HomeMy Public PortalAbout11-0222 GoldbergDATE ISSUED: 04 -26 -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
REPAIR DRIVE (LESS THAN 50 %)
1623 CHATHAM
RONALD F. GOLDBERG
9980 WHITEFIELD AVE
SAVANNAH GA 31406 -8505
H G CONSTRUCTION SERVICES
758 SOUTHBRIDGE BLVD
SAVANNAH GA 31405
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 75.00
PROPERTY IDENTIFICATION #
PROJECT VALUATION
$6,000.00
PERMIT #: 110222
TOTAL BALANCE DUE: $ 75.00
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
CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
Location:
NAME
ADDRESS
PIN # 4><
TELEPHONE
Owner
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Architect
or Engineer
Building
Contractor
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(Che all that apply)
Repair
❑ Renovation
❑ Minor Addition
❑ Substantial Addition
❑ Other
[residential
❑ Single Family
n Duplex
❑ Multi - Family
❑ Commercial
❑ Footprint Changes
❑ Discovery
Demolition
Details of Project: ivn 417 v.--( (31- f b.-P'1 C «'i c t' q r ec k-
Estimated Cost of Construction: $ 6 v e Q
Construction T . e
(1) Wood Frame
(2) Wood & Mas
(3) Brick Veneer
Proposed use:
Remarks:
(Enter appropriate number)
(4) Masonry (6) Other (please specify)
Masonry
(5)
ATTACH A COPY 0
following information b
# Units
Lot Area
# Off - street parki g spaces
Trees located : isted on site lan
Access:
Driveway
Setbacks: 'ront
CERTIFIED ELEVATION SURVEY OF LOT and complete the
ed on the construction drawings and site plan:
# Bedrooms
Living space (total sq. ft.)
(ft.)
With culvert?
Rear
# Storie Height
grade o the building to the extreme high
units, entilation ducts, air conditioning unit
# Bathrooms
With swale?
Sides (L) (R)
ertical distance measured from the average adjacent
oint of the building, exclusive of chimneys, heating
, -levators, and similar appurtances.
During construction:
On -site restroom facilities will be provided through G-
On-site waste and debris containers will be provided by q C f riG
Construction debris will be disposed by c or, v► -ft. a c{ - by means of c ¢q ,' H u C'
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 necessary to restore drainage impaired by this
permitted construction.
Date: -- ( c' ^ t / Signature of Applicant:
Note: A permit normally takes 7 to 10 days to process.
r .�
The following is to be completed by City personnel:
Zoning certification
Approved rezoning/variance?
Street address and number: New
Is it in compliance with City map?
If not, has street name and /or number been reported to MPC?
NFIP Flood Zone
Existing
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
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FEES
Permit
Inspections
Water Tap
Sewer Stub
Aid to Const.
TOTAL 76
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