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City of Tynee 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. I - V 4 14
Date Requested J 19
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INTERNATIONAL
CODE COUNCIL
MEMBER
Owner's Name n Ca Ives Date Needed t:,) '-2 2.- 1 I
Subcontractor J
Contact Information a f
Project Address 1' , 2 2,:. 0 e, tN k LoiS I 0 3 Jo ,- 5 Ave_.
Gen. Contractor
(o Si - O 4-4 o 3
Scope of Work ; I v ,V• 1 /^• & C' ✓� o �^ `ja , o ✓� I r1 eJ
Inspector j�% l Date of Inspection 77
Inspection -\, f\
k i I r\ Pass Q Fail
41 AT/247 /JO . 9 j J ZZC:
— N J 4,_, ---5-7,11 ) 4. (9 C / i-' 1�-- �._". 7 , -6
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Inspection Pass Fail (-"j Fee
- (., )} %t) J" 1 -r`-r. 7J4.J( - - •-7,7._.
Inspection Pass LI Fail LI Fee
Inspection Pass ❑ Fail ❑ Fee
DATE ISSUED: 08 -19 -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
PLMBNG - CONSENSATION LINE
103 JONES AVE
PIZZA ON WHEELS
114 RIVERVIEW RD
SAVANNAH GA 31410
912 - 786 -5870
TYBEE ISLAND PLUMBING
PO BOX 21
TYBEE ISLAND GA 31328
P
$ 50.00
$ 375.00
PERMIT #: 110474
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
CITY OF TYBEE ISLAND
BUILDING & ZONING DEPARTMENT
P.O. Box 2749
Tybee Island, GA 31328
Phone (912) 786 -4573 • Fax (912) 786 -9539
PLUMBING PERMIT APPLICATION
Date
Location of work (street address)
Contractor
Address of Contractor
/03 o u jjt_
722at a..
Telephone number of Contractor //2 - c'o't - 71Q2_ , g4A DO C
Name of Property Owner Vi—k/% ,z3 y' i7 -.S Ei 7o
Mailing address of Property Owner // / // (/ /rP(V /l ,?6 - -
Telephone number of Property Owner 4?7_ '9g — �_ %,
Date work will be ready for inspection, if known
Estimated cost of construction 375_
New Work /Replacement
Oil
Gas
Permit Number
1 I- 0--114
Electric
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
Hose Bib
Hot Water Heater
.<
Icemaker
Lawn Sprinkler System
'Plumbing Fixture
Residential House Sewer Connection to Main
Sewer Cleanout
Sewer Stub
Vacuum Breaker
Water Meter
Water Service Line — New Residence
Water Service Line — Replacement
Water Softener ll
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Other -d7470 JOG / l'',) iz i:.f44 Keo1
at
fr /CA.yt,4x'ei.
TYBEE ISLAND PLUMBING, LLC
P.O. Box 21
TYBEE ISLAND, GA 31328
�o o Wo :x ooh
15742
• - - -• - --
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DATE OF ORDER
2.- /-7-- /(
CUSTOMERS ORDER NO.
PHONE
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Xr
�HANIIC
MEC C
HELPER
STARTING DATE ///
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BIL
ORDER TAKEN BY
ADDRESS
TAX
❑ DAY WORK
❑ CONTRACT
❑ EXTRA
CITY / _
1") /I n 7:' ,/
(J
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JOB NA E , D LOCATION
G 1-5-t- 3511._ \-
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JOB PHONE
/o
DESCRIPTION OF WORK:
e ‘ h i g e G a /10 ! , V 16 k ; e�/42 - %mss
1201? t
�t !/pc k.�:�f pcuy 710 L rtA) , 4 ;two,
�lCl�nlv �� -S 6ti ' .
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i?4-
otay &ti er, n ( ,-54.aJ .ei/N4.1
Signature
I hereby acknowledge satisfactory p
❑ No one home Total amount due ❑ Total b'lling to
for above work: or be mailed after
completion
wled a t a satisfacto com completion
of the above described work.
of work
TOTAL MATERIALS
DUE UPON RECEIPT
TOTAL LABOR
10 Days Aftcr t:t,'
Late Fee 520.00
Plus ? %. Per Month
TAX
DATE COMPLETED
/
WORK ORDERED BY
///
TO AMOUNT
$ /75
/o
Signature
I hereby acknowledge satisfactory p
❑ No one home Total amount due ❑ Total b'lling to
for above work: or be mailed after
completion
wled a t a satisfacto com completion
of the above described work.
of work