HomeMy Public PortalAbout06-0035 Reeve_1of3CITY OF TYBEE ISLAND
CERTIFICATE OF OCCUPANCY
DATE COMPLETED: 05/16/08
This Certificate issued pursuant to the requirements of the Standard Building Code
Certifying that at the time of issuance this structure was in compliance with the various
ordinances of the Jurisdiction regulating building construction or use.
PERMIT #: 060035
PROPOSED USE: CONVERT ATTIC TO BDROOM /BATH
OCCUPANCY TYPE: P
CONTACT NAME HOWARD REEVE
CONTACT ADDRESS P.O. BOX 15844
CONTACT CITY STATE ZIP SAVANNAH GA 31416
PROPERTY ADDRESS 3 TENTH PL
APPROVED BY: -
P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -5737
www.cityoftybee.org
Dianne Otto
From: Dianne Otto
Sent: Tuesday, June 12, 2007 1:03 PM
To: Howard Reeve
Subject: FW: Friday 6 -8 -07 Inspections
Howard:
Please read the comments below from the site visits that Downer Davis and Joe Wilson made on Friday, June 8.
Dianne K. Otto
Administrative Assistant
Building & Zoning
dotto @cityoftybee.org
Phone: (912) 786 -4573 ext. 114
Fax: (912) 786 -9539
Original Message
From: davisenginc @bellsouth.net [mailto:davisenginc @bellsouth.net]
Sent: Monday, June 11, 2007 8:56 AM
To: Dianne Otto; Joe Wilson
Subject: Friday 6 -8 -07 Inspections
The questions are for the Developers, GCs and Owners.
The following is a brief summary of projects visited and /or discussed with Joe Wilson on Friday afternoon:
Soda Rock Lane t- 0t-r2.
Outfall past the 2nd house is holding water.
Outfall between the two houses is satisfactory. Temporary filter rolls can be removed.
3 &4 Neptune Lane C S" oS2 0 0 Lo o4 ( a
Following receipt of Engineer's letter and asbuilts of detention /retention basins, we
can schedule a final inspection.
3 10th Place 0 (D - 0 035"
Following receipt of Engineer's letter and asbuilts of detention /retention basins, we
can schedule a final inspection.
MAYOR
Jason Buelterman
CITY COUNCIL
Shirley Sessions, Mayor Pro Tern
Eddie Crone
Wanda Doyle
Mallory Pearce
Kathryn Williams
Paul Wolff
May 30, 2007
Mr. Howard Reeve
Fidelity Construction, Inc.
P.O. Box 15844
Savannah, GA 31416
CITY OF TYBEE ISLAND
RE: Building Permit #06 -0035 / 3 Tenth P1.
Dear Mr. Reeve:
CITY MANAGER
Diane Schleicher
CITY CLERK
Vivian Woods
CITY ATTORNEY
Edward M. Hughes
It has come to the City's attention that the Temporary Certificate of Occupancy for the above referenced property has
expired.
It is imperative that the residence be code compliant and that all issues be resolved with the builder and the City so
that a final Certificate of Occupancy can be issued by the City. Failure to address this situation immediately could
result in the revocation of the temporary electrical release that was issued in anticipation of this project being
completed within the Temporary Certificate of Occupancy timeframe.
To get the process back on track, the City is going to re -issue a new Temporary Certificate of Occupancy with a 30-
day expiration date, so that you will be compliant for the next 30 days while you work with the Zoning Department to
complete what needs to be done to receive a final Certificate of Occupancy.
The goal will be to resolve any outstanding issues before this new Temporary Certificate of Occupancy expiries to
avoid having the power to the residence disconnected or citations to the builder and/or property owner being issued
depending on the type of code violation associated with the property.
Sincerely yours,
Diane D. Schleicher
City Manager
Attachment
cc: file
P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328 -2749
(866) 786 -4573 — FAX (866) 786 -5737
www.cityoftybee.org
CITY OF TYBEE ISLAND
CERTIFICATE OF OCCUPANCY
30 -DAY TEMPORARY
DATE COMPLETED: 05/30/07
This Certificate issued pursuant to the requirements of the Sta g Code
Certifying that at the time of issuance this structure was in comph ' 't various
ordinances of the Jurisdiction regulating building co
PERMIT #:
PROPOSED USE:
OCCUPANCY TYPE:
CONTACT NAME
CONTACT STRE
CONTAC
060035
R
SS
SA GA 31416
TENTH PL
APPRO
P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -5737
www.cityoftybee.org
Page 1 of 1
Dianne Otto
From: Dianne Otto
Sent: Wednesday, May 23, 2007 12:03 PM
To: lahbos@bellsouth.net
Subject: FW: certification letters
Bos:
See below. I still need both of these.
Thanks,
Dianne K. Otto
Administrative Assistant
Building & Zoning
dotto @cityoftybee.org
Phone: (912) 786 -4573 ext. 114
Fax: (912) 786 -9539
Original Message
From: Dianne Otto
Sent: Tuesday, April 10, 2007 9:12 AM
To: lahbos@ bel lsouth .net
Subject: certification letters
Bos:
Howard Reeve called me and asked that I email you to request certification letters for .. .
... 3 Tenth Place
... 3 Neptune Lane
Thanks,
Dianne K. Otto
Administrative Assistant
Building & Zoning
dotto @cityoftybee.org
Phone: (912) 786 -4573 ext. 114
Fax: (912) 786 -9539
05/23/2007
Dianne Otto
From: Dianne Otto
Sent: Tuesday, April 10, 2007 9:12 AM
To: lahbos @bellsouth.net
Subject: certification letters
Bos:
Howard Reeve called me and asked that I email you to request certification l e t t e r s for .. .
Thanks,
... 3 Tenth Place
Ob -oo 3S
... 3 Neptune Lane p S- O 52 O
Dianne K. Otto
Administrative Assistant
Building & Zoning
dotto @cityoftybee.org
Phone: (912) 786 -4573 ext. 114
Fax: (912) 786 -9539
04/10/2007
Page 1 of 1
May 02 07 02:53p Howard Reeve
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Rood Insurance Program
912 598 7302
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -8.
p.2
OMB No. 1660 -0008
Expires February 28. 2009
SECTION A - PROPERTY INFORMATION
For Insurance Company Use:
Al. Building Owner's Name Howard Reeve
Policy Number
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
3 Tenth Place
Company NAIC Number
City Tybee Island, State GA ZIP Code 31328
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot "B" of a subdivision of the eastern 225 feet of lot 65, ward no. 4
A4, Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) residential
A5. Latitude /Longitude: Let. N 31 deg 59.972o min Long_ W 80 deq 50.686 min
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood in
A7. Building Diagram Number 6
A8. For a building with a crawl space or enclosure(s), provide A9, For
a) Square footage of crawl space or enclosure(s) 490 sq ft a)
b) No. of permanent flood openings in the crawl space or b)
enclosure(s) walls within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b sq in e)
Horizontal Datum: ❑ NAD 1927 El NAD 1963
surance.
a building with an attached garage, provide:
Square footage of attached garage sq ft
No. of permanent flood openings in the attached garage
walls within 1.0 foot above adjacent grade
Total net area of flood openings in A9.b
sq
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81_ NFIP Community Name & Community Number
Tybee Island 135164
B2. County Name
Chatham
B3. State
GA
B4. Map /Panel Number t B5. Suffix
135164 0002 C
B6. FIRM Index
Date
6/17/86
87. FIRM Panel
Effective /Revised Date
6/17/86
88. Flood
Zone(s)
AS
B9. Base Flood Elevation(s) (Zone
AO, use base flood depth)
14
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe)
811. Indicate elevation datum used for BFE in item 89: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation Date ❑ CBRS ❑ OPA
❑Yes No
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: 0 Construction Drawings* ❑ Building Under Construction*
new Elevation Certificate will be required when construction of the building is complete_
C2_ Elevations - Zones A1-A30, AE, AN, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR /A1 -A30, AR /Aft, AR /AO. Complete Items C2.a -g
below according to the building diagram specified in Item A7.
Benchmark Utilized local Vertical Datum NGVD 1929
Conversion /Comments
® Finished Construction
a) Top of bottom floor (including basement, crawl space, or enclosure floor).
b) Top of the next higher floor
c) Bottom of the lowest horizontal structural member (V Zones only)
d) Attached garage (lop of slab)
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment in Comments)
f) Lowest adjacent (finished) grade (LAG)
g) Highest adjacent (finished) grade (HAG)
Check the measurement used.
11.7 ® feet ❑ meters (Puerto Rico only)
20.6 IS1 feet ❑ meters (Puerto Rico only)
n /a. fgl feet ❑ meters (Puerto Rico only)
9.7 23 feet ❑ meters (Puerto Rico only)
16.4 21 feet ❑ meters (Puerto Rico only)
9.0 El feet ❑ meters (Puerto Rico only)
9.5 ® feet Q meters (Puerto Rico only)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. t certify that the information on this Certificate represents my best efforts to interpret the data available.
I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
lei Check here if comments are provided on back of form.
Certifier's Name J. Whitley Reynolds
License Number 2249
Title Land Surveyor
Company Name J. Whitley Reynolds, Land Surveying
Address 636 St
Signature
on Ave., Su
City Savannah, State GA ZIP Code 31405
Date 4112/07
Telephone 912- 352 -0464
MAY-02-2007 17:19 912 598 7302
4��
May 02 07 02:53p Howard Reeve
912 598 7302 p.3
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
3 Tenth Place I
City Tybee Island, State GA ZIP Code 31328
Company NAIC Number
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 t C2.e) = NC pad
2, Garage is not enclosed
3. C2.a) is three : • age area
Signa
et) with multiple vents greater than 1 foot above adjacent grade
Date 4/12/07
❑ Check here if attachments
SE ' ON E - B .ILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B,
and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawl space, or enclosure) is _ ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. For Building Diagrams 6 -8 with permanent flood openings provided in Section A Items 8 and /or 9 (see page 8 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or 0 below the HAG.
E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is 0 feet ❑ meters ❑ above or 0 below the HAG.
E5. 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? ❑ Yes ❑ No ❑ 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 BEE)
or Zone AO roust sign here. The statements in Sections A, 8, and E are correct to the best of my knowledge_
Property Owner's cr Owner's Authorized Representative's Name
Address
City
State ZIP Code
Signature
Date
Telephone
Comments
❑ 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. Check the measurement used in Items G8. and G9.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
A community official completed Section E for a building located in Zone A (without a FEMA- issued or community - issued BEE) or Zone A.O.
The following information (Items G4. -G9.) is provided for community floodplain management purposes.
G2. ❑
G3. ❑
G4. Permit Number
G5. Date Permit Issued
G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: . ❑ feet 0 meters (PR) Datum
09. BFE or (in Zone AO) depth of flooding at the building silo: ❑ feet ❑ meters (PR) Datum
Local Official's Name
Title
Community Name
Telephone
Signature
Date
Comments
MAY -02 -2007 17:20 912 598 7302
❑ Check here if attachments
c1.7°./
n ra,
May 02 07 03:22p Howard Reeve
Building Photographs
Continuation Page
912 598 7302 p.4
For Insurance Company Use: •
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
3 Tenth Place
Policy Number
City Tybee Island, State GA ZIP Code 31328
Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all
photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side Vied' and "Left Side View."
Back View April 4, 2007
MAY -02 -2007 17:49
912 598 7302 97% P.04
May 02 07 03:22p Howard Reeve
Building Photographs
See Instructions for Item A6.
912 598 7302 p.5
For Insurance Company Use
Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
3 Tenth Place
Policy Number
City Tybee Island, State GA ZIP Code 31328
Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, aft 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 April 4, 2007
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MAY -02 -2007 17:49
912 598 7302 97% P.05
CITY OF TYBEE ISLAND
CERTIFICATE OF OCCUPANCY
30 -DAY TEMPORARY
DATE COMPLETED: 03/15/07
This Certificate issued pursuant to the requirements of the Standard Building Code
Certifying that at the time of issuance this structure was in compliance with the various
ordinances of the Jurisdiction regulating building construction or use.
060035 W
PERMIT #:
PROPOSED USE:
OCCUPANCY TYPE:
CONTACT NAME
RELOCATED SINGLE - FAMILY RESIDENCE
P
HOWARD REEVE
CONTACT STREET ADDRESS PO BOX 15844
CONTACT CITY STATE ZIP
PROPERTY ADDRESS
SAVANNAH GA 31416
3 TENTH PL
APPROVED BY:
P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -5737
www.cityoftybee.org
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Inspection Report
I" a± y of Tybee island
403 Butler Aven".
P.O. Box 2749
Tybee Island, GA 31318
Phone: (912) 786 -4573 extension 114
Fax: (912) 786 -9539
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403 flintier .Avenne
P.O. Box 2749
Tybee Island, GA 31328
Phone- (91)) 186-4513 extension 114
Nix: (912) 786-9.539
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City of Tybee Island
403 Butler Avenue
P.O. Box 2749
Tybee Island, GA 31328
pktre: (912) 786-4573 extension 114
Fax: (912) 786-9539
Permit No. ( (42 Date Requested
Owner's Nam 13 _ 22. \./e) _ _ Date Needed 0 LD-7
03- 3?-07_
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City of Tybee island
403 Butler Avenue
P.O. Box 2749
Tybee Island, GA 31328
Phone: (912) 106 -4573 extension 114
Fax: (912) 786-9539
Permit Mn = D(t - O 0 3 C Date Requested ! 1 -1 (o - 0 co -1
Owner's Name PSG- v e) Date Needed l ( - 1 7 - C7 Co
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City t Tybee island
41)3 Huller Avenue
P.O.. Box 2749
tybee island, GA 31328
Phone: (917) 786-45/3 extension 114
Fox: (912) 786-9539
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Inspection Report
City of Tybee Island
403 Butler Avenue
P.Q. Box 7 749
Tybee Island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786 -9539
Oro -Oo35
permit No, Date Requested: oL-1 - I L4 - 3 (o
Owner's Name: 2.2..-v 2J Date Needed: Di--1- 1 1- o ( ,
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Contact Number:
Location:
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Inspection Report
City of Tybee Island
403 Buffer Avenue
P.U. Box 2.7451
Tybee Island, GA 31328
Phone: 786-4573 extensions 104, 107, or 114
Fax: 786 -9539
Permit No- (")(n- 0 33 S Date Requested: t`'")1-4 - 0 y - 0 (I
Owner's Name: (2.Q 4 e) Date Needed: 0 Li - 0 S - n (r,
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Contact Number: 4,3 , 4i 0.5 cl 12_Q_U 2j 5I- 4 ^) - 1 33 2-
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City of Tybee Island
403 Butler Avenue
P.O. Box 2749
Tybee Island, GA 31328
Phone: 706 -4573 extensions 104, 107, or 114
Fax: 786-9539
Permit No. 06'003-C
Date Requested: 03 -D
Owner's Name: ZO--(2-JQ) Date Needed: D3 -30-06
Gen, Contractor: 1 I Subcontractor:
Contact Number: �k,J C C R90. 341i3 0 Z
Location: 3 Te `N"' rP
Date of Inspection: .� - Type of Inspection: J v
Comments: ?r\W/19
Inspector:
Time of Inspection:
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Inspection Report
City of Tybee Island
403 Butler Avenue
P.O. Box 2 749
Tybee Island, GA 31328
Phone: 786-4573 extensions 104, 107, or 114
Fax: 786-9539
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Inspection Report
City of Tybee Island
403 Butler Avenue
P.O. Box 2749
Tybee Island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786 -9539
Permit No. O(o- 003Sr
Date Requested: 0 3 - 2 1-
Owner's Name: Date Needed:
Gen: Contractor: Subcontractor:
Contact Number:
Location: 3 -772,-,4-1, I .
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Inspection Report
City of Tybee Island
403 Butler Avenue
P.O. Box 2 749
Tybee Island, GA 31328
Phone: 785 -4573 extensions 104, 107, or 114
Fax: 785 -9539
Permit No (0- n 3 Date Requested: 0 3 — t67-- Oco
Owner's Name: Date Needed: 0 " 2 - Q (
Gen. Contractor: Subcontractor:
Contact Number: o J or c Qszve 5 %- 7302..
Location: 3 —re ►� �-�-- P ( ,
Date of Inspection: 3- )0 Oc Type of Inspection:
Comments:
Inspector:
'°
Time of Inspection:
r•
c
Inspection Report
City at Tybee Island
403 Butler Avenue
P.O. Box 7 749
Tybee island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786 -9539
Permit No. 0'LO - 0( .. c- Date Requested: 02- 1 -1- 0 (n '----P Owner's Name: Q.Q Ve_.) Date Needed: 0-2-21-0(c,
Gen. Contractor: II II Subcontractor:
Contact Number: 14 c.)-)CL - ea_ UQ� 511 1- -!•3 0 Z
3
Location: 3 I e r `i- I
Date of Inspection: Z /74 /0 Type of Inspection: r ou S k
-CI 0 err-)
Comments:
Inspector: /C7 7 L/
Time of Inspection:
7,4 61
Inspection Report
City of Tyhee Island
403 0utler Avenue
P.O. Box 2749
Tybee Island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786-9539
Permit No, 0 (n - 0 0 3 Date Requested: 0 1 - 2 S -o (p
Owner's Name: QiLk) e) Date Needed: C
Gen. Contractor:
Contact Number: o, 2 J 0J Q.�Li QJ 5 L{ 9 - 3 0 2
Subcontractor:
Location: 3 I e n -H'1 I,
Date of Inspection: i 2 V /6 (o Type of Insp Lion. r C k
Comments:
Inspector:
7 /
Time of Inspection:
DATE ISSUED: 01 -20 -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 #
CITY OF TYBEE ISLAND
BUILDING PERMIT
CONVERT ATTIC TO BDROOM/BATH
3 TENTH PL
HOWARD REEVE
P.O. BOX 15844
SAVANNAH GA 31416
FIDELITY CONSTRUCTION, INC.
PO BOX 15844
SAVANNAH GA 31416
1200
P
$1,127.00
PROJECT VALUATION $64,000.00
PERMIT #: 060035
TOTAL BALANCE DUE: $1,127.00
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. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -5737
www.cityoftybee.org
Do -oo3S
Location
• TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
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NAME •
PIN #
ADDRESS
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Owner
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P.OWu-f•
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Engineer
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Building
Contractor
(Check all that apply)
New Construction •'Renovation Minor Addition )C
Duplex Single Family Substantial Addition____._
Residential Commercial Multi - Family
Footprint Change Repairs Demolition
Other 1. c f- i0 , / c
4't:LX
Estimated Cost of Construction: S 64, Doc' •
Construction Type I (Enter Appropriate Number)
(1) Wood Frame, (2) Wood & Masonry, (3) Brick Veneer, (4) Masonry,
(5) Steel & Masonry, 46) Other (Please specify)
Proposed Use: Rc, ;L \cam -r,c..,
Remarks:
ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete
the following information based on the construction drawings and
site plan:
P Units x Bedrooms
Lot Area Living
0 Off - street Parking Spaces
Trees Located & Listed on Site
Access:
0 Bathrooms
Space (Total Sgr.t)
Plan
Ca..
Acid; .
Driveway
Setbacks:
(Ft.) With Culvert? With Swale?
Front Rear Sides (L) ' (R)
Stories 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.
During Construction:
On -site restroom facilites will be provided through Y
On -site waste & debris containers Will be provided by
C. A
Al
Construction debris will be disposed of by 1,04,,.0 1/U c i kv, at
by means of .
I understand that I must comply with zoning, flood damace control,
building, fire, 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 co ective
action that may be necessary to restore drai ge i by this
permitted co struction.
Date iZ 3 v..s2 S Signature of Applicant
Note: A -ermit normall takes 7 to 10 da s to vrocess. Please
bring two checks to Day fees for new construction. Thank you!
• The following is to be completed by city Dersonnel:
Zoning Classification NFIP Flood Zone
Approved Rezoning /variance? .
Street Address & Number: New Existing . Is it in
compliance with city map? If not, has street name & /or
# been reported to MP C?
sEMA Certification Attached
State Energy Code Affidavit Attached
Utilities & Public Works:
Describe any unusual findings
Access to Building Site
Distance to Water Main Tap Site CC
Distance to Sewer Stub Site eo [ c)
Water Meter Size .--- --
Storm Drainage
Approvals: Signature
Zoning Administrator
Code Enforcement Ofc
Water /Sewer
Storm Drainage
Fire Chief
Inspections
City Manager L
I
9
Date
Fees:
0/-/9-496 Permit_
Inspections ODD
Total G/F X7,00
Water Tao
Sewer Stub
Total W/S
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