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Home My Public Portal AboutFIRST ST_801B (3).pdfDATE ISSUED: 09 -3 -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 # PROJECT VALUATION CITY OF TYBEE ISLAND BUILDING PERMIT INSTALL 30 -DAY BANNER 801 FIRST ST B PREVAIL REALTY P.O. BOX 2403 TYBEE ISLAND GA 31328 678- 887 -6253 PREVAIL REALTY P.O. BOX 2403 TYBEE ISLAND GA 31328 P $ 15.00 $ 1.00 PERMIT #: 130550 TOTAL BALANCE DUE: $ 15.00 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, Georgia 912- 472 -5030 • Fax 912 - 786 -9539 APPLICATION FOR BUILDING PERMIT Property Address: c6 O \a4, A SIS7-6 PIN: ❑ Single Family ❑ Duplex ❑ Multi - Family units ❑ * Commercial unit(s) Check all that apply ❑ Discovery/Tearout ❑ Footprint Changes ❑ additional square feet heated /cooled ❑ Demolition or Relocation ❑ Other * A commercial project requires 2 sets of sealed drawings by a design professional and construction by a contractor with the appropriate State of Georgia professional license. A commercial project may require Site Plan Approval. Details of Project: Tar. `OCK- \e ( Estimated Cost of Construction: $ `J Q (materials + labor + profit/overhead) If applicable, attach a copy of the certified elevation certificate and /or survey of the property. Depending upon the scope of the work, two sets of construction drawings and /or a site plan may be required. Year Built: Listed on National Historic Register or located within a National Historic District? Y / N • Buildings older than 50 years may be eligible to be listed on the State / National Register. With this designation, you may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island. • Also see the Tybee Island Land Development Code Article 14: Historic Preservation During construction: On -site restroom facilities will be provided through . Construction debris will be disposed by by means of . I understand that I must comply with zoning, flood damage control, building, fire, shore protection and wetland ordinances, FEMA regulations and all applicable codes and regulations. I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected as required by Article 16, Stormwater Management. I accept responsibility for any corrective actions that may be necessary to restore drainage i pa' by this permitted construction. 3 0-d46 bQtr, r�7� Date: 9 JS) ►3 Signature: FEES Printed Name of Applicant: L..kov\ AN-Sul Permit �. Inspections Cap. Cost Rec. historic structure may be longer. Water Tap Sewer Stub Note: A permit normally takes 7 to 10 days to process. Processing time for a Approvals: Signat Date Eng. Fees Aid to Const. Planning & Zoning Manager � = ,�� CI- 3-C Building Official Water /Sewer Storm /Drainage City Manager TOTAL / C Name Mailing Address Telephone Owner ��eva�\ ;� ►u� 0, �� Zy�3 �k X1 cirv; 3)zh Home: 9\2- -i$io -5-74 Cell: co -143- `13 '7-to 25 3 Architect or Engineer Office: Cell: Contractor Office: CeII: ❑ Single Family ❑ Duplex ❑ Multi - Family units ❑ * Commercial unit(s) Check all that apply ❑ Discovery/Tearout ❑ Footprint Changes ❑ additional square feet heated /cooled ❑ Demolition or Relocation ❑ Other * A commercial project requires 2 sets of sealed drawings by a design professional and construction by a contractor with the appropriate State of Georgia professional license. A commercial project may require Site Plan Approval. Details of Project: Tar. `OCK- \e ( Estimated Cost of Construction: $ `J Q (materials + labor + profit/overhead) If applicable, attach a copy of the certified elevation certificate and /or survey of the property. Depending upon the scope of the work, two sets of construction drawings and /or a site plan may be required. Year Built: Listed on National Historic Register or located within a National Historic District? Y / N • Buildings older than 50 years may be eligible to be listed on the State / National Register. With this designation, you may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island. • Also see the Tybee Island Land Development Code Article 14: Historic Preservation During construction: On -site restroom facilities will be provided through . Construction debris will be disposed by by means of . I understand that I must comply with zoning, flood damage control, building, fire, shore protection and wetland ordinances, FEMA regulations and all applicable codes and regulations. I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected as required by Article 16, Stormwater Management. I accept responsibility for any corrective actions that may be necessary to restore drainage i pa' by this permitted construction. 3 0-d46 bQtr, r�7� Date: 9 JS) ►3 Signature: FEES Printed Name of Applicant: L..kov\ AN-Sul Permit �. Inspections Cap. Cost Rec. historic structure may be longer. Water Tap Sewer Stub Note: A permit normally takes 7 to 10 days to process. Processing time for a Approvals: Signat Date Eng. Fees Aid to Const. Planning & Zoning Manager � = ,�� CI- 3-C Building Official Water /Sewer Storm /Drainage City Manager TOTAL / C