HomeMy Public PortalAbout11-0242 Tybee Historical SocietyDATE ISSUED: 04 -29 -2011
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
SHALLOW WELL AT HOSTI COTTAGE
30 MEDDIN DR
TYBEE HISTORICAL SOCIETY
P 0 BOX 366
TYBEE ISLAND GA 31328
TYBEE HISTORICAL SOCIETY
P 0 BOX 366
TYBEE ISLAND GA 31328
P
$ 50.00
$1,200.00
PERMIT #: 110242
TOTAL BALANCE DUE: $ 50.00
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:
..14/444)(0,240
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, GEOK_JIA
APPLICATION FOR BUILDING PERMIT
11 ,02.42—
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Location: 1' ag e tJ V%-
NAME
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y1
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eota,5 PIN #
ADDRESS
TELEPHONE
Owner
( k-Q- /5 l—1 I1/4.51-DV'Ica
1 s
7 SL_sg°'
Architect
o r Engineer
51- ` .- (
Q 1 1 5 e_,(-F
Building
Contractor
OOt✓ 0oyl e
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�`
r
(Check all that apply)
(l Repair
(� Renovation
❑ Minor Addition
❑ Substantial Addition
❑ Other V,.%
C
(1
Li
n
Details of Project: jV3�(1 / / 544_1(e-/ Laen (-7°1r- [ V l 'lk °
(Utetta5 e 3 O sM cric..1 r, j 01.51611 1.ea ! 5'a f't' T
Estimated Cost of Co struction: $ '2. 0'D
Construction Type (Enter appropriate umber)
(1) Wood Frame � (4) Masonry
(2) Wood & Masonry '\ (5) Steel & Maso
(3) Brick Veneer
Proposed use:
Remarks:
Residential
Single Family
Duplex
Multi- Family
Commercial
Footprint Changes
❑ Discovery
Fl Demolition
(6) Other (please specify)
ATTACH A COPY OF THE CERT ` :,> ELEVATION SURVEY OF LOT and complete the
following information based on the ..nom', ction drawings and site plan:
# Units # Bedroom
Lot Area Living space
# Off - street parking spa s
Trees located & liste•,'n site plan
Access:
tal sq. ft.)
# Bathrooms
Driveway (ft.) With culvert? ale?
Setbacks: Fr
Rear Sides (L) (R)
# Stories Height Vertical distance measured from the average adjacent
grade the building to the extreme high point of the building, exclusive of chimneys, heating
unit 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 XC/0 by means of "✓Ow,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: ° /Pot( 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 NFIP Flood •ne
Approved rezoning/variance?
Exis
Street address a • number: New
Is it in compliance ith City map?
If not, has street name : d /or number been reported to MPC?
FEMA Certification attache
State Energy Code Affidavit att
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 Of cer
Water /Sewer
Storm /Drainage
Inspections! (3.11
City Manager
cr)/ C e. o r
*c4- (o or• :d 0Lai.
FEES
ermit
Ins.: ons
Water Tap
Sewer Stub
Aid to Const.
TOTAL
50