HomeMy Public PortalAbout12-0314 FreeJLee LLC_1of2"
D A T E I S S U E D : 0 5 - 3 0 - 2 0 1 2
W O R K D E S C R I P T I O N
W O R K L O C A T I O N
O W N E R N A M E
A D D R E S S
C I T Y , S T , Z I P
P H O N E N U M B E R
C O N T R A C T O R N A M E
A D D R E S S
C I T Y S T A T E Z I P
F L O O D Z O N E
B U I L D I N G V A L U A T I O N
S Q U A R E F O O T A G E
O C C U P A N C Y T Y P E
T O T A L F E E S C H A R G E D
P R O P E R T Y I D E N T I F I C A T I O N #
P R O J E C T V A L U A T I O N
C I T Y O F T Y B E E I S L A N D
B U I L D I N G P E R M I T
F E N C E / U N D E R P I N N I N G
6 0 2 F I R S T S T A B C
F R E E J L E E L L C
6 0 2 F I R S T S T A
T Y B E E I S L A N D G A 3 1 3 2 8
F R E E J L E E L L C
6 0 2 F I R S T S T A
T Y B E E I S L A N D G A 3 1 3 2 8
P
$ 6 0 . 0 0
$ 3 , 0 0 0 . 0 0
P E R M I T # : 1 2 0 3 1 4
T O T A L B A L A N C E D U E : $ 6 0 . 0 0
I t i s u n d e r s t o o d t h a t i f t h i s p e r m i t i s g r a n t e d t h e b u i l d e r w i l l a t a l l t i m e s c o m p l y w i t h t h e z o n i n g , s u b d i v i s i o n , f l o o d c o n t r o l , b u i l d i n g , f i r e , s o i l
a n d s e d i m e n t a t i o n , w e t l a n d s , m a r s h l a n d s p r o t e c t i o n a n d s h o r e p r o t e c t i o n o r d i n a n c e s a n d c o d e s w h e t h e r l o c a l , s t a t e o r f e d e r a l , i n c l u d i n g a l l
e n v i r o n m e n t a l l a w s a n d r e g u l a t i o n s w h e n a p p l i c a b l e , s u b s e q u e n t o w n e r s s h o u l d b e i n f o r m e d t h a t a n y a l t e r a t i o n s t o t h e p r o p e r t y m u s t b e
a p p r o v e d b y t h e i s s u a n c e o f a n o t h e r b u i l d i n g p e r m i t . P e r m i t h o l d e r a g r e e s t o h o l d t h e C i t y o f T y b e e I s l a n d h a r m l e s s o n a n y c o n s t r u c t i o n
c o v e r e d b y t h i s p e r m i t .
T h i s p e r m i t m u s t b e p o s t e d i n a c o n s p i c u o u s l o c a t i o n i n t h e f r o n t o f b u i l d i n g a n d p r o t e c t e d f r o m t h e w e a t h e r . I f t h i s p e r m i t i s n o t p o s t e d w o r k
w i l l b e s t o p p e d . T h e b u i l d i n g c o n t r a c t o r w i l l r e p l a c e c u r b p a v i n g a n d g u t t e r b r o k e n d u r i n g c o n s t r u c t i o n . T h i s p e r m i t w i l l b e v o i d e d u n l e s s
w o r k h a s b e g u n w i t h i n s i x m o n t h s o f t h e d a t e o f i s s u a n c e .
S i g n a t u r e o f B u i l d i n g I n s p e c t o r o r A u t h o r i z e d A g e n t :
P . 0 . B o x 2 7 4 9 - 4 0 3 B u t l e r A v e n u e , T y b e e I s l a n d , G e o r g i a 3 1 3 2 8
( 9 1 2 ) 7 8 6 - 4 5 7 3 - F A X ( 9 1 2 ) 7 8 6 - 9 5 3 9
w w w . c i t y o f t y b e e . o r g
Location:
CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
63- 1 S' -'VY4&+- Ac PIN #
DDRESS
TELEPHONE
Owner
F /ttsLt Al LLC
c,o; ks- t t
4' l - Tot -c44
Architect
or Engineer
Building
Contractor
(Check all that apply)
❑ Repair
❑ Renovation
❑ M• inor Addition
❑ S• ubstantial Addition
sit Other t� ('
Details of Project: �I- � p\ 1)3.e 54- p,,,1 O id; Ak
I . bki- vptenNr)Oa/ 6v.. vv. n,,J, tJej f hu. \�'J
V> e ct. s; des. 000. —�
Estimated Cost of Construction: $
❑ Residential
❑ Single Family
❑ Duplex
❑ Multi- Family
❑ Commercial
❑ Footprint Changes
n Discovery
n Demolition
Construction Type 1 (Enter appropriate number)
(1) Wood Frame (4) Masonry (6) Other (please specify)
(2) Wood & Masonry (5) Steel & Masonry
(3) Brick Veneer
Proposed use:
Remarks:
ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the
following information based on the construction drawings and site plan:
# 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?
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:
On -site restroom facilities will be provided through
On -site waste and debris containers will be provided by
Construction debris will be disposed by D os,t(
(C& hos. la,
a 1%.44e-
by means of 1 l tQl )
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: St 7 �(1 Z— 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: nature
Zoning Zoning Administrator 3...12A4
Code Enforcement Officer
Water /Sewer
Storm/Drainage
Inspections
City Manager
FEES
Permit
Inspections
Water Tap
Sewer Stub
Aid to Const.
TOTAL