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Home My Public Portal About11-0603 Shira12/06/2011 17:15 19123308206 GRIFFIN ELECTRIC CO PAGE 01/02 FAX Griffin Electric CornPa'rsy! To: Ray (Inspector) From: Rob Griffin Fax: 786 -9539 Date: December 6, 2011 Phone: Pages: Re: 8 A 12th Street Tybee Island, GA CC: ❑ Urgent El For Review ❑ Please Comment 0 Please Reply ❑ Please Recycle Ray, Per your request, please find the IC rating info on the recess cans. Please feel free to call if you have any questions. Thank you, Rob Griffin Cell 912- 429 -3855 Griffin Electric Company, Inc. 103 Beecher Drive Guyton, GA 31312 ph (912) 330,8882 fax (912) 330.8206 griffinelectric@bellsouth.net 12/06/2011 17:15 19123308206 GRIFFIN ELECTRIC CO PAGE 02/02 oST H EWES BU U BEFORE 1985 HAVE SUPPLY WIRE BATED 1�fARNiNG•R1SK OF FIRE. MOST BOTtCONSUIT A O UAUPIED ELECTRICIAN BEFO E INSTALLING. INSTALLATION INSTRUCTION 6" iC Ho IMPORTANT SAFETY INFORMATION. R A AND Or AFFE YUCIOS. Follow leimn and instructions concerning Wet or Damp Locations, installation nea combustible materials, i lo building materials, and ur proper limping. Do not install trn in areas useto to r ircuit breaker. Avapors vriG ng or relamp ng must be performed by Burin servicing vi er renn personnel. t r Po Product suss b n ed in i cations and a heights and avoid mannerrlconststent with its intendednuse, i ndrin Product must be mounted equipment not recommended by compliance with the National Electrical Code and local codes. The use of accessory eq p from the uct in whole or installed may cause an unsafe may cause Do not allow items such as drapes, curtains, screens or product in whole or park, a Y the like to come into contact with the product or to black light from the product, as this may cause an unsafe condition. tPt51'At..LING RECESSED LIGHTING HOUSINGS Joist type ceilings ings - extend d CEILING ners to Joist tyQe t:eiNrtgs - fit between Joists. position fixture temporar- ily by hammering nail -in tabs into ioists.(see drawing). then secure perma- nently with nalle.Hartgere should be level with bottom of joists. ELECTRICAL- CONNECTION; Junction box contains two wires, a black (hot4) and a white (neutral -) wire which must be spliced to the current Feed wires.MAKE SURE TO SPLICE WHiTE 'TO WHITE AND BLACK TO BLACK,After splicing has been completed,lnsert wires icarefully Into junction box.Connect green ground wire to green grounding pig in junction box.(see diagram) Replace cower. NAiL IN T 'axe %eel R FEED ROUNDI4t3 norm, CUTtING A HOLE -6 3 /a" DIAMETER: Locate the center of proposed opening on your die or ceiling material and mark IL Use a compass to draw a circle around this center point. Cut along this circular line. INSTALLING TRIM ASSEMBLIES FOR USE WITH RECESSED HOUSINGS install the trim by one of the three following methods; TORSION SPRINGS ,COIL SPRIN S Squeeze the arms together and Insert them Into the slotted tabs on the In- side of the housing. Push upward fully so the springs will hold trim in place.(see diagram below) RECESSED HOLISM (TYPICAL) SLOTTED TABS TORSION PR TFE Bend the slotted tabs upward and out of the way (Just push with your linger). Hook the coil springs Into the slots cut into the side of the housIng.(see diagram below). HOOK SPRINGS HER COIL $PAIN(O9 ---'- - PRES URE SPRING Bend the slotted tabs upward and out of the way (lust push with your finger). Insert trim into the housing. Push upward Fully and pressure springs will hold trim in place. (see diagram below). PRESSURE SPANS TRIM FOR TRIMS EYEDALL :before trim.re+nove socket plate from housing by loosening wing nut,Unfasten 9oeket from socket plate and snap into hole provided in top of trim. Select proper lsrnp (See lamp maximum wattage label In housing), Go not exceed maximum wattage tamp shown for each trim te.iere tere►wi froetem erero veratiee* * * *k* ** * *feeint *e1meefeeeneee * *****I ellir * * *MM11IA **7****** ** **i***RM **CtirR'MIR#Hr**M1M *1tt WARNING: Thermal insulation may be installed in direct contact with fixture, but DO NOT install insulation in excess of eight (8) inch• es deep above fixture. Greater depth may cause the thermal protector to cycle the fixture on or off. WARNING: Use only those trims, lamps and maximum wattages proper for this fixture, as indicated on the label within the housing. WARNING: The National Electrical Code, Article 110-3 (B), states that "Listed or labeled equipment shall be used or installed in accordance with any instiuctions included in the listing or labeling". Use only with Hubbell UL listed trims. Use of other tams not listed in this fixture, including those that are UL classified, is a violation of N.E.C. 110-3(B) and voids all warranties. WARNING: if any special control devices are used with this fixture, follow the instructions carefully to assure full compliance with N.E.C, requirements. if there are any questions, contact a qualified electrical contractor. .....44•4 44 4 ihr ******ItH1 *****1 Pr** *** ** **IA*** ******4-fr * 44* 4 **II ***MI*** 44,4************* 1' *4 004*******:********* ■14****ir********** *04* ***WM** 11, Permit No. City of )ee Island • Community Develop, .ent Dept. Inspection Report 403 Butler Ave. P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 1,14 Fax 912.786.9539 Date Requested ner's Name 75? /=;4) Date Needed Gen. Contractors ?,Ci /;ij/Z ubcontracctor Contact Information r �/ / / ,7 .L7/ fit, s -� EtwN INTERNATIONAL CODE COUNCIL' MEMBER Project Address 5 4 CA Scope of Work Inspector %// Date of Inspection Inspection j%' Passe[ F ;nspec :io L Pass (J ` Fai4 Fee Fee - Inspection 1:717/ - Pass 07 F\,:a5 Fee 7 ?" Inspection' i�� i�� Pass ,''Fail I,n P City of , dee Island • Community Develop,-,ent Dept. Inspection Report 403 Butler Ave. • P.Q. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 , Fax 912.786.9539 it No. l / -C� l3 Owner's Name Gen. Contractor o,.t T�e��r;: Information Project A rdress Date Requested Date Needed Subcontractor auk INTERNATIONAL CODE COUNCIL` MEMBER / X7,-1 -;s7,"_7) Scope of Work 77//f,;‘. inspector petition Date of Inspection / ! U, Pass D Fail El Inspection c1 Inspection ee Pass ® Fail F if! 411 7"-)i�{% i-)1:;.;(-)t) 7Iv4-) tJ t;>1 .... 11 Pc-',) "Fr.) i... Inspection -'I>- i _ *.�i'1' N.) h., Pass Fail ,uU4 il- I!Ut'v � 43 /1-1( ) - 0 2 1,-7 1 !,7. ..-¢r` Pass [j Fail ee < DATE ISSUED: 11 -2 -2011 WORK DESCRIPTION WORK LOCATION OWNER NAME ADDRESS CITY, ST, ZIP PHONE NUMBER CONTRACTOR NAME ADDRESS CITY STATE ZIP CITY OF TYBEE ISLAND BUILDING PERMIT RENO V ATION /H VAC /PLBNG /ELEC 8A TWELFTH ST ANNE & WILLIAM SHIRA 5507 WATERS DR SAVANNAH GA 31406 -2038 CHATHAM HOME BUILDERS PO BOX 3570 SAVANNAH GA 31414 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $1,700.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $85,000.00 PERMIT #: 110603 TOTAL BALANCE DUE: $1,700.00 It is understood that if this permit is granted the builder will at all times comply with the zoning, subdivision, flood control, building, fire, soil and sedimentation, wetlands, marshlands protection and shore protection ordinances and codes whether local, state or federal, including all environmental laws and regulations when applicable, subsequent owners should be informed that any alterations to the property must be approved by the issuance of another building permit. Permit holder agrees to hold the City of Tybee Island harmless on any construction covered by this permit. This permit must be posted in a conspicuous location in the front of building and protected from the weather. If this permit is not posted work will be stopped. The building contractor will replace curb paving and gutter broken during construction. This permit will be voided unless work has begun within six months of the date of issuance. Signature of Building Inspector or Authorized Agent: P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org 11/01/2011 09:50 9122347256 CHATHAM HOME BUILDER PAGE 02 CITY OF TYREE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT H-oo3 Location: aft"' Owner NAME ADDRESS PIN # ECEIV NN ShAt q1, Architect or Enjineer ,4 A, Al Building L441•40«4 /4.'we 9V0 -'33 156 Contractor ��.�,,r 70,X))1. 3'r7b 94v. C►a �• - /2.m S'. ria.e. TELEPHONE 23 Check all that apply) Repair ❑ Residential Renovation ❑ Single Family ❑ Minor Addition ❑ Duplex ❑ Substantial Addition ❑ Multi- Family ❑ Other ❑ Commercial 1 t'C-la . ( Gel ❑ Footprint Changes° O ✓ T(O ❑ Discovery ® Demolition Details of Project: t.Awa .6Ye.4ze, 0.4/„ ti. %r A7 4 , rie 50 EL., a./7406. 4061444 fr 4• dat. WAWA e. e , ££ rAme , rev7eisi. c P462.0b , 14.,;61,0 /l eatv. df ev a.sA /r t< e.ei . 410.440 14"VaI '/ ►.',t e.1� /144., C..6 M2 t$ ,i4 .. ! fi ht. Estimated Cost of Construction: $ rs`, oov. O a ,�,u,7gq ", "-ALA-. •6 � 2;4' .0 ,.+ Construction Type -a- (Enter appropriate number) (1) Wood Frame (4) Masonry (6) Other (please specify) (2) Wood & Masonry (5) Steel & Masonry (3) Brick Veneer Proposed use: Remarks: ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following information based on the construction drawings and site plan: # Units # Bedrooms # Bathrooms Lot Area Living space (total sq. ft.) # Off-street parking spaces Trees located & listed on site plan Access: Driveway (ft.) With culvert? With swale? Setbacks: Front 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. 11/01/2011 09:50 9122347256 CHATHAM HOME BUILDER HOME BUILDERS Nw• Horne b Romaa.Ung Z1S}NCE 1942L PAGE 01 2247 East Victory Drive '• Savannah, Georgia 31404 • (912) 234.3568 • Fax (912) 355.1727 • Email: chathamhomshu/lders@comoast .net Mailing Address • P,0, Sox 3570 • Savannah, Georgia 31414 TELE_COpIER.COV - LarrErt FAX TO: 2)//9(z/' of,) FAX NO.: FROM: ,.0 , 40, / % / �d -�•� cY/ DATE: 40///// WE ARE SENDING .,� PAGES (INCLUDING THIS PAGE): RE: t.. • . = \i Y • T:. N :::13. : :YA�y P a .;� • S p: ,:,:. .. � A =ti T A'i3 - • \ T• _..;k1./ qD k, A' . 1;., r • M. ►• •`� .:y ..L - •i. - sP - •N P l :. •: SJVMAIL • r •fl. • E .IP •.F • N ■.D IP ..LT '•. Y OR I F I I O' • w I. NI E R•: INAL FACOMILEIQ IF YOU DO NOT RECEIVE ALL PAGES, PLEASE CALL AS SOON AS POSSIBLE. PHONE (912) 234 -3568 Contact: CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT Locatio Q -A Tw,e. S 7;eur...2- NAME ADDRESS Owner n./vE5 -4i1'Q O-A IaH eet 65'9-Z3O Architect or Engineer /4 /V/-7/1" Building Contractor A ,fie � S �� 7 r�: � ;7vyo�L ,�•: 23¢ 3 S �D (Check all that apply) 1 Repair ❑ Residential Renovation ❑ Singlg Family ❑ Minor Addition ❑ Du A ex ❑ Substantial Addition lti-Family n Other ommercial Details of Project: 17)QA -L ! )';r;/`rA? ?A/' j A/ Estimated Cost of Construe Construction Type (1) Wood Frame (2) Wood & Masonr (3) Brick Veneer Proposed use: Remarks: 11, 4- 0)0113 - rLj�l�C)r� 7//tight - - /4w / //_o ni CtH Zt0-01 n Footprint Changes ❑ Discovery ® Demolition (Enter apprriate number) (4) Masonry (6) Other (please specify) (5) Steel & Masonr ( ,sM.,c.1 / <, 7 4 - ATTACH A PY OF THE CERTIFIED ELEVATION SUR following in , rmation based on the construction drawings and s # Units Lot Are # Off -st et parking spaces ? Trees 1 ated & listed on site plan Acces Driveway Setbacks: Front # Bedrooms F Living space (total sq. ft.) 2 (ft.) With culvert? Rear Y OF LOT and complete the plan: # Bathrooms With swale? 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 (7417 f 4 r, 1�- C?rr 11111 f',r 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 neces y to restore drainage impaired by this permitted construction. �, 7 Date: /3 9 �/ / Signature of Applican :�� c - -� ca.�._,�, Note: A permit normally takes 7 to 10 days to process. The following is to be completed by City personnel: Zoning certification NFIP Flood Zone Approved rezoning /variance? Street address and number: New Existing 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) Access to building site Distance to water main tap site Distance to sewer stub site Water meter size Storm drainage Approvals: Signature Date Zoning Administrator Code Enforcement Officer Water /Sewer Storm/Drainage Inspections City Manager I,,3 o r 4G 6e5 ar W 44,0 4- a er FEES Permit 7 Inspections .2 6s Water Tap Sewer Stub Aid to Const. `12 X Z LEAD -BASED PAINT Adapted from http: / /www.epa.gov/lead /pubs /renovation.htm. Please use that site to access the following information. Information for Property Owners of Rental Housing, Child- Occupied Facilities Property owners who renovate, repair, or prepare surfaces for painting in pre-1978 rental housing or space rented by child -care facilities must, before beginning work, provide tenants with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools. Owners of these rental properties must document compliance with this requirement. EPA's sample pre- renovation disclosure form may be used for this purpose. After April 22, 2010, property owners who perform these projects in pre -1978 rental housing or space rented by child -care facilities must be certified and follow the lead -safe work practices required by EPA's Renovation, Repair and Remodeling rule. To become certified, property owners must submit an application for firm certification and fee payment to EPA. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application. Property owners who perform renovation, repairs, and painting jobs in rental property should also: • Take training to learn how to perform lead -safe work practices. • Learn the lead laws that apply regarding certification and lead -safe work practices beginning in April 2010. Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and that you followed lead - safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeepinq checklist that EPA has developed to help contractors comply with the renovation recordkeeping requirements that took effect April 2010. Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. Read about how to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. Information for Homeowners Working at Home If you are a homeowner performing renovation, repair, or painting work in your own home, EPA's RRP rule does not cover your project. However, you have the ultimate responsibility for the safety of your family or children in your care. If you are living in a pre -1978 home and planning to do painting or repairs, please read a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools lead hazard information pamphlet. You may also want to call the National Lead Information Center at 1 -800- 424 -LEAD (5323) and ask for more information on how to work safely in a home with lead -based paint. Information for Tenants and Families of Children under Age 6 in Child Care Facilities and Schools As a tenant or a parent or guardian of children in a child care facility or school, you should know your rights when a renovation job is performed in your home, or in the child care facility or school that your child attends. • Before starting a renovation in residential buildings built before 1978, the contractor or property owner is required to have tenants sign a pre- renovation disclosure form, which indicates that the tenant received the Renovate Right lead hazard information pamphlet. Beginning in December 2008, the contractor must also make renovation information available to the parents or guardians of children under age six that attend child care facilities and schools, and to provide to owners and administrators of pre -1978 child care facilities and schools to be renovated a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools lead hazard information pamphlet. Information for Contractors As a contractor, you play an important role in helping to prevent lead exposure. Ordinary renovation and maintenance activities can create dust that contains lead. By following the lead -safe work practices, you can prevent lead hazards. Contractors who perform renovation, repairs, and painting jobs in pre -1978 housing and child- occupied facilities must, before beginning work, provide owners, tenants, and child -care facilities with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools. Contractors must document compliance with this requirement. EPA's pre- renovation disclosure form may be used for this purpose. Understand that after April 22, 2010, federal law will require you to be certified and to use lead -safe work practices. To become certified, renovation contractors must submit an application and fee payment to EPA. See: Application for firm certification. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application. Contractors who perform renovation, repairs, and painting jobs should also: • Take training to learn how to perform lead -safe work practices. • Find a training provider that has been accredited by EPA to provide training for renovators under EPA's Renovation, Repair, and Painting (RRP) Program. Please note that if you previously completed an eligible renovation training course you may take the 4 -hour refresher course instead of the 8 -hour initial course from an accredited training provider to become a certified renovator. Click here for a list of eligible courses. • Provide a copy of your EPA or state lead training certificate to your client. • Tell your client what lead -safe methods you will use to perform the job. • Learn the lead laws that apply to you regarding certification and lead -safe work practices beginning • Ask your client to share the results of any previously conducted lead tests. • Provide your client with references from at least three recent jobs involving homes built before 1978. • Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeepinq developed to help contractors comply with the renovation recordkeeping requirements. Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. Read about how to use lead -safe work ctic in EPA's Steps to Lead Safe Renovation, Repair and Painting. IF YOU'RE NOT If AD SA∎E(ERTI'iEa .DISTURBING JUST SIX SQUARE FEET "COULD COST YOU .BIG TIME. in April 2010. that you followed lead - checklist that EPA has • Signature ...A1 t C:., ( / Cc7 -. c- `— Printed Name C c1/2,5- Date Permit Acknowledgement of Asbestos /Environmental Notification to Georgia EPD for Projects Involving Demolition, Wrecking, or Renovation The undersigned hereby acknowledges that the issuance of this permit does not in any way grant permission to the owner, owner's representative, or permit holder to proceed with demolition, wrecking, or renovation of a structure prior to the filing of any required ten (10) day "Project Notification for Asbestos Renovation Encapsulation or Demolition" form in accordance with the Georgia Asbestos Rules. The Georgia Environmental Protection Division administers the rules. In most cases, the rules require both the owner and the involved contractors to assure the portion of the building involved in the project is thoroughly inspected by an Accredited Asbestos Inspector for materials that contain asbestos; and the removal of the asbestos before renovation, wrecking, or demolition begins almost without exemption. Georgia EPD requires a completed demolition notification from be submitted 10 workings days in advance even if no asbestos is present in the building. Further guidance for regulatory compliance and contact telephone numbers are provided by the brochures entitled Asbestos & Renovation and Asbestos and Demolition. Other environmental issues such as asbestos removal techniques, lead abatement, ground contamination, or unusual site conditions may have EPD regulations that could affect the roj ect. Undersigned /Cv�crC v(/ Printed Name Office Use Only: Project Address: Permit Number: CITY OF TYBEE ISLAND BUILDING & ZONING DEPARTMENT P.O. Box 2749, Tybee Island, GA 31328 Phone (912) 786 -4573 • Fax (912) 786 -9539 ELECTRICAL PERMIT APPLICATION & TEMPORARY SERVICE AF DAVIT Date 024)1 New Work Replacement Location of work (street address) F Jdj i5 i oby ) .. Contractor Jy) (::17 n [t/(`Ti G ��G� Telephone 94,7 - Address of Contractor 2 �, ee c ).t 4, Property Owner Date v ork will be ready for inspection, if known Estimated cost of construction elephone A/C Unit and Heat Pump ange Hood — commercial Attic Ventilation Fan Service: amps Bell Transmitter — low voltage Sign Circuit - wattage Border /Outline Lighting Smoke Detector — low voltage V Building Saw Spa or Tub — grounding Exit Lights — life safety Special Outlet Heat Pump Swimming Pool — grounding Meter Box 1 Motor(s): p `\ Outlets — 110 volts c cuit Parking Lot Lights X -ray Pool Lights — gro nding Other a d6lt ?g reCeSScoy) Range — comme ial elephone APPLICATION FOR TEMPORARY SERVICE R QUEST In requesting temporary electrical service, the undersigned understands and agrees: 1. Connection of temporary electrical service does not remove the requirement to comply with all State of Georgia minimum construction codes. 2. Temporary electrical power is intended for completion of the construction process and testing equipment installed within the structure. 3. Issuing approval for temporary power connection does not constitute approval to occupy the structure. A Certificate of Occupancy must be issued by the City of Tybee Island prior to any occupancy. 4. The owner and contractor are hereby held responsible for any violations of this policy. A violation of this poli mas-ult ln` d'sconribc �oi'1bfthe electrical service until all viol ti / s and deficiencies are corrected. )1/ 21 / Date Permit Wumber ALL WIRING, SERVICE INCLUDED, MUST BE COPPER. NO ALUMINUM ALLOWED. vu or ved Owner /Contractor Signature Owner /Contractor Printed Name • APPROVAL Fee Building Official Date ange Hood — commercial Service: amps Sign Circuit - wattage Smoke Detector — low voltage V Spa or Tub — grounding Special Outlet Swimming Pool — grounding Water Heater 1 Welder — 220 volts circuit Well Pump — grounding X -ray t/ Other a d6lt ?g reCeSScoy) APPLICATION FOR TEMPORARY SERVICE R QUEST In requesting temporary electrical service, the undersigned understands and agrees: 1. Connection of temporary electrical service does not remove the requirement to comply with all State of Georgia minimum construction codes. 2. Temporary electrical power is intended for completion of the construction process and testing equipment installed within the structure. 3. Issuing approval for temporary power connection does not constitute approval to occupy the structure. A Certificate of Occupancy must be issued by the City of Tybee Island prior to any occupancy. 4. The owner and contractor are hereby held responsible for any violations of this policy. A violation of this poli mas-ult ln` d'sconribc �oi'1bfthe electrical service until all viol ti / s and deficiencies are corrected. )1/ 21 / Date Permit Wumber ALL WIRING, SERVICE INCLUDED, MUST BE COPPER. NO ALUMINUM ALLOWED. vu or ved Owner /Contractor Signature Owner /Contractor Printed Name • APPROVAL Fee Building Official Date DES.. -24' c6 (TUE) 10 :47 J. YiHIT REYNOLDS TEL:912 ; 7787 ELEVATION CERTIFICATE FE, €RAL EMERGENCY MA "'`-- — NATIONAL FLOOD INSUF ATTENTION: Use of this certificate does not provide a waiver of the flood vide elevation information necessary to ensure compliance with applicable the proper insurance premium rate, and/or to support a request for a Letts required to respond to this collection of information unless a Valid OMB co Instructions for completing this form can SECTION A PROPERTY INFORMATION P. 01 O.M.B. No, 3067-0077 _. —. Exeirt.Iuk31 1999 Post -it' Fax Note 7671 Date `?% 1�sos� 3 From 06_1‘1 To j`%t� �!l t r� CalDep6 Co. / Phone # Phone # Fax N Fax $ 9UIL NG OWNERS NAME,--, STREET A )DRESS (Including Apt., Unit, Suite • d/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER B-A 7u/ , 7 A OTH DSSCRIPTiON (Lot and No . Numbers, etc,) 'Go ( J CITY STATE COMPANY NAM NUMBER /?3.110fLoem/b 3 sig2 B SECTION B SECTION FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY /3 NUMBER /63 2, PANEL NUMBER C.. 3. SUFFIX C A. DATE OF FiRM INDEX 6//7 J/‘ 5. FIRM ZONE A 6. BASE FLOOD ELEVATION (In AO Zones s use depth) 7. Indicate he elevation datum system used on the FIRM for Base Flood Elevations (BFE): C1NGVD '29 ❑ Other (describe on back) 8. For Zon : s A or V, where no BFE: is provided on the FIRM, and the community has established a BFE for this building site, indicate the corn unity's BFE: I I I I I I I„_J feet NGVD (or other FIRM datum —see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1, Using th Elevation Certificate Instructions, indicate +)Se diagram number from the diagrams found on Pages 5 and 6 that best describe - the subject building's reference level 2(a). FIRM ' ones At -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation el I I I f 4 feet NGVD (or other FiRM datum —see Section B, item 7). (b). FIRM • ones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from these .cted diagram, is at an elevation of I 1 1 1 1 I U feet NGVD (or other FIRM datum—see Section B. Item 7). (c). FIRM one A (without BFE). The floor used as the reference level from the selected diagram Is 1 I I U feet above ❑ or below ■ (check one) the highest grade adjacent to the building. (d). FIRM one) th level) 3. Indicate t under Co the FIR equation 4. Elevation 5. The refer (NOTE: case this c will be red 6. The elevat Section B, one AO. The floor used as the reference level from the selected diagram is LU U feet above ❑ or below ❑ (check highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference evated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown e elevation datum system used In determining the above reference level elevations: ❑ NGVD '29 ❑ Other (describe ments on Page 2). (NOTE: If the elevation datum used In measuring the elevations is different than chat used on [see Section 8, item 71 then convert the elevations to the datum system used on the FIRM and show the conversion nder Comments on Page 2.) eferenoe mark used appears on FIRM: ❑ Yes no (See Instructions on Page 4) ce level elevation is based on: U actual construction ❑ construction drawings e of construction drawings is only valid if the building does not yet have the reference level floor in place, in which rtiticate will only be valid for the building during the course of construction. A post- construction Elevation Certificate red once construction is complete.) n of the lowest grade immediately adjacent to the building is: I I I tern 7). 121 feet NGVD (or other FIRM datum -see SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section 0, item I is not the "I west floor" as defined In the community's floodplain management ordinance, the elevation of the building's "lowest floor" as denied by the ordinance is: I { I I I j iJ feet NGVD (or other FIRM datum —see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form DEC 1-31, AUG 96 REPLACES ALL PREVIOUS EDITIONS 4 '9P, 121:KF SEE REVERSE SiDE FOR CONTINUATION DE! -24' '6 (TUE) 10:48 J, WHIT REYNOLDS TEL:912 3 7787 SECTION E CERTIFICATION P. 02 This c- rtification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation info =lion when the elevation information for Zones Al —A30, AE, AH, A (with BFE),Vl—V30,VE, and V (with BFE) is required. Corn unity officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certiti '.alien. in the case of zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owners representative may also sign the certification. Refer =nce level diagrams 6. 7 and 8 - Distinguishing Features —If the certifier is unable to certify to breakawaytnon- breakaway wail, enclo re size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not includ =d in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. I certif that the information in Sections 8 and C on this certificate represents my best efforts to interpret the data available. I unde tend that any false statement may be punishable by fine or imprisonment under 18 U,S. Code, Section 1001. CERTIFI R's TITLE ADD 17L'y LICENSE NUMI for A4lc Ii COMPANY NAME _ / SIGNAT opies COMM NTS: e of t s Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. OH SLAB A ZONES V zoNEs W rrli BASEMENT ON PILES, PIERS. OR COLUMNS A A v ZONES ZONES ZONES A IIIi BASF «ooD El EVATION The dagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Eleva•ons for all A Zones should be measured at the top of the reference level floor. Eleva ions for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 nFr c P. , G1 Policyholder Services Menu Page 1 of 2 SFB Insurance Pr °grams About Us rvices Flood Quote FAQ /Help Contact Us Home Policyholder Information Policy Number: FL14008930 Membership 10060721 Number: Account Number: 001400893000 Insured Name: ANNE C SHIRA Co- Applicant Name: WILLIAM G SHIRA Mailing Address: PO BOX 1479 TYBEE ISLAND, GA 31328 - 1479 -79 Telephone Number: (912)783 -8596 County /Parish: CHATHAM COUNTY Email Address: Property Address: 8A 12TH ST TYBEE ISLAND, GA 31328 First Mortgagee: BANK OF AMERICA 133 Mortgagee Address: PO BOX 1675 CORAOPOLIS, PA 15108 Loan Number: 6260218760 Policy Status: PAID Responsible INSURED for Renewal Payment: Policy Effective Date: 01/07/2011 Policy 01/07/2012 Expiration Date: Community: TYBEE ISLAND, CITY OF Flood Zone: A08 Policy Type: DWELLING Company: GEORGIA FARM BUREAU MUTUAL INSURANCE COMPANY https: / /www.sfbcic.com /flood/ secure / flood /PolicyholderInformation.asp 10/25/2011 Policyholder Services Menu Page 2 of 2 Building Insurance Amount: $250,000 Building Deductible: Total Term Premium: Last Change Effective Date: Reinstate Effective Date: Post FIRM: Policy Balance: Agent: Agent Telephone Number: $1,000 $422.00 YES $0.00 DIANNE RANDALL (912)355 -5659 Click to request change to policy. https: / /www.sfbcic.com/flood/ secure / flood /PolicyholderInformation.asp About SSL Certificates Contents Insurance Amount: Contents Deductible: Rating Method: Cancellation Effective Date: Policy Last Updated: $50,000 $1,000 STANDARE 11/22/2010 10/25/2011 + L I DEC. -24' 96 (TUE) 10:48 J. '' "LEY REYNOLDS TEL:912 352 778 P. 03 U O S 70•59'49"E 105.00' PT. LOT e S 60•00'00 "E 105,00' 545' TO BUTLER AVENUE 5/8" R85 H,.9 T 5+080 td LOT 71 S 80 °00'00 "E 45.00' a' w000`EN FENCE x . 5/8° RBS ONO. CO I III ORY de STUCCO )ENCE I-4 pact, 0 DECK -7 CONC. ORME f.i4 AATAIAWG WALL G7 C C Tr. LOT 7 CO 0 O 0 Pwl 5 /B" RBs O� /B" RSS N 80 00'00 'W 45.00' TWELFTH STREET 60' R/W PLAT OF THE EAST 15' OF LOT 6 & THE WEST 30' OF LOT 7 OF A SUBDIVISION OF FRONT LOT 72, WARD NO. 3, TYBEE ISLAND, GEORGIA STREET ADDRESS: 8 —A TWELFTH STREET FOR: ANNE C. SHIRA & WILLIAM G. SHIRA REFERENCE: MB 2 17 ACCORDING TO THE F.I.R.M. DATED 6/17/88 THIS LOT IS WITHIN THE 100 YEAR FLOOD ZONE. J. WHITLEY REYNOLDS LAND SURVEYOR 636 STEPHENSON AVENUE SUITE C SAVANNAH. GEORGIA 31405 TELEPHONE: 912- 352 -0464 FAX: 912 - 352 -7787 EQUIPMENT: LIETZ SET 4 ERROR OF CLOSURE: LINEAR: 1/- ANG: —" /ANGLE BALANCED BY: — PLAT: 1 /INFINITY 0 20' SCALE: 1" = 20' DATE: DECEMBER 23, 1996 FILE NO. 96 -921 Chatham County Board of Assessors: 2'^11 Property Record Card 4- 0007 -02- 00" Page 1 of 2 2011 Chatham County Board of Assessors Property Record Card APPRAISER LESTEPH E PT OF LT 6 & W PT OF LT 7 FRONT LT 72 WD 3 TYBEE IS LA ND LAST INSP 12/06/2010 APPR ZONE 000008 4- 0007- 02 -008E 8 12TH ST TYBEE ISLAND SHIRA ANNE C & WILLIAM G* PO BOX 1479 TYBEE ISLAND GA 31328 -1479 CAMA ASMT 144,000 144,000 LAND 1 177,200 177,200 BLDG 1 OBXF 0 321,200 321,200 Cost - MS SALES BOOK/ INS VI QU RSN PRICE PAGE 07 Jan 183D 0436 WD I Q 254,900 1997 GRANTOR:SKINNER BERTIE P GRANTEE:SHIRA ANNE C& WILLIAM G 06 Apr 159P 0595 WD I Q 200,000 1993 GRANTOR:ROCK DAVID J & ANNETTE R GRANTEE:ETZ BERTIE P 01 Feb I U UO 136,300 1989 GRANTOR: GRANTEE: PERMITS TYPE DATE AMOUNT 100147 06 Dec 2010 Comp 9,000 1 070005 20 Dec 2007 Comp 10,000 97 -00041 ST 04 Mar 1997 Issued 780 COMMENTS: 26 Oct 1999 21 Jul 1997 21 Sep 1993 LAND ID# USE DESC FRONT DEPTH UNITS / TYPE PRICE ZONING LCTN TOPO OTHER ADJ1 ADJ2 ADJ3 ADJ4 MKT VALUE 109944 SINGLE FAMILY RES 45 80 3,600.00 -SF 40.00 R2 144000 ADD CHG P/O 10 -26 -1999 SSB TY98 SURVS 183D436 1 -13 -97 1985 SPLIT OUT OF 4 -7 -2 -8 [Click for larger picture] CODES PROPERTY 0006 RESIDENTIAL USE UTA 0004 Tybee Island NBHD 020213.00 T213 TYBEE BTL BEACH EXEMPTIONS L1 L9 S1 L8 HISTORY LAND IMPR TOTAL _ 2011 144,000 177,200 321,200 Cama 2010 304,000 178,000 482,000 MAV 2009 304,000 178,000 482,000 Over 2008 468,000 193,500 661,500 Cama 2007 468,000 177,500 645,500 Cama 2006 497,000 139,000 636,000 Cama 2005 281,000 197,000 478,000 Cama 2004 204,000 198,000 402,000 Cama 2003 204,000 201,000 405,000 Cama 2002 151,000 201,000 352,000 Cama 2001 144,000 122,500 266,500 Cama 2000 144,000 122,500 266,500 Cama 1999 57,000 122,500 179,500 Cama 1998 57,000 119,000 176,000 Cama 1997 57,000 112,500 169,500 Cama 1996 20,700 156,340 177,040 Cama 1995 20,700 162,640 183,340 Cama 1994 20,700 121,380 142,080 Cama 1993 20,700 85,950 106,650 Over 1992 20,700 85,950 106,650 Over http:// boa. chathamcounty. org /DesktopModules/ ChathamCounty / BoardofAssessors /PropertyRecordCard.asp... 11/1/2011 Chatham County Board of Assessors: 2'11 Property Record Card 4- 0007- 02- 00`'T' Page 2 of 2 2011 Chatham County Board of Assessors 4- 0007- 02 -008E Property Record Card 8 12TH ST TYBEE ISLAND BUILDING SECTION CONSTRUCTION TYPE RCN AYB EYB DEP TYPE PHYS ECON FUNC OBSV / % TOTAL DEP % RCNLD U.FACTOR MKT VAL 85515 -1 Residential 214,660 1984 1990 MS 21.00 0.00 0.00 0.00 21.00 169,581 1.10 177,200 9' . 904 Slab Porch r Itb Root 60 R 903 Wood Deck 80 ■ 721 Carport Flat Roof 00 10' n Mort • 100 196 ruse 1 hiog :6reo 2 , 218 2 U 721 (',sport FNt Ross 210 23' 1 907 closed Porch Scree D 154 1. ■ 721 Carport Flat Roof 154 11' ed Walls [Click for larger picture] SECTION TYPE AREA TYPE FRAME STYLE QUALITY CONDITION # UNITS # OF BEDS / BATHS 1 - Main 2406 1 - Single- family Residence 1 - Stud Frame 3 - Three Story 4.00 3.00 0 4/3.10 COMPONENTS R1 107 Frame, Siding, Vinyl R2 208 Composition Shingle R3 352 Heat Pump R4 402 Automatic Floor Cover Allowance R6 601 Plumbing Fixtures ( #) R6 602 Plumbing Rough -ins ( #) R6 621 Slab on Grade (% or SF) R6 641 Single 1 -Story Fireplace ( #) R7 721 Carport, Flat Roof (SF) R7 721 Carport, Flat Roof (SF) R7 721 Carport, Flat Roof (SF) R11 903 Wood Deck (SF) R11 904 Slab Porch (SF) with Roof R11 904 Slab Porch (SF) with Roof R11 907 Enclosed Porch (SF), Screened Walls R11 907 Enclosed Porch (SF), Screened Walls Units % QUAL 100.00 100.00 100.00 15.00 1.00 1.00 154.00 210.00 80.00 80.00 60.00 322.00 322.00 154.00 100.00 http: //boa. chathamcounty. org /DesktopModules/ ChathamCounty / BoardofAssessors /PropertyRecordCard.asp... 11/1/2011 A S4. II•01•2011 8:20 art, S "TOP \\ 'ORh - A't`weif� S�. It-1-11 l $b - 4513 ''+� 136 �;ar�a Tyson $(.ar qw )-'rwst4P S4. 3,64 d 100• ;io e• A TvalC4.6 LEGAL NOTICE CITY OF TYBEE ISLAND VIOLATIONS) �� 9trr.; HMO • PERMIT NO. k 0 - rpm • WHEREAS, VIOLATIONS OF THE CODE OF THE CITY OF TYBEE ISLAND HAVE BEEN FOUND, NOTICE IS HEREBY GIVEN THAT ALL PERSONS CEASE, DESIST FROM, AND STOP WORK AT ONCE ON ANY CONSTRUCTION, ALTERATION, REPAIR, OR 8 � �HET OF ESE � �ISS K�:S UNTIL THE VIOLATION HAS BEEN CORRECTED AND APPROVED BY THE CITY OF TYBEE ISLAND. ALL PERSONS ACTING CONTRARY TO THIS NOTICE OR REMOVING OR MUTILATING IT ARE LIABLE TO SUMMARY ARREST UNLESS SUCH ACTION IS AUTHORIZED BY THE CITY OF TYBEE ISLAND. DATE I Id_hlI INSPECTOR rHONe1 Opp ' T 7 73J 44,0 X Ilk