HomeMy Public PortalAbout06-0161 Rogers_1of2DATE ISSUED: 03 -20 -2006
WORK DESCRIPTION:
WORK LOCATION:
OWNER NAME
ADDRESS
CITY, ST, ZIP
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEE'S CHARGED
PROPERTY IDENTIFICATION #
PROJECT VALUATION
CITY OF TYBEE ISLAND
BUILDING PERMIT
REPAIR & RENOVATE
1504 MILLER AVE
RAY ROGERS
1504 MILLER AVE
TYBEE ISLAND GA 31328
BARRY BROWN
P
$ 215.00
$25,000.00
PERMIT #: 060161
TOTAL BALANCE DUE: $ 215.00
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 -5737
www.cityoftybee.org
CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
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NAME
ADDRESS
PIN #
Owner
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Architect
or Engineer
Building
Contractor
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(Check all that apply)
❑ New Construction
❑ Duplex
❑ Residential
❑ Footprint Changes
❑ Other
Estimated cost of Construction: $
Construction Type
(1) Wood Frame
(2) Wood & Masonry
(3) Brick Veneer / _
Proposed use: N) Yi 0 i 600-K �'e pt 24 14-:4 71 Y- 6-74 5-C <<�
Remarks: rr C(csO 1 r F c. i 1 POrzCi / /4- /'rt'.�4, 9-Rep /ate K,
�" — -Rpo t" / AJ & H4co wood R.00 e , 4-ND Remo br a-1
ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOTS and complete the
following information based on the cons _ . . n drawings and site plan:
Renovation
ix Single Family
❑ Commercial
❑ Repairs
(Enter appropriate number)
❑ Minor Addition
❑ Substantial Addition
❑ Multi- Family
▪ Demolition
(4) Masonry (6) Other (please specify)
(5) Steel & Masonry
# Units
Lot Area
# Off - street parking spaces
Trees located & listed on s
Access:
Driveway (ft.)
Setbacks: Front
# Bathrooms
With swale?
Sides (L) (R)
# Stories Height Vertical distance measured from the average adjacent
grade of the building to the extrem high point of the building, exclusive of chimneys, heating
units, ventilation ducts, air conditioning units, elevators, and similar appurtances.
'Kap
During construction:
On -site restroom facilities will be provided through 1 t
On -site waste and debris containers will be provided by
Construction debris will be disposed by at
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:3 -ZO (7(P
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 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?
NFIP Flood Zone
Existing
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
Date
03-/0 -06
Permit
Inspections '
Water Tap
Sewer Stub
Aid to Const.
FEES i�� pier
TOTAL •
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'4Vir)(11 ) `ti No
01/40
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6,64
6
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