HomeMy Public PortalAbout11-0457 Tybrisa Beach ResortCity of 1
Jee Island • Community Develot. -.gent Dept.
Inspection Report
403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328
Phone 912.786.4573 ext. 114 • Fax 912.786.9539
Permit No. / --v L`, /
Owner's Name I I
Gen. Contractor
Contact Information
Project Address
Scope of Work
Inspector (PlA
Inspection
IATEPNATICN.Al
CODECODNCIL
MEMBER
Date Requested
Date Needed
Subcontractor
7/6
Date of Inspection
Pass El
Inspection
Inspection
Inspection
Lam' //
Fee
Pass D Fail El Fee
Pass Fail ❑ Fee
Pass ❑ Fail ❑ Fee
DATE ISSUED: 08 -15 -2011
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
ELEC - SMOKE DETECTOR
1 FIFTEENTH ST
TYBRISA BEACH RESORT
PO BOX 2966
TYBEE ISLAND GA 31328
786 -4080
ADT SECURITY SERVICES INC
5000 BUSINESS CENTER DR
SAVANNAH GA 31405
P
$ 50.00
$1,008.00
PERMIT #: 110457
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.O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -9539
www.cityoftybee.org
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
xNew Work Replacement
Location of work (s reet address) ( (5 Sr fY67jf /3("9-4450 ( G-v)-
Contractor f rO Telephone 912-)i& - cad
Address of Contractor Sb[Sb 1gM 1X,{2 C � jj� az! �m .414 - � - 31 Vcrs-
Telephone
Property Owner
Date work will be ready for inspection, if known
Estimated cost of construction t !(j(j
Permit Number
t1 -oi -S?
ALL WIRING,
SERVICE
INCLUDED,
MUST BE
COPPER. NO
ALUMINUM
ALLOWED.
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 mpletion 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
policy may result in disconnection of the electrical service until all violations and deficiencies are corrected.
Owner/Contractor Signature
f�
C o -rort)
Owner /Contractor Printed Name
I.
7 -2, -i3
Date
APPROVAL Fee
Building Official 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
t1 -oi -S?
ALL WIRING,
SERVICE
INCLUDED,
MUST BE
COPPER. NO
ALUMINUM
ALLOWED.
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 mpletion 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
policy may result in disconnection of the electrical service until all violations and deficiencies are corrected.
Owner/Contractor Signature
f�
C o -rort)
Owner /Contractor Printed Name
I.
7 -2, -i3
Date
APPROVAL Fee
Building Official 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
t1 -oi -S?
ALL WIRING,
SERVICE
INCLUDED,
MUST BE
COPPER. NO
ALUMINUM
ALLOWED.
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 mpletion 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
policy may result in disconnection of the electrical service until all violations and deficiencies are corrected.
Owner/Contractor Signature
f�
C o -rort)
Owner /Contractor Printed Name
I.
7 -2, -i3
Date
APPROVAL Fee
Building Official Date
ADT Always There
TOWN NO
0092-
SAVANNAH,
GA
CUSTOMER NO
109207658
I JOB NO
PO NO
ESTIMATE NO
1- GYMXSS
RIDER
For Additional Equipment andlor Services
THIS RIDER made on 7/5/2011 (the "Rider") is part of and is to be attached to the 'Agreement" made on 3/19/2002 by and between ADT Security Services, Inc.
(hereinafter "ADT") and Tybrisa Beach Resort Condominium Association Inc d/b /a (hereinafter, "Customer") for the System in the Premises' of Customer
located at 1 15th St, , , Tybee Island , GA , 31328.
The Customer hereby requests, and ADT agrees to install, the following additional Systems, Services, andlor Equipment as described in this Rider and the
attached Scope of Work; Contract Notes:
Qty
Product Name
Location
200
1812c SOL, Shielded, FPLR, Non - Plenum Rise, Red, 500' Box
4
Smokes in exercise rm 2nd fl, storage ml 1st fl, above stairs 2nd 9, and bade rm 2nd fl
50
Conduit
1
Permit Fees
Charges and Fees: Customer agrees to pay the sum of $1,008.25 ("Installation Charge') with $ payable upon acceptance of this Agreement ("Installation
Charge Deposit") plus any applicable "Fees" and sales taxes. ADT may invoice Customer for progress billings based upon Equipment and/or System components
delivered or stored, and /or Services perfumed before completion of the SystemlEquipment installation, activation of the System, connection to the ADT Central
Monitoring Center ( "CMC') or any other Service(s). All outstanding Installation Charges and /or Fees shall be due and payable upon completion of the installation
of the EquipmentSystem and as a precondition to activation of System and, if applicable, connection to the CMC or any other Service(s). Any changes in the
SCOPE OF WORK made by the Customer after execution of this Rider must be agreed to by ADT and the Customer in writing and may be subject to additional
charges and/or Fees. Any Customer order placed by email, telephone, or Internet website shall be subject to temis and conditions of the Agreement and may be
subject to shipping, handling, and /or restocking fees. For the Service(s) provided as indicated in this Rider, Customer agrees to pay Service Charges in the
amount of $93.58 per annum (the "Annual Service Charge'), payable in advance Annual plus applicable state and /or local taxes for 0 year(s) (the 'Initial
Term ") effective from the date such Service is operative under this Rider. Until Customer has paid ADT the Installation Charge and Fees in full, Customer grants
to ADT a security interest in the Equipment and all proceeds thereof to secure such payment After the Initial Term this Rider shall automatically renew on elan
Annual basis unless terminated by either party upon written notice at least thirty (30) days prior to the anniversary date. ADT shall have the right to increase
Annual Service Charge(s) after one (1) year. For termination prior to the and of the Initial Tenn, Customer agrees to pay, in addition to any outstanding Fees and
charges for Service(s) rendered prior to termination, 90% of the Annual Service Charge(s) remaining to be paid for the unexpired term of this Rider as liquidated
damages but not as a penalty. Any such termination shall be effective as of the end of the subsequent monthly billing period. Additionally, Customer agrees to pay
any assessments, taxes, fees or charges imposed by any governmental body, telephone, communication, or signal transmission company such as false alarm,
permitting or connection fees, or administration fees or service charges assessed by ADT related to changes in applicable laws and /or AHJ requirements, the
need to reprogram alarm controls/devices to comply with area code, signal transmission, numbering or other changes relating to the installed Equipment and /or
Service(s) provided under this Rider ("Fees'). The term 'Agreemenr refers to the ADT Commercial Sales Agreement or the ADT National Account Master
Agreement The Equipment, Software, and Services provided, installed, andlor serviced under this Rider, including but not limited to parts provided under
warranty (collectively and individually, the 'System "), shall be subject to the Terms and Conditions of the Agreement ft the Agreement has expired, or has been
lost or destroyed, it is understood and agreed that ADT's Standard Terms and Conditions posted at www.ADT,corilstandtfndc are incorporated herein by
reference and shall apply to all Equipment, Systems and Services furnished by ADT. It is further agreed that the original expiration date of the Agreement shall be
extended for a period of 0 years, but only with respect to the Equipment, Systems and Services furnished under this Rider.
THIS RIDER REQUIRES FINAL APPROVAL OF AN ADT AUTHORIZED MANAGER BEFORE ANY EQUIPMENT /SERVICES /SYSTEMS MAY BE PROVIDED.
IF APPROVAL IS DENIED, THIS RIDER WILL BE TERMINATED AND ADT'S ONLY OBLIGATION TO CUSTOMER WILL BE TO NOTIFY CUSTOMER OF
SUCH TERMINATION AND REFUND ANY AMOUNTS PAID IN ADVANCE.
ADT SECURITY SERVICES, INC. CUSTOMER
Presented by Accepted By:
(Signature of ADT Sales Representative) (Signature of Customer's Authorized Representative)
Sales Agent Christine Gibbs
Sales Representative Registration # (if applicable): (Name Printed)
Title:
Date Signed:
e•Form 840 -02 (02/2011)
ADT Always There
ADT Security Services, Inc, ( "ADT ")
Christine Gibbs
5000 Business Center Dr, Suite 500
Savannah, GA
31405
Tele. No. (912) 790 -5254
TOWN NO
0092-
SAVANNAH,
GA
CUSTOMER NO
109207658
JOB P40
PO NO
ESTIMATE NO
1- GYMXSS
Tybrisa Beach Resort Condominium Association Inc
dlbta:
Herein after called ("Customer ")
1 15th St,
Island, GA 31328
Attn:
Tele. No. (912) 7864080
ADDITIONAL TERMS AND CONDITIONS
Notwithstanding anything in the Agreement to the contrary, ADT and Customer agree as follows:
Terms and Conditions
AHJ Approval. For fire alarm systems required by law, the protection listed on this Agreement may he subject to approval by The local Authority
Having Jurisdiction (AHJ). Any changes required by the AHJ may result in additional charges to the Customer.
Annual Service Charge — Initial Term. ADT agrees to honor the Annual Service Charge for Central Station Monitoring Services specified in this
Agreement for the Initial Term of the Agreement Thereafter, the Annual Service Charge may be increased by the increase in the Consumer Price
Index for Urban Wage Earners ('CPI-W1, All Items, U.S. City Average for the prior twelve (12) month period or 5 %, whichever is less.
AN other terms and conditions of the Agreement, except those expressly modified herein, shall remain in full force and effect.
The foregoing modifications and /or additional terms and conditions are not binding unless approved in writing by an authorized representative of ADT.
Accepted and Agreed:
ADT SECURITY SERVICES, INC. CUSTOMER
Presented by: Accepted By
(Signature of ADT Sales Representative) (Signature of Customer's Authorized Representative)
Sales Agent Christine Gibbs
Sales Representative Registration # (f applicable):
e-Form 840-02 (0212011)
(Name Printed)
Title:
Date Signed:
ADT Always Thee
TOWN NO
0092-
SAVANNA♦',,
GA
CUSTOMER NO
10920i'658
JOB NO
PO NO
ESTIMATE NO
1•GYMXSS
SCOPE OF WORK;CONTRACT NOTES: This Section is intended for installation use only. Any language contained in this Section that attempts to modify the
Terms and Conditions of the Agreement shall be void and of no effr rot
Scope of Work:
Contact Information:
System Operation:
Programming Info:
Site Conditions:
Existing Equipment
Customer Expectations:
Training Expectations:
General Comments:
Customer Responsibilities I ADT Exdusions:
Documentation Needs:
Contract Notes:
e -Form 840 -02 (02/2011)