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Home My Public Portal About12-0184 Smith_1of3CITY OF TYBEE ISLAND CERTIFICATE OF OCCUPANCY DATE COMPLETED: 05/02/2012 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 #: 12 -0184 PROPOSED USE: CONVERT TO DENTIST OFFICE OCCUPANCY TYPE: P CONTACT NAME JESSANNA SMITH CONTACT ADDRESS PO BOX 186 CONTACT CITY STATE ZIP TYBEE ISLAND GA 31328 PROPERTY ADDRESS 1018 HWY 80 APPROVED BY: P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -5737 www.cityoftybee.org - CHATHAM COUNTY DE .2TMENT OF BUILDING SAFETY d EGULATORY SERVICES FIRE SAFETY INSPECTION DIVISION FOR THE CITY OF TYBEE ISLAND YEAR OF _APPROVED DISAPPROVED DATE You are hereby notified that this is an Official Order of the County Fire Marshall, stating the defects found to exist in the referenced structure, and further requiring that you, as owner, agent or person in charge of structure, shall have days to complete specified repairs or improvements. Business Phone Owner 1,3=1 >, - H Occupant Load Name of Facility / ! = -i-1) Address Occupancy: usiness Personal 1. Number of Exit Doors 2. Blocked 3. Exit Sign 4. Emergency Lights 5. Panic Hardware 6. Self- Closing Device Care Home a2 Locked Good Good Good Good 7. Fire Alarm Yes 8. Smoke/Heat Detectors Yes 9. Sprinkler System Yes 10. Standpipe Yes 11. Number of Fire Extinguishers Inspected/Charged Yes 12. Fixed Hood System Yes 13. Date of Last Service Assembly Storage Mercantile Factory Educational Day Care Residential Hazardous 101 -SEC 5 OK V 101 -SEC 5 1,•' Unsatisfactory NA 101 -SEC 5 ✓ Unsatisfactory NA 101 -SEC 5 ✓ Unsatisfactory NA 101 -SEC 5 Unsatisfactory NA No NA NFPA 72 No a/ NA NFPA 73 No NA NFPA 13 No ✓ NA NFPA 13 Proper Type? y c S NFPA 10 No - NA NFPA 10 No 4..-- NA NFPA 96 (REQUIRED EVERY 6 MONTHS) Unsatisfactory No No i/ 14. Electrical Good V Fair NFPA 70 15. Overloaded Sockets /Outlets Yes NFPA 70 16. Missing Electrical Covers Yes NFPA 70 17. Other (explain) 18. Excessive Storage of Combustibles Yes No NFPA 30 List Details The signature below of Owner, Occupant, Agent, signifies Inspecti Owner /Occupant/Agent Signature as made. Chatham County Fire Marshall C:\Docu,nents and SettifgsVIMMY\Desktop \City Tybee 3 Part\Fire Inspection Fonn.doc City of raee Island • Community Develop..,ent Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 allIN inn INTERNATIONAL CODE COUNCIL' MEMBER Permit No. ( Z -0184 Date Requested Owner's Name �i i i , -4 1--- Date Needed Gen. Contractor C C2N3 S . rl . Subcontractor Contact Information -7,i) J 7 G) - %Z Project Address j r` ) Lk 1) Scope of Work -' , -H/ i I Inspector 'i Date of Inspection // Z' Inspection - I- , ; .1 t' Pass Fail L_._! Fee Inspection Pass Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee City of Yyoee Island • Community Development Dept. r'• Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 INTERNATIONAL CODE COUNCIL MEMBER Permit No. ` °, "'i Date Requested } Owner's Name 37c1-, ,41--) Date Needed Gen. ContractorL ,„3 c .) c('w S Subcontractor Contact Information n Project Address 1 ., W . Scope of Work :1 �`; ,? i� 'F :s T c.- e.. Inspector ` Date Inspection Inspection: =� Pass J Fail Fee Inspection Inspection Inspection sat Pass Fail ❑ Fee Pass 0 Fail ❑ Fee Pass Fail n Fee '� ss--1 4 -3 0 41- rPaaNE 4 - 748 -(0843 ?re.ss 1)' ex4. 3 2 SSSo 32.85-io RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR FAX TO:41-Brettnim 9-37 Pho eorq;a. loocve r- /2.0 8 FAX : i -138T- 251 - 44411 'get -5.2galt3o-g- leas Location Address: Type of Release: Electrician: Owner/Builder: /.0//3 'o Temporary I✓ Permanent Subd Name: /USSR —// /E /eCAZ Electrician Phone Number: Lot # Release Date: 0-'4_/30 7 ,.3 �GLti.C, S Phone Number: (S-73 -7234 Location Address: Type of Release: Electrician: Temporary Permanent Owner/Builder: Lot # Release Date: Subd Name: Electrician Phone Number: Phone Number: Location Address: Type of Release: Temporary Electrician: Lot # Release Date: Permanent Subd Name: Owner/Builder: Electrician Phone Number: Phone Number: IX Result Report P 1 04/20/2012 10:43 Serial No. CH35228060004 TC: 330064 Destination Start Time Time Prints Result Note 18888514411 04 -20 10:42 00:01:03 001 /001 OK Note MIX: Timer Origginal_TX11CALL:wManual1TX. Original Size gFWD:FForward. PC: PC -Fax. BM: LV: Double-Sided MBX: Confidential. : BulletPinC1SIP rSIPnFax.FIPADR :FIP Address Fax. I -FAX: Internet Fax Result OK: Communication OK, S -OK: Stop Communication, PW -OFF: Power Switch OFF, TEL: RH from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, Busy: Busy, M- Full:Memory Full, LOVR:Receiving length Over, POVER:Receiving page Over, FIL:File Error, DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error. `pNo14 E 1- 8�8- -74$- loE ?-4a !J ex-F. 3 2 &' �l�, SS. - 111%14-- 3285(0 - -'i RELEASES FOR ELECTRIC SERVICE FROM TYSEE ISLAND FORS _ -> _ __ - -- 1._ FAX T O: t a,.. _ 9-3b2=9.1..$37 Pho @rg:ae heart r / Lo i2 oiS VAX : 1 - 588 -851 - II Location Address: /Q /fry Lot # Release Date: Type of Release: Temporary ✓ P ermanent Subd Name: Electrician: Electrician Phone Number: j5;4t,G— /gyp Owner/fluilder: Phone Number: Location Address: 'Type of Release: Temporary Permanent Electrician: Lot # Release Date: Subd Name: Electrician Phone Number: t wner/Builder: Phone Number: Location Address: Lot # Release Date: Type of Release: Temporary Permanent Subd Name: Electrician: OwnerBuilder: Electrician Phone Number: Phone Number: City of lyuee Island • Community Develop. _nt 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. f Date Requested 1., Owner's Name Date Needed Gen. Contractor Subcontractor Contact Information /C.LL G - Project Address e Scope of Work f` s' ,., Inspector '7/ / Date of , 417/4 -' Inspection L. [ f Q Pass t " Fee (5,40-4//6,6 ,_ _i INTERNATIONAL CODE COUNCIL MEMBER Inspection Pass ❑ Fail Fee Inspection Pass El Fail U Fee Inspection Pass ❑ Fail ❑ Fee RECEIVED .04 -(q -I2 12- 01.8'4 Re: Tybee Teeth — Front Door Swing To whom it may concern, Wubbena Architectural Design and Development Per the drawings the front door was scheduled to change its swing. We approve the door swing to remain as it exists currently. The occupant load should allow us this exception and our firm has no objections. If you have any questions please feel free to contact us directly to discuss. Thank you, Jim Wubbena Principal Architect Jim @wubbenapc.com 35 Barnard Street, Suite 300 I Savannah, Georgia 31401 I P 912.660.5438 F 912.525.3088 I www.wubbenapc.com City of 1,Jee Island • Community Develop „ent 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. (-2. - 0 I `4 INTERNATIONAL CODE COUNCIL MEMBER Date Requested 4-10-r2_ Owner's Name Date Needed 4- 12 I2._ Gen. Contractor Q 3,n5 D 1 , Sr ✓L s Subcontractor Contact Information ' 0 (1 (p SD -7 2 3 9 �y Pv-11. � Project Address 1 .DI D CWO . Scope of Work C 0 r1 V eH-- - �,P n 1•-s. D -C-C , 4- Inspector - / Date of Inspection,/ i /i21-2/ Thisscil El” Inspection r o J a h P_' e• Pass 0 'Fail'` Fee r- Inspection f J,) g k � m C. C l � r►-• a � Inspection r D J Sk H SAC. Pass Fa Fee Pass aif� �" J Fee Inspection Pass Fail Fee DATE ISSUED: 04 -4 -2012 WORK DESCRIPTION WORK LOCATION CITY OF TYBEE ISLAND BUILDING PERMIT CONVERT TO DENTIST OFFICE 1018 HWY 80 OWNER NAME JESSANNA SMITH ADDRESS 602 FIRST ST B CITY, ST, ZIP TYBEE ISLAND GA 31328 PHONE NUMBER CONTRACTOR NAME CONSOLIDATED SERVICES ADDRESS PO BOX 60593 CITY STATE ZIP SAVANNAH GA 31420 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE U TOTAL FEES CHARGED $ 576.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $48,500.00 PERMIT #: 120184 TOTAL BALANCE DUE: $ 576.00 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 I2ot4 Location: 1018 HWY 80 Tybee Island GA 31328 NAME ADDRESS PIN # 4- 0026 -11 -006 TELEPHONE Owner Jessanna Smith 1018 HWY 80 Tybee island 31328 912.786.9433 Architect or Engineer 71M Wvb b QJIA 35 gyp,.N,a -ar s-r Soilkr- 3o0 q I Z- b 4 Sy3i Building Contractor Co,-'s,/,dgf ed `1°�vic.`�S - ,bN4 �2�/`e�t AO • ice.- 1 o sy 3 ■era ��Ds'A14-64. �,s 3/ Sze' 9�Z- !os g -7239 (Check all that apply) X Repair X Renovation Minor Addition Substantial Addition Other Residential Single Family Duplex Multi- Family XCommercial X- Discovery XDemolition Details of Project: Convert existing building into Dentist office SEE Attached Plans. O.14 -12 acid Ti000 Estimated Cost of Construction: $ 40,500 (re, 6Z. ea4c :f�Zi�rGD) . a r . Construction Type 2 (1) Wood Frame (2) Wood & Masonry (3) Brick Veneer Proposed use: Dentist Remarks: (Enter appropriate number) (4) Masonry (6) Other (please specify) (5) Steel & Masonry ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the it)/14- # Units # Bedrooms # Bathrooms Lot Area Living space (total sq. ft.) # Off - street parking spaces Trees located & listed on site plan Access: Driveway (ft.) With culvert? With swale? following information based on the construction drawings and site plan: Setbacks: 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: /1 ("I S 1 On -site restroom facilities will be provided through — y1 -«-�- L ' 4- t 4" On -site waste and debris containers will be provided by - <-O "-) ` o / '�s ?c-s" S R r �� Construction debris will be disposed by 3 ° 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. Date: 3 - 2 cp ` 1 Z Signature of Applicant: 4-+/I/1(----1 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 NFIP Flood Zone Existing Utilities and Public Works: Describe any unusual finding(s) Access to building site Distance to water main tap site Distance to sewer stub site Water meter size Storm drainage Approvals: Zoning Administrator Code Enforcement Officer Water /Sewer Storm/Drainage Inspections City Manager Signature Date (1 -0113 FEES Permit 1-k (43 Inspections t2 Z Water Sewer Aid to Const. TOTAL `Tb Ce Permit Acknowledgement of Asbestos/Environmental Notification to Georgia EPD for Projects Involving Demolition. Wrecking. or Renovation The undersigned hereby acknowledges that the issuance of this permit does not in any way grant permission to the owner, owner's representative, or permit holder to proceed with demolition, wrecking, or renovation of a structure prior to the filing of any required ten (10) day "Project Notification for Asbestos Renovation Encapsulation or Demolition" form in accordance with the Georgia Asbestos Rules. The Georgia Environmental Protection Division administers the rules. In most cases, the rules require both the owner and the involved contractors to assure the portion of the building involved in the project is thoroughly inspected by an Accredited Asbestos Inspector for materials that contain asbestos; and the removal of the asbestos before renovation, wrecking, or demolition begins almost without exemption. Georgia EPD requires a completed demolition notification from be submitted 10 workings days in advance even if no asbestos is present in the building. Further guidance for regulatory compliance and contact telephone numbers are provided by the brochures entitled Asbestos & Renovation and Asbestos and Demolition. Other environmental issues such as asbestos removal techniques, lead abatement, ground contamination, or unusual site conditions may have EPD regulations that could affect the project. vt‘ Undersigned L• Printed Name Date LEAD —BASED PAINT Adapted from http:// www. epa .govIlead/pubs/renovation.htm. Please use that site to access the following information. Information for Property Owners of Rental Housing, Child- Occupied Facilities Property owners who renovate, repair, or prepare surfaces for painting in pre -1978 rental housing or space rented by child -care facilities must, before beginning work, provide tenants with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools. Owners of these rental properties must document compliance with this requirement. EPA's sample pre- renovation disclosure form may be used for this purpose. After April 22, 2010, property owners who perform these projects in pre -1978 rental housing or space rented by child -care facilities must be certified and follow the lead -safe work practices required by EPA's Renovation, Repair and Remodeling rule. To become certified, property owners must submit an application for firm certification and fee payment to EPA. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application. Property owners who perform renovation, repairs, and painting jobs in rental property should also: Take training to learn how to perform lead -safe work practices. Learn the lead laws that apply regarding certification and lead -safe work practices beginning in April 2010. Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and that you followed lead - safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA has developed to help contractors comply with the renovation recordkeeping requirements that took effect April 2010. Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. Read about how to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. Information for Homeowners Working at Home If you are a homeowner performing renovation, repair, or painting work in your own home, EPA's RRP rule does not cover your project. However, you have the ultimate responsibility for the safety of your family or children in your care. If you are living in a pre -1978 home and planning to do painting or repairs, please read a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools lead hazard information pamphlet. You may also want to call the National Lead Information Center at 1 -800- 424 -LEAD (5323) and ask for more information on how to work safely in a home with lead -based paint. Information for Tenants and Families of Children under Age 6 in Child Care Facilities and Schools As a tenant or a parent or guardian of children in a child care facility or school, you should know your rights when a renovation job is performed in your home, or in the child care facility or school that your child attends. Before starting a renovation in residential buildings built before 1978, the contractor or property owner is required to have tenants sign a pre- renovation disclosure form, which indicates that the tenant received the Renovate Right lead hazard information pamphlet. Beginning in December 2008, the contractor must also make renovation information available to the parents or guardians of children under age six that attend child care facilities and schools, and to provide to owners and administrators of pre -1978 child care facilities and schools to be renovated a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools lead hazard information pamphlet. Information for Contractors As a contractor, you play an important role in helping to prevent lead exposure. Ordinary renovation and maintenance activities can create dust that contains lead. By following the lead -safe work practices, you can prevent lead hazards. Contractors who perform renovation, repairs, and painting jobs in pre -1978 housing and child- occupied facilities must, before beginning work, provide owners, tenants, and child -care facilities with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools. Contractors must document compliance with this requirement. EPA's pre- renovation disclosure form may be used for this purpose. Understand that after April 22, 2010, federal law will require you to be certified and to use lead -safe work practices. To become certified, renovation contractors must submit an application and fee payment to EPA. See: Application for firm certification. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application. Contractors who perform renovation, repairs, and painting jobs should also: Take training to learn how to perform lead -safe work practices. Find a training provider that has been accredited by EPA to provide training for renovators under EPA's Renovation, Repair, and Painting (RRP) Program. Please note that if you previously completed an eligible renovation training course you may take the 4 -hour refresher course instead of the 8 -hour initial course from an accredited training provider to become a certified renovator. Click here for a list of eligible courses. Provide a copy of your EPA or state lead training certificate to your client. Tell your client what lead -safe methods you will use to perform the job. Learn the lead laws that apply to you regarding certification and lead -safe work practices beginning in April 2010. Ask your client to share the results of any previously conducted lead tests. Provide your client with references from at least three recent jobs involving homes built before 1978. Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and that you followed lead - safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA has developed to help contractors comply with the renovation recordkeeping requirements. Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. Read about how to u -IE<ad-safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. 1F YOU`Rt NOT JIM} SAFE CERTIFIED, . DISTURBING JUST SIX SQUARE FEET COULD COST YOU BIG TIM 3- 2c. -tz Signature Date o Printed Name . • u- u.1vL.IVICI• I P1%..1 GPO, I NATIONAL FLOOD INSURANCE PROGR/'" ELEVATION CERTIFICATt Important: Read the instructions on pages 1- 7. O.M.B. No. 3067 -0077 Expires December 31, 200E SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNERS NAME DALE E. WILLIAMS Policy Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 1018 HIGHWAY 80 EAST Company NAIC Number CITY TYBEE ISLAND STATE ZIP CODE GA 31328 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PORTIONS OF LOTS 1 & 2 AND ALL OF LOTS 11 & 12, GARDEN WARD, TYBEE ISLAND BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) ( # /O - ##' - ##.##" or ##.##### °) 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, GEORGIA - 135164 B2 COUNTY NAME CHATHAM B3. STATE GA. B4. MAP AND PANEL NUMBER 130030-0120 B5. SUFFIX C B6. FIRM INDEX DATE 9/20/95 B7. FIRM PANEL EFFECTIVEIREVISED DATE 5/19/87 BB. FLOOD ZONE(S) AE B9. BASE FLOOD ELEVATION(S) (Zone AO, use depth of flooding) 13 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined 0 Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® 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 NIA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Constudion* ® Finished Construe ion *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 7 (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, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/A0 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 1929 Conversion/Comments NONE Elevation reference mark used LOCAL Does the elevation reference mak used appear on the FIRM? ❑ Yes ® No U a) Top of bottom floor (including basement or enclosure) ❑ b) Top of next higher floor ❑ c) Bottom of lowest horizontal structural member (V zones only) ❑ d) Attached garage (top of slab) ❑ e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) ❑ f) Lowest adjacent (finished) grade (LAG) ❑ g) Highest adjacent (finished) grade (HAG) h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 2 U i) Total area of all permanent openings (flood vents) in C3.h 225 sq. in. (sq. cm) 8. 06 ft(m) 17.12 fL(m) WA . _ft.(m) 8. 06 ft(m) 14.76ft(m) 7.6 ft(m) 8. 0 ft(m) 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. I certify that the information in Sections A, B, and Con this certificate represents my best efforts to interpret the data available. understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME BERT B. BARRETT, JR. UCENSE NUMBER GA. 2225 TITLE PRESIDENT COMPANY NAME BERT BARRETT, JR. LAND SURVEYING, P.C. ADDRESS 145 RUNNER ROAD SIGNATURE FEMA Form 81 -31, January 2003 CITY STATE SAVANNAH GA ZIP CODE 31410 DATE TELEPHONE 10/27/04 912-897-0661 See reverse side for continuation. Replaces all previous editions IMI'UM I AN I : In these spaces, copy the corresponding information from Section A BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or B' ').) OR P.O. ROUTE AND BOX NO. 1018 HIGHWAY 80 EAST CITY STATijt ZIP CODE TYBEE IISLAND 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 THE ELEVATION OF THE OUTSIDE HEATPUMP UNIT (CONDENSER) IS AT 13.31 FT. NGVD 1929 For Insurance Company Use: Policy Number Company NAIC Number 1 ❑ 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 with 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.(an) ❑ above or El below (diedc one) the highest aclacent 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 tt.(m) _in.(am) 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 servidng the building is _ ft(m) _in.(an) ❑ 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 aid C3.i only), and E for Zone A (without a FEMA- issued or community- issued BEE) or Zone AO must sign here. The statements in Sections A B, C, and E are cared to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME N/A ADDRESS N/A SIGNATURE NN COMMENTS N/A N/A CITY STATE ZIP CODE N/A NA NN DATE TELEPHONE WA NIA N/A ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local o ffiidal 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 intonation. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E fora building located in Zone A (without a FEMA- issued or oo mmunityassued BFE) or Zone AO. G3. ❑ The following information (Items G4 G9) is provided for community floodplain management purposes. to G4. PERMIT NUMBER N/A G5. DATE PERMIT ISSUED MN G6. DATE CERTIFICATE OF CONPUANCE/OCCUPANCY ISSUED NIA G7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) (Jibe building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: NN. _fl.(m) NA/._ft(m) Datum: N/A Datum: N/A LOCAL OFFICIAL'S NAME N/A TITLE NN COMMUNITY NAME N/A TELEPHONE MN SIGNATURE N/A DATE N/A COMMENTS N/A N/A N/A ❑ Check here if attachments FEMA Form 81 -31, January 2003 Replaces all previous editions Chatham County Board of Assessors: 2011 Property Record Card 4- 0026 -1' -)06 2011 Chatham County Board of Assessors Property Record Card APPRAISER LALOWRIM S PT OF LOTS 1 & 2 AND N PT OF LOTS 11 & 12 BLK 14 GARDEN LAST INSP 10/07/2010 WARD SAVANNAH BEACH APPR 000008 OZONE SALES BOOK / INS VI QU RSN PRICE PAGE 346D 0587 QC I U UR 28 Oct 2008 GRANTOR:D & D PROPERTIES LLP GRANTEE :WILLIAMS & KEARNEY DALE E 25 Aug 275N 0694 WD I U UN '2004 GRANTOR: WILLIAMS & KEARNEY DALE E GRANTEE:D & D PROPERTIES LLP 26 Aug 2003 GRANTOR: FERRARI TONY J & GAY S GRANTEE:WILLIAMS & KEARNEY DALE E 257N 0172 NA I Q 400,000 22 Mar 201S 531 QC V U U5 ,1999 GRANTOR:FERRARI TONY J GRANTEE:FERRARI TONY J & GAY S 1'01 Jun 160H 0627 QC V U U5 :1993 GRANTOR:FERRARI & SEGARS TONY J & GRANTEE:FERRARI TONY J PERMITS TYPE DATE 1080228 RN 080237 070266 1,98-00052 CP 97 -00238 AD 0400040 RN 030534 GM COMMENTS: 16 Feb 2010 19 Nov 2008 12 Apr 2007 09 Dec 2003 03 Sep 2002 10 Jun 2002 13 Apr 2001 18 Sep 2000 23 Jul 1999 23 Aug 1993 15 Jan 2009 15 Jan 2009 08 Jan 2008 09 Mar 2005 09 Mar 2005 15 Jul 2004 15 Jul 2004 Comp 10,000 AMOUNT Comp 500 Comp 620 Comp 1,600 Comp 1,500 Comp 800 Comp 1 TY010 RET VAL ENT *TY09 SURVS 2007, PROPERTY REVIEWED, LAL TY04 HS1OS REMVD NJV 12- 9-03 FOR SALE 08/30/02 $439,500 FOR SALE 06/07/02 $439,500 FOR SALE 04/13/01 $539,900 FOR SALE 09/15/00 $539,900 *TY2000 SURVS 1984 PIN # CHG FROM 1 -17- 11-6 TO 4- 26 -11 -6 *SURVS EXTRA FEATURES ID# BLDG # '143176 143177 143178 1177810 SYSTEM DESC Comm porch good Slab w /walls Under Fr Cpt Gable Rf CARPORT Storage /Utility avg Page 1 of 4- 0026 -11 -006 1018 US HIGHWAY 80 TYBEE ISLAND WILLIAMS & KEARNEY DALE E & CAMA ASMT DEBORAH A* 362,300 362,300 LAND 1 PO BOX 1741 167,700 173,300 BLDG 1 TYBEE ISLAND GA 31328 33,200 15,300 OBXF 4 563,200 550,900 OVERRIDE [Click for larger picture) f SAGIS a ' am . unty Tax Commissioner Prapetty Tax Statement DIM 1 DIM 2 UNITS QL UNIT PRICE RCN AYB EYB DT 0 0 682.00 A 19.12 13,040 1993 1993 45 0 0 1298.00 A 16.48 21,391 1993 1993 45 20 20 400.00 A 10.48 4,192 2000 2000 554.00 A 9.84 LAND ID# USE DESC FRONT DEPTH UNITS / TYPE CODES PROPERTY 0002 COMMERCIAL USE UTA ,NBHD 0004 Tybee Island 020500.00 T500 TYBEE TO BULL R EXEMPTIONS COMMCATEG 1800 Hotel /Motel -Misc HISTORY !2011 2010 2010 2009 2008 2007 2006 2005 4,2004 2003 2002 2001 2000 1999 1998 '1997 1996 1995 1994 1993 11992 LAND IMPR TOTAL 362,300 188,600 550,900 Over 362,300 203,900 566,200 Cama 362,300 188,600 550,900 Over 494,000 331,000 825,000 Over 494,000 331,000 825,000 Over 825,000 NC 425,000 154,000 579,000 Cama 212,500 180,000 392,500 Cama 161,000 209,000 370,000 Cama 145,000 166,500 311,500 Cama 109,000 130,500 239,500 Cama 100,500 122,000 222,500 Cama 100,500 122,000 222,500 Cama 42,000 137,500 179,500 Cama 42,000 150,000 192,000 Cama 181,500 NC 20,000 65,370 85,370 Over 20,000 65,370 85,370 Over 20,000 65,370 85,370 Over 20,000 20,000 Over 20,000 20,000 Over ECON FUNC SP SP% RCNLD MKT VALUE 10,693 9,600 17,541 15,800 4,192 3,800 5,451 1993 1993 45 4,470 4,000 PRICE ZONING LCTN TOPO OTHER ADJ1 ADJ2 ADJ3 ADJ4 MKT VALUE http: //boa. chathamcounty. org/DesktopModules/ ChathamCounty / BoardofAssessors /PropertyRecordCard. aspx... 3/8/201 Chatham County Board of Assesso-c: 2011 Property Record Card 4- 0026 -11 006 Page 2 of 3 112610 HOTEUMOTEUINN 0 0 13,174.00 -SF 25.00 RA 362300 http: // boa. chathamcounty. org /DesktopModules/ ChathamCounty / BoardofAssessors /PropertyRecordCard.aspx... 3/8/201 Chatham County Board of Assessc' 2011 Property Record Card 4- 0026 -11 006 Page 3 of 3 2011 Chatham County Board of Assessors Property Record Card BUILDING SECTION 107898 -1 4- 0026 -11 -006 1018 US HIGHWAY 80 TYBEE ISLAND CONSTRUCTION TYPE RCN AYB EYB DEP TYPE PHYS ECON FUNC OBSV / % TOTAL DEP % RCNLD U.FACTOR MKT VAL Commercial 202,09 1993 993 MS 17.00 0.00 0.00 0.00 17.00 167,736 167,736 [Click for larger picture AREA 1994 STORIES 1.0 PERIMETER / SHAPE 326 OCCUPANCIES AREA % CLASS HEIGHT QUAL 539 Bed and Breakfast Inn 920 46.14 D 10.00 3.00 539 Bed and Breakfast Inn 554 27.78 D 10.00 3.00 539 Bed and Breakfast Inn 520 26.08 D 10.00 3.00 COMPONENTS Units % QUAL C2 617 Complete HVAC 100.00 C4 681 Sprinklers 100.00 C1 887 Stud - Hardboard Siding 100.00 http: // boa. chathamcounty. org /DesktopModules/ ChathamCounty / BoardofAssessors /PropertyRecordCard. aspx... 3/8/201