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Home My Public Portal About11-0228 Adams_1of3(7 C r" City of '11 jee Island • Community Deve14.-ent Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 • 2 C C MEM INTERNATIONAL CODE COUNCIL MEMBER Permit No. \ - 02 2 3 Date Reatuested (40 -- 2 0--/ i Owner's Name Ar4 a (1^ r ate Needed (a - 2 I - " Gen. Contractor Co co 6S- ? id f.c. Subcontractor Contact 'Information 1 D n Project Address 3 I ko5 le r NI e s -.I-- ne of Work r e 0 -o .i a_ 4€-- Ca ,1---k / i-)8 d r o ..0 el-, / Inspector 53 -7- ?(733 '2/c) Date of Inspection 4 Inspection re IOC( -'al 6 1 e c . 44- Pass Inspection \?,, projec , 4 -4` I Pass Ei Fee Fee Inspection Pass 1:1 Fail 0 Fee Inspection Pass Fa El Fee Permit No, City of aee Island • Community Develoi. .ant Dept. Inspection Report 403 Butler Ave. P.O. Box 2749 • Tyhee Island, GA 31328 Phone 9'12.784573 ext. 114 • Fax 912.786.9539 Owner's Name D22 T‹ Date Requested r)n fatlak 11111111111ii M Er= INTERNATIONAL CODE COUR!!! MEMBER Date Needed (a- go ri:en. Contractor 17) L t95 /Jr. Subcontractor Contact Information Project Address Scope of Work Inspector So 7-933 3 I 11;,-007P /VP-Od re e pc 3,), 11() Inspection J /0 r;ceLj Date of Inspection IQ/ e . Pass E.] Fail Inspection 7L-1-1 - i\JC 1 Pa /11 a Jr 0 Inspection Inspection / )r Cj ( 71- tA) 77,1 k Z-- C) c..) L-1-.41-Zi Pass Pass Fail / Fee Fee City of bee Island • Community Develt tent Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 WEI& mug* INTERNATIONAL CODE COUNCIL MEMBER Permit No. I I - 0 2 2 3 Date Requested 5. 2 -I ( Owner's Name A akry)S Date Needed 5-3- ii Gen. Contractor—j; c D'S —Bic! FS . Subcontractor Contact Information 0 0 (N C a 1 ( 50r7 —g5) 33 Project Address Scope of Work Inspector ."7 )1 Date of Inspection 1 ( ke :-1-1,-, --"Fk,- Inspection ¶h c --, P itc. V C t /le CA- Pass )3) Elages NieS`& ror-,-"icz,k 6040 beJroorvNi roAr Inspection e 0 JO e (-4" r Ir■r• *i h /1 5 J /1) J6. 7Z. I • e • • ) />/' Pass c) / .7- - f.T, LA-) , / Fee Fee Inspection Pass Fail El Fee Inspection Pass Fail 0 Fee City of bee Island • Community DevelL_ lent Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 Permit No. H-R22.F Date Requested 2 - Owner's Name A 4e1 Of\ c Date Needed I ( NMI* INTERNATIONAL CODE COUNCIC MEMBER Gen. Contractor L ( Ic1 U Subcontractor Contact Information 0 r".> -cr: 6- -7 2 7.-3770 e eli Project Address 13( 1::::103Iec Nes49 Scope of Work 1- en0V 96-1-1-, I ioe c Do r udroovv.., Inspector Inspection I e_ ru>f% Date of Inspection Ko 4i, 11- ,,,fri—,(1 Pass ll Fail 17:1 Fee ) ,-:11/ i \ / 42 a4 1 , (1- 1.0 \A Li) Inspection D 51^-, c1"-,6. r Pass Inspection Pass El Fail Nt' 11.7-0U Fee Inspection Pass Fail Fee DATE ISSUED: 04 -22 -2011 WORK DESCRIPTION WORK LOCATION CITY OF TYBEE ISLAND BUILDING PERMIT RENOVATE BATHBEDRM/MUDROOM 131 EAGLE'S NEST OWNER NAME KATAYOUN ADAMS ADDRESS 1025 ECTOR DR CITY, ST, ZIP KENNESAW GA 30152 PHONE NUMBER CONTRACTOR NAME JACOBS BUILDERS INC ADDRESS P 0 BOX 1150 CITY STATE ZIP RICHMOND HILL GA 31324 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $ 285.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $30,000.00 PERMIT #: 110228 TOTAL BALANCE DUE: $ 285.00 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 (cyb- I -D22� 13k 4CALS ititssc Location: CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT NAME ADDRESS PIN# 4-cel oZ -045 TELEPHONE Owner 4.L4 b0 -r4.6ct. Oxiztriav 6 Q/Z - . 5853 Ar or Engineer 1k - C. / a) x-3043 4ii4 a 9 /Z• 30•1 Building Contractor ) S7 LCiffS tipt '' 11 PO 1iS0 ICc�Yb4 44/ <r„4, q(2 •%Z7 -3?i0 (Check all that apply) ❑ Repair j> ❑ Minor Addition ❑ Substantial Addition ❑ Other Details of Project: 15 Residential n Single Family ❑ Duplex ❑ Multi - Family ❑ Commercial ❑ Footprint Changes ❑ Discovery ❑ Demolition gtoio bii- uft- ieS ot jt1'o4 n=t a,.tras /•- 1JQes64 va4. LiAti- -Ro :t-writ - - retkrofs_ --No LAMJ 1. .A4,-)6 ■k.LS Ai�C-cr- Estimated Cost of Construction: $ tOl c).30 . a( Construction Type (1) Wood Frame (2) Wood & Masonry (3) Brick Veneer Proposed use: Rts Ce- 0pl, Remarks: C6 (Enter appropriate number) (4) Masonry (6) Other (please specify) (5) Steel & Masonry ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following information based on the construction drawings and site plan: # Units Lot Area # Off - street parking spaces Trees located & listed on site plan Access: Driveway (ft.) Setbacks: Front # Bedrooms # Bathrooms Living space (total sq. ft.) With culvert? Rear 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 tVA On -site waste and debris containers will be provided by Cra.Ksrbo-v,.. -(4 /(x2 f-`t JAcc6 tAc1ZS Construction debris will be disposed by by means of 1-24i LAZ 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: 4(Iq l► Signature of Applicant: Note: A permit normally takes 7 to 10 days to process. 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? FEMA Certification attached State Energy Code Affidavit attached Utilities and Public Works: Describe any unusual finding(s) NFIP Flood Zone Existing Access to building site Distance to water main tap site Distance to sewer stub site Water meter size Storm drainage Approvals: Signature Zoning Administrator Code Enforcement Officer. Water /Sewer Stoim/Drainage Inspections City Manager Date FEES r C Permit ! / S Inspections 619 Water Tap Sewer Stub Aid to Const. TOTAL 2= LEAD -BASED PAINT Adapted from htto: / /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 ore- 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 recordkeeping 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 in April 2010. • 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 that you followed lead - safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA has 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. #II /41 Read abo ` to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. IF YOU'RE NOT EAD-SAFE CERTIFIED, ISTURBING 'JUST SIX SQUARE FEET COULD COST YOU BIG TIME. Signature Q,,1) S Printed Name 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 project. Printed Name 4(14( Date Office Use Only: Project Address: Permit Number: June 30, 2010 The following deficiencies have reached an unacceptable level on the projects in the City of Tybee Island. While the deficiencies are not necessarily the fault of the Owner or his agent, they are their responsibilities. The two areas of deficiencies are in the two most basic and common BMPs on local projects. They are: Co — Construction Exit Sdl — Sediment Barrier Correct installation information can be found not only in the "Green Book" but in the Field Manual for Erosion and Sediment Control in Georgia, Fourth Edition 2002, 4310 Lexington Road, P.O. Box 8024, Athens, GA 30603, telephone 706.542.3065, www.gaswcc.org, Georgia Soil and Water Conservation Commission; http: / /www.gaswcc.org /docs/ field_manual_4ed.pdf. Problems with the Co is not limited to the installation, but to the material. Specifically, the job site personnel are telling me the stone delivered is the 1.5 " -3.5" stone they requested. I have experienced on my own projects suppliers not adhering to the specs they are given with the orders. While I regret this situation, I will no longer be accepting any deviation from the State requirements. The stone will be a representation of 1.5 " -3.5" stone or larger. Gradations that are obviously smaller will no longer be tolerated. The smaller stone allows for a smoother surface with smaller voids, thereby reducing the function of the construction exit. Similarly, I am finding Type A sediment barriers installed where Type C is required and shown on the permit drawings. I have attempted to work with the Owners through increased inspections, additional backup BMPs, etc. This has evidently become common knowledge based on the installations I am finding. Where two rows are called for they will be installed with a separation that allows for the first one to fail (fall over) without impacting the second one. The complete assembly and installation must be compliant; steel or wood posts, post spacing, Type C or A. There has been no discharge into state waters due to previous occasional deficiencies. However, the increased frequency has created unnecessary exposure to: 1) Sediment discharge into nearby waters of the State, 2) Increased maintenance efforts by the DPW on downstream lines. 3) Due to #2, higher cost to island taxpayers. I will be adhering strictly to the manual on all BMPs and not just these two. Downer Davis City of Tybee Island Consulting Engineer A. Signature o • wner /Contractor REQUIRED FOR: Building Permits Relocation Permits Sign Permits Demolition Permits Land Clearing, Disturbance or Excavation Permits Tree Removal Permits Relocation Permits Special Review Permits Site Plan Approval Subdivision of Land Sketch Plan Approval Preliminary Plan Approval Final Plat Approval Minor Subdivision Plat Approval Major Subdivision Plat Approval In addition to specific requirements for the above permits and approvals, applicants must demonstrate that they are in compliance with the City of Tybee Island Storm Water Management requirements as outlined in Chapter 5 -4, Code of Ordinances. Section 5 -4 -9 Prohibition provides, in part, as follows: (4.) It is unlawful for any person to cause or permit any storm water to flow from their property onto the property of another person, unless such storm water naturally flowed thereon prior to any development activity. (5.) It is unlawful for any person to interrupt the flow of any storm water runoff from adjacent property onto their property by any development activity. As part of the City's approval process applicants must illustrate how these storm water management prohibitions will be met, including a showing of how storm water naturally flowed on the affected property (prior to any development activity), and what changes in storm water flow have occurred or are expected to occur, as attachments to this form. The City's approval or permit does not guarantee that the applicant's plans will result in meeting requirements. The final product must actually meet the City Ordinance requirements. 01*-0. Applicant name: A-461D A. Sys Project I.D.: (3l i0 s /JEST Attachments approved by: Date: NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION U.M.1:3. No. 3Ub( -DUT7 Expires July 31, 2002 For Insurance Company Use: BUILDING VIER'S NAME Policy Number BUILDING STRE RES dinitySyite, agd/{ $Idg ) OR P.O. ROUTE AND BOX NO. CITY / PROPERP; DESCRIPTION (Lot an. Block Numbers Tax Par L BUILDING U Company NAIC Number Numbed Legal?_cri.tion, -tc dental, Non - residential, Addition, Accessory, t02 s area, if necessary.) LATITUDE/LONGITUDE (OPTIONAL) ( ##° - #t.' - ##.##" or ##.##### °) HORIZONTAL DATUM: U NAD 1927 Li NAD 1983 SOURCE: U GPS (Type): Li USGS Quad Map U Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. 7'FI M-1J'7L/ -ND COMM�NITY�� j BE— B2. COU�� 83. STATE 4 84. MAP AND PANEL NUMBER i/_;5264 coo / B5. SUFFIX C 86. FIRM INDEX / / A71-7136 87. FIRM PANEL EFFECTIIVVE/RE� El, DATE 88. FLOOD ZOyE(SL 39. BASE FLOOD ELEVATION(S) (Zone AO) us depth of flooding) 810. Indicate the source of the e Flood Elevation (BFE) data or base flood depth entered in B9. 1.1 FIS Profile 1 FIRM I_I Community Determined II Other (Describe): 311. Indicate the elevation datum used for the BFE in B9: L NGVD 1929 11 NAVD 1988 1_1 Other (Describe): 312. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1 Yes --J'IGo Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 1_1Construction Drawings* 1__1Building Under Construction" 1 inished Construction *A new£levation Certificate wil be required when construction of the building is complete. 02. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) :2,3. Elevations — Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR /A, AR /AE, AR /A1 -A30, AR /AH, AR /AO Complete Items C3.a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Datum Conversion /Comments Elevation reference mark used Does the elevation ❑ a) Top of bottom floor (including basement or enclosure) ❑ b) Top of next higher floor Section G, as appropriate, to document the datum conversion. reference mark used appear on the FIRM? 1__1 Yes 1 10 ft.(rrr f. Z ft.( II ❑ c) Bottom of lowest horizontal structural member (V zones only) ft.(m) ❑ d) Attached garage (top of slab) ft.(m) ❑ e) Lowest elevation of machinery and /or equipment servicing the building (Describe in a Comments area.) l4 . 1 ft.(j E ❑ f) Lowest adjacent (finished) grade (LAG) ❑ g) Highest adjacent (finished) grade (HAG) ? . / ft. tn•r z 4 ;i ft.(rrr)--& ❑ h) No. of permanent openings (flood vents) within 1 ft. above a�jacent grade ❑ i) Total area of all permanent openings (flood vents) in C3.h 3 sq. in. (cq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that an false statement ma be uni hable b fine orim.risonment under 18 U.S. Code, Section 1001. LICENSE NUMBER CERTIFIER'S NAME TITLE COMPANY NAME F1=AAG Pnrm "1_�� II II nn SPP RP \ /PRSP SIfP Fr1R r.nnIT1r..II IATInNI PPPI Ar.PS Al I PP! \Ii ll IS PniTICTht .,� .�L. I ^ _ ‘11' ,1uU1"y r% late anu/ ) 9.r o.) UK V.V. ROUTE AND BOX NO. Policy Number CITY —�1 gym-, iv SETA A �/ z E Company NAIC Number — (j`'�/ SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS I Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) or Zone AO and Zone A (without BFE), complete Items El. through E4. If the Elevation Certificate is intended for use as supporting iformation for a LOMA or LOMR -F, Section C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is I -I_I ft.(m) I- I_Iin.(cm) I_I above or II below (check one) the highest adjacent grade. (Use natural grade, if available.) E3. For Building Diagrams 6 -8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is I U ft.(m) I_I_lin.(cm) above the highest adjacent grade. Complete Items C3.h and C3.i on front of form. .4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance'? II Yes I_I No I I Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS SIGNATURE COMMENTS CITY STATE ZIP CODE DATE TELEPHONE SECTION G - COMMUNITY INFORMATION (OPTIONAL) I_ I Check here if attachments he local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete ections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. 1. I I The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) 2. I_I A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO. 3. II The following information (Items G4 -G9) is provided for community floodplain management purposes. �4. PERMIT NUMB ER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED 7. This permit has been issued for II New Construction I_I Substantial Improvement 8. Elevation of as -built lowest floor (including basement) of the building is: 9. BFE or (in Zone AO) depth of flooding at the building site is: iZ)CAL OFFICIAL'S NAME . ft.(m)Datum: ft.(m)Datum: TITLE COMMUNITY NAME TELEPHONE SIGNATURE COMMENTS DATE I I Check here if attachments 7.MA Fnrm Al -41 .II II nn PFPI ACC Al 1 PRR \/1f11 IS F1liT1r1t\iS r 2011 Chatham County Board of Assessors Property Record Card Page 1 of 1 Requested By: READONLY 6/29/2010 4-0019 -02 -045 131 EAGLES NEST DR TYBEE ISLAND APPRAISER jlmarine LAST INSP 05/29/2007 APPR ZONE 000008 LOT 7 EAGLES NEST SUB PHASE 4 SMB 18S 40 1.206 ac (FORMERLY PH 2 PER SMB 18S 39) BRADY LAUREL A P O BOX 2861 TYBEE ISLAND, GA 31328 CAMA ASMT 865,300 865,300 LAND 2 405,600 405,600 BLDG 1 23,900 23,900 OBXF 7 1,294,800 1,294,800 Cost - MS SALES BOOK1PAGE INS VI CU RSN PRICE CODES PROPERTY USE 0006 Residential UTA 0004 Tybee Island NBHD 020220.00 T220 Tybee Eagles Nt EXEMPTIONS L1 L8 L9 S1 7/12/2004 273C 364 NA I U UG - GRANTOR. BRADY LAUREL A, GRANTEE: WATSON STEPHEN L, 7/12/2004 273C 0380 NA I U UG - GRANTOR: WATSON STEPHEN L, GRANTEE: BRADY LAUREL A, 6/27/2002 237D 395 NA I U UG - GRANTOR: WATSON & BRADY STEPHEN &, GRANTEE: BRADY LAUREL A, PERMITS 'TYPE DATE AMOUNT. HISTORY LAND IMPR TOTAL 02 -398 AD 12/1/2003 Comp 75,000 2010 865,300 429,500 1,294,800 Cama 2009 865,500 609,500 1,475,000 Over 2008 865,500 661,500 1,527,000 Cama 2007 865,500 665,000 1,530,500 Cama 2006 694,000 793,000 1,487,000 Cama COMMENTS 52/2008 TY08 DIMENSION CHG 18S 40 3/7/2005 TY05 10S ENT 03/07/05 JLM 12/1/2003 PROP ADD CHG APPR THOMAS 12/1/03 PL 10/21/2002 TY03 HS10S REMVD NJV 10 -21 -02 NOTES BUILDING SECTION 86809 -1 CONSTRUCTION TYPE RCN AYB EYB DEP TYPE PHYS ECON FUNC OBSV /% TOTAL DEP % RCNLD U.FACTOR MKT VAL Residential 455,246 1989 1989 MS 19.00 0.00 0.00 0.00 19.00 368,749 1.10 405,600 24' 6-. 23' 4' •�• 29' . 1... 47' 9w[h4nM. _"` r' 23' a�uhOwAn. 721 23' i{' ti• 24' SECTION TYPE 1 - Main AREA 4,850 TYPE 1 - Single- family Residence FRAME 1 - Stud Frame STYLE 5 - 1 1/2 Story Finished 100.00 % QUALITY 5.00 CONDITION 3.00 # UNITS 0 #OF BEDS /BATHS 3 / 5.00 • I so... t0 • l3' 0449 > •1I« "= *3' III W01) .166.211262k t4' COMPONENTS UNITS % QUAL R1 108 Frame, Siding, Wood - 100.00 R2 214 Metal, Preformed - 100.00 R3 352 Heat Pump - 100.00 R4 402 Automatic Floor Cover Allowanc - - R6 601 Plumbing Fixtures ( #) 19.00 - R6 602 Plumbing Rough -ins ( #) 1.00 - R6 622 Raised Subfloor (% or SF) - 100.00 R6 645 Double 2-Story Fireplace ( #) 1.00 - R11904 Slab Porch (SF) with Roof 406.00 - R11 904 Slab Porch (SF) with Roof 406.00 - R11904 Slab Porch (SF) with Roof 322.00 - R11904 Slab Porch (SF) with Roof 203.00 - 5' 'per pM I T; ». ti 18' I ��, .... tl' .won 1 Wool Ds* 29' • EXTRA FEATURES ID# BLDG # SYSTEM DESC DIM 1 DIM 2 UNITS QL UNIT PRICE RCN AYB EYB DT ECON FUNC SP SP% RCNLD MKT VALUE 141617 86809 WOOD DECK VG 0 0 141618 86809 MISC BUILD. AV 20 16 141619 86809 Vg Cpt Gable Rf 20 16 141620 86809 Dock roof MTL 20 10 141621 86809 2 "FLoating /w post,pi 10 8 141622 86809 Roof Scr Por/Slab 0 0 141623 86809 2 "Decking /w post,pi 10 30 1,091.00 V 320.00 V 320.00 V 200.00 A 80.00 A 522.00 V 300.00 V 11.62 12,677 15.05 4,816 19.93 6,378 6.10 1,220 22.88 1,830 27.22 14,209 23.55 7,065 2001 2001 2R 7,860 7,900 1989 1989 2R 1,011 1,000 1989 1989 2R 1,339 1,300 1989 1989 2R 256 300 1989 1989 2R 384 400 1989 1989 6R 11,509 11,500 1989 1989 2R 1,484 1,500 LAND ID# USE DESC FRONT DEPTH UNITS! TYPE PRICE ZONING SIZE LCTN TOPO OTHER ADJ1 ADJ2 ADJ3 ADJ4 .MKT VALUE 111572 CREEK/MARSH ACCESS 100 256 100.000 FF 111573 CREEK/MARSH ACCESS 90 256 90.000 FF 3,500.00 R1 1.00 3,500.00 R1 1.00 _. V 10 596,800 V 10 SZ -50 268,500 Chatham County : Property P ^ 'ord Cards Page 2 of 2 (CLOSE X http:// prc. chathamcounty .org/PropertyRecordCards.aspx ?PIN =4 -0019 -02 -045 4/22/2011