HomeMy Public PortalAbout06-0165 Solomon_1of4Permit No.
City of Tybee Island • Community Development Dept.
Inspection Report
403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328
Phone 912.786.4573 ext. 114 • Fax 912.786.9539
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Date Requested
Owner's Name 0 Date Needed
Gen. Contractor Subcontractor
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Contact Information CA\ r.S -7c(,1 - 11101
Project Address I 10,0e-
Scope of Work A k..)e5A• C o-4-4
Inspector 0 Date of Inspection L4- - n
Inspection v-empt
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Pass Ez Fail Fee
Inspection Pass Fail El Fee
Inspection Pass 0 Fail EI Fee
Inspection Pass 0 Fail Fee
CITY OF TYBEE ISLAND
CERTIFICATE OF OCCUPANCY
DATE COMPLETED: 04/05/2010
This Certificate issued pursuant to the requirements of the Standard Building Code
Certifying that at the time of issuance this structure was in compliance with the various
ordinances of the Jurisdiction regulating building construction or use.
PERMIT #: 060165
PROPOSED USE: GUEST COTTAGE
OCCUPANCY TYPE: P
CONTACT NAME CHRISTOPHER SOLOMON
CONTACT ADDRESS PO BOX 21
CONTACT CITY STATE ZIP TYBEE ISLAND GA 31328 -0021
PROPERTY ADDRESS 6 MILLER AVE — GUEST COTTAGE
APPROVED BY:
P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -5737
www.cityoftybee.org
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
Federal Emergency Management Agency
National Flood Insurance Program Important: Read the instructions on pages 1 -9.
OMB No. 1660 -0008
Expires March 31, 2012
SECTION A - PROPERTY INFORMATION
For Insurance Company Use:
Al. Building Owner's Name /
Policy Number
A2. Building Street Address (inclu Apt., U , Suite, and/or Bldg. No.) or P.O. Route and Box No.
CC-
City I `yr E G L I l� State
Company NAIC Number
A3. Property Description (Lot and Block Numbers, Tax Parcel Num r, Legal Description, etc.)
/ c t /06 tom! %I 04/7. /Dj>i. 4 - 3 /¢ -7/
Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) �I�L�V f /4L.
A4.
A5.
A6.
A7.
A8.
Latitude /Longitude: Lat. Long.
Attach at least 2 photographs of the building if the Certificate is being use
Building Diagram Number f Iii t Alci v Ccir' / - 'gt61- Bldg
For a building with a crawlspace or enclosure(s): Y a
a) Square footage of crawlspace or enclosure(s) 4 -• i - L.
0.
b) No. of permanent flood openings in the crawlspace or •11. ), J5 ,
enclosure(s) within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b sq in
d) Engineered flood openings? ❑ Yes 0 No
ZIP Code 3 f�
Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983
to obtain flood insurance, ? j j y /� l
Q CC`s c'r � ; i tC 1 h�C L v/C (' ' ft/ -S! t71C
A9. Fdr a building with an attached garage:
a) Square footage of attached garage
tCr�-
sq ft
b) No. of permanent flood openings in the attached garage
within 1.0 toot above adjacent grade
c) Total net area of flood openings in A9.b
d) Engineered flood openings? ❑ Yes
spin
LI No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1 IP ommuni N}p'me & Communi Number
I rrf 1 ��kri1c/ / ` (E4,
B2. County Name
B3. State
B4:lvlap/Panel Number
85. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
Date 0,
Effective/Revised Date
Z n s)
AO, use base flood depth)
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile [FIRM Community Determined ['Other (Describe)
B11. Indicate elevation datum used for BFE in Item B9: aNGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No
Designation Date ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* [Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a -h
below according to the building diagram specified in Item A7. Use the same datum as the BFE. . j / i-x
Benchmark Utilized 9. 6 Z Vertical Datum %t✓ t 7 ' 1) ZI
Conversion/Comments
K-7C -. }-!),s J) '4et h. i W 3i+)
a) ; Top of bottom floor (including basement, crawlspace, or enclosure flc
b) Top of the next higher floor
c) ' Bottom of the lowest horizontal structural member (V Zones only)
d) ; Attached garage (top of slab)
e) ' Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG)
g) Highest adjacent (finished) grade next to building (HAG)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support
ivy
6331' IN
•
Z3 .45
A; A -❑
/6 .6 ❑
eck the measurement used.
feet ❑ meters (Puerto
feet ❑ meters (Puerto
feet ❑ meters (Puerto
feet ❑ meters (Puerto
feet ❑ meters (Puerto
/ „LEI-feet ❑ meters (Puerto
! % . C Q feet ❑ meters (Puerto
Rico only)
Rico only)
only)
Rico only).
Rico only)
Rico o 1C3
Rico only) �
Z .❑ "feet ❑ meters (Puerto Rico only)
SECTION D - SURVEYOR, ENGINEER; OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. I certify that the information on this Certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
El/Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
licensed land surveyor? Dyes ❑ No
Certifiers Name '? f
/ ►v c:( /i�11t � >t,
Title i? Company Name
' 'j�- �i t � y �� �~
Address J -� JCity -,
License Number t
FEMA Form 81- 1, Mar '9
See reverse side for continuation. Replaces all previous editions
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IMPORTANT: In these spaces, copy the corresponding information from Section A.
Building xStree,� A drt s (includi Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
6 `1 jf't'Jf u.
City — ^ State , IP Code Company NAIC Number
SE(
ferlrisufanoe company Ike:
PolicyiNUtber
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments - 1
irit rU`' 1 I Ci! C� >'T � �_ 6 it E'1 1-1";
"8 l`i � 6 1
t tf l
Cg L k } tti (1 � r1 6 6 o`,' /E. e. u') �'� � �� � i i � i
Signatur \ /
SECTION E -
\r'- ` Date i1)
UILDING ELVATI INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
[- Check here if attachments
For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B,
and C. For Items El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawlspace, or enclosure) is . ❑feet ❑meters ❑above or ❑below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑feet ['meters ❑above or ['below the LAG.
E2. For Building Diagrams 6 -9 with permanent flood openings provided in Secti n A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is _ ❑ feet Lj meters ❑ above or LI below the HAG.
E3. Attached garage (top of slab) is . ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA - issued or community- issued BFE)
or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address
City
State ZIP Code
Signature
Date Telephone
Comments
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E),
and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9.
G 1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO.
G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes.
G4. Permit Number
G5. Date Permit Issued
G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building ❑ feet ❑ meters (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site ❑ feet ❑ meters (PR) Datum
G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum
Local Official's Name
Title
Community Name
Telephone
Signature
Date
Comments
❑ Check here if attachments
FEMA Form 81 -31, Mar 09
Replaces all previous editions
Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address (includingIpt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
flay `
Policy Number
State
ZIP Code
CompanyNNC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the
reverse.
Building Photographs
Continuation Page
Building Street Addr ss (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
City
For Insurance Company Use:
Policy Number
State .„---
67C-%
IP Code
Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all
photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View.°
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City of Tybee Island • Community Development Dept.
Inspection Report
403 Butler Ave. • P .10. Box 2749 • Tybee Island, GA 31328
Phone 912.786.4573 ext. 114 • Fax 912.786.9539
Permit No. L.1(0-• l� 1
Owner's Name t arr -.or∎
Gen. Contractor II
Contact Information
Project Address
scope of Work
Inspector
Date Requested 4 t O
Date Needed J " i 2- cc
Subcontractor
7 S' to • 7 t, 7
Date of Inspecti
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Fail [3 Fee
Inspection PIN) ( Pass
c3 Fee
Inspection Pass Q Fail 0 Fee
Inspection Pass 0 Fail ❑ Fee
City of Tybee Island • Community Development Dept.
Inspection Report
403 Butler Ave. • P.O. Box 2749 Tybee Island, GA 31328
Phone 912.7/16.4573 ext. 114 • Fax 912.786.9539
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rmit No. 06- ni6_.s-'" Date Requested
wner's Name 01orn4 4 Date Needed
n. Contractor Subcontractor
ntact Information '' 2 (t3 'n co,c-7-o(40_3
aject Address
ope of Work
spector
spection
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Permit No.
Inspection Report
City of Tybee Island
403 Butler Ave.
P.O. Box 2749
Tybee Island, GA 31328
Phone: (912) 786 -4573 ext. 114
Fax: (912) 786 -9539
0 c2 -
Owner's Name ( �nr• o
Date Requested �1 - [ lei - 9
Date Needed I,20-09
Gen. Contractor Subcontractor K J 3 t 1( Elec.
Contact Number ' fir. r,
Location /M. (z t'" A1/4,1(1 Q U ? r ' p -
r !' \Date f Inspection 1\ X. \ f
Inspector 11 )� •, � { P •
Type of Inspection n' • Q r 4 P int ° W
\ \-\'
l\ i Pass
Fail
T}{ Result Report
P 1
01/20/2009 09:59
Serial No. CM35228060004
TC: 27328
Destination
Start Time
Time
Prints
Result
Note
Georgia Power
01 -20 09:58
00:00:46
001/001
OK
Note
MR: Timer TX, POL: Polling, ORB: Original Size Setting. FME: Frame Erase TX.
MIX: Mixed Original TX, CALL: Manual TX. CSRC: CSRC, gFWD: Forward. PC: PC -Fax,
RLY: Rela9. MBX: Confidential. : BulletPinC1SIP rSIPnFax.FIPADR:FIP Address Fax.
I -FAX: Internet Fax
Result OK: Communication OK, S -OK: Stop Communication, PW -OFF: Power Switch OFF,
TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer,
Refuse: Receipt Refused, Busy: Busy, M- Full:Memory Full,
LOVR:Receiving length Over, POVER:Receiving page Over, FIL:File Error,
DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error.
RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND
FOR SAVANNAH ELECTRIC_ FAX TO: Lyan Bresnan _ 7 Phone 912
3 o co - 4 ySe 'a� -ak.i 3aa- Z aw2S
Flo —OtCc,S 9 ... e. s.4-
Location Address: J O M .11 ier, Aaa e+ . — Goo 1-o. ILot # Release Date: 1- Z O -v 9
'Type of Release: Temporary iPermanef.t ��r Subd Name:
Electrician: R J. Shit t ICC . Electrician Phone Number:
Owner/Builder: al" r-.S '..---.1.e=. rfe...or-.
Phone Number: SO % - r] •-f' SS
Location Address: Lot #__
'Type of Release: Temporary Permanent
Electrician:
Owner/Builder:
Release Date:
Subd Name:
Electrician Phone Number:
Phone Number:
Location Address: Lot #
Type of Release: Temporary Permanent
Electrician:
Release Date:
Subd Name:
Electrician Phone Number:
Owner/Builder:
Phone Number:
RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND
FOR SAVANNAH ELECTRIC. FAX TO: Lynn Brennan 9-37 Phone 912
3 0(0. 2 ce 3 06- 2 ?0S-
e0:- y 308- 2 (02s
CND— Q(coS 9,,cs4
Ali Location Address: La I Qf Aue, •_ Co 49.e)Lot # Release Date: 1-2 0 -09
Type of Release: Temporary ✓Per anent �� Subd Name:
Electrician: ' v S Se ( t l ea . Electrician Phone Number: 04'-13 07
Owner/Builder: 01 r ►S ' ovi.t ors Phone Number: % LI SS
Location Address:
Type of Release: Temporary Permanent Subd Name:
Electrician:
Lot # Release Date:
Owner/Builder:
Electrician Phone Number:
Phone Number:
Location Address:
Lot # Release Date:
Type of Release: Temporary Permanent Subd Name:
Electrician:
Owner/Builder:
Electrician Phone Number:
Phone Number:
Inspection Report
City of Tybee Island
403 Butler Ave.
P.O. Box 2749
Tybee Island, GA 31328
Phone: (912) 786-4573 ext. 114
Fax: (912) 786-9539
Permit No. i (0 - O ` Co ( Date Requested 0 i - , 0
Owner's Name So k a rr 0 r1 Date Needed 0 i - (0 " O 9
Gen. Contractor Subcontractor -L?u SSA- (I--- E • ,
Contact Number o k n n . - v-7
Location _C2_1' ` . Her- A " e, . u e c4 C
Inspector 1 kJ Date of Inspection //,/,
Type of Inspection € r t , �J e_T-
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Pass
Fail
Permit Mr .
Inspection Report
City of Tybee Island
403 Butler Ave.
P.O. Bow 2/49
Tybee Islisnd, GA 31328
Phone: (912) 786-4573 ext. 114
Fax! (912) 786-9539
0(0- Q icpC
nwner's Name o cy%
iien. Contractor
Contact N timber
loca0on fiVit
Inspector_ _14
Type of Inspection
V.
Date IR P(11 lested
Date Needed Q2,-. 2 5-703
siihrontrarto r
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e.
Date of Inspection
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Pass
Fail
Permit Nn
:" ' • -.F.,
Inspection Report
City ol Tybee Island
403 Butler Ave.
P-(..), ROY 2149
Tvbee Island, GA 31328
Phone: (912) 786-4573 ext. 114
Fax: (912) 786-9539
fl(-Ol_5* --
Date Requested 012-20-0F
Owners Name 3 •Q ne■ o Date Needed
Gen. contractor
Contact Number
Location
Inspector
1"ype. ot inpertion
f- 5
Subcontractor
-1-fig7z;z: G059- 0 LDS
Date of inspection
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Inspection Report
City of Tybee Island
403 Butler Avenue
P.O. Box 2749
Tybee Island, GA 31328
Phone: (912) 786-45/3 extension 114
Fax: (912) 786-9539
Permit No. 0 (0 - 01 to 5- Date Requested 10- 1 S.--
o( lorN, 0 i•-• Date Needed 1 0 '1 (0- o -1
Owner's Name ,..
Gen. Contractor Subcontractor "T. ± • .P( nes*
Contact Number OY
( 0 C -7 - n q 3
Location p AA ■ I el" A i tad .
Inspector ---& 7 Date of Inspection
Type of Inspection -Pr a 0" : c 0.--
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Inspection Report
City of Tybee Island
403 Butler Avenue
P.O. Box 2749
Tybe.e Island, GA 31328
Phone: (912)186-45/3 extension 114
Fax: (912) 786-9539
Permit No, TTh l en — Q I (o 5 riatp ifrnIIP'Rterl t
,-, k 0 (N-.0 tr--.
Owner's Name Date Needed (0-11- -7
Gen. Contractor Subcontractor l• T. NJ i)., L
Contact Number
Location
----3-7-
Inspector Date of Inspection
Type of Inspection VT 0 0 3 1-, n ,.) .-- 6 :r-, (7
1 df
Pass El
gixss Fail
Inspection Report
City of Tybee Island
403 Butler Avenue
P.O. Box 2749
Tybee Island, GA 31328
Phone: (912) 786-45/3 extension 114
Fax: (912) 786-9539
Permit No - I Date Requested 0 ip -01_
Owner's Name N, Date Needed -
Gen- Contractor Subcontract° 1:--,),<SP, .
ContactNumber
Location tO A I\ (2)
Inspector Date of Inspection
Type of Inspection
Pass
Fait
Inspection Report
City of Tybee Island
403 Butler Avenue
P.O. Box 7 749
Tybee Island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786 -9539
Permit No 0 (- 0 (0S-. Date Requested: V La -30-0 C'
Owner's Name: J 1 n Date Needed: D-7- 0 3- O co
Gen. Contractor: Subcontractor: a ()S �I . *, r4 c. S
Contact Number: a 1S. C- 77S01
Location: ( n /Y1. 1 \ er AvQJ .
Date of Inspection: -7/13/a Type of Inspection: V e r 5 P ° c.
n a 1 (Doi 4- +ern
Comments:
T nspecto r:
ST
Time of Inspection:
" ��. .
j F ��
o
' r r ` t i -
" X
I n s p e c t i o n R e p o r t
C i t y o f T y b e e I s l a n d
4 0 3 B u t l e r A v e n u e
P . O . B o x 2 7 4 9
T y b e e I s l a n d , G A 3 1 3 2 8
P h o n e : 7 8 6 - 4 5 7 3 e x t e n s i o n s 1 0 4 , 1 0 7 , o r 1 1 4
F a x : 7 8 6 - 9 5 3 9
P e r m i t N o . D L ( i - D i L a D a t e R e q u e s t e d : 0 ( n - 2 - 7 - O (
O w n e r ' s N a m e :
G e n , C o n t r a c t o r :
C o n t a c t N u m b e r :
L o c a t i o n :
D a t e N e e d e d :
S u b c o n t r a c t o r :
C p ( 9 - 3 3 - J c D
L o " I ( A c J
D a t e o f I n s p e c t i o n : / 3 6 / 6
C o m m e n t s :
T y p e o f I n s p e c t i o n ; i \
i U
��t i c . f S M u s �� h e p r e
i A 0 R ) i L u t , 3 ' ' G . c
s s 7 L 9 a 3 o s w
I n s p e c t o r : T i m e o f I n s p e c t i o n :
Inspection Report
City of Tybee Island
403 Butler Avenue
P.O. Box 2 749
Tybee Island, GA 31328
Phone: 785 -4573 extensions 104, 107, or 114
Fax: 785 -9539
Permit No 0 --a b S Date Requested: 0 S- 3 0- 0 (n
Owner's Name: c. I 3 o .--, Date Needed: D S- 3 t- 0 _(n
�
1 n
Gen, Contractor: Subcontractor: `' Ai I i ' n S
Contact Number: i .1 ( S 7a 3
Location: iljel" _ -
Date of Inspection: 5 1)- (X, Type of Inspection: SI�t h
es
Comments: J C
Inspector:
7° 4")
Time of Inspection:
Inspection Report
City of Tybee Island
403 Butler Avenue
P.O. Box 2749
Tybee Island, GA 31328
Phone: 786--4573 extensions 104, 107, or 114
Fax: 786-9539
Permit No 0(p)- 01 e
Owner's Mame:
Gen- Contractor:
contact Number:
Location: ( 0
Date Requested:
. J
CL 2-? -c
.-31-D o ri Date Needed: n4-2-1
Subcontractor:
/Ih f1 Avg
Date of Inspection,
Comments:
1
e a.
`DS- 7239
Type of Inspection: 3 0
Inspector: _, 1
DATE ISSUED: 03 -21 -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
GUEST COTTAGE
6 MILLER AVE
CHRISTOPHER SOLOMON
PO BOX 21
TYBEE ISLAND GA 313280021
CHRISTOPHER SOLOMON
PO BOX 21
TYBEE ISLAND GA 313280021
797
P
$ 463.00
$55,790.00
PERMIT #: 060165
TOTAL BALANCE DUE: $ 463.00
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
.t� / _ 0 / �s TYBEE ISLAND, GEORGIA
(,JW APPLICATION FOR BUILDING PERMIT
Location C ) *W \NW-- PIN #
NAME •
ADDRESS
l/
TELEPHONE
Owner
ah,iftepliw 6
,_,Solonwr � ',
yn; 11 e,- 14-e, ,
7 4/6ee_
•
56'7 -7855
Architect or
Engineer
Building
Contractor
(Check all that apply)
New Construction ✓ •'Renovation Minor Addition
Duplex Single Family ✓ Substantial Addition_,___,_
Residential ✓ Commercial Multi - Family
Footprint Change__ Repairs Demolition
Other
Estimated Cost of Construction: $. 6) '7
Construction Type A (Enter Appropriate Number)
(1) Wood Frame, (2) Wood & Mas'onry, (3) Brick Veneer, (4) Masonry,
(5) Steel & Masonry, (6) Other (Please specify)
Proposed Use: Guest
Remarks:
ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete
the following information based on the construction drawings and
site plan:
t Units / t Bedrooms / A BathrocrosJ r
Lot Area Au t /() Living Space (Total SgFt) 17 7
0 Off - street Parking Spaces
Trees Located & Listed on Site Plan //
Access:
Driveway -71
Setbacks: Fronte
ito Stories nde He Hight ;Q -j
Vertical distance measured from
the average a•jacent 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.
)
With ulvert? With Swale?
Rear /Q `
Sides
(L) I2 (R) f(;
During Construction: �1
On -site restroom facilites will be provided through _l(5;_�r��
On --site waste & debris containers c4i11 be provided by
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