HomeMy Public PortalAbout12-0355 ShiraDATE ISSUED: 06 -20 -2012
WORK DESCRIPTION
WORK LOCATION
CITY OF TYBEE ISLAND
BUILDING PERMIT
REPL CONCRETE WITH PAVERS
8A TWELFTH ST
OWNER NAME ANNE & WILLIAM SHIRA
ADDRESS 5507 WATERS DR
CITY, ST, ZIP SAVANNAH GA 31406 -2038
PHONE NUMBER
CONTRACTOR NAME NATURE'S WAY
ADDRESS PO BOX 31112
CITY STATE ZIP SAVANNAH, GA 31410
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEES CHARGED
PROPERTY IDENTIFICATION #
P
$ 100.00
PROJECT VALUATION $11,000.00
PERMIT #: 120355
TOTAL BALANCE DUE: $ 100.00
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:
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P. O. Box 2749 - 403 Butler Avenue, Ty bee 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 #
Owner
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. Architect
or Engineer
Ar Ue?S GA
P.0 Ilox 3 I II v
Building
Contractor
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jJai4 s'c (.Ja„t
SALIM/11i it Pr 31Ltr a
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(Check all that apply)
❑ Repair
Renovation
Minor Addition
❑ Substantial Addition
❑ Other
❑ Residential
❑ Single Family
❑ Duplex
❑ Multi- Family
❑ Commercial
❑ Footprint Changes
❑ Discovery
❑ Demolition
Details of Project: geecrice C o k} ceP7 e ,bRi oe
(_v 17 (4 toPileiC fC,c.v 4 ,E ?„4-ec e /Wei
Estimated Cost of Construction: $ j J a 00O. 00
Construction Type
(1) Wood Frame
(2) Wood & Masonry
(3) Brick Veneer
Proposed use:
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
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 rovided by
Construction debris will be disposed by YY'Py
um \i
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: (0 I 1 i Z Signature of Applicant: 0.41/12_ ,
Note: A permit normally takes 7 to 10 days to process.
The following is to be completed by City personnel:
Zoning certification NFIP Flood Zone
Approved rezoning /variance?
Street address and number: New Existing
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)
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
(P-20 42-
FEES
Permit
Inspections
Water Tap
Sewer Stub
Aid to Const.
TOTAL
" I P I T J
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