The URL can be used to link to this page

Home My Public Portal About12-0129 BakerPermit No. Owner's Name Gen. Contractor Contact Information Project Address Scope of Work Inspector Inspection City of Z 403 Butler Phone , ,ee Island • Community Develop►.__. _ Dept. Inspection Report Ave. • P.O. Box 2749 • Tybee Island, GA 31328 912.786.4573 ext. 114 • Fax 912.786.9539 Date Requested Date Needed Subcontractor INTERNATIONAL CODE COUNCIL MEMBER Date of Inspection Pass �' ratt" Fee Inspection Pass ❑ Fail D Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee STATE OF GEORGIA COUNTY OF CHATHAM ) HOLD HARMLESS / INDEMNIFICATION AGREEMENT 1 THIS AGREEMENT is made the --day of M QS L , 20 i Z , by (hereinafter referred to as "Owner ") WITNESSETH Owner hereby agrees to protect, defend, indemnify and hold harmless the City of Tybee Island, Georgia, (a political subdivision of the State of Georgia), its Mayor and Council, officers, agents, and employees (hereinafter referred to as "City ") from and against any and all liability, damages, claims, suits, liens, and judgments of whatever nature, including any claims for contribution and /or indemnification for injuries to any person or persons, or damage to the property or other rights of any person or persons, caused in any manner pertaining to the location of privately constructed or any other privately owned structures and plants, which protrudes into the right -a -way of any City street. The undersigned further recognizes and agrees that this license does not confer upon the undersigned any rights, title, estate, or interest in said licensed premises; nor does this license agreement confer upon the undersigned a license coupled with an interest or easement. This license merely gives the undersigned a revocable privilege, it being expressly understood and agreed that, regardless of any improvements or investments made, expense and harm incurred or encountered by the undersigned, this agreement shall be subject to revocation, cancellation or termination, this license shall be null and void. IN WITNESS THEREOF, Owner has hereunto set its hand and affixed its seal on the day and year first above written. Owner Witness DATE ISSUED: 03 -7 -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 INSTALL SIDEWALK 8 BRIGHT ST DAVID BAXTER BAKER PO BOX 1971 TYBEE ISLAND GA 31328 -1971 912- 786 -0377 DAVID BAXTER BAKER PO BOX 1971 TYBEE ISLAND GA 31328 -1971 P $ 0.00 $ 300.00 PERMIT #: 120129 TOTAL BALANCE DUE: $ 0.00 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, GEORGIA APPLICATION FOR BUILDING PERMIT Location: 27. >T i � \. NAME ADDRESS PIN # r,onv o ve Concrul -7 TELEPH Owner Architect or Engineer Building Contractor ___--77fK�� l " 'itrl i r /f (Check all that apply) ❑ Repair ❑ Renovation [Minor Addition ❑ Substantial Addition n✓" Other Details of Project: Residential [1]-"Single Family ❑ Duplex ❑ Multi- Family ❑ Commercial Estimated Cost of Construction: $ ❑ Footprint Changes 111 Discovery [1 Demolition Nonstruction Type (Enter appropriate number) (1\ Wood Frame (4) Masonry (6) Other (please specify) 'Wood ood & Ma my (5) Steel & Masonry (3) ck Veneei` Propo4d use: Remark' ATTACH\ OPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following inrmation based on the construction drawings and site plan: # Units / # Bedrooms # Bathrooms Lot Area Living space (total sq. ft.) # Off- str:et parking spaces Trees Iodated & list-d on site plan Access: Drive y (1 .) With culvert? With swale? Setba s: Front Rear Sides (L) (R) # Sto ies Heigh Vertical distance measured from the average adjacent grad of the building to the - treme high point of the building, exclusive of chimneys, heating unit , ventilation ducts, air con tioning units, elevators, and similar appurtances. During construction: On -site restroom facilities will be provided through On-site waste and debris containers will be provided by az✓irr Construction debris will be disposed by coca r,-1-- by means of --jr„;' I understand that I must comply with zoning, flood damage control, building, fire, shore protections and 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 may be necessary to restore drainage impaired by this permitted construction. 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 and number: New Is it in compliance with City map? If not, has street name and/or number been reported to MPC? FEMA Certification attached State Energy Code Affidavit attached Utilities and Public Works: Describe any unusual finding(s) NFIP Flood Zone Existing Access to building site Distance to water main tap site Distance to sewer stub site Water meter size Storm drainage Approvals: Signature Date Zoning Administrator Code Enforcement Officer Water /Sewer Storm/Drainage Inspections City Manager FEES Permit Inspections Water Tap Sewer Stub Aid to Const. TOTAL �� I I �� I r I Oki rue, ,yt-