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TENTH ST_403 (2)
CITY OF TYBEE ISLAND CERTIFICATE OF OCCUPANCY DATE COMPLETED: 11/05/2013 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 #: 130335 PROPOSED USE: NEW RESIDENTIAL BLDG - SF OCCUPANCY TYPE: P CONTACT NAME JAMES AND CAROL BROWN CONTACT ADDRESS 403 TENTH ST CONTACT CITY STATE ZIP TYBEE ISLAND GA 31328 PROPERTY ADDRESS 403 TENTH ST APPROVED BY: 0.,:Li,,,,,L) C))c, 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 BUILDING PERMIT ENGINEERING FEE DATE ISSUED: 11/05/2013 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 # NEW RESIDENTIAL BLDG - SF 403 TENTH ST JAMES AND CAROL BROWN 403 TENTH ST TYBEE ISLAND GA 31328 CATSKILL BUILDERS, INC. 210 CATALINA DR. TYBEE ISLAND GA 31328 1931 P $ 7,003.50 4- 0006 -11 -022 PROJECT VALUATION $235,000.00 PERMIT #: 130335 TOTAL BALANCE DUE: $ 87.50 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: 1,—) c/-* 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 403 Butler Ave PO Box 2749 Tybee Island, GA 31328 -2749 Ph (912) 786 -4573 FAX (912) 786 -5832 Vendor # : Issued to: 0 1 - 00 20 55 DAVIS ENGINEERING, INC P 0 B O X 1 6 63 TYBEE ISLAND, GA 31328 F.O.B. Point - Tybee Island, GA PU..CHASE ORDER PO Number: 14 -24740 This number must appear on all-related correspondence, shipping papers and invoices. Date: Ship to: 1 1 / 0 5 / 2 0 1 3Requisition # : 1 4 - 2 4 7 4 0 CITY HALL 403 BUTLER AVENUE TYBEE ISLAND, GA 31328 Terms - Net 30 days UNE UNITS DESCRIPTION PRICE AMOUNT 1 0.00 FINAL ENGINEERING 100- 7220 -52 -1203 FINAL ENGINEERING INVOICE #21302202JB FOR NEW SINGLE FAMILY AT 403 TENTH ST; $87.50 Purchase Order void after 90 da s. 0.00 87 .50 Special Instructions: I agree to provide the items /services listed on this purchase order and accept the Purchase Order Terms and Conditions that accompany this form. Supplier Acknowledgement Date TOTAL 87.50 Authorized by For the City of Tybee Island Date DAVIS ENGINEERING, INC. P.O. Box 1663 Tybee Island, GA 31328 Tel. (912) 695 -7262 dkdbus @cimail.com November 5, 2013 INVOICE 1'S Invoice #21302202JB Diane Otto City of Tybee Island P.O. Box 2749 Phone (912) 786 -4573 Fax: (912) 786 -9539 RE: : Jim Brown / PIN: 4- 0006 -11 -022 / 10th Street Tybee Island, GA 31328 11 -01 -13 0.25 Site visit with Engineer 11 -05 -13 0.25 Site visit & concurrence with Engineer's substantial compliance letter. 0.50 hours @ $175 = $87.50 Total Due This Invoice 1P 13- 0 33 p 0 14-- 2 4'1 t4-Q IZ)4311„,,,Jg 00 -1220 -S2 -IZo� I I - S -i3 BOSWELL DESIGN SERVICES, INC. 103 NASSAU DRIVE SAVANNAH, GEORGIA 3141 0 912 -897 -6932 LAHBOS @BELLSOUTH. NET November 4, 2013 Diane Otto Planning and Zoning Tybee Island, Georgia Re: Jim Brown Project 403 10 th Street Tybee Island, Georgia Diane, At the request of the Owner, we have inspected the project referenced above for compliance with the approved site plan. After a brief inspection of the project, it is our opinion that the project is in substantial compliance with the approved site plan with the exception that the contractor was finishing a swale on the right side (looking from street) also temporary grassing is in place. Final stabilization may not be able to be achieved this time of year. Thank you for your assistance and please do not hesitate to contact us if you should require more information. We may be reached at 897 -6932, fax to 897 -2287 or e -mail to lahbos(&bellsouth.net. Sincerely, Mark Boswell City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 INTERNATIONAL CODE COUNCIL MEMBER Permit No. 13 - 0 3 3 C Date Requested . L4 1 3 Owner's Name 1,3 r o (__Jr, Date Needed Gen. Contractor e rSkItI 13(c j`S Subcontractor Contact Information A r oil 213-1317/ V , M M ?Li-4-35-33 Project Address L+0 3 -Te • Scope of Work Inspector 1} 04-4-0 E tdpf Inspection I "E"... M\ i Pass El Fail ❑ Fee "3. .c5 p3 .s-.a Cu-L. A- As- Sor4 ' l f � 'F �o f �'1 O S. A e. rwe c4, . k,n . �- I Q V G c� 0 n S� o� Cr G. -), a 1 (d, O 9 e n. n' s Ore_ el 04— 0 P 1_,30 S Co ,).,soled. . 0Su -02-11/ Ca�rnap� Inspection Pass ❑ Fail Fee c'.1tv,101 w;\ 1,5 arc. .eP4-a. \l2 r 3 4. ►'i eQS rv‘ ci-k-. on rQv .. re (4, Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Permit # Job Address Job Name CERTIFICATE OF OCCUPANCY REQUIREMENTS X03 1?)r w r, -B`dc5 , Energy Code Compliance Certificate Elevation Certificate, Finished Construction ✓ As -built Survey Drainage Certification from Project Engineer Recorded Non - conversion Agreement N (Pc Breakaway Wall Certificate (V -Zone only) g(A Mitigation of Trees ✓ Drainage Certification from Downer Davis Drainage Certification from Joe Wilson FEMA Inspection (1 3 / • \ 6 • Georgia Residential Energy Code Compliance Certificate* guilder/Design Professional: , 41.‹. ,15 Envelodelymmarn • List the R-Value for the following aimponents; Flat ceiling/rocif: Exterior wall: g_ i)3 Attic Icrieewall: easement stud wall: Crawlspace staid wall: A- Foundation slab: Cantilevered Floor. ,.., • Fenestration Components: Window Li-factor: • 35 Skylight U-factor: It Glazed Door U-factor: I • Suikiing Envelope Tightness (BET): BET test concluCted by: L-://' re Ye kz-, c .,::.. pnone: 4142 - 6-d y - e. .-.-is 7 Fan Flow at 50 Pascals= V Kcil CM 50 Total Conditioned Volume = 7. `l 16' ft3 ACI-lso --- CFMsa x GO j Volume= 3, ci Aalso (mst bele= thas 7 01.04,0 ) Low Rise Multifamily Visual Inspection Option (The mum irspe:tion opera may be =ducted by a ttOrd-parry ird4:03d of the BET test for R-2 holdings antY,) Visual inspection conducted by: — l',-i A — Phone: Phone: 2— 7 S - / 7 Sloped/vault Above grade ma z wall: Attic Icneewatl sheathing: J. A- Basement COniinUOUS: Crawlspace continuous: Floors over uncondtioned spam: rt, 3 Other insulation: Window SHGC: Skylight SHGC: Opaque Door U-factor: (<50% glazed) • .;‘? 4 - Mishanjoaftragsim Water Heater Energy Factor: • 10 Ef Fuel type: 0 Gas eElectric 0 Other Number of Heating and Cooling Systems: Heating System Type (choose one): 0 Gas: ARJE reAir-Source Heat Pump: ( ) HSPP o Other: Efficiency: ( Cooling System Type (Standard DX. Heat Pump, Geothermal, etc.): Cookng System Efficiency: 3 ZrSEER 0 EER 0 Other Heating/Cooling Load Calculations Performed by: (./.4 . Ptak 2 $ 44 - .61%) Total Heating Load (Based an Acca Man. 3 or oder approwd mdcgy)_4C, BillTh - Total Cooling Load (Base• on ACCA Man .1 or Wier approved rnethodolvv): Ape, o Btu/h — Cooling Sens/lie Load:( Btu/h Coding Latent Load : 2,3 Btu/h1, y 7 Total Air Handler CFM (based on design caiculations): ) V Q 0 CFM ft- Duct Tightness Test Conducted by: Lzi<7'4 I r -05 Phone: CFMzs per 100 ft2 of conditioned floor area = CFM2s x 100 f Conditioned floor area served riak ducts are not located within =Maned since, bolder mon wartY that alhe• the Posimnstucijon 6-/Ct leakage to otiOiOcrS (pC0) s 8 drat00 ft, the post construct:ice total duct lealage (FCT) 1$ $ 12 dm/100 ft, or the r41-in hMt with eir hardier at:tiled is 6 dm/100 fe. State with method was used to conduct the duct tightness test dul blower (DB), mailed timer door soteracOon method (PISOS), or autcrnated notopoirit blows door (MOD). System Plethod (08, P•riatts, mat)) Test (PCO, PCT, RTT) CFM2s Area served (ft2) Teslitea.a. f t //, ei 1 ail_ Pc r / 03 F3 0 2 3 *Note: This permanent certificate shall be posted on or in the electrical distribution panel: Certlfical shall be completed by the builder or registered design professional. where there is more than one value for each component, certificate shall 1st the value covering the largest area. U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program Important: Read the instructions on pages 1 -9. ELEVATION CERTIFICATE OMB No. 1660 -0008 Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION Al. Building Owner's Name JAMES C. BROWN A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 403 101h STREET City TYBEE ISLAND State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT B OF A RECOMBINATION OF LOTS 105 & 106, WARD 3, TYBEE ISLAND. A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) A5. Latitude /Longitude: Lat. 32.00144° Long. 80.84847° Horizontal Datum: A6. Attach at least 2 photographs of the building if the Certificate is being used A7. Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 350 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 3 c) Total net area of flood openings in A8.b 1464 sq in d) Engineered flood openings? ❑ Yes E No RESIDENTIAL ❑ NAD 1927E NAD 1983 to obtain flood insurance. A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes E No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number TYBEE ISLAND, GEORGIA - 135164 B2. County Name CHATHAM B3. State GA B4. Map /Panel Number 13051CO213 B5. Suffix F B6. FIRM Index Date 8/05/13 B7. FIRM Panel Effective /Revised Date 9/26/08 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 11 B10. Indicate the source of he Base Flood Elevation (BFE) data or base flood depth entered in Item 89. ❑ FIS Profile E FIRM ❑ Community Determined ❑ Other /Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 E NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: N/A ❑ CBRS ❑ OPA ❑ Yes E No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* E Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1-A30, AE, AH, A (with BEE), VE, V1 -V30, V (with BEE), AR, AR/A, AR/AE, ARAA1-A30, AR/AH, AR/AO. Complete Items C2.a -h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: eGPS VRS NETWORK Vertical Datum: NAVD88 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 El NAVD 1988 ❑ Other /Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 6.6 15.4 NIA._ NONE. 14.6 5.3 6.2 5.3 Check the measurement used. E feet ❑ meters E feet ❑ meters E feet ❑ meters feet ❑ meters E feet ❑ meters E feet E feet E feet ❑ meters ❑ meters ❑ meters 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 on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. licensed land surveyor? E Yes ❑ No Certifiers Name BERT B. BARRETT, JR License Number GA. 2225 Title OWNER/PRESIDENT Company Name BERT BARRETT, JR LAND SURVEYING PC Address 145NNE`ROAD % City SAVANNAH State GA ZIP Code 31410 411■t' Date 10/29/13 Telephone 912- 897 -0661 Signature FEMA Form 086 -0 -33 (7/12) See reverse side for continuation. Replaces all prey l. us editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 403 10th STREET FOR INSUN OMPA■Y USE Policy Number: , City TYBEE ISLAND State GA ZIP Code 31328 Company t4A1C Number. 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 1. GOOGLE EARTH USED TO OBTAIN LAT /LONG. 2. THE ELEVATION SHOWN IN C2 e) IS THE OUTSIDE HEATPUMP UNIT (CONDENSOR). Signatu Date 10/29/13 SECTION E — BUILDING T ATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 —E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1 —E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is N /A. ® feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is N /A. ® feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and /or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is N /A. ® feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is N /A. ® feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and /or equipment servicing the building is WA. ® feet ❑ meters ❑ above or ❑ below the HAG. E5. 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, 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, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name N/A Address N/A City N/A State NA ZIP Code N/A Signature N/A Date N/A Telephone N/A Comments N/A ❑ 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. Check the measurement used in Items G8 —G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ 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. ❑ The following information (Items G4 —G10) is provided for community floodplain management purposes. G4. Permit Number N/A G5. Date Permit Issued N/A G6. Date Certificate Of Compliance /Occupancy Issued N/A G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement ® feet ❑ meters Datum ® feet ❑ meters Datum ® feet ❑ meters Datum G8. Elevation of as -built lowest floor (including basement) of the building: N /A. G9. BFE or (in Zone AO) depth of flooding at the building site: N /A. G10. Community's design flood elevation: N /A. Local Official's Name N/A Title N/A Community Name N/A Telephone N/A Signature N/A Date N/A Comments N/A ❑ Check here if attachments. FEMA Form 086 -0 -33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 403 10th STREET Policy Number: City TYBEE ISLAND State GA ZIP Code 31328 Company NAIL Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View "; and, if required, `Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. FEMA Form 086 -0 -33 (7/12) Replaces all previous editions. REFERENCES: D.B. 352M -583 & P.R.b. 42P -36 PLAT OF LOT 'B' BY VINCENT HELMLY DATED 12/20/12 JOB #12 -149. 0 W w J -J 66' (MAP) 10th STREET 60' R/W 1 /2" R.B.F. S 70'30'00" E 44.18' 1/2" R.B.F. DRIVE' • '..''ROCK L' NEW TWO STORY FRAME RESIDENCE ON PIERS i 1 /ice , 115.32' .I 5. 2E MgRs --,. �� R4/4/ oN A c0 in 10.04' - ci I Di ai 0 L_ STATE OF GEORGIA CHATHAM COUNTY It, ACCORDING TO 'FIRM' 13051CO213 THIS LOT IS LOCATED IN AN AE -11 FLOOD ZONE LINE DIRECTION DISTANCE L1 N 64'20'15" W 17.84' L2 N 79'46'08" W 12.40' L3 N 70'35'32" W 35.66' L4 N 10'49'00" E 15.90' L5 N 48'43'53" W 7.41' L6 N 43'43'15" W 0.84' L7 N 84'54'14" W 5.97' L8 N 84'57'45" W 13.64' L9 N 51'43'03" W 16.30' A.C. PLATFORM L3 +, L2 L1 / C.M.F. LOT 107 D.B. 284U -607 D.N.R. FLAG (TYP.) LOT 87—A D.B. 273C -3 P.R.B. 35P -45 B.S.L. = BUILDING SETBACK LINE C.M.F. = CONC. MONUMENT FOUND R.B.F. = REBAR FOUND P.R.B. = PLAT RECORD BOOK D.B. = DEED BOOK = INDICATES 5/8" R.B.F. 0 = INDICATES 3/4" R.B.F. UNLESS NOTED OTHERWISE GEORGIA DEPARTMENT OF NATURAL RESOURCES JURISDICTIONAL LINE AS DELINEATED ON 12/17/2012 PLAT OF LOT `B' OF A RECOMBINATION OF . LOTS 105 & 106, WARD 3, TYBEE ISLAND, KNOWN AS No. 403 10th STREET. FOR: JAMES C. BROWN DATE OF SURVEY: OCTOBER 29, 2013 DATE OF PLAT: OCTOBER 29, 2013 IN MY OPINION THIS PLAT IS A CORRECT REPRESENTATION OF THE LAND PLATTED E.O.C. FIELD < ERROR /POINT ADJ. METHOD E.O.C. PLAT TOTAL STATION H.P.A. = < 0.02 NONE 1/ 44,721 TRIMBLE 5600 SCALE: 1 "= 25' 0' 25' 50' BERT BARRETT, JR. LAND SURVEYING, P.C. 145 RUNNER ROAD SAVANNAH, GA. 31410 (912) 897 -0661 PROJECT \02121— 4 10-29-13 r ILGD FOR RECORD NONCONVERSION AGREEMENT 313 01 FOR STRUCTURES IN THE FLCitiPIAU? Daniel W. Hassey, Clerk Su. pf_r1 1' . t i i ”- 't h.3 ti{.. f_u_i.lt Address of Propefty,.. t_ haft A„ {= Building Permit Number 3 0 3 3 PIN Ooo b- a 1- o� a FIRM Zone BFE feet (NAVD) )305)C 0-)3 Panel Number , effective date '• q --26 -0 Property Owner(s)1l VYN Ca(i9) 13(0 MA Contractor CoL k )) Bti;1 d !? (.S h `'t, In accordance with the Flood Damage Prevention Ordinance of the City of Tybee Island, Georgia, the Property Owner agrees to tip following: 1. That the enclosed area below the Base Flood Elevation shall be used solely for parking of vehicles, limited storage, or access to the building, and will never be used for human habitation without first becoming fully compliant with the Flood Damage Prevent Ordinance in effect at the time of conversion. 2. That all interior walls, ceilings, and floors below the Base Flood Elevation shall be unfinished or constructed of flood- resistado materials. 3. That mechanical, electrical, or plumbing devices shall not be installed below the Base Flood Elevation. 4. That the walls of the enclosed area below the Base Flood Elevation shall be equipped with at least two vents which permit the automatic entry and exit of floodwater with total openings of at least one square inch for every square foot of enclosed area below flood level. The vents shall be on at least two different walls, and the bottoms of the vents shall be no more than one foot above grade. If located in a V -zone, breakaway walls are required. '5. That the requested structure may be subject to increased premium rates for flood insurance available from the National Flood Insurance Program due to its location in a Special Flood Hazard Area. 6. That any variation in construction beyond what is permitted shall constitute a violation and be abatable as such. C3 C C C S n: tore of Property Owner Yr6S Ts.r ° wI^ Printed Name of Property Owner Signature of Property Owner C-�K L _ r‘D A Printed Name of Property Owner STATE OF GEORGIA COUNTY OF CHATHAM I hereby certify personally appeared the person whose name is subscrib at on this Date O- 30- 0 ) 3 I0— Date tip— day of V Vt , 20 , before me, a Notary Public of the State of Georgia, /' (9 k— , known to me, or satisfactorily proven to be d to the foregoing instrument, who acknowledged that he /she has executed it for the purposes therein set forth, and that it is his act and deed. In witness whereof, I have set my hand and Notarial Seal. NOTARY My Commission expires on WITNESS SIGNATURE LT-Ytot.9A- APRIL MOORE Notary Public, Chatham County, GA My Commission Expires August 29, 2014 Printed Name e/, `/ -7a „f L Address /e9 M COWRY Note: A Nonconversion Agreement must be used whenever an enclosed structure or portion of a structure is built or substantially improved within the 100 year Floodplain below the Base Flood Elevation. A Nonconversion Agreement must satisfy all of the above conditions and requires proper recordation in the land records of Chatham County, Georgia. City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 Permit No. / -r] U" INTERNATIONAL CODE COUNCIL MEMBER Date Requested Owner's Name /3 %- rar,JAJ Date Needed Gen. Contractor (44,45/ // Subcontractor Contact Information �Q�,.1�Jio,j Project Address3 ; /J; i-1 ,"71 Scope of Work Abe< i S�= Inspector 2/4 Date of Inspection /ra1/4i/ Inspection Pass • Fail ❑ Fee Inspection 4- Pass Fail ❑ Fee Inspection Pass Inspection Pass Fail ❑ Fee U Fail J 1 Fee I�, . — 1�0 . I fl Ili 3 E�rc �4 �L� lna�, s a��- ir 403 Tenth Street Tybee Island, Georgia 31328 Due to unprotected foam insulation installed in attic, NO STORAGE is allowed in attic. Entry to attic is for service of equipment only. James Brown, homeowner Date ClF-r(,N ,Voon/ City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 Permit No. 13- a33 Owner's Name Bleowtl Gen. Contractor 6-rseite--- Date Requested Date Needed Subcontractor 103013 INTERNATIONAL CODE COUNCIL MEMBER Contact Information I H �� ,;t' /0- 40/7 Project Address "7 U 3 N Scope of Work A/ &() c6 P Inspector Date of Inspection Inspection Inspection nspection HANK tat) Pass ❑ Fail El Fee fA/nit Di Armv, Pass El Fail El Fee Gin}- %. -)-42 4/4 x- T t',,,J , cJi)/ 7 P 144iJb Pass Fail Fee P011418146 11418146 ` El Inspection 15F Pass Fail Fee ✓' / -fi r; Z4:4 . 7; W▪ 4- iii INT▪ ERNATIONAL CODE COUNCIL MEMBER Permit No. City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 Fax 912.786.9539 Date Requested Owner's Name 03 Date Needed Gen. Contractor Subcontractor Contact Information ;��^ •' r Project Address Scope of Work ►Jr ', j- Inspector 1/ Inspection Pass �, �' �,F -if,� Fee Date of Inspection Si\ t Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee TX Result Report P 1 10/07/2013 11:00 Serial No. CM35228060004 TC: 426441 Destination Start Time Time Prints Result Note 18888514411 10 -07 10:59 00:00:52 001/001 OK Note TMR: Timer TX. POL: Polling ORG: Original Size Setting. FME: Frame Erase TX. MIX: Mixed Original TX. CALL: Manual TX. CSRC: CSRC. FWD: Forward. PC: PC -Fax. BMD: Double -Sided Binding Direction. SP: Special original. FCODE: F -code. RTX: Re -TX. RLY: Relay. MBX: Confidential. BUL: Bulletin. SIP: SIP Fax. IPADR: IP Address Fax. I -FAX: Internet Fax Result OK: Communication OK, S -OK: Stop Communication, PW -OFF: Power Switch OFF, TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, Busy: Busy, M -Full :Memory Full, LOVR:Receiving length Over, POVER:Receiving page Over, FIL:File Error, DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error. Tybee Island, GA GEORGIA POWER RELEASE FOR ELECTRIC SERVICE PHONE: 1-888-74-8-684-3, Press 1, Extension 32855 or 32856 FAX: 1- 888 - 851 -4411 Location Address: 403 Type of Release: Temporary t/ Permanent Electrician: i 7 Builder: C_:4 -tst4;., 4( Owner: .-. j/ 7 % .1� ?��. Release Date: /150/-1/13 Permit # 9?✓- -0335 Phone # ^' Sol -73;4. ti Phone # 21 0 - i o 1 Phone #- Location Address: Release Date: Type of Release: Temporary Permanent Permit # Electrician: Phone # Builder: Phone* Owner: Phone* Planning and Zoning Jerris Bryant 912- 472 -5033 Tybee Island, GA GEORGIA POWER RELEASE FOR ELECTRIC SERVICE PHONE: 1- 888 - 748 -6843, Press 1, Extension 32855 or 32856 FAX: 1- 888 - 851 -4411 Location Address: Release Date: I Di7 /13 Type of Release: Temporary v‘Vermanent Permit # 13 -®33tr Electrician: G ►,1.., Phone # 7.73110 Builder:IG, I( Owner: 1,•n m 76�ro+� ti Phone # 2) c -io Phone # $4.9-436-03 Location Address: Type of Release: Electrician: Builder: Owner: Temporary Release Date: Permanent Permit # Phone # Phone # Phone # Planning and Zoning Jerris Bryant 912 - 472 -5033 City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 Permit No. /3- Og.g.5 Owner's Name 32,b-z.e.,-7/} Date Requested qk 3 //3 :1'44 INTERNATI31AL CODE COUNCIL MEMBER Date Needed ©9 it ! %3 Gen. Contractor �( Subcontractor Contact Informationte •2 /d- /617 Project Address 1a,3 /D Scope of Work L7b -14) Inspector Date of Inspection Inspection /b11•Idc.d �-ry Pass E Fai fl Fee ;Y /// A24 0 i U,t 2 f,e,' �� -10 j%� ,. i _e / ; _ Ai , J A-0 Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Permit No. City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 /5- 23 5 Owner's Name Bk0u..)Ai Gen. Contractor [ter' TS K 1 L L Contact Information Project Address ,,�� Scope of Work /Vi,e) Sr Inspector '21 Inspection 4 - i Pass F LI G 4-3 Date Requested Did Date Needed a e/ff0h3 Subcontractor rev '7 5 fc", t#4 Si UI ERA;;,-, 3IVAL CODE COUNCIL MEMBER 41)3)357 Date of Inspection Inspection ite fn / - A p P'ec9` Pass Fee Fail n Fee .s, J Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee N I � ® NAN Y PLASTICS CORP. USA ,/�Vr 8989 North rth Loop East Houston, Texas 77029 DOORS Sales Dept. 1-866-Doors-15 1- 866 -366 -7715 Fiberglass Patio Doors Fax: 1 -888- 862 -6555 www.neumadoors.com Neuma Patio Doors Outswing Hinged DP -65 This outswing hinged patio door unit has been tested in accordance with AAMA / NWWDA 101 / I.S. 2 -97 and meets a design pressure of 65 (DP -65) up to 141" x 96" FH -NI 4.' • NFRC 4,44‘, ` National Fenestration Rating Council® Nan Ya Plastics Fiberglass Hinged Patio Door Double Glazing • Argon Fill • Low E3 CPD# NND -M -1 CERTIFIED ENERGY PERFORMANCE RATINGS Product Description* U- Factor Solar Heat Gain Coefficient Visible Light Transmittance 2/SS/0.022/ARG/0.389/N 0.28 0.22 0.36 2/SS/0.022/ARG/0.389/G 0.32 0.19 0.31 2/SS/0.022/ARG/0.567/N 0.27 0.21 0.35 2/SS/0.022/ARG/0.567/G 0.27 0.19 0.30 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC ratings are determined for a fixed set of environmental conditions and a specific product size. NFRC does not recommend any product and does not warrant the suitability of any product for any specific use. Consult manufacture's literature for other product performance information. *# glazing layers /spacer type /low -e emissivity(surface) /gap fill /gap width / grid type(na =not applicable) www.nirc.org National Fenestration Rating Council® CERTIFIED PWG PWG-M -56- 00090 -00031 Vinyl Frame Double Glaze No Grilles Low -E Solar Gaoling Not Gas Filled Double Hung ENERGY PERFORMANCE RATINGS .35 U Factor 2.0 (U.S. /1-P) (Metric /SI) Solar Heat Gain Coefficient .21 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance .41 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC ratings are determined fora fixed set of environmental conditions and a specific product size. NFRC does not recommend any product and does not warrant the suitability of any product for any specific use. Consult manufacturer's literature for other product performance information. www.nfrc.arg Tested in accordance with ASTM E330. + 50/ -50 psf Tested in accordance with ASTM E90/413/1332 for acoustical performance. STC: 26 Meets or exceeds ASTM E1300 2.5mm Annealed / 2.5mm Annealed 3/4" OA IGU SO 2757073 7.000 Permit No. City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 /3 -0335 irITERMATIO AE CODE COUNCIL MEMBER Date Requested Owner's Name 1!20CI Al Date Needed Gen. Contractor (.-f}T 5 /e l L c, Subcontractor Contact Information Project Address Scope of Work Inspector ( / '1 Inspection P-120 a /bit Date of Inspection A_ kf /c%RrHel€ -1)c)erigaSs ❑ Fail ❑ Fee a I FP ►c `yam ha �� A.rr JA ,4,>Jwfif C5 s,...di Inspection 1‘)EftrinjG Pass El Pais. 4//:. o iz <- LL�..1'' k30 c1-04. ,,? ?0,z �s �/ /1,42 ` �i/:�CXJw •J. '' J ,41 t u>i4+JJ i v M , ► - s t. f ,J A , t7►tiu�JRi r��.9►h.. s /,l4iB'c. i7� Bk;40.4 /,4L /l�i'?f%r 4 - 1 '/'' t.3 oj.I. r tl->j) c-41 ' ucY4 ! `-5+>j pop. f _ %T,iZ /fit -A,-.1 Coi,4r . ,+0 I a:. �?�� z A i -fly ,ei l % „! / Fee �� Inspection . 4 - 4 > ) 1 ` 7 4 7 ( 1 1 1 1 ( ) k; 1),7. MI cAJ:.. jin15 61s.-.5/ iftas Fail ❑ Fee S rcf -4 v ,- %J� r _C (76. 4,71exA, Inspection Pass ❑ Fail ❑ Fee City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 Permit No. /3- ., 8.3 Date Requested 0 7/30/13 Owner's Name BAJown% Date Needed Gen. Contractor C,= ?75KILL Subcontractor Contact Information 57f `✓t INTERNAT101AL CODE COUNCIL MEMBER Project Address 40 3 Arr g ST Scope of Work Abu) S , Inspector Date of Inspection 7/3i// A / P Inspection '' Pass , -,,�, Fail ❑ Fee Inspection Pass ❑ Fail 0 Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee PJTERNATIONAL CODE COUNCIL MEMBER City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 Permit No. /3-4335° Owner's Name E Gen. Contractor 'IL Date Requested Date Needed Subcontractor ://3//3 8' // //13 Contact Information /4A711- i, % o? /v- /D/ 7 Project Address '1u 3 IAJTH Sr Scope of Work / Vd Sr Inspector P `l Date of Inspection Inspection .31.. f 3 Pass , Fail El Fee / � f ?v, t Inspection Pass ❑ Fail ❑ Fee Inspection Pass El Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee C City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 Permit No. /3 -0.33...S Owner's Name , p0w,J Gen. Contractor C.:AISK Date Requested ?// 3IJ3 Date Needed 811?//3 Subcontractor Contact Information /1_ %rri�:y Project Address 40.E ell' Scope of Work %1/ S f Inspector An/K gackitey Inspection A wawa INTERNATITtIAL CODE COUNCIL MEMBER 73)4 Date of Inspection Inspection PR Pas ^� Fail Fee ( 1 OrJ (71 at,/ )/46 ) Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Cc' - G'liwn /./,e,dyieeiii ,c1 Fro J 63,-`-k Q r) v e r eeS4-: CCV-1-: I,e 4-1-er ELe v/7 /rac. ree • F-2-( 3 (3 -o33S RECEIVED Tybee Island Planning & Zoning Department August 8, 2013 Reference: 403 10th Street This is t• form you that there will not be anything in the Building set back line. Brown REFERENCES: D.B. 352M -583 & P.R.L r2P -36 PLAT OF LOT 'B' BY VINCENT HELMLY DATED 12/20/12 JOB #12 -149. ce b W Z W -J 1/2" 10th STREET 60' R/W R.B.F. S 70'30'00" E 44.18' 1/2" R.B.F. 66' (MAP) LOT `A' L8 L' L6 i3 20' B.S.L. i ao M T, N TWO STORY FRAME RESIDENCE ON PIERS UNDER CONSTRUCTION LOT `B' 25.E 414 Rsit 9�Fp . FR 4/4,4, STATE OF GEORGIA CHATHAM COUNTY al,, A- L3 L2 LOT 107 D.B. 284U -607 10.17 0 rn U) A ACCORDING TO 'FIRM' 13051CO213 THIS LOT IS LOCATED IN AN AE -11 FLOOD ZONE LINE DIRECTION DISTANCE L1 N 64'20'15" W 17.84' L2 N 79'46'08" W 12.40' L3 N 70'35'32" W 35.66' L4 N 10'49'00" E 15.90' L5 N 48'43'53" W 7.41' L6 N 43'43'15" W 0.84' L7 N 84'54'14" W 5.97' L8 N 84'57'45" W 13.64' L9 N 51'43'03" W 16.30' LOT 87 —A D.B. 273C -3 P.R.B. 35P -45 B.S.L. = BUILDING SETBACK LINE C.M.F. = CONC. MONUMENT FOUND R.B.F. = REBAR FOUND P.R.B. = PLAT RECORD BOOK D.B. = DEED BOOK ® = INDICATES 5/8" R.B.F. 0 = INDICATES 3/4" R.B.F. UNLESS NOTED OTHERWISE D.N.R. FLAG (TYP.) I GEORGIA DEPARTMENT OF NATURAL RESOURCES JURISDICTIONAL LINE AS DELINEATED ON 12/17/2012 PLAT OF LOT `B' OF A RECOMBINATION OF LOTS 105 & 106, WARD 3, TYBEE ISLAND, KNOWN AS No. 403 10th STREET. FOR: JAMES C. BROWN DATE OF SURVEY: AUGUST 7, 2013 DATE OF PLAT: AUGUST 7, 2013 IN MY OPINION THIS PLAT IS A CORRECT REPRESENTATION OF THE LAND PLATTED E.O.C. FIELD < ERROR /POINT ADJ. METHOD E.O.C. PLAT TOTAL STATION 1/ 44,721 TRIMBLE 5600 SCALE: 1"= 25' 0' 25' 50' BERT BARRETT, JR. LAND SURVEYING, P.C. 145 RUNNER ROAD SAVANNAH, GA. 31410 (912) 897 -0661 PROJECT \02121 8-7-13 U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program Important: Read the instructions on pages 1 -9. ELEVATION CERTIFICATE OMB No. 1660 -0008 Expiration Date: July.31, 2015 SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name JAMES C. BROWN A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 403 10th STREET Policy Number Company NAIC Number: City TYBEE ISLAND State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT B OF A RECOMBINATION OF LOTS 105 & 106, WARD 3, TYBEE ISLAND. A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) A5. Latitude /Longitude: Lat. 32.00144° Long. 80.84847° Horizontal Datum: A6. Attach at least 2 photographs of the building if the Certificate is being used A7. Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 350 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 2 c) Total net area of flood openings in A8.b 1024 sq in d) Engineered flood openings? ❑ Yes E No RESIDENTIAL ❑ NAD 1927 Z NAD 1983 to obtain flood insurance. A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? 0 Yes E No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number TYBEE ISLAND, GEORGIA - 135164 B2. County Name CHATHAM B3. State GA B4. Map /Panel Number 13051 CO213 B5. Suffix F B6. FIRM Index Date 9/26/08 B7. FIRM Panel Effective /Revised Date 9/26/08 B8. Flood Zone(s) AE 89. Base Flood Elevation(s) (Zone AO, use base flood depth) 11 B10. Indicate the source of he Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile E FIRM ❑ Community Determined ❑ Other /Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: N/A ❑ CBRS ❑ OPA ❑ Yes E No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* E Building Under Construction' ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. 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 C2.a -h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: eGPS VRS NETWORK Vertical Datum: NAVD88 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 6.6 15.4 N /A. NONE. NONE. 5.8 6.0 5.8 Check the measurement used. E feet 0 feet E feet E feet E feet E feet E feet 0 feet ❑ meters ❑ meters ❑ meters ❑ meters ❑ meters ❑ meters ❑ meters ❑ meters 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 on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. E Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? E Yes ❑ No ❑ Check here if attachments. Certifier's Name BERT B. BARRETT, JR License Number GA. 2225 Title OWNER/PRESIDENT Company Name BERT BARRETT, JR LAND SURVEYING PC Address 1 . 'UNNFR RI D Signature City SAVANNAH State GA ZIP Code 31410 Date 8/07/13 Telephone 912 - 897 -0661 FEMA Form 086 -0 -33 (7/12) 1 - See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 403 10th STREET City TYBEE ISLAND State GA ZIP Code 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) insurance agent/company, and (3) building owner. Comments 1. GOOGLE EARTH USED TO OBTAIN LAT /LONG. Date 8/07/13 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 —E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1 —E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is N /A. ® feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is N /A. ® feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8 -9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is N /A. ® feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is N /A. ® feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and /or equipment servicing the building is N /A. ® feet ❑ meters ❑ above or ❑ below the HAG. E5. 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, 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, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name N/A Address N/A City N/A State NA ZIP Code N/A Signature N/A Date N/A Telephone N/A Comments N/A ❑ 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. Check the measurement used in Items G8 —G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ 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. ❑ The following information (Items G4 —G10) is provided for community floodplain management purposes. G4. Permit Number N/A G5. Date Permit Issued N/A G6. Date Certificate Of Compliance /Occupancy Issued N/A G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: NIA. ® feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: G10. Community's design flood elevation: N /A. ® feet ❑ meters Datum N /A. 0 feet ❑ meters Datum Local Official's Name N/A Community Name N/A Signature N/A Comments N/A ❑ Check here if attachments. Title N/A Telephone N/A Date N/A FEMA Form 086 -0 -33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 403 10th STREET Policy Number: City TYBEE ISLAND State GA ZIP Code 31328 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View "; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. LEFT SIDE VIEW RIGHT SIDE VIEW V FRONT VIEW REAR VIEW FEMA Form 086 -0 -33 (7/12) Replaces all previous editions. CITY OF TYBEE ISLAND BUILDING PERMIT WATER METER PICKUP DATE ISSUED: 07 -25 -2013 PERMIT #: 130335 WORK DESCRIPTION NEW RESIDENTIAL BLDG - SF WORK LOCATION 403 TENTH ST OWNER NAME JAMES AND CAROL BROWN ADDRESS 403 TENTH ST CITY, ST, ZIP TYBEE ISLAND GA 31328 PHONE NUMBER CONTRACTOR NAME CATSKILL BUILDERS, INC. ADDRESS 210 CATALINA DR. CITY STATE ZIP TYBEE ISLAND GA 31328 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE 1931 OCCUPANCY TYPE P TOTAL FEES CHARGED $6,916.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $235,000.00 3/4" Meter TOTAL BALANCE DUE: $ 0.00 It is understood that if this permit is granted the builder will at all times comply with the zoning, subdivision, flood control, building, fire, soil and sedimentation, wetlands, marshlands protection and shore protection ordinances and codes whether local, state or federal, including all environmental laws and regulations when applicable, subsequent owners should be informed that any alterations to the property must be approved by the issuance of another building permit. Permit holder agrees to hold the City of Tybee Island harmless on any construction covered by this permit. This permit must be posted in a conspicuous location in the front of building and protected from the weather. If this permit is not posted work will be stopped. The building contractor will replace curb paving and gutter broken during construction. This permit will be voided unless work has begun within six months of the date of issuance. Signature of Building Inspector or Authorized Agent: P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 • Fax 912.786.9539 -U' 'ITER;AT.:'1AL CODE COUNCIL MEMBER Permit No. /3 —D33,; Date Requested ./7 71/2/./n3 Owner's Name I�.;_,;„) Date Needed ©7/1�1L3 Gen. Contractor /1 , �/ Subcontractor Contact Information Project Address Scope of Work Inspector ;%r / Inspection l/D3 /Arrtn 5-r- Nie Le 6� / /4.11 Date of Inspection Pass El Fail Fee �PSS :i. fi Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Customer Name Phone Number Property Address Bill to Address Service Type -F4tH1=6".ASONS EXTERMINATING, INC. fh-�tc� P.O. Box 353 • Rincon, Georgia 31326 9 /Z- 8Z6 -5$ 7 4703 S-F ❑ Post Treatment lfre Treatment Builder Name Phone Number City Li bee City Date 6 / /; l 2013 Technician Invoice # Account # Time In: Time Out: /else 1 N. 15 J/lAid ❑ WIR Letter ❑ Repairs ❑ Other State 0, 4 Zip State Zip Chemical ❑ Permethrin G -Pro ❑ Cypermethrin G -Pro ❑ Prevail FT ❑ Termidor ❑ Bait ❑ Bore Care ❑ ❑ ❑ Structure Type O1Fesidential ❑ Commercial Square Feet Linear Footage /loo /PD Initial Treatment Gallons GO Porches,Drive & Walkways Gallons NOT DRAWN TO SCALE Final Grade Treatment Galion Total Finished Gallon % of Active Ingredient Unit Price per SgFT Total Price Cu (NORMAL SCALE: ONE CI = 1 FOOT) s ....E.aaa..uau..a..i i....... a SOWN .. EEE.aaE.E. MI WEENIE ...... MOM ......■.................. . EE.............. EE. MI. EE.. EEE. EEEEEENMI.. EEEEEEEa.. MIaEEEE.. EEEEMI. NEN. NEEEEEEMI. aMIE. Na. NEMI .N.EEEENE..NEMI.EMIE.MIa.a..EEEMI ■... E. EE.a. E..... Naa. E.......a.a. N.....a MI. NOHOW ..a a.. E. E. 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NENNEEN■ 1.■ ENEEE. NEINNEMEEEEE. NENEEEMINE .EEEEE..EEIMMEEEENENUNEEEE.EEE AT PT AF PF AC ACTIVE TERMITES PREVIOUS TERMITES ACTIVE FUNGI PREVIOUS FUNGI unIen IOC rnurewrr AOHB -. POHB APPR PPPB -. DW -. ACTIVE OLD HOUSE BORER PREVIOUS OLD HOUSE BORERS ACTIVE POWDER POST BEETLES PREVIOUS POWDER POST BEETLES DRYWOOD TERMITES ounrnr_ Ira wDUO V D EF IA FS FOUNDATION VENT DEBRIS EARTH FILL INACCESSIBLE AREA FLOATING SLAB BW B C BWV CWV BLOCK WALL SINGLE BRICK WALL CONCRETE WALL BLOCK WALL WITH VENEER CONCRETE WALL WITH VENEER City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472 -5032 Fax 912.786.9539 lalk NTERNATIJ IAL CODE COUNCIL MEMBER Permit No. /3 ," 335 Date Requested :9 / / 71/.3 Owner's Name BOL6i1ij Date Needed Qb /1/1/3 Gen. Contractor iAI SK /LL Subcontractor Contact Information /9A/1 Put, Project Address 47"0 3 /t/V /-1 5r Scope of Work A4 /A) c) S, Inspector j Inspection rodTete Date of Inspection P 4- •- �, I% � Z -7 /. `tom %� %L /;( r ! --w Fail El Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee TX Result Report P 1 05/31/2013 10:47 Serial No. CM35228060004 TC: 403578 Destination Start Time Time Prints Result Note 18888514411 05 -31 10:46 00:00:52 001/001 OK Note TMR: Timer TX, POL: Polling. ORG: Original Size RL?: Double-sided MBX: ConfidentDirection, . : Bulletiin. SIP: original. IPADR: IPoAddress Fax. I -FAX: Internet Fax Result OK: Communication OK, S -OK: Stop Communication, PW -OFF: Power Switch OFF, TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, Busy: Busy, M- Full:Memory Full, LOVR :Receiving length Over, POVER:Receiving page Over, FIL:File Error, DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error. Tybee Island, GA GEORGIA POWER RELEASE FOR ELECTRIC SERVICE PHONE: 1- 888 - 748 -6843, Press 1, Extension 32855 or 32856 FAX: 1 -888- 851 -4411 Location Address: %3 i•.7 %� Type of Release: _ `t -✓ Temporary Permanent Electrician: E .Z ic_ j2.r.y j Builder: t-4 it Owner: 74 /✓! ,e-a-- Release Date: Permit # Phone # Phone # Phone # 2S0 ?- -7.5.04.=> - G, Location Address: Release Date: Type of Release: Temporary Permanent Permit # Electrician: Phone # Builder: Phone # Owner: Phone # Planning and Zoning Jerris Bryant 912 - 472 -5033 Tybee Island, GA GEORGIA POWER RELEASE FOR ELECTRIC SERVICE PHONE: 1- 888 - 748 -6843, Press 1, Extension 32855 or 32856 FAX: 1- 888 - 851 -4411 Location Address: 46, 3 ' % / Release Date: 6 3) ' I Type of Release: 4---' Temporary Permanent Permit # /3— 0335 Electrician: •3K 'sdc,Lirtti Phone # 507- -7,3140 Builder: ,-, // Phone # 2l b - ► D 1 ? Owner: JZeD(.)tJ ✓V/ r-1 Phone # Location Address: Type of Release: Electrician: Builder: Owner: Temporary Release Date: Permanent Permit # Phone # Phone # Phone # Planning and Zoning Jerris Bryant 912 - 472 -5033 City of Tybee Island • Planning & Zoning Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 INTERNATIONAL CODE COUNCIL' MEMBER Permit No. t5-033.5 Date Requested /3 !'3 Owner's Name a OGd,(/ Date Needed 95/3 / 1/3 Gen. Contractor e4 r3 / /LG. Subcontractor Contact Information -1-1an 14,5bv e j 5 7-- 7 3i6 Project Address 7o 3 f/✓7H 37' Scope of Work /1/Ew S Inspector Date of Inspection /! Inspection -ALc1 Pd L Pass • Fail Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee DATE ISSUED: 05 -24 -2013 WORK DESCRIPTION CITY OF TYBEE ISLAND BUILDING PERMIT NEW RESIDENTIAL BLDG - SF WORK LOCATION 403 TENTH ST OWNER NAME JAMES AND CAROL BROWN ADDRESS 403 TENTH ST CITY, ST, ZIP TYBEE ISLAND GA 31328 PHONE NUMBER CONTRACTOR NAME CATSKILL BUILDERS, INC. ADDRESS 210 CATALINA DR. CITY STATE ZIP TYBEE ISLAND GA 31328 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE 1931 OCCUPANCY TYPE P TOTAL FEES CHARGED $6,916.00 PROPERTY IDENTIFICATION # PIN #4- 0006 -11 -022 PROJECT VALUATION $193,100.00 PERMIT #: 130335 TOTAL BALANCE DUE: $6,916.00 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: p4-e/J- Aydda4-- P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org Required submittals: Street address CITY OF TYBEE ISLAND Application for a New Construction Permit P.O. Box 2749 • 403 Butler Ave., Tybee Island, GA 31328 Phone 912.472.5030 Fax 912.786.9539 pages 1— 7 of permit application ✓ 2 sets building plans % 1 copy REScheck or COMcheck _L 1 copy certified survey showing existing ground elevations, flood zone(s), and trees 3 sets certified hydrology, drainage and erosion control plans $250 plan deposit (will be forfeited if project is abandoned) check # 1-1(73 �D S-�ree'�" PIN #LID0O6- II -02, Owner 3 1t h'% V1-%y < C 0.(' 0 1 13 ro twrh 1 C) (3 O)( ,s.$- y X6ee SIandIC-A313,,28 Home: q I .2- e Li LI -3503 cell: cil)_30t.---Ad97 Architect or Engineer /I A, ( k go s iv t i i offioe:E q l - 69 3 Cell: Contractor C6-+S �� 1 1 l D n Office: f) =216 -/ 01 7 Check all that apply: Details of project: New Construction ❑ Other [lL Y esidential Single Family ❑ Duplex ❑ Commercial ❑ Multi- Family units /\7*.g. ) ) h, ) is) v P-3 O60i Do Estimated cost of construction: $ copy of the contract may be requested. Co truction type: (select appropriate number below) 1 wood frame 3. brick veneer 2. wood & masonry 4. masonry 5. steel & masonry 6. other: Lot area 7 2 70 sq. ft. # buildings # units # floors # bedrooms 3 # bathrooms .2 _- # of egresses a- An elevator is not an accepted means of egress. Height "12 -r Vertical distance is measured from the average adjacent grade of the lot to the extreme high point of the building (roof ridge, handrail, etc.), exclusive of chimneys, HVAC units, elevators, and similar appurtenances. Total heated /cooled square footage 193J J Flood Zone , 1 Or VE) Base Flood Elevation Design Flood Elevation (BFE + 1 -foot) I 7, As -built setbacks: Front a , I Rear / Sides (L) I 61 cif (R) 1 - !/ Total driveway(s) width I (-) feet # of openings )- Culvert? Swale? Number of off - street parking spaces 3 Number of trees to be removed 0 A separate tree removal permit is required. 2/28/2013 1 During construction on -site restrooms will be provided by Construction debris will be disposed by by means of Section 22 -169 — When active work ceases on the project for the day a SECURE COVER shall be placed over the dumpster or container so as to prevent trash or construction debris from being blown out. I understand that I must comply with zoning, erosion control, building, fire, shore protection, and wetland ordinances, FEMA regulations, and all other applicable codes and regulations. I understand a foundation survey and certification letter are required as soon as the foundation is in place to ensure that the setback requirements will be met. I understand an Elevation Certificate — Building Under Construction is required immediately after lowest floor or flood proofing is completed. I realize that an as -built survey, Elevation Certificate — Finished Construction, Breakaway Wall Certification, Recorded Nonconversion Agreement, Energy Code Compliance Certificate, tree mitigation, height certification, drainage certification, and site acceptance by the City will be required. I accept financial responsibility for any expenses the city incurs for third -party engineering services related to this project. I agree to construct/place all equipment such as air conditioning compressors, ducts, water heaters, furnaces, electrical outlets, etc., at or above the required Design Flood Elevation (Base Flood Elevation + 1- foot). Projects must demonstrate they are in compliance with the City of Tybee Island Stormwater Management requirements as outlined in Article 16 of the Land Development Code. As part of the approval process, applicants must illustrate how these requirements will be met, including how stormwater naturally flowed on the property prior to any development activity, and what changes in stormwater flow will occur. A permit normally requires 7 to 10 business days to process. Signature of applicant: ( Printed name: Date: ) 0 0 13 The following will be completed by City of Tybee Island personnel. Zoning District Flood Zone BFE l l Approved zoning action? N / Pi Verified street address Q S New V Existing If new, has it been reported to MPC, CRC, etc.? Number of egresses? Z Average adjacent grade 5 feet Drainage and Erosion Control plans approved? Y e Approval Building Official Water /Sewer Public Works Fire Chief Planning & Zoning Signet IOAAA) 431) )Y4/'/fYr.r 1431 x #loo = `41g31 too vo e� Dte - a4-13 <f _ 2 DFE 12- FEES Permit 1 0 ( 1 Inspections 519 Water Tap 3(`�' CC Recovery 00 0 1 Sewer Stub I+ " 550 Aid to Construction I.O 0 Engineering DD Plan deposit TOTAL (4,9 I (A The following deficiencies are the most common 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 most common areas of deficiencies are for the two most basic BMPs on projects: Co — Construction Exit Sd1 — Sediment Barrier Correct installation information can be found in the Green Book and in the Field Manual for Erosion and Sediment Control in Georgia, which is available at: http: / /www.gaswcc.orq /docs /field manual 4ed.pdf. The Georgia Soil and Water Conservation Commission is located at 4310 Lexington Road, P.O. Box 8024, Athens, Georgia, 30603. The telephone number is 706.542.3065. Their website is: http: / /gaswcc.georgia.gov /. Also see pages 9 through 12 of this packet. Attention to the Construction Exit is not limited to the installation, but must also include the material. Specifically, job site personnel are not checking to ensure the stone delivered is the 1.5 -inch to 3.5 -inch stone they requested. Gradations that are obviously smaller will not be tolerated. The smaller stone allows for a smoother surface with smaller voids, thereby reducing the function of the Construction Exit. Type A sediment barriers are not allowed where Type C is required as shown on the approved permit drawings. 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, etc. Past violations have resulted in: 1) Sediment discharge from the site which causes unsightliness, inconvenience to others, unnecessary cleanup, and Violation Notices. 2) Increased maintenance efforts by the Department of Public Works on downstream lines. 3) Due to item 2, higher costs to island taxpayers. While these deficiencies are not the only ones, they are the most common. Heeding the above cautions should result in fewer infractions. Downer Davis City of Tybee Island Consulting Engineer SIGNATURE OF ACKNOWLEDGEMENT Signature of contractor: Printed name: ,4 3 Date: February 2013 CITY OF TYBEE ISLAND P.O. Box 2749 403 Butler Ave., Tybee Island, GA 31328 Phone 912.472.5030 • Fax 912.786.9539 Water Tap and Sewer Stub Application Street address of project `1 0 3 ) P 1� S -+ (e e. + Plumbing company ---ry U 8 2 S 1 c v i d i)v (rr., L i y Plumbing contact person & phone numbers C h(, S�n Dke7 s° I °VriOY\ � f &_ 7 7 b7 office at C a�'0) 13(0[A/►'\ cell Name of property owner(s) -3---) r(\, t� y Phone numbers of property owner(s) /q P-- - V LAI _ 3 50 3 — 1 1.2 -306-1b097 office Details of project Ate k/ C J n S- j- (v C -j- , p r ` : e S: I c ee l r -J- l , c i Residential 'V Commercial Enter the required number of water taps /meters and sewer stubs: WATER TAP /METER SEWER STUB Number Meter Number Stub of Taps Size of Stubs Size 3/4" �— 4, 1„ 6" 1-1/2" 8" 2" Unauthorized use of water prior to installation of a water meter is prohibited. Installation of lines and meters are the responsibility of the owner /contractor. Contact the Water /Sewer Department at 912.472.5051 for line and tie -in locations and for inspections. Contact the Planning & Zoning Department at 912.472.5030 to arrange for water meter pick up. It is the responsibility of the owner to establish a water /sewer account with the City. An application and deposit are required. Contact 912.472.5025. Signature of owner: Printed name: G 13f0 IivV\ Signature of contractor: Printed name: 4 Date: ' I D 13 Date: S- I O — 13 A SEPARATE PERMIT IS REQUIRED FOR INFRASTRUCTURE ALTERATIONS Any alteration to City owned streets, curbs, sidewalks, waterlines, sewer lines, drainage pipes, catch basins, or other elements of the City's infrastructure, requires a separate 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 portion of the City's Code of Ordinance dealing with the alteration, and agrees to fully comply with such provisions. Will the proposed project at V 3 J P 54(e 2 require an infrastructure alteration permit? street address of project ❑ Yes Flo Description of alteration: A site plan must be provided illustrating the planned alteration. City Design Standards and Specifications: Any alteration 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 obtain a separate permit prior to performing any alteration in accordance with these provisions. Signature of contractor: Printed name: 5 Date: S r 0 r) Street address of project: CITY OF TYBEE ISLAND Temporary Electrical Service Affidavit L03 )off 5 r-ee+ This notice is to confirm the understanding of the owner and contractor of the compliance requirement of the Georgia State Minimum Construction Codes. It is understood and agreed by the undersigned that the requested temporary electrical power is intended for the completion of the construction process and the testing of equipment installed within the structure. It is understood and agreed by the undersigned that the issuance of temporary power DOES NOT constitute the approval to occupy the structures. A Certificate of Occupancy must be issued by the City of Tybee Island prior to the structure being furnished and /or occupied. The owner and contractor are hereby held responsible for any violations to this policy. A violation of this policy may result in discontinuance of the electrical service. Temporary electrical service will be granted as an aid to complete construction only. It may be revoked as circumstances dictate. ALL electrical wiring, service included, must be COPPER. NO aluminum allowed. Section 9- 050(B) Means shall be provided to disconnect all conductors from the service - entrance conductors. NEC 230.70 State Energy Code Affidavit I hereby declare that the design and construction of the above referenced project is in compliance with the Georgia State Energy Code for Buildings, 2009 Edition, with Georgia Amendments. A Georgia Energy Code Compliance Certificate will be required at project completion. It is understood and agreed by the undersigned owner and contractor (if applicable) that the approval of the permit does not constitute a privilege to violate the Code and that any omission of or misrepresentation of fact, with or without intention, of the permit issued which was based on the approval of this application. The owner will be held responsible for insuring that all permits have been obtained and that all required inspections have been made. The owner will be held legally liable for any violations which may occur with or without his knowledge. The owner shall be allowed to request a Certificate of Occupancy when all inspections (building and site) have been approved. SIGNATURES for Temporary Electrical Service and State Energy Code AFFIDAVITS /II Signature of owner: _ l iy_ _ Printed name: fr■ S C w e\ Signature of contractor: Printed name: Scp 0 be 6 Date: ' 0 - 1,7 Date: S (o .r3 Subcontractor List Street address of project: Li 0 3 1 01 S J (' £ e+ Provide the company name, business type, address, contact person, and phone numbers of all subcontractors. The City of Tybee Island requires annual Contractor Registration for all contractors. 1. Company 1-10_A K vC lQ Business type COh4rot -40Y Li l'71;? M. 45 P-o4d a Address ti e- �� -er/ GA 3Oy31 Cell number - I /�- S-07 73 I6 Contact person ]�ky k /vc k)ey Office number r � H VA C 2. Company k-eh Y) � d �1 eG�'�" i y�, p! A : ( Business type ,2. I LJc tJs' � 9 Address Sic --t-es boco) 2A 3o /- 8 Cell number Contact erson F1(01/4 „p ic, e. irt n h G' d 7 Office number q l-/- ei75-,2 yd 9 3. Company L?-2 6/ P)urrbny Business type ?)t,'h- b ,h7 Address f Cell number Contact person C )\ 6 5 50 ) 0 kr\ 0Y1 Office number 1 Yb 77 b7 4. Company F S Business type Address *P\/b); .1. Cell number Contact person - (/� J'^ I 51):\r-e7 Office number )7- b7 lo--33A 5. Company Business type Address Cell number Contact person Office number 6. Company Business type Address Cell number Contact person Office number Attach additional sheets if needed. 7 MAYOR Jason Buelterman CITY COUNCIL Wanda Doyle, Mayor Pro Tem Barry Brown Jan Fox Bill Garbett Tom Groover Paul Wolff January 29, 2013 Mr. Jimmy Brown P.O. Box 554 Tybee Island, Georgia 31328 woo CITY OF TYBEE ISLAND RE: PIN 4- 0006 -11 -022, TYBEE ISLAND, GEORGIA Dear Mr. Brown, CITY MANAGER Diane Schleicher CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes The land of Property Identification Number 4- 0006 -11 -022 is located at what would be addressed, if developed, 403 Tenth Street, Tybee Island, Georgia. Based on the current Flood Insurance Rate Map dated 09/26/2008, the Flood Zone for the property is AE with a Base Flood Elevation of 11. The Zoning District is R -2. This is a lot of record and it is buildable with approved plans that comply with all state and local regulations. I am available at (912) 472 -5031, if you have any questions. Sincerely, otz Dianne K. Otto, CFM Planning & Zoning Manager P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328 -2749 (866) 786 -4573 — FAX (866) 786 -5737 www.cityoftybee.org LI- DDOL- II -02Z. - X12 -2o -12 SvNie ,S �►�� �.� .s v,-,c; d 1-3-12 v) 6 ) r I h�a Io-.{ook rear 5t ba,k I�o�1d �� S ;de 41„4, Z c- roc) �r,e.r51, seA-back tv2J So I no-1- DvLI`ly Lion Cvna c� -�r�, ('fie.!` Sf.^0)CcIC i5 noel $ ov )Y'. 1 11 Sy r ve:7 or no4- pra.f ;dt J -I-ite, t`@o . (SoJ !-op r41 ;n¢. , l-+C s .everal iron rocs (irs) bu4 ct.d. n.4- v5t c):4-6,A4.- 44. o 1...4.- , , r' c L 114- r1o"w..d 4%5 !'�ar5� bc.A, Svrve - �. OP � hod P/- ov�clfL. r e o.,t- -pr U per.(-1 t ..o, . TL " Pr pi r L i •.c . Ta \• r Q c. k recor4e-cL Su LA; v'iS:on -plait v4 0011 (*dal(' SkoUJ SQJ1- 'pl Av-4 � n.a_ So .S IS N34- concept, . 14- r rna n S I4 e.-t- /I' an, �J YI a_b (tg_ Jpo -ca\ 1 I S( UoJL -o.0 g( 'J-4 1c o 2 w�Q tD€cct ,re pt 1TS 1 -3 -13 T%<<s S a 104- a� rtcorci bu:Idal)lQ.. 3 V •3' F)00 ALI-. _ REFERENCES: D.B. 352M -583 & P.R.b. 42P -36 / PLAT OF LOT 'B' BY VINCENT HELMLY DATED 1°' 12/20/12 JOB #12 -149. x� re O co ce J J 10th STREET 60' R/W 66' (MAP) x Co EDGE OF ASPHALT PAVEMENT h x (0- �� x S 70'30'00" E - 1/2" R.B.F. O LOT `A' /°' � �. o y LOT `B' x 25' MARSH • BUFFER S L 1.9 La 44.18' 60 SANITARY STUBOUT x r 20' B.S.L. I o0 I� rn vi 0o • h� u x 1_6 45 21" CEDAR alr, Ir,� ,Ir, �S 4 s S alr, `3 —�- L3 r. �. L2 .,1 a r, ,,Ir, L1 / C.M.F. LOT 107 X t x LI I E I I sR x 1`� O IN h x 12" OAK x STATE OF GEORGIA CHATHAM COUNTY D.B. 284U -607 D.N.R. FLAG (TYP.) ACCORDING TO 'FIRM' 13051CO213 THIS LOT IS LOCATED IN AN AE -11 FLOOD ZONE LINE DIRECTION DISTANCE L1 N 64'20'15" W 17.84' L2 N 79'46'08" W 12.40' L3 N 70'35'32" W 35.66' L4 N 10'49'00" E 15.90' L5 N 48'43'53" W 7.41' L6 N 43'43'15" W 0.84' L7 N 84'54'14" W 5.97' L8 N 84'57'45" W 13.64' L9 N 51'43'03" W 16.30' LOT 87 —A D.B. 273C -3 P.R.B. 35P -45 B.S.L. = BUILDING SETBACK LINE C.M.F. = CONC. MONUMENT FOUND R.B.F. = REBAR FOUND P.R.B. = PLAT RECORD BOOK TYP. = TYPICAL D.B. = DEED BOOK = INDICATES 5/8" R.B.F. 0 = INDICATES 3/4" R.B.F. UNLESS NOTED OTHERWISE GEORGIA DEPARTMENT OF NATURAL RESOURCES JURISDICTIONAL LINE AS DELINEATED ON 12/17/2012 NOTE: ELEVATIONS ARE BASE ON NAVD88(GEOID12) DATUM. PLAT OF LOT `B' OF A RECOMBINATION OF. LOTS 105 & 106, WARD 3, TYBEE ISLAND, GEORGIA. FOR: JAMES C. BROWN DATE OF SURVEY: FEBRUARY 20, 2013 DATE OF PLAT: FEBRUARY 22, 2013 IN MY OPINION THIS PLAT IS A CORRECT REPRESENTATION OF THE LAND PLATTED E.O.C. FIELD < ERROR /POINT ADJ. METHOD E.O.C. PLAT TOTAL STATION 1/ 44,721 TRIMBLE 5600 SCALE: 1"= 25' 0' 25' 50' BERT BARRETTE JR. LAND SURVEYING, P.C. 145 RUNNER ROAD SAVANNAH, GA. 31410 (912) 897 -0661 PROJECT \02121 2 -22 -13 REScheck Software Version 4.4.4 Compliance Certificate Project Title: Jimmy & Carol Brown Energy Code: 2011 Georgia State Minimum Standard Energy Code Location: Tybee Island, Georgia Construction Type: Single Family Project Type: New construction Glazing Area Percentage: 9% Heating Degree Days: 1851 Climate Zone: 2 Constr` tti n Site: Lot B Y06 10th St. Tybee Island, GA 31328 Owner /Agent: Designer /Contractor: Compliance: Passes using UA trade -off Compliance: 50.9% Better Than Code Maximum UA: 397 Your UA: 195 The % Better or Worse Than Code index reflects how close to compliance the house is based on code trade -off rules It DOES NOT provide an estimate of energy use or cost relative to a minimum -code home. Maximum SHGC: 0.30 Your SHGC: 0.30 Assembly Gross Cavity Cont. Glazing UA Area or R -Value R -Value or Door Perimeter U- Factor Floor 1: All -Wood Joist/Truss:Over Unconditioned Space Wall 1: Wood Frame, 16" o.c.:Not Attic Kneewall Window 1: Vinyl Frame:Double Pane with Low -E SHGC: 0.30 Door 1: Glass SHGC: 0.30 Wall 2: Wood Frame, 16" o.c.:Not Attic Kneewall 1314 42.0 42.0 16 240 26.0 26.0 4 15 0.300 5 30 0.750 23 350 26.0 26.0 7 Window 2: Vinyl Frame:Double Pane with Low -E 22 0.300 7 SHGC: 0.30 Window 3: Vinyl Frame:Double Pane with Low -E 12 0.300 4 SHGC: 0.30 Wall 3: Wood Frame, 16" o.c.:Not Attic Kneewall 272 26.0 26.0 5 Window 4: Vinyl Frame:Double Pane with Low -E 12 0.300 4 SHGC: 0.30 Window 5: Vinyl Frame:Double Pane with Low -E 33 0.300 10 SHGC: 0.30 Wall 4: Wood Frame, 16" o.c.:Not Attic Kneewall 350 26.0 26.0 6 Window 6: Vinyl Frame:Double Pane with Low -E 15 0.300 5 SHGC: 0.30 Window 7: Vinyl Frame:Double Pane with Low -E 15 0.300 5 SHGC: 0.30 Door 2: Glass 20 0.750 15 SHGC: 0.30 Wall 5: Wood Frame, 16" o.c.:Attic Kneewall 384 26.0 26.0 7 Door 3: Glass 36 0.750 27 SHGC: 0.30 Wall 6: Wood Frame, 16" o.c.:Attic Kneewall 318 26.0 26.0 7 Wall 7: Wood Frame, 16" o.c.:Attic Kneewall 168 26.0 26.0 3 Window 8: Vinyl Frame:Double Pane with Low -E 15 0.300 5 SHGC: 0.30 Wall 8: Wood Frame, 16" o.c.:Attic Kneewall 318 26.0 26.0 7 Ceiling 1: Cathedral Ceiling:All insulation air impermeable 1200 26.0 26.0 23 Project Title: Jimmy & Carol Brown Report date: 05/09/13 Data filename: Untitled.rck Page 1 of 6 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2011 Georgia State Minimum Standard Energy Code requirements in REScheck Version 4.4.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. 4 Name - Title Lj:E v Signatur, Date Project Title: Jimmy & Carol Brown Report date: 05/09/13 Data filename: Untitled.rck Page 2 of 6 .i -fac REScheck Software Version 4.4.4 Inspection Checklist Energy Code: 2011 Georgia State Minimum Standard Energy Code Location: Tybee Island, Georgia Construction Type: Single Family Project Type: New construction Glazing Area Percentage: 9% - Heating Degree Days: 1851 Climate Zone: 2 Ceilings: ❑ Ceiling 1: Cathedral Ceiling:All insulation air impermeable, R -26.0 cavity + R -26.0 continuous insulation Comments. Above -Grade Walls: ❑ Wall 1: Wood Frame, 16" o.c.:Not Attic Kneewall, R -26.0 cavity + R -26.0 continuous insulation Continuous insulation specified for this above -grade wall has consistent R -value rating across full area of the wall. Comments. ❑ Wall 2: Wood Frame, 16" o.c.:Not Attic Kneewall, R -26.0 cavity + R -26.0 continuous insulation Continuous insulation specified for this above -grade wall has consistent R -value rating across full area of the wall. Comments. ❑ Wall 3: Wood Frame, 16" o.c.:Not Attic Kneewall, R -26.0 cavity + R -26.0 continuous insulation Continuous insulation specified for this above -grade wall has consistent R -value rating across full area of the wall. Comments: ❑ Wall 4: Wood Frame, 16" o.c.:Not Attic Kneewall, R -26.0 cavity + R -26.0 continuous insulation Continuous insulation specified for this above -grade wall has consistent R -value rating across full area of the wall. Comments- ❑ Wall 5: Wood Frame, 16" o.c.:Attic Kneewall, R -26.0 cavity + R -26.0 continuous insulation Continuous insulation specified for this above -grade wall has consistent R -value rating across full area of the wall. Comments- ❑ Wall 6: Wood Frame, 16" o.c.:Attic Kneewall, R -26.0 cavity + R -26.0 continuous insulation Continuous insulation specified for this above -grade wall has consistent R -value rating across full area of the wall. Comments: ❑ Wall 7: Wood Frame, 16" o.c.:Attic Kneewall, R -26.0 cavity + R -26.0 continuous insulation Continuous insulation specified for this above -grade wall has consistent R -value rating across full area of the wall. Comments- ❑ Wall 8: Wood Frame, 16" o.c.:Attic Kneewall, R -26.0 cavity + R -26.0 continuous insulation Continuous insulation specified for this above -grade wall has consistent R -value rating across full area of the wall. Comments- Windows: ❑ Window 1: Vinyl Frame:Double Pane with Low -E, U- factor: 0.300, SHGC: 0.30, For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Breaks Yes No Comments. ❑ Window 2: Vinyl Frame:Double Pane with Low -E, U- factor: 0.300, SHGC: 0.30, For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Breaks Yes No Comments. ❑ Window 3: Vinyl Frame:Double Pane with Low -E, U- factor: 0.300, SHGC: 0.30, Project Title: Jimmy & Carol Brown Report date: 05/09/13 Data filename: Untitled.rck Page 3 of 6 For windows without labeled U- facto ',ascribe features: #Panes Frame Type Thermal Break? Yes No Comments' ❑ Window 4: Vinyl Frame:Double Pane with Low -E, U- factor: 0.300, SHGC: 0.30, For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break'? Yes No Comments' ❑ Window 5: Vinyl Frame:Double Pane with Low -E, U- factor: 0.300, SHGC: 0.30, For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments' ❑ Window 6: Vinyl Frame:Double Pane with Low -E, U- factor: 0.300, SHGC: 0.30, For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments' ❑ Window 7: Vinyl Frame:Double Pane with Low -E, U- factor: 0.300, SHGC: 0.30, For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 8: Vinyl Frame:Double Pane with Low -E, U- factor: 0.300, SHGC: 0.30, For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1: Glass, U- factor: 0.750, SHGC: 0.30, Comments' ❑ Door 2: Glass, U- factor: 0.750, SHGC: 0.30, Comments' ❑ Door 3: Glass, U- factor: 0.750, SHGC: 0.30, Comments' Floors: ❑ Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R -42.0 cavity + R -42.0 continuous insulation Comments - Floor insulation is installed in permanent contact with the underside of the subfloor decking. Solar Heat Gain Coefficient: ❑ Solar Heat Gain Coefficient (SHGC) values are determined in accordance with the NFRC test procedure or taken from the default table. Air Leakage: ❑ Joints (including rim joist junctions), attic access openings, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed with caulk, gasketed, weatherstripped or otherwise sealed with an air barrier material, suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units, on exterior walls behind tubs /showers, and in openings between window /doorjambs and framing. ❑ Recessed lights in the building thermal envelope are 1) type IC rated and ASTM E283 labeled and 2) sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space (e.g., attic, unconditioned basements and crawlspaces) are weather - stripped and insulated (without insulation compression or damage). Where loose fill insulation exists, a wood framed or equivalent baffle is installed to maintain insulation application. Required insulation values are as follows: (1) Hinged vertical doors have a maximum U- Factor of U -0.2 (R -5 minimum) (2) Hatches /scuttle hole covers have a maximum U- Factor U -0.05 (R -19 minimum) (3) Pull down stairs have a maximum U- Factor of U -0.20 with a minimum of 75 percent of the panel area having R -5 minimum insulation Project Title: Jimmy & Carol Brown Report date: 05/09/13 Data filename: Untitled.rck Page 4 of 6 Q' W h e r e a i r p e r m e a b l e i n s u l a t i o n e '