The URL can be used to link to this page

Home My Public Portal About12-0239 MyrickDATE ISSUED: 04 -24 -2012 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 REPAIR WTR DMG /HVAC /H20 HTR 502 FOURTEENTH ST CAROLE L. MYRICK 502 14TH ST TYBEE ISLAND GA 31328 -9603 CAROLE L. MYRICK 502 14TH ST TYBEE ISLAND GA 31328 -9603 P $ 444.00 $6,500.00 PERMIT #: 120239 TOTAL BALANCE DUE: $ 444.00 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: itanAlyu) P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org Apr 24 2012 1:12PM HP I.°SERJET FAX \i CITY OF TYBEE ISLAND, GEORGIA PLICATION FOR BUILDING PERMIT Location: 37) 2- ) NAME ADDRESS PIN # p.1 r— 0s)1 cAry TELEPHONE Owner C 14. WZA P- -,% 9fLy/) Architect or Engineer Building (?-k c- la. -fQ `25ou (tj ; U5J(i 15 - '.D (Chec h�rvJrl t apply) repair ❑ Renovation ❑ Minor Addition ❑ Substantial Addition ❑ Other Residential ❑ Single Family lex ulti- Family ❑ Commercial ❑ Footprint Changes ❑ Discovery ❑ Demolition Details of Project: fse . art" t/04-e- d tVr ? -� JJ Lzyld N het we,;_ A- h f Estim ed Cost of Construction: $ 6 0-11\.e 1l ) a.AA.J "5 ac% Construction Type tP (Enter appropriate number) (1) Wood Frame (4) Masonry (6) Other (please specify) (2) Wood & Masonry (5) Steel & Masonry (3) Brick Veneer Proposed use: l ►�� `��- �I �-- Remarks: ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following information based on the construction drawings and site plan: L) 1,( VrQ # Units # Bedrooms # Bathrooms Lot Area Living space (total sq. ft.) # Off - street parking spaces Trees located & listed on site plan Access: Driveway (ft.) With culvert? With swale? Setbacks: Front Rear Sides (L) (R) # Stories 2— Height Vertical distance measured from the average adjacent grade of the building to the extreme high point of the building, exclusive of chimneys, heating units, ventilation ducts, air conditioning units, elevators, and similar appurtances. Apr 24 2012 1:12PM HP 1"SERJET FAX During construction: On -site restroom facilities will be provided through On -site waste and debris containers will e provided by Construction debris will be disposed by Q 7 by means of I understand that I must comply with zoning, flood damage control, building, fire, shore protections and wetlands ordinances, FEMA regulations and all applicable codes and regulations. I understand that the lot must be staked out and that the stakes will be inspected to ensure that the setback requirements are met. I understand also that a certified plot plan showing elevation must be attached to this application and that an as -built elevation certification is due as soon as the habitable floor level is established. Drainage: I realize that 1 must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected. I accept responsibility for any corrective action that may be necessary to restore drainage impaired by this permitted construction. V Date: Signature of ApplicanLt t/ p.2 Note: A permit normally takes 7 to 10 days to process. The following is to be completed by City personnel.: Zoning certification NFIP Flood Zone Approved rezoning/variance? Street address and number: New Is it in compliance with City map? If not, has street name and/or number been reported to MPC? Existing FEMA Certification attached State Energy Code Affidavit attached Utilities and Public Works: Describe any unusual finding(s) Access to building site Distance to water main tap site Distance to sewer stub site Water meter size Storm drainage Approvals: Signature Date Zoning Administrator Code Enforcement Officer Water /Sewer Storm/Drainage Inspections City Manager o v-k (z. �� a - erg ;—t"" FEES Permit r Inspections a0 Water Tap Sewer Stub Aid to Const. R-i 4 TOTAL 2.50 Apr 24 2012 1:13PM HP I"SERJET FAX LEAD -BASED PAINT Adapted from httoliSivivweria.aovAead/pubs/renovation.htm. Please use that site to access the following information. Information for Property Owners of Rental Housing, Child - Occupied Facilities Property owners who renovate, repair, or prepare surfaces for painting in pre -1978 rental housing or space rented by child -care facilities must, before beginning work, provide tenants with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers. and Schools. Owners of the rental properties must document compliance with this requirement. EPA's sample pre- renovation disclosure form may be used for this purpose. After April 22, 2010, property owners who perform these projects in pre -1978 rental housing or space rented by child -care fadlities must be certified and follow the lead -safe work practices required by EPA's Renovation, Repair and Remodeling rule. To become certified, property owners must submit an application for firm certification and fee payment to EPA. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application. Property owners who perform renovation, repairs, and painting jobs in rental property should also: • Take training to learn how to perform lead -safe work practices. • Leam the lead laws that apply regarding certification and lead -safe work practices beginning in April 2010. • Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping developed to help contractors comply with the renovation recordkeeping requirements that took effect April • Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. • Read about how to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Paintrna. Information for Homeowners Woriking at Home If you are a homeowner performing renovation, repair, or painting work in your own home, EPA's RRP rule does not cover your project. However, you have the ultimate responsibility for the safety of your family or children in your care. If you are living in a pre-1978 home and planning to do painting or repairs, please read a copy of EPA's Renovate Riafrt: Important Lead Hazard Information for Families. Child Care Providers, and Schools lead hazard information pamphlet. You may also want to call tite National Lead Information Center at 1 -800- 424 -LEAD (5323) and ask for more information on how to work safely in a home with lead -based paint. Information for Tenants and Families of Children under Age 6 in Child Care Faculties and Schools As a tenant or a parent or guardian of children in a child care facility or school, you should know your rights when a renovation job Is performed in your home, or in the child care facility or school that your child attends. • Before starting a renovation in residential buildings built before 1978, the contractor or property owner is required to have tenants sign a pre - renovation disclosure form, which indicates that the tenant received the Renovate Right lead hazard information pamphlet. • Beginning In December 2008, the contractor must also make renovation information available to the parents or guardians of children under age six that attend child care facilities and schools, and to provide to owners and administrators of pre-1978 child care facilities and schools to be renovated a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools lead hazard Information pamphlet. Information for Contractors As a contractor, you play an important role in helping to prevent lead exposure. Ordinary renovation and maintenance activities can create dust that contains lead. By following the lead -safe work practices, you can prevent lead hazards. 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. EPA's ore- renovation disclosure form may be used for this purpose. Understand that after April 22, 2010, federal law will require you to be certified and to use lead -safe work practices. To become certified, renovation contractors must submit an application and fee payment to EPA. See: Application for firm certification. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application. Contractors who perform renovation, repairs, and painting jobs should also: • Take training to team how to perform lead -safe work practices. Find a training provider that has been accredited by EPA to provide training for renovators under EPA's Renovation, Repair, and Painting (RRP) Program. Please note that if you previously completed an eligible renovation training course you may take the 4-hour refresher course instead of the 8-hour initial course from an accredited training provider to become a certified renovator. Click here for a list of eligible courses. • Provide a copy of your EPA or state lead training certificate to your client. • Tell your dient what lead -safe methods you will use to perform the job. • Learn the lead laws that apply to you regarding certification and lead -safe work practices beginning In April 2010. • Ask your dient to share the results of any previously conducted lead tests. • Provide your client with references from at least three recent jobs involving homes built before 1978. • Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and that you followed lead - safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA has developed to help contractors comply with the renovation recordkeeping requirements. Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. Read about how to se ad -safe work practices in EPA's Steps to Lead . afe Renovation. Repair and Paintin4. P. is Ot' F F:CT CISTURBIit% er JUST SIX SC,U".RE FEET BIG TIME. . that you followed lead - checklist that EPA has 2010. Printed Name � knizi L- ( Date Tik.) Tkt k--A1( d Apr 24 2012 1:12PM HP IgSERJET FAX L P.3 Permit Acknowledgement of 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. i nglersigned Printed Name :iftiSk±: � a-uyi * * u evc b 0/) Date f .5 'e)2 1 ci-rk 5t- 30 a 1- re I 1aoe C!e-i'lins 4A-i-er 0) 3-- feyg e kw-i- RA 1-e licl) (4, \r--e?(AO rr 2v 3_ d d 0 \re n-e-(4) ollar (-1_cid oil 5in it bol(7-e--/--/r-( re:())00.--- 41(1-e t(11(-) 4 5C-1) ciOp laN d .47 LA. i 514 (ach 07) d `-6 VAN--e‘i , 9, Ica c,t 19 h,e �! 17a s-P Ua 1d v\ ci-) 3501oDiO-- e\cc. 1-06t:b f V i e o -1-7) lI /D, 1,(r 7-YY1 a G 47 I a v: Giv wait( wol 5tia�ce� Apr 23 2012 4:54PM HP IfSERJET FAX p.4 P72- g,4 1/ i) Apr 23 2012 4:55PM HP J SERJET FAX OWNER RECONSTRUCTION / IMPROVEMENT AFFIDAVIT Name of Company Contractor Address J Name of Properly Owner f1" L Location of Property Telephone I I Ilia 5-1)1_ /4-1 5 //r k?..4? (go cl2 I hereby attest to the fact that the attached itemized list of the - : . ted Cost of Reconstruction and /or Improvements are all of the repairs and /or reconstruction and /or improvements proposed on the subject building for the attached Building Permit Application included with the estimate. Listed below are the date(s) and details of the last occurrence(s) of any repairs and /or reconstruction and /or p.6 ad tiopsand /or re odeling qt this property: I understand that I am subject to enforcement action and /or penalties and /or fines if inspection of the property reveals repairs and /or reconstruction and /or improvements not included on the attached list of the Estimated Cost of Reconstruction and /or Improvements as well as the Building Permit Application as well as the list of the last occurrence(s) of any repairs and /or reconstruction and /or additions and /or remodeling. I understand that any Building Permit issued by the City of Tybee Island pursuant to this Affidavit does not authorize the repair and /or reconstruction and /or improvement and /or maintenance of any illegal additions, fences, sheds, or non - conforming uses or structures on the subject property. Total Labor &Materials $ Overhead & Profit Total Cost $ STATE OF GEORGIA COUNTY OF CHATHAM Before me this day personally appeared r2ad,e. L , 11 l t who, by h s/her signature below, s tes that the information provided on this Affi�avit is correct and that he /she read, understands, . agrees to comply with all the aforementioned conditions. lDwner's Signature Sworn to ubscribed before met this 3 day of Sign - of Notary Public My Commission expires 1rdfI" 4ri( 20 / 2_— OfFIC IAA SEAL sTEve Natant ublic, Ge loggia DOUGLAS COUNSY liAy Comulmission Expires Jy 8. 2012 Apr 23 2012 4:54PM HP IASERJET FAX The UPS STORE 2900 DELK ROAD STE 700 770 612 -8355 Tel 770 612 -a455 Fax Hours of operation M -F 9:00am TO 7;00 pm. SAT 10 :OOarii TO 6:00Vpm Fax Cover To: Date: p. 1 o Fax #: a - i cover sheet : From: (COL- Phone #: ` 1 c L y. \.e e_26-W4- QA 17\ c6v) ()Di 1/4-( k 4' 3 (a, 1- b U.s i�ka5 v,6-0 3 \0.■Je 1/kJ(' New Name. New Low UPS° Rates.. Same Helpful Services, If you are not the intended recipient, do not disclose, copy, dislrlbulE or use this Information, 1f. youreceived lhh transmis on fn error, please call immediately fa arrange relum of the documents at no cost to you,