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Home My Public Portal AboutBAY ST_1316.pdfCITY OF TYBEE ISLAND CERTIFICATE OF OCCUPANCY DATE COMPLETED: MAY 30, 2003 This Certificate issued pursuant to the requirements of the Standard Building Code Certifying that at the time of issuance this structure was in compliance with the various ordinances of the Jurisdiction regulating building construction or use. PERMIT #: PROPOSED USE: OCCUPANCY TYPE: CONTACT NAME 020417 NEW CONSTRUCTIONSINGLE FAMILY PREBUILT P G S VISIONS CONTACT STREET ADDRESS P 0 BOX 30914 CONTACT CITY STATE ZIP PROPERTY ADDRESS PROPERTY ID APPROVED BY: SAVANNAH GA 31410 1316 BAY STREET 4- 0022 -02 -001 P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -5737 www.cityoftybee.org (-Try OF TYBEE ISLAND 403 BUTLER AVENUE P 0 BOX 2749 TYBEE ISLAND, GA. 31328 PHONE: 786-4573 i 114/104 FAX: 7116.5737 INSPECTION REPORT PERMIT NO. ) 1 J DATE REQUESTED OWNERS NAME C9— DATE NEEDED GENERAL CONTRACTOR SUB CONTRACTOR LOCATION --771 DATE OF INSPECTION 51)61103 TYPE OF INSPECTION ":"-<,--7" COMMENTS: 9 sped li okt, AC, (-1i)es AW pkooknc, ALLowed 6 bre tAV1/4.0,WCAL, W(Ati e'LLo\tosi. A( L.,ne teAni: be (CM aoikA p ier i 104 „a OLk cAli 14144;44"( QuPr i (O INSPECTOR \ikr)04 \N TIME OF INSPECTION FOR OFFICE USE ONLY: HOLD FOR THE FOLLOWING CITY OF TYBEE ISLAND 403 BUTLER AVENUE P 0 BOX 2749 TYBEE ISLAND, GA. 31328 PHONE: 786-4573 x 114/104 FAX: 786,5737 INSPECTION REPORT PERMIT NO. DATE REQUESTED OWNERS NAME . DATE NEEDED GENERAL CONTRACTOR V./ „I, SUB CONTRACTOR LOCATION L.. / & 6F INSPECTION_ DATE OF INSPECTION 3-770 - TYPE 0 COMMENTS: INSPECTO /7 01-) 0444e I-17)0 S1-4.-- 0 A) 4-12 -67- 4 (,/7/ / 5 ("/(---7,-"" P4 6-(2- 6-1 / -/-E TIME OF INSPECTION FOR OFFICE USE ONLY HOLD FOR THE FOLLOWING BUILVtN WFIP -i"t" NA1IONAL ( -LULA) INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pa. es 1 - T. SECTION A - PROPERTY OWNER INFORMATION Expires July 31, 2002 For insurance Company Use: Policy Number 3U1DtNG S EE'i /3/6 LIP( PROPERp BUICOIIN Apt Unit, Suite; and/or Bldg. Nc. i OR P.O. ROUTE AND BOX NO. STp nber, I_.e a cn IaOfl to ) de teal, +cn -re men ra .ition, •,ccessa etc. se rnents area, if necessary.) Company NAIC Number LA ITUDE'LONGI1 UDE (OPTIONAL( ( #rt - r#t - #yt. " or #l'.## ## °) HORIZONTAL DATUM: SOURCE: Li :QPS (Type): I ^I NAD 192? L_I NAD 1983 SECTION USGS Quad Map ,.I Other: B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION ' B.. ,N' °.!F' COdu9A,IUw1-1 NAME & CQMMU ITY NU B R 1 J82. COUNTYBAME. j B3. v?'ATE j 84. MAPAtvO PANEL NUMBER _s J E5. SU F , c B8. rIRM NDEX � p�� /J,( 7. FIRM PANEL --r- EFFI^CT� '/ � Sly' DATE l0 /J 88, FLOOD Z�NE S 89. BASE FLOOD ELE''ATION(S) (Zone Ad; us depth of flaod,rc) /4 810. Indicate t` e; source of the se Flood Elevation (S FE) data or base flood 'depth entered in 9. I =19 Profile I.r R4! ; I Community Date load I) Other (Describe): 811 Indicate the elevation datum used for the BFE in BR: I___ NGVD 1929 ;l NAVD 1988 I Other (Describe): 812. Is the building located in a Coasta' Barrier Resources System (CI3RS) area or Otherwise Protected Area (OPA)? Li Yes Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. Building elevations are based on: L JConstruction 'Drawings * I_IEuildingg Under Construction* j_, inishod Construction `A new Elevation Certificate will he recuired when construction of the building is complete. 02. Building Diagram Number 46 (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.) 3. Elevations Zones A1-A.30, AE, AK, A (with BFE), VE, V1-V30. V (with BFE), AR, AR/A, AR /AE, ARiA1 -A30, ARI.AH, ARiAO Complete items C3 a -I below according to the bui clog diagram specified in Item 02. 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 Section 0, as appropriate, to document the datum conversion. ")atr TI Conversion /Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? I_I Yes 1 o • a) Too of bottom floor (including basement or enclosure) , ft- b) Top of next higher floor / ;r f�- °ft.(4a)-) D c1 Bottom of lowest horizontal structural member (V zones only) d , . ft;( 'R'& • d) Attached garage (too of slab) ft.(m) E c el Lowest elevation of machinery and/or equipment ° zi .m servicing the building (Describe in a Comments area.)) /6 g , ff.(4r} L f! Lowest adjacent (Finished) grade (LAG) 7 ...a ft. z D g) Highest adjacent (finished) grade (HAG) ...,, it.( LU h,) No. of permanent openings (flood vents) within 1 ft, above adjacent grade e C1 I)) Total area of all permanent openings (flood vents) in C3.h sq. in. (sq. cm) L 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 car:ify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available, I understand that false statement may b nishable by fine arirrrprisonmenfunder 18 U S. Code, Section 1001. LICENSE NUMBER ADDRESS SEGt\ ruRE cz5A5 It I'd ^.r=p t?vnoe. .odic nr1R «r1 \'mTINt tali LOLL BSC CIO PPP sun CA PP♦=V)C5 i5 Pnil l(1NC spTauRad PoTI.T irl C eoa:oo co Ga Pew n rum, PWC I 1,, I u tt.7;7t% --:• - - r - Tr_DiNG S-11-*..J.: 17, nduditiv Su Bldg. No.) OR P.O. ROUTE AND BOX NO. Poky Number • 17..42;Ir ,iornpany NAit., Number 14••■ -7. SECTION -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) rpy b.dth sides trF this Elevation Certificate for (1) cornm unity official, (2.) insurance agent/company, arid (3) building owner, Az-E- :OMEM1.5 Check here if attachments --- SECTION E BUILDING ELEVATION INFORMATION SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT LIFE) or Zone AO ano Zone A (without BFE), complete Items El. through E4. If the Elevation Certificate is intended for use as supporting rnatib for a LOMA or LOMR-F, Section C rnust be completed. Frii.:1.ng Diagram Number (Seleot the building diagram most smiler to the 'building for wh.ch this certificate is being completed - see pages 6 and 7 If no diagram accurately represents the building, provide a sketch or photograph.) :2. The top or rite bottom -floor (inolt.ding basement or enclosure) of the building is ft .(m) above or below (check- one) the highest adjacent grade. (Use natural grade, if available.) 3. FO ullding Diagrams 5)..8 with openings (see page 7), the next higher floor or elevated Poor (elevation D) of the hililciing is f(.,m) i___Liin.(cm) above the rzig hest adjacent grade. Complete Items C3.h and C3.1 on front of form. 4, Por Zone AG only if no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's _...rloplAslin a2.1,92=-.121.5.inaii.......L:iLe51,....12.o 1_1 Unknown. The iccel.official must certWhis 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 03.h and C3.i only, arid E for Zone A (withcut a FE- Ms-issued or community-issued BFE) or Zone AO mt:st sign here. The statements in Sections A, B, C, and E are correct to the best of my F;rowiedge. 'imMT:7177.3TATITMITMJ NAME Ailu.K`O f..M1,77.7ET- -751Are.-N.TT ZIP CODE 7717E15717S' CTION G CONt UNIT774FORMA11CTN (OPTIONAL) 'lie local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Setraons A, 9, C (or E), and G of this Elevation Certificate, Complete the applicable item(s) and sign below. 31. L J The information in Section C was taicon from other documentation that has been signed and embossed by e licensed surveyor, engineer, or ambiteot 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.) G2. Li A community official completed Section E for a building located in Zone A (without a P'EMA-Issuecl or community-issued BEE) or Zone AO Li The following information (Items G4-G9) is provided for community floodplein management purposes. 4 pealrrTzwiEp I M. tiA E FeliVirnMiXt5 ' R CATSTOF"Mr1/1PITAN-PAW...7( I ISSUED G-1. This permit has been issued for: LI New Construction Li Substantial Improvement 138. Elevation of as-built lowest floor (including basement) of the building is; Li Check here if attachments ezig EFE or tin one AID) depth of flooding at the building site is: 71.7_;76.126T-TIMALS NWT- SIGNATURE -7,MMMT7-- rrr TELETHON ft.(m)Daturn: ft.(in)Datum: DATE ••••■■•■••••••■■■••■■--* Zenrrr, 01_11 .1111 nit 2 256 alc here if attachments PPP ar.p...a 1 PP 1.='; Prwrirmq splouRad 1.4.1i.d1 C ntoo co 62 ;qw MHT-Zc.'-ZUO3 i L.LiH HL tiHNK BYERS STREET RBq 11■111MMEIMMIN.....172=1•119.50.5.7=A BAY STREET 75 R/V N 66'3116E 50,00' 5/8" RBS S 664'31'16"W 50.00' N 86°3116"E 50.00' 11.3' 0. CAD LOT 1 g GRAVEL DRIVE- \ \ LOT 2 1 STORY FRAMR RESIDENCE 04' LEC ECK 5/6" RES crs1 '..j•".`"'`'"•'''"•10 5/8" RB8 S 66°31'16"W 50.00' LOT 11 LOT 3 1/2" REF (a 1/2" RIP PLAT OF LOT 2 OF A RECOMBINATION OF LOTS 1, 2, 10, 11 & A PORTION OF SOLOMON AVENUE, BAY WARD, TYBEE iS.ND CHATHAM COUNTY, GEORGIA FOR: G. S. VISIONS, LLC ACCORDING. TO THE F'.E.R.1+4, DATED 5/17/86 THIS LOT' IS WITHIN FLOOD ZONE V-9, RFE 14. REVISED MAY 22, 2003 EQUIPMENT; TO?CON AP—L1A ERROR OF CLOSURE; NC\ . LENEAR: 1/66,500 / .---_---:.7--- \ ,.., , \ ., ANG: 5" /ANGLE J. WHITLEY REYNOLDS LAND SURVEYOR 636 STEPHENSON AVENUE SUITE C SAVANNAH GEORGIA 31405 TELEPHONt: 912- 352 -0464 FAX: 912 -352- 7"'8'7 BALANCED BY: L, S, PLAT; 1 /INFINITY 0 2 lr 1 CAL'': i "' = 20' DATE: APRIL 22, 2002 SURVEY DATE: APRIL 2&, 2002 PLAT FILE NO. 02 -61 -2 TOTRL P.Cif, INSPECTION REPORT PERMIT NO. (-) .c,•<— -- OWNERS NAME ! ) GENERAL CONTRACTOR CL LOCATION DATE OF INSPECTION COMMENTS: ..4_„) NJ/ ,...• INSPECTOR / CITY OF TYBEE ISLAND 403 BUTLER AVENUE P0 BOX 2749 TYBEE ISLAND, GA. 31328 PHONE: 780-4573 x 114/104 FAX: 786,4737 DATE REQUESTED DATE NEEDED SUB CONTRACTOR. L4 4L /1 TYPE OF INSPECTION i Are WAt—C -•'• • ) - C>— ' 2 - - TIME OF INSPECTION HOME OWNER CERTIFICATION PIMA CERTIFICATION FINAL& PLUMBING MECHANICAL RELEASE TO SEPCO /-2 -• • 4/1.- • • 2., if tr„f`, FOR OFFICE USE ONLY BOLD FOR THE FOLLOWING ROUGH IN ELECTRICAL ROUGH IN MECHANICAL ELECTRICAL, BUILDING ELECTRICAL RELEASE — - DATE �I /c C NAME OF ELECTRICIAN PERMIT Z l: UMBER CONTRACTOR OR OWNER C,Q) LOT NO. SUBDIVISION �-- ADDRESS / / (‘; £ / TYPE OF RELEASE T I �u E TO SE PCO COMMENTS CHUCK BARGERON CITY MARSHAL'S OFFICE TYBEE ISLAND,GA. 912/786 -4573 X104 ) Mayor Walter W. Parker CITY COUNCIL Walter Crawford, Mayor Pro Tern Richard Barrow Jason Buelterman James "Jimmy" Burke Whitley Reynolds Jack Youmans DATE: TO: SFPCO CITY OF TYBEE ISLAND - c City Manager Bob Thomson Clerk of Council Jacquelyn R. Brown City Attorney Edward M. Hughes COMPANY NAME: FAX NUMBER: 231 -6641 FROM: TITLE: COMMENTS: DIANE CITY OF TYBEE ISLAND TOTAL TRANSMISSION IF TRANSMITTAL IS INCOMPLETE PLEASE CALL 912 - 786 -4573 Extension 114 P.O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 -2749 (912) 786 -4573 - FAX (912) 786 -5737 www.cityoftybee.org ** *Certified * City of Ethics B TRANSMISSION VERIFICATION REPORT TIME : 62/13/2003 13:O DATE,TIME 02/13 12:59 FAX NO. /NAME 2316641 DURATION 00: 01:17 PAGE(S) 04 RESULT OK MODE STANDARD ECM crry OF TYBEE ISLAND 403 BUTLER AVENUE P BOX 2749 TYBEE ISLAND, GA. 31328 PHONE: 7$6-4573i 1141104 FAX: 766.5737 INSPECTION REPORT PERMIT NO. (-4 DATE REQUESTED / OWNERS NAM ., ,; k J.,,,, , („—/ 1 - P--.17cz., DATE MIMED .:xl GENERAL C'OINTRACTOR 61-1-4......SL-4, ,.... SUB CONTRACI`OR (.......--;': I-4. „I ----7--"' LOCATION DATE OF INSPECTION Ps). i -?2) ' :71)3 ( 7 TYPE OF INSPECTION --). ----.-., —1"-- if ,.fr—Lei44-7-- COMMENTS: r 1NSPECTOR__Tr c-- HOME OWNER CERTIFICATION PTMA CERTIFICATION FINALS: PLUMBING MECHANICAL RELEASE TO WITCO • TIME OF INSPECTION FOR OFFICE USE ONLY: HOLD FOR ME FOLLOWNG BUILDING ELECTRICAL RELEASE DATE - c _ ' n 3 NAME OF ELECTRICIAN (21 �t A_41 > PERMIT NUMBER ) 7 ". CONTRACTOR OR OWNER LOT NO. SUBDIVISION TZ /( . <z;6- ADDRESS ��TYPE OF RELEASE RELEASE ASE TQ SEpCp COMMENTS • CHUCK BARGERON CITY MARSHAL'S O) J 1.CE TYBEE ISLAND,CA. 912/786-4573 X104 Mayor Walter W. Parker CITY COUNCIL Walter Crawford, Mayor Pro Tern Richard Barrow Jason Buelterman James "Jimmy" Burke Whitley Reynolds Jack Youmans DATE: CITY OF TYBEE ISLAND City Manager Bob Thomson Clerk of Council Jacquelyn R. Brown City Attorney Edward M. Hughes TO: SFPCO COMPANY NAME: FAX NUMBER: 231 -6641 FROM: TITLE: COMMENTS: DIANE CITY OF TYBEE ISLAND TOTAL TRANSMISSION IF TRANSMITTAL IS INCOMPLETE PLEASE CALL 912 - 786 -4573 Extension 114 P.O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 -2749 (912) 786 -4573 - FAX (912) 786 -5737 www.cityoftybee.org * ** * Certified * City of j,_ Ethic 4/ | I | TRANSMISSION VERIFICATION REPOF | / / TIME : 02/04/2003 08:59 DATE ,TIME 02/04 08:57 FAX nu 2316641 DURATION 00:01:46 PAGE (S) 04 RESULT OK MODE STANDARD ECM CITY OF TYBEE ISLAND 403 BUTLER. AVENUE P 0 BOX 2749 TYBEE ISLAND, GA. 31328 PHONE: 786-4573 x 114/104 FAX: 7/16.5737 fn INSPECTION REPORT PERMIT NO. ' DATE REQUESTED OWNERS NAME /- DATE NEEDED t //1 GENERAL CONTRACTOR ./c1L Ike-, SUB CONTRACTOR\ /...„2.ziL2L,a,../.._4L.,41Lif c / 47.?2 ■, I /44 LOCATION f DATE OF INSPECTION_ COMMENTS: ..<`" TYPE OF INSPECTION 0-- L D:SPECTOR Clt.)- r HOME OWNER CERTIFICATION FEW CMTIFICATION FINAL PLUMBING MECHANICAL RELEASE TO SEPCO ME OF INSPECTION FOR OFFICE USE ONLY: HOLD FOR THE FOLLOWING ROUGH IN ELYLMICAL ROUGH IN ACCIIANICAL ELECERICAL BUILDING CITY OF TYBEE ISLAND 403 BUTLER AVENUE P 0 BOX 2749 TYBEE ISLAND, GA. 31328 PHONE: 786-4573 114/104 FAX: 786-5737 INSPECTION REPORT PERMIT NO. OWNERS NAME DATE REQUESTED DATE NEEDED -19,-;.2 GENERAL CONTRACTOR1 SUB CONTRACTOR LOCATION _____ , DATE I OF INSPECTION i / i LL, TYPE OF INSPECTION-1- i COMMENTS: " • ' kTh.; •••,.. - , INSPECTOR (-) HOME OWNER CERTIFICATION MIA. CERTIFICATION FINALS: PLUMBING MECHANICAL ( TIME OF INSPECTION / FOR OFFICE USE ONLY: HOLD FOR THE FOLLOWING ROUGH IN ELBCTRICAL ROUGH IN MECHANICAL. liscrsucAL MELDING RELEASE IX/ SEPCO DATE ISSUED 9/26/2002 PERMIT TYPE: NRB PERMIT 020417 WORK DESC: NEW RESIDENTIAL BUILDING PROJECT: ADDRESS:1316 BAY STREET SUBDIVISION: LOT: 2 BLOCK: OWNER NAME: G S VISIONS ADDRESS: P 0 BOX 30914 SAVANNAH GA 31410 CITY: CONTRACTOR: GEORGIA HISTORIC HOMES INC ADDRESS: HWY 80 TYBEE ISLAND GA 31328 DESIGNER: ENGINEER: PHONE: (912)655 -1998 PHONE: 912 - 897 -2457 LAND VALUATION: $ SQUARE FOOTAGE: 1,344.00 OCCUPANCY TYPE: RES CONSTRUCTION TYPE: C404 CODE: SF BUILDING VALUATION: $100,800.00 FIRE ZONE: FLOOD ZONE: V9 WORK CLASS: PIN: TOTAL FEES CHARGED: 3,294.00 BALANCE DUE: $3,294.00 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. CURB PAVING AND GUTTER BROKEN DURING CONSTRUCTION WILL BE REPLACED BY THE BUILDING CONTRACTOR. THIS PERMIT WILL BE VOIDED UNLESS WORK HAS BEGUN WITHIN SIX MONTHS OF THE DATE OF ISSUANCE. C TCNZITTTDF (l T.' PTTTT TITMC TM DF("TfD (lD TTTT A(1DT7FT1 DCT.'NT 9/26/2002 INSPECTION REPORT OWNEXS NAME CITY OF TYBEE ISLAND 403 BUTLER AVENUE F 0 BOX 2749 TYBEE ISLAND, GA. 31320 PHONE: 786-4573 z 114/104 FAX: 706-5737 PERMIT NO. e ) i 7 DATE REQUESTED DATE NEEDED GENERAL CONTRACTOR _612Z-4 SUB CONTRACI'OR LOCATION DATE OF INSPECTION_ COMMENTS: - , TYPE OF INSPECTION 0- 00 rc\-- INSPECTOR \ Liat_f_r_if_ TIME OF INSPECTION HOME OWNER CERTIE;CATION MIA CERTIFICATION PAL & PLUMBING MECHANICAL FOR OFFICE USE ONLY: HOLD FOR THE FOLLOWING ROUGH IN EIACCITLICAL ROUGH DI MECHANICAL E3LXCIIItICAL BUILDING REIZABE TO SO DATE ISSUED 9/26/2002 PERMIT TYPE: NRB PERMIT 020417 WORK DESC: NEW RESIDENTIAL BUILDING PROJECT: ADDRESS:1316 BAY STREET SUBDIVISION: LOT: 2 BLOCK: OWNER NAME: G S VISIONS ADDRESS: P 0 BOX 30914 SAVANNAH GA 31410 CITY: CONTRACTOR: GEORGIA HISTORIC HOMES INC ADDRESS: HWY 80 TYBEE ISLAND GA 31328 DESIGNER: ENGINEER: PHONE: (912)655 -1998 PHONE: 912 - 897 -2457 LAND VALUATION: $ SQUARE FOOTAGE: 1,344.00 OCCUPANCY TYPE: RES CONSTRUCTION TYPE: C404 CODE: SF BUILDING VALUATION: $100,800.00 FIRE ZONE: FLOOD ZONE: V9 WORK CLASS: PIN: TOTAL FEES CHARGED: 3,294.00 BALANCE DUE: $3,294.00 IT IS UNDERSTOOD THAT IF THIS PERMIT IS GRANTED THE BUILDER WILL AT ALL TIMES COMPLY WITH THE ZONING, SUBDIVISION, FLOOD CONTROL, BUILDING, FIRE, SOIL AND SEDIMENTATION, WETLANDS, MARSHLANDS PROTECTION AND SHORE PROTECTION ORDINANCES AND CODES WHETHER LOCAL, STATE OR FEDERAL, INCLUDING ALL ENVIRONMENTAL LAWS AND REGULATIONS WHEN APPLICABLE. SUBSEQUENT OWNERS SHOULD BE INFORMED THAT ANY ALTERATIONS TO THE PROPERTY MUST BE APPROVED BY THE ISSUANCE OF ANOTHER BUILDING PERMIT. PERMIT HOLDER AGREES TO HOLD THE CITY OF TYBEE ISLAND HARMLESS ON ANY CONSTRUCTION COVERED BY THIS PERMIT. THIS PERMIT MUST BE POSTED IN A CONSPICUOUS LOCATION IN THE FRONT OF BUILDING AND PROTECTED FROM THE WEATHER. IF THIS PERMIT IS NOT POSTED WORK WILL BE STOPPED. CURB PAVING AND GUTTER BROKEN DURING CONSTRUCTION WILL BE REPLACED BY THE BUILDING CONTRACTOR. THIS PERMIT WILL BE VOIDED UNLESS WORK HAS BEGUN WITHIN SIX MONTHS OF THE DATE OF ISSUANCE. 9/26/2002 CTCAT➢TTTDF (17 RTTTT TITTTC TTTCDFCT(lD (1D DTTmW(1DT77Tl D.CFMM la /6 Location 4 - '7 r' PIN # TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT NAME • ADDRESS TELEPHON Owner , a S- V , eu$, dr..e. 1"--5-"":"6,a-->riri I A ,p4, Ueie1• -4V Y/i-A../440,6(,. j--/910 ds.s-- My Architect or Engineer 9 /��r .,rau'% �G' .Gi ey S '�� 4 grfi l '4W. s- � • P',�.^ `� Building Contractor ,� /4�- .-y irs ?i J> ,� a45,, 4 4040 74,u%//50 rrj /, .P.e4 ,+r,, ,i%% gaL"`, tf/0 0 (Check all that apply) New Construction V" Renovation Minor Addition Duplex Single Family Substantial Addition Residential Commercial Multi- Family Footprint Change Repairs Demolition Other Estimated Cost of Construction: S %2e, Construction Type % (Enter Appropriate Number) (1) Wood Frame, (2) Wood & Mas'onry, (3) Brick Veneer, (4) Masonry, (5) Steel & Masonry, (6) Other (Please specify) Proposed Use: Remarks: .6 -u, -r - ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following information based on the construction drawings and site plan: Units / a Bedrooms # Bathrooms ?--• Lot Area Living Space (Total SgFt) ,,qt% Off- street Parking Spaces 2 Trees Located & Listed on Site Plan 41 7 ?6 "- 5' °3 . Access: Driveway (Ft.) With Culvert? With Swale? Setbacks: Front 7' Rear ,, i' Sides (L) ',,e, (R) , # Stories / Height 6 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 facilites will be provided through4gslz=l . On -site waste & •ebris containers will be provided by Construction debris will be Adisposed of by > 4 ,e7y,,l • at by means of,�i -�,,c I understand that I must comply with zoning, flood damage control, building, fire, shore protection & 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 fo any corrective action that may be necessary to restore drainage mpaired by this permitted construction. Date ,eye Signature of Applicant Note: A permit normally takes 7 to 10 days to process. Please bring two checks to pay fees for new construction. Thank you! The following is to be completed by city Personnel: Zoning Classification / NFIP Flood Zone % e/ i Approved Rezoning /Variance? e.,, q--1,a-vim o_- _ Street Address & Number: New Existing . Is it in compliance with city map? V . If not, has street name & /or # been reported to MPC? ------,• FEMA Certification Attached State Energy Code Affidavit Attached Utilities & Public Works: Describe any unusual findings Access to Building Site Distance to Water Main Tap Site Distance to Sewer Stub Site Water Meter Size Storm Drainage Approvals: Signature Zoning ' Code Enforcement nOfc.. Water /Sewer /AA, Storm Drainage Fire Chief Inspections City Manager Date Fees: GP7 -03 -- Permit 5 :0. C -7- � b2-• Inspections .5.'io fa "/1y Total G/F RSID. °'b Water Tap SMp, - Sewer Stub b`ra 4.. Z6--14%- CITY OF TYBEE ISLAND INSPECTIONS DEPARTMENT P.O. BOX 2749 TYBEE ISLAND, GA. 31328 • FOR STRUCTURES IN A FLOOD ZONE — FEMA CERTIFICATION OF ELEVATION' IS REQUIRED. NAME : ADDRESS: CONTRACTOR: PERMIT f THIS NOTICE IS TO CONFIRM OUR UNDERSTANDING THAT ALL EQUIPMENT SUCH AS A/C COMPRESSORS, WATER HEATERS, FURNACES, ELECTRICAL OUTLETS, METERS, ETC...ARE NOT PERMITTED BELOW THE REQUIRED' 'FINISHED FLOOR ELEVATION. BY ACCEPTING THIS PERMIT, I (OWNER /CONTRACTOR) AGREE TO CONSTRUCT /PLACE THE EQUIPMENT ABOVE OR UP TO THE REQUIRED FINISHED FLOOR ELEVATION, WHICH IS STATED BELOW. MSL. AC%NO LED �J A" far" DD AND AGREED TO THIS 7 DAY OF OWNER /CONTRACTOR CITY OF TYBEE ISLAND SUBCONTRACTOR LIST sic*x * ** ** ww******* w***************** * * * ** * * * * * * * * * *7c * * * * *** * *i: * ** PLEASE LIST THE NAME AND ADDRESS OF ALL PARTICIPATING SUBCONTRACTORS BELOW: 162,:// ADDRESS: !�`�/ ,�� ° ...5;t. 'rY v1 42/ sJ4' TELEPHONE: 2. N3,7,4.-7: / r,,i 2cf 4r/71 ADDRESS: VO4'2/: LICENSE NUMBER----- TELEPHONE: LICENSE NUMBER 3. NAME: ADDRESS: TELEPHONE: LICENSE NUMBER 4 . NAME : ADDRESS: TELEPHONE: : LICENSE NUMBER 5. NAME. : ADDRESS: TELEPHONE: LICENSE NUMBER CITY OF TYBEE ISLAND APPLICATION FOR BUILDING PERMIT AFFIDAVIT State of Georgia Energy Code Project Address: /or . Permit Number: Project Name: Owner's Na e: '.5 $451`q" ./ ' The undersigned owner and contractor confirm they understand compliance with applicable requirements of the Georgia State energy Code for Buildings, 1992 edition, is required for this project. Uwe hereby declare that the design and construction of the referenced project is in compliance with the Georgia State Energy Code for Buildings, 1992 edition. Compliance has been achieved by one of the 3 methods of designs indicated in Chapters 4,5 or 6 of this Code. It is understood and agreed by the undersigned owner or agent and contractor (if applicable) that approval of the permit does not constitute a privilege to violate this Code and that any omission or misrepresentation of fact, with or without intention of the undersigned, will void the permit which was issued based on the approval of this application. The owner as listed above will be held responsible for insuring that all permits have been obtained and that all required inspection have been made. The owner will be held legally liable for any violations which may occur with or without his knowledge. Provide all of the following information. Windows: Doors: Roof /Ceiling: Total area: 776 - Total area: a 9-4- Construction Type: s j✓1,)46 ;4e14 "U" value . 7/ Air infiltration rate: .c9' • "R" value , F'j' Average "U" value: 2i .'- Description: Total area: Description: —' ar,a, ,�c/Y'-' Walls: LiP�? r Floors: Construction type: Allowable Doors/Windows Construction type "R" value: Area percentage: "R" value Total area: HVAC type Total area fi Signatures Owner /Agent: Contractor: Date: 4/,--.7/ 1— Date: For staff use only. uJforms/permitenergy.code.doc 01/03/02 PERMIT FOR INFRASTRUCTURE ALTERATIONS Date: Name: Address: Telephone NO: Residence: Office: NOTE: Any alteration to city -owned streets, curbs, sidewalks, water lines, sewer lines, drainage pipes, catch basins, or other elements of the city's infrastructure, requires a permit from the city; and an acknowledgement by the individual seeking to accomplish the alteration, that: a. The city's infrastructure will not be degraded in any way. b. All necessary safety precautions will be undertaken. c. The city will inspect the work in process and upon completion. d. The work will be accomplished to the city's satisfaction. . e. The city shall be held harmless of any liability or damages of any variety. f. The individual has read applicable portions of the city's code of ordinances dealing with the alteration, and agrees to fully comply with such provisions. Description of alteration: A sketch or drawing must be attached illustrating the planned alteration. Attached? • City Design Standards And Specifications: All alterations to the city's infrastructure shall be accomplished in such a fashion so as to restore the infrastructure to essentially the same condition that existed prior to the alteration, or to an improved condition, as determined by the city. Certification: I hereby acknowledge the above requirements, and certify that I will perform the above described alteration in accordance with these provisions. Signature: Approvals: Date: Department Head: Inspections: City Manager: Date: CITY OF TYBEE ISLAND. INSPECTIONS DEPARTMENT TEMPORARY ELECTRICAL SERVICE AFFIDAVIT PROJECT NAME: ADDRESS: /e71-2 . OWNERS NAME: /7. >. / %i) PERMIT NUMBER: PIN:' THIS LE'1'1'ER IS TO CONFIRM '1HE UNDERSTANDING OF .I.ELEJ OWNER/CONTRACTOR TO 1'HE COMPLIANCE REQUIREMENT OF '1'81; GEORGIA STATE MDT-MUM CONSTRUCTION CODES. "I HEREBY DECLARE THAT '1 "HE RFOUESTED TEMPORARY ELECTRICAL' PEER IS INTENDED FOR 1'HE COMPLETION OF THE CONSTRUCTION PROCESS AND THE TESTING OF EQUIPMENT INSTALLED WITHIN TEE, STRUCTURE." ' IT IS UNDERSTOOD AND AGREED BY THE UNDERSIGNED THAT 1.1:11.4' ISSUANCE OF TEMPORARY POWER DOES NOT CONS'1ITU'1EAPPROVAL TO OCCUPY THE STRUCTURE. A CER'i'ik+'1CATE OF OCCUPANCY ZVIUST BE ISSUED BY THE CITY OF TYBEE PRIOR TO THE STRUCTURE BEING. OCCUPIED. THE OWNEFJCONTRACTOR IS HEREBY HELD RESPONSIBLE FOR ANY VIOLATIONS TO THIS POLICY. A VIOLATION OF THIS POLICY MAY RESULT IN DISCONTINUANCE OF THE ELECTRICAL SERVICE. TREE REMOVAL PERMIT I. Application Date: II. Applicant's Name: III. Applicant's Mailing Address: . Tel. No.: IV. Property Location: V. Tree Removal Requirements: In general, a tree density of three trees per each 4500 square feet of area must be maintained, or the pre - approval density, if the existing tree density is less, which pertains to all trees having a diameter at breast height of six (6) inches or greater. In addition, "significant trees" may only be removed under limited circumstances, and must be replaced with trees of like species having a minimum diameter of two (2) inches each, and of a sufficient quantity so that the cumulative diameter of the replaced trees is equal to or greater than the cumulative diameters of the significant trees removed; or the applicant has other mitigation options. Significant trees are defined to include trees having a diameter at breast height of ten (10) inches or greater of the following varieties: southern red cedar and hardwoods native to the Georgia coast, including but not limited to oaks, magnolia, hickories, sugarberry or hackberry, red bay, spiney ash or toothache, sycamore, tupelo, sweetgum, and american holly. Article 7 of the Land Development Code is attached to this permit, and sets forth the full particulars of tree removal, replacement, and protection requirements. In order to assure compliance with these requirements, the following information is required: (Applicant is to initial each of the following, and provide attachments as required) A. Tree Survey, showing the location, size, and species of all trees having a diameter at breast height of six (6) inches or greater, within the boundaries of the site; in relationship to existing and planned improvements on the site. B. A written explanation as to which trees the Tree Removal Permit would apply to, and why it is necessary to remove such trees. C. Applicant Attestation: I have reviewed Article 7, Tree Removal Regulations, of the Tybee Island Land Development Code, and agree to comply with the provisions thereof. D. A written declaration of which method of significant tree removal mitigation will be accomplished, if applicable. YE. Applicant's Signature: Date: i Ili. Approvals: Zoning Administrator: Date: Yes No City Manager: Date: Required For: Building Permits Relocation Permits Sign Permits Demolition Permits Land Clearing, Disturbance or Excavation Permits Tree Removal 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 stormwater 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. Applicant Name: Project I.D.: Attachments approved by: Date: