HomeMy Public PortalAbout12-0321 McCloudCity of
403 Butler
Phone
►ee Island • Community Develo ent Dept.
Inspection Report
Ave. • P.O. Box 2749 • Tybee Island, GA 31328
912.786.4573 ext. 114 • Fax 912.786.9539
Permit No. 42 -
Owner's Name ". etaab
Gen. Contractor
Contact Information
Project Address
Scope of Work
Inspector
Date Requested lo% / 1�-
Date Needed l 7`/ Z-
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INTERNATIONAL
CODE COUNCIL'
MEMBER
Subcontractor
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Inspection ,r/ /DIAL
Date of Inspection
Inspection
Inspection
Inspection
Pass-EH-Fail-0 Fee
Pass ❑ Fail ❑ Fee
Pass ❑ Fail ❑ Fee
Pass Fail ❑ Fee
DATE ISSUED: 06 -4 -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
REPAIR AC PEDESTAL
5 MOORE AVE
SANDY MCCLOUD
TYBEE ISLAND GA 31328
SANDY MCCLOUD
TYBEE ISLAND GA 31328
P
$ 0.00
$ 100.00
PERMIT #: 120321
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:
sliLz aC�
P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -9539
www.cityoftybee.org
Location:
CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
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NAME
ADDRESS
PIN #
TELEPHONE
Owner
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Architect
or Engineer
Building
Contractor
(Check all that apply)
❑ Repair ❑ Residential ❑ Footprint Changes
❑ Renovation n Single Family ❑ Discovery
❑ Minor Addition ❑ Duplex n Demolition
❑ Substantial Addition ❑ Multi- Family
❑ Other ❑ Commercial
Details of Project: -----71:: -? Ai 6l
Estimated Cost of Construction: $
Construction T
(1) Wood Frame
(2) Wood & Masonry
(3) Brick Veneer
Proposed use:
Remarks:
(Enter appropriate ' mber)
(4) Masonry
(5) Steel & Maso
(6) Other (please specify)
ATTACH A COPY OF THE CERTIFI ? LEVATION SURVEY OF LOT and complete the
following information based on the co tru on drawings and site plan:
# Units # Bedrooms # Bathrooms
Lot Area Living space (tot sq. ft.)
# Off - street parking spaces
Trees located & listed on s e plan
Access:
Driveway ( .) 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 by means of
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:
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 rez • . ing /variance?
Street address an. number: New
Is it in compliance • h City map?
If not, has street name . ' d/or number been report i to MPC?
NFIP Flood Zone
Existing
FEMA Certification attached
State Energy Code Affidavit atta
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 • ficer
Water /Sewer
Storm/Drainage
Inspections
City Manager
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FE
Permit
Inspectio s
Water T ; p
Sewer 'tub
Aid to onst.
TOTAL