HomeMy Public PortalAboutPINE ST_20.pdfDATE ISSUED: 07 -24 -2013
WORK DESCRIPTION
WORK LOCATION
OWNER NAME
ADDRESS
CITY, ST, ZIP
PHONE NUMBER
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEES CHARGED
PROPERTY IDENTIFICATION #
PROJECT VALUATION
CITY OF TYBEE ISLAND
BUILDING PERMIT
WTR & SWR CONNECTIONS
20 PINE ST
MICHAEL ROACH
PO BOX 337
TYBEE ISLAND GA 31328 -0337
912 - 306 -0881 CELL
MICHAEL ROACH
PO BOX 337
TYBEE ISLAND GA 31328 -0337
P
$ 350.00
PIN #4- 0003 -02 -007
$ 250.00
PERMIT #: 130469
TOTAL BALANCE DUE: $ 350.00
It is understood that if this permit is granted the builder will at all times comply with the zoning, subdivision, flood control, building, fire, soil
and sedimentation, wetlands, marshlands protection and shore protection ordinances and codes whether local, state or federal, including all
environmental laws and regulations when applicable, subsequent owners should be informed that any alterations to the property must be
approved by the issuance of another building permit. Permit holder agrees to hold the City of Tybee Island harmless on any construction
covered by this permit.
This permit must be posted in a conspicuous location in the front of building and protected from the weather. If this permit is not posted work
will be stopped. The building contractor will replace curb paving and gutter broken during construction. This permit will be voided unless
work has begun within six months of the date of issuance.
Signature of Building Inspector or Authorized Agent:
/- "
P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -9539
www.cityoftybee.org
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CITY OF TYBEE ISLAND
BUILDING & ZONING DEPARTMENT
P.O. Box 2749
Tybee Island, GA 31328
Phone (912) 786 -4573 • Fax (912) 786 -9539
PLUMBING PERMIT APPLICATION
Date `7/
Location of work (street address) 2 0 -1 h7 ez,
Contractor
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Address of Contractor 1 0 l./ (S /4 V T i g
Telephone number of Contractor 12 /% S-0 9 7,2-‘2
Name of Property Owner //2 / G / l / IZ 0 4—
Mailing address of Property Owner l 7 ,/ L
Telephone number of Property Owner 7 t. 5 0 g 7,2t
Date work will be ready for inspection, if known -7-2 2/-152
Estimated cost of construction
XNew Work Replacement
Oil
Gas
Permit Number
Electric
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Backflow Preventor
Disposal Unit
Domestic Water Connection to Main
Drain Roof or Area
Drainage or Vent Piping
Fire Protection Sprinkler System; Number of Heads/Nozzles
Grease / Oil Trap
Hose Bib
Hot Water Heater
Icemaker
Lawn Sprinkler System
Plumbing Fixture
NResidential
House Sewer Connection to Main 1 tT
Sewer Cleanout
Sewer Stub
Vacuum Breaker
Water Meter
XWater
Service Line — New Residence ' '7
Water Service Line — Replacement
Water Softener
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Other
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