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HomeMy Public PortalAbout12-0377 Tiencken_1of2DATE ISSUED: 07 -5 -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 FENCE 403 THIRTEENTH ST GWENDOLYN TIENCKEN 718 JACOBY DR LOGANVILLE GA 30052 -6718 GWENDOLYN TIENCKEN 718 JACOBY DR LOGANVILLE GA 30052 -6718 P $ 50.00 $1,000.00 PERMIT #: 120377 TOTAL BALANCE DUE: $ 50.00 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. Sz� lei -04, 02 -pa ln•Mins p.A� 2r'S;ot- ?roble"S Signature of Building Inspector or Authorized Agent: ��/VLtoi 3 -7 -/ p No ‘e -C-1e. D 4a- P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org m -61377 Location: /`b3 CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT /34 5. bLe, :J /6,,hot NAME ADDRESS PIN # TELEPHONE Owner 6/ wc.:1 Tien f t03 13/ 5l i,Lt L5/44 67k 111 if 1 Architect or Engineer N/4 Building Contractor B. a f l , [C„.,, 163 / 34 4 14c, 151 5,,41 / t 6- zY- ( - M-1 50 (Check all that apply) ❑ ✓Repair 1 H"-Renovation ❑ Minor Addition ❑ Substantial Addition ❑ Other Details of Project: der r ✓�n�� IR-Residential ❑ Single Family ❑ Duplex ❑ Multi - Family ❑ Commercial �e w� ex.; 541 h1 fc,�nr n� Estimated Cost of Construction: $ 1) 6 Q 3 Construction Type (1) (2) Woo (3) Brick Proposed use: Remarks: od Frame & Masonry eer ATTACH A COP following informati # Units Lot Area # Off - street p Trees locates & listed on ite plan Access: Driveway Setbacks Front n Footprint Changes ❑ Discovery Re-Demolition ry Ica _ w A". cbT14,,d rkt_44 (Enter appropriate number) (4) Masonry (6) Other (please specify) (5) Steel & Masonry THE CERTIFIED ELEVATION SURVEY OF LOT and complete the based on the construction drawings and site plan: mg spa es # Bedrooms # Bathrooms Living space (total sq. ft.) (ft.) With culvert? Rear With swale? Sides (L) (R) # Sto r'es Heigh Vertical distance measured from the average adjacent gra" - of the building to the extreme high point of the building, exclusive of chimneys, heating u • its, ventilation ducts, air conditioning units, elevators, and similar appurtances. During construction: On -site restroom facilities will be provided through en t- t1a (tt On -site waste and debris containers will be provided by N/A Construction debris will be disposed by iv w n c r by means of l r v 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: 7l / rl / Z— Signature of Applican 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: Zoning Administrator Code Enforcement Officer Water /Sewer Storm /Drainage Inspections City Manager Date `7-5-12- FEES Permit Inspections Water Tap Sewer Stub Aid to Const. TOTAL