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Home My Public Portal About12-0396 All Saints Episcopal ChurchCity of Tybee Island • Planning & Zoning Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.472.5032 • Fax 912.786.9539 Permit No. - (D% p Owner's Name A\\ Sa I n�5 Date Requested 1 ' ( 1 - 12 mania INTERNATIONAL CODE COUNCIL MEMBER Date Needed ' " 1 - (Z•• ■ Gen. ContractorO)r1S �( )A rcS Subcontractor Contact Information i t, \Q m (o04 66-7 Project Address 2 C o r\c Ave Scope of Work Inspector 714 Date of Inspecti � E Inspection -p �;� ? � n4 Pass 0 Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail 0 Fee DATE ISSUED: 07 -13 -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 SIGN AT 803 SECOND AVENUE 804 JONES AVE ALL SAINTS EPISCOPAL CHURCH 804 JONES AVE TYBEE ISLAND GA 31328 786 -5845 SIGNS FOR MINDS SAVANNAH GA 00000 P $ 0.00 $ 700.00 PERMIT #: 120396 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: P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org Location: SD 5 CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT caycq°�T7� -- NAME ADDRESS PIN # Owner hi l S4;12 r }' Aq 8-0/1 Architect or Engineer Building Contractor 6Z l�( ff$ i/D% � �� d q / r- 3�- ( (Check all that apply) ❑ Repair ❑ Renovation ❑ Minor Addition ❑ ubstantia) Addition Other N i ' ►PI Details of Project: El El n 0Ln/I (o d¢3 /Ijo( Residential Single Family Duplex Multi - Family Commercial • Footprint Changes n Discovery n Demolition Estimated Cost of Construction: S Construction Type (]) Wood Frame (2) Wood & Masonry (3) Brick Veneer Proposed use: Remarks: 0 "7 o0 (Enter appropriate number) (4) Masonry 6Other (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 Lot Area #Off - street parking spaces # Bedrooms Living space (total sq. ft.) Trees located & listed on site plan Access: Driveway (ft.) Setbacks: Front With culvert? Rear # Bathrooms With swale? 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 1 understand that l 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. l 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: l realize that l must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected. l accept responsibility for any corrective action that may be necessary to restore drainage impaired by this permitted construction. Signature of A lica , Date: g PP � C ti(CatAA/L__ Note: Apermit normally takes 7 to 10 days toprocess. 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: Csi; �i�3ateO Zoning Administrator Code Enforcement Officer Water /Sewer Stonn /Drainage Inspections City Manager FEES Permit Inspections Water Tap Sewer Stub Aid to Const. TOTAL 3/ 4f-k Cit-yvte CIL „r e jt_ 5 &-ec_ (5)-tri A-Vevtu-v,_ r co' ev.) % a.ir. + a S 4- S ' y:v-c2 frJ are- r 1 Sicvt3 (- N vn - *Pig/ A. 4s Pzto 51"36,1e ?c G 1L740s All Saints' Church Every Sunday The Holy Eucharist at 10 Child Care & Sunday School STATE OF GEORGIA COUNTY OF CHATHAM ) 03 20-5-1 HOLD HARMLESS / INDEMNIFICATION AGREEMENT THIS AGREEMENT is made the 11 day of S3 , 20 I by P A Sa: co a I C Lu rG (hereinafter referred to as "Owner ") WITNESSETH Owner hereby agrees to protect, defend, indemnify and hold harmless the City of Tybee Island, Georgia, (a political subdivision of the State of Georgia), its Mayor and Council, officers, agents, and employees (hereinafter referred to as "City ") from and against any and all liability, damages, claims, suits, liens, and judgments of whatever nature, including any claims for contribution and /or indemnification for injuries to any person or persons, or damage to the property or other rights of any person or persons, caused in any manner pertaining to the location of privately constructed or any other privately owned structures and plants, which protrudes into the right -a -way of any City street. The undersigned further recognizes and agrees that this license does not confer upon the undersigned any rights, title, estate, or interest in said licensed premises; nor does this license agreement confer upon the undersigned a license coupled with an interest or easement. This license merely gives the undersigned a revocable privilege, it being expressly understood and agreed that, regardless of any improvements or investments made, expense and harm incurred or encountered by the undersigned, this agreement shall be subject to revocation, cancellation or termination, this license shall be null and void. IN WITNESS THEREOF, Owner has hereunto set its hand and affixed its seal on the day and year first above written. 0.A"^'4-)' OY3 Witness