HomeMy Public PortalAbout12-0405 All Saints Episcopal Churcho( 'af-i-1,5- Ave.
STATE OF GEORGIA ) HOLD HARMLESS /
INDEMNIFICATION
COUNTY OF CHATHAM ) AGREEMENT
THIS AGREEMENT is made the ((
I � day of > 1. ,20 fa ,
by \1 SCC.r\-k
(hereinafter referred io as "Owner ") v
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. /� n
Owner
PO&
Ares
s
City of Tybee Island • Planning & Zoning Dept.
Inspection Report
403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328
Phone 912.472.5032 • Fax 912.786.9539
Permit No. Date Requested
Owner's Name 1 Date Needed
Gen. Contractor Subcontractor
Contact Information
Project Address
Scope of Work
Inspector `2
INTERNATIONAL
CODE COUNCIL
MEMBER
Date of Inspection
Inspection Pass
Fee
Inspection Pass ❑ Fail ❑ Fee
Inspection Pass El Fail ❑ Fee
Inspection Pass 0 Fail 0 Fee
City-of Tybee Island • Planning & Zoning Dept.
Inspection Report
403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328
Phone 912.472.5032 • Fax 912.786.9539
tCC
1116%-
imaink
INTERNATIONAL
CODE COUNCIL
MEMBER
Permit No. /2 -O/()- Date Requested
Date Needed -7
,----
Gen. Contractor Subcontractor 74...7-AL /-
Owner's Name All `":-:;4/1-)
Contact Information
Project Address s'—"7 r Lt7/'/
Scope of Work
Inspector
Inspection i Pass 117 Fee
Date of Inspection
Inspection Pass Fail El Fee
Inspection Pass El Fail El Fee
Inspection Pass Fail Fee
DATE ISSUED: 07 -17 -2012
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
INSTALL SIGN
BUTLER AND SEVENTH STREET
ALL SAINTS EPISCOPAL CHURCH
804 JONES AVE
TYBEE ISLAND GA 31328
786 -5845
SIGNS FOR MINDS
SAVANNAH GA 00000
P
$ 75.00
$ 700.00
PERMIT #: 120405
TOTAL BALANCE DUE: $ 75.00
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
'(0 31L 1146 S oZ cP4- ZiA6t 6c71
The
Episcopal Church
Welcomes You
All Saints' Church
4 Blocks South
C
ao
O:
7—
PT WOOD POST
INSERTED IN
ALUMINUM POST
Vi _ - FOR CODE ,OMPLIANCE
Every sifort has t:v an@ fliae klaritiffy
code a p t r t overlgi'it by the
reviewer s ai i thority
to violate, LI e at aside
any applicable ow inenee , The
review and permit . r: not ;e construed
as a vitarrenty - r n. r s i t
Atl n't $i'ruc'.`lt .::, aT.1ply tt;ltp
Th♦ I ele`r° 1tior ; r<ta;:. G@ad* _Zgege
Edttic:1 is i<` O!,/ eV 1,'.1
H10.25 irk
PROJECT NAME:
All Saints' Epispocal Church
804 Jones Avenue
Tybee Island, Georgia 31328
DATE: July 10, 2012
DRAWING:
DWG NO.
Signsfor Minds
You Imagine... We Create
116 Randolph Street Savannah, GA 31401
912.691.1321 f.912.691.1324
info@slgnsforminds.net www.signsforminds.net
Location:
CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
NAME
ADDRESS
Iruce
0 '
D j ,; S s: 9■N. .
V 4 r9rr (,i.( Air
PIN # ° ° cL 1 a 31-€1-`4 --c)
Owner
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t-O (
Architect
OT Engineer
IAA ( a LJ� Co `
(o f , 6t.(p
Building
Contractor
5 t its ADZ
_ %1%#0,5
, ./ d
//a' 1j% 1'
c�`C f '�,
(Check all that apply)
Ti Repair
Ti Renovation
Minor Addition
J Oubstantia,l Addition
ther �1"2, Y 'i�
11
i
Details of Project:
4/4-/i #7
n Residential
Ti Single Family
Duplex
Multi- Family
Ti Commercjal
fl
fI
E Footprint Changes
n Discovery
Demolition
Estimated Cost of Construction:
Construction Type
(l) Wood Frame
(2) Wood & Masonry
(3) Brick Veneer
Proposed use:
Remarks:
C
(Enter appropriate number)
(4) Masonry 6ther (please specify)
(5) Steel & Masonry
ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the
following information based on the construction drawings and site plan:
# Units
Lot Area
# Off - street parking spaces
## Bedrooms # Bathrooms
Living space (total sq. fi.)
Trees located & listed on site plan
Access:
Driveway (ft.)
Setbacks: Front
With culvert? With swale?
Rear Sides (L) (R)
## Stories Height Vertical distance measured from the average adjacent
grade of the building to the extreme high point of the building, exclusive of chimneys, heating
units, ventilation ducts, air conditioning 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 l 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: Signature of Applicant:
Note: Apermit normally takes 7 to 10 days toprocess.
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
igyl'a�uyte Date
FEES
Permit
Inspections
Water Tap
Sewer Stub
Aid to Const.
TOTAL