HomeMy Public PortalAboutSECOND AV_1610.pdfDATE ISSUED: 08 -23 -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
TREE REMOVAL
1610 SECOND AVE
MALLIE CLARK
PO BOX 253
TYBEE ISLAND GA 31328 -0253
MALLIE CLARK
PO BOX 253
TYBEE ISLAND GA 31328 -0253
P
$ 50.00
$ 0.00
PERMIT #: 130530
TOTAL BALANCE DUE: $ 50.00
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
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MITIGATION PLAN
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CITY OF TYBEE ISLAND
TREE REMOVAL PERMIT APPLICATION
Telephone: (912) 786 -4573 Fax: (912) 786 -9539
LZ !Pitt,
Address of Property 16 { o i2, =d AVE
bee .1s 14.n d , a-,4
Owner's Name M A L,`r £ 13. C itX, Se*
Applicant's Name SAM f
Owner's Address 16; v and Av £
Applicant's Address S 4At
)Owner's Telephone 786",54) lc ai. 652...7113
Applicant's Telephone SAµ t
h / gl - 7414 REQUIREMENTS FOR TREE REMOVAL
• Must maintain a density of 3 trees per 4,500 square feet. All trees with a 6" diameter at 4.5 feet above ground count
toward the density count.
• Significant trees may be removed only under certain circumstances and must be replaced inch - for -inch in like
species with minimum 2 -inch diameter trees or be otherwise mitigated. (See reverse side for definition.)
• By accepting the Tree Removal Permit, the property owner and the applicant agree to comply with all requirements
of the Tree Ordinance including mitigation requirements, planting specifications and tree survival requirements.
APPLICATION
✓ Scaled plot plan showing location, size and species
REQUIREMENTS
of all trees on the lot which have a diameter of 6 inches or
all proposed improvements, and property setbacks.
proposed replacement trees. (If replacement is proposed for
with the same information notated.)
more at 4.5 feet above ground, all existing improvements,
✓ Mark all trees proposed for removal.
,/ Mark the planting location, size and species for all
another parcel of land, a plot plan of that parcel is required
Explain the species of tree(s), the reason for removal, and the location
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of the tree(s)
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I have reviewed the Tybee Island Land Development Code, Article 7, Tree Removal Regulations, and hereby agree to
comply with the provisions thereof. I understand a Tree Removal Permit Application may require 5 days to process.
Owner or Applicant Signature Q 'A. ,-4.+, Date 8 42 //r eo i3
Owner or Applicant Printed Name 1 g r t. x E 23. CL-4R K 0-1Z.
City Official
Date
Permit Fee 5- 0
Palms Up
TOTAL
Ai APPROVED
� DENIED
Mitigation Required?
l : YES I I NO
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