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HomeMy Public PortalAboutCHATHAM AV_1617A 1OF2.pdfCER DATE COMPLETED: CITY OF TYBEE ISLAND IFIICA E OF OCCUPANCY July 30, 2004 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 CONTACT STREET ADDRESS CONTACT CITY STATE ZIP PROPERTY ADDRESS APPROVED BY: 040053 NEW RESIDENTIAL BLDG P RICK EVANS 1617 A CHATHAM AVE TYBEE ISLAND GA 31328 1704 LOVELL AVE P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -5737 www.cityoftybee.org CITY OF TYBEE ISLAND 403 BUTLER AVENUE P 0 BOX 2749 TYBEE ISLAND, GA. 31328 PHONE: 786-4573 114/104 FAX: 786-9539 INSPECTION REPORT PERMIT NO.., 41 DATE REQUESTED I / OWNERS DATE NEEDED GENERAL CONTRACTOR SUB CONTRACTOR LOCATION /2-196/ DATE OF INSPECTION TYPE OF INSPECTION COMMENTS: /•) #06-f e 13e,r5:- n /70 L-L)0.001 (Ail de IS h • ctk (5 INSPECTOR OC TIME OF INSPECTION YIN"- 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: 7864539 INSPECTION REPORT PERMIT NO. 9 (./ OWNERS NAME DATE REQUESTED DATE NEEDED GENERAL CONTRACTOR SUB CONTRACTOR 4-ue DATE OF INSPECTION 7 / (9/0 L-P TYPE OF INSPECTION ct/--- (43s? cl/r) /7)1 -1-Lr CAD COMMENTS; INSPECTOR L TIME OF INSPECTION FOR OFFICE USE ONLY „frow FOR THE FOLLOWING NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1.7. Expires December 31, 2005 SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME R. E. EVANS CONSTRUCTION CO Policy Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 1704 LOVELLAVENUE Company NAIC Number CITY TYBEE ISLAND STATE GA ZIP CODE 31328 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 6-A OF A RECOMBINATION OF LOTS 5 & 6, WARD NO.5 BUILDING USE (e.g. Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RES LATITUDE/LONGITUDE (OPTIONAL) ( ## °- ## - ##,##" or i!#.##ftfi#) HORIZONTAL DATUM: ❑ MAD 1927 ❑ NAD 1983 SOURCE: ❑ GPS (Type): ❑ USGS Quad Map ❑ Other. SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81, NAP COMMUNITY NAME &COMMUNITY NUMBER TYBEE ISLAND 135164 82 COUNTY NAME CHATHAM B3. STATE GA 54. MAP AND PANEL NUMBER 135164 0002 B5. SUFFIX C B6. FIRM INDEX DATE 6/17/86 57, ARM PANEL EFFECTIVFJREVISED DATE 8/17/86 B8. FLOOD ZONE(S) A8 B9. BASE FLOOD ELEVATION(S) (Zone AO, use depth of Hooding) 14 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9, ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction `A new Elevation Certificate will be required when construction of the building is complete. 02. Building Diagram Number 6 (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.) C3. Elevations —Zones Al A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, 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 Section G, as appropriate, to document the datum conversion. Datum NGVD 29 Conversion /Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (including basement or enclosure) o b) Top of next higher floor o c) Bottom of lowest horizontal structural member (V zones only) o d) Attached garage (top of slab) o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) o t) Lowest adjacent (finished) grade (LAG) o g) Highest adjacent (finished) grade (HAG) 9. 4 ft,(m) 18,5 , _ft(m) NA , _fl,(m) NA. _ft.(m) 16.6ft(m) 9.0 ft.(m) 9, 4 ft,(m) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 0 o i) Total area of all permanent openings (flood vents) in C3.h sq. in. (sq, cm) Ta a) m 00 A E W a `mm 11'2 Z n.ED tn U J 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 informatio I certify that the information in Sections A, B, and Con this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME J. Whitley Reynolds LICENSE NUMBER 2249 TITLE Land Surveyor ADDRESS 636 STEPHE SIGNAT FEMA orm 81 -31, Ja :ary 2003 T •d LBLL SSE 216 COMPANY NAME CITY STATE SAVANNAH GA DATE TELEPHONE 7/30/04 912-352-0464 ZIP CODE 31405 See reverse side for continuation. Replaces all previous editions splouRaJ RaI TLFl r e{'' =LD t'0 OE InC .,c..1..,wr. auvu n'Dm Jection A. BUILDING STREET ADDRESS (Induding Apt, Unit, Suite, and/ - "' ' No.) OR P.O. ROUTE AND BOX NO. 1704 LOVELL AVENUE CITY STATE ZIP CODE TYBEE ISLAND GA 31328 For. Insurance Company Use: Policy Number Company NAIC Number SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insuranceagent/company, and (3) building owner. COMMENTS C3.e) = A/C PAD ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete items El through E4. If the Elevation Certificate is intended for use as supporting infomration 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 (induding basement or endosure) of the building is fI.(m) _In.(cm) 0 above or 0 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 ^ ft,(m) _in.(cm) above the highest adjacent grade. Complete items C3,h and 03.1 on front of form, E4. The top of the platform of machinery and/or equipment servicing the building is _ ft,(m) _in.(cm) 0 above or 0 below (check one) the highest adjacent grade. (Use natural grade, if available). E5. 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? ❑ Yes ❑ No ❑ 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 Fare correct to the best of my knowledge. PROPERTY OWNERS OR OWNERS AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS 0 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. GI, 0 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.) G2.0 A community official completed Section E for a building located in Zone A (without a FEMA- issued or community-issued BFE) or Zone AO. G3.0 The following information (Items G4 -G9) is provided for community floodplain management purposes. 84. PERMIT NUMBER G5, DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement GB. Elevation of as -built lowest floor (including basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: ._ft.(m) Datum: Datum: LOCAL OFFICIALS NAME COMMUNITY NAME SIGNATURE COMMENTS TITLE TELEPHONE DATE 0 Check here if attachments FEMA Form 81 -31, January 2003 z-d LBLL 2SE 2IS Replaces all previous editions sp' QuRaN Fa 1 LIP1 C et' LO trO OE I nC INSPECTION REPORT PERMIT NO. OWNERS MAW, GENERAL CONTRACTOR LOCATION / r1 0 CITY OF TYBEE ISLAND 403 BUTLER AVENUE P 0 BOX 2749 TYBEE ISLAND, GA. 31328 PHONE: 786-4573 i 114/104 FAX: 7/16-9539 DATE REQUESTED DATE NEEDED SUB CONTRACTOR DATE OF INSPECTION TYPE OF INSPECTION COMMENTS: FL V\-q t N)C TaCk 4\(\. 04 SCb EM-k (-N .11‘)AL. - LCD INSPECTOR C-c,thflo jt Vk p cort5inA(‘ 1-1-1 fl cic„ kg - I tuv L ttadr erf\-vv o 12 Ls cit.j LLrt kjar"D TLUj oj pc L. c u4-1 FiN LCO IME 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: 786-9539 INSPECTION REPORT PERMIT NO. C (1 DATE REQUESTED OWNERS NAME J ■./ DATE NEEDED GENERAL CONTRACTOR SUB CONTRACTOR LOCATION DATE OF OF INSPECTION TYPE OF INSPECTION COMMENTS: INSPECTOR ct, TIME OF INSPECTION FOR OFFICE USE ONLY HOLD FOR THE FOLLOWING DATE ELECTRICAL RELEASE NAME OF ELECTRICIAN PERMIT NUMBER eockro-1A-- a7/63 CONTRACTOR OR OWNER EVCCKLS LOT NO. SUBDIVISION ADDRESS i7o(7 Loue4( TYPE OF RELEASE ieive L-?6,t,LleA RELEASE TO SEPCO COMMENTS p16ie c& (-e-c46-e__ - r �0 CHUCK BARGERON CITY MARSHAL'S OFFICE TYBEE ISLAND, GA. 912 - 786 -4573 X 104 Transmit report P.1 07/28/2004 02:01 40LE07331 TO:69690 REMOTE STATION START TIME Pages RESULT REMARKS 2316641 07 -28 02 :01 00:00 13 002/002 OK REMARKS TMR:Timer, POL:Poll, TRN:Turn around, 21N:2inl Tx, ORG:Original size set, DPG:Book Tx FME:Frame erase Tx, MIX:Mixed original, CALL:Manual -Com, KRDS:KRDS, FWD:FORWARD FLP:Flip Side 2, SP:Special Original FCODE:Fcode, MBX:Confidential, BUL:Bulletin, RLY:Relay, RTX:Re -Tx, PC:PC -FAX S- OK:Stop communication, Busy:Busy, Cont.:Continue, No ans :No answer M- full:Memory full, PW- OFF:Power switch OFF, TEL:Rx from TEL Mayor Walter W. Parker CITY COUNCIL Jason Bu elterrnan Ralph "Eddie" Crone Mallory Pearce Shirley Sessions Paul Wolff Jack Youmans DATE_ TO: CITY -1-YSEE ISLAND City Manager Bob Thomson Cleric of Council Diane Sikes City Attorney Edward M. Hughes .4F.P('r) COMPANY NAME: FAX N-UIVIBER: 291-6647- FROM: TITLE : C O M3YSENT'S: VIVIAN WOODS CITY OF TYSEE ISLAND TOTAL TRANSIYIISSION IF TRANSMITTAL IS INCOMPLETE PLEASE CALL 912 - 786 -4573 Extension 114 P.O. Box 2749 - 403 Buller Avnoua,'Tyba.x ]stand, Ocor X31323 -2749 (912) 786-4573 - FA_X (912) 786 -5737 u.- _.w.ci rva fr,b e.nrz INSPECTION REPORT PERMIT NO_ OWNERS NAME GENERAL CONTRACTOR SUB CONTRACTOR LOCATION /1 DATE OF INSPECTION TYPE OF INSPECTION el l• 3 (ijA CITY OF TYBEE ISLAND 403 BUTLER AVENUE P 0 BOX 2749 TYBEE ISLAND, GA. 31328 PHONE: 786-4573 z 114/104 FAX: 786-9539 DATE REQUESTED DATE NEEDED ( (,) COMMENTS: C Pcrx, 1,_ L:T---)0N1 L.) iz i■ft-7--`c0 N-) L ppopie--- Co TIME OF INSPECTION FOR OFFICE USE ONLY: HOLD FOR I.HL FOLLOWING INSPECTION REPORT PERMIT NO. OWNERS NAME GENERAL CONTRACTOR LOCATION DATE OF INSPECTION d 7 0 , TYPE OF INSPECTION / CITY OF TYBEE ISLAND 403 BUTLER AVENUE P0 BOX 2749 TYBEE ISLAND, GA. 3132S PHONE: 706-4573 x 114/104 FAX: 726-9539 DATE REQUESTED DATE NEEDED C4 SUE CONTRACTOR COMMENTS: TIME OF INSPECTION FOR OIT iCE USE ONLY HOLD FOR THE FOLLOWING INSPECTION REPORT PERMIT NO. CITY OF TYBEE ISLAND 403 BUTLER AVENUE P 0 BOX 2749 TYBEE ISLAND, GA. 31328 PHONE: 786-4573 1114/104 FAX: 116_9539 OWNERS NAME DATE NEEDED GENERAL CONTRACTOR / \ l K (J k' k5, SUB CONTRACTOR LOCATION / (7 () DATE OF INSPECTION 5 > l� TYPE OF INSPECTION__ ' , � r3 / / COMMENTS: r1)14-5c7 FOR OFFICE USE ONLY: HOLD FOR THE FOLLOWING 7800 HoAzonlal Railer Ieesn Mesa, $61 Jmty -1 "1/2004 09 :00 FAX 5122338419 DANIEL LUMBER 1}001/001 SEASONSHIELD 7 N C O R p O R A T S O PVC Products Testing Summary Report 10/21(2[03 5100 Sinai* Hunp 5300 Fluid PW Sif Control Numburs Overeil victoriar Iectad size Gonlla _ ROM/ Report Humber R.IriVo,v.fl rat R.4uirad 51 -01 37-3/4 x 73 -314 1(1 R50 NCT1- 210 -22994 51 -D2 37 -3/4 x 73-3/4 1/1 R65' NCTL- 210.22994 51 -06 44 X 63 111 R35 -rT 9amProll ml.o8,hBroll 51.03 73 314 x 73 3/4 Mull 111 R4S NC7L- 210.2299 -1 aid rnul 51-04_ 51 -OS 65 314 1 73 3/4MAI 85 -3/4 x 73 -3/4 Mull 111 111 1154` R45 N011 -210-2299-2 NCTL- 210 - 2239 -5 .h1 reu..la VAR wow la 2 tubs mR,6 53-01 49.314 x 73-3/4 1.Lit. R40 C11A#838W 7100 51n&Ie Hun& 7200 Horizontal Pallor 7300 Fixed PW 53 -02 50 x138-1/2 1 -Lit. R50 CTLAN338W -1 ie.119=--d 71 -01 53-116 x 73-1/2 111 R.26 CTLA# 888W -1 Sash 144.d.8llamm 71 -02 37 k 73 -1/2 111 R50' CTLA# 886W4 9..n sil, Aft, lama 72 -01 74-1/2 x 51 OX I R30 ICTLA #806W 7400 Double Hung 73 -01 48-3/4 x 72 414 1 -Cite R35 011.411886W-3 74-02 62- 1/2x72 -1/2 73-02 49 -1/4 x97 -114 1 -Lira R50 CTLA8886W -2 tattami.i 74.01 36-1/2 x 72 -1/2 1/1 HR50 CTLA# 751W-AR U. ®r. per, Tir, 5 74-02 62- 1/2x72 -1/2 1/1 HR35 CTi,Ait7S1W -R ..mn 75.01 13s X 02 1 zxx 1 R30 IGTLM G21W 7600 Fixed PW 76-01 75x77 1 -Cats R60 CTL4# 785W t.mper.a 75.02 55-112 x 75 -114 1-1-8e R33 CTLA#785W -1 .rve.ted 7700 Casement 77-01 136 x 72 { X 1 LC50 1ARCH -07-30120.08 1 9600 $30 P -31 196x06 APC 9900 8130 8100 Single Hun 0 X0 I C30 jCTLA912W -215 '015 uuande champs MAY Aqum_ ohr4 3 .Olo 38.01 235.5/9 x 113 -1/2 O;XA 025/C35 P700•553 tempergd 38 -02 181 -518 x 119 -1 /2 oxo 030/C35 PT00-499 t.rrgrerOd 38 -03 119 -1/2 X 1191/2 xo C35 PT99 -201 lamps »d 38 -04 119 -1/2 X 119 -1/2 xa C36 P1119-270 -_- 38-06 235.5/0 x 95 -1/2 oxxo 040 PTD0.537 38-06 60-3/8 x 92 -7)B axo C45 PT00 -SO4 30 -07 119 -1/2 x 35.1/2 xo 050 P700 -40 38.08 119 -1/2 x 95-1/2 xa C$0 P799 -265 36.08 96 x 96 'IMPACT" ko 050 ATL 05251.01 -0281 stool rat & slim 81 -0142 64x 74 1/1 R50 ATL 0529.01.03 rats & stab 81 -01 -02 54x74 1/1 R45 471 0529.01 -03 , All. & sills 81-0102 39 x 72 111 R85 ATL 0525.01 -03 nib 5 vales nNr 81 -01-02 I 91.03 6300 Platurn Window 54 x 74 IMPACT 36x72 IMPACT 111 1/1 P60 ATL 01- 0331.01-03 R65 ATL 01 4331.01.04 & mike rah & sllha 83-01 72 x 74 lit R50 ATL 0620.01 -03 tempergd 83-02 48 x 74 1 I R70 ATL 0401.12.03 t.rrgrerOd 53 -03 48 x 74 1 It R1D0 ATL 0401.02 -03 lamps »d 5344 48 x 74 IMPACT lit R63 ATL 01- 0401.01.03 83 -04 48 x 74 IMPACT lit R69 ATL 01-040'1.01.03 Corporate Headquarters 355 Center Court • Venice, Florida 34.297 • 941 -497 -1484 • FAX 941 - 497 -67130 CITY OF TYBEE ISLAND 403 BUTLER AVENUE P 0 BOX 2749 TYBEE ISLAND, GA. 31328 PHONE: 786 -4573 x 114/104 FAX: 786 -9539 INSPECTION REPORT PERMIT NO. (3 y / 7~� DATE REQUESTED OWNERS NAME P // DATE NEEDED 4t/1) -�� GENERAL CONTRACTOR c K- I/O E- f� c SUB CONTRACTOR LOCATION //7 n t/ . .1 / 1,.. DATE OF INSPECTION [ )1 _..)t5 -14 t-T TYPE OF INSPFC ON' COMMENTS: DISPECTOR CH . 1) Fuk < )/ 2 rh/ 40,016m - b+JI©t L. t.OL Q ST5 if2. Si L4,,TI S }T ohm e 1)5 rrf:k ,5 14 T ; F6S, . i= /111)5 (a 1140 5 r �0t2Nt�125 f i k70 muu, off. pU/N00,-) L-Lt /r1 /41,0 op 44-5 _AN, u 1,1,6 T N r _ %,tiaTn-npvG-t / -i }1 %R_ f 0 &I)& /\)/iIk.// y 5d 7 S t:A L_ iq ,='fit C e- P5 P44- t Jo/ I 971(64---- 1 %F.c LJI A) &6 S A-; frTT -- fra - -5 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: 726-9539 INSPECTION REPORT PERMIT NO. 5:3 DATE REQUESTED OWNERS NAME vao, DATE NEEDED GENERAL CONTRACTOR SUB CONTRACTOR *=_3_L/kj+_(j±4 4 LOCATION DATE OF ,9761/c-ie` TYPE OF INSPECTION COMMENTS:, INSPECTOR ech CiLleigi 4/2 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: 706 -9539 INSPECTION REPORT PERMIT NO. 01 / r DATE REQUESTED %- r3 6-0 t/ OWNERS NAME DATE NEEDED G .CONTRACTOR �i a �� SUB CONTRACTOR r rA (- (� cc 1 v- __._TYPE OF INSPECTION (C' r r / c moo{ 1 (ours o1-) �� l LOCATION DATE OF INSPECTION COMMENTS: INSPECTOR C. FOR OFFICE USE ONLY: HOLD FOR THE FOLLO#WEVG 7t CITY OF TYBEE ISLAND ( 403 BUTLER AVENUE P 0 BOX 2749 TYBEE ISLAND, GA. 31320 \i/3 \ ("7 PHONE: 7864573 i 114/104 FAX: 7,16-9539 E\ INSPECTION REPORT PERMIT NO. 044 DATE REQUESTED OWNERS NAME DATE NEEDED GENERAL CONTRACTOR c vcc v SUB CONTRACTORct LOCATION / 0 Ll Lo 4_2./(9i TYPE OF INSPECTION DATE OF INSPECTION /'iV. COMMENFS INSPECTOR 10 r TIME OF INSPECTION FOR OFFICE USE ONLY: HOLD FOR THE FOLLOWING CITY OF TYBEE ISLAND 403 BUTLER AVENUE P0 BOX 2749 TYBEE ISLAND, GA. 31328 PHONE: 786-4573 i 114/104 FAX: 7864539 INSPECTION REPORT PERMIT NO. (9(--/ OVINOZS NAME GENERAL CONTRACTOR LOCATION 420 DATE OF INSPECTION Li 11 I c-1 TYPE OF INSPECTION DATE REQUESTED DATE NEEDED SUB CONTRACTOR og COMMENTS: FT _FiLi/V4 CL t( ft f ( INSPECTOR 70 :5 TIME OF INSPECTION FOR OFFICE USE ONLY: HOLD FOR THE FOLLOWING INSPECTION REPORT PERMIT NO. CITY OF WHEW, ISLAND 403 BUTLER AVENUE P 0 BOX 2749 TYBEE ISLAND, GA. 31328 PHONE: 786-4573 114/104 FAX 786-9539 /E-0 DATE REQUESTED OWNERS NAME DATE NEEDED - /0 091 GENERAL CONTRACTOR SUB CONTRACTOR COMMENTS: INSPECTOR TIME OF IN DON FOR OFFICE USE ONLY: HOLD FOR THE FOLLOWING CITY OF TYBEE ISLAND 403 BUTLER AVENUE P0 BOX 2749 TYBEE ISLAND, GA. 31328 PHONE: 786-4573 ic 114/104 FAX: 726-9539 INSPECTION REPORT PERMIT NO. "7/ DATE REQUESTED 3 - OWNERS NAME DATE NEEDED GENT42.A.1 COWIRACTOR SUB CONTRACTOR LOCATION DATE OF INSPECTION 17 TYPE OF INSPECTION / CON4.1,4ENTS: INSPIC TIME OF INSPECTION b(A„olle-c k FOR OFFICE USE ONLY HOLD FOR THE FOLLOWING CITY OF TYBEE ISLAND 403 BUTLER AVENUE P 0 BOX 2749 TYBEE ISLAND. GA. 31328 PHONE: 750-4373 z 1141104 FAX: 736-9539 INSPECTION REPORT PERMIT NO. 0(- 33 DATE REQUESTED OWNTRS NAME E- DATE NEEDED 2 i,) .00(/ GENERAL CONTRACTOR 3 A rr) SUB CONTRACTOR LOCATION DATE OF INSPECTION2- (9 OF INSPECTION FOOT N 1 I COMMENTS: 1 0 LOV INSPECTOR (9) TIME OF INSPECTION FOR at AeiCE 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: 786-9539 INSPECTION REPORT PERMIT NO. C V OWNERS NAME GENERAL CONTRACTOR LOCATION / /7 9 f---/ DATE REQUESTED c›? - DATE NEEDED 6 31 --Lig9C rcTi-Le c SUE CONTRACTOR DATE OF INSPECTION COMTvaNTS: INSPECTOR TYPE OF INSPECTION 4 P ) TIME OF INSPECTION FOR 01, iCE USE ONLY HOLD FOR THE FOLLOWING ELECTRICAL_, RELEASE - -09 NAME OF ELECTRICIAN NITIVIbER: - CONTRACTOR OR OWNER LOT NO. Fl/a-05 SUBDIVISION ADDRESS 77o Lou e/I TYPE OF RELEASE ( _3/9 (A__.) if RELEASE TO SEPCO COMMENTS___ *rde. c.0 C.HUCK BARGER.0/■i, CITY MARSHAL'S 0.14iCE TYBEE ISLAN'D,GA, 912/786-4573 X104 Transmit report P.1 02/11/2004 06:58 40LE07331 TC:31212 REMOTE STATION START TIME Pages RESULT REMARKS 2316641 02 -11 06:57 00:01 05 002/002 OK REMARKS TMR:Timer, POL:Poll, TRN:Turn around, 2IN:2in1 Tx, ORG:Original size set, DPG:Book Tx FME:Frame erase Tx, MIX:Mixed original, CALL:Manual -Com, KRDS:KRDS, FWD:FORWARD FLP:Flip Side 2, SP:Special Original FCODE:Fcode, MBX:Confidential, BUL:Bulletin, RLY:Relay, RTX:Re -Tx, PC:PC -FAX S- OK:Stop communication, Busy:Busy, Cont.:Continue, No ans:No answer M- full:Memory full, PW- OFF:Power switch OFF, TEL:Rx from TEL NI Walter W. Parker CITY 4=C3TJNCII. Wad ter Gr wford, Mayor Pro Tem Richard Barrow ' Jason Suniterman James 7imrrty" Burke Whitlow Reynolds Jack Ireniortans DATE: TO: RV-PC-CI COMPANY NAME: CITY OF TYBEE ISLA1' I) - /O -G74/ City M an Bob Thom Clerk of C Jacquelyn I City Attn. Edward M. FAX NUMBER: 2 i 1 -6641 " FROM: TITLE: COMMENTS: TIVIAN WOODS CITY OF TYBEE ISLAND TOTAL TRANSMISSION IF TRANSMITTAL IS INCOMPLETE PLEASE CALL. 912 -786 -4573 Extension 114 P.O. 13 os 2749 -403 Butler .4venue, Tybee Island. Georgia 31326 -2749 (912) 786 -4573 - FAX (912) 786 -5737 vrww.cityoftybee.org DATE ISSUED: 02 -4 -2004 WORK DESCRIPTION: WORK LOCATION: OWNER NAME ADDRESS CITY, ST, ZIP CONTRACTOR NAME ADDRESS CITY STATE ZIP FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE TOTAL FEE'S CHARGED PROPERTY IDENTIFICATION # PROJECT VALUATION CITY OF TYBEE ISLAND BUILDING PERMIT NEW RESIDENTIAL BLDG 1704 LOVELL AVE RICK EVANS 1617 A CHATHAM AVE TYBEE ISLAND GA 31328 RICK EVANS 1617 A CHATHAM AVE TYBEE ISLAND GA 31328 1900 P $4,159.00 $150,000.00 PERMIT #: 040053 TOTAL BALANCE DUE: $4,159.00 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. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -5737 www.cityoftybee.org EVA-NS — _7/(/SP 0)/6 ! DO oa gC • 4)‘ COM_.I.Y.L ■‘..,� � v.0 CODESRNFORCEWNT NOTICE Chucf'B2rge=on City Marshal Building Official Dumb ' 19, 2001 To Vfriom It May Concern: Effective January 1,2002 the State ofGeorgiawill be enforcing the2000 Standard Building Code and 2000 CABO One and Two FamilyDweliing Code. The 2000 • Standard Build ng Code in Georgia is in reality the 2Q00 edition of the I eznationo Building Code-with the Georgia State Amendments: The 2000 CABO One and Two Family Dwelling Code is the 2000 edition of the InternationPI Residential Code wi th Stztc.Amendments. • The folio ring design provisions will be effective on January I, 2002 for construction in The City of T}be, e Island limits. Please tae thetime to mike yourself familiar with the changes to these codes, since the a_e standards that will be enforced on plans submitted forreiyew, and insp ecto� 3 — SECOND WE GUST: PASTES MELEBASIC WIND SPEED SEIS EC D SIG_1T CATEGORY: WIND OSURE: 130MPH • 110MPH glen T h e r e are 1 r a f e w of t h e design standards that new construction and 2.ddi o.s to you:: structures -v,1 i =wd to con ly with.. This can affect eft work. • If these a e a f l:±r que` bons pertaining to design or construction provisions for Tyx= 7siand, please con. a this office at 786 -4573 x 104. • " " TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT Location NAME PIPS 0 ADDRESS TELEPHONE Owner 7"' k- ,�� 1��7` _ G t,-..+ - A-- Ate. Ty lam- 71.d s ? 3 Architect or Engineer 5'4vs s )i L+') , S {c-0"-(`  <> i " ti" _ 2:31-- CI D3 Building Contractor -..11.,,-. 1 <-��.- `i4(, 6 i (Check all that apps New Construction d/ " Re n o/ } Duplex ri le Famil y Residential Commercial Footprint Change____ Repairs Other on Minor Addition Substantial Addition Multi- Family Demolition Estimated Cost of Construction: $ 1 S Cf 0 0 4 Construction Type " (Enter Appropriate Number) (1) Wood Frame, (2) Wood & Masonry, (3) Brick Veneer, (4) Masonry, (5) Steel & Masonry, (6) Other (Please specify) Proposed Use: Re marks: ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following information based on the construction drawings_ and site plan: :+ / Lot Area Units l B- drooms 3/ 4 0 Bathrooms 1 Living Space (Total SqF t) (91, O'-� A Off- street Park ng Spaces :7Z LA&c��tr��..,K\L- 1/' Trees Located ��jj L ted or. Site Plan !" Access: _ ad-0 V v- " Driveway (Ft.) With Culvert? With Swale? Setbacks: Front 2-0 Rear t 0 Sides (L) (6 (R) _ a c�� F Stories J Height -1 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 through TZ?Ws On -site waste & debris containers will be provided by Const uction debris will be disposed of by C.r�r`--)rr't'k`' r at by means of tLv,„ -f-ef-- . 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: Z 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 impair =`d by this permitted construction. Date r r.-ly3 / 6 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 A- 8,14* Approved Rezoning /Variance? Street Address & Number: New Existing . Is it in compliance with city map? . If not, has street name & /or # been reported to M1PC? 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 Administrator Code Enforcement Ofc Water /Sewer Storm Drainage_ Fire Chief Inspections City Manager , Date Z. 03 Fees: �r 00 permit Inspections Total G /F__f Water Tao 4560•190 Sewer Stub ___5-50 . oO Total W/S / /pO, ®e6 470. 40A 4\ 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. i" NAME: R1/4. c tv •.E V ., ADDREss :0 "� CONTRACTOR: PERMIT A THIS NOTICE IS TO CONFIRM OUR UNDERSTANDING THAT ALL EQUIPMENT ' SUCH AS A/C COMPRESSORS, WATER HEATERS, FURNACES, ELECTRICAL OUTLETS, METERS, ETC ... P.R.F. NOT PERMITTED BELOW THE REQUIRED 'FINISHED FLOOR ELEVATION. , • 9 H 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. ACKNOWLEDGED AND AGREED TO THIS L-' DAY OF 4 CITY OF TYSEE ISLAND SUBCONTRACTOR LIST k,, + ¥* +_+.. *,,* ++ ¥ + ** f******++++ + +k * + ..* +l * * * * + + + *«; * + ++x. + + * *k+ PLEASE LIST E � NAME AND ADDRESS OF � PARTICIPATING SUBCONTRACTORS �BEL0W: 1. N E: ADDRESS: TELEPHONE: 2. NAME: LICENSE N-JMSER• DRESS: TELE ?S0 : 3. NAME: LICENSE NUMBER ADDRESS: TELEP O : 4. N E: LICENSE NUMBER ADDRESS: TELEPHONE: 5. £ E: ADDRESS: TELEPHONE:_ LICENSE NUMBER LICENSE'S MBER Date: Name: Address: PERMIT FOR INFRASTRUCTURE ALTERATION'S < Telephone NO: Residence: - q'6" 'tQl Office: ?l 3 '. �� ( 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: 1.A rt- I/ j �- c cz d 6.0LA- / Al/e S f A sketch or drawing must be attached illustrating the planned alteration. Attached? 734 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 tc 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 the .%:visions. Signature: Approvals: Department dead: Inspections: City Manager: Date: - CITY OF TYI3EE ISLAND 1, .R S INSPECTIONS DEPARTMENT TEMPORARY ELECTRICAL SERVICE AFFIDAVIT PROJECT NAME:- 1 % I . Cz ADDRESS: 1 701 („0"e_l l f4v;. OWNERS 1. NAME:° PERMIT NUMER: PIN: TRTS LEI I R IS TO CONITRIM TEE UNDERSTANDING OF THE OWNER/CONTRACTOR TO Till CO1N,2LIANCE REQDIRENTENT OF THE GEORGIA STATE I TMNLNi IUM CONSTRUCTION CODES. "I HEREBY DECLARE THAT THE RFQTTEft'tE]) TEMPORARY ETNCI-R.(7AL' EQYKELE IS INTENDED FOR TEE COMPLETION OF l'ET CONSTRUCTION PROCESS AND THE TESTING OF EQUIPMENT INSTALLED WITHIN TAM S RUCTURE." IT IS UNDERSTOOD AND AGREED BY THE UNDERSIGNED THAI" I Rh ISSUANCE OF TE\fl?ORARY POi +'R_DOES NOT CONSTITUTE APPROVAL TO aCCILE THE STRUCTURE. A CERTIFICATE OF OCCUPANCY MUST BE ISSUED BY TEE CITY OF T'YR E PRIOR TO THE STRUCTURE BEING OCCUPIED. TEE O% EB.ICONi:PACTOR IS HEREBY ?MELD RESPONSIBLE FOR ANY VIOLATIONS TO THIS POLICY. A VIOLATION OF WS POLICY NIAY RESULT TN DISCO. ANCE OF THE ELECTRICAL SERVICE. OWNER � DATE /2-/2-3/O3 CON. '1'±&ACTOR WITNESS DATE / Z�2 -3/6 s DATE