OCTOBER 23 2017 BUILD APPSNEW HANOVER COUNTY BUILDING PERMIT
APPLIcATIott IYPE: COMMERCIAL
PLEAST ANSI,]ER ALL QUESIIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility"
)on - lltsS
L7 -3082
APPLICATION
Number
(office Use)
APPLICANT'S NAME: Darren Jones DATE: 4 2'/ 75
DEVELOPER: setters Tile company, rnc
CITY: wi lminoion
PHONE #: 910 ?91 9056
ZIP: NCPROJECT ADDRESS: Sots gall waters Dr
OCCUPANT/BUSINESS NAflE: seller.s Tile Company, Inc
PRoPERTY OiINER'S NA,'IE: Jerry sellers
OWNER'S ADDRESS: 2104 Caprraf Dr
CONTRACTOR: Environmeots unLimlted rnc
ADDRESS: 215 south Kerr Ave
CITY: wl lmingLon
PHONE *: 910-?91 9056
ST: NC ZIP:2B4os
LICENSE #: 58071
.ljo
JiA
4+
\
ST: NC zIP: 2840s
El'lAI L ADDRESS: darrenoenvi ronmenLsunl imi ted - com PHoNE #:910-399 57r7
PROIECT CONTACT PERSON: Darren Jones PHONE #: 9ra -219 -3a62
(check A11 That Apply)
EXIST CONSTRUCTION:ALTERATION RENOVATION GENERAL RE PAIRS RELOCATION
lf Relocation. is there a Natural Gas Line on the Current Site?il Yes Eno IS BLDG SPRINKLERED?I ves T No
NEl^, CONSTRUCTION:ERECT NEW STRUCTURE FAST TRACK SHELL UP FIT ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
d
\t
J
4s
"J
\
=
If UPFIT - The Shell Permit #:
IF Yes, rrhat was the Previous Occupancy Type?
ARCH DESIGN PROFESSIONAL: MarK Grenell
***** rs rHrs A CHANGE oF occupANcy usel flves I NO ***'*'*
Is Elect Power on this Building E Yes NO
PH:910-233 1051 NC REG #: 7438
EIIGR OESIGT'I PROFESSIOTIAL: Greq McDowell PHi 910-2'70 3741 NC REG #: 018518
DESCRIPTION OF WORK: 20.000 sqft warehouse
I
ls food or beverages prepared or served in rhis sruaure? [Yes No ls The Property Locsted ln The Floodplain?I ves I no
DISCLAIMER: I hereby certify that all information in this applica
and local laws and ordinances and reoulalions The NHC Develor cl'anqe rn co,llraclor or contraclor rnformatron. "'NOTE. AnySubiect'io Fines Up To 5500 00"'
tion is correct and all work will comply wilh the Sla
oomerr Servrces Cenler will be notifled ol anv chaWolk Performed w/O I re Appropriale Permils wrllI )rFf1^- J6'"P5
. irri teo ( SIGNATURE:
all other applicableplans and specilicaNC Stare Bldg Cod
Slate
lrons
e and.L
te Building Code andnoes in lhe aoDroved
b-e in Vrolaion of lhE
e
submiu6d using the application form (DHHS-3768) whether the fucility or buitding was found b
ards for Hazardous Air Pottutants (NESHAP) at (919)707-5950 at teasl 10 days prior to the
# OF UNITS: 1
# OF STORIES: r
# OF FLOORS: 1
OWNE fQfl; Environments Un
Note
contain Asbestos or requir€d to callthe National Emisslonq
+{qTY
s,:\
'_\)
CJ
?
IZ
domolition of any facilily or building. S€e Aabostos Web Site: htlpj /rww. epi.state. nc. us/opi/asbestos/ahm p. htrn I
TOTAL PROJECT COST: 1,1OO,OOO BUILDING HEIGHT: :O'
ACRES DISTURBED: 2.2 T
NEW IMPERVIOUSAREA: ",. rro SQ FT
PROPERW USE: EOFFTCE RESTAURANT [,IERCANTILE EDUC APT CONDO OTHER:Business
TOTAL SQ FT UNDER ROOF: 20,000 #OF STRUCTURES: 1
WATER: mCFPUA
SEWER: [7 CFPUA
COMMUNITY SYSTEM
CENTRAL SEPTIC f]PRIVATE SEPTIC
flWELL
ZONE:_OFFICER:SETBACKS: F
Comment
EXST LAND DISTURBING PERMIT?
EXISTING IMPERVIOUS AREA: o
YES E No
flzoNrNG usE cLASStFtCATtON:
fl coMMUNTTY SYSTEM
SQ FT
PAYMENT METHOD Icnsn CHECK (PAYABLE TO NHC) EAMERTCAN EXPRESS I rrlCnrrSA fl orscoven
*. SEPARATE PERI\,I ITS REQU IRED FOR ELECT, I\,{ECH. PLBG. GAS EOU P, PREFABS & NSERTS *'
(FOR OFFTCE USE ONLY)
Approval:_ City:_ DATE:_ FLOOD:__ _ BFE+2ft=
LH: RH: B:
3-sto-r.'r" ,-ale> P=; ,N!6 Frr<-, Nuc z6,oJ; ZFP,-4r+
T
(o@me4
!
N
PERMIT FEE: $5bq
*t / ttuk->-.;. i .:.
'
CITY: wi lminqton
lhat is the New Occupancy Type? _
TOTAL AREA SQ FT :2_Q,_qqQ_ SQFTPERFLR: 2o.ooo
REVISEO OATE 4N1112
bl50 2ot-Ll/l2b 2r.5EP t? t:2Bpt
I1- ?oQvNE!{ HAI{OVER COUNTY BUILDING pERilrT
APPLICATIOT nzpf ; CO{IIERCIAL
P|-EASE Ar{StER At! QIJESIIOiS ApptICAit E r0 youi pRolEcrdproject Responslbluty.
C
AFFIIA?IAJ
xutb€r
((Nfl.. U3.)
APPLICAI{T' S I{II''IE :
DanEtaPER; lgts
PRO]ECT
OCCUPAIT/BUSI ESS ilATE:
OflER'S ADDiESS:
CO TRACTOR:
A!DiESS: ,
EIIAIL
PROJECT
/
I PISNE
PloxE t
PIioI{E I
r(1t2-su--*ao
sr,c]lP?zr,4A;<
c . st tl/C z*,28/e.3
,/7
(Ch(r All it t &ply)EXIST CO{STRITCTI(I{: T-1
l, Relocauon, ts ttrerc a NEtursUt
ALTERATIOI{
Gas Lino on th6
J--l REr{Or/AIrOti r-'l GE EiAT iEpAris r-.]
tl-unent sito? ; y'#J-_ t.lo rs aLDG sJHIi
RELOCATIOI{
KLERED{-- Y€T.It, .ror*,*rr*,3
ACCESSORY STRI,ICTTRE:
ERECI Er sTRt cTUnE n rasT TilCr n sHELr n upFrr ErrD ro ErrsT srnucnnE
If ttPFIT - The Shell perrit s:Is El.ct Pdcr on thls Butlding fy'yes f ilO
oF (rcuPArcY usEl T YES [ft 16 *tr
_ Liat $ th! l{.i Occspancy
NC RE6 ':7?s
NC RE6 *t<-z 9t
..... 15 lfirs A ct{l 6EIF Ycr, rh.t lrs tha pmylour Occup.rcy lyprt
IIefi?o€slot profEsstctal:
Eit6R DESIO{ PROf ESSIO{IL
OESCRIPTIOI{ OF t.iORX :
SO FT PER FLR
NEW IMPERVIOUS AREA:. gt SO FT
PROPERTY USE:
PAYMENT METHOD
ZONE;OFFICER:
Approval _ City:_ DATE_ FLOO
Commenl
{orrti ! nesraunarr f] uencarrrrel-l eoufl_
ExsT LAND o|STURBING pERMtT? J- yEs f*1!o
EXISTING IMPERVIOUS AREA:
APT CONOO OTHEI
FICATION
SETBACKS; F LH RH B
BFE+211
N
. PERMIT FEE: :
a
NRisl.
ila Ftcf,digtainf -Ye{/p,
Code 6nd rll oth€r sppl'caua Sl'te
NC Siste Eldo Coare rnd
OWNER/CONTRACTOR:SIGNATURE:
Nol: otnd@it ndtaaddra t aaE!6 rlnrval fm[adiaalpar. 't b bc r6.nead u.lrE tb lootb.Eo b m 7E8) r.tr.fi.r !1. bclry o. !rrro..t ia. ,orr5 bcoat h Aahad d rrca Yo! ra rEurrd to c't lr\c Nrtdl'l E,n6!lon S6.ld.rd!b Hrr.l!o,
^t.
poqrrir {XESrlAp)d le t O707-l{XrO d l..t r0 d.rr gta b r.
OF UNITSi
or sronresl--T----
oF FLooRs: -f-
mp/wsw aq-attra,E lrrlag,rartadoa/stmp tt'rtt
aurLorruc xetcxr 16 i
* or srnucrunESi-- fl
ACRESDISTURBED: ,r/
d..lrofrhn d aru hdty d bui!| R Saa A$6b. $bb Sb:
rorAl PRoJEsr co6r, .<<k70TOTAI-AREASOFT. 4fr+ToTALSQFTUNoERffi:.@ I
SO FT
WATER:
SEWER:
SYSTEM E8Flli.,H,i3,{H*',}f I'JHff^'+',',::::^p,.,8:ff $]:*l*..
T cAsH T cHEcK (pAyABLE To NHc) f - AMERIcAN ExpREss lV McNtsA l-_ orscoven(FOR OFFTCE USE Oi{LY)
IOISCLAI R IN6 AP L T]ON s T THE TTAI.HARGE IS iION -REFUI{OABLE
_ LrcEl,tsE r:
PROPERTY (M{Ei's tTAIiE ;
co
(-
J
{[p-n:4!- ln t- 5'nt-Z)2:2-l)-
k. ..',.^
,-\(Sf
?ot? - loo6L
l5sEP t? 2 r tEprNEW HANOVER COUNTY BUILDING PERMIT
APP LICATION TYPE RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROIECT
"Proiect Responsibiliv,
t7:2398
Application
Number
(oflice use)
APPI.ICANT'S NAME:./r-r- ,L-Foo -, o '-€r-/a/DateTpRoJEct ADoREsst </t /y'A/ Sy ctry
SUBDrvrsroN: 4t L A-/ * \.L
71p.4 6 z_.4 /
LO i
PROPERTY OWNER'5 NAME:
OWNER'S ADDRESS:
CONTRACTOR
ADDRESS:
EMAIL ADDRESS:
-f
7-- .c
/L
ctr, (c)i /t et -z: /- .zre' ,ttC .
BLDG LICENSE #
ctl]t i)t/n/ t94t- sl ,.1 {ztP: ZQ-IL g
Paoxe: Ib) 4qt-36rL-
PROJECT CONTACT PERSON C,4,4tnt 2r.zO PHONE
txlsTlNG CONSTRUCTION: D Alteration{ nenovation y'General Repairs
NEW CONSTRUCTION: E Erect New Residence E Additionto Existing Residence ! Relocation
1*'PI.EASE CHECK AND ANSWER BELOW AI.t THAT APPLY TO YOUR PROJECT*''
D Att Garage (SF) _
E Sunroom (SF) _
D Greenhouse (SF)
! Pool (SF)
! Deck (SF)
n Porch (SF)
tr Storage Shed (SF)_
! Other (SF)
ls the proposed work changing the existing footprint? ! Yes D No
TOTAT Sq FT UNDER ROOF Aor proposed work) Heatedi
TOTAI- PRO.IECT COST (Less Lot): S /O, ac>t'>
Unheated:
ls the proposed work changing the numb€r of bedrooms? tr Yes Ef No
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure ff Yes n No
lfthe projectisa Relocation, istherea Natural Gas Lioe on the cu rrent site? E Yes\0 No
ls there Electrical Power on this Building? ! Ves (lfo
Property Use/ Occupancy: ! Single Family tr Duplex n Townhouse
Description of Work:
rn e-[ i Oor:
laws and ordinances and reSulations. The NHC Development Services Center will be notified of any changes in the approved plans and specifications or change in contractor
information. *"NOTE: Any work pedormed without the appropriate permits will be in violation of the NC State Bldg Code and subject to fines up to 5500.00...
Owner/Contractor; f*r> t7on , 2e Signature:
"Licensed Quolifier"
lsthepropertylocated inafloodplain? ! Yes ! No
Existing lmpervious Area: _ Sq Ft Total Acres Disturbed:
New lmpervious Area:Sq tt Existing Land Disturbing Permit: n yes D No
./)
WATER:
sIw€R:
FPU D Community System E Private Well ! Central Well ! Aqua
CFPUA ! Community System ! Private Septic ! Centralseptic D Aqua
zone: _ officer _ Setbacks (F) _ (tH) _ (RH) _ (B) _
Approval: _ City: _ Date: _ Flood: (A) _ (V) _ (N) _ BFE+2ft= _
Comment:Permit Fee: S
PHONE #:
D Oet Garage (SF) _
, r 'r
t
Clear Form Print eMail
NEW HANOVER COUNTY BUILDING
APPLICAfiON IYPE: COIIMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responslblllty"
2on-r r/3bPERMIT L7 -32L3
APPLICATION
Number
(office Use)
9-29:17APPLICANT,S NA}IE: y3 - DATE :
DEVELOPER: -PHONE S:
PROJECT ADO ZlP.284A5
OCCUPANT/BUSINESS NAI'IE: Land Lorc va.rtta shetl
faire Town Center Demising D-125 Space
space demising !.ra1f
PROPERTY OWNER'S NAi'lE: uayfaire ToL,n Lenrer j-p
Ob,NER' S ADDRESS: 68J5 co.,servario,, Way
CONTRACTOR :
ADDRESS: aco
CITY:9;r1,1i6n1on
PHONE #: 910 2s6 s1l1
ST: 5 ZIP:2g435
DH Griffin Construction LLC - LICENSE *: ;s:rs
Green VaLley Rd. Suite 301 CfTY:6...n.g...5T: uc ZIP: :rqog
_ PHONE *: -l .16- jt5-1098EfiAIL ADDRESS: s.r;:nsGrho.CJM
PROIECT CONTACT PERSON: :r€.re ..l:-,r.1
(check All That Apply)
EXIST CONSTRUCTION:ALTE RATION R ENOVATION GENERAL REPAIRS
lf Relocation, is there a Natural Gas Line on the
No
urrent Site?r ES l- r.lo
NEI,.I CONSTRUCTION:ERECT NEI^J STRUCTURE FAST TRACK SHELL UPFIT
ACCESSORY STRUCTURE:
- PHONE #: I3 6-31a- 10 9a
T-.] RE LocATIoN
eh/r.rxleneofi vesl-
ADD TO EXIST STRUCTURE
Is Elect Pouer on this Building l-. Yes f NO
*r'*** rs rBrs A CHANGE OF OCCUPANCY USE?r YES l-. lO *****
IF Yes, what was the Previous Occupancy Type? rerail _ tJhat ls the l{ew Occupancy Fut.rre ;retai],
TvDe ?ARTH DESIGN PROFESSIOML: Gocdrrch Archirecrure Btair Goodrich - PH:910-343-1065 NC REG *:7434
EN6R DESIGN PROFESSIONAL:PH:
DESCRIPTION OF WORK: Add demisi:rg ?att, 3dd -:1./AC UNrT and duct, new single restr@rn, @ elect
NC REG #:-
ls food or beverages prepared or served in this structure?f- Yesli- f.to Is The Property Located ln The Floodplainf _ yeE-
NoDISCLAIMER: I hereby certtfy lhal all rnformalron in lhis appl calion is correct and all work will comply wilh the State Eurtding Code and a olher applicable Slateand local laws and ordrnances dno regL,lalions. The NHC Development Services Center wtll be nolrlled o, any chanoes tn the aoDroved olans and'sDecificatronsor chanoc in conl'aclor or .onrre.r.r inrormalion. "'NOTF Any Work Pedormed w/O rhe Appropr ate Permris w 6e in Viotal,on of rhe NC Slatp BldS Code andSubiectio Frnes Up To $500 00"'
OWNER/CONTRACTOR:.rart,F.rsers/sreveAdr:ns SIGNATURE:(Oualilier) (Print Name)
contain Asbeslos or not. You are requked to call the National Emission Standards tor HazardoLrs Air Pollulanrs (NESHAP) ar (919)707-5950 at teasl 10 days prior to ihe
demolition of any facility orbuilding. Se€ Asb€sto6 Web Sil6t http://www.epi.stare.nc.us/epi/asb€stos/ahmp.htmt
TOTAL PRoJECT ca51. $ 68,200 BUILDING HEIGHT: #oFUNITS:
TOTAL AREA SQ FT: 750 sf
TOTAL SQ FT UNDER ROOF:
SQ FT PER FLR # OF STORIES: r
# OF STRUCTURES # OF FLOORS
ACRES DISTURBED
NEW II\,4PERVIOUS AREA SQ FT
PROPERTY USE OFFICE RESTAURANT
COI\4I\,lUNITY SYSTEM
CENTRAL SEPTIC
IVlERCANTILE EDU APT CONDO OTHEI
SIFICATIONWATER
SEWER
SYSTEM
CFPUA
CFPUA
TI WELLlHlvlrr seprrc T1 ZONING USE CLAS'dottlvururrv
EPARATE PERI\,1ITS REQUIRED FOR ELECI, lVECH, PLBG GAS EOUIP, PREFABS & INSERTS
PAY|\ilENT l\,4ETHOD f cASH f- cHecx lenvaBlE To NHc) f- lllenlclr.r EXeRESS f N,lc/vtsA J-_ otscoveR
ZONE: OFFICER
(FOR OFFICE USE ONLY)
SETBACKS: F:LH RH BApproval:_ City:_ DATE_ FLOOD:_ BFE+2ft,AVN
Comment PERI\4IT FEE: I*DISCLATMER:SUBMITIING THIS APPLICATION MEANs THAT THE SUBMITTAL CHARGE 1S NON-REFUNDABLE
If UPFIT - The SheII Permit #:
EXST LAND DISTURBING PERMIT? T YES T NO
SQ FT EXISTING IMPERVIOUS AREA:
t$lr^'*2o/)-// /'X=
L7 -32L BB
Clear Form Prlnt eMail
NEhI HANOVER COUNTY BUILDING PERMIT
aPPLrcaTroN TYPE: COiIIIERCIAL
PLEASE Al,lsllER AL! QUESTIONS APPLICABLE TO YOUR PROJECT
"ProJect Responsibilit)/'
aFFEffiiGl
llumber
(offtEe Use)
DAyE: *29-17APPLICAT{T'S NAl'lE: y3yg31a6 To\,rn center Demlsing D-.125 Space
t 1'_::i:
PRC] EC;: 917 Town Centet Drive
ADDRESS: 665 cr:een valtey Rd. Suite 3C1
(checl All Ihat Appry)
EXIST COITISTRUCTIO.I :ALTERATIOI.I RENOVATIO}I(
lf Relocation, is there a NatLil-.1 Gas Line on the unent Ste?r GEITIERAL REPAIRS J-I RELOCATIOI{
f-. No rs BLDG SPRTNKLERED,fi -YerJ
PHONE *:
: wrlnrington ZIP i 294n5
OCCUPANT/BUSIi{ESS tUlJitE: r,ana Lord vanilta sheft - space demising wa]I
PROPERW OWt'lER'S tIAr'iE; trayfaire Town Cenrer tp
OI{NER'S ADORESS: aa:s c-""".r.rion vl.y , CITY: 1i1.i"n1on
C0 TRACTOR: DH Griffin Construction LLC - LICENSE l: :s:: s
CITYT 6."gn5geee
El,lAIL ADDRESS: sadaryqqq\qc.corr
PROIECT CoNTACT PERSot{: sreve Adans
_ PHO E #: 9iO-256-s131
ST: NC ZIP:28105
ST: NC ZIP: 27408
, PIONE $:336-316-1098
PHONE S:336-316-1098
ilt* .o*rr*r.rro*: fl EREcr NEIJ srRUcruRE E
ACCESSORY STRUCTURE:
FASI TRACK 5H EI- L [JPFXT ADD TO EXIST STRUCTURE
T+ UPFIT - The Shell Permit #:Is Elect Porer on this Building li Yes i- NC
r1*r. rs rHrs A cHAr{GE 0F occuPA cY usETT YEs l- r{o,r***r
IF Yes, vhat vas the Previous Occupancy Type? Retail - l,lhat is the l{ev occupancy Future Retail
Tvoe?ARTH DESIGN PROFESSIoiJALlGoodrich Archirecture Btair Goodrich. PH:910-343-1C65 NC REG #:7434
EN6R DESIGiI PROFESSIONAL:-PH NC REG #
DESCRIPIIoN 0F NoRK: Add denisrn lratt, add HVAC UNIT and ducl, new slngle restroom, new elect. service -
(Ovalrre, (Pdot N!@)
Nol€: Oenolilion nolfcalions & .sbostos ramoral p€n n applic€tons aro !o b€ submi(€d using Ue applicaiion fom (DHHS3768) wndh6r $e ta.iliiy or building was rolnd 1o
clnlain Asb€s1os or Dol. You alE r€quircd to callth€ Naijonal Emission Siandards tor H6:adous Alr Polul6.ls (NESHAP) at {SlS)707-59:,0 at l€si l0 days prior !o lhe
demolilion oi any lEdlity o, building. S€€ Asb€sios Web Sit€: htp://!vww.epi.stale. nc. udepi/.sb€slos/ahmp.hlml
ls food or beverages prepared or served in this struclure?f Yesli No ls The Property Located ln The Floodplain'i- YedF_
NoD|SCLA MER I hereby cenify thar all lnlormadon ln this applicadon is correct and all work will compt wilh lhe State Buildhg Code and all other applb3ble State
and locall6ws a^d od6anc6 and reoulalior's The NHC Develooment Se.vices Center wil be notifed ol anv danoes rn the aoomved ?lans and so€cificatbns
or chanoe In contracior or @ntracto. lnlomslion. -\OTE: Ary Wort Perlomed W/O lhe App.opdare Pem s will& in Violat6n ol heNC Slate BldgCodeandsuuedio Fne. Up To S5@.0c-'
OWNER/CONTRACTOR: cary RoEers / steve Adams SIGNATURE
TOTAL PROJECT COST, $ 68,200+BUILDING HEIGHT
SO FT PER FLR|
# OF UNITS
TOTAL AREA SO FT: 750 sf
TOTAL SO FT UNDER ROOF:
WATER: J;;ICFPUASEWER :CFPUA
SYSTEM
PAY[4ENT METHOD:
# OF S'TORIES
# OF FIOORS
ACRES DISTURBED
NEW IMPERVIOUS AREA:
PROPERry USE , loFFrcE Ll RESTAURANT MERCANTILE EDU
Approval._,. ' City: , . DATE
Comment !r ii I
# OF STRUCTURES
SQ FT
APT CONDO OTHEI
FICATION
SETBACKS: F: LH_ Ri-' -BFLOOD._--:_ BFE-2ft,,AVN
rr.,\_t F ERMIT FEE; I
1HE S ]TTI.L
'HARGE
IS NON-REFUNDABLE
-i)
:O|\.4MUN|TY SYSTEM fl WELL *; ZONING USE CLASSI
CENTRAL SEPTIC FR1VATE SEPTIC T-']'i5MMUNIry
,, .oi. .^. ,atc. r,, ec cesLi .,,
l* CASH f cHEcK (PAYABLE To NHc) f-AMER|CAN EXPRESS i- racnrrsl l- DrscovER
(FOR OFFICE USE Or'.1 Yi
ZONE: OFFICER
DISCLAIMER: SUBHITTING THIS APPLICATION
Ihs
?,4,
b,J
s
EXST LAND DISTURBING PERMIT? I_YES TNO
SO FT EXISTING IMPERVIOUS AREA:
2>Y4I ISD
APPLICANT'S iIAI.IE:
DEVELOPER:
rn#<?K E
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIoN rYPE: CO^'Ir'IERCIAL
PTEASI ANSIiIER ALL QUESTIOTIS APPI:CA8LE TO YoUR PBO]ECI
"Project ResponstblUty"
rt-K
L7 -2957
AP PL-fcAr-ItiN
Number
(off1<e Ure)
-orrr: f .'l [. l'/
- PHoNE *f 1to. aAl.-76oo
PRO]ECT
OCCUPAT{T,/BUSI ESS !,IAfiE :
PROPERTY O'['IER'S ilAlilE :
tbugl-E LIA?P N s5
zrc,: Lg4ll
PHoNE d:11n.r09.33L1st:,$@,44
I
t{L??R/'PF-f..11.85 L
OWNER'S ADORESS: S24a t{6qsr€tt-tzdolr
CONTRACTOR:
AODRESS:
EIiIIAIL ADDRESS:
PRO]ECT CONTACT PER
06 ,/\LICENSE *;6qz'ttctry: l r-lr.n .l 5T 'N_!.
Q ta
zrP:.
-4a
lYl<1
- C!,,r.^
(clErk All lhat apply)
. PHONE fi:9-'11\L
PHONE f:
EXIST Co|{STRUCrIoN: Tl
lf Rslocatlon. ls thor€ s Nsfi;al
ALTERATION
Gas Lins cn thE
F-I RENO/ATION T-] GENERAL REPATRS T-I
Hrrent Sire? ;- *J;--, "o 's
eLoc spH,l
RILOCATIONrleneofi vesl-_
NoNEt., CONSTRUCTTON: I ERECT NEr.l STRUCTURE nFAST TRACK
ACCESSORY STRUCTURE:
E SHELL EtupFrr fl aDD ro Exrsr srRUcruRE
7If UPFIT - The SheU Permi.t S:Is Elect Polrer on this Building Nirrr,i rs rHrs A CHANGE oF occupaNcy usElf vEs K N0
IF Yes, Bhat gras the Prevlous Occupan<y Typel - tJhat ls the'New 0ccupancy
TvoelAnCH DESIGII PRoFESSIoIIAL: L r"t LoVSGfl^rLl(rA 4l .164o rc nec r
ENGR OESI6i{ PROFESS I0NAL:_CRE6*
DEscRrprroN oF rroR(:
--
NEW tLE S-.rl'Ufu\^rrf
Yes r. N0
A.L
PH
PH
t611LIZEIE-EEI*
ls food or bevsragss prepared or seryed in this structure?NYesJ-- No ls The propony Located ln Tho Floodplal nf-vsi(-
NoOISCTAIMER I hereb, cadjly Ihat oltintormauon in Cod€ and all orher Egplicsbte Stateplan
NC soocillca uons
Bldo Code andStalc
OWNER/CONTRACTOR:L. TTrMK IoI/hEAA^ t Lie [14 srcneruRp:
Nor6: D8.nollidt iodic.tbrr E .sb€stos r€movst p€r,r.it appticatbrE 6r€ !o bo appll.rrion lorm (DHHS-3768) $h6ih.r fis taclity or b'radirg wai tornd b.onlrln Asbcslo3 or not, Yo! sre requlred to calIhg itational E nlsston sbnfurds for H€zsrdous A,r Po[obnrs (NESHAP) al (919)707-5950 al tsasl i0 days prior ro thc
and bcallsws and ordtnanceg and regulsll,on! Th6or chana€ h conlrsclor or conlrador Infofiiation. '"Subl€cl lo Fln6s Up To t500 00-
d.mol[to. ot .ny bdlhy o. hrldrB.
TOTAL PROJECT COST:lq
htFr dwwell.st6B.ncuye0i/6sbe$os/stynt tunl
BUILoING HEIGHT: . S\+ct"t" ' oF uNlrs: I
SQ FT PER FLR:
pRopERry usE: EoFFtcE $nrsreuner,rr f| r,rencarwlLeI rouc[ner|-1 cor,roo
sER.83:B!i.,H,i:--q'i:*il:"H.fl
#:::i::::^-"",8,"ff ,,11,i,,::"'
See Asbesrc! Web Sile:
TOTAL AREA SQ FT ;lo
IOTAL SO FT UNDER # oF STRUCTURES
ACRES DISTURBED:
NEW IMPERVIOUS AREA
f OF STORIES:
f OF FLOORS:
Exsr LAND DtsruRsrr.rc pEnMlTz _r(ves J- r.ro
SO FT EXISTING IMPERVTOUS AREA: SO FT
OTHEI
ICATION
PAYMENT METHOD: l- CASX l-. CUECX leaVneLE TO NHC) l-- nUenrcml uxeRESs r-MC /rSA l-_ orscoven
ZONE: OFFICER:
(FOR OFFTCE USE ONLY)
SETBACKS: F:LH RH BApproval:_ Clty: DAIE_ FLOO BFE+2fI:
N
_ PERMIT FEE: I
Comment
iDISC LAIMER: SUBI.IITTING THIS APPI" ICATION MEANS IHAT THE SUEMITIAL CHAR6 E I5 NON. REFUNDABLE
\59 )on-tt(s o
&-a-
COI{TfiACTOR;
ADDRESS:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION rYPE: COPIIIERCIAL
PIEAsE ANSHER ALL QUESJIONS APPLICABLT TO YOUR PRO]ECT
"Project Responsibility"
L7 -2957
APPLICATION
I'lumber
(Offlce Use)
APPLICANT'S tlAt'lE; L. MA<K
DEVELOPER:
PRO]ECT A
-orre: Q.l[. l?
pHol.rE s:tc.34l.16oozl?t.Lg4ll
PHoNE $r 17o. ,o9.33 L1
4 Ae\<'t
E3
v??Rnf FJz-rtr5 LLC
CITY I
ERECT NEI,I STRUCTURE FAs'T TRACK
E ILK
\V ltJ-,U/.l
OCCUPANT/BUSINE55 NAitE I
PROPERTY O NER'S iIAIIE:t{
LICENSE f;
=1.E ATL ADDRES
PRO]ECT CONTACT PE 50N:o
(Check AII Ih.t AppIy)
EXIST CONSTRU'TION:ALTERNTION R E I,{OVAT IO N
lf Relocation. is lhere a Na1!ral Gas Line on the irirent Site?f,-
GENERAL REPAIRS
l-. No rs BLDG s
No
NEW CONSTRUCTION:
O[JN;R'S ADoRESS:t<.wgLr
O&eq
(,rz s1t 6l\z!P | .%X q4
sI t/ll ztet aer/9
pHor,lE s:
PHONE S:
T-I RELOCATION
e"RwKreneo-{ Y""1--
I SHELL XupFrr f] aDD ro Exrsr srRUcruRE
ACCESSORY S-IRUCTURE:
?
hs'*
.6
f
\)s).v
$-
Tti
$\J
J
\q'
+
lf UPFIT - Ihe Shel] Permlt s:Is Elect Power on this 3uj.lding N Yes f. N0
lt'No +.*.*
tf,u\Ne, occrp"ncy A-2-
ln-uL[/-*"l.' rs rHrs a cl{aN6E 0F occupaNcy usEt f yEs
If Yes, Bhat was the Previous Occupancy TyPe?_ llhat is
T
A
E
RtHtorrron raorrrrro*oa, I r.{LoVt€,Rt^ rLlz-tA . PH:1[o . ,41 .?(r./D Nc REG
cH:310.4?a,9.(€
f
*o1-ZL
l,lGR DESICN PnOFESSIoNAL r,*C REG
DESCRI2IION OF I.JORK NEW TCESTAI^R,-A}}T
ls food or beverages prepared or ssrved in th " ",r"trr"1ffiYesf - No ls The F.opedy Located ln The Floodplaintr-, Ye<
N8"ro,r n o l hereby cen y that slr inlormarion n lnis spprrcatron is correct snd srr wort wirr co mpty with lhe srste Buil
and local luv.5 and odrnanc€s and reouitlions. Tle NHC DeveloDmenr Servrc€s
or cnanoa - ionlrsctor or conL€dor intomalroo "'NOTE:Any Work Pedomed
Subjecllo F .es Up To !500 C0-
ding Code and 6ll olher applic€ ble Siate
roved Dlans and soecillc€uonso,tne NC S6le BIdg Code and
(.,frn6fe)
& 6sb€$los rEmovalpe,mit applications a,€ lo bo applie on,om (DHHS'3768) wa€lhEr lhe faciliry or building was lound ro
ar6 reqll.ed to c€lllhe NalonalEmission Standa.ds lor Haza rdous Air Pollubnrs (NESHAP) al (919)7C7-5950 ar leasl10 days pricr ro 116
ol any faoiity orbuildl.g. See Asbeslos Web Site: hrrp:/ r*w.epi.sla€.ncusJepi,/asbestoyahmp.hunr
TAL PROJECT COST:Iq BUILoING HEIGHT: E)\IET,U # oF UNITS: I
OTAL AREA SO FT :
.JTAL SO FT UNDER
lo SO FT FER FLR:
OWNE
AC3'S DISTUREED
NEW IMPERVIOUS AREA
Cenle, will be norilied olWlO lhe Appropriale Pe
ACTOR:L, ts,*/tK LoLIbq?.r ILl<
# OF STRUCTURLS
E[,1
EXST LAND DISTURBING PERI.,!IT? -PIYES J- I.IO
SO FT EXISTING IMPERVIOUS AREA
COt{DO OTHEI
E CLASSIFICATION
x
N
SO FT
WATER
SEWER
SYSTEM
aCFPUA
Ci: I'UA
CO[,lMUNl--w SYST
CENTRAL SFPTIC
T"] WELL T'] ZONING USFnlvlrr srprrc Jfior',tvulrrw'ni:i .n!,111:tLRr.r'irFll':rr.il rr[O{ll].fCr t.li .'r!. Plliai. GAS t_Ql,tp, i:ita .;iUS&rt'lu"r'i
PAYiIENT i\,lETHOD f- cnsH l-. ccrcK (eAvABLE To NHc) f*- ntrenrceru exeness f-- l,lcnrtse l--- orscoveRa ' :\ (FoR oFFlcE
zoNe: lJ o{rlcER: Dtr(, SETBA
app, ou{-dE_ city : I Lrld-i N L -3f t dl n F Lo
USE Oi.i
CKS: F
OD:
LY)
t.t/A Ln l/A nn NIA aa!/!&
IrCommentPEaMIT FEE: IiDISCLAII'1ER: SUEflIITIN6 THIS APPLICATIoN MEANS THA,T THE SUBiII'iTAt CHARGE IS NON-REFUNOABLE
Cr ICV Cf.P,,tA, Zril (eTH
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NJ rzoal\
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J
3$
3FE+2ft,--
Al4 srcrvRruRe:
# OF STOBIES:
# OF FLOORS:
pRopERw usE: L]oFFrcE finesraunx.rr fl urRcerurrLel-J eoucf] nerf|
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