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HomeMy Public PortalAboutLEWIS AV_171.pdfCity 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. - (xf.› Date Requested Date Needed Gen. Contractor Subcontractor Owner's Name •a 4,V /,5 am\ INTERNATIONAL CODE COUNCIL MEMBER Contact Information Project Address Scope of Work Inspector Date of Inspection Inspection Pass Fail Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee 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. f 5 -L -'". Owner's Name Gen. Contractor Contact Information Project Address IIJfERNAJIOUE CODE COUNCIL MEMBER Date Requested Date Needed Subcontractor Scope of Work Inspector Inspection Date of Inspection Pass El Fail Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee 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 C+j Date Requested Vib /., Owner's Name / S Date Needed Subcontractor INTER;ATIOUAL CODE COUNCIL MEMBER Gen. Contractor Contact Information 1--?' / / I • i_ -)3/4/ Project Address / 7/ Z /AJ /. Scope of Work ;►1��t � =-+ ! %`��f 7 Z/F/4, Z Inspector 1/1 Inspection Pass Date of Inspection J Fail Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 08 -29 -2013 PERMIT #: 130545 WORK DESCRIPTION WORK LOCATION Vs W 094 R &R SHE+K, INSULATION,PBLG 171 LEWIS AVE OWNER NAME % GEISSLER LEWIS ADDRESS 171 LEWIS AVE CITY, ST, ZIP TYBEE ISLAND GA 31328 -9791 PHONE NUMBER CONTRACTOR NAME % GEISSLER LEWIS ADDRESS 171 LEWIS AVE CITY STATE ZIP TYBEE ISLAND GA 31328 -9791 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $ 20.00 PROPERTY IDENTIFICATION # PIN #4- 0016 -03 -003 PROJECT VALUATION $2,000.00 TOTAL BALANCE DUE: $ 20.00 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 SF00387403 POLICY NO. FL 4/7/2013 - 4/7/2014 POLICY TERM $105,900.00 AMT OF BLDG COV AT TIME OF LOSS $0.00 AMT OF CONTS COV AT TIME OF LOSS DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM PROOF OF LOSS (See reverse side for Privacy Act Statement and Paperwork Burden Disclosure Notice) O.M.B. No. 1660 -0005 Expires October 31, 2013 SAM SHARPE AGENT 9100 WHITE BLUFF RD STE 102, SAVANNAH, GA 31406 AGENCY AT TO THE NATIONAL FLOOD INSURANCE PROGRAM: At time of loss, by above indicated policy of insurance, you insured the interest of WILLIAM LEWIS; 171 LEWIS AVE; TYBEE ISLAND, GA 31328 -9791 against loss by flood to the property described according to the terms and conditions of said policy and of all forms, endorsernents, transfers and assignments attached thereto. TIME AND ORIGIN A Flood on the 12 day of July, 2013 . The cause of the said loss was: Accumulation of Rainfall or Snow Melt OCCUPANCY The premises described, or containing the property described, was occupied at the time of the loss as follows, and for no other purpose whatever. Tenant INTEREST No other person or persons had any interest therein or encumbrance thereon except: PNC 1, FULL AMOUNT OF INSURANCE applicable to the property for which claim is presented is $105,900.00 2. ACTUAL CASH VALUE of building structures $65,665.60 3. ADD ACTUAL CASH VALUE OF CONTENTS of personal property insured $0.00 4. ACTUAL CASH VALUE OF ALL PROPERTY $65,665.60 5. FULL COST OF REPAIR OR REPLACEMENT (Building and Contents) $3,423.49 6. LESS APPUCABLE DEPRECIATION $188.04 7. ACTUAL CASH VALUE LOSS is $3,235.45 8. LESS DEDUCTIBLES $2,000.00 9. NET AMOUNT CLAIMED under above numbered policy is $1,235.45 The said loss did not originate by any act, design or procurement on the part of your insured, nothing has been done by or with the privity or consent of your insured to violate the conditions of the policy, or render it void; no articles are mentioned herein or in annexed schedules but such as were destroyed or damaged at the time of said loss, no property saved has in any manner been concealed, and no attempt to deceive the said insurer as to the extent of said loss, has in any manner been made. Any other information that may be required will be furnished and considered a part of this proof. I understand that this insurance (policy) is issued Pursuant to the National Flood Insurance Act of 1968, or Any Act Amendatory thereof, and Applicable Federal Regulations in Title 44 of the Code of Federal Regulations, Subchapter B, and that knowingly and willfully making any false answers or misrepresentations of fact may be punishable by fine, imprisonment, or both under applicable United States Codes. Subrogation - To the extent of the payment made or advanced under this policy, the insured hereby assigns, transfers and sets over the insurer all rights, claims or interest that he has against any person, firm or corporation Gable for the loss or damage to the property for which payment is made or advanced. He also hereby authorizes the insurer to sue any such third party in his name. The insured hereby warrants that no release has been given or will be given or settlement or compromise made or agreed upon with any third party who may be liable in damages to the insured with respect to the claim being made herein. The furnishing of this blank or the preparation of proofs by a representative of the above insurer is not a waiver of any of its rights. 1 declare under penalty of perjury that the information contained in the foregoing is true and correct to the best of my knowledge and belief. Executed this day of , 20 Signature Toss occurred about the hour of Six o'clock PM., Signature INSURED FEMA Form 086 -0-9, OCT 2010 INSURED REPLACES ALL PREVIOUS EDITIONS F -101 Page 1 NATIONAL FLOOD INSURANCE PROGRAM Insured: Prey: Home: Claim Rep.: Company: Business: Estimator: Company: Business: Reference: Company: Business: WILLIAM LEWIS 171 LEWIS AVE TYBEE ISLAND, GA 31328 -9791 903 WOODRIDGE DR SAVANNAH, GA 31410 -2717 Chuck Souheaver Continental Claims 2200 Bayshore Blvd Dunedin, FL 34698 Chuck Souheaver Continental Claims 2200 Bayshore Blvd Dunedin, FL 34698 NATIONAL FLOOD INSURANCE PROGRAM PO BOX 2966 SHAWNEE MISSION, KS 66201 Claim Number: 352216 Policy Number: SF00387403 Date Contacted: Date of Loss: Date Inspected: 7/16/2013 5:00 PM 7/12/2013 6 :00 PM 7/19/2013 11:00 AM Price List GASA7XAUG13 Restoration/Service /Remodel Estimate: LEWIS WILLIAMS Home: (912) 663 -5501 Business: (678) 863 -0311 Cellular. (678) 863 -0311 Fax: (678) 918-4585 E -mail: CCADJ05 @GMAIL.COM Business: (678) 863 -0311 E -mail: CCADJ05 @GMAIL.COM Type of Loss: Flood Date Received: 7/15/2013 5:00 PM Date Entered: 7/21/2013 8:08 AM NATIONAL FLOOD INSURANCE PROGRAM PLEASE READ THIS VERY IMPORTANT INFORMATION This estimate has been prepared by an independent licensed adjuster and reflects the actual damages observed at the time of inspection. The pricing used reflects the current market cost associated with each item and includes normal "Base Service Charges" for construction trade professionals. THIS ESTIMATE IS NOT A GUARANTEE OF COVERAGE AND IS SUBJECT TO INSURANCE COMPANY REVIEW AND APPROVAL. YOUR POLICY MAY CONTAIN PROVISIONS THAT MAY REDUCE ANY PAYMENTS THAT MIGHT BE MADE RELATED TO THIS LOSS. This estimate is not an authorization to repair the damages listed. Authorization to repair and guarantee of payments must come from the owner of the property. NATIONAL FLOOD INSURANCE PROGRAM Insurance assumes no responsibility for the quality of repairs that might be made SUPPLEMENTAL CLAIM PROCESS If additional damages are discovered or you feel that all of the damages related to this loss were not correctly addressed, you must contact the NATION FLOOD INSURANCE PROGRAM Insurance Claims Department directly so that we may be afforded the opportunity to re- inspect the additional damages prior to repairs being made. We can be contacted at (305)521 -0400, (866)291 -4609 or claimsdept@insgroup.com MORTGAGEE INCLUSION Your mortgage company or lien holder may be included on checks set to you from the carrier. Please contact these companies directly to determine the handling process that they may have in place. Any person who knowingly and with intent to injure, defraud or deceive any insurer, files a statement of claim or an application containing any false, incomplete or misleading information is guilty of a felony of the third degree. LEWIS WILLIAMS 8/16/2013 Page: 2 NATIONAL FLOOD INSURANCE PROGRAM F.- LEWIS_WILLIAMS SKETCHI Main Level PERIMETER Height: 8' 1154.44 SF Walls 2441.98 SF Walls & Ceiling 143.06 SY Flooring 162.50 LF Ceil. Perimeter 1287.53 SF Ceiling 1287.53 SF Floor 151.92 LF Floor Perimeter Window 2' 6" X 3' Opens into Exterior Window 2' 6" X 3' Opens into Exterior Window 2' 6" X 3' Opens into Exterior Window 2' 6" X 3' Opens into Exterior Window 2' 6" X 3' Opens into Exterior Door 2' 6" X 6' 8" Opens into Exterior Window 2' 6" X 3' Opens into Exterior Door 2' 6" X 6' 8" Opens into Exterior Window 2' 6" X 3' Opens into Exterior Window 2' 6" X 3' Opens into Exterior Door 5' 7" X 6' 8" Opens into Exterior Window 2' 6" X 3' Opens into Exterior Window 2' 6" X 3' Opens into Exterior DESCRIPTION QUANTITY UNIT COST RCV DEPREC. ACV Pressure /chemical wash - Minimum 1.00 EA 112.79 112.79 <0.00> 112.79 charge CLEAN EXT WALLS TO WATER LINE 4.5" R &R Batt insulation - 4" - RI 1 - paper 79.00 SF 0.56 44.24 <3.65> 40.59 faced EXTERIOR WALL 2' HIGH Dumpster load - Approx. 12 yards, 1 -3 1.00 EA 317.00 317.00 <0.00> 317.00 tons of debris Totals: PERIMETER 474.03 3.65 470.38 Total: Main Level 474.03 3.65 470.38 Total: SKETCHI 474.03 3.65 470.38 INTERIOR Main Level LEWIS_WILLIAMS 8/16/2013 Page: 3 NATIONAL FLOOD INSURANCE PROGRAM 2' 6" Laundry Room Height: 8' 271.00 SF Walls 355.72 SF Wails & Ceiling 9.41 SY Flooring 39.50 LF Ceil. Perimeter 84.72 SF Ceiling 84.72 SF Floor 35.00 LF Floor Perimeter Door 2' 6" X 6' 8" Opens into ENTRY_FOYER Window 2' 6" X 3' Opens into Exterior Door 2' X 6' 8" Opens into BATH Window 2' 6" X 3' Opens into Exterior DESCRIPTION QUANTITY UNIT COST RCV DEPREC. ACV Clean floor - Heavy 84.72 SF 0.30 25.42 <0.00> 25.42 Apply anti - microbial agent 84.72 SF 0.16 13.56 <0.00> 13.56 Clean stud wall - Heavy 54.20 SF 0.68 36.86 <0.00> 36.86 TO 2" WATERLINE Apply anti - microbial agent 54.20 SF 0.16 8.67 <0.00> 8.67 TREAT WALL TO 2" WATERLINE R &R Vinyl floor covering (sheet 84.72 SF 2.99 253.31 <33.21> 220.10 goods) R &RAC plywood - 1/2" 84.72 SF 2.24 189.77 <20.64> 169.13 WALL COVERING IS 1/2" PLYWOOD THAT HAS BEEN PAINTED Paint the walls - two coats 271.00 SF 0.61 165.31 <31.41> 133.90 Bifold door - (2 slabs only) - Single - 1.00 EA 12.50 12.50 <0.00> 12.50 Detach & reset TO REPLACE FLOOR. COVERING R &R Casing - 2 1/4" 24.00 LF 1.68 40.32 <4.00> 36.32 REMOVED TO REPLACE PANELING FOR TWO 3X3 WINDOWS Paint casing - two coats 24.00 LF 0.81 19.44 <3.69> 15.75 Cabinetry - lower (base) units - Detach 4.00 LF 37.39 149.56 <0.00> 149.56 & reset Vanity top - Detach and reset 4.00 LF 8.96 35.84 <0.00> 35.84 Detach & Reset Shelving - 12" - in 23.00 LF 4.56 104.88 <0.00> 104.88 place ATTACHED TO PLYWOOD PANELING Air mover (per 24 hour period) - No 6.00 EA 27.25 163.50 <0.00> 163.50 monitoring 2 UNITS 3 DAYS Dehumidifier (per 24 hour period) - 3.00 EA 101.25 303.75 <0.00> 303.75 )(Large - No monitoring 3 DAYS Totals: Laundry Room 1,522.69 92.95 1,429.74 LEWIS_WILLIAMS 8/16/2013 Page: 4 NATIONAL FLOOD INSURANCE PROGRAM Entry/Foyer Height: 8' 107.43 SF Walls 134.77 SF Walls & Ceiling 3.04 SY Flooring 21.67 LF Ceil. Perimeter 27.33 SF Ceiling 27.33 SF Floor 11.78 LF Floor Perimeter Door 2' 7/8" X 6' 8" Opens into CLOSET Door 2' 6" X 6' 8" Opens into LAUNDRY ROOM Door 2' 6" X 6' 8" Opens into Exterior Missing Wall - Goes to Floor 2' 9 11/16" X 6' 8" Opens into Exterior DESCRIPTION QUANTITY UNIT COST RCV DEPREC. ACV Clean floor - Heavy 27.33 SF 0.30 8.20 <0.00> 8.20 Apply anti- microbial agent 27.33 SF 0.16 4.37 <0.00> 4.37 Clean stud wall - Heavy 21.49 SF 0.68 14.61 <0.00> 14.61 TO 2" WATERLINE Apply anti - microbial agent 21.49 SF 0.16 3.44 <0.00> 3.44 TREAT WALL TO 2" WATERLINE Vinyl tile 27.33 SF 2.56 69.96 <11.19> 58.77 R &R Baseboard - 3 1/4" stain grade 11.78 LF 3.14 36.99 <4.04> 32.95 Stain & finish baseboard 11.78 LF 0.88 10.37 <1.97> 8.40 Clean door (per side) 2.00 EA 3.41 6.82 <0.00> 6.82 Paint door slab only - 2 coats (per side) 2.00 EA 18.56 37.12 <7.05> 30.07 Paint door /window trim & jamb - 2 2.00 EA 17.85 35.70 <6.78> 28.92 coats (per side) Air mover (per 24 hour period) - No 3.00 EA 27.25 81.75 <0.00> 81.75 monitoring Totals: Entry/Foyer T 1 F - 4' 6" -I Laundry Room Door Fniry /Fnvo DESCRIPTION 309.33 31.03 278.30 Closet Height: 8' 108.83 SF Walls 123.50 SF Walls & Ceiling 1.63 SY Flooring 15.33 LF Ceil. Perimeter 14.67 SF Ceiling 14.67 SF Floor 13.26 LF Floor Perimeter 2' 7/8" X 6' 8" Opens into ENTRY FOYER QUANTITY UNIT COST RCV DEPREC. ACV Clean floor - Heavy Apply anti - microbial agent LEWIS_WILLIAMS 14.67 SF 0.30 4.40 <0.00> 4.40 14.67 SF 0.16 2.35 <0.00> 2.35 8/16/2013 Page: 5 NATIONAL FLOOD INSURANCE PROGRAM CONTINUED - Closet DESCRIPTION QUANTITY UNIT COST RCV DEPREC. ACV Clean stud wall - Heavy 21.77 SF 0.68 14.80 <0.00> 14.80 TO 2" WATERLINE Apply anti - microbial agent 21.77 SF 0.16 3.48 <0.00> 3.48 TREAT WALL TO 2" WATERLINE Totals: Closet I- 3' 4" -1 25.03 0.00 25.03 Bath Height: 8' 86.67 SF Walls 96.35 SF Walls & Ceiling 1.08 SY Flooring 12.50 LF Ceil. Perimeter 9.68 SF Ceiling 9.68 SF Floor 10.50 LF Floor Perimeter Door 2' X 6' 8" Opens into LAUNDRY_ROOM DESCRIPTION QUANTITY UNIT COST RCV DEPREC. ACV Clean floor - Heavy 9.68 SF 0.30 2.90 <0.00> 2.90 Apply anti - microbial agent 9.68 SF 0.16 1.55 <0.00> 1.55 Clean stud wall - Heavy 17.33 SF 0.68 11.78 <0.00> 11.78 TO 2" WATERLINE Apply anti - microbial agent 17.33 SF 0.16 2.77 <0.00> 2.77 TREAT WALL TO 2" WATERLINE R &R Vinyl floor covering (sheet 9.68 SF 2.99 28.95 <3.80> 25.15 goods) R &R Cove base molding - rubber or 10.50 LF 1.69 17.75 <1.44> 16.31 vinyl, 4" high R &R Paneling 26.00 SF 1.82 47.32 <5.12> 42.20 WAINSCOT PANELING 3' R &R Chair rail - 2 1/2" 10.50 LF 2.26 23.73 <2.55> 21.18 Paint chair rail - two coats 10.50 LF 0.81 8.51 <1.62> 6.89 R &R Interior door - birch - pre -hung 1.00 EA 154.77 154.77 <20.13> 134.64 unit Stain & finish door slab only (per side) 2.00EA 32.52 65.04 <12.36> 52.68 Paint door /window trim & jamb - 2 2.00 EA 17.85 35.70 <6.78> 28.92 coats (per side) Door lockset - Detach & reset 1.00 EA 13.28 13.28 <0.00> 13.28 Toilet - Detach & reset 1.00 EA 175.69 175.69 <0.00> 175.69 LEWIS_WILLIAMS 8/16/2013 Page: 6 NATIONAL FLOOD INSURANCE PROGRAM DESCRIPTION QUANTITY CONTINUED - Bath UNIT COST RCV DEPREC. ACV SO WAINSCOT PANELING CAN BE REPLACED Clean toilet 1.00 EA Air mover (per 24 hour period) - No 3.00 EA monitoring Totals: Bath 10.29 10.29 <0.00> 10.29 27.25 81.75 <0.00> 81.75 681.78 53.80 627.98 Total: Main Level Total: INTERIOR Line Item Totals: LEWIS WILLIAMS Grand Total Areas: 1,728.37 SF Walls 1,423.94 SF Floor 0.00 SF Long Wall 1,423.94 Floor Area 1,532.05 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length LEWIS_WILLIAMS 1,423.94 SF Ceiling 158.22 SY Flooring 0.00 SF Short Wall 1,502.19 Total Area 216.00 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length 2,538.83 177.78 2,361.05 2,538.8.3 177.78 2,361.05 3,012.86 181.43 2,831.43 3,152.31 SF Walls and Ceiling 222.46 LF Floor Perimeter 251.50 LF Ceil. Perimeter 1,728.37 Interior Wall Area 0.00 Total Perimeter Length 8/16/2013 Page: 7 NATIONAL FLOOD INSURANCE PROGRAM Summary for Dwelling Line Item Total 3,012.86 Material Sales Tax @ 7.000 /a 46.29 Subtotal 3,059.15 Overhead @ 10.0% 182.17 Profit @ 10.0% 182.17 Replacement Cost Value $3,423.49 Less Non - recoverable Depreciation <188.04> Actual Cash Value $3,235.45 Less Deductible (2,000 00) Net Claim $1,23.45 Chuck Soubeaver LEWIS_WILLIAMS 8/16/2013 Page: 8 NATIONAL FLOOD INSURANCE PROGRAM Recap by Category with Depreciation O &P Items RCV Deprec. ACV CABINETRY 149.56 149.56 GENERAL DEMOLITION 110.06 110.06 DOORS 156.29 20.13 136.16 FLOOR COVERING - VINYL 317.20 49.64 267.56 FINISH CARPENTRY / TRIMWORK 193.14 10.59 182.55 FINISH HARDWARE 13.28 13.28 FRAMING & ROUGH CARPENTRY 171.98 20.64 151.34 INSULATION 33.18 3.65 29.53 MARBLE - CULTURED OR NATURAL 35.84 35.84 PLUMBING 175.69 175.69 PANELING & WOOD WALL FINISHES 42.64 5.12 37.52 PAINTING 377.19 71.66 305.53 O &P Items Subtotal 1,776.05 181.43 1,594.62 Non -O&P Items RCV Deprec. ACV CLEANING 248.87 248.87 GENERAL DEMOLITION 317.00 317.00 WATER EXTRACTION & REMEDIATION 670.94 670.94 Non -O&P Items Subtotal 1,236,81 0.00 1,236.81 O &P Items Subtotal 1,776.05 181.43 1,594.62 Material Sales Tax @ 7.000% 46.29 6.61 39.68 Overhead @ 10.0% 182.17 182.17 Profit @ 10.0% 182.17 182.17 Total 3,423.49 188.04 3,235.45 LEWIS WILLIAMS 8/16/2013 Page: 9 O �6 Cr , Property Address: / 3 -05'5" Irfl L>ow;5 City of Tybee Island, Georgia 912 - 472 -5033 or 912 - 472 -5031 - Fax 912 - 786 -9539 APPLICATION FOR BUILDING PERMIT //e06-o3 -003 [Single Family ❑ Duplex ❑ Multi - Family units ❑ Commercial units (Check all that apply) Discovery /Tearout ❑ Footprint Changes - new _ square feet heated /cooled n Demolition of Structure ❑ Other Details of Project: --R —Z4 oc. «- 1 4c -ce55 f /04 g � 10 F/ 00,r- P L A -e + t , . - 7 % s ( 4 . 1 . c . . t . La h 4- i (p 4 - 'NAv bowlocd- r \ replac Estimated Cost of Construction: $ 1 A--!4.10; Z, O° materials + labor k I1y oo L j; dov. 010 n%°.% 1' g + profit/overhead) �J / 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 /( * 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 0 ttir'Tl'e-r /1`e..(\ OJVT . Construction debris will be disposed by OW We'Y 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 action that may be necessary to restore drainage impaired by this permitted co ttruction. Date: sr-14 -/ 3 Signature of Applicants-On u,,,��/ Printed Name t,j.\\;gm, p Note: A permit normally takes 7 to 10 days to process Approvals: Planning & Zoning Manager Building Official Water /Sewer Storm /Drainage City Manager Sig FEES Permit 5b. 40 Inspections /S" DO Cap Cost Rec Water Tap Sewer Stub Eng. Fees Aid to Const. - J- et►rOLf �erM,�- -- So 13 -01-41 TOTAL X020, °`1 Name Mailing Address Telephone Owner 11` �II�RM O. Lewis q©3 GU'oc j4 11 r', Home: Cell: RIa-643- h'f Architect or Engineer 5e[-Cr (0 s �n /Lai-, G 4 • 31 q1 a Contractor -ceiC Office: Cell: [Single Family ❑ Duplex ❑ Multi - Family units ❑ Commercial units (Check all that apply) Discovery /Tearout ❑ Footprint Changes - new _ square feet heated /cooled n Demolition of Structure ❑ Other Details of Project: --R —Z4 oc. «- 1 4c -ce55 f /04 g � 10 F/ 00,r- P L A -e + t , . - 7 % s ( 4 . 1 . c . . t . La h 4- i (p 4 - 'NAv bowlocd- r \ replac Estimated Cost of Construction: $ 1 A--!4.10; Z, O° materials + labor k I1y oo L j; dov. 010 n%°.% 1' g + profit/overhead) �J / 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 /( * 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 0 ttir'Tl'e-r /1`e..(\ OJVT . Construction debris will be disposed by OW We'Y 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 action that may be necessary to restore drainage impaired by this permitted co ttruction. Date: sr-14 -/ 3 Signature of Applicants-On u,,,��/ Printed Name t,j.\\;gm, p Note: A permit normally takes 7 to 10 days to process Approvals: Planning & Zoning Manager Building Official Water /Sewer Storm /Drainage City Manager Sig FEES Permit 5b. 40 Inspections /S" DO Cap Cost Rec Water Tap Sewer Stub Eng. Fees Aid to Const. - J- et►rOLf �erM,�- -- So 13 -01-41 TOTAL X020, °`1 LEAD -BASED PAINT RRP RULES Ordinary renovation and maintenance activities can create dust that contains lead. Contractors who perform renovation, repairs, and painting jobs in pre -1978 housing and child- occupied facilities must, before beginning work, provide owners, tenants, and child -care facilities with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard information for Families, Child Care Providers, and Schools. Contractors must document compliance with this requirement. After April 22, 2010, federal law will require you to be certified and to use lead -safe work practices. Georgia Environmental Protection Division Lead -Based Paint and Asbestos Program (404) 363 -7026. Projects must be done by a Certified Lead Renovation Firm AND a Certified Renovator When disturbing lead -based painted or coated surfaces or components more than 6 ft2 per interior room or 20 ft2 of exterior surfaces AND all window replacements and partial demolitions of any size. * * * * * * * * * * * * * * * * * * * ** Asbestos /Environmental Notification to Georgia EPD for Projects Involving Demolition, Wrecking, or Renovation The undersigned hereby acknowledges that the issuance of this permit does not in any way grant permission to the owner, owner's representative, or permit holder to proceed with demolition, wrecking, or renovation of a structure prior to the filing of any required ten (10) day "Project Notification for Asbestos Renovation Encapsulation or Demolition" form in accordance with the Georgia Asbestos Rules. The Georgia Environmental Protection Division administers the rules. In most cases, the rules require both the owner and the involved contractors to assure the portion of the building involved in the project is thoroughly inspected by an Accredited Asbestos Inspector for materials that contain asbestos; and the removal of the asbestos before renovation, wrecking, or demolition begins almost without exemption. Georgia EPD requires a completed demolition notification from be submitted 10 workings days in advance even if no asbestos is present in the building. Further guidance for regulatory compliance and contact telephone numbers are provided by the brochures entitled Asbestos & Renovation and Asbestos and Demolition. Other environmental issues such as asbestos removal techniques, lead abatement, ground contamination, or unusual site conditions may have EPD regulations that could affect the project. * * * * * * * * * * * * * * * * * * * ** BMPs While BMP deficiencies are not necessarily the fault of the owner or his agent, BMPs are their responsibility. Two areas of deficiencies are in the most basic and common BMPs; Co — Construction Exit and Sd1 — Sediment Barrier. Correct installation information can be found in the Field Manual for Erosion and Sediment Control in Georgia, Fourth Edition 2002, Georgia Soil and Water Conservation Commission; http:// www. gaswcc .org /docs /field_manual_4ed.pdf. Problems with the Co is not limited to the installation, but to material. The stone will be a representation of 1.5 " -3.5" stone or larger. Type A sediment barriers have been installed where Type C is required and shown on the 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. Date Signature for T cep -of Lead Paint, Asbestos, and BMP notices. 1� �11 r4,./■ O . L w . S S� Printed Name Chatham County Board of Assessors: 2' 3 Property Record Card 4- 0016 -03 -003 Page 1 of 11\,‘A-VA 0, . 4JS. 2 2013 Chatham County Board of Assessors . ,l,, o+, 4, ; „ 1.,,icl ro °,,,., 4- 0016 -03 -003 Property Record Card , roc.- ,c„ dr:vcac,,0171 LEWIS AVE TYBEE ISLANE APPRAISER LESTEPH LOT 1A PALM TERRACE SUB CAMP HAM MOCK TYBEE ISLAND LE PIS WILLIAM 0 JR & CAMA ASMT LAST INSP 08/13/2010 SAVANNAH BEACH PATRICIA 202,600 202,600 LAND 1 APPR 000008' 903 WOODRIDGE DR 41,700 41,700 BLDG 1 ZONE ' L4 ' S SAVANNAH GA 31410 -2717 (9 (o3- v 8 / 2,200 2,200 OBXF 4 246,500 246,500 Cost - MS SALES BOOK / INS VI QU RSN PRICE PAGE 01 Nov 1987 I U UO 60,500 GRANTOR: GRANTEE: 01 May 1982 I Q Q0 46,108 GRANTOR: GRANTEE: PERMITS TYPE DATE AMOUNT 090514 RF 13 Aug 2010 Comp 2,500 COMMENTS: 24 Feb 2011 109 Dec 1999 TY11 RET VAL ENT ADD CHG P/O 12 -9 -1999 SSB HS10 REMOVED 12 -9 -1999 SSB [EXTRA FEATURES ID# BLDG # SYSTEM DESC DIM 1 DIM 2 UNITS QL UNIT PRICE RCN AYB EYB DT ECON FUNC SP SP% RCNLD MKT VALUE 141387 86739 2 "Decking /w post,pi 10 10 100.00 A 23.55 2,355 1985 1985 2R 471 500 141388 86739 2 "FLoating /w post,pi 8 19 152.00 A 22.88 3,478 1985 1985 2R 696 700 141389 86739 OPEN SLAB FR 0 0 376.00 F 3.70 1,391 1985 1985 5R 876 900 141390 86739 Roof Ov Slab FR 3 3 9.00 F 18.51 167 1985 1985 5R 105 100 NOT IN DRAW SCREEN, [Click for larger picture] `` 4{ . Chatham County lax Commissioner t4g15o3 )(.5-0 g21175a S ^ ' ^� ZZ� Z CODES PROPERTY 0006 RESIDENTIAL USE UTA 0004 Tybee Island NBHD 020222.00 T222 TYBEE HORSE PEN EXEMPTIONS HISTORY LAND IMPR TOTAL 2012 202,600 42,100 244,700 Cama 2011 202,600 52,100 254,700 Cama 2010 340,500 49 _ ' 390,000 Over 2009 340,50. 49,500 :90,000 Over 2008 390,000 A/C 2007 324,000 43,000 367,000 Cama 2006 282,000 43,000 325,000 Cama 2005 196,000 51,000 247,000 Cama 2004 172,000 65,000 237,000 Cama 2003 155,000 46,500 201,500 Cama 2002 105,500 45,000 150,500 Cama 2001 85,000 43,500 128,500 Cama 2000 48,000 44,000 92,000 Cama 1999 48,000 44,000 92,000 Cama 1998 48,000 43,500 91,500 Cama 1997 89,500 NC 1996 22,900 31,240 54,140 Over 1995 22,900 31,240 54,140 Over 1994 22,900 31,240 54,140 Over 1993 22,900 31,240 54,140 Over 1992 22,900 31,240 54,140 Over LAND ID# USE DESC FRONT DEPTH UNITS / TYPE PRICE ZONING LCTN TOPO OTHER ADJ1 ADJ2 ADJ3 ADJ4 MKT VALUE 111458 CREEK/MARSH ACCESS 60 140 60.00 -FF 5400.00 R1B DP18 202600 0 9- OS►4 (y.f2-4 C-1 rooC j 21 6-o arp11 • v\ • '('u cs. Sep . 3r1 http: //boa. chathamcounty. ors /DesktonModules /ChathamCounty/ BoardofAssessors /PronertyRecordCard. asn... 8/23/201 Chatham County Board of Assessors: 2.013 Property Record Card 4- 0016- 03 -00' 2013 Chatham County Board of Assessors Property Record Card BUILDING SECTION i CONSTRUCTION TYPE RCN AYB EYB DEP TYPE PHYS ECON FUNC OBSV / % TOTAL DEP % RCNLD U.FACTOR MKT VAL Page 2 of 4- 0016- 03 -00: 171 LEWIS AVE TYBEE ISLANE 86739 -1 -2013 Residential 89,418 1948 1980 MS 47.00 0.00 0.00 0.00 47.00 47,392 1.10 41,700 24 ' 'SLAB Slab 376 10' S Roof 13' 7 9' [Click for larger picture] 2 MB MOVABLE, NO VAUE,3X3 RPO ON THE FRONT OF HOUSE,ADDED 2 VALUE IN MISC. Do eV.7 SECTION TYPE 1 - Main AREA 1366 TYPE 1 - Single- family Residence FRAME 1 - Stud Frame STYLE 1 - One Story QUALITY 2.00 CONDITION 3.00 # UNITS 0 # OF BEDS / BATHS 2 / 1.10 COMPONENTS R1 108 Frame, Siding, Wood R2 213 Metal, Formed Seams R4 402 Automatic Floor Cover Allowance R6 601 Plumbing Fixtures ( #) R6 602 Plumbing Rough -ins ( #) R6 621 Slab on Grade (% or SF) R6 641 Single 1 -Story Fireplace ( #) R11 904 Slab Porch (SF) with Roof it w•.(i co "La �� A, re e :s 3,1c aera . � j . ok.v c/ S Gal ■ Units % QUAL 100.00 100.00 7.00 1.00 1.00 80.00 100.00 httn: // boa. chathamcounty. or a/DesktoiModules /ChathamCounty/ BoardofAssessors /PropertyRecordCard. asp... 8/23/20