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STATE OF GEORGIA
COUNTY OF CHATHAM )
HOLD HARMLE,
INDEMNIFICATION 11V 3
AGREEMENT, J6 2012
BY:
THIS AGREEMENT is made the a /-5f day of a tS, , 20 /2' ,
A-- ?s4 e1q e0e 664 m,9 A)
(hereinafter referred to as "Owner ")
by
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.
JERRISmYANT
My Commission Expires Maty20t 6
EfAi‘‘g-,
Owner
751Z, 4eldes 6/4--
Address
411 -chiM1
y
Permit No.
City of Tybee Island • Planning & Zonik. Dept.
Inspection Report
403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328
Phone 912.472.5032 • Fax 912.786.9539
=2`
INTERNATIONAL
CODE COUNCIL`
MEMBER
t> a5(./ Date Requested / Z /1/z
Date Needed
Gen. Contractor Subcontractor
Contact Information 7-. 74' / j 373 • Z�� Gl
Project Address /31h ,A)/`S
Owner's Name .e>
Scope of Work
Inspector /
p � l Date of Inspection `..�'�. %� ' Z,
P
Inspection F2) - /y >1') mil/ t- iE, Pass ��ail El Fee
Inspection Pass ❑ Fail ❑ Fee
Inspection Pass ❑ Fail 0 Fee
Inspection Pass ❑ Fail ❑ Fee
DATE ISSUED: 08 -3 -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
REP POOL & DECK/D'WAY & ENTRY
1316 JONES
BARBARA C. SEAMAN
422 BRANNEN DR
STATESBORO GA 30458 -9030
9125155086
SURFACE SYSTEMS OF GA
PO BOX 1300
RICHMOND HILL, GA 31324
P
$ 285.00
$30,000.00
PERMIT #: 120434
TOTAL BALANCE DUE: $ 285.00
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
62_4 1/34L
}
Property Address: 3 ! (i " -jog i-S /4Y(. "Ty GEE. t,W -•it 6 $ •
City of Tybee Island, Georgia
912 - 472 -5033 or 912 - 472 -5031 - Fax 912- 786 -9539
APPLICATION FOR BUILDING PERMIT
Single Family
❑ Duplex
❑ Multi - Family units
El Commercial units
Pl. 3r32 4
(Check all that apply)
❑ Discovery/Tearout
El Footprint Changes — new
square feet heated /cooled
❑ Demolition of Structure
El Other
Details of Project: Qpro1/,4-ilrk. Ilk Cpl//iv poO/ /5v»i/#vb
t,w ( ,ete, / •+ (ke v kv, I ,,,d,v % T.: -Atk 7 frvrzy
•
Estimated Cost of Construction: $
/00a, 00 (materials + labor + profit/overhead)
If applicable, attach a copy of the certified elevation certificate and /or survey of the property. Depending upon
the scope of the work, two sets of construction drawings and /or a site plan may be required.
Year Built: Listed on National Historic Register or located within a National Historic District? Y / N
* Buildings older than 50 years may be eligible to be listed on the State / National Register. With this designation, you
may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island.
* Also see the Tybee Island Land Development Code Article 14: Historic Preservation
During construction:
On -site restroom facilities will be provided through 110‘,441/49(.4447 . Construction debris will be disposed
by 5# 44 i F b-/A by means of igvyhdce1 . I understand that I must comply with zoning, flood
damage control, l uildinq, fire, shore protection and wetl nd ordinances, FEMA regulations and all applicable codes and
regulations. I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way
adversely affected as required by Article 16, Stormwater Management. I accept responsibility for any corrective action that
may be necessary to restore drainage impaired by this n` uction.
Date: 6(311 Z_ Signature of Applicant:
Printed Name 0/46,405
Note: A permit normally takes 7 to 10 days to process
Approvals:
Planning & Zoning Manager
Building Official
Water /Sewer
Storm /Drainage
City Manager
FEES
Permit
Inspections
Cap Cost Rec
Water Tap
Sewer Stub
Eng. Fees
Aid to Const.
TOTAL
Name
Mailing Address
Telephone
Owner
SEµn„4n/
: `;, ' A,74 , .. _ , h
i j(/ ;Z� ' NNE b.r.
Home: 7/4- 449- /41
Cell: ' — -
Architect or
Engineer
517247 ,t$t -o 6.A. 3e VS,
Contractor
S v ( f i f e P G i a t w 1 rFGi1
7 p • go /306 AL/Alton-6 f - / t..0
Home: 1`' /Z- 727 -SW4q
Cell: 91 Z- 3 -.28.c9
Single Family
❑ Duplex
❑ Multi - Family units
El Commercial units
Pl. 3r32 4
(Check all that apply)
❑ Discovery/Tearout
El Footprint Changes — new
square feet heated /cooled
❑ Demolition of Structure
El Other
Details of Project: Qpro1/,4-ilrk. Ilk Cpl//iv poO/ /5v»i/#vb
t,w ( ,ete, / •+ (ke v kv, I ,,,d,v % T.: -Atk 7 frvrzy
•
Estimated Cost of Construction: $
/00a, 00 (materials + labor + profit/overhead)
If applicable, attach a copy of the certified elevation certificate and /or survey of the property. Depending upon
the scope of the work, two sets of construction drawings and /or a site plan may be required.
Year Built: Listed on National Historic Register or located within a National Historic District? Y / N
* Buildings older than 50 years may be eligible to be listed on the State / National Register. With this designation, you
may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island.
* Also see the Tybee Island Land Development Code Article 14: Historic Preservation
During construction:
On -site restroom facilities will be provided through 110‘,441/49(.4447 . Construction debris will be disposed
by 5# 44 i F b-/A by means of igvyhdce1 . I understand that I must comply with zoning, flood
damage control, l uildinq, fire, shore protection and wetl nd ordinances, FEMA regulations and all applicable codes and
regulations. I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way
adversely affected as required by Article 16, Stormwater Management. I accept responsibility for any corrective action that
may be necessary to restore drainage impaired by this n` uction.
Date: 6(311 Z_ Signature of Applicant:
Printed Name 0/46,405
Note: A permit normally takes 7 to 10 days to process
Approvals:
Planning & Zoning Manager
Building Official
Water /Sewer
Storm /Drainage
City Manager
FEES
Permit
Inspections
Cap Cost Rec
Water Tap
Sewer Stub
Eng. Fees
Aid to Const.
TOTAL
LEAD -BASED PAINT RRP RULES
Ordinary renovation and maintenance activities can create dust that contains lead. Contractors who perform
renovation, repairs, and painting jobs in pre -1978 housing and child- occupied facilities must, before beginning
work, provide owners, tenants, and child -care facilities with a copy of EPA's lead hazard information pamphlet
Renovate Right: Important Lead Hazard information for Families, Child Care Providers, and Schools.
Contractors must document compliance with this requirement. After April 22, 2010, federal law will require you
to be certified and to use lead -safe work practices. Georgia Environmental Protection Division Lead -Based
Paint and Asbestos Program (404) 363 -7026.
Projects must be done by a Certified Lead Renovation Firm AND a Certified Renovator
When disturbing lead -based painted or coated surfaces or components more than 6 ft2 per interior
room or 20 ft2 of exterior surfaces AND all window replacements and partial demolitions of any size.
* * * * * * * * * * * * * * * * * * * **
Asbestos /Environmental Notification to Georgia EPD for
Projects Involving Demolition, Wrecking, or Renovation
The undersigned hereby acknowledges that the issuance of this permit does not in any way grant permission
to the owner, owner's representative, or permit holder to proceed with demolition, wrecking, or renovation of a
structure prior to the filing of any required ten (10) day "Project Notification for Asbestos Renovation
Encapsulation or Demolition" form in accordance with the Georgia Asbestos Rules. The Georgia
Environmental Protection Division administers the rules. In most cases, the rules require both the owner and
the involved contractors to assure the portion of the building involved in the project is thoroughly inspected by
an Accredited Asbestos Inspector for materials that contain asbestos; and the removal of the asbestos before
renovation, wrecking, or demolition begins almost without exemption. Georgia EPD requires a completed
demolition notification from be submitted 10 workings days in advance even if no asbestos is present in the
building. Further guidance for regulatory compliance and contact telephone numbers are provided by the
brochures entitled Asbestos & Renovation and Asbestos and Demolition. Other environmental issues such
as asbestos removal techniques, lead abatement, ground contamination, or unusual site conditions may have
EPD regulations that could affect the project.
* * * * * * * * * * * * * * * * * * * **
BMPs
While BMP deficiencies are not necessarily the fault of the owner or his agent, BMPs are their responsibility.
Two areas of deficiencies are in the most basic and common BMPs; Co Construction Exit and Sd1 —
Sediment Barrier. Correct installation information can be found in the Field Manual for Erosion and Sediment
Control in Georgia, Fourth Edition 2002, Georgia Soil and Water Conservation Commission;
http://www.gaswcc.org/docs/field_manual 4ed.pdf.
Problems with the Co is not limited to the installation, but to material. The stone will be a representation of
1.5 " -3.5" stone or larger.
Type A sediment barriers have been installed where Type C is required and shown on the permit drawings.
Where two rows are called for they will be installed with a separation that allows for the first one to fail (fall
over) with _ t irp ctin. - - , econd one. The complete assembly and installation must be compliant; steel or
wood os: o- .ng,T,peCorA.
.k7;n
Sig - .re for rec -ip of Lead Paint, Asbestos, and BMP notices. Date
CY.(14-71cs i ac/c)2_ �
Printed Name
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Chatham County Board of As-csors: 2012 Property Record Card 4- 0001 -14 -016
2012 Chatham County Board of Assessors
Property Record Card
APPRAISER MWTHOMAS LOT 80B WARD 4 TYBEE ISLAND SAVANNAH BEACH
LAST INSP 01/04/2012
APPR ZONE 000008
SALES BOOK / INS VI QU RSN PRICE
PAGE
23 Oct 188U 0238 WD I Q
1997
GRANTOR:NORFLEET THOMAS 8 MAMIE K
GRANTEE: SEAMAN DAVID W 8 BARBARA
150,000
PERMITS TYPE
110554
10 -0268
10 -0408 EL
10 -0388 PO
090299 RF
080245 RN
09 -0241 HT
97 -00067
02 -0500 RF
COMMENTS:
DATE AMOUNT
04 Jan 2012 Comp 300
02 Feb 2011 Comp 200
02 Feb 2011 Comp 2,500
02 Feb 2011 Comp 10,000
25 Feb 2010 Comp 9,500
30 Jan 2009 Comp 500
26 Apr 2006 Issued 4,000
05 Nov 2003 Comp 600
02 Dec 2002 Issued
LAND
ID# USE DESC
110192 SINGLE FAMILY RES
Page 1 of 2
4- 0007 -14 -016
1316 JONES ST TYBEE ISLAND
SEAMAN DAVID W & BARBARA C CAMA ASMT
1316 JONES AVE 161,200 161,200 LAND 1
TYBEE ISLAND GA 31328 -9633 120,100 120,100 BLDG 1
OBXF 0
281,300 281,300 Cost - MS
[Click for larger picture
Chatham County
Tax Commissioner
Property Tax Statement
CODES
PROPERTY 0006 RESIDENTIAL
USE
UTA
NBHD
EXEMPTIONS
0004 Tybee Island
020225.00 T225 TYBEE
INNER
HISTORY LAND IMPR TOTAL
2011 161,200 120,100 281,300 Cama
2010 282,000 147,000 429,000 MAV
2009 282,000 147,000 429,000 Over
2008 282,000 147,000 429,000 Cama
2007 282,000 113,500 395,500 Cama
2006 282,000 104,000 386,000 Cama
2005 150,000 133,500 283,500 Cama
2004 89,500 153,000 242,500 Cama
2003 71,000 98,000 169,000 Cama
2002 71,000 98,000 169,000 Cama
2001 74,500 98,000 172,500 Cama
2000 55,000 81,000 136,000 Cama
1999 31,500 81,000 112,500 Cama
1998 31,500 81,000 112,500 Cama
1997 31,500 77,000 108,500 Cama
1996 15,000 77,050 92,050 Cama
1995 15,000 83,710 98,710 Cama
1994 15,000 71,770 86,770 Cama
1993 15,000 47,180 62,180 Over
1992 15,000 47,180 62,180 Over
FRONT DEPTH UNITS / TYPE PRICE ZONING LCTN TOPO OTHER ADJ1 ADJ2 ADJ3 ADJ4 MKT VALUE
60 79 4,740.00 -SF 34.00 R2 161200
http: //boa. chathamcounty. org/ DesktopModules /ChathamCounty/BoardofAsses sors /Prope... 08/03/2012
143,021 1966 1985 MS 27.00 0.00 0.00 0.00 27.00 104,405 120,100
16
21
Chatham County Board of Asc-csors: 2012 Property Record Card 4- 0001-14 -016 Page 2 of 2
2012 Chatham County Board of Assessors 4- 0007 -14 -016
Property Record Card 1316 JONES ST TYBEE ISLAND
BUILDING SECTION
85715 -1 -2012
3
16
CONSTRUCTION TYPE RCN AYB EYB DEP TYPE PHYS ECON FUNC OBSV /% TOTAL DEP % RCNLD U.FACTOR MKT VAL
Residential
• 1625 3:
P.oL Gu.Ile (SF)
512
16'
15'
4
■d
m..a Deck 10•
so-
MOPS
OF Ara
10
30•
• (00
Sate 101.1 A... if
300 • .,
4' E.ck.e4 P.5.0 Sem.ed 11.N.
300
10'
Click for larger picture:
20'
WOD ESTIMATED;GATE LOCKED.2 MBNVS;PRIVACY FENCE!
SECTION TYPE 1 - Main
AREA 1860
TYPE 1 - Single- family Residence
FRAME 1 - Stud Frame
STYLE 2 - Two Story
QUALITY 3.00
CONDITION 3.00
# UNITS 0
#OF BEDS /BATHS 3/2.00
COMPONENTS Units % QUAL
R1 109 Frame, Stucco 100.00
R2 214 Metal, Preformed 100.00
R3 352 Heat Pump 100.00
R4 402 Automatic Floor Cover Allowance
R6 601 Plumbing Fixtures ( #) 8.00
R6 621 Slab on Grade (% or SF) 100.00
R11 903 Wood Deck (SF) 140.00
R11 903 Wood Deck (SF) 80.00
R11 904 Slab Porch (SF) with Roof 140.00
R11 907 Enclosed Porch (SF), Screened Walls 300.00
R16 1625 Pool, Gunge (SF) 512.00
http: //boa. chathamcounty. org/DesktopModule s /ChathamCountyB oardofAs sessors/Prope... 08/03/2012