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DATE ISSUED: 12 -19 -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
CLEARING & GRADING
14 ROBINSON AVE
MACK KITCHENS
PO BOX 1499
TYBEE ISLAND GA 31328 -1499
912 - 484 -7866
MACK KITCHENS
PO BOX 1499
TYBEE ISLAND GA 31328 -1499
P
$ 162.50
$1,000.00
PERMIT #: 120671
TOTAL BALANCE DUE: $ 162.50
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
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APPLICATION FOR LAND DISTURBING PERMIT
Applicant t. !7/ '
Applicant's Address .76
Property Owner
Phone Number
'7/1/6?
Property Owner's Address
Plan Prepared By14-
Project Location
hone Number _t
ozwilcui
-4,a<z)1.4
PIN Square Footage of Area 36/4_56
I hereby certify that I fully understand the provisions of the City of Tybee Island Erosion and
Sediment control Ordinance and Program, and accept the responsibility for carrying out the
erosion and Sediment Control Plan for the above referenced project as approved by the City of
Tybee Island. I further grant the right of entry onto this property, as described above, to the
designated personnel oft .,e City of Tybee Island for the purpose of inspecting and monitoring
for compliance i'th k . oresaid Ordinance.
Appli is Signature
* * * * * *
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APP: t VED
Zoning Administrator
/;;; //q' /. ?x 1 Date
Project File Number
Date of Application
I -
1a -19 -12
Permit Effective Date 12 ' 1 9 - I Z
12.- 19.2t12
Date
Building and Zoning Department • P.O. Box 2749 • 403 Butler Avenue
Tybee Island, Georgia 31328 -2749
(866) 786 -4573 • FAX (866) 786 -9539 • www.cityoftybee.org
Sanitary Sewer Manhole
Frame 9.98
IE 5.9*
Unable To Remove 51
Manhole Cover
Invert le Approximate
Benchmark
Nail In Power Pole
Elev. 8,87 NAVD88
This Section of
Robinson Ave. Not Open
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x 6,7
X 6.2
x 6,8
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Old Building Foundation
Concrete Slob Elev. 7.2
Top Of Foundation Wall Elev. 7,7
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Legend
Abbreviations
DB Pg,
PRB Pg.
SMB Pg,
CMF
PIN
R/W
NAVD88
tinetypeu
Deed Book / Page
Plat Record Book / Page
Subdivision Mop Book / Page
Concrete Monument Found
Property Identification Number
Right of Way
North American Vertical Datum of 1988
Penes Line
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