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HomeMy Public PortalAbout11-0583 Cramer_1of4U.S. DEPARnsENT OF HOMELAND sEcunrre ELEVATION CERTIFICAI E Federal Emergency fAsnagemsnt Agency Nalionat Flood insurance Program knportant Read the kutructions on pages 1-9. SECTION A - PROPERTY INFORMATION Al. Owner's Name 14k R Pt ist■t": A2- BLS** "MIN *Adman (Ink udine Apt, unit. Suite, and/or eata. no or P.O. Rode and Ilex No. -r" abir-4 A- N 0 slab GEO fe. A3. Property Description (Lot and Block tharibers. Tax Parcel timber. Lgael Deaaipeon, etc.) S V \ e. -17 "A CI. t--P•11..) 0 OMB No. 1680-0008 Expinss March 31, 2012 Forkieutans. compiny • Polloylluarber •:- • . : • .• '.,cat.4010SIC.11.004er. ' " • Code is A4. Bulking Use (e.g.. Residential. !Addition. Accessory etc.)siV t•-) Ac-t- AS. LatitudelLongitudec LaL N 2- ° O. ' Lang. flt/ 13o° C$ .SV Horizontal Datum: El NAOMI (KAD1983 AS. Attach at Mast2 photographs of building nth° Cedllicate k being used to obtain Scrod insurance. A7. Suiting Marren Number AS. For a Ixdiding will a apace or enclosure( rr a) Square footage of amalspiece or enclosure(s) 1 9t1 tul b) No. of mammon Seed openings in tie arevkipace or andosure(s) withintO loot above adjacent wade e) Total net aces °flood openingainAkb / Co sq hi di Engineered load openings? [Yes 0 No A9. Fore bdiding with an attached garage: a) Square footage of attached garage 0 sq ft b) No at pennenent lood openings In the altacht garage wiedni.0 foot above adjacent grade c) Told net area ol flood openings in A9.b sq ln d) Eneineeredliood openirigs? 0 yes SECTION 13 FLOOD INSURANCE RATE MAP (FMIS) INFORMATION Bt. NFIP Cosnmimly Name & Community Number , [132. County Name Tv res- SL_A ,,rn 1 3s-, GI- 1 GI-4-Pz-ri,ffi-iv• B4. Map/Panel Number 135. Sulfa • BS. ARIA MOO 137. FIRM Panel bate EileceveiRevised Deem 1 3.0S-I G CO-2/4 F Flood Elevation !EIFE) data or base flood depth entered in nem 89. Determined 00ther (Describe) B10. Indicate the source des 0 RS Prone ML Flood 83 Stale SUM Geofe.61A 89. Base Flood Elevatio(s) (Zone AO. use bsse load doper) / Z . 0 RM B11. Indicate elevation dahan used for BFE inC=0 NGVD•192ii 134VD 1988 00ther (Describe) 312. is the building located In a Coastal Banks ResoUrces System (CSRS) area orOlirewlee Proteded Nee (OPA)? Designation Date cEIR DOPA CI Yes 914° SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building stevedore are based on 0 Construon Drawings 0 Building Under Construction* &finished Construction ''A new Elevation Carlikste will be required whenconskuction 011w building is zomplets C2. Bevanons — Zones Al-A30. AE. Alt A (with BFE), VE, V1-V30, V (wIlh BFE). AR, AR/A, AR/AE. AR/A1-A30. AR/AH, ARIAO. Complete kerns C2-841 below according to the building dieuram spediedln kern AT. Use Mesons datum as the BFE. Bendunark Utilized %.„ a e Pc 1... , Vertical in N. A-J i'. t 9 e (8 Conversion/Comments /V / Pr a) b) c) d) e) 9) h) Top of bottom Soo (Including basement, crarspece. or enclosure Roo) Top of the next higher Soo Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equionentiservidng *le bulldog (Describe type of equipment and location In nmen Lowest adjacent (hined) grade next to bul (LAG) Highest adjacent (Inished) grade next to buicino (HAG) Lowest adjacent grade at lamest eievaion of deck or stairs including Check the measurement used. I 6 O 8 maim (Puerto Pk* only) 1 8 . 0 meters (Puerto Rico only) "..fa .n_ii test El meters (Puerto Rico only) I 5", G talaZ 0 meters (Puerto Rico only) 0 restos (Puerto Rico only) 0 meters (Puerto Rico only) 0 meters (Puerto Rico only) Omelets (Puede Rids arty) structural SuPPolt • SECTION D - SURVEYOR, ENGINEER. OR ARCHITECT CERTIFICATION This cerificadon is to be signed and sealed by a land surveyor, engineer, or mated authorized by Wit° certify elevation Inionnalion. I certify that the information on this °Ocala represents erg beat efforts to interpret the dardevellebia. understand that any talus statement maybe Pt by One ar knmisonment under 18 U.S. Code, Section 1001. ETChedc hens if comments are provided on back 01,fonTL Were latitude and Inn eJection A_Lrovkied by a Seemed land surveyor? Mt Yes U No Cenirrees Name Ucense Number /882 V / E"./7" H e TIte o S evz 'y 014. C°111P" Name Vt./4 C P`p-CT E 17 9 A u ^Tan) Rawer er. r4 err 11 State 4 0- • ZIP C°Iie 3 11•05 See reverse side for continuation. Replaces all previous editions sIgnature 0 i■Pf•Jc- 1 Data I 6 —1 1 - 1 2-+T-- .- it.) c)Z.5-••1 3 23 FEMA.Fonri 81-31, !Mar 09 IMPORTANT: In these spaces, copy the carrSpondlft�g tnforrnat(on from Section A. huseIng street Adda ms Apt,. Unit. Sulte, arndiar Bldg. No.) or P.Q. Route and Box No- t t J © t- —s rant ' Cay T s/ : ;Lst_r >.� A z, Imo` For Insurance Company Use: Polley Number Company NAIL Number SIwt IloPi 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both aides of this Bevaaon Certificate for (1) can eaaity official, (2) insurance agentfcomPanY. and. (3) building owner. Comments R .8 - 7'tl s S 5 r• t c LT V 6/4.7'S r.r 6 r nr � � i Ft- •l-a f WoeA (suYa^lh— t/r.''' .i-i Signature U I` ..: 1 SECTION E -BUILDING ELEVATION Urt, 1- P1~�}i • b -.l — t C� tted cl�se if attachments (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A SLR EFE) For Zones AO and A (without BFE). gampiete fights E1-E5. troll Certificate Is intended to asipport a LOMA or LOMB F request. complete Sections A. B, and C. For Items El-E4, use rotund grade. if ava8abie. tOaeck the mean -. used. in Puerto Rico only, enter meters. El. Provide elevation information bran i*iatlg and check the loo a 10 show whether the elevation Is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). Qbelow the HAG. a) Tap of bottom loot (ractu*IO basement. cress bpeCa. ar .. - . % D eat Qtneters Qabove or h) Top of ',adorn floor (itdodirg basement; aawtsPers, • ) is Ofeet poetess Dabs or Qbelow the LAG. EL For Btrlkfitg Diagrams 8-e wilt Pemrenetttlood , .. .'_ . , Sa c dens 8 wpm. fl (seep s 5-0 of k»hsacions), the head higtie�r Soar (elevation C2.b it the diagram*) of the bt*bg Is _ II Lei U mettetta L j above or U below the HAG. E3. Attached garage (lop of stab) is Q f meters 0 above err 0 below ten HAG. E4. Top of platform of machinery aridlor equipment aervi3rg the building is _. Q feet 0 mates 0 above or 0 below the HAG. ES. Zone AO only: ff no flood depth number evattabla, is the lop tithe boil= four Meowed bt accordance with the community's foodplai+ management Whence? Q Yes 0 No 0 Unknown. The local ctadaI must cry lb Informmlon i" Section G. SECTION F - PROPERTY OWNER (OR OWNER'S RI IPRESB1TATNS) CERTIFICATION The properly owner or owners authorized representative who namab e& Sections A, B. end E for Zone A (without a FE MA- issued or consru*y- issued BFE) or Zone AO rust sign here. The statements in Sections A. Q and E era cared b thei best of my knowledge. Property Owners or Owners Aufhoriaed Representative's Name Address Stream Comments \P cp: State ZIP Code Telephone 0 Check hese it SECTION G - COMITY INFORMATION (OPTIONAL) The local ofcial who Is atelhortzed by taw or adman= administer** oommunil'Y tboo)lir management ordnance can complete Sections A. B. C (or E). end G of this Elevation Caril®le. Complete the eppicabia fiaea(s) and sign below Check the measurement *mad it Items Gat and GO. Gl. 0The infor malom le Secleitt Cams taken/ern Aare otter document: on that has beets signed and sealed M a ioentsed savayor;.engbelin . or arm who is aufxateed by lair le axnM[y elnserafan idoraweiett (indicels tare sotsea end daAeof trite davaeion data it the Comntetrts area below.) G2 Q A comxatntty *QcieI completed Sedan E fora barking located it Zone A (without 8 or oarums ity sated BFEj or Zone AO. G3. Q The fotloaihp information (stns G4439) is provided ter comtamlly toadpfab rrmnapememt Putnam*. S Pears! Number IGE. Dais Parrett issued T GO. Deis Cultic b OrComplanoetacomancr Issued GT. Tbis permit has been issued Tor. Q Nor Construcfion Co Q Subelened Improvement Caa Bevatho of es4xd lowest four (ihdudktg beseaierd) of the heeding ❑ teat 0 meters (PR) Gs FIFE or An Zone: AO) depth *flooding Mlle btiktng site Q teat 0 meters (PR) Gil. Commaanity's dtssigt► lood elavafice \ ---t Ar— Q feet Q meters (PR) Datum Dairen Datum Loral Molars Name Community Name Signature Tee Telephone Dale comments ❑ Check here ff offachwenI aM FA Form 81 -31, Mar OS 1 Renlares all previous edriinrrs Building Photographs See Instructions for Item A6. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No 11 JONES STREET For insurance Company Use: City TYBEE ISALAND State GA ZIP Code 31328 Policy Number Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. FRONT VIEW 10 -11 -12 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION O.M.B. No. 3067 -0077 Expires July 31, 2002 For Insurance Company Use: - BUIL ING OWNER'S NAME / Cen>STRtsG'tsors 1r'rG. BUILDING STREET ADDRESS Including Apt, Unit, Suite, and/or Bldg. Nol OR P.O. ROUTE AND BOX NO. CITY t 4 a l+`E' S �� Q STATE C, �6 (2.4. PROPcRTY DESCRIP� ION (Lot and Block Numbers. Tax Parcel Nurnbe.L. Legal Description, etc.) o'T l \/ti/ Pr-n.. t> t 1 ■t —"E" ('s—r.: BUILD N USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use Comments section if necessary.) LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: U GPS (Type): ( Mir - ##' - ##.##' or ##.## #W#') U NAD 1927 NAD 1983 Policy Number Company_NAIC Number, ZIP CODE U USGS Quad Map l_l Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1NFIP COMMUNITY NAME & COMMUNITY NUMBER I t (3 ISL.t i o 1 35-143 4 B2. COUNTY NAME G ii -PS'i 1.3fjN\ B3. STATE GEsa.G s a 84. MAP AND PANEL NUMBER l3St64 —peat B5. SUFFIX C. B6. FIRM INDEX DATE (0 — fl 137. FIRM PANEL EFFECTIVE/REVISED DATE 6 -)Z -$c. B8. FLOOD ZONES) B9. BASE FLOOD ELEVATION(S) (Zone AO, use depth of flooding) 13.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. IJ FIS Profile LierFIRM I I Community Determined I I Other (Describe): 811. Indicate the elevation datum used for the BFE in B9: I t4lJGVD 1929 I I NAVD 1988 I I Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? I I Yes I Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: I IConstruction Drawings* 1_IBuilding Under Construction* I�IFinished Construction *A new Elevation Certificate will be required when construction of the building is complete. (Relert the Willing diagram most similar to the building for which this certificate is being completed - see ■is the building, provide a sketch or photograph.) , VE, V1 -V30, V (with BFE). AR, ARIA, AR/AE, AR /A1 -A30, AR /AH, AR /AO ling diagram specified in Item C2. State the datum used. If the datum is different from the datum to that used for the BFE. Show field measurements and datum conversion cents area of Section D or Section G, as appropriate, to document the datum conversion. C2. Building Diagram Number cAN. UR•.� Co r r e- c -`-e -a • 2- t3-114, Tc4C �- >D 5- r c - � . C ✓ 2 ,(3/►cf nrlpr Does the elevation reference mark used appear on the FIRM? nclosure) . °a ft.(rw) ft.(m) er (V zones only) /°I ft.(m) a -ft.(m) nerd 10.�3ft.(.I 9 . ft.(m) 10 • g: ft•(m) 'tin 1 ft. above adjacent grade T- ents) in C3h °l 4)P sq. in. (silts) IJ Yes I ✓rNo J EYOR, ENGINEER, OR ARCHITECT CERTIFICATION surveyor, engineer, or architect authorized by law to certify elevation information. n this certificate represents my best efforts to interpret the data available. r unaersrana mar any raise statement may De pumsnable by fine or imprisonment under 18 U.S. Code, Section 1001. LICENSE NUMBER Q Z CERTIFIER'S NAME � t V I t. C t= r. t C-1 g L-1•"%--"T Ltsr*O SvR'.lE 1 t � °') L3 ov te. T v t� f, e fs.a SIGNATURE , q��� , • - - FEMA Form 81 -31, AUG 99 TITLE ADDRESS COMPANY NAME '1.'. P1 a CITY SAVA� N +t'kik DATE SEE RSE SIDE FOR CONTINUATION STATE ZIP CODE TELEPHONE (°)rz) °ft —357.3 REPLACES ALL PREVIOUS EDITIONS 3NAOS' IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance . Company Use: BUILDING STREET ADDRESS Including Apt, Unit, Suite, and/or Bldg_ No.) OR P.O. ROUTE AND BOX NO. Policy Number' I Jet.rE5 SiRETE+ CITY_ Q L �C� STATE ZIP CODE Company -NAIL Number 1 G Q2G1A 313Za ._. ..- SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS Pry,- C 3 (6') tS -me EL-Fve, ,.-1 Q, t= tat Corot 'l e r-t v M PtIo —I Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information fora LOMA orLOMR -F, Section C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately re nts the building, provide a sketch or photograph.) E2. The top of the bottom floor (including base nor n ure) of the building is I I I ft.(m) I I Iin.(cm) I I above or I I below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (lee JSarye 7), The next higher floor or elevated floor (elevation b) of the building is I I ft.(m) I lin.(cm) above the highest adjacent grade. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? I.-,1 Yes Li No LJ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA - issued or community- issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS i Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. I I The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. LI A community official completed Section E for a building located in Zone A (without a FEMA - issued or community- issued BFE) or Zone AO. G3. LJ The following information (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPUANCEIOCCUPANCY ISSUED G7. This permit has been issued for L New Construction LI Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: ft.(m) Datum: ft.(m) Datum: LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE TITLE TELEPHONE DATE COMMENTS I I Check here if attachments City of Tybee Island • Planning & Zoning Dept. Inspection Report 72:3 403 Butler Ave. • P.O. Box 2749 Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 Date Requested Permit No. Owner's Name ! Date Needed Gen. Contractor Subcontractor Contact Information Project Address Scope of Work Date of Inspection Inspector Pass El Fail � Fee Inspection Inspection Inspection Inspection Pass ❑ Fail ❑ Fee (15.■-•. Pass El Fail El Fee QPS�, Pass 11 Fail n Fee P City of : , wee Island • Community Develop.__ nt Dept. Inspection Report 403 Butler Ave. • P.Q. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 Permit No. I / • f,JS J Date Requested "Z /( Owner's Name �� 4iyir G. ate Needed 274/1- t asiak ■.dad meow INTERNATIONAL CODECOONC?: MEMBER Gen. Contractor )f k". l� Js a f Subcontractor Contact Information Project Address Scope of Work Inspector " -7/ Inspection / j�/4-ll`, <� Date of Inspection Pass 2. Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass LI Fail El Fee Inspection Pass ❑ Fail ❑ Fee Permit No. City of Jee Island • Community DeveloN.,.ent Dept. Inspection Report 403 Butler Ave. • P.Q. Box 2749 Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 INTERNATi0NAL CODE COUNCIL MEMBER Date Requested Owner's Name `,. f-i '— Date Needed / � / Gen. Contractor / L% - -_),) -- -- f.:J Subcontractor Contact Information Jig i` /." JIL -1.5.:, Project Address Scope of Work ?,�, I) Inspector ! / Date of Inspection Inspection �' 1 Pass CJJ. Fail Fee Inspection ;' / Pass Inspection Pass Fai Fee 1i' Li ..5 Fee Inspection Pass ❑ Fail ❑ Fee Permit No. Owner's Name Gen. Contractor City of 403 Butler Phone -lee Island • Community Develop, tnt Dept. Inspection Report Ave. - P.O. Box 2749 • Tybee Island, GA 31328 912.786.4573 ext. 114 • Fax 912.786.9539 Contact Information Project Address 7/ Scope of Work Inspector mano RITERNATIONAL CODE CONCH: MEMBER Date Requested Date Needed Subcontractor Inspection 11 Date of Inspection s/, r) - Inspection •,> Inspection Inspection )7L Pass 1 Fail El Fee Pass Ej Fail 1 IA= - , , 7 — Pass Fail ri 1-1 ,,; _ • ) - , Pass Fail Fee'-' 5.),--;; r - ', •,J /7.:(14 Citm Jcji. • / City of Tyuee Island • Community Development 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. q LJ 5-? 3 Date Requested I 2 y 2 Owner's Name Cro rr\sY Date Needed 2 - t 3 - 1 1 Gen. Contractor, . 0-0 n 5`• Subcontractor 0 D , e n n sF REM* INTERNATIONAL CODE COUNCIL MEMBER preiert-A-dmtss.s. Larr C -nnt -C-C LDS-co-33(0(o sue- 1 ( 1J 0 rte._ .s Ave. Inspector in Date of Inspection f �-T ,`� Inspection (~ O J C k J M 6'./1 Pass E Fail 0 Fee Inspection Pass EJ Fail Fee Inspection Pass ID Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee In City of Tyoee Island • Community Developnmnt Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 In Inrwll INTERNATIONAL CODE COUNCIC MEMBER Permit No. - 3 5-3 3 Date Requested 11 -1 - 1 i Owner's Name 0 r a-. Date Needed Gen. Contractor V, f, C 0 A S Subcontractor Contact Information 4 12 " 3 3 33 Project Address 1 I To ni2 S Ave- Scope of Work Q dd l4. a ►n o S P Inspector 1 7 Date of Inspection •�. ' Inspection � t Q't'� P Pass Fail D Fee Qt,s s Inspection Pass ❑ Fail ❑ Fee Inspection Pass U Fail ID Fee Inspection Pass ❑ Fail ❑ Fee CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 10 -25 -2011 PERMIT #: 110583 WORK DESCRIPTION WORK LOCATION ADDITION TO SF 11 JONES AVE OWNER NAME JEFFERY CRAMER ADDRESS 11 JONES AVE CITY, ST, ZIP TYBEE ISLAND GA 31328 PHONE NUMBER CONTRACTOR NAME DIVERSIFIED CONSTRUCTION ADDRESS PO BOX 1397 CITY STATE ZIP TYBEE ISLAND GA 31328 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE TOTAL FEES CHARGED PROPERTY IDENTIFICATION # 478 P $ 444.00 PROJECT VALUATION $20,000.00 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: P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 wr ww.cityoftybee.org CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT I I -053 Location: 1.1 30 v, e 5 AvetAtA_ NA1v1E ADDRESS PIN# LL-0003-14-003 TELEPHONE Owner JecC C ,Ca C. i u1 Jo1.,►.es Aveu.te Ty Pc e, 1 S I c(I c l I Jo .-ms lAevt -i 78(2 7Ry5 Architect or Engineer JeF F Craw►-e r Building Contractor l I JoKes IAv -evo.t e (Check all that apply) Repair Renovation Li Minor Addition Substantial Addition Other I I I Fl Residential Single Family n Duplex n Multi- Family Commercial Fl Footprint Changes ri Discovery n Demolition Details of Project: 04/713 4 vV11,t 6141 • ,1 dvv rot oF- .7-i_ ",rbtA.J , 1 i-cults r e \O c (( or Estimated Cost of Construction: $ 0 2.0 i 00 0 Construction Type I (Enter appropriate number) (1) Wood Frame (4) Masonry (6) Other (please specify) (2) Wood & Masonry (5) Steel & Masonry (3) Brick Veneer Proposed use: Remarks: ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following information based on the construction drawings and site plan: # Units I Lot Area # Off - street parking spaces 3 Trees located & listed on site plan Access: Driveway (ft.) Setbacks: Front 2 D # Bedrooms .3 Living space (to # Bathrooms Z 41 With c. lvert? Rear f 4 � E y.) With swale? Sides (L) 10/jy(R) # Stories Z Height 31(-- .6" 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. During construction: - On -site restroom facilities will be provided through 'L\i�J1-17"UIJI V - s1 On -site waste and debris containers will be provided by Construction debris will be disposed by �e�wig: by means of C c-71C1) 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 I 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. Date: l 2 ^ 2-7 - Cirj.Z Signature of Applicant: 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 AEI Z Approved rezoning /variance? Street address and number: New Existing Is it in compliance with City map? If not, has street name and /or number been reported to MPC? 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: Zoning Administrator Code Enforcement Officer Water /Sewer Storm/Drainage Inspections City Manager Signature Date FEES Permit Inspections Water Tap Sewer Stub Aid to Const. diri TOTAL L+44 X00 2 3? June 30, 201.0 The following deficiencies have reached an unacceptable level on the projects in the City of Tybce Island. While the deficiencies are not necessarily the fault of the Owner or his agent, they are their responsibilities. The two areas of deficiencies are in the two most basic and common BMPs on local projects. They are: Co - Construction Exit Sdl - Sediment Barrier Correct installation information can be found not only in the "Green Book" but in the Field Manual for Erosion and Sediment Control in Georgia, Fourth Edition 2002, 4310 Lexington Road, P.O. Box 8024, Athens, GA 30603, telephone 706.542.3065, www.gaswcc.org, Georgia Soil and Water Conservation Commission; http: / /www.gaswcc.org /does/ field manual 4ed.pdf. Problems with the Co is not limited to the installation, but to the material. Specifically, the job site personnel are telling me the stone delivered is the 1.5" -3.5" stone they requested. I have experienced on my own projects suppliers not adhering to the specs they are given with the orders. While I regret this situation, I will no longer be accepting any deviation from the State requirements. The stone will be a representation of 1.5" -3.5" stone or larger. Gradations that are obviously smaller will no longer be tolerated. The smaller stone allows for a smoother surface with smaller voids, thereby reducing the function of the construction exit. Similarly, I am finding Type A sediment barriers installed where Type C is required and shown on the permit drawings. I have attempted to work with the Owners through increased inspections, additional backup BMPs, etc. This has evidently become common knowledge based on the installations I am finding. 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. There has been no discharge into state waters due to previous occasional deficiencies. However, the increased frequency has created unnecessary exposure to: 1) Sediment discharge into nearby waters of the State, 2) Increased maintenance efforts by the DPW on downstream lines. 3) Due to #2, higher cost to island taxpayers. I will be adhering strictly to the manual on all BMPs and not just these two. Downer Davis City of Tybee Island Consulting Engineer Signature of Owner /Contractor LEAD -BASED PAINT Adapted from http: / /www.epa.gov /lead /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 these 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 facilities 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. • Learn 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 that you followed lea safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA h. developed to help contractors comply with the renovation recordkeeping requirements that took effect April 2010. • 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 Painting. Information for Homeowners Working 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 prole( 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 al planning to do painting or repairs, please read a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child Ca Providers, and Schools lead hazard information pamphlet. You may also want to call the National Lead Information Center at 1- 800 -42 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 Facilities 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 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 tenan sign a pre- renovation disclosure form, which indicates that the tenant received the Renovate Right lead hazard informatic pamphlet. • Beginning in December 2008, the contractor must also make renovation information available to the parents or guardians children under age six that attend child care facilities and schools, and to provide to owners and administrators of pre -1978 chi care facilities and schools to be renovated a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Chi 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 crea dust that contains lead. By following the lead -safe work practices, you can prevent lead hazards. Contractors who perform renovatio repairs, and painting jobs in pre -1978 housing and child- occupied facilities must, before beginning work, provide owners, tenants, and chil care facilities with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for Families, Chi Care Providers, and Schools. Contractors must document, compliance with this requirement. EPA's pre- renovation disclosure form may I used for this purpose. Understand that after April 22, 2010, federal law will require you to be certified and to use lead -safe work practice To become certified, renovation contractors must submit an application and fee payment to EPA. See: Application for firm certification. TI 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 afo: • Take training to learn how to perform lead -safe work practices. • Find a traininq provider that has been accredited by EPA to provide training for renovators under EPA's Renovatio Repair, and Painting (RRP) Program. Please note that if you previously completed an eligible renovation training tour you may take the 4 -hour refresher course instead of the 8 -hour initial course from an accredited training provider 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 client 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 client 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 lea, safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeepinq checklist that EPA hi 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 use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. IF YOU'RE NOT LEAD SAFE CERTIFIED, .DISTURBING JUST SIX SQUARE FEET COULD COST YOU -BIG TIME ;Signatur Printed Name Permit Acknowledgement of Asbestos /Environmental Notification to Georgia EPD for Pro'ects 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 Deirudition" 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. .L(04))CA1 Undersigned Printed Name /2 -27-/0 Date Office Use Only: Project Address: Permit Number: REQUIRED FOR: Building Permits Relocation Permits Sign Permits Demolition Permits Land Clearing, Disturbance or Excavation Permits Tree Removal Permits Relocation Permits Special Review Permits Site Plan Approval Subdivision of Land Sketch Plan Approval Preliminary Plan Approval Final Plat Approval Minor Subdivision Plat Approval Major Subdivision Plat Approval In addition to specific requirements for the above permits and approvals, applicants must demonstrate that they are in compliance with the City of Tybee Island Storm Water Management requirements as outlined in Chapter 5 -4, Code of Ordinances. Section 5 -4 -9 Prohibition provides, in part, as follows: (4.) It is unlawful for any person to cause or permit any storm water to flow from their property onto the property of another person, unless such storm water naturally flowed thereon prior to any development activity. (5.) It is unlawful for any person to interrupt the flow of any storm water runoff from adjacent property onto their property by any development activity. As part of the City's approval process applicants must illustrate how these storm water management prohibitions will be met, including a showing of how storm water naturally flowed on the affected property (prior to any development activity), and what changes in storm water flow have occurred or are expected to occur, as attachments to this form. The City's approval or permit does not guarantee that the applicant's plans will result in meeting requirements. The final product must actually meet the City Ordinance requirements. Applicant name: Project I.D.: Attachments approved by: Date: 2010 Chatham County Board of Assessors Property Record Card Page 1 of 1 Requested By: READONLY 6/28/2010 4 -0003 -14 -003 11 JONES AVE TYBEE ISLAND APPRAISER jlmarine LAST INSP 05/23/2007 APPR ZONE 000008 I LOT 98 WARD 1 TYBEE ISLAND SAVAN NAH CRAMER JEFFREY A CAMA ASMT I BEACH P O BOX 8991 263,300 263,300 LAND 1 I SAVANNAH, GA 31412 -8891 45,300 45,300 BLDG 1 17,000 17,000 OBXF 3 325,600 325,600 Cost - MS SALES BOOK /PAGE INS VI OU RSN PRICE �1 0 M..`"C 10 O Z V I S S O 0 1+ a a• r e C T CODES - PROPERTY USE 0006 Residential UTA 0004 Tybee Island NBHD 020270.00 T270 Tybee Screven EXEMPTIONS 0/26/2005 296W 240 QC I U UR GRANTEE CRAMER JEFFREY A, 3/3/2005 284C 0399 WD I U OF 380,000 GRANTOR: WHITTEN THRESA K, GRANTEE: DIVERSIFIED CONSTRUCTION, 2/11/2000 217X 0139 QC I U UN - GRANTOR: WHITTEN RAY A, GRANTEE: WHITTEN THRESA K, PERMITS TYPE DATE AMOUNT HISTORY LAND IMPR TOTAL 2010 263,300 62,300 325,600 Cama 2009 263,500 112,500 376,000 Over 2008 263,500 112,500 376,000 Cama 2007 263,500 118,000 381,500 Cama 2006 259,000 87,500 346,500 Cama COMMENTS 12/18/2008 TY09 WA CHGD PER PO CARD 12/18/08 JS 8/10/2005 TY06 HS10S REMVD NJV 8 -10 -2005 NOTES BUILDING SECTION 84606 -1 CONSTRUCTION TYPE RCN AYB EYB DEP TYPE PHYS ECON FUNC OBSV / % TOTAL DEP % RCNLD U.FACTOR MKT VAL Residential 77,551 1984 1985 MS 27.00 0.00 0.00 0.00 27.00 56,612 45,300 SECTION TYPE 1 - Main AREA 1,092 TYPE 1 - Single- family Residence FRAME 1 - Stud Frame STYLE 1 - One Story 100.00% QUALITY 3.00 CONDITION 3.00 # UNITS 0 #OF BEDS /BATHS 2 / 1.00 28 ' 1d ' 2 • 6' • SWT 6 ' Solid �% II Porch • 060 3 ' Rase living Area 15 ' 812 10 ' 18 ' 1 1 ' 10' 10'30, • SWP • (T7 lid Wall Poreh Carport lase living Area II r4,,i1 Area COMPONENTS UNITS % QUAL R1 108 Frame, Siding, Wood - 100.00 R2 208 Composition Shingle - 100.00 R3 352 Heat Pump - 100.00 R4 402 Automatic Floor Cover Allowanl - - R6 601 Plumbing Fixtures ( #) 5.00 - R6 602 Plumbing Rough -ins ( #) 1.00 - R6 622 Raised Subfloor (% or SF) - 100.00 11g NO Woonleas 11 434 31' EXTRA FEATURES ID# BLDG # SYSTEM DESC DIM 1 DIM 2 UNITS OL UNIT PRICE RCN AYB EYB DT ECON FUNC SP SP% RCNLD MKT VALUE 136960 84606 WOOD DECK AV 0 0 434.00 A 7.98 3,463 1985 1985 2R 693 700 WOOD DECK 136961 84606 AV CPT FLAT /SHED RF 0 0 180.00 A 8.43 1,517 1985 1985 IR 1,107 1,100 136962 84606 Solid Wall /Slab AV 0 0 912.00 A 22.87 20,857 1985 1985 IR 15,226 15,200 LAND ID# USE DESC FRONT DEPTH UNITS /TYPE PRICE ZONING SIZE LCTN TOPO OTHER ADJ1 ADJ2 ADJ3 ADJ4 MKT VALUE 108816 SINGLE FAMILY RES 0 0 6,600.000 SF 42.00 R1B 1.00 263,300 1/4/2011 Chatham County : Property Record Cards ci_pczr X ... chathamcounty.org /PropertyRecordCa... 2/2