JUNE 27 2016 BUILDING APPSNEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE : RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Jot (e_ J bbslb'3Hn//(eu (
nPPf f CAffOf'f
Number
(office Use)
DATE:6/21_/2ot6
*i 9L0-452-1,410
ZIP: 28409
BLOCK f: _ LOT #: s8
PHONE #: 970-452- 14r-o
ST: q ZIP: zAqoI
ST: rc ZTPI 28403
PHONE #z gtoqsz-tqto
PHONE #: 910-s2o-8111
APPLICANT'S l.lAmE: penton Conscrucrion, LLC
DEVELOPER: penrg4 consrrucrj_on, LLC PHONE
PROIECT ADDRESSz 2026 Lirrl-e palm way
SUBDIVISION: Shi-nnwood west
CITY: wilminsron
PROPERTY OI'INER'S
OI.INER'S ADDRESS:
MItlE: Penton New Homes, LLC
5105 Oleander Drive Suite 201 CfTY: wilmj.nston
CONTRACTOR: Penton Construction, LLC
ADDRESS: 6105 oleanderDrive Suite 201
EMAIL ADDRESS: rnqqqaanjean@gmail.com
PROIECT CONTACT PERSON: Morsan Datema
LICENSE #: soeo3
CITY: wilminston
!nrr GARAGE
ExrsrrNc coNsrRucrroN: f] ALTERATToN fl nrruovnrroru ! crrurnnl REeATRS fl nrlocarroru
NEt^l coNsTRUcTroNt I enecr NEW RESTDENCE or ! aoorrroN To ExrsTrNG RESTDENCE
**PLEASE CHECK
! orr GARAGE sF Z]PoRCH res sF
! surunoor,r _sF ! eoor _ sF ! sronncE sHED _ sF
! cneeruuousr SF fl orcr SF OTHER i 72O
TOTAL HEATED SQ FT: 17so TOTAL SQ FT UNDER ROOF: rzeo TOTAL AREA SQ FT: 2ols
TOTAL PROIECT COST(ressloo ! $ so,ooo # OF STORIES: r
Is Any ELECTRICAL, PLUITTBING or ITIECHAITIICAL Wonk Being Done to the Accessory Structure? fl Ves E to
If the pnoject is a Relocation, is thene a NaturaL Gas Line on the Curnent Site? Ey"r E ruo
Is there Electrical Powen on this Building? l1"ly"t EI to
PROPERTY UsE / OCCUPANCY: [] Srr'rCle FAMILY I oUelrx ! rownHOuSe
DESCRIPTION OF tdORK: Buil-d sinqle Fami-Iy Residense
AND ANSWER BELOW
_sF
ALL THAT APPLY TO YOUR PROJ ECT :
SF
DISCLAIMER: I hereby certify trat all inbrmation in this application is correct and all work wilt compty wih he State Buitding applicable State and local laws
and ordinances and regulations. The NH C Development Services Center will be notfied of any changes in he approved plans or change in contractrr or
conracbr information. t-.NOTE: Any Work Performed W/O he Appropriat-. Permits will be in Violation of the NC State Bldg to Fines Up To $500.00-.'
OWNER/CONTRACTOR: Howard A penron rrr SIGNATURE:
(print Name)*************,t*******x*********x*x****************x*x**********x*********xx*********
rs THE pROpERTy LOCATED rN A FLOODPLATN? fl VeS
EXISTING IITIPERVIOUS AREA: SQ FT
NEW IMPERVIOUS AREA: - SQ FT
El ruo
TOTAL ACRES DISTURBED: o,04.7
EXIST LAND DISTURBING PERMIT: IT] YES [-] T'To
!'TATER: [l creun ! commururry sysrEm fl enrvnrr well I crrurnnl wELL
sElrlER: I creua ! cerurnal sEprrc ! nnrvnrE sEprrc ! communrry sysrEM
*** SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS 8 INSERTS ***
PAYI,IENT METHoD: fl cmx ff cxecr (pAvABLE ro NHc) [ ru,renrcnn ExpREss fl mclvrsa I orscoven*********xx*xx*************r(************************************************************
ZONE:OF FICE R:
(FOR OFFICE USE ONLY)
SETBACKS: F:
REVISED OArE O4/tt/L2
BFE+2ft=Approval:City:_ DATE:_ FLOOD:
LH :_ RH:_ B :
toL.,lo i|z, 1b- fi,gs
2otro +quz
COUNTY BUILDING PERMIT
rvPE., COI+IERCIAL
APPLICANI'S
DEVEIOPEi:
APPLICATIoiI
t*rrbGr
(Offic. tt.)
4+e-tto
PROJECT ADORESS:
occuPAllT/BlrsrrEss
PROPERW OOIER'S M}tE:
sr: lklzrP:ol,a ER'S ADDRESS:
corRAcrn: -@' Q4 f, Qr-IICE TE t: V ur-!*-* ATCOU{T *:'ffii" rffirrw, Llru*tffii- sr gzw;z&!.l
EI{A:IL tDoxEss: Uci O cc,cn. c4"\,PHotlE t: 231- lr0 L
Ptlo E *: L3l- l?[L
AI"L q'ESTIOIS APPLICIBLE TO TIIJR PRO'CCI
'Pr€JGGt Responstbilttf
PRO]ECT Coi{IACT PERSO :
;Hffi lffis*H,H'*ffi g##*$SE'1,'l-,srax,Rff hTgH"*n*"
ilErit corasrnucrtq{: p enrcr Eu srnucnnE E resr rnacx E sler.r. I uerrr I ADo ro ExrsT srRucrune
Is Glcct torGp on thls Bulldtng fives I ero
.ffi &trgg-"'iPf.#X ILI*., rye"r Gte,J6
ARCH OESI6'{ PROFESSIoIAL:
EffiN 0€516'{ PNOFESSIOiIAL :
lF YGs, rfiat r.5 the Prerrlous
DESCRIPTIOI{ OF IORK:L'K
b lbod tr bolrtq€a Fapd€d 6 rclrEd h lr& stusErE?f]l,lo u ne nopcrty urcsd ln lho Flooddakr? EYeg
all inlormeton h thB arDllcalion h co.rEd 6rd t[ Y6.I rvillcDmplv wilh th€
r.oulrtons. Thc NHC Drvaloomld Scrvlcer Cantor wlll b. noilEd ol any (
x fiioI'n6tlon. -'Nq[E: Any Wo Pcriormed wo lhc Approprhle Pomlll
-tll"l, 9 c.
SIG}.IATURE:
.rt rto.rrflodp.lttn(!99flcdol!.Lroh.a/kdlldu.lt!n!.rrlb.ooftm(DHH6<rA)ihr0t.ot tdllt
ACCESSORY STRI'CIURE:
rf rJPFrr - The shru Pernlt *:
r.... Is illls a
Plt:
pfi:
cdmh a!..oa orrEi. yolr lrtrf{|lt , bcd fi. tttord E i:.bo $rbna ft.lbnhr. Ar fbii.dr 0{E$uP) n (919n {g}.1lrd 10tyr Flo.b L
&olotron orllyt.ryo.h *t. 8- Atffi rltD gb: trl0J,l,tf.?lrEb'icrt.Ph.D-D.,lrtitlhtnl
rorAl PRo,Ecr cosr, !M- BUlLDlt,lcl HEEHT: IAiOO , oF uNlrs:
TOTAL AREA SA Fr , )5!ij5-- so Fr pER FrR: -l!lp- r oF sfoRrES: I
TOTAL SQ FT U''EER ROOF: -I.,:593- # OF STRI'CTURES: J- I OF FLOORS: I
AcREs DrsruRBED: -M- E<sr rrND DtsruRarxe emunt ff ves fl xo
NE:wrMpERvprEARa* rl,4\ sorr p<lrtnNc tmpERvurs AREA:
-
pnopEnrrgF: DoFFlcE EneErrunrrr flurncemr- Eeur Eerr fJcotrm **'W€-l*
wArER @!:FPUA EcorriiruNtry SyarElL tfwar EzoNrl{G t sE clrrx FEATorrr _
SEYIIER: ltCEPuA E CEttIRAt SEffiC [J PRIVAIE SEPIIG EcOlrMLF{]rY EYlilEM
'' SEPARATE PEB[4|TS REOUIRED FOF EIECT, MECH. PL&G. O]AgEOUlp, Pf,EFABS & INSEFTS -'
pAylrEirr uEmoD: ficesx ficnecx prvreu rc mcl fleu accottrr fluciuse florscover
GOi OFFTCE UgE ONLY)FFraE mtE {fl tr't2ZONE OFFICER
nppowl: C1I$-DATE-FL@D
Commoft
SETBAO(S:F: LH: RH B:
BFE+ft
k,".*"5O[z
REG *: -L!OAZ-
REG $| jrLJS@
SO FT
@\ NooFPuA hre 6,2 No&rv+l
jtS-A ElcKls ftve
20tb bow
APPLICANT,S tlA"IE:
DEVELOPER;
APPLICATIOfiI
l.lunber
(o+flce Use)
r l*.-\ ta
NEW HANOVER COUNTY BUILDING PERMIT
APPLTCATION TYPE: RESIDENTIAL
pLEASt ANSIIE8 ALr, QUESilil,ls APpLICABtt I0 YoUR PRoIECT
- {'ProJect Responsibility"
't-i r ' ll r,r \
PRoTECT raoffifl 33 *A tiuxle- Ara., r
SUEDIVISION:
PROPERTY O1,*,.IER'S NAlttE :
O,{NER'S A[DRESS-:_ *
COI,ITRACTOR: \
ADDRESS:
rrqarl aooREss:
PRO]ECT CONTACT PERSON:
PHONE
PHONE
r, ?_[0 -tsiglJlqr: & (zrn, z{-ql{
ST: _ ZIP: _*r:aM -ilsri-:(}dll"1
s:
.l
.,.i,,]
Exrsrm6 consrRucTroN, EieLrenarron I neruov
L,-
ATION L-j GENERAL REPA]RS fJ nelocnrroru
NE[,J CONSTRU(TrCIru: I ERECT NEr,r RESTDENCE o" @'aOOrrrON TO EXTSTTNG RESTDENCE
"pLtASE CHECX ANO AItlSttER fiELOI{ ALL IHAT APPLY I0 YOUR PRoIECT:
f]arr GARAoE
-
sF f orr GARAGE sr IeoncH
-.sF
[suHnoom
-sF
D
D
PooL
-
sF fl sronace, sHED _- sF
oEcK
-
sF oTHER: q r.r..JEr, -122'------>
ToTAL r{EATr} SQ FT: a TOTAL S-Q FT UUDER RoOF:
-
TOTAL AREA SQ FT: i'3 L*----------------tf H;
ToTAL PRo]ECT CosTtLo,,Lotl : $ KP:i,NO* OF STORIES:
-
s-
Is Any ELECTpIaAI, pLUriBIilG or ilECHA{fCAL Work Being Done to the Accessony Structunc, E-"o, X'*o
If the pnoject is a Relocation, is there a Natural. 6as Llne on the Cunr€nt Site? f, ves f
'Cors there Electrical Power on this Buildingl gl ves [-'l ruo
: Ir] SIlttGLE FAMILY I ouer-rx f rowrunousr.PROPERry USE /
OESCRIPTION OF tioRK:
DISCIAIME R: I nereby Cenlly fiat sil !n kr.nato{r ifi frs dpptctlion 6 ctr€rl and 0ll work wil ccF,pjy wi$ lis SlaE Building
TOTAI ACRES 0ISTURBEDi
EXIST LAI{D DISTURBINE
Srab and locai iils
i;: . .. ',,.rrIncor,lracrc'ot
:- lgc, d, 11"",'t.; y 'pTci"^(""'
Ptnnrr: ll-.] ves [---J: ro
il
PERMI1 iIi]; $
andordrnlnceiandregulatnnr lhnNHCOr,4hpmsnrSrrvicesCef,Erwillbenotfiedofanychaflgesintheapp'crco.
contrac!)r inbma!oo. "'HOTE: Any )Aret-By,ormed Y//0 h€-.IiFtl(Qe Pomits will b. n V6lalior o, tho NC Spf{
ohINER/C0NTMCToR: M sIGMTURy' -
*orr*rft creue f cor'r'1uti:rY sYsrEH I enrvere well f, cenrnal welt
5EUER: ffi crrro fl c:rlrnll sErrlc E pnrvare sEprrc f, cor,r'ruprw sYsrsFl
'T* SIPARAIE PERI4ITS IT€QUIRED FOR ELECT, TTECH, PL8€} 6A3 EQUIP, PREFJIS & INSERTS *TT
'^'1,'ll.T:'xd.F:l':..!"':":.gllt:,:.iTr.tiT.'r"::::Ti'..,H.lY.',.',:1....?:::::',*
.^. (FoR otrl(r USE OltYh ,
,o*,' n-ii) oFFrcER: epil'l- . sErBA(KS: r' -u-.,r, iLt **,$JA- ,, '*,I=
j'""" ,rTt 0'"1!'/1:
opp"o*i, il ir- city:jj1jiJIl oarr, 4/itr'i'p rLooo
'
,, r,4{X BFE+2ft=
EXI5TI}.}6 IIiIPfRVIOIJS AREA:
-SQ
FT
NEI.I I;,IPERVIOIJS AREA I
-_-
SQ FT
'tr43il e**, *tar,riqgi,+t4* +t) ii, (ii 4 35t.
PrioNE s:
LICENSE T:
CITY:
?E+rtr=++zq
(Prrnt lr6.)arlrrri l+*lr.r+ + ir+*l r +++, .4 a a * /. t i+'+*t I rt t l
rs rHE pRopERTy LocArED rN A FlooDPurnt l--l vEs NO
flg-,Ht.\'l0so No crep4 )oto (c,q
NE[^J HANOVER COUNTY BUILDING PERMIT
APPLICATION TTPF: RESIDENTIAL
PL€ASE A}IS}'TR ALL qJESTIOI{S APPLICASLT TO YOUR PRO]ECT
DEVELOPER: EP-c a- C-ArkLs4 l Pll()NE [: q$-btq'ltg
PROJECT AIDRESS: 7O).( OL\ P'gA AO4\c!.t\'t utLntAti:roN ztP I EiaTl
SuBDIVIsroN: A,loa*l AEIIL BLOC( *: LoT *: -13-
pROpERTy oHHER,S NAr.rE: &rC d. aONPJ-'+J ptONE *: q$-/tn-llqa
or,rNER's ADORESS: 7oI( OL\ t=!Z-r\ ArAb CttV t LJ*LU=l6rorJ ST;UleZrPtX:gllL
COiITRACTOR; ETZ,I A. CO'JAL=,J LTCE SE T:
ADDRE5S: 7o oL\ FUr-\ [o4\ crrY I L/U-4@.-
EI'IAIL ADDRESS: PlfilE
PROlECT C$ITACT PERSOiI: ELE' 6. C4NPL"PK}NE
EXrSTrr{G CO STRUCTTOT{! ! arrrnrrtor fl aenwarrou ! crNenel ntrnrns I RELocArroN
NEU co srRucrror, ! rnrcr NEll REsTDENCE o"$\-rrron ro Exrsrrl{G RESTDEIcE
'IPLEASE CHECX AI{D ANSTER BELO}i ALL THAT APPLY TO Y(x,R PRO]ECT:
Iarr canner
-
sF firu, *.onu )o(o sr leoncr
-sF
! surnoou
-
sF fl emr-
-
sr ! sronaee sxeo
f] eneelxouse
-
sr ! orcr
ToTAL HEATED sq FT: /O00 ToTAL 5Q FT
{oro. pRorEcr cosrressr-q . s jQr000
Is Any ELECTRICAL, PLtDaI G or ltECHrr{fCAL work Eeing Done
If the project is a Relocation, is there a Natural
Is there Electrical Pouen on this Building?nYes
pRopERw usE / occuPANcY, I srruelr rrmrr-v ! oupr-ex E TC,t,NHouSE
DESCRIPTIOI{ OF I'IORK I
l2-oot4
D|SCLAIi/ER th.Dby c!flit hsr a[ tn6rm6lion h his rppkaton ts corscr and .l wort wil comply wah fie Sttl6 Buildhg Codc.od aI oher applc.blo St6E .nd loc€ll*s
and odinances snd regulrt ns. Tn6 NHC Oevelopment S€&ices C6nErwil be nolfed oleny Eiaucs an he 4ploY€d pl6ns and spociftalbns or ciang€ in contrecDr or
conr&br hbrmalion '-NOTE: Any Wbri Pcrformed w/O he Approprisb Pemils wll b€ h Volalion ol lie NC $eb AUg Codo snd Subjoct b Finss L,D To 3500 0O"
on{ER/cor{IRAcToR; @ SIGIIATURE: L Z /Z
,r *+*,|r *:r,r,i* r,r *r ** ** *** **** *(Iltll IifJ ** * * * * ** * * +*,i:r *,*,r *,r** +at:rrt * *+:t* +*,r,|,| '|+* + + *::,*:t,t:r:l r+,r,* *
rs rHE pRopERry LocArED n{ a rlooorlur? fl vts B rrc
TOTAL ACRES DISTURBED:
EXIST LAiD DISTURBITIG PERITTIT I f] VTS f] M
r{ArER: I creua I cof+rurrw svsrrm I pRrvarE IIELL ! cenrml uell
sEl'lER: E creue fl CENTML sEPrrc f| rnrvare srrrrc f] coN'tri,NrrY sYsrEr4
*t* SEPATATE PER}IITS REQUIRED FOR EL€CT, MECH, PLBG, GAS EQIJIP, PRCFABS & INSERTS *'I
pAy!.tEirr iETloD: E crsn E cttcr< (PAYABLE ro mr1 ftArcnrcm rxrnrss E ncryrsr E ,rtcorrn
,i:t,t**+*:t,t:t:***,tti+**:i*,1*'B:t**rt:l)ttri.l+:t*:*:i:l*:t:l:l*rt:l,l,itt,|l:|:lt:i*:l:**)t**,1,t++,|,|+t|*****ir+*tt++,la*a{(++,1
(FOi OFttCE U5E OrrY)
5ET8ACK5: F: LH:
srI CztP| )?'tII
*t 9tO-d,9-lt9)
*,9!.9:LE:!!9L
SF OTHER:
-sF
SF
U DER ROOF: llze TOTAL AREA SQ FT: /)"3b
* OF STORIES: 2,
to the Accessory StructurEl X Vut E Uo
Gas Line on the current site? [ Yes El No
Elno
EXISTING IIi.IPERVIOUS
NEW IMPERVIOUS
AREA:
-SQ
FT
AREA:
-SQ
FT
approval :- City:_ DATE :-
REVISTD DATC 04/11112
_ RH:_ B:_
BFE+2ft=
ZONE:OFFICER:
comment:
FLOOD:
' '78' -PERIIIT FEE: t___-l_\z|_
t,ET^z*tE\, a*iAfr Ut1't[ UF<TAT ps edcee:e-' ,fo^-t
"Project Respons ibil ity"
9att, U tbL
NEW HANovER couNry BUTLDTNG pERMrrFES*furf1-16
APPLICA|IoN IyPE I RESIDENTIAL
APPLICATION
Number
(office Use)
APPLICANTJ S
OEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OWNER' S
OWNER,S ADDRESS:
CONTRACTOR:
ADDRESS:
fc r^
PLEASE ANSI,JER ALL QIJESTIONS APPTICABTE TO YOUR PRO]ECI
BLOCK S:
D^rEt /O-2O -t4-
t
PHONE S:
El'lAIL ADDRESS:
PRO]ECT CONTACT PERSON:
-
zrP_: z_tilt)
rcr t: 374
r, 3/ 3-33)/
sr I N(zrp | 2 gz/aJ
LICEN5E S: 2fi9 q ACCOUNT S:
-f,,r|. f s.-.^ PHONE *:
PHoNE f: tf s-3S-J2
5F
SF
SEWERI V'T CF
ZONE:
Approval:
(FOR OFFICE U5E ONLY)
SETBACKS: F:
I )t ,k,*,* * ++,t * *,* * *,* * )* **,*r(,1,i
NO
seerrc ! coMMUNrry sysrEM
REVr5E0 0ArE 04l11/12
,* rt rra =
N
PERMIT FEE: $
EXTSTTNG CONSTRUCTION: I nrrrnArrOru ! n$rovlrrot ! cenrnlr necarns ! RELoCATTON
NEI,.J coNsTRUcTro n:fi{pu, NEr.,l RE5TDENCE o" ! aoorrron To ExrsTrNG RESTDENCE
YOUR PRO]ECT:
SF
,}TPLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO
{on oo*o, 187 t, ! oer cnnacr W{*rr /a9 ,,La,-"', !fi SF
f]sunaoou
-sF
! oReenuous e _ sF
f] eoor
! orcx
SF I sroRrce sHro
SF OTHER:
TOTAL HEATED 'q ",?/33 TOTAL 5Q FT UNDER NOOT,K#4{, TOTAL AREA SAfiI LIY(Ii
ToTAL PROIECT COSTlLessroj, $ ?.-)3,oco * or SrOnirS, ,/
I( Any ELECTRICAL, PLUIiIBING or IiTECHANICAL Work BeinB Oone to the Accessory Structure? [ V"r I no
If the pnoject is a Relocation, is thene a NatunaL Gas Line on the Cunrent Site? [ ves I llo
Is there ElectnicaL power on.rlis Buitding? [v"t f] uo
PRoPERTY usE / occUPANcY, [l'srncr-r FArlrrv ! ouer-rx ! roNNHousE
DEscRrprroN oF woRK: 'g^i. t #- .,iJ.. E -l tt ,l<i"I",ce
contracto. inbrmalion. "'NOTE:Any Work Perlormed w/O fie Appropriare Permils willbe in Vmlarion ofthe NC Srate Btdq Code
OlllNER/CONTRACTOR:L SIGNATURE:
++ +,* *rr* * + ,r,r *,i ** * *** ** ** * ** *(iltl111'] * * **** *. ***.
rs rHE pRopERTy LoCATED rN l rroooeuru? f| vrs
ExrsrrNc r'rpERvrous aata./tt 739$sq rr..?TOTAL ACRES DI5TURBED: ,2 /
Exrsr LAND orsruRBrNc prnmrr: I--.l ves [--l rcNEW rMPERVrous ya ,/4J?Ri'Eso rr
, I cs,cua El'cornrurrrt sysrem I--lwarER; l--l gpua @'cor',t,rulrrv svsrem ! pRrvArE r,lELL ! cenrnal wrr-r-
sEwER I WcFpua I cetrnar se errc ! pRrvArE sEprrc 3- aorrrrrr, ,r,$tqe-*** SEpaRATE PtRllrrs REQUTRED FoR ELEcr, !1EcH, PLBG, GAs EQUrp, PREFABS & rNsERTs ***
pAyr4ENr lrErHoor !casa IcuecK (PAYABLE ro'Hc1 [rr,_i o..** ' ! ,.iur*-
'-
[ orr.ou***,*,**,***,t,t,****,t+,f,i*)r*,r,*****,**ji**,r++ir**rr+*r,i,**ir**)r******,i*i r*
OFFICER:
Comment:
_ City:_ DATE :FLOOD:
LH:RH:
CITY:
RECEIVED JUN 15 Mfi
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSIIER ALt QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICAiIT' S MtitE: Bill Clark Homes of wilminqton, LLC
DEVELOPER: Bitr cfark s of Wi lminqton PHONE
PROIECT ADDRESS: 352? Atwater Court
SUBDMSION: BeIle Meade
PROPERTY O {ER'S ltlA}1E: Bill Clark Homes of wilminqron, LLC
oi{I{ER'S ADDRESS: 127 Racine Drive, Suite 201
CITY: !illmrngton
BLOC( *:LOT #:
PIO E #: 910.3s0.1744
CITYi wi lmington
ADDRESS: 127 Racrne Drive, Sulte 201 CITY: Wi lmington
CoNTRACTOR: E+I Crark Homes of wilmlnqton, LJ,C LICENSE #: 34s86
sT: IL ZrP:?!l!a
ST: NC ZIP: 28403
E AIL ADDRESS: cbaanlablltclarkhomes.com
PROJECT CONTACT PERSON: Courtnev Bain/8i11 Cfark Homes of tiitminoron
PHON E
PHON E
f : 910 - 3s0.1744
S: 910.350.1744
! surunoom SF
I cne rrHous r 5F 5F OTHE R:
SF
SF
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING
,* * ,*:*,I * x *,* rt ,*:t
YES E NO
$11446-
0 ;tl
oa*rra E
B:
BFE+2ft=
N
PERIiIIT FEE: $
)or,o-bbT
APPLICATIOiI
Number
(Office Use)
oaTE.. 5/2'7/2A16
f : 910 - 350.1?44
zIP1233fL
!2
EXTSTTNG CONSTRUCTTON: ! AlreurroN ! neruovnrrot ! cfl'rrnal neearns ! RELocATToN
NEv{ CoNSTRUCTION, I rneCr NEh, RESIDENCE o" ! AOOrrrOt TO EXTSTTNG RESTDENCE
BELOW ALL THAT APPLY TO YOUR PRO]ECT:
sF ! oer cnnace sr @ eoncx -1-ry_ sF
! roor-
I orcr
SF ! sronace srro
TOTAL HEATED SQ FT: ?!q7 TOTAL SQ FT UNDER ROOF: 3368 TOTAL AREA SQ FT: 34e2
TOTAL PROIECT COSTlr.ssroq: $ rar,oao # OF STORIES: 2
Is Any ELECTRICAL, PLUIIBING or IiIECHANICAL Work Being Done to the Accessory Structure? [ V"r I f,fo
rf the project is a Rerocation, ls there a Natural Gas Line on the cunrent site? ! ves [ ruo
Is there Electrical Power on this Building? l-l v"t lEl ruo
pRopERTy usE / occupANcyr I srtcrr ramrrv ! ouer-rx ! TowNHousE
DESCRIPTION OF WORK:
and ordinances and regulalions. The NHc Development s€wices Cenbr wall be notfed ot any changes in he approved pbns and specifcations orchange in contractcror
contaclcr inbrmalion. "',{OTE: Any work Perlormed wO h€ Appmpriab P6mi6 will be in Viotalion of th€ NC Stab BHg Code ang Subiecr t Fines Up T{g500.00,,,
OI{NER/CONTRACTOR: courtney Bain/BCH of witminsron SIGNATURE:
**,r,r ++,r,** )i * **,r* ** * * *** * ** * *(Ii'Il lil"J ** * * * * * ** * * * * * * *,* ** ** *,i *,r *,* *,r,r )* )r ,r,* ,r * ,N,r *
rs rHE pRopERTy LocATED rN a rlooorurul I ves E no
EXISTING I PERVIOUS AREA:SQ FT
NEr., rr4pERvrous AREA: a:l!Z- se Fr
r{ArER: [l crrun fl coMr4uNrry svsrru ! pRrvArE WELL ! crrurnar wrlr
sEr.lER: @ craul ! CENTRAL sEpTrc ! enrvnre srerrc ! coitMuNrTy sysTEM
ZONE:OF FICE R:
Approval:
*'** SEPARATE pERlitrrs REQUTRED FoR ELEcr, ltEcH, PLBG, cAs Eq,rP, PREFABS & rNsERTs r'"*
pAylrE'.r rirErHoD: I cnsr flcnecK (pAyaBLE ro nnc; f] mear.* ,*r*.i, E r.rrrro I orscovenl')i** ++* **** *)* + + ,|,* )t* ** * )*,*****++ +** )i )*++ +,f)** )i + )*,t ,t,f * * ,*,i ,t * ,t,* ,t *)ii +t,t * * )t:i + ++*,t * +*** )t* ++ ** * * )t+ *+
(FOR OFFICT USE OI{LY)
SETBACKS: F:
REVISED DATE O4l11/12
,I.,I.PLEASE CHECK
@ nrr canace
At{D AI'ISWER
481
construction
Conment:
city:_ DATE:FLOOD:
LH:RH:
.^1
t oJ'
ffi)
APPLICANT,S l\lAIIE:
DEVELOPER ;
RECE|VEDJUN142016
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLI CATION IYPF: RESI DENTIAL
PLEASE AIJSiiER AI-I OUE5TION5 APPLICABLE TO YOUR PRO]ECT
'?roject Responsibiuty"
Chriatopher a. Norton
PROIECT ADDRESS: 20s Hickory IG]ol.LLd.CITY: wilminqton
SUSDMSION: Hickory Krlolf BLOC( #:
APPLICATION
Number
(offlce Use)
DATE: 6-8 2016
PHONE #:
zrP | 23!92-
LOT f:
PHONE #i 9lo-142-s22o
ST: Nc ZIP: 28409
PROPERry OIIJNER'S
OWNER'S ADDRESS:
MME: chrlstopher A. NorEon
205 Hickorv &lol.t Rd. CITY:wilminoton
CONTRACToR: Roman zel1er LICENSE Sr 71"s42
rDDREss: % cIrY: Jl]!bg!g!_ sT:s- zIP: -?!3!z
ElttAIL ADDRESS: roman ize1ler@qmaif. com PHoNE *: 910-s38-6823
pRoJECT CONTACT PERSONT christopher Norton ...._ PlroNE *, 2.!.9_J-92:549_
o(rsrrNc coNsrRucrroN: I arreRarror I nrruovarrou I erurnll nelarns f] RELoCATToN
NElr coNsrRucrroN, f] rnrcr NEhr RESTDENCE o" fl AOOrrOlt ro ExrsrrM RESTDENCE
"'PLEASE CHECK AND ANSI4ER BELoI,{ ALL THAI APPLY T0 YoUR PRoIECT:
I rrr elmcr sF I oer cnuer sr ! eoRctr
-sF
E sroRaer sHED
-
sFI surnoom
-sF
! eoor-
E cnErrnouse _ sr I o:cr
ToTAL HEATED Sq FT: 1440 ToTAL 5Q FT UNDER RoOF: -IZ!f- ToTAL AREA SQ FT: rzr:
ToTAL PRoIECT COST (L6ss Lot) : $ :oooo # OF STORIES: 2
Is Any ELECTRICAL, PLU$BING or IIIECHANICAL Work Belng Done to the accessory Structure? ffi Ves fl Ho
If the project is a Relocation, ls there a Natural Gas Line on the Current Site? [Ves Ino
rs there Electnical Power on this Building? [lv"t [ruo
pRopERry usE / occupANcy: [l srrcle ramuv f] ouelrx f] rowr,Irousr
DESCRXPTION OF &JORK: The orisinal ecope included kitchen arrd bathr.oom repaire due to a plpe burst.
hol,ever tshe reDairs have evolved lEto a fu]1 remodel
drd odhsnces ad rcgu la cns The NHC Lrovolopmsnl Servlc€s C€nb, wll be noUnod of any changss ln lhe approv€d plans and sp€dlicadons or charue ln conlracbr or
SF
AppropdaE Pemitswillb€ rnVlolauonollhe NC Slsb Btsq Codo snd Sdblscl iol rnesUp'lo 5500.0Cr"
% srGNAruRE: i\,N*<-]l#--
*xx,x,* *,i,* *,i * *+ ** )i********** *(*lTi NiTi ** ** ** ******, * **a * ** x:i *,r,i:n:r r:G:i
rs rHE pRopERry LoCATED rN a rloooeurrut I vrs El no
TOTAL ACRES DISTURBED: o
Exrsr LAND DrsruRBrNG penmrr: lll yes lTl No
HArER: [l crnun ! cortrquNrry svsrfll ! pRrvATE wELL ! cerurnal wrll
srwen: f] creua I CENTRAL sEprrc [] rnrvlrr srcrrc I coMMUNrry sysrEM
i,i* SEPARATE PER}IITS REQUIRED FOR ELECT, T1ECH, PLBG, CAs EQUIP, PREFABS & INSERTS T**
pAyr4ENr r,rETHoD: Icnsx flcnecr (pAyaBLE To tHcl I mrenrclr rxcnrss E r,,rclvrsl I orscovrn
)*)t* * *,*'* * * * * !**)i,i** *,r x * * !t**'t **** *!t '*,i** * )**** *,*** )t,*,* * * ** ***r *x**i*+ x*++ *+++**+******** *****j*
(foR oFFICE UsE oilrY) REIaSEO OATE O4l11l12
SETBACKS: F: LH: RH: B:
ADoroval: citv:
Coiment I
EXISTING IMPERVIO{Js AREA: 580 SQ FT
NEll IMPERVIoUS AREA: sso 5q FT
ZONE:OF FTCER:
BF E+zft=DATE:FLOOD:
#*rr,.r., $Al!
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANS}/ER ATT QUESTIOI'Is APPLICASLE TO YOUR PRO]ECT
"Project Respons ibil ity"
NArilE: J4c."5 Sfa&lDxAPPLICANT ' S
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
ztP't _ZUII
BLOCK #:LOT
PROPERTY OWNER, S
OI,NER'S ADDRESS:
LICENSE *:
EMAIL ADDRESS:
pRorEcr coNrAcr "or ror, J,ub 1t)D.4.0.-
Is Any ELECTRICAL, PLUI,IBING or mECHTINICAL r,Jork Being Done to the Accessory Stru.ture? ! Ves pr/fo
If the project j.s a Relocation, is there a Natural 6as Line on the current site? [ves f] to
1s thene Electrical Powen on this Building? pfve s I*l no
PRopERTy usE / occuPANcY , ffiruL rrurr-v I DUpLEx E ro NHousE
DEscRrprroN oF r,JoRk: €xhd n, si.,A rol r,w" a ttna.el< f l;o
TOTAL ACRES DTSTURBED:
EXIST LAND DISTURBING
,* * * * *** * ,r,r,* * ** * ** * * ** *,t * *
PERI'IIT: I---l YEs T-l No
EXISTING IIiIPERVIOUS AREA:
-SQ
FT
NEI.I I}TPERVIOTJS AREA:
-SQ
FT
ZONE:OFFlCER:
NArER: @cFpuA E comrqururrv sysrEM E pRrvarE NELL ! crtrnar wrrr
sEWER: AcFpuA E crurml sEprrc n pRrvATE sEprrc fl communrrv svsrrm
}** SEPAITATI PERMITS REQUIRED IOR €T€CT, I{ECH, PLBG, GAS TOUIP, PREFABS 8 IN5ER'IS ,+'
pAyr4Er{r BETHoDT E casn E csscx (payaBLE ro Hncl f] mrnrcAN ExpREss W*nrro I orscovrn
,*,r * * ** * * )**,* ** * * *,** )* )* ** ** ** )*,*,* * * * * * * * * * * * * *r** *,***,** !i !i * )* )*,t ,* * r* *** * )k,r * * *** * * * )*,t *+ !* **** *+:i:r **
Approval:_ City:
(F0R 0fFraE usE oNLY)
SETBACKS: F:
REVISEO DATE O4l11/12
B:-
BFE+2ft=
&ora av+b
W
APPLICATION
Number
(Office Use)
PHoNE s: clu^q3t -<l6l
srt wzre: A1[/
PHONE #:
pHoNE s: qb-gla-Z@>
ExrsrrNc coirsrRucrroN: ffilrrnarror ! nrrovarror I eerurnlr necarns I RELocATToN
NEl,l coNsTRucTror: fl rnrcr NEW RESTDENCE o" @(oOrrrOt TO EXTSTTNG RESTDENCE
**PLEASE CHECK AND ANSHER BETOW ALL THAT APPLY TO YOUR PRO]ECT:
f| nrr cnucr _ sr I orr cnnacr sr f] rcncr _ sF
! surnoom
-
sF ! coor- _ sr ! sronacr sHED _ sF
f] cnrrrHousr _ sr fl orcr _ sr orHERt /Oo sF
TOTAL HEATED 5Q FT:TOTAL SQ FT UNDER ROOF:TOTAL AREA SQ FT:
TOTAL PROJECT COST tr-ess ror) : $# OF STORIES:
DISCLAIMER: lhereby certily hat all inbrmalion in his applicalion is conecl and allwork willcomplywirh he Srare Euilding Code and a[ oher appticable Slale and tocat laws
and o.dinances and regul.tioas The NHC Development Services C€nter willbe noliiied oJ any changes in ihe approved plans 6nd specificalions or chanqe m conrEclor or
coniractrrin{orm.ton'-NOTE:AnyWorXPerlomedW/OheAppropraabPemirswittbeinViolarionotiheNCSrate to Fines Up-Io $500 00"'
OL'NER/CONTRACTOR :SI6NATURE;
*** *** ***" *(I?ilNil"J**rr***** **r +,r*+* *****
rs rHE pRopERTy LocATED rN A FLooDprArN? E yEs d*o
Comment:
DATE :F LOOD:
LH : RH:
-t-,r*rr, ,rr, $-1b
PHONE #:
CONTRACTOR:
ADDRESS:
APPLICANT'S NAvlEi Michael
APPLICATION
Number
(Office Use)
DATE2 6/ 9 i76
DEVELOPER: DR Horton rnc
PROIECT ADDRESS: 7670 vancouver ct
SUBDIVISION: waterside at wood Lake
CITY: wilminston ZIP:284t2
BLOCK #:
PHONE
LOT f: 231
#:@99-
ST: sc ZIPI 29519
ST:qZIPi 2e519
PROPERTY OWNER'S NAIVIE :DR horton Inc
OhINER,S ADDRESS: 4049 Bel-le Terre Bl-vd
CONTRACTOR: DR Horton rnc
ADDRESS: 4049 Belle rerre Btvd
EIAIL ADDRESS3 mtdanief sGdrhorron. com
CITY: M rtfe Beach
LICENSE #: 2961 6
CITY: MyrtIe Beach
PRO]ECT CONTACT PERSON: Sam wllson
PHONE #:9ra-821-Bss5
PHONE #i 9to-520-it93
ExrsrrNc coNsrRucrror: ! ALTERATToN ! neruovarroru ! crruenar REPATRS I nrlocarroru
NEW CONSTRUCTION: @ rnrCr NEht RESTDENCE or ! nOOrrrON TO EXISTING RESTDENCE
**PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO
sF ! orr GARAGE
SF f] sronncE sHED SF
SF OTHER:SF
TOTAL HEATED SQ FT: ts6i TOTAL SQ FT UNDER ROOF: 246i TOTAL AREA SQ FT: r:o;o
TOTAL PR0IECT CoST(ressr-oo I $ rosooo # OF STORIES: r
Is Any ELECTRICAL, PLUMBING or MECHANICAL Work Being Done to the Accessory Structune? fi Ves E ruo
If the project is a Relocation, is there a Natunal- Gas Line on the Cunnent Site? [ V"r E *o
Is there Electrical Power on this Building? [-l v"t E ,o
pRopERTy usE / occupANcy: I srruclE FAMTLY I ouelex ! rowruHouse
DESCRIPTION OF WORK: New residential
and ordinances and regulations. The NHC Development Services CenEr will be notjfied of any changes in he approved plans and specitications or change in contracbr or
contactor information. ---NOTE:AnyWork Performed W/O treAppropriate Permitswill be in Violation of the NC State Bldg Code and Subjectto Fines UpTo $500.00,.-
OWNER/CONTRACTOR! Michael Daniels/ DR Horron rnc. SIGNATURE:
(r"t"a ^*"),.*1.**.*,k,k*****x*********r.x*******.******x**************x**************r.************.1.******
I5 THE PROPERTY LOCATED IN A FLOODPLAIN? J]I YES
EXISTING IIVIPERVIOUS AREA: - SQ FT
Ero
wATER: I creun ! cor,rNururry sysrEM f] enrvare well ! crrurnal wELL
sEWER: I creun ! crrurnaL sEprrc ! enrvnrE sEprrc f] coNNur,rrry sysrEM
ZONE:OF FICE R :
(FOR OFFICE USE ONLY)
SETBACKS: F:
*'r'* SEPARATE PERJVITTS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & TNSERTS ***
PAYmENT ITIETHoD: E casx I cxecx (pAvABLE ro NHc) [ nlrrnrcaN ExpREss I r'rcTvrsn I orscoven******************************(*****x*******************x******x**********************x**
YOUR PRO]ECT:
[]arr GARAGE 3e7
I suNnoolt z:q SF
! cnreruHousE _ sF
sF E PoRcH 103 sF
! eoor-
! oecr
NEW IMPERVIOUS AREA: 3019 sQ FT
TOTAL ACRES DISTURBED: .30
ExrsT LAND DTSTURBTNG PERMTT: l-if yes Fl r'ro
$ ltD11 -
REVISED OATE 04/L1./12
BFE+2ft=
ao(b Qt50
NEW HANOVER COUNTY BUILDING PERMIT ffifr
APPLTCATION TYPE : RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Daniels
PHONE #: 910-821-8ss5
Opr"orrl-r-City:i_ DATE:_ FLOOD:
LH:RH:_ B:
Aotb-la1sy
L6464:7NEW HANOVER COUNTY BUTLDTNG PERMIT
APPLICATION TYPE : COMMERCIAL
PLEASE ANSI^iER ALL QUESTIONS APPLICABLE TO YOUR PROIECT
"Project Responsibility"
NAME: Coastal- Construction Services, Inc.
PROIECT ADDRESS: 1121 Mitirarv cutoff, Suire H CITY: wilminston
OCCUPANT/BUSINESS
PROPERTY O[^INER'S
OWNER'S ADDRESS:
NAME! nrrdlolooru
NAIvIE: Swain and Associates
CITY: wilminsron
APPLICANT' S
DEVELOPER:PHONE #:
APPLICATION
Number
(office Use)
DATE: 5/t8/2at6
ZIP: zaqo:,
PHONE #:
1131 Military Cutoff Rd, B ST: rrrc ZIP: 28405
CONTRACTOR! Coastaf Construction Services, Inc LICENSE #: 6a825
ADDRESS! 6643 Gordon Road
EMAIL ADDRESS! jarodGccsiofnc.com
CITY: wilminqron
PROIECT CONTACT PERSON: Jarod Fornes
ACCOUNT #:
PHONE
PHONE
ST: uc ZTPI 2B4LL
#z 9to-25G-4452
*z 252-6i5-i13i
EXrST CONSTRUCTTOru: ! ALTERATTON
lf Relocation, is there a Natural Gas Line on the
(Check Al1 That Apply)
17 Reruovnrroru n aenrnnl
CurrentSiteZ flves Eno
REPATRS ! nelOCArrOru
lS BLDG SPRINKLERED? E Yes fl ruo
NEW coNsrRucrroN: ! rnrcr NElrt srRUcruRE E FAsr rRAcK ! sxeu I urrrr ! eoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The SheII Permit #: N/A
*,8*** IS THIS A CHANGE
was the Previous Occupancy Type?
fi No *****
the New Occupancy Typel
9r0-343-1065 NC REG
NC REG
IF Yes, what
ARCH DESIGN
ENGR DESIGN PROFESSIOML:
PROFESSIOML: Goodrich Architecr #i
#:
PH:
PH:
DESCRIPTION 0F WORK! See attached plans
ACRES DISTURBED: O
NEW IMPERVIOUS AREA:
ls food or beverages prepared or served in this structurez Ives E No ls The Property Located tn The Floodplain? [ ves El no
DISCLAIMER: I hereby certify that all information in this_application is co-rrect and_all work will comply with the State Building Code and all other applicable State
and local laws and ordinances and regulations. The NHC Development Services Center will be notifi6d of anv chanoes in th6 aooroved olans and ibecificationsor change in contractor or contractor ihformation. --.NOTE: Any Work Performed W/O the Appropriate Permiis will 5e in Violati6il of the NC State 6tOg Codaii;oSubjectlo Fines Up To $500.00--.
OWNERYCONTRACTOR: erttiur A Geen SIGNATURE:
(Oualme0 (Print Name)
contain Asbestos or not. You are required to call the Natonal Emission Standards for Hazardous Air Pollutanb (NESHAP) at (919)707-5950 at least lO days prior to the
demolition of any facility or building. See Asbestos Wob Site: http:rh,ww.epi.state.nc.us/epi/asbestos/ahmp.html
TOTALPROJECTCOST: 6OOOO BUILDINGHEIGHT: ZE #OFUNITS: IT:S
TOTALAREASQFT: 16220 SQ FT PER FLR: 1622a # OF STORIES: I
#OFFLOORS: -TOTAL SQ FT UNDER ROOF: # OF STRUCTURES: _
EXST LAND DTSTURBTNG pERMtr?[veS E *o
SQ FT EXISTING IMPERVIOUS AREA:
PRoPERTYUSE: EloFFtcE ERESTAURANT luencnrurLE EEDUc EApr f]cor.roo orHER:
PAYMENTMETHoD: flcnsn [cxecx(pAyABLEToNHc) f]arr-lAccouNT fltucnnse florscoven
(FOR OFFTCE USE ONLY)
WATER: ECFPUA fICOMMUNITYSYSTEM fIWELL fIzoNTNGUSECLASSIFICATION:
SEWER: EICFPUA f]CENTRALSEPTIC !ENIVRTCSEPTIC f]COMMUNITYSYSTEM*" SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *-
ZONE:_OFFICER:SETBACKS: F:_LH:_ RH:_ B:Approval:_City:_DATE:_FLOOD:
A v NBFE+2ft=
SQ FT
Is Elect Power on this Building I ves E trtO
oF occuPANcY usE? [ves
What is
Comment PERMIT FEE:
REVISED OATE 4111112
Aott, b tua
APPLICATION
Number
(office Use)
oooaraora,,
DEVELOPER:
PROJ E CT ADDRESS:
SUBDIVISION:
PROPERTY OWNER' S
OI,'INER, S ADDRESS:
EMAIL ADDRESS:
PRO]ECT CONTACT
tPrLlht!.rz- zrL,26ZJ-
BLOCK s: LOr fft zza_
PH.NE n: 3i 3-3f3/sr,t'llztp@o3
CONTRACTOR:
ADDRESS:
o*-^4LL Lr<)^(a-< /-
EXTSTTNG CONSTRUCTTON : ! nrrrnArrON ! nruovarroru ! crrrnar ReearRs
! sronace sHEo ,,u/) sF
OTHE R:SF
# OF STORIES: 1
5IGNATU
NO
TOTAL ACRES DISTURBED: ,27
EXIST LANO DI5TURBING pTnITT: T.] vrs [F'I uo
BF E+ 2ft=
NEI^J HANOVER COUNTY BUILDING PERMIT I(# I+&?
APPLICATION IYPE; R ESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Res pons ibility"
',.|i c
LrcENsE r: 7{?l q accouNr fi:
crrv, t it.--I ,-S/o.-. srNZzrpQEVob
PHoNE *: 2V'.?/.<7
PH.NE T: 5U s - 3f52
! nr rocnrror
o^fE:./o-2o-ra-
PHONE #: flo Z7?'3/37
NEW CONSTRUCTTON: F enrCr NE!,i RESTDENCE o" I lOOrrrOlr TO EXTSTTNG RESTDENCE
'TPLEASE CHECK AND ANSWER BELOI.I
ffi rrr caRace c ll sr
! surunoom ,04 sF
I cReenuouse -24 sF
ALL THAT APPLY TO YOUR PRO]ECT:
! orr cannce ,uA sr ffi eoncH Z // sF
leoot ttrl sr
lorcr ,n-tA sr
TOTAL HEATED SQ FTI ZTz'i. TOTAL SQ FT UNDER PggPl3S.b<2 TOTAL AREA SQFf:35.OO
TOTAL PROI ECT COST (r eis Lor) ' $ /f3. Oe O
Is Any ELECTRICAL, PLUI4BING or i4ECHAIIICAL llork Being Done to the Accessory Structu.e? [ V"r [l no
If the project is a Relocation, is there a Natunal Gas Line on the current Site? [ ves fi ruo
Is thene Electrical Powen on this Building? [ves pruo
pRopERTy usE / occupANcy, p snrcrr rnmrrv I oucrrx ! TohrNHousE
DESCRIPTION OF WORK i fu€at //o.rre-
and ordinances and regula ons The NHC Development Services CenEr willbe noIified oI any changes in he approved plans and specilications or change in contracior or
conlractorinttrmalion "'NOTE AnyWork Pe ormed W/O theAppropriate Permilswitlbe in Violation ofrhe
OWNER/CONTRACT OR 6t l,tttt zt*-tr-
** **,* ** * * * *,* + + r *** * * * * * ** * *(i lt{ i Ni1"} * * ** * * * * * * * ** ** ** * *** * * * *lir * * ** *,i,r * ,r * * * ** * * **+,* + ** * +
rs rHE pRopERTy LocATED rN a rloooclarr? [ vrs
EXTSTTNG $4PERVTOUS AREAT /1 )t',c', SQ FT
NEr.r rMpERvrous AREA: $t233 se FT
wArER: fl creua [l cor4MuNrry svsrem ! pRrvATE I^]ELL f] cer,trnal werr
5EWER: E creua ! CENTRAL sEprrc I enrvnre srerrc I coMtyuNrry sysrEM
ZONE:OFFICER:
Approval:
*+* SEPAIiATE pERtvlITS REQUIRE0 FoR ELECT, t1ECH, pLBc, cAS EQUIp, pREFABS & TNSERTS *+*
pAyMENr lrETHoD: ! casu I crec( (pAyaBLE ro tncl f] BrLL AccouNT E,rclvrso I orscovrn
*****,**++*t***)t*****,i,f)i******+,t,t***+****+*****,***,*,**+,t,f*********+******,*,**+*++***+,r***+*
(F0R 0FFICE !SE 0NLY)
SETBACKS: F :
REVISE0 0ATE 04l11/12
LH: RH: B:
Comment:
City:_ DATE:FLOOD:N l-c(-pERTYIIT FEE: g l1,jr.-.\J