HomeMy Public PortalAboutPOLK ST_102.pdfCity of Tybee Island • Community Development Dept.
Inspection Report
403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328
Phone 912.472 -5032 • Fax 912.786.9539
Permit No. .3 ° 3°% �
Date Requested G),' /d 7/13
INTERNATIONAL
CODE COUNCIL
MEMBER
Owner's Name J < ti Date Needed 00h7g ,43
Gen. Contractor ,/i4& Subcontractor
Contact Information 'f1, :)y , 5/€z?P 74/-1,131-37
Project Address
Scope of Work ' j:A1 !.)1, S v `, r -,i7 Aleef/nlit
Inspector --2(C) 1 Date of Inspection f
Inspection
Pass L__I Fee
Inspection Pass ❑ Fail ❑ Fee
Inspection Pass 0 Fail ❑ Fee
Inspection Pass Fail ❑ Fee
CITY OF TYBEE ISLAND
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BUILDING PERMIT
WORK WITHOUT A PERMIT
DATE ISSUED: 08 -26 -2013 PERMIT #: 130537
WORK DESCRIPTION 2 TON DUCT SYSTEM REPLACEMENT
WORK LOCATION 102 POLK ST
OWNER NAME RACHEL BURKE
ADDRESS PO BOX 9
CITY, ST, ZIP TYBEE ISLAND GA 31328 -0009
PHONE NUMBER
CONTRACTOR NAME LANG CORPORATION
ADDRESS P.O. BOX 21458
CITY STATE ZIP HILTON HEAD ISLAND SC 29925
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEES CHARGED
PROPERTY IDENTIFICATION #
P
$ 402.00
PROJECT VALUATION $6,215.00
Work without a permit — fees doubled plus $250
penalty
TOTAL BALANCE DUE: $ 402.00
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
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