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INTERNATIONAL
CODE COUNCIL
MEMBER
City of Tybee Island Planning & Zoning Dept.
Inspection Report
403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328
Phone 912.472.5032 • Fax 912.786.9539
Permit No. ✓ Date Requested
Date Needed
Gen. Contractor Subcontractor
Contact Information ' 10f J A) 5c/k-,/ — r;J %
Owner's Name r91r.�L�lLC_
Project Address // c■% E. �-�
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Scope of Work -/...197:5i: 7.-//2-C__. 1J%/- 1
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Inspector '% t / Date of Inspecti
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Inspection /_ . 4( — Pass ail
Fee
Inspection Pass ❑ Fail 0 Fee
Inspection Pass ❑ Fail ❑ Fee
Inspection Pass ❑ Fail ❑ Fee
DATE ISSUED: 01 -18 -2012
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
ELECTRICAL PERMIT
1101 EAST HWY 80
TIMOTHY & TRACY ONEILL
PO BOX 243
TYBEE ISLAND GA 31328 -0243
RUSSELL ELECTRIC
1714 WILMINGTON ISLAND RD
SAVANNAH GA 31410
P
$ 50.00
$ 300.00
PERMIT #: 120032
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
DATE ISSUED: 01 -18 -2012
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
ELECTRICAL PERMIT
1101 EAST HWY 80
TIMOTHY & TRACY ONEILL
PO BOX 243
TYBEE ISLAND GA 31328 -0243
RUSSELL ELECTRIC
1714 WILMINGTON ISLAND RD
SAVANNAH GA 31410
P
$ 50.00
$ 300.00
PERMIT #: 120032
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
ELECTRICAL PERMIT APPLICATION & TEMPORARY SERVICE AFFIDAVIT
Date
1 /i? fiz-
f
Location of work (street address)
// b '(--I �,�, cli , CD
Contractor Z.t1Se -i l czA, r O, Telephone c/ Z cl 4--/3c 7
New Work
Replacement
Address of Contractor
Property Owner J t W e-
Date work will be ready for inspection, if known
Estimated cost of construction
Vii: �-�-
Telephone q l
r
Permit Number
ALL WIRING,
SERVICE
INCLUDED,
MUST BE
COPPER. NO
ALUMINUM
ALLOWED.
APPLICATION FOR TEMPORARY SERVICE REQUEST
In requesting temporary electrical service, the undersigned understands and agrees:SERV)CE EQUIPMENT— DISCONNECT1NG
1. Connection of temporary electrical service does not remove the requiremMEANSMOThregit23020State of
Georgia minimum construction codes. Means shall be provided to disconnect all
2. Temporary electrical power is intended for completion of the constructiosq> e'asdtidi timildirkg6tittIONTeSitucture
installed within the structure. from the service- entrance conductors.
3. Issuing approval for temporary power connection does not constitute approval to occupy the structure.
A Certificate of Occupancy must be issued by the City of Tybee Island prior to any occupancy.
4. The owner and contractor are hereby held responsible for any violations of this policy. A violation of this
policy may result in disconnection of the electrical service until all violations and deficiencies are corrected.
Owner /Contractor Signature Date I //
Owner /Contractor Printed Name
•
APPROVAL Fee
If*4/ -
Building Official a /� Date
•
A/C Unit and Heat Pump
Attic Ventilation Fan
Bell Transmitter — low voltage
Border /Outline Lighting
Building Saw
Exit Lights — life safety
Heat Pump
Meter Box
Motor(s): hp
Outlets — 110 volts circuit
Parking Lot Lights
Pool Lights — grounding
Range — commercial
r
Permit Number
ALL WIRING,
SERVICE
INCLUDED,
MUST BE
COPPER. NO
ALUMINUM
ALLOWED.
APPLICATION FOR TEMPORARY SERVICE REQUEST
In requesting temporary electrical service, the undersigned understands and agrees:SERV)CE EQUIPMENT— DISCONNECT1NG
1. Connection of temporary electrical service does not remove the requiremMEANSMOThregit23020State of
Georgia minimum construction codes. Means shall be provided to disconnect all
2. Temporary electrical power is intended for completion of the constructiosq> e'asdtidi timildirkg6tittIONTeSitucture
installed within the structure. from the service- entrance conductors.
3. Issuing approval for temporary power connection does not constitute approval to occupy the structure.
A Certificate of Occupancy must be issued by the City of Tybee Island prior to any occupancy.
4. The owner and contractor are hereby held responsible for any violations of this policy. A violation of this
policy may result in disconnection of the electrical service until all violations and deficiencies are corrected.
Owner /Contractor Signature Date I //
Owner /Contractor Printed Name
•
APPROVAL Fee
If*4/ -
Building Official a /� Date
•
Range Hood — commercial
Service: amps
Sign Circuit - wattage
Smoke Detector — low voltage
Spa or Tub — grounding
Special Outlet
Swimming Pool — grounding
Water Heater
Welder — 220 volts circuit
Well Pump — grounding
X -ray
Other
/
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