APRIL 2 2018 BUILD APPSClaar Form Prlnt
NEW HANOVER COUNTY BUITDING PERMIT
APPU CAf ION TYPE : RESIDENTIAI
PL€A5E ANSWER AU OUES'IOI(S APPtICAStE TO YOU8 PiOIECI
'ProJCct nctponrlblllh/
t{nz.uro- 3}6
itubl^ffi
APPLICANT,S NAME:Date
PROjECI ADDRTSS:
suaDrvlstor{:
OTYi Wl L^4 -
r-oT f:
?.tP. Z F o7
PROPERTY OWNE85 NAMEI L
OWNER's ADDRESS
CONTBACTOR
ADDRESS:U
EMAII AOORESS I
PRO,lECT CONIACT PERSON W/+$ ?*t
Clrnl: (r/ t-d4 ztP .? W 03
Oottsr, / tbtetoc ucENsE {: ,0 t { 7
cfir: LtB. BCH st: q\<zt,.. ? tA Ib
PHONE 'IrL
'T I <r-
EXISTING COI{SfRUCIION: E Alteratlon {Renovatton D Generat Repalrs
NEW CONSTnUCTION: Cl Erect New Reridence E Additlon to Exlsfln! Resldence tr Relocaflqr
'..PIEASI cHEcK AND Ail .T-
I Att Garaae (St)-_ tr Oet Garage (SF)_ t- Porch (SFl
I S{/nroom (St)_
iJ Greenhouse {5F) _
tr Pool (Sf)
D oeck (5F)
Tolsl Acra3 Dlsturbed:
(v) _ (Nl _x_2ft=
PI{ONE
PHONEi lo /e 5t1t
fOF pernit fcc: 3
f Storage Shed (SF) _
fl other (sF)
ls the propored work dranginS the exlstlng footp,int? E Yes 6 No
TOTAT SQ Fr UltlDER ROOF Uor proposed wort) Heated:Unhoated:
TOTAI PROTECTCOST {less Lot): $:l-btooo
lsthe proposed work changingthe number of bedrooms? tr YcsA o
lsanyElectrlcal,Plumbln!orMechanlcrlworkbelngdonetotheAccessoryStrrdureEYesEttlo
lfthepro.ledlsaRalocftlon,isthereaNauralGarUneonthE.unentrlte?EYesONo
rs there Electrical Power on this Buildint? E Yes fl ,{o
Prop.rty t r./ o.cupancy: Ellntlc Fsmlly E ooplex D Townhousc
Drrcription oI Worl:
d
l.ws rnd ordlnan..i rnd reSul.tiont. Ihe NHC Dcv€lopmert S?Di.e! Clnt€r wlllb. notii.{, of iny dl.n!6 h ti
i.fom.tloi. "'NOTI: Any w!* pcdomed wilhout lh€ . ppTopi.tc p€rnlls wlll bo lx viol.tjon ot th€ NC 5u!.
rpe.lflc.tiore or (n.n,e
NttLa f*t-<tn Sitnaturaiowner/Conti.ctor:
"Llccnsed Quo fief
15 the property located in a floodplain? O v4(no
Exlitlng lmpewlous Areai _ Sq Ft
New lmpervlour A.ea:Sq tt Erlstln3 tand Dlitu.blnt Permit: O Yes E No
wArER: B/cfPUA E communhy syrtem O Pavate well 0 centralwell E Aqua
sEwER: El'--ct
.on"'R:\5-
PUA E Community Syrtem D Private Scptlc El Centrslseptic E Aqua
*rr,ry'A rrrrlAOtficer:
Appro,al, 0
nComtncnt:
Clty:
Criy lnsprtion Requrreo, 9i 0-254.09r.rr1
ll
Clear Form Print
Qr. ri1I
ffi
iB
APPLICANT'S NAME:Date 3
R WlLU ztP: ?Fyo?
LOT f
PROJECT ADDRESS
SUBDIVISION:
PROPERTY OWNER'S NAME:L
OWNER'S ADDRESS
CONTRACTOR
ADDRESS:o
EMAIT ADDRESS I
PROJECT CONTACT PERSON: W*T-
10 PHONE H
CITY: g,u t <-44 ,n-28o3
Oo lrsi, /y'<sloe LrceNse s ,bEV7
crw: l,uP , SC H sr 4v <zle: ? E-9 [b
PHONE 1l o b/e 5/1 t
rL
EXISTING CONSTRUCTION: L Alteration MRenoualion . General Repairs-L
NEW CoNSTRUCTION: ! ErectNew Residence E Addition to Existing Residence ! Relocation
*i,*PLEASE CHECK AND ANSWER BEI.OW ALL THAT APPLY TO YOUR PROJECT***
E Att carage (5F)_! Det Garage (sF)_a Porch (S F)
. Storage Shed (5F)_
tr Other (SF)
L l Sunroom (51-l tr Pool (sF)
I G.eenhouse (S F)tr Deck (sF)
ls the proposed work changing the existing footprint? ! Yes E No
TOTAL SQ FT UNDER ROOF Aor proposed wotkl Healed:.Unheated:
TOTAT PROJECT COST (Less Lot): S :t-D t o oo
ls the proposed work cha nging the n u mber of bed rooms? Ll YesE[ No
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure E Yes E No
lf the project is a Relocation, is there a Natural Gas Line on the current site? E Yes ! No
ls there Electrical Power on this Building? El Yes E ttlo
Property Use/ o€cupancy: ELiingle Family n Duplex E Townhouse
Description of Work:.T
tLo a
E
taws and ordinances and regularions. The NHC Development Servrces Centerwillbe notified ofany changes in the approved soecifications or chanee in contractor
EC
Owner/Contractor:6a<:i (*t -i-r :-t Signature:
"Licensed Quolifier" Print Nome
ls the property located in a floodplain? tr vd(ruo
Existing lmPervious Area:
-
Sq Ft
New lmpervious Area Sq Ft Existing Land Disturbing Permit: ! Yes I No
WATER: EllcFPUA E communitv System ! Private Well E central Well fl Aqua
SEWER: B/CFPUA D community System ! Private Septic E centralSeptic E Aqua
Zone:
-
Officer:
-
Setbacks (F)
-
(tH)
-
(RH)- (B)
-Approval:
-
City:
-
Date: _- Flood: lA)
-
(V)
-
(N)
-
BFE+2ft=
-
information "'NOTE:Any work performed without the appropriate permits wil beinviolationoftheNCStateB
TotalAcres Disturbed
Comment:Permit Fee: S
NEW HANOVER COUNTY BUILDING PERMIT
APPLICAT| ON TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROIECT
"Proiect Responsibility"
CITY
PHoNE qlo b /h 5/1/
en*3t>7st:
APPLICANT'S NAME:
NEW HANOVER COUNTY BUITDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPTICASLE TO YOUR PROIECI
"Proied ResponslbiliV'
f?- --b"t&CITY
rc-l€
Application
Number
(oftice use)
/i tdU'Date
/\ ZIP:PROJECT ADDRESS:
suBDtvrsroN:d
PROPERW OWNER'S NAME:
OWNER'S ADORESS:
CONTRACTOR:
ADDRESS:
L<-)r/-tn
+onsSC
Y.
PHONE #:to Ll 70 63?
CITY
CITY: L--u
CP,'r-t PHONE:
ztP: ^z(+3o
f )-s
o
EMAIL ADDRESS:
PROJECT CONTACT PERSON
D Greenhouse (SF)
o
BLDG TICENSE ';sT:!(zrP:)?<{ t I<)>)_(r)
PHONE 4e 7)4 a-16)
EXISIING CONSTRUCTION:,EQAlteration E Renovation D General Repairs
NEW CONSTRUCrION: n Erect New Residence E Addition to Existing Residence f] Relocation
** *PI.EAsE CHECK AND ANSWER BETOW ALL THAT APPLY TO YOUR PROJECT**I
tr Att Garage (SF)_
)Eftunroom (Sr)
tr Deck (SF)
ls the proposed work changing the existing footprint? n Yes E[ No
TOTAT SQ FT UNDER ROOF llor prcposed work) Heated:2-/ o sP?unr,"","a,
TOTAL PROTECT COST (Less tot): S )-Boa
ls the proposed work changing the number of bedrooms? tr Yes N
ls any Electrical, Plumbing or Mechanical work beinB done to the Accessory Structure.)< Yes E No
lf the project is a Relocation, is there a Natural Gas Line on the current site? tr YesF No
ls there Electrical Power on this Euilding? I? Yes tr No
Property Use/ Occupancyjls Singh family n Duplex ! Townhouse
Description of Work;
9|,lflR lB I I r44rlfl
&r r.rr|tsy-r<]r.,...." ji.-.t<- gorc\ -fo ScZr er-x)rn,
DISCLAIM€R: I hereby certit thar al ion in
laws and ordinances and regulatio NHC Develop
information. +*'NOTE: Any
owner/contractor:
"Licensed Quolifier"
this application is correct and allwork willcomplywith the State Building Code and allother applicable State and local
ment Services Centerwillbe notilied ofany chanBes in the approved plans and specifications or change in contractor
e appropriete permitswiilbe in violation ofthe NC State Bldg Code and subiect to fines upto S500.m...
Signature:
ls the property located in a floodplain? ! Yes
Existing lmpervious Area: _ Sq Ft
Suo
TotalAcres Disturbed:
New lmpervious Area:Sq Ft Existing Land Disturbing Permit: fl Yes ! No
WATER: TpCFPUA ! Community System ! Private Well n CentralWell n Aqua
SEWER: PCFPUA ! Community System ! Private Septic ! Central Septic E Aqua
zone;
-
Officer:
-
setbacks (F)
-
(tH)
-
(RH)
-
(B)
-Approval:
-
City:
-
Date:
-
Flood: (A)
-
(v)
-
(N)
-
BFE+2ft=
-
Comment:Permit Fee:5
E Det Garage (SF)_
tr Pool (SF)_
n Porch (SF)_
n Storage Shed (SF)_
E Other (SF)_
ffi'
NEW HANOVER COUNTY EUILDING PERMIT
APPI I CAflON rV P E : RES| DENTtAt
PTEASE ANSWER ATI- QUESIIONS APPLICABL€ TO YOUR PNOJECT
"Prorcct Re3pon3lbtlltl/
2t\ts-1A(l18;gSg
Applk.llon
l{umber
(orfc€ u!e)
applICANT,S NAME, Ptantation Bu ding ot Wihington, tnc Date:3/5/18
PRorEcr ADDRtssr 7iD Hanover s[.ctw. Wllmhgton aP. 24441
n I.OT fl:
pRopERTy owr{ER,s ttltttt: PBC Holdlngs, LLC PHONE f. 910.443.0746
OWNER'S AoDRESS: PO &x 2473 61n. Wilml n9ton zPt ztJ4u?
GorrtrRACToR: Plantation Building ol Wlmlngton, lnc 68712
aoonss: PO bx 2473 atry, Vvimlnston
SLDG uCEt{SC f:
sr: NC 2UO2
EMAII. ADDRESS:roseman plantationbuildingcorpcom pxo!',E.9l O 763.876--6-
pRoJEct co TAGI pERsoN. Steve Scharf PHOt\tE. 910.899.0702
EXI$lt{G CO STRUCIION: 0 Altera on E Renova on E General Repalrs
NEw CONSTRUCTION: fl Erect New Resldence E Addl0on to Exlstlng Resldence D R€locatlon
...PLEAIII CHECI( AiIO A'{5WEi IEIOW ATI. TxAr APPLY ID YOUi PiO'ECT'"
E Att Garage (sF)
-
tr Der Garage (sF) _ Blrch grl 220
O Sunroom (sF) _D Pool (sF)! Storage Shed (SFl _
D Greenhouse (SF)D Deck (sF)D Other (sF)
220
15 the proposed work chanSinS the existinS footprint? E yes E No
TOTAI. SQ FT UNDEi ROOi Aor proposed wotkl Heated: 16 unheatedi
TOfAt PROTCCT COs? ([ess tor]: S r20,000
ztP
ls the proposed work changlng the number of bedrooms? B yes 0 No
ls any ElGctdc!|, Plumbht or Machlnlcrl work belnt done to the Accessory Structure E
lf the proJect ls a ielocatlon, ls there a Natural Gas Llne on the cu ent slte? tr yes tr ll
ts there Electrical Power on thls BultdinSl W4s E no
ffj,fl'ffild#8 Bfl,l',y no o.,0"' o rownhouse
:Ufty Engineeg'tng
ROW Revlew
I
Propenv Use/
D6crlptlon of
L$,t and ordlnanaes.nd retulatlons. lhe NxC D€v€bpftant Se.vker Center wlllbe nodlled of ary ch.nter lo th..pproved plrn3 and ipeclfrr.tloni or rll.nli h Goot,aato,
lnro.matlon. "'NOT[: any woTl p.dormqd wlthoul lh..pprogrlate permlti u/lll b€ ln vlol,tlon ol the NC Srate0ld8 @de and.ubJect to fln.r uDto 95m,m...
ownerTcontractor; An9€li Boselln SlSnature:
"Llcensed Awlvlef P nt Nome
ls the prop€rty located in a floodplaln? tr ves tr.t6-
Erlstln3 hpervlous Ar"", 0 sq fl TotalAsresDtsturbed; 125
,{€w lmpervlous Area:2285 Sq Ft Exlitlnt Land Dlsturblnt Pclmlt: E:f6i tr t'lo
WAIER: E 4PUA D Communlty System E Private Well E Central Well E Aqua
sEwER: O€IPUA E communlry system El Prlvate septtc E central septic E Aqua
b' [*t4.1' lext 4'l' lel ls/(fzone, ?'5 oficer: Oftr serb
apprwatt 0Y- crtv: ILIA oate:| (Al _ (vl _ (ol X ore+att= _
Srde P€rmlt Fee: $Comnent:
Sctbqc lo/. o t width,dffithffin iitrfs/:trUl reg"' i ru'<nr
SUBDIVISION;
ffi,
NEW HANOVER COUNW BUITDING PERMIT
APPLICATION fYPEr RESIOENTIA!
PLEASE ANSWER AI.I, OUESNONS APPTICASLE TO YOIJR PRO'ECI
"Prolect Re!poirlblllty"
2ot0'3\Eo
18-8516
Appkatlon
lll,mber
(ornce u!€)
AppUcA I,s NAME. Plantation Building ol Wlmlngton, lnc Oate 315118
nover t.CtTy. Wilmlngton 26401PROJECT ADDRE55:ZlPl
SUgDlVlSlONl
pRopERw owNER,S rulMe: PBC Holdlngs, LLC
owNER,s ADDREss. PO Box 2473
PHONE [:910.443.0746
cly: Wlmington zlP. :z64lJ2
CONTRACTORT Plantation Building o, Wilmlngton, lnc BLDG LICE SE I:88712
ztp,2uo2ADDRE55T PO Boi2473
GMAtt ADDREssT roseman@plantatlonbuildingcorp.com
cmr WllmTngm sr: NC
pHoitaT-1T76ir.a766-
pRoJEcT cot{TAcr pEnsoN. Steve Scharf PHONC:910.899.0702
EXISIING COI{STRUCTION: O Alteratlon E Renovation E General Repalrs
NEW CONSTRUCTION: E Erect New Resldence C Addltlon to Existlng Resldence E Relocatlon
.''PLEAs€ CHECI( ANO ANSWER BE ATI TNAT APPTY IO YOUR PRQIECTT"
EI Det Garage (sF) _
tr Pool(SF)
tr oeck (SF)
#orcttlsel 160
E storage shed (sF)_
tl orher (sr)
ls lhe proposed work changing the existing footprlnt? O Yes O No
TOTAT SQ Fr UNDER ROOF lJor prcposed wotkl Neatcdi 1833 unheatedr 160
TOTAT PRO,IECT COST (tess l-ot): 5 120,000
ls th€ proposed work changlng the number of bedrooms? E vcs E wo
lsanyEl.ctrlcal,PlumblngorMccrrrnlcrlworkbeingdonetotheAcces3oryStructureEYerEl{o
lf the prolect is a Relocetlon, ls there a Natural Gas Llne on the curr€nt slte? E yes tr
ls there Electrlcal Power on thls Buildlngl g'fes tr Ho
Use/ Occupancy: -E1h frmfty D Duplex E rownhouse
on of work, Bt ld a drEle lamlli home.'
-C[ty Englneering
ROW RevleurProperty
Descrlptl
lawgandordlnanccs and.etulationr. The t{HC Devalopm€nt Sarvlaer C€nt€rwlll be notltled ofaoy chanEa! ln lheapproved planr and 3gednc. oni or ch.nge ln @nt.actor
hro.matlon. ...iloTtrAnV worl p€dormed wlthout the appropriate pe.mltr wlll be In violallo0 ol th€ f{C Stal€ 8&t Code and rublect lo rln.. up lo SSm.00"'
Angsla Foseman Sltnature:Owner/contraclor:
"Llcensed Quoryler'
ls the property located in a floodplain? E Ycs
Exlstln8 lmpervlou3 area: j- sq rr
f{ew lmpervlous Ar""r 2129 sq rt
sEWER: EI-UFPUA tr Community System E Private Septic tr Cenlralseptlc El Aqua
zoac, Q.,'3 orflcer: Dlb sauactrs lr! I5l { ut 9,l'tnxl -*.
Exlsllng Land DlsturblnS P€tmlt:
125Total Acrcs Dlsturbed
Approval:OL cttv:-:L!U- oatc:tlood: (A)W)s
slricf,Un ep,.c.loSe)
Comment:yi
+(OY\+6elbacE Pot
l-r8) /L
"4tr No
I
E Att Garate (SFl _
E sunroom (SFl _
E Greenhouse (SFl
EK
WATERT 6)<f PUA EI communlly system E Prlvate well E central Well El Aqua
(effr'rcd
NEW HANOVER COUNTY BUITDING PERMIT
APPLICATION rYPEi RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPTICABLE TO YOUR PROJECT
"Project Responsibilit/'
2or8'3t>U
18-910
Application
Number
{office use)
AppgcANT,s NAME: McKee Homes, LLC p31g.3/15/18
PROJECT ADDRESS:'1637 Pointino Grif{on Way ctw. Wilmington 4p. ?841'l
sUBDtvtstoN: Cameron Trace tOT #: 102
owNER,s ADDRESS: 109 Hay St., Ste 301 CITY Fayetteville 21p.28301
CoNTRACTOR: GML Development s1p6 u6sx5s 6. 63970
ADDRESS:109 Hay St., Ste 301 ctTy. Fayetleville sT: NC 21p.28301
EMATL ADDRESS: krivera@mckeehomesnc.com pHONE: 910-475-7100 727
PROJECT CONTACT PERSON Kenny Jones pXolrr: 91 0-475-7 1 00,721
EXISTING CONSTRUCTION: n Alteration E Renovation E General Repairs
NEW CONSTRUCrION: m Erect New Residence fl Addition to Existing Residence ! Relocation
.T.}.}PLEASE CHECK AND ANSWER BEI.OW ALL THAT APPLY TO YOUR PROJECT***
E Att Garage (sF) 410 tr Det Garage (SF) E Porch (SF)260
! sunroom (SF)n Storage Shed (SF) _
! Greenhouse (SF)_tr Deck (sF)
ls the proposed work changing the existing footprint? m Yes n No
TOTAL Sq FT UNDERROOF lfor proposed workl 1193196;1791 unhg2lgd;570
TOTAT PROJECT COST (Less Lot): S 89,750
lstheproposedworkchangingthenumberof bedrooms? B Yes E No
lsany Electrical, Plumbing or Mechanical work being done to the Accessory Structure E yes n No
lfthe pro.iect is a Relocation, istherea Natural Gas Line on the current site? E Yes E No
ls there Electrical Power on this Building? E Yes ! No
laws and ordinances and regulations. The NHC Development Services Centerwillbe notified oI any changes in the approved plans and specifications or change in contractor
information. "'NOTE: Any work performed without the appropriat€ permits will be in violation of the NC State Bldg Code and subject to fines up to S5OO.OO...
owner/cont1361s1; Kelsey Rivera Signatu ''".
Kelsey Rivera orqildy ,gEd by ftby B vera
"Licensed Qudlilier"
ls the property located in a floodplain? E Yes El No
Existing lmpervious Area: _ Sq Ft Total Acres Disturbed: .3 A
New lmperviou5 g1e3; .30 ACI€S Sq Ft Existing Land Disturbin8 Permit: Dl Yes fl No
WATER: E CFPUA tr Community System ! Private Well E Central Well E Aqua
SEWER: 6 CFPUA tr Communitysystem E Private Septic E Central Septic E Aqua
zone: _ officer: _ setbacks (F) _ (l-H) _ (RH) _ (B) _
Approval: _ City: _ Date;
-
Flood: (A)
-
(V)
-
(N)
-
BFE+2ft=
-Comment:Permit Fee: S |tr,o'
,,'.t)- , 1:..!\..,/ l' l.;ffi'
pROpERTy OWNER,5141yg; McKee Homes, LLC pHONEf: 910-475-7100,727
! Pool (sF)_
n other (sF)_
Property Use/ occupancy: B Sintle Family E Duplex n Townhouse
Description of work: New Construction, Sinqle Family Home
t,
NEW HANOVER COUNTY
DEPARTMENT OF BUILDING SAFETY
230 GOVERNMENT CENTER DRIVE . SUITE 170
WILMINGTON, NORTH CAROLINA 28403
Telephone: 910.798.7308 Fax: 910.798.781 I
Internet : www.nhcgov.com
4 to 7 WORKING DAYS TURNAROUND TIME FOR PERMIT ISSUANCE
STATEMENT OF NDERSTANDING
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:
tr lh ve attac 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.
tr 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.
!f 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 buitding 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). ! understand that the 4 (four) to 7 (seven) working days only begins
when the applicatio n is submitted orior to 4:30 pm on any working-day.
Signed in acknowledgment:
Kelsey Rivera 3/1s/ 18
Signature Printed Name
'1637 Pointing Griffon Way
RiveraKel
Address for the proposed residential work:
Date
z< --. ,.:'
.
i'ffiot
NWV FIAITIO/ER @UNry zuI LU I{G FEFM IT
AFRIOATIOhI TY?E FEIDE.IIIAL
EEASEAT{9'IBAI-O.ENCi6AIH.JCAS.E]O\(I.RFfiOET
" Rtoiect ftGponribility'
ut o1,^q Date:V
_z*Y
oTt fJ, lrzn zP._z-!r.l I
ucB{s#6Snt-f
g: fucz
JolS - 3t3v
18-914
ApCicdio0
Mrrtu€r
(ffi@ue)
AFHJCANISt\lAME
PROECIAODFS
SJBDVI9OT.I:
PROFffi TOANERSMME
OTY
c
s$,h tJic..Fro.JEr qLq ?6! Lb-lY(
OVVNERSADDFFS
@NIIRAOOR
ADDFES Ofi: !rJ,
EMAILADOFFS PTIONE
PRO,EST @ITTIACI PEF$N:ft Ft-o{E
DCSING@NSIFI CnON: 0 Aterdion U fuiordion D C€neral frpEirs
NBAI @NSIRJCnON: tr Bed tl6\, Feidence tr Addition to Edding FBjdone tr Bocdion
-".REASECHEC(ANDANSA/H BE.OA/AII1HATAFPLYTO \OURPM. T"'
h cil
!
D srnroom (s)_ D tuol($,_
tr Geenhoue($) D De*($)_
lsthe propos wo* dardngthe oddingfootprint? tr yes e/No
TOTALAFfUNOffiROOF(forproposedwork) Heated:/Jel
-
tfihested:
TOTAL PROlgr Gr (Le$ tot ) :$ibg loc
l8th6 propoed work dransingthe numbq d bedrooms? U ves y'f.fo
grudure E Yes
o Yes Or(o
/ruols any Eedricd, Plumbing or Medtmi€l work b€ing done to the A@ry
the orrrent dte?
O goragB $ed (S)
D qher(s1
s-7
,ilE
De6c,rption of Work:
{-
Dtso-AtMER ttset!, stify thd aI ttE intormdlon in t his applicatio.r is corred sd dl ,{ork will corply with the Sde Brlldhg Ode srd dlottE +plicab{e gde a.d locd
wlll be in \iioldion oI the itcgde Bdg @e aa sJbied to fines up t o $500.m''informatlon. "' i01E lny
lsthe prop€rty I
worx p€rlormed lriltpn lE_{troprlqle p€rmits
3dI. hal,rz
ng lmpervious Arear
-
q
rnpqvrousxe:ALlk.A
Sgnature:
Total Acres Cigurbedl L '/lBi$i R
Na,R Biging Land Dsurbing turmit: tr Yes O No
sAlR y'oflrA o ommunity q/sern El frivate \^Ell tr tuitrd\ bll tr Aqua
gVR \E'lct+LrA tr ommonity q/gern tr fri\rate Sptic tr Gntralsptic tr Aqua
Zone:
-
Officer:
-
Satbacks (D
-
(ljt)
-
(Fl'f)
-(B) -Approval:
-
Oty:
-
Date:
-
Bood: (A)
-
M
-
(N)
-
BFE+2ft =
-Omment Fermit fue: $?13,0
l(
r
{Ntaq,sl \L\tr H E{e(s)_g,516, 1q lYl
lx trYes
fropefly usd
n Yes
NEW HANOVER COTINTY
DEPARTMENT OF BI.JILDING SAFETY
230 GOVERNh{ENT CENTER DRIVE . SL'ITE I7O
WILMINGTON, NORTI{ CAROLINA 28403
Telephone: 910.798.7308 Fax 910.798.7811
Internet www.nhcgov.com
Printed Name Date
ffi;
t,
REGULAR RESIDENTIAL B UILDING APPLICATION
STATEMENT OF UNDERSTANDING
am submifting 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:
{t aia @tacn an official CFPUA documentthat acknowledged approval of
the payment made to CFPUA.
tr I did not attach an ofiicial proof of a Zoning sign-off from the City of
Wlmington, for this work that will be done in the City of Wilmington.
tr I did not attach 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 I did not attach the official proof of approvals along with my
application for permit; New Hanover County cannot 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)
Signed in acknowledgment:
I
Signature
\
Acldress for the proposed residentialwork:
(pt Vl