HomeMy Public PortalAboutBAY ST_1314 1OF2.pdfCITY OF TYBEE ISLAND
CERTIFICATE OF OCCUPANCY
DATE COMPLETED: August 19, 2004
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 #: 030577
PROPOSED USE: NEW RESIDENTIAL BLDG
OCCUPANCY TYPE: P
CONTACT NAME KENNETH GREEN
CONTACT STREET ADDRESS 140 TRIMWAY
CONTACT CITY STATE ZIP CONYERS GA 31330
PROPERTY ADDRESS 1314 BAY STREET
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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F O R O F F I C E U S E O N L Y : H O L D F O R T H E F O L L O W I N G
CITY OF TYBEE ISLAND
403 BUTLER AYENCJE
P O BOX 2749
TYBEE ISLAND, GA. 31328
PHONE: 786-4573 i 114/104
FAX: 786 -9539
+1SPECTION REPORT PERMIT NO. f 1 S rI rI DATE REQUESTED
)WNERS NAME GC` DATE NEEDED - - ()LI
}ENERAL CONTRACTOR SUB CONTRACTOR
.00ATION
/)L\
)ATE OF INSPECTION TYPE OF INSPECTION /l i? a e i
,,OMMENTS.
Cpe
INSPECTOR / d'2 I ` ' `�l nmE OF INSPECTION
FOR OFFICE USE ONLY HOLD FOR THE FOLLOWING
CITY OF TYBEE ISLAND
403 BUTLER AVENUE
P0 BOX 2749
TYBEE ISLAND, GA. 31328
PHONE: 786 -4573 1 114/104
FAX: 7169539
SPECTION REPORT PERMIT NO. O? / -7/7 DATE REQUESTED
tWNEES NAME
DATE NEEDED
''rENERAL CONTRACTOR SUB CONTRACTOR
OCATION /3/q +3
ATE OF INSPECTION at. . /9; 240 / TYPE OF INSPECTION f /R4
I -/9 Oq
OMMENTS:
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FOR OFFICE USE O1VLY: HOLD FOR THE FOLLOWING
CITY OF TYBEE ISLAND
403 BUTLER AVENUE
P 0 BOX 2749
TYBEE ISLAND, GA. 31328
PHONE: 786 -4573 x 114/104
FAX: 7R6 -9539
ISPECTION REPORT PERMIT NO. /j'7 /7 DATE REQUESTED
MINERS NAME 6 re�°Ail DATE NEEDED ‘1..-. 11 V
'rENERAL CONTRACTOR SUB SUB CONTRACTOR
OCATIQN /3J(/ S t Jt/ '.
,—/ . ATE OF INSPECTION TYPE OF INSPECTION // C- - /T14 cA /
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NSPECTOR -7/69 1 M )( TIME OF INSPECTION
FOR OFFICE USE MY: HOLD FOR THE FOLLOWING
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1.7.
O.M.B. No. 3067 -0077
Expires December 31, 2005
SECTION A - PROPERTY OWNER INFORMATION
BUILDING OWNER'S NAME
KENNETH GREEN
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
1314 BAY STREET
CITY STATE
TYBEE ISLAND GA
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 3, BLOCK 3, BAY WARD
For Insurance Company Use:
Policy Number
Company NAIC Number
ZIP CODE
31328
BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
RES
LATITUDE/LONGITUDE (OPTIONAL)
( ##° - ##' - ##.##" or ##.#/#1#4°)
HORIZONTAL DATUM:
❑ NAD 1927 ❑ NAD 1983
SOURCE: ❑ GPS (Type):
❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER
TYBEE ISLAND 135164
B2. COUNTY NAME
CHATHAM
83. STATE
GA
B4. MAP AND PANEL
B7. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUMBER
B5. SUFFIX
B6. FIRM INDEX DATE
EFFECTIVE/REVISED DATE
B8. FLOOD ZONE(S)
(Zone AO, use depth of flooding)
135164 0001
C
6/17/86
6/17/86
V9
14
B10. Indicate the source of the Base Flood Elevabon (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in 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)? ❑ Yes ® No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number 6 (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 represents the building, provide a sketch or photograph.)
C3. Elevations — Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3. -a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum NGVD 29 Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
o a) Top of bottom floor (including basement or enclosure) 7. 3 ft.(m) To
o b) Top of next higher floor 16.2 ft.(m)
o c) Bottom of lowest horizontal structural member (V zones only) 15.0 ft.(m) o 0
o d) Attached garage (top of slab) NA. _ft.(m) e
o e) Lowest elevation of machinery and/or equipment w
servidng the building (Describe in a Comments area) 15.7 ft.(m)
o f) Lowest adjacent (finished) grade (LAG) 6.4 ft.(m) z
o g) Highest adjacent (finished) grade (HAG) 7. 4 ft.(m)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 2
8
o i) Total area of all permanent openings (flood vents) in C3.h 285 sq. in. (sq. cm)
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 informatio
I certify that the information in Sections A, B, and Con 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.
CERTIFIERS NAME J. Whitley Reynolds LICENSE NUMBER 2249
TITLE Land Survey. COMPANY NAME
ADDRESS
636 STE ' ENSON
SIGNMfURE
FEMA orm 81 -31, January 2003
CITY STATE
SAVANNAH GA
DATE TELEPHONE
8/4104 912 - 352-0464
ZIP CODE
31405
See reverse side for continuation.
Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A.
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, anc' '1g. No.) OR P.O. ROUTE AND BOX NO.
1314 BAY STREET
CITY STATE ZIP CODE
TYBEE ISLAND GA 31328
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
C3.e) = A/C PAD
For Insurance Company Use:
Policy Number
Company NAIC Number
❑ 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 for a LOMA or LOMR -F,
Section C must be completed.
E1. 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
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).
E5. 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?
❑ 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, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA - issued or community-
issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNERS 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.
G1. ❑ 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. ❑ 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. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes.
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 (induding basement) of the building is:
G9. BFE or (in Zone AO) depth of flooding at the building site is:
-_ft.(m)
. _ ft.(m)
Datum:
Datum:
LOCAL OFFICIAL'S NAME
TITLE
COMMUNITY NAME
TELEPHONE
SIGNATURE
DATE
COMMENTS
❑ Check here if attachments
FEMA Form 81 -31, January 2003
Replaces all previous editions
ESPECTION REPORT
WS NAME
1\0(7-
c i1 v/L (r 0 / t'12 vv� r i cif ) t n/ :)PC-r7014
CITY OF TYBEE ISLAND
403 BUTLER AVENUE
P O BOX 2749
TYBEE Imo, GA. 31328
PHONE: 786 -4573 :114/104
FAX: 7186 -9539
PERMIT NO. JT rT 7
TER AL CONTRACTOR
()CATION
DATE REQUESTED
DATES 2- 1/-0(-7
SUB CONTRACTOR
\E0,_, 34
ATE OF INSPECTION TYPE OF INSPECTION L L �--� n -rcr- C/0
ONIlv ENTS:
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TIME OF INSPECTION
FOR OFFICE USE ONLY :: HOLD FOR THE FOLLOWING
CITY OF TYBEE ISLAND
403 BUTLER AVENUE
P 0 BOX 2749
TYBEE ISLAND, GA. 31328
PHONE: 786 -4573 z 114/104
FAX: 729439
1SPECTION REPORT PERMIT NO. S /I 7 DATE REQUESTED
WIVES NAME rc�t°�y 7 DATE NEEDED
ENFRAL CONTRACTOR SUB CONTRACTOR
OCATION
ATE OF INSPECTION f [ ay TYPE OF INSPECTION fin CI)Or PO /TS /T/twy
OMMENTS:
NSPECTOR
TIME OF INSPECTION
FOR OFFICE USE ONLY: HOLD FOR THE FOLLOWING
n
CITY OF TYBEE ISLAND
403 BUTLER AVENUE
P 0 BOX 2749
TYBEE ISLAND, GA. 31328
PHONE: 786-4573 z 114/104
FAX: 7$6 -9339
INSPECTION REPORT PERMIT NO. 62:/5/7/7 DATE REQUESTED
OWNERS NAME (9 r Cj,
DATE NEEDED
GENERAL CONTRACTOR SUB CONTRACTOR
LOCATION
DATE OF INSPECTION 7// /r CI TYPE OF INSPECTION 1-7 / - c T'
fr (00E4-
COMMENTS:
..4-‘7C7
FOR OFFICE USE ONLY HOLD FOR THE FOLLOWING
Transmit report
P.1
07/14/2004 00:46
40LE07331
TO:67676
REMOTE STATION
START
TIME
Pages
RESULT
REMARKS
2316641
07 -14 00:45
00:00 17
003/003
OK
REMARKS TMR:Timer, ROL:Poll, TRN:Turn around, 2IN:2inl Tx, ORG:Original size set, DPG:Book Tx
FME:Frame erase Tx, MIX:Mixed original, CALL:Manual -Com, KRDS:KRDS, FWD:FORWARD
FLP:FIip Side 2, SP:Special Original
FCODE:Fcode, MBX:Confidential, BUL:Bulletin, RLY:Relay, RTX:Re -Tx, PC:PC -FAX
S- OK:Stop communication, Busy:Busy, Cont.:Continue, No ans:No answer
M- full:Memory full, PW- OFF:Power switch OFF, TEL:Rx from TEL
Mayor Walter W. Parker
CITY COUNCIL
Jason Buelterman
Ralph " Eddie" Crone
Mallory Pearce
Shirley Sessions
Paul Wolff
Jack Youmans
DATE:
CITY OF 'TYBEE ISLAND
TO: RF.Fr -r
/3 - L
City Manager
Bob Thomson
Clerk of Council
Diane Sikes
City Attorney
Edward M. Hughes
COMPANY NAME:
FAX NLTIVIBER: 2-i/-6641-
FROM:
TITLE:
COMMENTS:
VIVIAN WOODS
CITY OF TYBEE ISLAND
. ; 1=. l 0 C'..-2EIL°
•
TOTAL TRANSMISSION
IF TRANSMITTAI. IS INCOMPLETE PLE -ASE CALL
912- 786 -4573 Extension 114
P.O. Sox 2749 - 473 H uJ_r Av_aue, Tyhr— Tsl and, 0cor�s 31323 -2749
(912) 734 '573 - FFX (912) 736 -J737 4 S3 i
ELECTRICAL RELEASE
DATE ] /S '0q
NAME OF ELECTRICIAN
PERMIT NUMBER 63 )s77
CONTRACTOR OR OWNER arriAl
LOT NO.
ADDRESS
SUBDIVISION
rti cg.
TYPE OF RELEASE Te-ip f 06un RELEASE TO SEPCO
COMMENTS 72e11) G %/
CHUCK BARGERON
CITY MARSHAL'S OFFICE
TYBEE ISLAND, GA.
912 - 786 -4573 X 104
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CITY OF TYBEE ISLAND
443 BUTLER AVENUE
P 0 BOX 2749
TYBEE ISLAND. GA. 31328
PHONE: 786 -4373 x 114/104
FAX: 786.9539
SPECTION REPORT PERMIT NO. U-g /. �j �7 /j DATE REQUESTED / - / �/ — 0e/
WNFRS NAME
(-; DATE NEEDED / — )4%
ENERAL CONTRACTOR SUB CONTRACTOR
)CATION j2 /
ATE OF INSPECTION / ! J ki TYPE OF INSPECTION i I ,, L) /
i•
DMMENTS:
7S
dSPECTOR
TIME OF INSPECTION
FOR OFFICE USE ONLY• HOLD FOR THE FOLLOWING
CITY OF TYBEE ISLAND
463 BUTLER AVENUE
P 0 BOX 2749
TYBEE ISLAND, GA. 31328
PHONE: 786 -4573 i 114/104
FAX: 786-9539
fSPECTION REPORT PERMIT NO. () R / c/711 DATE REQUESTED /c - j -03
WNERS NAME (2 re to_r DATE NEEDED /
ENERAL CONTRACTOR 611-£1 ,eI4 oX sus CONTRACTOR k r /<' In j 1-7ec-6.c,
DCATION I. y�'c X5'1 i
ATE OF INSPECTION 1 . * ! 1 % TYPE OF INSPECTION ( '4 f �) ) (Q ! `
DMM TS:
SPECTOR
--- (2,_; L ice it-col
TIME OF INSPECTION
FOR OFFICE USE ONLY: HOW FOR ME FOLLOWING
DATE
NAME OF ELECTRIC N r ei n)
PERMIT NUMBER
ELECTRICAL RELEASE
CONTRAGCOR OR OWNER are_en
LOT NO. SUBDIVISION
ADDRESS
/3 /q
TYPE OF RELEASE (39-(L) v (0_ RELEASE TO SEPCO
COMMENTS ?DIPG? (S{' i� lc6C.
CHUCK BARGERON
CITY MARSHAL'S OJ FJ.CE
TYBEE ISLAND,GA,
912/786 -4573 X104
CITY OF TY3EE ISLAND
SUBCONTRACTOR LIST
PLEASE LIST THE NAME AND ADDRESS OF ALL PARTICIPATING
SUBCONTRACTORS fEEELO ri :
I. N AIE: Ic/ a �r0
ADDRESS:
TELEPHONE: 9Gter—&YY
2. NAME :
3.
LICENSE NUMBER.
z
• 'ADD RE SS : s_if .rr!!
TELE? OiiE : 766 — 9'90 y
N:
LICENSE NUMBER
ADDRESS:
TELEPHONE: LICENSE NUMBER
4. IG ?NE:
ADDRESS:
TELEPHONE: LICENSE NUMBER
5. N ME :
ADDRESS:
TELEPHONE:_
LICENSE' NtJMEER
Transmit report
P.1
12/11/2003 00:59
40LE07331
TO:11136
REMOTE STATION
START
TIME
Pages
RESULT
REMARKS
2316641
12 -11 00:59
00:00 15
002/002
OK
REMARKS TMR:Timer, POL:Poll, TRN:Turn around, 2IN:2inl Tx, ORG:Original size set, DPG:Book Tx
FME:Frame erase Tx, MIX:Mixed original, CALL:Manual -Com, KRDS:KRDS, FWD:FORWARD
FLP:Flip Side 2, SP:Special Original
FCODE:Fcode, MBX:Confidential, BUL:Bulletin, RLY:Relay, RTX:Re -Tx, PC:PC -FAX
S- OK:Stop communication, Busy:Busy, Cont.:Continue, No ans:No answer
M- full:Memory full, PW- OFF:Power switch OFF, TEL:Rx from TEL
Mayor Walter W. Parker
mx ooUNCU.
Walter Crawford, Mayor Pro Tern
Richard Harrow '
Jason Peaelterman
James Jirruny' Burke
Whitle-:• Reynolds
Jack Youmans
DATE :
CITY OF TYBEE ISIrAND
— /O
TO: SF.P("(7
COMPANY NAME:
CI ty Mar
Bob Thom
Clerk of C
Jacquelyn:
City At to.
Edward M.
FAX NUMBER: 231 -6641-
FROM:
TITLE:
COMMENTS:
VIVIAN WOODS
CITY OF TYBEE ISLAND
%/�°^ -4�� /Cle4Se
TOTAL TRANSMISSION
IF TRANSMITTAL IS INCOMPLETE PLEASE CALL
912 -786 -4573 Extension 114
B oz 2749 - 403 Sutler AVCCII1C. Tybee Island. Georgia 31328-2749
(912) 786 -4573 FAX (912) 786 -5737
www.cityoftybee.org
TYBEE ISLAND, GEORGIA
APPLICATION FOR 13UILDZNG PERMIT
Location I3 /9.1 -Z,
PIN g •
Owner:
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/S ANA /17hl L7;Pc�Er/
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orEn:ineer
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Building
1,4//.4.7//e)04'..) r„)
,e
/�
Contractor
'�'raa li d.se.":5
.S,gyi'A Grq
/ - /S /6
(Check all that apply)
rR— ew Construction (1 Renovation
❑ Duplex [l Single Family
;❑ Residential ❑ Commercial
El Footprint Change ❑ Repairs
(l Other
Estimates cost of Construction: S / %ai 014
,� Construction Type / (EnterAppropriate Number)
(1) Wood Frame (2) W9od & Masonry
(5) Steel & Masonry (6) Other (Please Specify)
Proposed Use:
Remarks:
❑ Minor Addition
❑ Substantial Addition
❑ Multi- Family
❑ Demolition
(3) Brick Veneer (4) Masonry
ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOTS and complete
the following information based on the constniction drawings and site plan:
# Units / # Bedrooms 3 # Bathrooms 3
Lot Area Living Space (Total SqFt) /'75)
# Off -street Parking Spaces 2
Trees located & Listed on Site Plan -
Access: 1547
Driveway -20 (Ft.) With Culvert? ✓ With Swale?
Setbacks: Front .2D Rear /D Sides (L) (R) /
# Stories 2 Height .0 `I Vertical distance measured from the average adjacent grade of the
building to the extreme high point of the building, exclusive of chimneys, heating umits,
ventilation ducts, air conditioning units, elevators and similar appurtances.
During Construction: ! ,
On -site restroom facilities will be provided through / ..7cOr Aa4 AI ,4?T»
On -site waste & debris containers will be provided by H/ "i /F /�q�
Construction debris will be disposed of by at by means of �o/S
I understand that I must comply with zoning. flood damage control. building, fire. shore
protection & wetlands ordinances. FEM . 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 ..paired by this
permitted construction.
Date: 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
Approved Rezoning/Variance?
Street Address & Number: New Existing
Is it in compliance with City Map? . If not, has street name and/or Nr nber
been reported to MPC?
ARy Jr��eff
NFIP Flood Zone
1 -.E.MA 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 Of
Water /Sewer
S torm/Drainage
Inspections
City Manager
Fees:
Permit 750 °°
Inspections 44/,00
TotalG/F llc1l, o°
Water Tap 5519
Sewer Stub .650 r0°
Aid to Const / q . off
Total W/S _ 5 052 . od
49(1-v Aig43
Project Name:
Address:
Permit Number:
Owners Name:
STATE ENERGY CODE AFFIDAVIT
A;%14 AI-2n)
This letter is to confirm the understanding of the owner /contractor
to the'compliance requirement of the Georgia State Energy Code for
Buildings, 1992 Edition.
I hereby declare that the design and construction of the referenced
project is in compliance with the Georgia State Energy Code for
Buildings, 1992 Edition. Compliance has been achieved by cne of
the three *_methods of designs indicated'in Chapters 4, 5 or 6 of the
code.
It is understood and agreed by the undersigned owner of agent and
contractor (if applicable) that the approval of the permit does not
constitute a privilege to violate the code and that any omission of
or misrepresentation of fact with or without intention of the
permit issued which was based cn the approval of this application.
The owner as listed above will be held responsible for insuring
that all permits have been obtained and that all required
inspections have been ;,fade. The owner will be held legally liable
for any violations which may occur with or without his knowledge.
The owner shall be allowed to request a Certificate. of Occupancy
when all previous inspections hav- been approved.
Owner and/or Agent
•
Contractor
Date:
Date:
(12/93)
Kirkland's r lectrical Kepair & Service
F -O.i3ox 1 -L
f'embroke: Ga. 3 1' 2 1
(J 1 2) c; i i_-1-> 20
Kirklanc7sEK; ?0aca .com
April 1, 2004
Dear Chuck,
It has come to my attention that their may have been an error on permits issued
under my name and license number. I am requesting that you remove my name and number from
all permits under Gary Kenfroe other than 1 o Teresa lane which is the Smith residence and 2
Driftwood Ct. the Morris residence. I have set temporary saw poles on the following but not
doing any work on any of these projects for Gary :`Sullivan residence ( back River),Green
Residence ( bay St.) and Goust residence (5andlewood) . am requesting that any future
inspections that are requested under Kirklands E.R.S. be called in by Travis Kirkland
Thanks,
Travis Kirkland
DATE ISSUED: 12 -3 -2003
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
NEW RESIDENTIAL BLDG
1314 BAY STREET
KEITH GREEN
140 TRIMWAY
CONYERS GA 31330
GA HISTORIC HOMES
104 LAZY LAGOON WAY
SAVANNAH, GA. 31411
1952
P
$4,243.00
$176,000.00
PERMIT #: 030577
TOTAL BALANCE DUE: $4,243.00
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 he
approved by the issuance of another building permit. Permit holder agrees to hold the City of Tyhee 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