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Thank You for Shopping at
ISLAND ACE HARDWARE
318 JOHNNY MERCER BLVD
SAVANNAH, GA
(912) 897 -1288
3 1 l Zr Ave
NO Return: SALE ITEMS ,tinted
paint,electrical &power equipment& tools
1/03/14 4:36PM BH 553 SALE
43993 4 EA
PIPE PVC DWV4 "X10'SCH40
44615 1 EA
COUPLE FLEX 4 &4 "CAST ACE
4184941 1 EA
CEMENT /PRIMER PVC 40ZPK2
43994 4 EA
COUPLE 4 "DWV X4 "SCH4OHXH
SUB - TOTAL:
19.99 EA
79.96
8.99 EA
8.99
6.99 EA
6.99
3.99 EA
15.96
111.90 TAX
TOTAL:
BC AMT:
7.83
119.73
119.73
BK CARD #: XXXXXXXXXXXX8079
ID: 670121440799
RUTH: 07296C AMT: 119.73
Host reference #:308507 Bat #1089
SWIPED
CARD TYPE:VISA EXPR: XXXX
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,,>> JRNL #D08507 /1
CUST # *5
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CAI
THANK YOU R CHIVINGTON
FOR YOUR PATRONAGE
Name: X
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«__
I agree to pay above total amount
according to card issuer agreement
(merchant agreement if credit voucher)
Acct: CASH CUSTOMER
Return /Exchange only w/ receipt,within
30 days in resellable condition.
Customer Copy
DATE ISSUED: 01 -2 -2014
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 #
CITY OF TYBEE ISLAND
BUILDING PERMIT
PERMIT #: 140003
4 Sewer
4
PLUMBING - DISCOVERY/TEAROUT Repa,r
1311 SECOND AVE
NANCY &BRUCE CHIVINGTON
3460 EBENEZER RD
CONYERS GA 30094
NANCY &BRUCE CHIVINGTON
3460 EBENEZER RD
CONYERS GA 30094
P
$ 50.00
4- 0007 -14 -003
PROJECT VALUATION $ 50.00
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
007-/2/--0o 3
CITY OF TYBEE ISLAND
BUILDING & ZONING DEPARTMENT
P.O. Box 2749
Tybee Island, GA 31328
Phone (912) 472 -5030 Fax (912) 786 -9539
PLUMBING PERMIT APPLICATION
Date of -2 -
Location of work (street address) \ 3i 1 S-12, co (� J
Contractor
Address of Contractor
Telephone number of Contractor
Name of Property Owner
Mailing address of Property Owner
ask \ rm8 r
Telephone number of Property Owner
(71 -7 c)) 1 C') - -7 c '7
Date work will be ready for inspection, if known
Estimated cost of construction
New Work
Replacement
Oil
Gas
Pe Tit Number
0av3
Electric
Hot Water Heater j J
Icemaker e tS Lawn Sprinkler System
Plumbing Fixture ,,'�
Residential House Sewer Connection to Main j
0 Sewer Cleanout '�
Sewer Stub J XV
Vacuum Breaker .
Water Meter
Water Service Line — New Residence
t_.) \ _sr._ c'-\<.t/
Water Service Line — Replacement c7 ' .y o
Water Softener 6c-'9 G9)9/ n (
Other ,) ,
Backflow Preventor
Disposal Unit
Domestic Water Connection to Main
Drain Roof or Area
Drainage or Vent Piping
Fire Protection Sprinkler System; Number of Heads/Nozzles
Grease / Oil Trap
K
Hose Bib