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Home My Public Portal About10-0573 KubickaCity of ,)ee Island • Community Develd sent Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 313 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 Permit No. - 0 5 r) 3 Date Requested Owner's Name FJ` L J 1 L Date Needed Gen. Contractor f tr oc r1- QA Subcontractor 103 Riumik INTERNATIONAL CODE COUNCIL' MEMBER Contact Information Project Address Scope of Work Inspector Inspection l- -CLS(00 4R Ave) r o . \ ', s -- < e (.51 Date of Inspectio Inspection Inspection Inspection Pass /2 Fee Pass ® Fail ❑ Fee Pass El Fail ❑ Fee Pass ❑ Fail ❑ Fee DATE ISSUED: 12 -17 -2010 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 R &R DRAIN LINES & SEWER 1211 SIXTH AVE EDWARD &KRISTINA KUBICKA 518 WAYNE ST SANDUSKY OH 44870 -2720 QUALITY CONTROL PLUMBING PO BOX 2823 TYBEE ISLAND GA 31328 P $ 60.00 $3,000.00 PERMIT #: 100573 TOTAL BALANCE DUE: $ 60.00 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 ID 0 S-73 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 / Z/ / (7/ /gy p Location of work (street address) / 2-- / ( co Contractor Q,„ /, 1 0 ( Y Address of Contractor S ° 1 Telephone number of Contractor Name of Property Owner Mailing address of Property Owner s� v Ss)� o d 04S Sc Telephone number of Property Owner 3u I 90 4-( 7 `7 ci Date work will be ready for inspection, if known lv ; ` f f C ti (/ Estimated cost of construction New Work Replacement Oil Gas Permit Number Electric 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 Residential House Sewer Connection to Main Sewer Cleanout Sewer Stub Vacuum Breaker Water Meter Water Service Line — New Residence Water Service Line — Replacement Water Softener Other r n 1q uP rit-y , A , 6 4_7, S ✓ f LS-A, 4