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Home My Public Portal About11-0068 Lucas_1of2DATE ISSUED: 02 -15 -2011 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 PERMIT #: 110068 INSTALL FENCE - FRONT & REAR 305 BUTLER )Q A t . I n $G-r''`g -°` /1 - 0 0 4 p r, 4 5 JAMES M. LUCAS a s p � e V. 6 v S PO BOX 514 f --re "c 2 l 0 c0. 0^ 5 TYBEE ISLAND GA 31328 -0514 JAMES M. LUCAS PO BOX 514 TYBEE ISLAND GA 31328 -0514 P $ 51.00 $1,300.00 TOTAL BALANCE DUE: $ 51.00 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 CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT 1Loo�8' Location: i3(44) e Ave- NAME ADDRESS PIN # TELEPHONE Owner 30C &7%( er. 91.) - 713-e–‘ 7/.S j.a -n-►C s 64. Lazy -s•& Architect or Engineer �— eel( 2 47- LH; Building Contractor r------ (Check all that apply) ❑ Repair ❑ Renovation ❑ Minor Addition ❑ Substantial Addition Other F &'c Details of Project: re^,4- Residential ❑ Single Family ❑ Duplex ❑ Multi- Family ❑ Commercial � v1 _ L• F ✓ Footprint Changes Discovery (� Demolition g34ic 4' h') �. ti -y Estimated Cost of Construction: Cons ruction Type (1) ' ood Frame (2) W od & Masonry (3) Bri f Veneer Propose.' use: Remarks (Enter appropriate number) (4) Masonry (6) Other (please specify) (5) Steel & Masonry ATTACH C '4i PY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following in ' • ation based on the construction drawings and site plan: # Units Lot Area # Off -str -t parki g spaces Trees to ' ated & li ed on site plan Access. Drive ay ft.) Setb. ks: Front # tories Hei , ht ade of the building to th units, ventilation ducts, air # Bedrooms Living space (total sq. ft.) With culvert? Rear # Bathrooms With swale? Sides (L) (R) Vertical distance measured from the average adjacent extreme high point of the building, exclusive of chimneys, heating nditioning units, elevators, and similar appurtances. During construction: On -site restroom facilities will be provided through On -site waste and debris containers will be provided by Construction debris will be disposed by by means of I understand that I must comply with zoning, flood damage control, building, fire, shore protections and wetlands ordinances, FEMA regulations and all applicable codes and regulations. I understand that the lot must be staked out and that the stakes will be inspected to ensure that the setback requirements are met. I understand also that a certified plot plan showing elevation must be attached to this application and that an as -built elevation certification is due as soon as the habitable floor level is established. Drainage: I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected. I accept responsibility for any corrective action that may be necessary to restore drainage impaired by this permitted construction. Date: 2/ j 0 / aO I 1 Signature of Applicant: Note: A permit normally takes 7 to 10 days to process. The following is to be completed by City personnel: Zoning certification Approved rezoning /variance? Street address and number: New Is it in compliance with City map? If not, has street name and /or number been reported to MPC? FEMA Certification attached State Energy Code Affidavit attached Utilities and Public Works: Describe any unusual finding(s) NFIP Flood Zone Existing Access to building site Distance to water main tap site Distance to sewer stub site Water meter size Storm drainage Approvals: Zoning Administrator Code Enforcement Officer Water /Sewer Storm /Drainage Inspections City Manager Pksst(i. 4 Of"t ik) san+e- iderie.A-5a-t- Q(tuc oS ctrict. lac y. vNS, FEES Permit Inspections Water Tap Sewer Stub Aid to Const. TOTAL Sl STATE OF GEORGIA COUNTY OF CHATHAM ) HOLD HARMLESS / INDEMNIFICATION AGREEMENT THIS AGREEMENT is made the 6 day of ,n v ar , 20 1 ( , by Jar(% -S Lu'c,S (hereinafter referred to as "Owner ") WITNESSETH Owner hereby agrees to protect, defend, indemnify and hold harmless the City of Tybee Island, Georgia, (a political subdivision of the State of Georgia), its Mayor and Council, officers, agents, and employees (hereinafter referred to as "City ") from and against any and all liability, damages, claims, suits, liens, and judgments of whatever nature, including any claims for contribution and /or indemnification for injuries to any person or persons, or damage to the property or other rights of any person or persons, caused in any manner pertaining to the location of privately constructed or any other privately owned structures and plants, which protrudes into the right -a -way of any City street. The undersigned further recognizes and agrees that this license does not confer upon the undersigned any rights, title, estate, or interest in said licensed premises; nor does this license agreement confer upon the undersigned a license coupled with an interest or easement. This license merely gives the undersigned a revocable privilege, it being expressly understood and agreed that, regardless of any improvements or investments made, expense and harm incurred or encountered by the undersigned, this agreement shall be subject to revocation, cancellation or termination, this license shall be null and void. IN WITNESS THEREOF, Owner has hereunto set its hand and affixed its seal on the day and year first above written. L))lt2Af. 0)Lb Witness Owner Address