AUGUST 22 2016 BUILDING APPLICATIONSgb B,ts" lpt t -glrS
APPLTCATION
Number
(office use)
APPLTCANT's NpJ{E: NELCO AlchitecEure and Enqlneering, p.c. DA-]E,. 0710:-/20L6
DEVELoPER; .]tntta Thordag .fo! Bank of lrnerica pHoNE #: 312-51s-sLsorno:rcr rooi --ir-;;
oCCUPAMT,/BUSINESS NAIIE: Bank of Aherlca
PRoPERTY ol,lNER'S
OWNERJ S ADDRESS i
II
\J
FA'J
.(
ai
& Cfflr:*
CITY: CharLotLe
CoNIRACToR: irames R.Vannoy & Son6 construct.ion Co. LICENSE *t 3s1o
ADDRESS: p,o. Box 635,.!608 Us Eiqlrway 221-\r CITY;.refferson
EMAIL ADDRESS! douq. spefl@-i rvapnoy. com
PRoJECT CONIACT PERSON: pouq spe1l.
NEW HANOVER COUNTY BUILDTNG PERMIT
APPLICAToN rypE; CoMIiERCfAL
PLEASE AI'ISNEfl ALL QUESITOlls APPI.ICAELE TO YOUR PRO]ECT
"proJect Responslbility-
IIAHE: ,urita ThomaE fol lqok of America
525 N tlyon, 5th Ir1
(Olcct AU rhat
^roly)EXrST CONSTRUCTTON: E] ALTERATION f] neHOvarrOru ! Cerurnnr erenrns fl RELocATToN
tf RelocErlon, ts rhere a Naruratcas L,ne on the 6;renr stre? [vi-[ r.ro tsat.Dcspii xleneoz f]vo" [lruo
NEr,r cor\srRucrroN: E.rnrcr NEur srRUcruRE f] rasr rnecx f] sne ll f] unrrr ! mo ro Exrsr srRUcruRE
ACCESSORY STRUCIURE:
rf uPFrr - fte shell Permit #:Is Elect powe,' on thls Bullding E yes E ruo
***** rs THrs A CHANGE oF occupANcv usrr f]ves Elm *'**
IF yes, rfiat rras the Prevlous occupancy Type? _ Hhat ls the Nell orcupancy Type?
\r3LCO Archi.C,ecture a:1d Bnqineerinq,PH: 404-881-1011 Nc REG }}: 515d4
Salas O,Bried
pRopERryusE: EJorncE f]nrsrnunarur f]ueRcerur[E f]muc fleer lcor.roo oTHER:
WATER ECFPUA [JCoMMUNIIY SYSTEM LIWELL EzoNlNG USE CLASSIFICATIoNI
SEWER: E]CFPUA ECENTRALSEPTIC LI PRMATE SEPTIC L]COMMUNITY SYSTEM
I' SEPAM]E PERMITS REOUIREOFOR ELECT, MECH. PLBG, GAS EAUIP, PNEFABS & INSERTS ''
pAYlvlENr ME'.moD: [fcnsr frcnecx PAYABLE ro NHc) flalrenoer eeness I ucrusn I orscoven
(FoRoFncE usEoNLY)REVISED oArE 1Vl1ll2
Z0NE:_OFFICER:SETBACKS: F:_LH:_ RH:_ B:
PHoNE #: 312-51s-sr8o
STr.lq ZIP: 28203
ST: Nc ZfP: 296{0
PHONE S:336-846-2250
PHoNE rl:335-s??-6693
c4'g
ARCH DESIGN PROFESSIONAL:
ETI6R DESIGN PNOFESSIONAL I Pllr 1!3:99f:91!!_ Nc REG nl
DESCRIPTIoN 0F I,IORK: Ipterior r:e!!,va!tS4Cr !3!S, 2CIlitiotrs, cej-]-ins, Mech, E1ec, plumbinq, rrp&B.
ls tood or bovelagos prepared orEewod lnthls struclure? YesENo ls Tho Propsrty Locetod In Tho Floodpl8in? f]V"s Eruo
Nolo: O6mo[Uon nodncauons & asboslos rernoftl pomll appilcatlom ara to be submlllod ullng lhe sppllclnon
clnlrln /A6b6slos or nol. You B.B r€qulrd lo call lho Nsuonal Embs,on SlBndanlr lor ll6zlrdou3 A,r Pollulonle (NEStL4P) ol (919)707'5gl,(l 0l l6sst 10 days ,rtor to h.
d8ho lo0ofsny6dllyorb!,ldlng.SsoAlbastoswbbsl!e:htlp/!,1,,u.apl8bt6.n,uvopu6rb€slovahmp.nlmr
TOTAL PROJECT COST: -15.9.9j_q9q_ SUILD|NG HEIGHT: *_fEl__ # OF UN|TS:
TOTAL AREA SQ FT : l!.€SQ FTPER FLR: 3043 #OFSTORIES; r.
TOTAL SQ FT UNDER ROOF: t933_ # OF STRUCTURES:#OF FLOORS: 1
ACRES DISTURBED; 1I/A
NEW IiIPERVIOUS AREA; N/A SO FI
Exsr LAND DtsruRBruc ceRuntf]ves [] uo
SOFr EXISTING IMPERVIoUS AREA: N/A
DISCWMER: I hereby c€ni,y thal alllnlormadon ln lhrs appl'cslion ls c.rrscl End all w!* v.{llcondy$ilh lho 5l.(6 Bolldln! C.ds and allorher aooltcabto Sr!t6
and local laws and odinances and reouls oos, Tho NHC DeveloDmonl Soavic€s Cenlor*lllDe notlfl6d ofanv dranoes ln thE aDo6v.d Ela[send;h.dn6 6ns
or cllanoB h conrradoror conl,?clor hlormouon. "'NOTE: Any Work Pedormed W/'O the ApDroprlato Prrmlls wlll 'nr
r- r,-'-'::-i'!r! E^ ^ r 6Er-ds,M
sublcctlo Rnes up To ss00.00'" _-----_\ . '_-4-
,./ ,/..L" /r//Z 1- --- -_oWNER/CONTMCTOR:. '--- --t /\"''' a'OtOrU"a --- o':
Appmval: City:--.-_ DATE- FLOOD:
--
_ BFE+2ft=_
"orr"n, ' -L
^*,r**r *. -*
\t/\\AN'. i-' (_&)
APPLICANT's tlA'48:
DEVELOPER:
2a/6- 8212
NEtd HANOVER COUNTY BUILDTNG PERMTT tb- zz38
APPLICATIO\t IYPE: RESIDENTIAL
PTEASE ANSI./ER ATL QUESTIONS APPLI'ABLE TO YOUR PRO]ECI
"Project Responsibility"
h,orttU lrlt
APPLICATIOT.I
Number
PTIONE f:
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OI{NER' 5
OI{NER, S ADDRESS:
BLOCX *:
Ei'1AIL ADDRESS:
PRO]ECT CONTACT PERSON:
EXISTING I arrrnnrron
CITY:
LI CENS E
CITY:
P}IONE
PHONE
P HONE
! nrruovn I errrnnl nrelrns ! RELocATToN
I
It
s/
\)u,5
C
P-
-J
(]
./?
NEH coNsTRucrro n. f, *ect NEt,l RESTDENCE o" f] morrtor ro ExrsrrNc RESTDEICE
'*PLEASE CHCC(
l-l arr canaer
AND ANSHER EELOI,I ALL THAT APPLY TO
sF I orr canact
YOUR PRO]ECT:
POOL _ 5F
DECK 5F
sr I poncu 5F
I sronacr sHro
OTHER:
l--l surunoott
-
sF
I e neeuousr SF
ToTAL HEATED sa FII }.111 TOTAL SQ FT UNDER
^OO,,
UOOS
rorAL PRorEcr Gosrrre."r-oo ', $? 31(D0 Q * or sroRrEs:
Is Any ELECTRICAL, PLUI'IBING or |'|ECHAI{ICAL work Being Done to the Accessory
If the project is a Relocation, is there a Natural Gas. Line on the
Is there Electnical Power on this Buitding?!v"t fiHo
PROPERTY USE / OCCUPANCY ' fl tt*er' ,
DESCRIPTION OF WORK:
trtr
SF
SF
TOTAL AREA SQ FT:q_yl
'L_*"", dr* E
current Site ? E Yes
No
E*o
U^-
oISCLAIMER:lhercbycanivtlalallin|o,mallonin!his6ppl.a|ioniscol'€clandatlworlwillcohplywitlheS|ateEuixingcodeanda[olnel
ro S500 00"'
lsreHnrune,
TOTAL ACRES DISTURBED:
,/s
EXrST LAND DTSTURBTNG PERMTT: [-l YEs 14 No
and ordinances and reg!taiions. Ihe NHC Developmenr S€Nices Cencr willbe noifed olany changes in tle apPro\€d Plans
willbe io Viobtion oJihe NC SlaE AEgcontaclDr inbtmaton. "lOTE: AnY
OtINER/CONTMCTOR:
(Print N.ne)*,I**,*****'i)t*'l'********,*ll.**r****t*,*****t***ll***+*t,rt**'i'i**rt'i*'i
I5 THE PROPERTY LOCATED IN O
"OOO"O"I / '''
NO
EXISTIiIG
NEX
IMPERVI(ruS AREA:
-SQ
FT
II|IPERVIOUS AREA:
-
SQ FT
OF fICER i
(roi oFftcr ust oltY)
SETBACkS: F: LH:
REVrSEo DATE 64111/12
RH: B:
8F E+2ft=
N
warrn r f] crnua I con4uNrw srtrr* fl PRrvArE wELL ! ce nrnar wrll
sEwER: E c:eua ! CENTRAL sEPTrc fi calate srprrc E coMMUNrrY sYsrEM
**' SEPAIIATT PERMIIS REQIJIRED FOR ELICT, i1ECH, PLBG, GAS EQUIP, PREF]9S & INSERTS ***
oo"rr* nrrror,
- E ao$ E arrax (PAYABLE ,o nr.) E *.*rcaN ExPREss Wn'n"o E orsco"*
,f,r***,1**,r!r,r*****,***,*****!t*,***,I****,***,i******rt*,|,t****++*i.*t,i++**'*,+++{**'+**'r*+t***'t*****'}*
ZONE :
Approval:
Comment:
city:DATE:FLOOD:
PERMIT FEE: $
IL
ADDRESS:
-Ltb7
srt ULztP I IL
,IL
1
eotu-8rb-1
r6-r), C
#
APPLICANT'S
DEVELOPER:
NEW HANOVER COUNTY BUILDING PERMIT
aPPLIcAtIoN rYPr: R ES IDENTIAL
prla!r Alisr,rER arr QuasIIoN5 alprl(^BLa ro YOut Pno)r(l
"Project Respons ibiIity"
4,
./t' /,,.,.tt t / /t,,/t, ti
LrctNst s:
CITY:
APPIICAlIOII
Nuob€r
(orfi(. Ut. )
oer:., 2 l-lV
t.rt S - t,S),i
zp 1 r)!t4zi5;PRO] E CT ADORESS:
SUBDIVISION:lor a, .7 t5
_ 5T:
-
zlPt
-
PHorE rt i//.J - /)u +
Pwnt t' //il' /-e a'7
st
5t
o*t.C
<:J4.//
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}1r=,)/.-__l_
C
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PROPTRTY OWIIER, S
O NER, S AOORESS:
CONTRACTOR:
ADDRESS:
EI'IAIL ADDRTSS:
PRO]ECT CONTACT
N/4
€xrsl1IG Cor,lsrRucrroir: I ALTERATION I nrruovarroH ! crltnat ntn ns I RELOCATTON
,,.
NEH coNsrRucTIoN ' fi r uq NEt'l RESIDENC€ o" I aOOtrron TO EX1STItlc RESTDEIICE
..PI[A5E CH'CX ANO ANSXEX BELOI'I ALL THAT APPIY TO YOUR PRO]ECT:
f-l arr clnacr sF ffor, **ou, ioua sE I nonc,r 5r
fl sronact sxroI surnoonr S'
DISCRlPT]ON
I coor
! otcx sr OTIITR:f] cntarlous t tl
TOTAL HEATEO SQ F-I:TOTAL SQ FT UNDER ROOF:A //7 rorAL AREA se rt. ///'10
TorAL PRol€CT COST'rts,Lo:i t I i^t' Oi'S OF STORIEs:
ls Any ETECIRICAL, PLUIIBIllG or IIECHA''IICAL l'lork Being oone to the A((es50ry II-**u,dr* D lioil,"1{ the proje(t is a Relo(ation, i5 there a Natu,fl 6as Line on thP
ts there tlp(tri(al Powgr on tiis BujldinBl [l'v" t [-l Ho
r u.rent Site? EYes
/--,/
pRopERlY usE / occuPa.Ncv:^ffS rlct I rT4lLY I or''ri9t D 5r
ffi6siplrCaror6€ode!lEno'tw.ilr!Lomrl,ri!,nrSbl€8!'B'r9cod.&ds!l)ntl3prjl{ablesEe.D4b.illJxl
enn odi.6ncel sx,,eourarions rhe Nirc Devnrrh.;t;ry'e! c:'b' wDtt no!r'rorMvch'hoes nt'.altr,ro:itT-1': -Y":lt:11:'-'l:i::]:::'*Hf :
Lo.u6r U ht ,Fu!J" "nOrE Anr wo.r Pc,ro,mqi ,,. ,'.ir".i""* 7"'m'r' wn r'' r' voEt;r or be rJc sbE a|oa codSndlbrcr $ I F" t t o 15011 c'c''
or.rNER./cor{TRACTo*' fl/.,'/tq / Wh,h srGNAruRE; ,Z -l'-Zt-----
..,,,,"". l::'1",1':'.'i..............
rs rHr pRoptRry tocATED rN a rrooorLart? f] vts @w -./
IXISTIN6 IMPERVTOUS AREA: ., SQ FT TOTAT ACRES OISTURBED: ,J7'^'-;; ;,;;;;;;,; ;^;^' VrL, si * Exlsr LAND DrsruRBrNG PERMTT: rl ves f6'o
---JwarER:E[ crrua I comquNlTY svsrru IPR]VATI l{ELt I cetlaar t'itrt
sEl,lER: dcFpua ! crrrnnt srnrlc I PRrvaTt 9tp1I( ! conr'turul rv Svsr rt't
PtRqIIS etQUlP€D rOF tlt(T. {'lt(lr, pLsG, C^5 tQJIP' I'REra85 E }NStilS -'
'*::':1.::'.1":....8.':::.,E.':::l.l:i:l'i:.1:.:i:'..tr-::l:::.:::l:'.'....Y,::'.'l::".!i:l:::"-^
1r0r cIr:(a U(t 3;r. i
/0Nf:oFtI( rP:SEIBACXs: f: lli:-
A,,,,,'n!al. (]tV:
( !trtc o:rt e./l; l/
RI{: B :
8t Er 2{t =
PERMIT FE[: ,
l(r7'
Comment:
DAIf:Ft oon:
PHONT 6:
CITY:
PTONE d: ---
t. /, t, h-['ztp,,)-tn7o'
Aug, 11, 2016 6:27PM crtr.rw m ,'rronREcElvED
AUG 1p ilt
,:,ffi,!
NEId HANOVER COUNTY BUILDING PERI!TT
APPLICATION IYPEI RESIDENTIAL
PLEASE ANSI.,ER A[I QUE5TIoNS AFPLICABLE To yo|]h PRo]F.T
"pI'oject Responsibillt}/,
t I tnscr NElr REsTDEHTE o" @ aoorrrolt ro ExrsrrNo REsrDErucE
ANSWER BELOh' ALT THAT APPLY TO YOUR PRO]ECT:sF fl oer eruee sr fl eorcH .r,SF
y,giL: %og
E?tt"- L3b*
APPLICATION
uunber
(otrice use)
DATEr 0 e,/r112 0ls
#i t:o-264-451G
ZIP: NC
PROJECT 1027 SoLLh 42sC SEreeg CITyt i{i.lminqtcr,I
SUBDIVIsION;BLOCK S:
PROPERry OWNER'l\j|AHE: And{e'a' pirl5on/Zackiv cain PHONE
OWNER'S 1027 South {1sE SireeE _ CITY: lr_L.ntooLcr
APPLICANI'S
DEVELOPER;
COiIIRACIOR:
ADDRESS: ro
EXISTING
..PLEAsE IHECI(
Irrr caRace
I surunoou
E e nrr,,uous E SF
TOTAL H EATED
TOTAL PROJECT
! sronaee sueo
OTH ER;
LOT #;
#: e10:26{-4€48
ST: qzrP: 26403
5T: NC ZIPi 2A403
*i iaq.2t4-4646
fi 9ro-zE4-4646
5F
LICENSE #:
CITYi wilminqcon
EI.4AI L ADOfiESS:PHON E
PRO]ECT CONI PERS0I{: Andrew pingon PHOAIE
f] lrrnnrror'r ! Renovarroru f] erruennr neerrns ! RELo(ArroN
I coor.
! orcr
_ 5F
15 ANY ELECTRICAL
rf the project
Is there Electr
FT: q - TOTAL SQ FT UNDER ROOF: ]]L ToTAL AREA 5Q FT: 3Tz
(Leselot) i $ 42oo # OF SIORIES: 1
pLUiiIBING or i\ECHANICAL ,Jork BEin6 Done to the arressory structureJ fl ves fl ruo
a Refocation, is there a Natural GEs Line on the curnent Site? [ves fl Ho
cal Pawer on this Buildj.ntlIv"s frru0
ANcv: fl STNGLE FAitrLy n oupr-ex n rowHnousr
; ACdlnq a:oof tc ao e{lstinq Eatro, noa e)lpandiuq -Eie iooeotqint
PROPERTY USE /
DESCRIPTION OF
OISCIAIMER lhe..bv d' 3 t 6n infon.lion in h it spplh3don i6 cors. t 6nd 6l work yi l comply ir ih he 96e EliEhO Cnd. .nd al ours spprlcsbre SlrE ai J tocat /eurg
otiNER/
I5 THE PROPERTY
EXl5T]NG
NEI,[ II,4P
I.]ATER: E CF PUA
sEL^IER i E CFPUA
PA1'XENT IIETHOD;
(FoR OFFI(E utE CtiLY)
SETBAIKS: F: LH:
fEVISEo DArE S4/11/12
Bi
Th6NHCDevebpnentS6ryi€sC6rErn benodIEdD1;nychEnqegnhcropEv€dpEn6sndeFectntstjon3orchangohconE6Elr,6.
^ny
!&ork P€rfomed u,o rnc ApoEplEE cern,re h,r' bc " ":"]:l "I * *o r y,Fz,y^*, ""p.L.t, ro ssoo 0.r..
: c Anctrew prnsoi SIGMTURE: L l4.P"Z.-1* t A-
rPrint NinEl{,t *'rr *r*.**+ +,t** **++++++* ++ ++i.* *E.t +*++ + +*++t * + ** t** *,} *i++** + ++++ +{1*t,t!t*r+*
u r rtooorLlrnt f] vrs E] uo
-SQ
FT rOTAL ACRES DI5TIJRBED:
ExIsI LAND DISTUiBTi{G PFRMIT: E vrs I xO
! cowunrw svsrum ! pRrvArE rrELL ! c trnal we rr
E cEtrmt srerrc I pRrvArE sEprrc I conrururrv svsrelt
IATE PERr,ltTS REQUIRED FOR ELECT, |lE{Hr pLBGJ 6A3 EeUIp! pREtsAAs & It\lsERTs *r*
Ecnsr ff.nu.* (IAvABLE ro "r.1 [ alrnrco, .*r".r, E "c,rrrro f] orscovtn
**++* *+*+*+*f,* 'r* !t * * **** r* * *ri **t+ ** t(rr*.**ri*irr+ rl fixtri rrt*+*+* *** **+*,1**t*****+
5Q FT
ICER:
BFE+2ft-
PERIIT FEE: S
PHOI{E
Cammcnt:
City:DATE:FLOOD:
RH:
tIEl,l
htu,-8'3tgLffiLzNEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE : RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"proj ect Responsibility,,
APPLICANT'S NAI{Ei ForeverHo ldi
DEVELOPER:verHome, L
PROIECT ADDRESS! 927 Anchors Bend Way CITY: wilminqron
SUBDIVISION: Anchors Bend Corraqe BLOCK f:
PROPERTY OWNERTS NAI|IE! ForeverHome Buildins Co., LLC
APPLICATION
Number
(Office Use)
DATE: 2/74/16
PHONE #2 919-i2a-1636
ZIP: 284t1
LOT #: t26
OWNER'S ADDRESS: 3025 wesrburv pri-ze
CONTRACTOR! RH McClure Buifclers, rnc
ADDRESS: 24 Causeway Isle Shr
EilAIL ADDRESS! larry@foreverhomelfc. com
CITY: Rareiqh
LICENSE *2 322I
CITY: ocean Isfe Beach
PHONE #i 9t9-120-1636
ST: wc ZIP22'7606
sT: zTP,. 28469
#: 910-57 9-2454
979-1 20-r636PROIECT CONTACT PERSON! Larry Lipponcor--,
PHONE
PHONE
fl eoor-
! oecr
5F
-SF
! sronncE sHED _ sF
OTHER: Patio - 195 SF
TOTAL HEATED SQ FT2 254i TOTAL SQ FT UNDER ROOF:3203 TOTAL AREA SQ FT: tetz
TOTAL PROIECT COST(ressr-ot) ! $ rao, so, # OF STORIES: :
Is Any ELECTRICAL, PLUI{BING or MECHANfCAL Work Being Done to the Accessory Structure? fl Ves E to
If the pnoject is a Relocation, is thene a Natunal- Gas Line on the Curnent Site? fl V"t fi ,o
Is there Electrical Powen on this Building? Fl ves ffi ro
pRopERTy usE / occupANcyr E] srruclE FAMTLY ! ounr-rx ! rowruHouse
DESCRIPTION OF WORK: Residential New Construction
and ordinances and regulations. The NHC Development Services Center will be nolified of any changes in he approved plans and specifications or change in contractor or
confactcr information. ".-NOTE:AnyWork Performed W/O he Appropriate Permitswill be in Violation of the NC State Bldg Code and Sub.iect tc Fines UpTo $500.00".
OWNER/CONTRACTOR: Larry Lippcncott SIGNATURE:
(Print Name)**r.************r.*r.*i(r<**r(*r<*r(**i(*****************************r.**X****r.*r.**1.{.****{.*r(,k*,1.*:F*
I5 THE PROPERTY LOCATED IN A FLOODPLAIN? [-I YES NO
EXISTING IMPERVIOUS AREA: 1415 sQ FT TOTAL ACRES DISTURBED:
NEt4, IMPERVIOUS AREA: 2e38 SQ FT EXIST LAND DISTURBING PERMIT; IT VTS TTI ruO
hlATERt p creua I courlururry sysrEM I enrvarr we ll ! cerurnaL wELL
sEwER: I creun ! crrurnnl sEprrc ! enrvarE sEprrc f] commururry sysrEm
:t*{'. SEPARATE PERmTTS REQUTRED FOR ELECT, MECH, PLBG, GAS EQUrp, PREFABS & TNSERTS ***
*'i-'I].1:'.11',;...H.'l'I-H.T:'l-1l1I1',.',-'=.r.1i'.'..n...fllll'll.:Xi'.':...H.YJ.',:l...H:-'::?"*
(FOR OFFICE USE ONLY)
SETBACKS: F:
REVISED DATE O4/L!/L2
RH:_ B:_
BFE+2ft=
ZONE:
ExrsrrNc coNsrRucrror.r: ! ALTERATToN ! nrruovnrroru ! ceruenal REPATRS ! nelocnrroru
NEI,,I CONSTRUCTION' I CNECT NEW RESIDENCE Or ! AOOTTTON TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER
I nrr GARAGE 44o f] orr GARAGE sF E PoRcH 2ro sF
! surunoou _sF
! cneeruHousE _
BELOW
SF
SF
ALL THAT APPLY TO YOUR PROJECT:
Approval
OFFICER:
G?Ufu
LH:
'4JA.d
N/4
PRO]ECT CONTACT PERSON:
Exrsrrr,tc coNs]RucrroN: IAtTER^TrON I nrtlovarroN f]c:lrnat nrlnrns ! RELOCATION
NEr{ coNslRUCTIoN, d ,^rq NEL"J REsTDENCE o" ! molrrou To ExlsrrNG REsrDEtlcE
,/
pRoprBly usE / occuPANCY: (tryol, ra2'rrrv f] DUPtg D T
..PI.EASE CH['X AND AIJS'ITS BELO!'] ALL THAI APPIY IO YOUN PRO]€CT: rI Iorr canact sr @o,, oo*oct /-u0 sr fJ nont"
-st
fl surunoon sr E PooL
-
sF fl sronacr silEo
----
st
fuo*,urr*tu
-
sr I orcx
-
sr orHER:
-
st
rorAl HEATED sa fi: /b7"/ rorAl sQ FT uNDER aoor: 3//7 TorAL AREA sQ rt. /r/'itt
TOTAL PROI ECT COS'I ,r "*..'i | $ ig)t oa) $ or sToRr€s :
'I\ i,ry tLE(rnICAL, PLUHBING or IIECHAJ'/ICAL work BernB Dune lo the at(e55orv StIt'(ture? Wl"LBn1-.,
I+ the fro]e(t is a R lo(atlon, rs there n Natuzl L'as Line orr tho ft'r^Pnt Site? Eves [f'tc
Is there t;c(tri(al Pol.er on tils Bui Iding? pfv"t [--l No
?oitr - 84i1
APPI I CATlOJ
Nufiber
(Offi(. utt)
., t tl .oaltt :2 t-tY
NEW HANOVER COUNTY BUILDING PERMIT t6-f,), c:
ffi
APPLICANT'S i{AHE :
OEVELOPER:
l/1).r,,,, / /.r,,/r,e
aPPLICATlott TYPE: R ESIDENTfAL
pltASl AlJSrr[R ALL QiTaSIIOXS APPII(ABlI I0 YoLrn Ff,o)t(I
"Proje.t ResponribiIity"
i PRO]EC] ADDRESS,
SUSDIVISION:
PROPTNTY OI^INER, S
OWNER,S AOORESS:
COMTRACTOR:
ADDRESS:
llAME :
t(.
CI TY:
El1AIL ADDRESS:
DESCRlPTION O' NORK:
ExrSIIt/G IllPERvrous AREA: q 5Q Fr
NEH If4PERVTOUS ^Rt
A',t 4/-/..' sQ tl
Aplroval :- clty:
(ron cfrlat i,r5t oi Yl
zOr'rt:OFFI(TR:SETBACRS: r: Lll:-
I ICENST
CITY:
PHO''J E
P}@NE
€xrsr LANO DTSTURBTNG rtnmrr: ! ves @HO
rt!1510 D(lt 64l)r/li
Rtl: 6:
tlF E+ 2ft=
ffi"pprtarcncco*"l.no"ttm'lrt.om9l,w[intsBe8U,ldr{cod.a.d.!ohelappl..blcsBEa.dlj(.]iJ*.,
a..o!,n.ne'$d'erd5rotr!theNHCl--"vebnmc^r{NEesc'nErwrrrrsnotf"o! tcisnee!'n'-ori'ro*t-'.:-":"1::j".Y:T:'-1:T:]:::'il;T;l:
,".0..",.*.,-,.""'NOTFAnyWo',rPerlorfrgdvr/ou'.^prbo'rhlcf'srnrl5'*ill''7vo'brnolth'rJcsBri
^r.,irE' /.dNrnrrroR: ilf,,'/u / tt/hil srGNAruRE: .
b t mr. ur ro l50o cxl"
;;;;;*.'.^, 4/,,'l,a/ tt/h)b srGNAruRE:
..,, " ', . J;:'1". l:tJ.. ........ ... " '),'," " " " "
rs rHE pRopERTy LocarED rN I rloooellrll I vrs @w ../ly'l |lo ^ /Jt/
t,/ArER: dcrpuA I cor',ruM rv svsrtm I PRIVAT€ NELt f] ctrlnrr wrr'r
sEwER: dcFpua f] crNrnrt srnrrc I PRrvaIr sFPT]t I connuriltv svsrtt't
... sipaRAIE pERrlIlS RtQUIi€D fOR flt(T, ntcr, PLAG, CAs tQUlP, PRttASS S IuStRTS "'
oorn,*, nr',roo,,'
' -tr-.^;; --;;;;;
tiorou,-, ,o ttnc; I arrrrcon txrtttss Wn'/u"o f] "ttout*
PERI4IT FET: ,
lY/,) - /)t'/
CorBment:
OA]F:f t.0c0:
BTOCI c: / LOt l:
P}loNE 6:
ZIP ,
$
+tr
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{+
t"
-
sr: lq'zrp: J'-'-.--.
ST: _ ZIP:
-
s: itt) - /)u I
APPLICA,{T, S AIIE: IGvtD calloD:*:gr- ;;iFPBOIECT ADDiESS: :oo pt"t"lor orr"" Cf ffi ZfP: asa01
NEhI HA]rcVER coT,ItITY il,TLDIITG PERIIIIT
APPLICAITAN r'7E.. COiIIIE RC IAt
pLE Sr l sEt Art qJEstlots ApptlctsrE To ylirB pio:Ecr
ipr.or.ct tGpmstbtltq/
PNOPERTY q EN'S
OT CRJS IMRESS:
IIAIE: nteE E !ov.! Countv
230 6o!rerEn6D! Catter Dtlve CITY: lqLtotacton
C0 TnAC?fi ! port clrv BullderE, Irc. LICETGE *: {e39
ADRESS 3 109 s.brerl Awc. Clyl A1141pgg9gEitUL IDIESS: pcbtac.cc . rr. con
PROJECI 00 TACT PERt0ll! xlvta e.{!qr
Exrsr c.r srrucrror: fl ru-rrnerror A.r,"fiiifi H?jil* iEpArRs Tl RElocarrolr Rrlocftn, b thofe I t{atl'at oa Ltn€ on th Qrlurr gltez I ves-[ xo E BLIE SPR|NKLERED? E y6 El No
xEr cqtsrrrErrd: I rnecr tcx srrt crrnE j rrsr rnxr ! sHErt E upFrr E po ro Exrsr sr rrunE
ACCESSORY STRUCTURE:
If UPFIr - The Shcll Per.mlt *:rs El.ct ponr on thls ButtdtnS IA yes ft rc
..... ts rHrt A oltE oF ocoJprttt rsrl flrts @rc .....
lF Yar, t.lrt na tha Favl.l^L Occuprncy Ty?Gt _ Irrt lr l,l. X.. O.Gl?rcy Tr?a?
lrot DEsrea PtoFEsSt L:
Eilo DESrq ptr FESSrdt|. !
P+t:
PH:
iK REG *:
C RE6 l:
DESCRIPTIOiI OF [|loRX: lpEEal,t lnq brick vcpeer, \rlpvl sldLnq,nex rindorB,.,ld quttllE
lo.l,0rlrr5.)
TgfAL ARE SCI FT:-fEttEclEL- g(lFTPER FLF: G5reEd-ft.# OF STOR|ESI r
TOTAL 80 FT UNDER ROOF:.$urs.IL
' OF STR|TCTURES: I OF FtOORa:;_
btodabuqr pFlld rEvtd lntLthElIr?ElvoEr'ro I Ttr. piogru tlcr-d fr nre aoapl.llrfiVe* @m
Dl3CmEn:iDlSClrI]Gn: i hdlby cor y ftal .llhrori.toh li tlt rfilblton b cdrd -d .ll rvort vrll c.ndv rrtn $. &E Bdt tno Cod. dld .I oh.r.odh.bt Sriit
liEffitlifrEftffi#trffi "ILffimfiffiHffi $rffiylts##,t;s?Bttss"lr,trsrf HH Rffirffiffi*rnd b.d lerE rnd ordkEnc.i .nd ,qolslo.rr, Iha )0{C b
o. dln h cairltteoa 0a cotltrlctor hfr.rnEtbn. -NOTE:EUUldb Ff!. Up To 15m.00-;il#;;rffi;R:rryrcai"- **,*:@
X* Drlr qlrdlcti.l rD-,.!td Dltrh|DC!.adr ri b !.rambdlth36|fgttsrta| brn (Drifeqffi.rrrEt c.UlBrt y t||tdbffilnL-srr.Yqr.lrrrlldbralr'.tclEmErqrtti.lErlllAlFdarl!(XEtrltPrt(glg;t t$llntod5.Ftrbtutbrdlm d altytrlU or Uai ! &afaaEvt$a} llBlArw"rt.*.ic.urrphabrlrilrllp,ttltlt
TOTAL PFO.'ECT CGT: 80, ooo. oo BUL.Ott{cl HETOHT: _u.,:_ f oF ut{1T8:
D(sr trND DEruRilr{c PERilI? Ef veS [l rc
SO FT P(IIITII{G IXPERI'IOI.,S AREA
prcpERryrrsE: EIoFFTCE EresrruR^rr lueacnme EIplJc E]er lconoo qIr{ER_
w TER ECFPTJ Em MUMTYS\/BIEU L]rvEr ElaMNo t 8E cl4sstFtcrTtoit
sE*ER E CFPUA ECENTA L SEPrG EPRM TE s€pTE E@yUUMTYStETEX
"' SEPAMTE PERMTS REOIJIRED FOR ELECT, MECH, PfAG. GAS EQUIP, PREfAAS & NSERIS .-
PAY ETT HETI{OD Eces}r EctiEo( (pAyAEt.E To Ntff Eerecffr mess ftucrvrer I oncovrn
GOR CF|C€ t 3E Oi,Vt EYESIEfifiTZc[\E_OFFICER SETBACIG: F: LH: Rl+ B:
APtrqTf.
-GV.-.DAILFLOOD
_ BFE+ats_
Jemnre,il{g,0.9
ACREB DIsTUSEEO: o
NEIY IFERVIOT,,sAREA 80 FT
aotb- B3LL
ffi
APPLICATIotI
ulban
(OFBG. ut.)
PIO]C t, 910?907311
Sf : !c ZIP:4!!_
5T: Nc ZIP: 28.03
PIO E t: g7o1sra212
PIPIE ,: e1o?98{338
rtFLCo
--at--..trn-a-ih r'rrlrf .. .. .- . . .. . aaa.a a.a. a.. ........ ... .. . . a
?rz tL-?32 t
.Jc
Lot
RECEIVED AUG 11 ?ofi
NEI^J HANOVER COUNTY BUILDIN6 PERMIT
APqLI.ATI1N ryPE: RESIDENTIAL MOBILE HO,[E
PTEASE PRINI CLIARLY E ANS'yiER ALL QUESTIoNS
"Project Responsibility"
CTTY:
BLOCK *:LOT #: .,
NAME: .PHONE #:
f.
APPLICANT,S NAME:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
ZIP:.. -
PROPERTY OI^JNERT S
OI^JNER' S ADDRESS:CITY:5T: .: ZIP: , ,-; . ..
ST:; ZIP::5a-;
LICENSE #:
CITY: : . '!:
PHONE
PHONE
ALL THAT APPLY)
I ner-ocarroru
PROIECT CONTACT PERSON: , -.
@ rnsrnlr-NEW MOBILE
( cHECK
HOME HOI,IEMOBILEOFUSED
7aL-SlAL
APPLlCATION
Number
(offi* u*)
DATE:3;,;r_
S:_
ay, and le.l rac dd'Yo
'''\:l!:1r'ij:' -: 'l
OWNER/CONTRACTOR: ,SlGNATURE:
IS THE PROPERTY TOCATED
PROPERTY U5E/OCCUPANCY :
IN A FLooDPLAIN? I ves I mc
I nesroervcE / orHERt
HUD LABEL: ,.;I
YEAR MADE: , I^JIDTH:
HURRICANE zoNE: ! i @ : f] :
SERIAL #:
COLOR:
GARAGE,fvrsU*o
SF
SF
DEcK:IYESENo
TOTAL PROIECT COST .,.. lj, : $
SF
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT: [-l YES N NO
PL3G, 6A5 EQUIP, PREFABS & rNSERrs
fl m.renrcaru ExPREss B mctvrsr I I DISCOVER
r.:. :2
OF F ICE R:
) ,;f;aF t;st Jll ti
SETBACKS: F :
F LOOD:
R:vISEB il
B:_
Approval :
Comment:
BF E+2ft=
PERMIT fef: $
I4ANUFACTURER:
LENGTH:
stloKE DETECTOR: I YES I NO
PoRCH:E]vrslro
wATER: fl creua @ comNurtrrrY sYSTEM I enrvarr wrll n crrurRal wrll
SEh,lER: f creun I cerrrrnnr- sEplrt f] nnrvnrr SEPTIC f cor-rmururTY sYsTEM
*"* SEPARATE PERFIITs REQUIRED FOR ELECT, I4iCH,,
pAyHEHr METHoD: f] casx f, cxecx (PAYABLE ro NHc)
ZONE :
City:_ DATE :
ds-iful
-C 3'
EfiAIL ADDRESS: :,.i:...r .