NCC190087_Contact Update Record_20240430

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Tev.Holloman 4/30/2024 1:53:28 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC190087
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2019-0087
Original NOI No.* 10311
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
David Vogel Revocable Trust
Project Name Vogel Estate
Address 255 Emmas Grove Rd, Fletcher, NC
County Buncombe
Latitude 35.2957
Longitude -82.2735
Date COC Issued* 04/01/2024
Prior Rescission Date This field will populate only if COC has already been rescinded.
Which Contacts Have Billing Only
Changed?* Legally Responsible Individual Only
Site Contact Only
BOTH Legally Responsible Individual and Site Contact
Has Billing Contact Choose'Yes'to revise Billing Contact details.
Changed? Q No
Yes
Billing Email [e-mail]
Billing Telephone No. 321-438-0580
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible David Vogel
Individual(Previous)
First Name(New)* David
Last Name(New)* Vogel
NEW Legally Reflects any revisions above
Responsible David Vogel
Individual*

Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee 407-797-9387
Telephone No.*
Permittee Mailing 505 South Flagler Dr,Suite 900,0,West
Address(Previous) Palm Beach, FL 28801
NEW Permittee Street Address
Mailing Address* 505 South Flagler Dr,Suite 900
Address Line 2
City State/Province/Region
West Palm Beach FL
Postal/Zip Code Country
28801 United States
Permittee Street 50 S French Broad Ave STE 152,0,
Address(Previous) Asheville, North Carolina 28801
NEW Permittee Street Street Address
Address* 50 S French Broad Ave STE 152
Address Line 2
City State/Province/Region
Asheville North Carolina
Postal/Zip Code Country
28801 United States
Change Requested Kimberly Powers,Accountant,via email on 4/30/24
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 04/30/2024