HomeMy Public PortalAbout06-0012 Hosti_1of2DATE ISSUED: 01 -6 -2006
WORK DESCRIPTION:
WORK LOCATION:
OWNER NAME
ADDRESS
CITY, ST, ZIP
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEE'S CHARGED
PROPERTY IDENTIFICATION #
PROJECT VALUATION
CITY OF TYBEE ISLAND
BUILDING PERMIT
CITY OF TYKE ISLAND
1.20 AM
its
RELOCATE ICE MACHINE; EXHAUST
1111 BUTLER AVENUE 5'00CR
MIKE HOSTI
1111 BUTLER AVE
TYBEE ISLAND GA 31328
MIKE HOSTI
1111 BUTLER AVE
TYBEE ISLAND GA 31328
P
$ 25.00
$ 500.00
ECK(S)
REC44 : 00089257 1/07/2006
IRAN: 3.0000 Building F rm
OPER: CC TERM: 003
REF , W 060012
TENDERED: 25.00 1 C;
APPLIED: 25.00-
CHANGE: 0.00
TOTAL BALANCE DUE: $ 25.00
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 -5737
www.cityoftybee.org
DATE ISSUED: 01 -6 -2006
WORK DESCRIPTION:
WORK LOCATION:
OWNER NAME
ADDRESS
CITY, ST, ZIP
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEE'S CHARGED
PROPERTY IDENTIFICATION #
PROJECT VALUATION
CITY OF TYBEE ISLAND
BUILDING PERMIT
RELOCATE ICE MACHINE; EXHAUST
1111 BUTLER AVENUE
MIKE HOSTI
1111 BUTLER AVE
TYBEE ISLAND GA 31328
MIKE HOSTI
1111 BUTLER AVE
TYBEE ISLAND GA 31328
P
$ 25.00
$ 500.00
PERMIT #: 060012
TOTAL BALANCE DUE: $ 25.00
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 -5737
www.cityoftybee.org
,Qz76
" . , ' " 1 . :
b ( o - o o ��Z
L o c a t i o n
T Y B E E I S L A N D , G E O R G I A
A P P L I C A T I O N F O R B U I L D I N G P E I M I T
" " , _ " % / . / " ; ? . 3 % , - 1 4 e / 9 0 .
- - " " " P I
N A M E
" A D D R E S S
O w n e r '
�� , j J �� `
% / /
& G t - - 1 ��'
- - - - - -
"
k , " 1 6 6
. A r c h i t e c t
o r n e a r
,
C / , ; v a - l 4 1 % i l . . \ , i 4 u r
3 s ` _ . z �� i
w i l d i n g
C o n t r a c t o r
���� ��-
( C h e c k a l l t h a t a p p l y )
Q' N e w C o n s t r u c t i o n
D u p l e x
& v . R e s i d e n t i a l
F o o t p r i n t C h a n g e
Q' O t h e r
Q' R e n o v a t i o n
Q'
S i n g l e F a m i l y
Q'` ` C o m m e r c i a l
" I D - R e P a i r s
L . - E s t i m a t e s c o s t o f C o n s t r u c t i o n : 5
C o n s t r u c t i o n T y p e
( 1 ? ) ��a r d F r a m e
( t e e l & M a s o n r y
/ P r o p o s e d U s e :
R e m a r k s :
Q' M i n o r A d d i t i o n
Q' S u b s t a n t i a l A d d i t i o n
Q' M u l t i - F a m i l y
Q' D e m o l i t i o n
( E n t e r A p p r o p r i a t e N u m b e r )
( 2 ) W c t p d & M a s o n r y ( 3 ) B r i c k V e n e e r ( 4 ) M a s o n r y
( 6 ) O t h e r ( P l e a s e S p e c i f y )
A T T A C H A C O P Y O F T H E C E R T I F I E D E L E V A T I O N S U R V E Y O F L O T S a n d c o m p l e t e
t h e f o l l o w i n g i n f o r m a t i o n b a s e d o n t h e c o n s t n i c t i o a d r a w i n g s a n d s i t e p l a n :
# U n i t s # B e d r o o m s
L o t A r e a _ L i v i n g S p a c e ( T o t a l S q F t
# O f f - s t r e e t P a r k i n g S p a c e s
T r e e s l o c a t e d & L i s t e d o S i t e H a l t
A c c e s s :
D r i v e w a y ( F t . ) W i t h C u b a r t ? �% W i t h S w a l e ?
S e t b a c k s : F r o n t R e a r S i d e s ( L )
B a t h r o o m s
( R )
0 S t o r i e s H e i g h t V e r t i c a l d i s t a n c e m e a s u r e d f r o m t h e a v e r a g e a d j a c e n t g r a d e o f t h e
b o n d i n g t o t h e e x t r e m e h i g h p o i n t o f t h e b u i l d i n g , e x c l u s i v e o f c b i m n e y s , h e a t i n g u n i t s ,
v e n t i l a t i o n d u c t s , a i r c o n d i t i o n i n g u n i t s , e l e v a t o r s a n d s i m l J r a p p u r t a n c e s .
D u r i n g C o n s t r u c t i o n :
O n - s i t e r e s t r o o m f a c i l i t i e s w i l l b e p r o v i d e d t h r o u g h
O n - s i t e w a s t e & d e b r i s c o n t a i n e r s w i l l b e p r o v i d e d b y _
' -° ' Construction debris will be disposed of by' at by means of/:
I understand that I must complywith zoning_ flood damage control. buildin shore
protection & 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 maybe necessary to restore drainage impaired by this
permitted coction.
Date:
GBattue of Applicant:
Note: A permit normally takes 7 to 10 days to process.
Ile following is to be completed by City Personnel:
•
Zoning Certification NFIP Flood Zone
Approved Rezoning/Variance? •
Street Address & Number: New Existing .
Is it in compliance with CityMap? . Ifnot, has street name and/or Nmnber
been reported to MPC? .
FEMA Certification Attached
State Energy Code Affidavit Attached
Utilities & Public Works:
Describe any unusual finding
Access to Building Site
Distance to Water Main Tap Site
Distance to Sewer Stub Site
Water Meter Size
Storm Drainage
Approvals: Signature
Zoning Administrator
Code Enforcement Ofc.
Water/Sewer
Storm/Drainage
Inspections
City Manager"
Date A!
S r tJ Fees:
Pmt 4 z • 0 c)
Inspections
Total G/F•A-Ls e
Water Tap
Sewer Stub
Aid to Const
Total W/S