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12-0379 Cub Enterprises
Vox- , a h Gropr t. d 2 4-- (5.;-Le t/IS;4- Wor•A. CorY\fAa.--1-e-- s n City of 7ylbee , s1a.t c — Community Development Department BUILDILNG HERMIT Perranii; Nunrnber:12- 0111 Issued Date: 12. 4 12 Kolb Address: � E tt V emir h 54 J©b Name: C � � � �� I ' 0 il'��ra�e: BI ^e MI I �O tli Lion Jf, Type of Work: • Flood Zone (if applicable): To avoid penalty this placard must be posted and visible from Thte street until completion of the project. all (912) TO SCHEDULE AN NSP CTS by 4:00 pirn the c1;.,y he ON oJfe yon need an nspectken. fl'S�i& /7 Property Address: II .51i7 City of Tybee Island, Georgia 912 - 472 -5033 or 912 - 472 -5031 - Fax 912 - 786 -9539 APPLICATION FOR BUILDING PERMIT Single Family ❑ Duplex ❑ Multi- Family units ❑ Commercial units Details of Project: /y) (yf «✓ (Check all that apply) ❑ Discovery /Tearout ❑ Footprint Changes — new square feet dri heated /cooled veI va (e//4y) a,r. -V6* a A: r r c,K rer [a. c,;,nvS, 12; q' IZ QS a1, proae.d. & C' n Demolition of Structure ❑ Other Estimated Cost of Construction: $ t 7 (materials + labor + profit/overhead) J If applicable, attach a copy of the certified elevation certificate and /or survey of the property. Depending upon the scope of the work, two sets of construction drawings and /or a site plan may be required. Year Built: P// Listed on National Historic Register or located within a National Historic District? Y / N * Buildings older than 50 years may be eligible to be listed on the State / National Register. With this designation, you may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island. * Also see the Tybee Island Land Development Code Article 14: Historic Preservation During construction: On -site restroom facilities will be provided through . Construction debris will be disposed by by means of . I understand that I must comply with zoning, flood damage control, building, fire, shore protection and wetland ordinances, FEMA regulations and all applicable codes and regulations. I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected as required by Article 16, Stormwater Management. I accept responsibility for any corrective action that may be necessary to restore drainage impaired by this permitted constructio Date: / 2— Signature of Applicant: Printed Name rn her-17 p; Note: A permit normally takes 7 to 10 days to process Approvals: Planning & Zoning Manager Building Official Water /Sewer Storm /Drainage City Manager t Date FEES Permit Inspections Cap Cost Rec Water Tap Sewer Stub Eng. Fees Aid to Const. TOTAL Name Mailing Address Telephone Owner Behr/ Home: Cell: Architect or Engineer Contractor /1� 2m/'c/4pj, ,LJD�j C f� 9 /?5 ,'2X /t 3 Office: Cell: lP3f 2, 7 Single Family ❑ Duplex ❑ Multi- Family units ❑ Commercial units Details of Project: /y) (yf «✓ (Check all that apply) ❑ Discovery /Tearout ❑ Footprint Changes — new square feet dri heated /cooled veI va (e//4y) a,r. -V6* a A: r r c,K rer [a. c,;,nvS, 12; q' IZ QS a1, proae.d. & C' n Demolition of Structure ❑ Other Estimated Cost of Construction: $ t 7 (materials + labor + profit/overhead) J If applicable, attach a copy of the certified elevation certificate and /or survey of the property. Depending upon the scope of the work, two sets of construction drawings and /or a site plan may be required. Year Built: P// Listed on National Historic Register or located within a National Historic District? Y / N * Buildings older than 50 years may be eligible to be listed on the State / National Register. With this designation, you may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island. * Also see the Tybee Island Land Development Code Article 14: Historic Preservation During construction: On -site restroom facilities will be provided through . Construction debris will be disposed by by means of . I understand that I must comply with zoning, flood damage control, building, fire, shore protection and wetland ordinances, FEMA regulations and all applicable codes and regulations. I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected as required by Article 16, Stormwater Management. I accept responsibility for any corrective action that may be necessary to restore drainage impaired by this permitted constructio Date: / 2— Signature of Applicant: Printed Name rn her-17 p; Note: A permit normally takes 7 to 10 days to process Approvals: Planning & Zoning Manager Building Official Water /Sewer Storm /Drainage City Manager t Date FEES Permit Inspections Cap Cost Rec Water Tap Sewer Stub Eng. Fees Aid to Const. TOTAL " L E A D - B A S E D P A I N T R R P R U L E S O r d i n a r y r e n o v a t i o n a n d m a i n t e n a n c e a c t i v i t i e s c a n c r e a t e d u s t t h a t c o n t a i n s l e a d . C o n t r a c t o r s w h o p e r f o r m r e n o v a t i o n , r e p a i r s , a n d p a i n t i n g j o b s i n p r e - 1 9 7 8 h o u s i n g a n d c h i l d - o c c u p i e d f a c i l i t i e s m u s t , b e f o r e b e g i n n i n g w o r k , p r o v i d e o w n e r s , t e n a n t s , a n d c h i l d - c a r e f a c i l i t i e s w i t h a c o p y o f E P A '