06-C5_Ligato, John and Lorraine_20070123

CITY OF JACKSONVILLE
Local Government
06-05
Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
N
s�
as authorized by the State of North Carolina, Department of Environment,
and Natural Resources and the Coastal Resources Commission for development
in an area of environment concern pursuant to Section 113A-118 of the / J'
General Statutes, "Coastal Area Management" O�
Issued to John & Lorraine Ligato III, authorizing development in the Estuarine Shoreline (AEC) at 106 Riverwalk Lane, in
JACKSONVILLE, NC as requested in the permittee's application, dated November 20, 2006. This permit, issued on
January 23, 2007, is subject to compliance with the application and site drawing (where consistent 'With the permit), all
applicable regulations and special conditions and notes set forth below. Any violation of these -terms may subject
permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void. �.
This permit authorizes: Construction of single family dwelling
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on November 20, 2006.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at [phone] for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons
within twenty (20) days of the issuing date. From the date of an appeal, any
work conducted under this permit must cease until the appeal is resolved. This
permit must be on the project site and accessible to the permit officer when the
project is inspected for compliance. Any maintenance work or project
modification not covered under this permit, require further written permit
approval. All work must cease when this permit expires on:
January 22, 2010
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal
Management.
John Collins
AMA LOCAL PERMIT OFFICIAL
�0 Box 128
Ja nville Ne8541 /
/ PERMITTEE
(Signature requir d if conditions above apply to permit)

Name: John & Lorraine Ligato III
Minor Permit # 06-05
Date: January 23, 2007
Page 2
✓AIV 21 200I
za
"Orehead n;.. _
(5) The amount of impervious surface shall not exceed 30% of the lot area within 75 feet of NORMAL HIGH WATER
(Estuarine Shoreline Area of Environmental Concern), in this case,1,021 square feet is authorized.
(6) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of NORMAL HIGH WATER. No portion of
the roof overhang shall encroach into the 30 ft. buffer.
(7) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Prior to any land -disturbing activities, a barrier line of filter cloth must
be installed between the land disturbing activity and the adjacent marsh or water areas, until such time as the area
has been properly stabilized with a vegetative cover.
(8) Any proposed for grading within the 30' buffer from the NORMAL HIGH WATER must be contoured to prevent
additional stormwater runoff to the adjacent marsh. This area shall be immediately vegetatively stabilized, and must
remain in a vegetated state.
(9) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
SIGNATURE:
1
DATE:
PERMITTEE
f

JACKSO
NOTICE Or
C OF APPLICA F�,�G
A FOR DEAL ION.FOR a 7 2006
OP�NT PE��®r®h�
Pursuant to NCGS 113A-11 i Cit`./ I)CM
Permits in Areas of En�iro 9@), City of JacksonvMe, a loc
nmental Concern, hereb ahty authorized to
and Lorrain Ygives NOTICE issue CAh,IA
106 'IIe L1gato applied for CAMA that on December
Rive Pernut to 4, 2006 rwaik Lane, Jacksonville, NC construct a single fay dw 'John
e�g at
Decemb heer application may be '
time of 22' 2006 will be co at
at the ad
Permit decision, considered Later c address Belo
Notice of the Project °mments w' Public cowmen
Permit decision In modifications will be acceptedis receive
this "natter will bey occur based o *-and considered up
Provided n wher review p to the
upon written re and comments.
quest.
C U11 r• U011ins
Local Pe t
City of Jacksonville Officer for
PLEASE PI.IBLISH pN. Decem
ber 8, 2006
U 128 A .Tacksonville, Nord Carolina
� 28541 �, (910
) 938-523215235 TDD# [phone]
Fax [phone]

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PH GENERAL INFORMATION
PH
LAND OWNER
Name
Addre,ce:
CityllTl9V1.ASVr I I e. State Ut
AUTHORIZED AGENT
If Name_
Address
State Zip a 8S.-Y0 Phone 9/�•yS�S Sm�
LOCATION. OF PROJECT. (Address, street name
to site. If not oceanfront, what is the name of
DE DESCRIPTIOI�OF PROJECT: (List all proposed construction and land disturbance.) Unsf 'LLz�
SIZE OF LOT/PARCEL: g . O square feet 4). 19 acres
PROPOSED•,,USE: Residential >C (Single-family_ Multi -family ) Commerical/Industrial
Other
NC TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
Ha.
RONMENTAL CONCERN (AEC):�square feet (includes all floors and roof -covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): sq. ft.
(Calculations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property:
(1) . within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2) within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding
Resource Waters
(3) within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a
State Stormwater Management Permit issued by the N.C. Division of Water Quality?
YES K NO
D
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel. Y4 square feet.

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor
development permit. As a service we have compiled a list of the kinds of permits that might be required. We suggest you check over the list
with your LPO to determine if any of these apply to your project:.,Zoning, Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heatingand Air Conditioning, Insulation and Energy Conservation, FIA Certification,
Sand Dune, Sediment Control, Subdivision Approval, Mobile Home ParkApproval, Highway, Connection, and others.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one) a'
V an owner or record title. Title is vested in - Wt Y1 '. Lnr t`Gt I V\C' . 11Q Q , see Deed Book o15164 q 7g
page in the 01RS�aw County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
if other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are.owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
fAT... N (AAA -A
(1)
(2)
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to
erosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems associ-
ated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing tech-
niques.
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to
enter on the aforementioned lands,fn connection with evaluating information related to this permit application.
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any infor-
mation as may be provided orally by the applicant. The details of the application as described by these sources are incorporated
without reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any
person developing in an AEC without permit is subject to civil, criminal and administrative action.
This the day of N i , 20 Q�
Landowner or person authorized to act J �sagent for purpose o filing a CAMA permit application.

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development
permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you, if
requested.
PHYSICAL DIMENSIONS
Label roads
Label highways right-of-ways
Label local setback lines
Label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
Draw and label mean high water mark
Draw location of on -site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges (note height)
Draw and label toe of dune
Identify and locate first line of stable vegetation
Draw and label setback line under CAMA
Draw and label topographical features (optional)
If you will be working in an estuarine shoreline area:
Draw and label landward limit of AEC
Describe terrain (slope)
DEVELOPMENT PLANS
Draw and label areas that will be disturbed
If a house is to be placed on lot, describe location of house
Note size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled
Describe composition of surface
how landscain
ote and list fully all trees and vegetation to be removed or relocated
P g.
NOTE TO APPLICANT
Have you:
• completed all blanks and / or indicated if not applicable?
• notified and listed adjacent property owners?
included your site drawing/
signed both application and statement of ownership?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary?
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
Date of Action: Issued Exempted Denied Appeal Deadline (20 days)
Revised 3/2003

�UOF
CUSTt R IECEIPT f
tiger: KAYH
Type: BP DraMer: 1.
i Date: 12/05/06 01 Receipt
no.. 75182 j
Description;
Quantity Amount
2" 1752 ;
BP BUIlDII6' pERMITSLea
$100.00
w 106 RIVERI, Uj
Tender ^detail" "--
CK citcKS
1976 f100.
Total tendered
$108.00
Total
Payment '
f100.� j
trans date: 12/05/06 Time:
8:42:55
THANK Yfoi — HAVE A NICE DAY
j

NEW RIVER SIZE /
KERR /
ST. MEAN HIGH
/ WATER LINE
D.B. 717 p / y
V' SPARGO ST.
COURT STREET
VICINITY MAP — NOT TO SCALE
IMPERVIOUS ALLOWED:
DRIVEWAY 840 S.F. \ 9
HOUSE — 2000 S.F.
TOTAL ALLOWED 2840 S.F.
IMPERVIOUS PLANNED: \
DRIVEWAY — 432 S.F.
HOUSE — 2382 S.F.
TOTAL PLANNED — 2814 S.F.
LOT 3
'p / 8102 SQ.FT. \ /
SETBACK NOTE: �
THE GROUND FLOOR MUSTI3E 7 1
OFF THE PROPERTY LINE. OTHER TG� /
FLOORS MUST BE 5' OFF THE �O 36.Ob
PROPERTY LINE / z0' \mit l$ 1 g/O
LOT 4 41701
,OOP
/0-
FLOOD LINE AS \ O f
PLOTTED FROM \
FEME MAP.
LOT 2
0K'F4�OSFQ { �O / COMMON
�NG
R\ 0' p NOTE THIS."LOT IS LOCATED"IN A 100-
^2 YEAR FLOOD ZONE ACCORDING TO FEMA
y MAP 370178-00076. DATED 2/15/85.
IT IS IN ZONE A5 (El". 5).
E15 Ao 8, �
M
7,0 \ LEGEND:
EIS - EXISTING IRON STAKE
C1' / MBL - . MINIMUM BUILDINGLINE
D&UE — DRAINAGE do UTILITY EASEMENT
S.F. — SQUARE FEET
RIVERWALK LANE
(PRIVATE) /
Sys
CURVE CHORD BEARING CHORD RADIUS ARC
o S 12'03 44" E 32.18, � / Cl S5535'00'W 28.91 3&00 29.65
REF: M.B. 45, P. 39, SL K-1945 PRELIMINARY PLOT: PLAN f !7(• RIVERWALK LANE
LOT NO. 3 BLOCK
THIS IS TO CERTIFY THAT THIS MAP IS A TRUE RIVERWALK LANDING (REV.
REPRESENTATION OF Ei►PROPERTY HEREON AS SUBDIVISION Z
COMPILED BY ACTUAL��� { PREMISES JACKSONVILLE ONSLOW
AND THAT THERE IC'E N. 14.�NTS ACCORD— TOWNSHIP COUNTY, N.C.
LNG TO THE BEST" B fl fCEPT AS
JOHN LIGATO/T.R. SMITH, INC.
SHOWN. THE RA RECIS 1:-0,000+. PREPARED FOR:
,� a SEAS
L259S 44/ JOHN L...PIERCE & ASSOCIATES, P.A.
409 JOHNSON BLVD., JACKSONVILLE, NC 28540
JOHN L PIERCE. {;7; ,239j� `� PHONE: [phone]; FAX: (910)346=1210.
' NOV. 14, 2006 20'
//�����N�►n DATE: SCALE: I"—
F.B. P. JOB #
261140
I.;:\Projerts\RTVFR I..ANDTNG,T)WG\dwg\LDT 3 PP.ELIM.dwg 11/16/2006 8136126 AM EST FILE NO.

FEDERAL EMERGENCY MANAGEMENT AGENCY.
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Important: Read the instructions on pages I.7.
SECTION A - PROPERTY OWNER INFORMATION
O.M.B. No. 3067-0077
Expires December 31 2005
For Insurance Conmpany Use.
BUILDING OWNER'S NAME Policy Number W.
John Li ato/T.R. Smith Inc.
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
106 Riverwalk Lane - Lot 3 Riverwalk Landing (Rev.) (Re: MB 45 PG 39 SL K-1945)
CITY STATE ZIP CODE
Jacksonville (Twp.) Onslow Co. NC
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 3 Rherwalk Landing (Rev.)
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Residential
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type):
( ##°-## -#it.##- or ##.#####) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER 62 COUNTY NAME W. STATE
Cily of JadsonWle-370178 Ormsow County NC
64. MAP AND PANEL
87. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUMBER
B5. SUFFD(
W. FIRM INDEX DATE
EFFECTIVEIREVISED DATE
68. FLOOD ZONE(S)
(Zane AD, use depth of loading)
37017&4366
J
21106
111305
AE
' 5.05
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in 139: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)1 ❑ Yes 0 No bes' nation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ® Construction Drawings* ❑ Buildirig.Under Construction* ❑Finished Construction
*A new Elevation Certificte will be required when construction of the building is complete.
C2. Building Diagram Number 6 (Select.the building diagram most similarto the building for which this certificate is being completed - see pages 6 and 7, if no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARA, AR/AE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3.-a4 below according to the building diagram specified in Item C2- State the datum used. If the datum is different from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion..
Datum 81929 Conversion/Comments `"' EXISTING BENCHMARK-NAVD 1988 = NGVD 19294-105)
Elevation reference mark used ****** Ddes the elevation reference mark used appear on the FIRM? ❑ Yes • ®No
of aU
a) Top of bottom floor. (including basement or endosure)
6. 50 ft(m)
b) Top of next higher floor
+16.50 ft(m)
c) Bottom of lowest horizontal shclural member (V zones only)
NIA .
o 0
d) Attached garage (top of slab)
-+6. 50 ft(m)
E ,
e) Lowest elevation of machinery and/or equipment
w C
servicing the building (Describe in a Comments area)
8.10 fL(m)
f) Lowest adjacent (finished) grade (LAG)
4.50 ft(m)
Z
9) Highest adjacent (finished) grade (HAG) .
6. 00 ft(m)
N
h) No. of permanent openings (flood vents) within 1 ft above adjacent grade NIA
Total
i) area permanent openings (food vents) m C3.h N/A sq. in. (sq. cm)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information in Sections A, A and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001
CERTIFIERS NAME JOHN L PIERCE LICENSE NUMBER L-2596
TITLE PROFESSIONAL LAND SURVEYOR COMPANY NAME JOHN L PIERCE & ASSOCIATES PA..
ADDRESS CITY STATE ZIP CODE
P.O. BOX 1685 JACKSONVII I E NC 28540
Signature Date Telephone
11/16/06 [phone]
FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions

IMPORTANT: in these spaces, copy the corresponding information from Section A. Forinsuranos Company use:
BUILDING STREET ADDRESS (Inducing Apt, Unit Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO. Pofiry Nurnber
106 Riverwalk Lane- Lot 3Riverwalk Landing Rev.
CITY STATE ZIP CODE Company NAIC Number
Jacksonville (Twp.) OnsbwCo. NC
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
COMMENTS
proposed 2 story dwelling on piling with enclosed stairway. City of Jacksonville has a 3 foot freeboard
❑ Check here ff attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1 through E4. ff the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
Ell. Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed —see pages 6 and 7. if no diagram accurately
represents the building, provide a sketch or photograph.)
EZ The top of the bottom floor (inducing basement or enclosure) of the building is _ it(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).
E3. For Building Diagrams 6-8 with openings (seepage A the next higher floor or elevated floor (elevation b) of the building is _ ft(m) _in.(crm) above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4. The top of the platform d machinery and/or equipment servicing the building is- _ ft(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).
E5. For Zone AO cny. If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?
❑ Yes ❑ No ❑ Unknown. The local official must oartify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owners authorized representative who completes Sections A, B, C (Items C3.h and C3.1 only), and E for Zone A (without a FEMAassued or community -
issued BFE) or Zone AO must sign here. The statements in Sections A, B, Q, and E are erred to the best of my j nowfedge
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordnance to administer the community's floodplain management ordnance can complete Sections A, B, C (or E), and G d this Elevation
Certificate: Complete the applicable item(s) and sign below.
G1. ❑ The info[mafiai 1h Section` C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
or locd'law to bi d* elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2 ❑ A community official completed Section E for a building located in Zone A (without a FEMA4ssued or community4ssued BFE) or Zone AO. .
G3. ❑ The fdlowing information (items G4-G9) is provided for community floodplain management purposes.
G8. Elevation of as -built lowest floor (including basement) ofthe building is: _ft(m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: _. _ ft(m) .. Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
❑ Check here if attachments
FEMA Form 81-31, January 2003 Replaces all previous editions

20 November 2006
Thurston A. Wilson, Jr.
PO Box 7509
Wilmington, NC 28406
Dear Adjacent Property Owner:
This letter is to inform you that Jo Ligato III has applied for a CAMA Minor
Permit on his property at 106 Riverwalk 49U, Jacksonville, NC, in Onslow County.
Mr. Ligato has designated me, Ray L. Smith, to act as his authorized agent on this
application. As required by CAMA regulations, I have enclosed a copy of the permit
application and project drawings as notification of my proposed project. No action is
required by you or you may sign and return the enclosed no objection form I you have
any questions or comments about the proposed project, please contact me at 910-545-
5000, or by mail at the address below. I you wish to file written comments or objections
with the Jacksonville CAMA Minor Permit Program, you may submit them to:
Sincerely,
Ray mith
3 Burton Place
Jacksonville, NC 28540
City of Jacksonville
Inspections Division
815 New Bridge St.
Jacksonville, NC 28540
Postal
or
-
RECEIPTN
Coverage
Provided)
pomestic mait onty,
No insurance
Co
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I%-
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-0
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$
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0
Certified Fee
Postmark
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C
Return Receipt Fee
$l� •Ijn
Here
(Endorsement Required)
l3
Restricted Delivery Fee�.��
W
(Endorsement Required)
COOJ
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rq
Total Postage & Fees
$
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ant To
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$treat, Apt. No.;CQ
------- - — - ----- -
or PO Box No.
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I hereby cetpt I own property adjacent to John Ligato's property located at 106
Riverwalk , on the New River, in Jacksonville, NC.
He has described to me the application and project drawings for the house he is proposing
at that location, and, I have no objections to his proposal.
Signature
Name
Telephone no
Date

Date submitted:
r"
BUMDING PERMIT APPLICATION
INSPECTION DIVISION
City of Jacksonville
P.O. BOX 128/815 NEW BRIDGE STREET
JACKSONVILLE, NC 28541
[phone] or 5235 [phone] (fax)
www.ci jacksonville.nc.us
Permit 'D6
TYPE OF PERMIT: 0 Commercial J1 Residential ❑'Demolition/Clearance ❑ Mobile Home
0 Construction Trailer/I'emp Pole 0 AccessoryBldg. 0 Other
0 Swimming pool 0 Zoning 0 Moving 0 Modular ❑ Alteration up -fit
❑ ShellBuilding 0 Day Care/ Residential Care ❑ Foundation only
CLASS OF WORK:. it Single Family ❑ Duplex 0 Multi -Family 0 Industrial ❑ Institutional
0 Commercial/Office 0 Townhouse ❑ Other.
BUILDING AREA: New Sq. Ft Existing Sq. Ft Heated Sq. Ft �39s
# Of stori Area per floor Sq. Ft Total Sq. Ft ✓J �S
Porch 74.? 5 Deck ✓6�f� Garage
CONSTRUCTION TYPE: 5 Wood ❑ Masonry ❑ Metal ❑ Other
OCCUPANCY TYPE: ❑ Assembly 0 Business 0 Educational 0 Hazardous 0 Utility
❑ Factory -Industrial ❑ Institutional 0 Mercantile P Residential 0 Storage
i
USE - TYPE OF BUSINESS
DESCRIPTION OF WORK BEING DONE: C Dd 3 .C�/�f ' .9e,
Owner/Agent Signature: construction Cost: 000.00
Company Name of General Contractor D l V rur Phone
Address
G�
City state zip
NC General Contractor's License# o ,
Project Address: '1994 of gr% .J/i�'.L�SO/s%v/G�� 41C
Project Contact Perso' V L. Sol1' Telephone # 4711 DO
Owners Address /7d?`-4404leACY Phone #D's 7L 5488
Attachments: W Construction Plan ❑ Sketch. Plan W Site Plan/Survey
Permission to Enter on Land
I fiud=more certify that I am authorized to grant, and do in fact, grant permission to the local zoning officer and local building inspector and his agents,
to enter on the property noted on the City of Jacksonville Permit(s) for the purpose of this inspection.
This is the day of 20
Landowner or person authorized to act as his/her agent
for purpose of Ming a City of Jacksonville application for permit(s).
OFFICE USE ONLY:
Zoned
Fire District
Historical Building
CAMA permit
Health Dept. Approval
State Agency Approval:
Flood zone
Public Services Approval by -
Zoning Approval by:
Inspections Approval by:_
Official Zoning Use:
❑ Yes O No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Is an Elevation Certificate required? ❑ Yes ❑ No
Date:
Date:
Date:

9
Public Services / Plumbing Fixture Summary Permit #
To be completed by Contractor/Owner/Applicant and attached to all Building Permit Applications
and Certificate of Occupancy Applications. indicate the number of EXISTING and NEW plumbing
fixtures to be Incorporated in the building. This will determine the fees that will be charged
Commercial buildings MUST specify meter size desired:
Is there a sprinkler system in this building? Yes
�N1
Has there ever been a structure at this location? Yes_
If so, how was water and sewer provided?
Please circle
Water. COUNTY WELL UNSURE one
Please circle
Sewer, COUNTY SEPTIC UNSURE one
Size of
Meter:
Will there be an Irrigation system? Yes e5)
Type
Number
Total
(Cirde the
of
Number of
Number
appropriate
a
Existing
New
of
Fixture Description
inm leed
Fixtures
Fixtures
Fixtures
Flush Tank
or
Toilet
Flush Valve
Bathroom Sink
Bidet
0
314' FluM !
val"
or
Urinal
1' Flush
vewe:_ . .
D
Bathtub/Shower
Combination
.
Stand Alone Shower Stall
Stand Alone Tub (No
Shower
Kitchen Sink
Fountain Drink Machine
O
DrInkIna Fountain
O
Clothes Washin Machine
/
Dishwashing Machine
Outside Water S I ots
1
Service Sink
l
Mop Sink
0
Other Please Describe
Misinformation or Failure to fill out this forth completely will cause a delay in Permit Issuance
1 attest that this is a orr fixtur ntto t e best of my knowledge
Signature of Applicant. Date: �/ `7

CITY OF JACKSONVILLE
INSPECTIONS DIVISION
CERTIFICATION AS TO STATUS OF LICENSURE
FOR THE GENERAL CONTRACTOR TO SIGN: Permit #
I understand that I am signing this document under oath; I certify that I am making a truthful statement.
I have read G.S. Sections 87-1 and 87-14 as amended July 6, 1.992. I have entered into a construction contract
where the cost of the undertaking exceeds $30,000.00; the contract, whether written or oral, is in the exact name
as listed with the North Carolina Licensing Board for General Contractors. I am not in a partnership (including
any "joint venture" [unless in compliance with 21 N.C.A.C. 12.0207j) with any unlicensed entity. I certify that
I am presently licensed under the name and
under license number My license is active and in good standing — I have filed all n
renewal forms with the North Carolina Licensing Board for General Contractors. I am not presently er any
disciplinary. order issued by the North Carolina Licensing Board for General Contractors, which es me
for a building permit.
I certify to this Building ections Division that I hav/keen
cense tax (es) required by the N.C.
Department of Revenue; I have in a ect all required workers ction insuran coverage. I have filled
out the attached worksheet/affidavit garding workers' compand I to submit certificates of
responsible for ascertaining whether I obligated by law to oorkers' mpensation insurance and to
assure that our insurance coverage is adequate; I have madas a inquiries of the appropriate
authorities and/or soughtprivate legal co el to assure that I amng workers' compensation coverage
required by law.
I understand that a licensed gen contractor must pa00.. fee upon applying for a resi '�ial
permit pursuant to G.S. Section 87-15.5 "Ho eowner's RecoveAct of North Carolina, $9.00 of which
the permitting official shall forward to the No Carolina Licensd for General Contractors.
I understand that the unlicensed practice)
87-13 and that I may be sued by the North Carc
if I practice without a license as required by la
unlicensed practitioner may be barred from recoi
I have been informed that any authority
license is required may be found guilty of a mi
statement as a truthful statement regarding the sty
;eneral co ting is a criminal offense under. G.S. Section
Li c Board for General Contractors for an injunction
I also derstand that, under North Carolina case law, an
of civil damages if the job owner refuses to pay me.
a building permit to an unlicensed contractor where a
for and I certify that this Department may rely on my
ry license..
This is the day of 20_.
NAME: TITLE: TELEPHONE NUMBER:
Sworn to and subscribed before me this the day of 20 .
NOTARY. PUBLIC
MY COMMISSION EXPIRES:
I

s_
CITY OF JACKSONVILLE
INSPECTIONS DIVISION
FOR THE OWNER/APPLICANT TO SIGN Permit #
I understand that I am signing this document under oath; I certify that I am making a truthful statement.
I have entered into a construction contract where the cost of the undertaking exceeds $30,000. I have read G.S.
Section 87.1 as amended July 6, 1992. I certify that I am not allowing an unlicensed general contractor to
perform the duties of a general contractor, which, I understand from reading G.S. Section 87.1 below, includes
construction superintending and managing in addition to among other things, signing written contracts. I intend
to retain the finished house (or other project) exclusively for my own use; I am not building a "speculation"
project with the intention of selling the project once it is completed. I will occupy the property for at least one
year following completion of construction. I understand that building a "spec" project without proper licenser
is a violation of G.S. 87.1 and G.S. 87.13; this may be a criminal offense. Also, I understand that under G.S.
Section 87.15.5, the "Homeowner's Recovery Fund" no homeowner acting as a general contractor has any right
of recovery.
I have filled out the attached worksheettaffidavit regarding worker's. compensation and I certify either
that I am not required by law to carry such coverage or that I will agree to submit certificates of insurance
coverage upon demand by the building inspector. I understand that I am responsible for ascertaining whether I
am obligated by law to obtain worker's compensation insurance and to assure that our insurance coverage is
adequate. I have made all reasonable inquiries of the appropriate authorities and/or sought private legal counsel
to assure that I am providing all workers' compensation required by law.
This the day of . 20
o 5T QO
NAME TTTT.E TELEPHONE NUMBER
Sworn to and subscribed before me this the 4 day of 20P4.
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Permit #
AFFIDAVTr OF WORKER'S COMPENSATION COVERAGE
N.C.G.S. § 87-14
The undersigned applicant for Building Permit # being the
Contractor
Owner
Officer/Agent of the Contractor or Owner
do hereby aver under penalties of perjury that the person(s), firm(s) or corporation(s) performing the work set
forth in the permit:
has liability insurance for said company (self),
has/have three (3) or more employees and have obtained worker's compensation insurance to cover
them,
has/have one or more subcontractor(s) and have obtained worker's compensation insurance covering
them,
has/have one or more subcontractor(s) who has/have their own policy of workmen's compens pn
covering themselves, \
has/have not more than two (2) employees and no subcontractors,
while working on the project for which this permit is sought. It is understood that the Inspections Division
issuing the permit may require certificates of coverage of worker's compensation insurance prior to issuance of
the permit and at any time during the permitted work from any person, firm or corporation carrying out the
work.
Firm name- Date: 12 - 41 - 0
SWORN TO(4 SUBSCRIBED BEFORE ME TMS THE �L DAY
206 (P. C�npRtlAINfly"?
q^PnOORI .S'EFt's0
OTARY PUBLIC O��V..• Ye�'e.
�OJAR ), 9Z P
a
MY CONflMSION EXPIRES: wvt(,�.�,t a ao 1 d Lr : ,, o
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CONFIRMATION AS CONTRACTORISUBCONTRACTOR PERMIT #
If building permit is approved, I agree to conform to all laws of the State of North Carolina regulating such
work. I confirm that/the information listed below is true and accurate.
Project Address:
Gen. Contractor Name: „� t ��� f NC License Number n�_
Contractor Signature
Electrical Contractor Name: _T� NC License #
Address: Telephone:
Electrical Contractor Signature Plumbing Contractor Name: 4 1 J NC License #
Address- Telephone: \
Plumbing Contractor Signature
Mechanical ContractorName: NC License #
Address- Telephone:
Mechanical Contractor Signature
Fuel Piping Contractor Name: NC License# -
Address•
Telephone -
Fuel Piping Signature:
Refrigeration Contractor Name:
NC License #
Address:
Telephone:
Refrigeration Contractor Signature
Sprinkler Contractor Name:
NC License #
Address:
Telephone:
Sprinkler Contractor Signature