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ZONING-UPDATED (1)NEW HANOVER COUNTY DEPARTMENT OF BUILDING SAFETY 230 Government Center Dr. Suite 170 Telephone (910) 798-7308 Fax (910) 798-7811 Nicholas Gadzekpo Director of Building Safety ***IMPORTANT NOTICE*** FOR COMPLETE ELECTRONIC PROJECT SUBMITTALS BY EMAIL If you wish to submit your Commercial or Residential project electronically by email, please attach your electronic plans in the “pdf format along with your application” before clicking the send button. FOR COMPLETE ELECTRONIC PROJECT SUBMITTALS IN PERSON If you wish to submit your Commercial or Residential project in person on CD, please fill out the building permit application on line, print it, scan and put it on your CD along with the plans and Appendix B if applicable in the “pdf format” & bring your CD to the Development Services Center, located at 230 Government Center Drive; Suite 170. If you have questions about the electronic submittal process, please call the Development Services Center at (910) 798-7308. Please note that we except Cash, Checks, and Credit Cards (American Express, Discover, VISA, and MasterCard). Thank you. NEW HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE:ZONING (Unincorporated Areas of County) PLEASE PRINT CLEARLY & ANSWER ALL QUESTIONS“Project Responsibility” APPLICATION Number _________ (Office Use) APPLICANT’S NAME: _______________________________________________________________ DATE: __________ DEVELOPER: _______________________________________________________________ PHONE #: ______________ PROJECT ADDRESS: _____________________________________ CITY: __________________________ ZIP: _____ SUBDIVISION: _______________________________________________ BLOCK #: __________ LOT #: __________ PROPERTY OWNER’S NAME: ___________________________________________________ PHONE #: ______________ OWNER’S ADDRESS: ________________________________ CITY: ________________________ ST: __ ZIP: _____ CONTRACTOR: ______________________________________ LICENSE #: ____________ ADDRESS: ________________________________________ CITY: ________________________ ST: __ ZIP: _____ EMAIL ADDRESS: ___________________________________________________________ PHONE #: ______________ PROJECT CONTACT PERSON: __________________________________________________ PHONE #: ______________ IS YOUR PROJECT: __ Commercial __ Residential __ New Installation __ Replacement __ OtherDESCRIPTION OF WORK: _____________________________________________________________________________ __________________________________________________________________________________________________ ARCH DESIGN PROFESSIONAL: ________________________________________ PH: ______________ NC REG #: ____________ENGR DESIGN PROFESSIONAL: ________________________________________ PH: ______________ NC REG #: ____________IS THE PROPERTY LOCATED IN A FLOODPLAIN? __ Yes __ No IS YOUR PROJECT: __ ACCESSORY STRUCTURE (Must be less than 12 feet all dimensions) __ CONSTRUCTION TRAILER __ SEASONAL SALES LOT __ OTHER: ________________________________________________ BUILDING HEIGHT: __________ NUMBER OF STORIES: __________ TOTAL SQ FT UNDER FOOR: __________ TOTAL SITE AREA: __________ NUMBER OF STRUCTURES: __________ TOTAL ACRES DISTURBED: __________ DISCLAIMER: I hereby certify that all information in this application is correct and all work will comply with the State Building Code and all other applicable State and local laws and ordinances and regulations. The NHC Development Services Center will be notified of any changes in the approved plans and specifications or change in contractor or contractor information. ***NOTE: Any Work Performed W/O the Appropriate Permits will be in Violation of the NC State Bldg Code and Subject to Fines Up To $500.00*** TOTAL PROJECT COST (Less Lot): $ ________ OWNER/CONTRACTOR: ____________________________ SIGNATURE: ______________________________ (Print Name) PROPERTY USE: __ RESIDENTIAL __ BUSINESS __ EDUC __ APT __ CONDO __ OTHER: ______________ WATER: __ CFPUA __ COMMUNITY SYSTEM __ PRIVATE WELL ZONING USE CLASSIFICATION: _______________SEWER: __ CFPUA __ CENTRAL SEPTIC __ PRIVATE SEPTIC __ COMMUNITY SYSTEM *** SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *** PAYMENT METHOD: __ CASH __ CHECK (PAYABLE TO NHC) __ AMERICAN EXPRESS __ MC/VISA __ DISCOVER **************************************************************************************** (FOR OFFICE USE ONLY) REVISED 4/12/12ZONE: _______ OFFICER: ________________ SETBACKS: F:_____ LH:_____ RH:_____ B:_____ Approval:________ City:________ DATE:________ FLOOD: _______ ________ ________ BFE+2ft=________ A V N Comment:______________________________________________________________ PERMIT FEE: $_____________