
_ sr
ZONE:OF FICER:SETBACKS:
F:_ LH: RH:_ B:_
f] noncr
-
sF
fl srouer sHED
-
sF
OTHER: SF
TOTAL HEATED sQ FT: _ TOTAL SQ FT UNDER ROOF:
_ TOTAL AREA SQ FT: _
TOTAL PROIECT COST pess r-o9 : $ rz,zoo.oo S OF SToRIES:
Is Any ELECTRICAL, pLUTAIM or ITECHA ICAL Work Aelng t}one
to the Accessory
St.uctur€l
I V"t @ No
If the project
is a Relocation,
is there a Natural Gas
Line on
the Curnent
Site?
[ Ves l] ruo
Is there Electnical Power on this Building?
lElv.t Ito
PROPERTY
USE
/ OCCUPA CY:SINGLE FAITULY
! oucrrx
! rournouse
DESCRIPTIO{ OF HOR|(: install hellcaf piers to stabifize foundation
DI{ICLAIMER lher€by ce,li, hal al lnbmatjon h his apfrlb6ton h conEcl and alt rvort wiI conply wi'l tl€ Siate Building
fue &d at o{ler apptc&le SlaE 6nd tocd taws
a.d ordhances End requl6lbns. Th€ NHC Delcbgr€nt Seryices
CenE wi! be noifed otany cianq€s h he appDved Dbns
contaclrr inbmalon. trNOIE: Ahy Wo.k Perbnr.d WO he Appoprirb FemiE w b€ in btiir. ofihe NC
SlaE BrdgUp To
t500.oo-
O|IINER/CoNTRACTOR
: chartes Lewis SIGi'IATURE :
*,*** ****:t**r.********** **** *(ii'IlJilil** ******** +*+ * + )*
*:**,*+ +.r*:*:r* +,r,*,****,r,* +,r* **** ***+ +:f *)i**
IS THE PROPERTY LOCATED
II{ A FL(DPLAI ?
T'] YES EI TTO
EXISTIITIG
IIIPERWo(
S AREA:
_Se FT TOTAL ACRES DISTURBED:
EI{ IIIPERUTOUS AREA:
-5Q
FT EXIST LAiD DISTURBII{G
PERIiIT: I YES
N NO
lrl,rrER;
I cFpua
! coir,tuNrw sysTEM
E pRwATE I{ELL
I csuml we ll
seurn:
I cFpuA
E CENTRAL
sEprrc
fl cnrvme sEprrc
E cono4uNrw sysrEfi A6t*a- ,/
*** SEPARATE
PERIitrrs REQUTRED
FoR
ELEcr, iaEcH, PLBG, GAs EQUrp, PREFABS
& rr{sERTs r*r
pAyr.rErrff
rrtGrKD:
fl cAsr
I cnrcK (PAYABLE
ro nr,cy
f] *.*r.* oi*.r, -fi
n.-r**' -
[ rrr.orr*
'tii* 't *'*'t*+**:|!**,*++*,i***it*,t*,t*+**)t+++** **+*,f *+ri i*,t )t,t !a*** !*,*
* + + * ** r+
*** +,t,l rf,* + +,i*,6,t,*
t **:t * )t
*)t )i )*
(FOi OFFTCE USE O[V) SEytsED OArE
O4l11/12
Approval:_ City:_ DATE:_ FLOOD:
_
AV
CqErent:
BFE+2ft=
N
PERIiIIT FEE i
(d5,oO
,m
BLOCK
*: _ LOT *:
LICEIISE #: 53't'7a
LL
OFPUA
(
ffi
NEW HAIiIOVER COUNTY
BUILDING PER}IIT
applrcarrov rypE.. COIIT.IERCIAL
PLaAS! A*sltlB ALL 09ES1!O|{5 APpLtC BLE IO yOuR pROlECl
"ProJect RcsponslbLllttl"
&0tk - o?L
APP L
ICATIOiI
,,tui[be r
(ctff1.. Us€)
APPLICANI'S l{AllE: In:l:iati ir:.1
OATI:.:rl:Li..-
otvrl.oPt R
Pllol'IE f
; 914-:.9e-e.,P l
ZaP i )r,,tt).,PROIECI ADDRISS: 9C2 Lrlc!{F]E!} r{Ay
oCCUPA'|,/EUSINESS ttAltE ! cApE coT-i:rii cori::o
PROPERTY oldNtR'5 t{Aie : cA?4.i,'l;aali:::.: i.:s:.ilil: )!;::lJsPlOilE *: 9: a
-'r 9,i -;r :
sT' \- zlp. :; ri,i ir:!
OhNfR'S ADDRESS: 8i5 L;]ll;rlN li{CITY: illLvrtiir,:i ti
coiiTRAcToR: ! .ax ca!.isit,.'criqN, INc.LICEI,/sE S: 6 i: ,'-
ADDR8SS: : .i:, ::i. cor':gae to CITY: !rrL$i!r--,)u 5T: r.: zIPi :3.i .:)
PROIECT Coi{TACT pERSg{: H;l'.':i:r rox PlOl{E *r ,ii-59!-di6 t
((he<r
All rh.t apply)tr GENERAL REPATRS
No lS BLDG SPRIN
RELOCATIO{
xreneoz
fi ves
Ino
EXIST CONSTRUCTTO : ! ltrrrarrOl
l{
Relocsdoi. is there a Natu.al Gas Line on lheCuarenl Site?
P EI{OVATION
tr E
NEr{ co{sTRUCTro{:
E rrrcr €r srRtKTuRE
f] rrcr rucx
I sntr"r"
I uerrr
] arD To Exrsr slRucrutE
ACCESSORY STRUC]URf:
rf UPFIT
- The Shell Permit +;
IF Yes, rhat ues thc Paevlols o.<upan.y T)Fel
Is Elect Porrer on this Bullding Yes
D rlo
I
'.,!. rs rHrs A o{arrcE oF o(cupArcy usE?
flves [m .,'..
l.lrtt ls the tJa Oc.upan.y Typ€i
ARCB DE5I6 pROFESSIoIIAL:
ET6R DES16II PROFESSIO'IAL:
PH:irc RE6 *;
IC AE6
t:Plir
DESCR1P'fI0N OF tloR(: ]iI:ia,/tla:iii lr;-r:.::iil l:ll
Ir food or bov*agss preBld s ssfl/€d h tl& s0uadrsf
I vr"
$ Ho b T]l9 Prep€dy Locatad lfl The Flooddein?
E ves Nc
DTSCLA]MEF: r heioDv confy U|6t a[ inro.malor\ ,. lhls ipdic.r,6 i3 co.rct and all wof llrlllco.ndy w'll lhe srl€ Bsld,ng code and all other applicablc Srara
anolcall.ws!,ljcr,in.,d;.ndfiMaho.s';hoNHCC!41-ecledSe&FesCant.rwlllb.nori,ledofarrydt8aooslDUreaffrovoddsrsand60.',,_",ons
or chanoe n conr,-auto' o, cMtracroa 6brn\a1d',
"'l' O:g A.y y,orl Pcr@Dod WO rh. Approprrlc Pcrnls wil h{:
'n
Vlolrlim of th€ NC Slate Bld! . '. la dnd
Subccllo F,^(s U9 _J 5530 0Il*
(orld) {P!!/{ l*t)
r'lor.. Oonolr&i ndc€ild.e-b6.'iiol,{ p.flnr.pdt !6r. rs 5 !. alri{d 'dlr t .eC.r*'' ft.ri (D rts-3768){i!.6E
tb trc!19 (.b.r!'!9 tE rou! E
€liGh Ar!-ra or lba You,rrq*rd b idl !r ldsBl E nbdotl Sr{rt! k tlu..rrdrs A, kl,'rtt (l€SrUP, A €1970'16$0,r bd $ da,s
Fk to tr
d6r.o$oa o, a.r/ f.dl.y d b'j!d g.
Se Albee. !1&b siiB:
':. 'r., {, ri. '}r'.? .r*;'- _,s-r'!r_:.::ir;,
I l
OWNER'CON TfuACTOR' u.:."i-i trti ...rr SIGNATTJRE:
TOTAL PROJECT CrOSr: s200,i99.0r BUILDINGHEIGHT: lc!:#oF
uNils
# OF STORIES: :1
roTAL SO FT UNDER ROOF:
l!!!__ * OF STRUCTURES:
ACRES DISTURBED:E(ST LAND OISTURBTNC eenl'lrr
IVeS I NO
NEW TMPERVIOUS AREASQ FT EXISTING IMPERVIOUS AREA
pFlopERry usE: [_]oFFrcE f]nesnumm fluenmrr[e f,rouc [ A',r CONDO OTHERI
WAIERT IZCFPUA
f] COMMUNrY SYSTEM
n WELL EZONING USE
CLAS$.!FnAI|ON;
SEWER: L7f CFPUA
f] CENTRAL SEPTA L]PRTVATE SEPTIC I:ICOMMUNTY SYSTS
pAyMENr METHOD: nCASH [CrjECK (pAyABt-E TO NHC] [A,IenrCeN eXenEss flMsvtsA fiolscovrn
ZONE:ICER:
Approvsl:_ Crtf_
N
T
Comm6nt PERMT FEE:
'11:411n2
\9)
CITYi ir:;,rrtN.;oN
Eti.AIL ADoR€Ss: l.r.rrisir:jc.---i..,i1j.i!r.l:.ciF PHO E *: ,rlt-599-t.,r,i
TOTAL AFEA SO -T
: SOFIPERFLR:16r:
# OF FLOORS: -1
m
t*r^zaAt
e\
I
NEhI HANOVER COUNTY BUTLDING PERMIT
APPLICATION TyPE j COIIITIERCIAL
PLEASE ANSI.IER
ALL QUESTIONS APPTICABLE TO YOUR PRO]ECf
"Project Responslbility"
!"Dld - bZ/.
APPLICATI(nI
umber
(offlce Use)
DEVELOPER:
APPLICANT' S lilAl.lE : MATTHEW Eox OA'lEi 12/30/20t5
PHOl,lE #: 910-s99-8s81
PROIECT ADDRESS:
902 LTTcHFTELD wAy
OCCUPANT/BUSINESS NAl.lE:
cApE CoTTAGES coNDo
PROPERTY
OIINER,S T{AI,IE: CAPE CoTTGAGES CoNDoMINIUMS
OiINER'S ADDRESS; 82s LENNoN DR
CONTRACTOR: M FOX CONSTRUCT]ONINC.
CITY: wr LMTNGToN
ZIP | 284a,)
PHONE S: 91A-194-251A
CITY: WILMTNGTON ST: NC ZIP:28405
LICENSE *: 681'11
CITY: v.II LMINGToN
ST: NC ZIP: 28412ADDRESS: 2840 S. CoLLEGE RD
EIiIAIL ADDRESS: f o xc on s t ruct ionmf LQ i1 .
comPHO
E #: 910-s99-8581
PRO]ECT COI{TACT PERSOT{: MATTHEW FOX
Plo E f: 910-599-8s81
If UPFIT
- Ihe Shell Permit #:
IF Yes,
rhat Has the Previous Occupancy Type?
ARCH OESIGI{ PROTESSIOML:
*r'l*** ts rxrs A cHAr{GE oF occupar{cy usrr
Ivrs Irrc ...-"
Is E1ect Pouer on this Building E yes E] uo
Hhat is the fl Occupancy Typ€ ?
PHi
EiIGR DESIGI{ PROFESSIOI!\L :PH:
NC REG #:
NC REG #:
DESCRIPTION OF I..,ORK : FIRE/WATER RESToRATIoN
YLx*s 6a FL{LlLEscE ot;t
ls M or be\reragos pr€parod
a sqvsd h ttis *uaurcZ
flve"
[lruo b The Prop€.ty l-ocafed ln Th€ Floodptain?
ves
I no
DISCLAIMER: I hereby cerli,y that all informalion in lhrs applicalron rs
conect and all work wll comdy with the Stale Bu'ldrng Code and att other applicabte State
and loc€l laws and oldinances and regulations. The NHC Developmenl Services Cenler w l be noffied ol anv €fianoes in lh; aoDroved olans and i;ecificrtions
or chanqe in conlractor or conlractor information.
"'NOTE:Any Work Perlormed w/O the Appropriate Permiis willSe rn Viotati6i ol UreNC State BIdg Code andSubjecllo Fines up To
$500.00"'
OWNEFYCONTRACTOR: MATTHEW FoxSIGNATURE:
(au.rr) (Pint
ttJ'.)
contain Asb€5b6 or not You ats roquiIad to call the tlelioml Embaloo Slandads f Hazadous Air Pollubnts (NESHAP)
d (S19)rc7-5950 et teast lO
&F Fior ro tl6
dsnolilbn d any tacilily or building. So€ Asb€sbs W€b Sit€: http /lrww.€pi.stat€ nc us/efi/as besrotahm p htm I
TOTAL PROJECT COST: $200,000.00 BUILDING HEIGHT: 3oFr# OF
UNITS: 6
TOTAL AREA SQ FT :
5Q Q O
SQ FI PER FLR:# OF STORIES: :1615
# OF FLOORS:3
ACRES DISTURBED
Exsr LAND Drsrunerruc eeRurre
I ves T NO
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:
PRoPERTYUSE: EoFFtcE [nesrnunerr
luencerrrlr leouc
larr @NDO OTHER
SQ FT
WATER:
SEWER:
@
@
fl coMMUNrTy SYSTEM
fl WELL EZONTNG USE CTASS|F|CAT|ON:
EcENTMLsEpflc flpRrvATE sEprtc f] coMMUNrry
sysrEM
CFPUA
CFPUA
", SEPARATE PERMITS REOUIRED FOR ELECI, MECH, PLBG, GAS EOUIP, PREFAAS & INSERTS -'
PAYMENT
METHOD:
ICnSX [CxeCX lenVAe[E rO NHC) [rUenrceH o<eness
! ucrusa
I orscoven
(FOR OFFTCE USE ONLY) REvtS€o EIITE 4/i t/12ZONE:_OFFICER;SETBACKS:
F:_LH:_ RH:_ B:Approval:_ City:_ DATE: FLOOD:
__ _ BFE+2F
N
PERMIT FEE:Comm6nt
00
Exrsr coNsrRucrroN:
E ALTERATT* g *.Jili'ilil''ti^3?'i'r*ol REparRs
E RELocArrd{
lr Relocation. is there a Naturat Gas Line on the -Current Site?
[vi-[ r.ro tS BLDG spii xreneoz
[tv"" I no
NEt{ cof{sTRucrroir,
! rnecr ilE}l srRucruRE
! rrcr rucr
I sxer-r-
[ uerrr
I ADo ro ExrsT srRUcruRE
ACCESSORY STRTrcTURE:
.t
TOTAL SQ FT UNDER ROOF: 5OOO #OF STRUCTURES:-
{I
NEW HANOVER COUNTY BUILDING PERMIT
AP?LICAildt rYPEr Col',lHE RC IAL
P'-EAS€ Atlral ALL QJES-:aNS A,PLICABIt iO Yo1JR :r:'aCT
"ProJect Re5ponsibility"
Aotk -
310
*5--3ffiF
APPL T':7:TN
Numbe|^
(.{1--c€ use)
aPPLICA
T'S NAVE: ..-: ..::.;.:-:.--.:. - :_:... :i:-:s
PRoIECT ADDRESS: 't 2L 0w!iqhtsvllls Ave
0CCUPAII/SUSINESS NAI{E:
:>::s:: - - -.,/,:.;'s i.- .jiar.,-
PRoP!R-i\. OtiNER'S NA,iE: :rn.,.i rr'r'
C)9A{ER'5 AooRESS:
-:: i,.rr.e:e :-!l
COIiTRACToR: ,e
l.l': :. .":.;.::'.
ADDRESS:
:6-. ia.:.ie cr i!1:e 2a5
oATE; - i', -: i
CITYi ri:1::.ct.:.
PHONE Si :-,.,1,. . :
(ITY: :';.rcr:
LICENSE f: :2 a a,-.
C!TY: :J: I r.!:,:--.n
sr;f:-zrP:-''r.:
5l: )c Z:P:
EfiA!L AoOR€sS: -i ': ! r:r':: i.1,3 -'r
:' i .
:!'x PH0hlE
f: :
i .:.,
((ne(<
rii ii.: Arply)
EXIST CONSTiiJC'riO :
B ALIERAT1ON
! eetOvarrOr
f, Cetrnal iEparRS ]_r RELocArrori
ll Relocadon. is there a N8rirr;l Gas Llne on the Currenr Srie?
! ""s
[ ruo lS BLDG SPRINKL:aac?
[ ves
f No
NE'rl CoNSTRUCiICN
f rnrcr NEt.t
srRUcruRE
f, rasr rnacx
f seer.r. 7 uprrr
! roo
ro Exrsr sTRUaruRE
ACCESSoRY STRiTiTLTRE
If UPFIT The sh?l I :. -rrt F:
Is Elect Poi/er
on thir Building Fj Yes NC
...rr Js rHrs a (H[\cE or o€cupAlcy usrl Irrs []
IF YesJ wh.t !as thr Pa€viou! OcaufBi.y Type?
ARCH OE5I6|,J PROiESSIO|AL:
''' :r- e: -
ir3t i: the Ner occuprncy Typ€
P-::-.. .:^,lC 3E6 r: : l:,:
ENGR DESIGII PR0TESS:ollAL: :: -- i:.:':r-:?tt -i\: .2 r
). !:1'
DESCF.:tTiJN 0F'dORK: ..:.. €i{:s'!:nr rE:i.u!e:1t s:..e.:r i
r
TOTAL PROJECT COSTIBUILDING HEIGH]': ex - - -: a '# OF UNll'Sr : - P:: s:
r:.:
TOTAL AREA SO r-T
SO FT PaR FLR: : ra:
f OF S:.]P'5S: r - .,:.: -=r :
|lrra:D.oojuon
mt.-ri3.r 6 riL.r.i ^-.v:14-ila!?lcltJans3r0r.!.!".i:it.Jlaing:rL.!ir-: 'i. (0 :-i: *t0:-,er he hL fvDf D(] d,na wcq tc:.-'o
conl'm tub.l.6r o, not Y@
n r, :..'l ro €ll 'rr l.rnlliii Er!!,r St.iClrd. t, H.!!ido!3 Ar Pdri,,,€nE (ti!s-lAf) !r (9rSrr:r'.5950.r '...r 10 d.ys For tc',ho
d...$lito.
c,!"vklrh or bt,':r:1. See rslesEs Web Sirs " "
TOTAL SO FI UNDER ROOF: -.: i st: rc
ACRES DISTUREED:
, OF S]'EUCTURES ..
, OF FLOC?S
Exsr rrND DTSTURBTNG FEF.|,riT?
E yES
F NO
f.EW lM?EaVIOUS
Ai-.I\: .,,*. : ,; ::.,.' ge SQ FT EXIST:NG IMP:EVIOUS AREA ! r: -:,
I. KU:EH i J U5EIoFFrcE I nesuurarlr
f raeacnr.rte
f ecuc
!le- ccuoo orxsa
_.: ::: _--.. SO-
WATEF: -/CFPUA
SEWER: f,CFPJA
PAYMEI'IT METHOD:
f,cnsr f o.recK (PAYABLE
rc NHc)
E
- CCMI/UNITY SYSTEM JWELL
- CE,'J'RAL sEPIC * PRr,/ATE sEPT c
- loNiNG U-r: Clr 9Sl: C.',
,C'." lLrl' S' - .
r' -:-::,\:;:-:ss -- -' -: _r-:r-'
(FOR
Car,aa usE o
SETBACKS: F:fi LH:N/A RH:-N/A B:IVA
FLOOD:6i-E+21:
i$ (eptrm,r.nzoNE:0
6 opprcen(
.1.\
Approval:
ai City:DATE
Comme
u4ll-.l{-k*i'}'+ $--.-s)
DEVELopER:
:et.:i : , rr .:.:.. pHoNF
!: 1t,:.a,;:.-i(l
PROIECT C0iITACT PERS0N: 1: i<e 3r : ; : ::.PFClit
*: --i.a,::. ;:
1..\e FrrO
No O(PUA
$S b,,.
Tr+&{
rctk _331
NEW HAI'IOVER COUNW
BUfLDfilG PER|,IIT
AppLratrdt naf .. CG$iCRCfAL
PtaaSf AIStrEt Au. QUESItOttS ApprrclrlE To yott prorEo
-proj.ct rc a ponr lb tlltlr.
rp-piiE?ior
lturb.r
(Offt.. t r.)
aPplrcltrr's luuu I
DEVEIOPER:
PiO] ECT ADORCSS:
otct?rrfi /EUsrtElS [Atn :
PI@EITY Ol{'IE8,s ilA C:
O{I'ER'S ADDIESS:
COIJTRACTOR :
H C^iTPu
ADDRESS :
ETATL ADORESS:
PIO]ECT COII'TACT
llEtd COilSTiUCTrOl:
n El
ACCESSOBV 5rRUCruf,E:
If UPFII
- The
Shrll Pefilit
s: ,v/ A
-..7{---'r... I5 tltls A cl{lt6E
fF Yr', rArt ras thc Prcvlosa Orct p.rcy
l}ort
=-- DATC:2-t-.
CTTY:
PHO
E ,:
zIP: z84ql
Prol{E
t: ?2
91
?/,,
ST:lt- ztp: 2 ZUa/,
II
gcT its SIRUCTUN E
fl rrcr
LtcEnsE
r:
CI?Y: I'sr
zt*
Zt{//plo E
*:
P}O E
I:i+
Is
llcct Porcr on
this Bujlding
a Yes
[rc
CtTY:
O\r'<.f
#
2
Exrsr cq\Ernufiro{:
f, lrrrmuol tr.rrJlfiiliI Rebc!0m, b fiere s Nlturst Gss Line on rh€ Cunern
S
e?
El
ftrt lgplr)
._flgnrner nEprrns E iEroc^rrot
Yes
LlNo lS BLDG SpQ1111115pEO? E yrs lNo
rnecx
fl sxelr.
I uprrr
n ADD
To Exrsr slRUcnJRE
or oco.porv usr t l-lplt+ R ll thc CI orcuprncy llrpct
YES
lf tf ....t
Aror 0E9I6l ProftsSto&t:
txcn DaJlcx PRoFE SrofiAt;
PH:
Pt{:
I.IC REG
,:
t,IC REG
,:
DESCRIPTION OT I&RX :
WAIER:
SEViER:
/2-+=+
5<-<.
-l.r*t)
O^J
bw
L,P
ACRES DISTURSED:
NEW IMPERVIOUS AREA
PROPERTY
USe
srnCe flnesrrumnr
ffiFEUi
Ectxrulsernc
!COMTIUNtrY S\€TEM
. SEPARA'IE
PEFI'ITS R€OUIRED FOR
EI,!CI, IECH. Pl'aG. GAS€OL'IP, PNEFAIS
r INSEiIS -pAr.}tEt{T IETHOD: [CeSn lctreo< pavraE ro Nrc]
u
zoxe:-f.1f,-orRcen:
ADoovrl: Otvl
rYlr.t
tt lclry rna
hri tot 0r0)rO7€E.r b.n
or
u fis:
OF
STOFIES: tOFFLOORS:_-
Commar
fluenranooness
PERMiI FEE:
iri-----
,%
b tbod or DGv.lloel F!p.r!d 6 tcrvld h Ote rrrrt,lf ftver !! Xo
(q.rl.',
t,
TOTAI PROJECT COST:
27, ttZZ
TorAL AREA so Fr, T
TOTAI SO FT UltlDER ROOF:_
E]epr
floroo
FOR OfFrcE USE
Oi,tn
nEvEED
UtA,glutl
EXt!
A