SEPTEMBER 21 2017 BUILD APPSNEW HANOVER COUNTY BUILDING PERMIT
APP LIcAfioN rYPE: COHIVIERCIAL
PLEASE ANS$IT8 ATL QUESTIONS APPLICABLE TO YOUR PRO][(I
"Project ResPonsibilitY"
rvlF L \G S/44
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OCCUPANT/BUSINESS NAfiE :)-'lrnata A/*t,5
PROPERTY Ol,,lNER'S NAME :L.a-
CONTRACTOR :MELts ? lrn"-"b ."1 El.-,<. LICENSE f:.l VAt-y
ADDRESS:{tt J-'CITY:a uto
EI{AIL ADDRESS:*L^<11. @ L, 40
PRO]ECT CONTACT PERSON:/tlEt-bE <A.
?Pt1;.19p.S\z 9
a APPLICATION
Number
(offi.€ Use)
, vhz ltoq
dq
APPLICANT'S NA}'IE:
DEVELOPER:
!E
I DATE
PHONE S:
zrPt?W,t/
pHoNE t: qto JALTrq
5T: _ ZIP:-
sr,:NczrP:l-z;r..?
Pt'roNE S:QrQL7 l(r 39?
PHONE S:
If UpFIT - The Shell permit #: "20/7-2oOL Is Elect Povrer on this Building El Yes MtO
rs rHrs A cHANGE oF occuPANcY usE? ff YEs NfNo
Ir Yes, hfiat was the Previous Occupancy Type?
ARCH DESIGN PROFESSIOIIAI.:
EN6R DESIGN PROTESSIONAL:
Nhat is the Neu Occupancy TYPe?U>L
PH:NC REG #
"n,ffi1Nc RE6 s: 1'7 </1/
t'
DESCRIPTION OF }.IORK:P tI-L
ls tood or boveragos propatod d s€rved tn this structure? fives ffNo ls Ths Proporty Located ln Tho FloodPlain? fiv"t ffiHo
OWNEFYCONTRACTOR:
Note: Demoliton nolifi ca$ons E osbostos rcrnovsl permil applicalions aro io b6 submited uslng lh€ spPtic6ton rorm (DHHS_3768)whethol lhs tacilily oI buildino w8s lound lo
co ain Asb€stos oI nol You sr€ roquir€d b cali the Nslional Enbslon SBndards lor H6zsrdous ,ir Pollulants (NESHAP) st (919)707-5950 al leasl 10 .lsys Fior to be
demolilion ol any lacilny Sile: htlpr/*'vru.epi.sEr6 nc usiepiiasbeslos'EhmP html
TOTAL PROJECT
or bullding, toe Asbesros Web
cod/sbroo o BUILDING HEIGHT:2?(# OF UNITS:
SO FT PER FLR: -.--# OF STORIES:TOTAL AREA
TOTAL SO FT
ACRES DISTURBED
so:-r , 2 -?EO
UNDERRoOF:2786 # OF STRUCTURES: --.-# OF FLOORS: I
EXST LAND DISTURBING PERMIT? ff, YES il*o
ERVIOUS AREA:SO FT
WATER: ECFPUA COMMUNITY SYSTEM trWELL EzoNlNG USE CLASSIFICATION:
SEWER: EICFPUA ieurnelseerrc !PAIVATE SEPTIC nCOMMUNITY SYSTEM
NEW IMPERVIOUS AREA: SQ FT ExlSTlN
PRoPERTY usE: noFFlcE flnesraunerur [uencer'nrue f]
G IMP
EDUC [ner [coNoo
(PAYABLETO NHC) EAMERICAN D(PRESS EMC^/ISA
(FOR OFFICE USE ONLY)
SETBACKS: F:- LH:- RH:- B:-
... SEPARA,]F PERMITS REOUIRED TOR ELECl' MECH, PtBG, GAS EOUIP' PREFABS A INSER]S ''
PAYMENT METHOD:ftcrsx fficnecx
ZONE OFFICER
florscown
REMSED DATE 'NIN?
Approval:- city:- DATE:
-
FLOOD:- BFE+zfi=-
AVN
Comment
PERMIT FEE: $
((h€( t All Ihal aPPIY)
Exrsr coNsrRucrroN: fl aLTERATTON I Rrruovrrton f] crr'rrml REPATRS Ll RELOCATTON
1 Retocation, is rhere a Nalurat Gas Line on the currenr sire? 1-1v.. 'fi rli ls BLDG sPR-'iiKtEneoz I ves [ ruo
EN coNsrRucrron: f] enrcr NEH STRUCTURE I rmr rRACK E Sxrr-r- [f uPFIr f] aDD To EXIsr srRUcTuRE
PRO]ECT ADDRESS:
oraea: l'/,*rt/<
1.,*.
,.-':-,i_t^'tt - itfT't"
i'1-
^E
jF,'"";ffi AP P L, CATI ON W PE; RESIDENTTAL
PLE/.SI ,\NSV.'ii ALI QU'5TIDN5 APPLICAELE TO YOUR PRO]T.1
"project Ee5ponsibilit/,
APPI,TCANT'S N^ME G rffiy'
PRo.,tcT AoDREss: -E fu --?t
su8 DrvrsroN:
-
l1a nC
Il-
cff\.U//L t4'ti Date >d( r
E-V.(a0aL l-(Cr-ztP&_e4__toT r
PRorECr coNrACr P r^to* 1Q 47/ k7
EXISTING CONSTRUCTTON: O AttFration : Rcnovation f) Generat Reparrs
-,/NEW CONSTRUCTTON:,,r Erect New nesidence l' Addit'on to Existing Resid€nce I Retocation
Att Gir;rIC lSrl -.r,
tEAST
P8 0 r.Jt )84 -n^{a
.'a pc..h (SF)
ND ANS\A'Efi 8ETOW ATI THAT t"Pi,i_Y -o YOUR PROJTCT'"
'- Sunroc'f l5i)
E Oet Garage (SF)
! Pool(SF) _
Greenhouse (SF) _ __... C Deck (SF)_*_
ls the proposrd work chrn8inE tho exiilinE lcotprint? l-_l yes D No
a Storaee Shcd {SF)._____
: I Other (SF)
re 6ld8 C^.! r., suf.".r to l,:.. r, ro: ! . lO"'
?,i::,: !,'3:l',:).'-' o a7 {ez^n -_ Si8natur
' S-'-- -Pr!-:-( c!ae,': : --^ ra
ts the oror.",/ located rn a floodclarn?2f,lYes I uo
Existing lrtpervious Area: -._ _ Sq tt Total A..es Disturbed:
New lmpervigus Area:/J 2'6--.-sq ft Existing l,and Dislurbing Permil: O tes I wc
>t' 'FPUA L-J Communrty Syslr-r Ll .),,..ate\1,.rrl I C..1.iJ Well ] /..tr,,
on fequlreij ii-294.t*:',{:reua D c
zone, l?-l S Officer setbacks (r) ! < ttxt 261( tr
Approval: - - city:
-
Date:?:aD1?Floodr (A) l\€v il?t:::'*_e,r.zr,= -r-.,rg
' tm*r,* )
ry rt u.c&a, jrdr^or,r,rr,tl n
w h!fr:,,t;t:)4H .rt 0^a,g -ed-
a
-t "1
pRoprRry owNER's narv.r, (1il/44=.5<4!=fu_U,4<t<_ _. _ pHoNE r: 7 lQ ars- 3t 4owNER's ADDRrss, _l Ll I _t i/"1N f 44<_ 24^!+__ - ;,n 2t41 )rA _ _7,">gir{A
couretooe,Gl4tt {ze*zr*-r^t+ 6ArY bkc,^ BroclrcrNsE' 7>zlg-l-
aDDnrss: .t37_ffl9,t,i NrtF4 -futr.rt _4,;44.1ila86 _yalci, ?y.+ul
TMATLADDRESS: _ G*eyil{C+: ? 6t C;rzrH<--.;L _.__ pHoNr, n/O_--7 t:1 - lO:E-a
rorAL sQ FT UNDER Root llor proposed t:or*) xearea: _ pf5_3_ _ unhelred: 35-.*O
rorAL pRoJECr cosr ltess torl: 5 _?4rA6{_
ls the pr-.p.red \Lorl. chrneirLg th. numbcr of bedroornsf - ves / No
lsany Electrical. Plumbing or Mechanical work being dcne to the acrelsory structure r ves druo
ll the project is a Relo.ation, is there a Natural Gas l"ine on tha current rite? I Ves p ruo
ls there Eleclrical Pov,,{r. on this Building? D yes ! tto
.,-
Property UJe/ occupangy: fl Single tamllv E Duplex E Townhouse
Descr;prionorwork .-41t"t 3 t*AL"g, LJU_t__
comment' E OUJOg v\".( t (jt\j ^-]D.I=E | .-t-
t)
K -fu\h-o.,-a 4--
ApplcAN?s NAME . Gtz€c=aa'1
NEW HANOVER COUNW BUILDING PERMIT
APPLICATION TYP E: RESIDENTIAL
PTEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PROIECT
"Proiect ResponsibilitY'
IL. EztrlbN
aotlqcg3
Application
Number
(offi.e use)
Date
?21 z& ca Poa€>1rt\ 41r-C[Y: 0r.f (]r i urc ?>^J ZIP: 2 tQ A'?PROJECT ADDRESS:
SUBDIVISION:
pRopERTy owNER'sNAMr: GWba 7Li L' Bgu(Tt>N
owNER'S ADDRESS I q)1 etg 6€ r)?Ef. L4 fiN A./c,
PHONE #
CITY: !\,,LFr,^/(,-oN ZIP: ) Y-t tt
CONTRACTORI lgeaaey L 8?uronJ BLDG I.ICENSE f ow,s6Z
PRoJEcr coNTAcr Prnsoru. 6!ltZ;L- 6Pr-r-ronJ
! Greenhouse (SF)n Deck (SF)
pHoNE: q,d - 365' 32(] I
EXISTING CONSTRUCTION: EfAlteration El-Renovation El-General Repairs
NEW CONSTRUCTION: ! Erect New Residence E Additionto Existing Residence E Relocation
**+PTEASE CHECK AND ANSWER BETOW AI.L THAT APPLY TO YOUR PRO.'ECT**+
E Att Garage (SF)_E Det Garage (SF) _
tr Sunroom (SF)! Pool (SF)
ls the proposed work changing the existing footprint? ! Yes n No
TOTAT SQ FT UNDER ROOF lfor proposed workl Healedi Zzaa Unheated:
TOTAL PRO.,ECT COST (Less Lot): S i::iD, 0 A O
ls the proposed work changing the number of bedrooms? D Yes Ea{o
ls a ny Electrical, Plumbing or Mechanical work being done to the Accessory Structure f] Yes g,ilo
lf the projectisa Relocation, istherea Natural Gas Line on the current site? n Yes E-Jllo
lsthere Electrical Poweron this Building? ! Yes D- o
Property Use/ Occupancy: El,Single Family tr Duplex ! Townhouse
Description of work:
woela cDae.-Lr€. N€€os 7 N'rH- lNs;a27 'D,v 6N l/ffAAN, c4c -r SulLr,lJ(
laws and ordinances and regulations. The NHC oevelopment Services Centerwallbe notified of any changes in the approved plans and specifications or change in contractor
information. r*'NOTE: Any work performed without the appropriate permits will be in violation of the NC State Bldg Code and subject to fines up to S5OO.OO++*2 6L ,L"-Owner/Contractor:
"Licensed QuoIifier"
G?e'6oc,1 L 6?t^ruN Signature:
ls the property located in a floodplain? El,,fes ! No
ExistinS lmpervious Area:Sq Ft TotalAcres Disturbed:
New lmpervious Area:Sq Ft Existing Land Disturbing Permit: ! Yes I No
WATER: ! CFPUA ! Community System E Private Well ! Central Well Efdqua
SEWER: fl CFPUA ! Community System ! Private Septic ! Central Septic E)-(qua
Zone: _ Officer: _ Setbacks (F) _ (tH) _ (RH) _ (B) _
Approval: _ City: _ Date;_ Flood: (A) _ (V) _ (N) _ BFE+2fts _
Comment:Permit Fee: S
,.irii'r:;i
1.,ffi,;
LOT #:
ADDRESS: 42-1 gqsr o€ ret€: L4A}J A\ra C|Ty: W{Lh'NgiA r ST:!9 Zrr::8U Df
EMAttADDREss; I Dfq+c^ e a-dl. .a..\ pHoNE: Orb- 965- ?-1q I
tr Porch (SF)_
E Stora8e Shed (SF)_
tr Other (SF)_
NEW HANOVER COUNTY BU]LDING PERMIT
APPLICAT I ON WPE.. RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Proiect Responsibility''
Nrt - qb tB
LHEEz
Application
Number
(offiEe use)
AppltCANT,S NAME. Pulte Homes 92y2; 8-24-17
PRoJECT ADDRESS: 3615 Old Sand Mine Dr.
sUBDlvtstoN: Del Webb Riverlights
Clw: Wilmi 71p. 28412
IOT #: 01 101
pRopERw OSNER,5 gglyE; Pulte Homes PHoNE #: 843-353-5119
owNER's ADDRE5S: 3504 Fari on Court
coNTRActoR: Pulte Homes
CITY: M le Beach 21p. 29579
s196 U6st!5s x 19311
ADDRESS:3504 Farinqdon Court CITY:Myrtle Beach sr: SC Ztp. 29579
EMAIL ADDRESS : Tiffany.Dunn@Pulle.com
pRoJEcT CoNTACT pgp561; Tiffany Dunn
EXISTING CONSTRUCTION: n Alteration n Renovation i General Repairs
NEW CONSTRUCTIOf,I: /f rect ruew Residence n Addition to Existing Residence I Relocation
***PLEASE CHECK AND ANSWER BE ALL THAT APPLY TO YOUR PROJECT***
PHoNE: 843-353-51 19
pHoNE.843-353-5119
o4u
/,,,room (SF)1E1
Garage (sF) 440 E Det Garage (sF)
n Pool (sF)
n creenhouse (SF)_n Deck (SF)
ls the proposed work changing the existing footprint? n Yes n No
TOTAT SQ FT UNDERROOF {for proposed work)Hs61g63 1592 Unheated: 6
TOTAT PROTECT COST {Less Lot): 5 102848
ls the proposed work changing the number of bedrooms? E ves E lvo
ls any Electrlcal, Plumbing or Mechanical work being done to the Accessory Structure ll Yes E No
lftheprojectisa Relocation, istherea Natural Gas Line on the current site? D Yes E No
Isthere Electrical Poweronthis Building? n Yes n No
,/
Property Use/ Occupancy: @/Single family D Duplex E Townhouse
Description of Work: Taft Street Elev LC'l B with sunroom
Q,{orch{srl
n Storage sh
I other (sF)
106
ed {sF)_
laws and ordinances and .egulations. The NHC Oevelopment Services Center wjll be notified ofany chante! in the approved plans and 5pecifications orchanSe in contractor
information- *+*NOTE: Any work performed without the appropriate pe.mits will be in violation of the NC State SldE Code and 5ubiect up to SSm.00..+
Owner/contractor: Tiffany D Dunn Signaturei
"Licensed Quolifief Priot None /
ls the property located in a floodplain? tr Y", druo
Existing lmpervious Area; _ Sq Ft Total Acres Disturbed:
New lmpervious Area:Sq Ft Existing Land Disturbing Permit: D Ves i tlo
WATER: I CFPUA tr Community System f] Private Well E Central Well f] Aqua
SEWER: CFPUA E Community System E Private Septic E Centralseptic E Aqua
Zone: _ Officer: _ Setba€ks {F} _ (tH) _ (RH} _ (B) _
Approval: _ City: _ Date: _ Flood: (A) _ (V) _ (Nl_ BFE+zft: _
Comment:Permit Fee: s tol+' oD
NEW HANOVER COUNTY
DEPARTMENT OF BUILDING SAFETY
230 GOVERNMENT CENTER DRIVE . SUITE I70
WLMINGTON, NORTH CAROLINA 28403
Telephone: 910.798.7308 Fm: 91A.798.781 I
Int er ne t : www. nhc gov. com
4 to 7 WORKING DAYS TURNAROUND TIME FOR PERMIT ISSUANGE
STATEMENT OF UNDERSTAND!NG
Iffany Dunn (Pulte Homes), am submitting an application for a residential
building permit to New Hanover County. And, as the applicant or person submitting
the application, ! check the box/boxes below to acknowledge that:
D I have attached an official CFPUA receipt or document that has
acknowledged an approval of the payment made to CFPUA.
n I have attached an official proof of a Zoning sign-off from the City of
Wilmington, for this work that will be done in the City of Wilmington.
I have attached an official proof of an approval granted by the New Hanover
County Environmental Health Department, for this work that requires an approval
from Environmental Health.
lf the application is correct and complete with the required drawings, and if
there are no corrections or revisions to plans and drawings, and if there are no
further clarifications required by New Hanover County; New Hanover County
can guarantee that the building permit will be issued within 4 (four) to 7 (seven)
working days after the official submittal dateltime (the stamped dateltime
notation made by the Building Safety Department on the application or submittal
document). I understand that the 4 (four) to 7 (seven) working days only begins
when the application is submitted prior to 4:30 pm on any working-day.
Signed in acknowledgment:
Tiffany D Dunn 8-24-17
Signature Printed Name
f,i
t,
tl
Address for the proposed residential work:
Date
NEW HANOVER COUNTY BUILDING PERMIT
APP LI CATI ON TYPE: RESIDENTIAI-
PLEASE ANSWER ,CLL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility'
3on- 4sq*
Appli.ation
Number
(office u!e)
AppgCANfs NAME: Pulte Homes oata 8-29-17
pRoJ€cT ADDRESs: 3612 Old Sand Mine Drive g1n. Wilmin n 71p.28412
SUBDtvtstoN: Del Webb Riverlights
pRopERTy owNER,5 114yp; Pulte Homes pHoNE#: 843-353-51 l9
owNER'S aDDREss: 3504 Faringdon Court crw:Myrtle Beach ztP. 29579
CONTRACTOR: Pulte Homes groe uCrUSr t. 19311
ADDREss: 3504 Faringdon Court ClTy Myrtle Beach Sr: SC zrp. 29579
rMAtt ADDR€SS: Tiffany.Dunn@Pulte.com
pRoJEcT coNTAcI pgp56s; Tiffany Dunn
EXISTING CONSTRUCTION: ! Alteration I Renovation I General Repairs/
NEW CONSTRUCTION: VErect New Residence E Addition to Existing Residence n Relocation
,,r,r,PtEAst cHE AND T T APPTY TO YOUR PR
se (sF) _
pnOrur: 843-353-5119
pxOxs: 843-353-5119
orch (sF)106
n Storage Shed {SF)_
tr other (sF)
d4ttearage 1s
/sunroom (sr)
F) 520
152
E Det Gara
n Pool (sF)
fl Deck (sF)n Greenhouse (sF)_
ls the proposed work changing the existing footprint? I Yes n No
Unhg3lgd;626
TOTAT PROJECT COST (Less tot): S 105088
lstheproposedworkchangingthenumberof bedrooms? D Yes D lvo
lsanyElectrical,PlumbingorMe€hanicalworkbeingdonetotheAccessoryStructureDyesENo
lf the project isa Relocation, isthere a Natural Gas Line on the current site? D Ves [ ruo
ls there Electrical Power on this Building? Ej Yes n No/
Property Use/Occupancy: E(Single Family D Ouplex D Townhouse
Description of work: Taft Skeet Elev LCI A with sunroom and oaraqe exlension
laws and ordinances and reSulations. The NHc Development servi.es center will be notified oI any changes in the approved plans and specifications orchanSe in contractor
information. T"NOTE: Any wo.k perrormed withoul the appropriate permits will be io violation of the NC Cod€ and subjed to fines up to 5500.00,..
Owner/Contractor: Tiffany D Dunn Signature:
"Licensed Qualilie/' Pint Nome
/
ls the property located in a floodplain? D ves Mto
Existing lmpervious Area:Sq Ft TotalAcres Disturbed:
New lmpervious Area:Sq Ft Existing Land Disturbing Permit: E Yes D No
WAIER: E CFPUA tr Community System n Private well E Central Well E Aqua
SEWER: fl CFPUA n Community System 0 Private Septic D Central Septlc Aqua
Zone; _ Officer: _ Setbacks {Fl _ (tHl_ (RH) _ (B} _
Approval: _ City: _ Oate: _ Flood: (A)_ (V) _ (N) _ BFE+2ft= _
Comment:Permit Feei S o .DD
tOT #: 01 100
TOTAI Sq FT UNDERF;AOF lfor proposed workl neated:1592
I
t,
NEW FIANOVER COTINTY
DEPARTMENT OF BUILDING SAFETY
230 GOVERNMENT CENTER DRIVE - SUITE 170
WILMINGTON, NORTH CAROLINA 28403
Telephone: 910.798.7308 Fax: 91 0.798.781 I
Internet : y,ww.nhcgov. com
4 to 7 WORKING DAYS TURNAROUND TIME FOR PERMIT ISSUANCE
STATEMENT OF UNDERSTANDING
Tiffa Dun n Pulte Homes am submitting an application for a residential
building permit to New Hanover County. And, as the applicant or person submitting
the application, I check the box/boxes below to acknowledge that:
d I have attached an official CFPUA recei pt or document that has
acknowledged an approval of the payment made to CFPUA.
Ig/ I have attached an official proof of a Zoning sign-off from the City of
Wilmington, for this work that will be done in the City of Wilmington.
I have attached an official proof of an approval granted by the New Hanover
County Environmental Health Department, for this work that requires an approval
from Environmental Health.
lf the application is correct and complete with the required drawings, and if
there are no corrections or revisions to plans and drawings, and if there are no
further clarifications required by New Hanover County; New Hanover County
can guarantee that the building permit will be issued within 4 (four) to 7 (seven)
working days after the official submittal date/time (the stamped date/time
notation made by the Building Safety Department on the application or submittal
document). I understand that the 4 (four) to 7 (seven) working days only begins
when the application is submitted prior to 4:30 pm on any working-day.
Signed in acknowledgment:
Tiffany D Dunn 8-29-17
sig re Printed Name
3612 Old Sand Mine Drive
I
Address for the proposed residential work:
Date
affi-to(2V
{.o.
EE
APPLICJNIT'S NAMT
PROJECT ADDR€SS:
suS0tvrSroN:
RECE|vEDsEP_52017
NEW HANOVER COUNTY BUILDING PERMIT
AP PU CA nON rYPf: RESIDENTIAI
PLt Ast Ai,i\VJti LL AUI:llON5 APpi r( B!t !1) y()Un tFOrl / I
'Proi.<r R.ipon!lbl,hy'
l1-2-g1q)
-
Daon Townsond, 56rrs
^prd.nr6.!iunrbe,
i.rl!!. !\ri
9q111 812212O17
610 Kelly Rd Cl.ry. Wrlmineton 21p 2&405
LOf 4
PROPTRTY OWNTR'S NAMEI Clyde CIaOD pHoNE r. 91&795-5677
owNER's ADoRtss. 610 Kelly Road_ _ * cfi. _rylqlglgA
coNInAcloR Sears Home improventenls 8t-oc LrcENsE r 47330
Cffy G.eansboro sr Il9 zrP 2711n
EMAIL ADORTSS:dvt761 2\Aaol..:Dn\336-8.17-1970
Zp 28103
pRotEcT coNTACT p€R5ON: Danny lownsand
PHONEI
PHONE
EXISTIN6 CONSTRUCTION: :l Alteralron iYnenouarion': areneril Repiiis
NEW CON5TRUCIIONi !l Erect f,lew Residence L Addilio^ ro Erirtin8 Retidence = Relocalion
TI.PIEASt CH'CX ANO ANSWER BILOW ATI THAT APPIY TO YOUR PRO.l€Cr"'
;. Altcarnge(sF)_ E Oe!6nra8e(5Fl_ Cl po!,.h (SF)
33S847-1S70
O stor.8e Shed (5r) _ _,. _
'-l orh€r (sr)
-:j Pcol isr)____
il 6,.enhoure (5F)_ ! Oe.r {5r) _
ls ihe gropctec, worl cnangrnS the ?rlstlig tociprintZ {i Ver flto
TOIAI SQ FI UNDIR ROOF Vor ptep.,s.d ,c*t H.abn
iOTAL PROTECT COST (Lere ,-o!) t 9.532
l9:ne Orocc3el wcIt cl'3.8 ng lhe numCei o, OeC,co,ns ) E Ves 5/tlo
ir.ny El€ctric.l. Plumblng or Mech!ni(al work being done to the A.ces5o.y 5lrucJre tr y.r BtNo
if tne prcj€cl r! . Rslocrlion. is rhere a NatJral Ga, l-ine on the.u,rent lire? E Y€r 3 No
r! r!1crc Electrlc.i Porve. on tnis Building? G/Vet ! tro
/,
Propsny Ur€/ occup.ncy: D/sin8l. Frmllv 0 0upter E Townhour.
o€5cription of worl: 89ola.rnq I wrndo./rs. DP 45, Low-E, Double Hunq Requeslrnq buildinq pi-:.nrit
lJ.,\ 4d or dirv.(.! Jfti redu!.ridr rl? H( o.wiop,Enl s.rvt a C.nrd willb. nolifRd ot.rV.h..Bpr in rh!,pp,ovsd pLrs rndlpdri.atlxor (
r11,{,',crin "'lr1'rr :r r @,1D.,ldr.d *(l€ur ift.tpr@nrr. r,,,n{i*:{ b. i.vd.'tionol ti. t:C t6t! d€(ad.n.drub
Owner/Conrrncror: OannY Townsend _-_Sknalur.
'Lkan.,Ptt Q@lilEt' Ptttt Nonr?
is lhe property loc.l€d in a floodplain? O Y.. O No
Erlrtlng lmp!.vlour Are.: _- Sq lt Tot8, Ac.eJ Distvrb€di
New lmp.rvioue Aresr ,_ Sq Fl
WATERT E CIPUA E] communiry Syitem
Erlrtlnr L.nd Disturbint Permltr O Y.! O No
E Privale well O C.nltrlwell D Aqus
SEWTR: E TTPUA O
zon", -..1fu1$ offi.",
Commun,ry 5y5te- D P,,v.tDrt .-o".u.,r,NlA
Jta*".1fEE;
rsepric O c€nrralseptk E Aqua
,*t{lAs,tN/A otN/A
di (Al-- (v)1ru1 X ere.zrt= --tCity
AooREss j!?-3t!Lggllo.l1! !f.!_!!_ _
t.
Cilv lnsoeclion P.er,.:'rer: 9 1 &254.!: I l
RECEIVEDSEP -5 2017
NEW HANOVER COUNW BUILDING PERMIT
APPLICA|IO N TTPE RESIDENTIAT
PLEASE ANSWIR ALT QUISTIONS APPTICABLE TO YOUR PROJTCT
"P.oiect Responsibility"
@n4all
t 1-2-81 c>
Appt-tcANT,s NAMEr Danny Townsend, Sears
Applicatjon
Number
(office use)
sg/.s. 81222017
pRoJEfi ADDRESS: 610 Kelly Rd clTy: Wilmington 1tp.28409
suBDtvtstoN:LOT S
pROpERTy OWNER,S NAMEr Clyde Clapp pHote *: 9l G795-5677
owNER,s ADDRESS: 610 Kelly Road ctry: Wilmington 71p. 28409
coNTRAST9R: Sears Home lmprovements BLDG UCENSE #. 47330
ADDREsS: 4523 Green Point Dr., #113 ctTY: Greensboro sr: NC 2tP 27410
E Greenhouse (SF) _
EMATL ADDRESST dvt7612 ol.com pHoNE 336-847-1970
PROJECT CONTACT PgP5gl; DANN Townsend pHoNE: 33G847-1970
EXISTING CONSTRUCTION: I Alteration P(enovation ! General Repairs
NEW CONSTRUCTION: E Erect New Residence D Additionto Existing Residence D Relocation
*r,r, ,r**
! Att 6arage (5F)trl Det Gara8e (SF)_E Porch (sF)
E sunroom (sF)tr Pool (sF)
n Deck (5F)
ls the proposed work changing the existing footprint? n yes &fruo
TOTAL SQ FI UNDER ROOF lfor proposed work) Heated:Unheated:
TOTAL PROJECT COST (Less Lot): S 9.532
'/'ls the proposed work changing the number ot bedrooms? D Yes Cl'No
ls any Eloctrlcal, Plumblng or Mochanlcal work being done to the Accessory Struaure E Yes fNo
lf the project is a Relocltion, is there a Natural Gas Line on the current site? D Yos D No
ls there Electrical Power on th is Building? Ozves D tto
Property Use/ Occupan"y, &zsln6e Family E Duplex E Townhouse
Descriptio n ofWork: Reolacino I windows. DP 45. Low-E. Double Huno Requestinq buildinq oermit
lawsand ordinances and reSulations. Th€ NHc Develop ment Services center willbe notifred ofanychanges in the approved plam and specificationsor c
information. ** *NoTEr Any work p€rformed without the appropriate permit5 will be in violation of the Nc t{-ath Bldg Code and subje
Owner/Contractor; Danny Townsend Sltn.turo:
"Ucensed Quolilief Print NoiE
ls the property located in a floodplain? E Yes E trto
Existing lmpervious Area: _ Sq Ft TotalAc.es Disturbed:
New lmpervious Area:Sq Ft txisting land Oisturbing Permiti E Yes E No
WATER: E CFPUA E Community System E Private Well E Centralwell E Aqua
SEWER: E CFPUA D Community System E Private Septic E Centralseptic E Aqua
Zon€: _ Officer: _ Setback(F)_(LH)_(RH)_(B)_
Approvel: _ City: _ Dater _ Flood: (A) _ (V) _ (N) _ BFE+2ft= _
Comment:Petmit Fe6: S
ffi
! Storage Shed (SF)_
E other (SF)_
I
fui-oq2,
$\N
ffi
(tt- t1- lTt?
NEII HANOVER COUNTY BUILDIN€ PERIIIT
APPLICATIOi| nzPE: COMMERCIAL
24Bm l7 tl:t:
PIEASE ^XSII€i AL! q'ESTIO'JS APPLI(A8I€ TO YOUR FTO]TCI
'Pnoject Re5ponstbility"
APPLICATIO}I
Nunber
(offl<. ur.)
APPLICAIIT'S ltA}lE: An.trew P, Bullard II DATE:_l:A:3!l:_
DEVELOPER: HalpFrr Enr-erl,rises, t:1c
PRoJECT AOORESS: ?122 :i.., !r.: sE
OCCUPAT{T/8USI}IESS NA|IE : noe,s South.desr cail).
PROPERTY O6IER'S Mt4E: Jus. shr.d lt LLC
o|C{ER'S AIDnESS: grtt Anson'day sr€. lo5
COTITRACTOR:
ADORESSI
119>
CITY: 'litninc ZIP:28t05
CfTYi Ralejqh
PIBNE 6: 919.8n7.557i
ST: Nc zIP:2?5rs
LICEISE {r
CITYr ST: _ ZIP: _
EI{AIL ADDRESS
PRO]ECT CONTACT PERSON
.' Li, /V
(ch..t All rh.t Aroly,
PHoNE sr (c{ro'Y?\r\ i?(r Utl
PHOTIE *:
EXISI C@TSTRI CTICn: If Relocdio.t b lhere a Natural
ALTERiTToN l-l nercvlrron
Gas Une on ttre ent Sne? E
GEflERAT REPATRs l-l nrloclrrqr
L]uo ts a'-DG spR,N-xleqge', Vlves INoYes
NEr Coi{STRUCTTO{: I eneCr t{E]t STR(]CnAE f] rlSr rnaCx fl Sxer-r-
ACCESSORY STR(rcTI.RE:
urrrr fl aff ro Exrsr sTRUCTuRE
f UPFIT - The Shell Pe.mit {r 'i 4'-:r."
ARCII oESIGll PTaESSIoflAL: i.ir_ s.i!r_'*.11r Ar.hirecr. PC
OWNEFYCONTRACTOR:Bui ia:d, iI
TOTAL PROJECT COST: :"r3 0c0 EUILDING HEIGllr: 15.
TOTAL AFEA SO FT :2541
TOTAL SO FI UNDER ROOF: 25or
Xts etect Pqrer on thts Building M yes f] uo*,
,lpprovat: 0*
r...r rs Tt{rs A cHAr{GE or o(cuptt<y usrl flvrs I
PHr 9'-J.G86.iitl I{C RE6 *
NC RIG fPH:
DESCRIPTION OF I,{OR( :
ls tood or b€vsr8o€s pagpa.ed a sgryod h thi6 *lrturo?ves I No b Ttre Propedy Locat€d In nre Rooa4"nt I v"" fi ruo
and trll lars a.!d (,rlnad:es a^d rFffrdiers rh€ NHC brevetoar'Bnt Seftices Ceote. wil be norhd oi.rin iifrri-sfrti ii lituja?,iili#i,a' rvorr Any wo.r Forro,ned wo rn" o-,*"ffp1,fl{"*?,'ff*3H"m#,*"ffiti3ijffiffigtSuqedb rh6 Uo1o rstro 00'"
SIGNATURE:
r&rd ooftolloo,ro!ftrn n I d..roi l,i{n l Fni,?06d5 16 b b. q!.nlr.d uahg r}p lpdtc*on t m (DHts-3768) f,ablt.f !E hc{iry c hJt&E wE brd bc<rEli at!.do. s trd- YciJ ,! r.q.*td lo .dl ur rtlldd Enii.&n fuerd. lq H6doJ. Ar Pok .rB (NEsHAp) a (91970.r-:,€60 st t66t io drF Fld b ,rds.?toadoo ol any lrdlty cr brl(llp. SE A&.do6 rrtlb SIE: ht&rt ,v., d.rtt._nclEreulsDat.6/dydC tifirt
rcRES DISTURBED:
NEW IMPERVIOUS AREA
Exsr LANo orsruRerNc renunz f-l ves f] No
SO FT EXISTING IMPERVIOUS AREA
PROPERTY USE| flOrrAe RESTAURANT [uenclt.lnr-e ! eouc f] rrr DcoNoo orxen,
!UE!: qcFPU E coMMUNtTY SYSTEM E wErr EZONTNG USE ctASStFrcAIoN:5EWEH: Qsj CFPUA LJ CENTRAL SEmc L.j PnMATE sEmc Ei@MMUNITY SYSTEM. , ,.;,..,, .1rr.rr-:.r.rir.i..rrr:.:Jr.i-i . r-r.,r r...r,,..j,i:-t, ;.
pAyMENr MEr-roo: [cnsa ficren< (PAYABLE ro NHC) fl*ental exrness Buc,rnsr ! orscown
SO FT
zorue, C[ActD]rrcen,{w orffir-r-n'ri\,r
nx,Ab'a: illAxBFE+2fts
(FOR OFTlcE US€
SETBACKS:REVlSmOATE,slrt2
N
PERMTT FEE: S
a
Comment oE
DA FLOOD:
Crty lnmection kcnrrreo, gl S2S4-r}l!
PlOllE f: 7?0.5{r6 - 1122
IF Yes, rhat uas the Prevlous occupancy Type? _ hfiat 15 the I€,r Occupancy Typet _
ENGN D€SIGX PNOFESSIOIAL:
SO FT PER FLR: _-- i OF STORTES: l
# OF STRUCTURES: : #OF ROORS: i-
# OF UNITS:
a(/v
RECE|VED SEplbz01Z
NEW HANOVER COUNTY BUILDING PERMIT
APPLrcarrqt rvpr I €0iill'IERCIAL
PTEA5E ANSI.IER ALL QUESTIO S APPTICASIT IO YOUR PRO]€CT
"Project Re5ponsibility"
CL-..St:s, .-J F-S.( c.J,.Jo,'
41-to/@
17-lu?'rffifl!
,tli,l,
rota
i1
'
EMAIL
PRO]E
APPL-fe-ATroN
Number
(Offt(e Us!)
PLICANT'S NAI.IE :
DEVELOPER:
PROJECT A : 1t}--t l.t -t
occ UPAI{T / BUS I lrl E5 S Mr,lE: Foe_,g S"L "ra>rc
PHONE #:
L
.Drrr: i (,sl,l
Tv@]t
\r
PROPERTY O}'II{ER, S MTAE : T-+!..r<at fatc- 6tsh 1,,". r< - PHo.,rE *:
oUNER's ADDRESS: ql '! |-t 3 a.)<)CITY:
CONTRACTOR:(!-.-!l,.<s o,nl R.I
sr ^l zIP:'-? tI 9
LICENSE #:,S92S \.tL
_ CITY: \ r', Lra: _trlruJ sr:rCzIP:
"
gt{OS
6 -PH0tlE r: 1lo, 23t, 7,t1L
AOORESS:4 C C t-r: J
ss:
CT CONTACT RSON:
se),'rt -
!tirt PHO'IE t:
Exrsr co{srRucrro : dALTERArroN r-'l *.Jifilrei,i
tf Retocation, is ttrere a rJ#dt Gas Line on thebJrrent Site? f
Ihat AppIy)
GENERAL REPAIRS
No lS BLDG Str^RELOCATION
KLEREDl-_'?y'No
NEI.I coNSTRUcTIoN: T'I ERECT NEhI STRUCTUREL_J
ACCESSORY STRUCTURE:
! FAsr rRAcK E SHELL ZupFfi f] ADD ro Exrsr srRUcruRE
rf upFrT - The sheu permit s: )611 - J o.ta6 Is Elect Poxer on this Buitding E Yes
r**i rs THrs A cHAlcE oF O(cupArrlcy uSE?f yEs ${no .-...
fF Yes, what Has the Prevlous Occupancy Typet _ What is th-e t{e}, Occupancy
TvDe?
ARCH DESIGII PROFESSIOI'IAL :-(+.PH:Q . jl3, Nc REG r: jStq
r NO
O rg.PH:NC RE6 ':-7riR
lhrs applicalion is correcl and allwort willcomply wilh the Siate Building Code and all olher applicable StateNHC D€veloDmeNOTE Any Work Perfonned WO the Appropri€le ol6ny chanoes io lhe aooroved olans and soeclfrcalronsPprmils will6e in VDlarion of lheNC Siste Sldg Code ano
nl S€rvices Cenler will be notfied
tac ny or building was lound ro
SO FT
EI{6R DESIGN PROFESSIOI{AL
DESCRIPTION OF WORK: lJ f,+l4De.t ra
ls lood or beverages prepared or served in this structurer[ vesl-, No ts The Property Locared In The Ftoodptainf( ve5-
NoDISCLAIMER: I hereby cerlity lhat allhtormalioo in
aM local laws 6nd ordinances 8nd reoulalions The
or dlanoe in conlracld oI controclor ii omation '_subiedlo Flnes Up To 1500 00"'
O*"a*raO*t*ACTOn, .Ur^{.s cLJ t,<s STcNATURE:
lorrdra) (Pr,l Nllrl)
Nole: Darnoli$on mli,icalims E rsbcslo6 rarnoval p€rrit applicltion6 rre to be sub.n 6d usrE the appLarroo lorn (DHH$3768)
TOTAL SO FT UNDER ROOF:
^.,r-,tAcREsDTSTURBEo, n(A
cont in Asbes@3 or not. Yo(, trc requirad lo crllthe Naknal Embsioo Slandsrds tor Hazrr&us Ar Polluianls (NESHAP) at {919)107-5950 ar leasl l0 dsys p.ro. ro rhe
demolitim of 6ny lEcflaly o( building See A!b6slo6 Web Siler hnp ,w*. /.epl st t€ nc uyepi/asbesbrahmp hlml
TOTAL PROJECT CoSr: 22 S<r99 f OF UNITS;rorsronreF
i OF FLOORS: Arl
TOTAL AREA SO FT : 2'I 51 <T
Exsr LAND DrsruRBrNG pERMrr? .J- yEs f No
SO FT EXISTING IMPERVIOUS AREA
CONDO OTHEI
E t\4
PAYMENT METHOD: l- CASH l- CHeCx lerveAlE TO NHC) r-AMER|CAN EXPRESS r _ MCA/tSn J- _ OrSCOven
(FOR OFFTCE USE ONLY)
ZONE: OFFICER
Approval:_ City:_ DATE_ FLOOD BFE+2ft
WATER: f"lCFPUa ffiCOr,luururw svSr
.rll?fr" flcreun EIcENT:ALsEPI:
TJ WELL TJ ZONTNG USE CLASS|F|CATTON
PMVATE SEPTIC T-.ITOMMUNITYt-r
N
Comment PERMIT FEE+DISCtAIMER: SUBMITTING THIS APPIICATION MEANS THAT THE SUBMITTAL CHARGE IS NON-REFUNDA
C??JA /tl'r,b,CL,CP
LE
.118."',
BUILoING HETGHT: /6/
soFTPERFLR; ;]--
#OF STRUCTURES, N /A
NEW IMPERVIOUS AREAi
PRoPERTY usE: Sorrrce-ppresreunarur I uencN'rrrr-ef[ eoufl eerI
SETBACKS: F: LH_ RH-' B__
Piint..:;:'.t|....4.,/ t'. ,W
Cle3r Form An-lor93
{oific€ u5e)
NEW HANOVER COUNTY BUILDING PERMIT L7 -27 8L
APPLICATION TYPE : RESIDENTIAL
PI.EASE AIJSWER ALLQT.,€STIONS APPUCABLE TO YOUR PROJECT
"Proiect Responsibility',
APPLICANT'S NAME:i&^
PROJECT ADDRESS:
SUBDIVISIONT
Date /_
ctal
LOT Ii:
PROPERTY OWiIER'S NAME:
OWNER'S ADDRESS:a CITY
PHONE S:'b71)-G2
BIDG LICINSE #C0iITRACTOEI
ADDRESS;r(t CITY x;fuzt e'a ,r
'7EMAIL ADDRESS:
PROJECT CONTACI PERSON:
PHONE
N,PHOiiE:-\t lJ'6fre
EXlSTlttlG CONSrRUCTION: n Aheration n Renovation D General Repairs
NEw coNsrRucrrot$: p Erect trrew Resider.e a Addirion to Existing Residence E Rerocation(
,**PLEASE cI{EcKAND An,sWER BEI.oW ALL THAT APPLY To YoUR PROJECTi * +
d6*E Porch (SF)
ls the proposed work changing the existing footprint? yes p uo
TOTAL 5q FI U DER ROOF (Jor proposed wo*t aearea, L$t, Unheated:
IOTAL PRO.,ECT COST (Less Lot)
C Att GaraBe {5F} ---6ara8e(sF)ql1
f Sunroom {SF}
I Greenhouse {5F} --*
ls the proposed work changingthe number of bedrooms?
ls any Electrical, Plumbint or Medranical work being done
lfthe project is a Relocation, is there a Natural Gas Line on
lsthe.e Electrical Powe.on this Building? n yes n No
Property Use/ Occupan iy'single ramity 3
Description of Work:
D Pool {sF) _
- Deck lsFl
T
tl Yes Til tto
to the Accessory Structure Yyes I No
the current site? n Yes E No
D Storage Shed (Sfi _
tr Other {sF)
67q
bo
.xjp
,hrr\ l
ahd dll other apdac.ble State and tocal
ipecificatlofl! or change in cofltractoa
ro 6nes up tos5rro.oo..r
ls the property located in a floodplain? E yes
Existing lmperviogs Area:
--
Sq Ft
{No
Total Actes Disturbed:
New lmpervlous Area; -__-.- Sq Ft Existing Land Disturbing permit: D yes n No
WATER: il CFPUA E Community System p nriv"t*w.lt D Centratwelt X aque
STWER: ! CFPUA n Community System qprivateSeptc E Centratseptic J Agua
Zooe: .-- Officer: _ SEtbacks (FJ _ (tH) _ {RH) .--- {E} _
Apprssal: _ cfty: _ Date: --- Ftood: (A) _ (vI .- {N} -.- BFE+2ft= _Comrngnt:
!nO\a,
Pelmit Fee: S fi
k
I
,ltl
(/
I
I
DISCLATMER: I hereby c.ni8 that a[ the inlormarion jn this appticatton 15 corre.t and al
inlormarion. "'ttOfE
"Licensed Quolifier'
tE in violation of the
t,
NEW HANOYER COUNTY
DEPARTMENT OF BU1LDING SAFETY
230 GOYERNMENT CENTER DRTVE - ST]ITE I7O
WILMINGTON, NORTH CAROLINA 28403
Telephone: 9 I 0.798.7308 Fa-r: 9 I 0.798.78 I I
Int ernet : wwt,. n hc gov. com
RESIDENTIAL APPLICATION THAT HAS NO PRIOR APPROVALS
sTATEMENT OF U
am submitting an application for a residential
building permit to New Hanover County. And, as the applicant or person submitting
the application, I check the box/boxes below to acknowledge that:
F I did not attach an official CFPUA receipt or document that acknowledged
approval of the payment made to CFPUA.
R I did not attach an official proof of a Zoning sign-off from the City of
' Wilmington, for this work that will be done in the City of Wilmington.
\-1lnr ldidrpl :ttach an official proof of an approval granted by the New Hanover
' County Environmental Health Department, for this work that requires an approval
from Environmental Health.
And because Ldi{not attach the official proof of approvals along with my
application lor permit; New Hanover Gounty ca-$ngt guarantee that the building
permit will be issued within 4 (four) to 7 (seven) working days after the official
submittal date/time {the stamped date/time notation made by the Building Safety
Bepartment on the application or submittal document)
Signed in acknowledgment:
J812s12017
Signature Printed Narne Date
(
Address for the proposed residential work:,,fuZoll'L
W
Clear Form Print
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COMMERCIAL
PLEASE ANSII]ER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility"
fui-qwe
L7 -27 68
APPLICATION
Number
(office Use)
APPLICANT'S NAIIE I arran Barefoor, Bfue Wave Deptoyment, obo American Tower LLC
DEVELOPER: American Tower LLC
PRO]ECT ADD
-PHONE f: st9-- - 2- 259 4
DATE: B / ).2 it )-
ZIP :2 g.1 1 iREss: 8528 Marker srreer,CITY:1,1i1.in 1on
OCCUPANT/BUSINESS NAltlE: Ajr,eri..rn rorer :Li
PROPERTY OWNER'S NAIIE: 5ari\Lruc5 & sp.uNDEns LLC
O'INER' S ADDRESS: 8215 porrer:s crosslnq ;ia7,
PHONE #:
CITY: b;iLminqr-_en
LICENSE #: -.821
ST: 1-3 ZIP: 2 6,1 I i
ST: p1 ZIP: 33765
CONTRACTOR: Netcom Ser,rlces 1nc
ADDRESS: :J522 Et Centro Srre--r,CITY: 51 . pete Beach
. PHONE #:
PROIECT CONTACT PERSON: K,rr! irade schnerder
EXIST CONSTRUCTION:ALTERATION RENOVATIONr l-l GENERAL REPATRS l-l RELocArroN
yE; ff No rs BLDG SP-RTNKLEREDr yesli
- PHONE S: r2,-9lt-150i
(check A11 That Appty)
lf Relocation. is there a Natural Gas Line on the urrent Site?
No
NEW CONSTRUCTION:ERECT NE!,I STRUCTURE FAST TRAC(SHELL
ACCESSORY STRUCTURE:
UPFIT ADD TO EXIST STRUCTURE
If UPFIT - The ShelL Permit #:Is Elect Power on this Building f Yes NO
*r*** rs THrs A CHANGE OF OCCUPANCY USE?r YES l-. NO *****
IF Yes, what was the Previous Occupancy Type? _ I.Jhat is the New Occupancy
r
TvDe?ANtH PH:919-561-6351 NC REG #:6- 17 9 aDESIGN PROFESSIONAL : T6h,g1 Engineering prof essionat s
ENGR DESIGN PROFESSIONAL:-PH:NC REG #:
DESCRIPTION 0F WORK: F.eplacing exlstin 9 antennas with new antennas at the same height and location
ls food or beverages prepared or served in this structure?f- Yesli- No ls The Property Located ln The Floodplainf Yefr_
NoDISCLAI[rER I hereby cenrty that allinlormataon in this application is correct and allwork willcomply with the Slale Building Code and allotherapplicable Stale
and local ldws and ordinances and Iequlat ons. The NHC Developmenl Servrces Cenler w,ll be notiled of anv chanoes rn lhe aooroved olans and soectltcatronsor chanqe rn conl'acto'or conlraclor informalron "'NOTE: Any Work Performeo w/O lhe Appropflale Permrls wrll bie rn Vrolalion of lhe NC State Bldg Code andSubtectio Fr4es Up To $500.00"'
oWNER/coNTRACToR:e',",-,BaretootSlGNATURE:
(Oualrtie.) (Prnr Name)
contain Asbeslos or nol. You are required to call the National Emission Siandards for Hazardous Air Pollutanls (NESHAP) al (9t9)707-5950 at teasl 10 days prior to lhe
demolilion of any facility or building. See Asbestos Web Siter httpT/www.epi.state.nc.us/epi/asbestos/ahmp.htmt
TOTAL PROJECT COST: BUILDING HEIGHT: # OF UNTTS:
TOTAL AREA SO FT SQ FT PER FLR # OF STORIES
TOTAL SO FT UNDER ROOF # OF STRUCTURES # OF FLOORS
ACRES DISTURBED EXST LAND OTSTURBTNG pERMtT? -,]|- yES r NO
NEW IMPERVIOUS AREA;SQ FT EXISTING IMPERVIOUS AREA SQ FT
PROPERTY USE CONDO OTHEI
WATER
SEWER
SYSTEM
CFPUA
CFPUA
CON'MUNITY SYSTEM TI WELL
CENTRAL SEPIC D FRlvArE SEPTTC
fI ZONING USE CLASSIFICATION
COMIVlUNITY
PARATE PERMITS REOUIRED FOR ELECT I\T1ECH, PLBG, GAS EQUIP, PREFABS & INSERTS
pAytvlENr METHoD: r CASH r cHEcK (pAIA:r"..13.1]iEt[-_^MERTcAN EXpREss [- rrrcnrrsn f-_ orscoven
ZONE: OFFICER SETBACKS: F LH RHApproval:_ City:_ DATE_ FLOOD
Comment
B
BFE+2fl,
PERIVIIT FEEr r
Ir
N
I5 NON-REFUNDABLE
eMail
EI4AI L ADDRESS:
EoFFrcE f nesreunnrur ! r'aencnr.rrrr-e l-J EDUcI-1 AprD
*DI5CLAIIUl