HomeMy Public PortalAboutLEWIS AV_165.pdf: -s■
LATER ATI IAL
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 Date Needed
Gen. Contractor Subcontractor
Contact Information
Project Address I L
Scope of Workr�:1G
Inspector 711
Inspection
Date of Inspectionv
I =�- Pass ❑ Fail fl Fee
,`..? - -71 c._) J 11
Inspection Pass ❑ Fail ❑ Fee
Inspection Pass ❑ Fail ❑ Fee
Inspection Pass ❑ Fail ❑ Fee
Fax Transmission Result Report Page [1] of [1]
Date/Time 11 -26 -2013 11:44 AM
Model Name CLX -9352
Machine Serial Number Z94UB1ED500022H
Linel City of Tybee
Linel Name : 9127869539
Line2 is not available
Line2 Name is not available
Job Destination Start Time Duration Mode Job Type Page User Result
2874 Georgia Power rele 11 -26 -2013 11:44 00'58" G3 H -Tx 1/1 LocalUser OK
ase/18888514411 AM
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: 146- Z /z1/S Release Date: /do/5h9
Type of Release: Temporary Permanent Permit # /3 - O /o2
Electrician: / J/ V e Phone* ci/a -4,79- 74 7
Builder: Phone #
Owner: 014 VIi4 7rn /iG{4-ni Phone# g 42- 7S74-4W6
Location Address: Release Date:
Type of Release: _Temporary _ Permanent Permit #
Electrician: Phone #
Builder: Phone #
Owner: Phone #
Planning and Zoning
Jervis Bryant
912 -472 -5033
H -Rx: Host Rx
H -Tx: Host Tx
M -S: Memory Save P -Rx: Poll Rx D -Tx: Delay Tx
S -Rx: Secure Rx P -Tx: Poll Tx
BC -Tx: BroadCast Tx
r
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: ! L £)j5 Release Date: %1 %2sI13
Type of Release: Temporary Permanent Permit # %3 - O7c2 9
Electrician: j E) /),9v 6 Phone # 6:1101-11a9- 1714, 7
Builder:
Owner: �L-, VIA PMG
Phone #
Phone # q/2 - 7 -i /`6
Location Address:
Type of Release:
Electrician:
Builder:
Owner:
Temporary
Release Date:
Permanent Permit #
Phone #
Phone #
Phone #
Planning and Zoning
Jerris Bryant
912 - 472 -5033
DATE ISSUED: 11 -19 -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 #
J
CITY OF TYBEE ISLAND
BUILDING PERMIT
MOVE SERVICE
165 LEWIS AVE
OLIVIA PAGAN
PO BOX 255
TYBEE ISLAND GA 31328 -0255
WADE ELECTRIC
PO BOX 1995
TYBEE ISLAND GA 313281995
P
$ 50.00
4- 0016 -03 -006
PROJECT VALUATION $ 800.00
PERMIT #: 130729
TOTAL BALANCE DUE: $ 50.00
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
/3-.07a2
q
4- Oo /� 03 -ooh
CITY OF TYBEE ISLAND
BUILDING & ZONING DEPARTMENT
P.O. Box 2749, Tybee Island, GA 31328
Phone (912) 786 -4573 • Fax (912) 786 -9539
ELECTRICAL PERMIT APPLICATION & TEMPORARY SERVICE AFFIDAVIT
Date I - cf — L5
Location of wo (street address) f (O3 /-ei..D ( A-0Q/
r
Contractor X� 1-�1 Lt7�CC, Telephone Ta- ��
Property Owner 0, ( Telephone
Date work will be ready for inspection, if known �� (( C
QG
New Work Replacement
Address of Contractor `OOe) PQ( 4
Estimated cost of construction
Permit Number
ALL wiring, service
included, must be
COPPER. NO
aluminum allowed.
Means shall be
provided to
disconnect all
conductors from the
service - entrance
conductors. NEC 230.70
APPLICATION FOR TEMPORARY SERVICE REQUEST
In requesting temporary electrical service, the undersigned understands and agrees:
1. Connection of temporary electrical service does not remove the requirement to comply with all State of
Georgia minimum construction codes.
2. Temporary electrical power is intended for completion of the construction process and testing equipment
installed within the structure.
3. Issuing approval for temporary power connection does not constitute approval to occupy the structure.
A Certificate of Occupancy must be issued by the City of Tybee Island prior to any occupancy.
4. The owner and %contractor are hereby held responsible for any violations of this policy. A violation of this
poles may resu't in disconnection of the electrical service until all violations and deficiencies are corrected.
0 • ner Contractor ignatulaillF.- Date
CI -1
Owner /Contractor Printed Name
•
APPROVAL Fee
Building Officio
Date
A/C Unit and Heat Pump
Attic Ventilation Fan
Bell Transmitter - low voltage
Border /Outline Lighting
Building Saw
Exit Lights - life safety
Heat Pump
Meter Box
Motor(s): hp
Outlets - 110 volts circuit
Parking Lot Lights
Pool Lights - grounding
Range - commercial
Permit Number
ALL wiring, service
included, must be
COPPER. NO
aluminum allowed.
Means shall be
provided to
disconnect all
conductors from the
service - entrance
conductors. NEC 230.70
APPLICATION FOR TEMPORARY SERVICE REQUEST
In requesting temporary electrical service, the undersigned understands and agrees:
1. Connection of temporary electrical service does not remove the requirement to comply with all State of
Georgia minimum construction codes.
2. Temporary electrical power is intended for completion of the construction process and testing equipment
installed within the structure.
3. Issuing approval for temporary power connection does not constitute approval to occupy the structure.
A Certificate of Occupancy must be issued by the City of Tybee Island prior to any occupancy.
4. The owner and %contractor are hereby held responsible for any violations of this policy. A violation of this
poles may resu't in disconnection of the electrical service until all violations and deficiencies are corrected.
0 • ner Contractor ignatulaillF.- Date
CI -1
Owner /Contractor Printed Name
•
APPROVAL Fee
Building Officio
Date
Range Hood - commercial
Service: amps
Sign Circuit - wattage
Smoke Detector - low voltage
Spa or Tub - grounding
Special Outlet
Swimming Pool - grounding
Water Heater
Welder - 220 volts circuit
Well Pump - grounding
X -ray
Other
Permit Number
ALL wiring, service
included, must be
COPPER. NO
aluminum allowed.
Means shall be
provided to
disconnect all
conductors from the
service - entrance
conductors. NEC 230.70
APPLICATION FOR TEMPORARY SERVICE REQUEST
In requesting temporary electrical service, the undersigned understands and agrees:
1. Connection of temporary electrical service does not remove the requirement to comply with all State of
Georgia minimum construction codes.
2. Temporary electrical power is intended for completion of the construction process and testing equipment
installed within the structure.
3. Issuing approval for temporary power connection does not constitute approval to occupy the structure.
A Certificate of Occupancy must be issued by the City of Tybee Island prior to any occupancy.
4. The owner and %contractor are hereby held responsible for any violations of this policy. A violation of this
poles may resu't in disconnection of the electrical service until all violations and deficiencies are corrected.
0 • ner Contractor ignatulaillF.- Date
CI -1
Owner /Contractor Printed Name
•
APPROVAL Fee
Building Officio
Date