HomeMy Public PortalAbout06-0167 StokesDATE ISSUED: 03 -22 -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
MECHANICAL PERMIT
403 MILLER AVENUE
CATHRYN H. STOKES
8020 OLD LOUISVILLE RD
NEWINGTON GA 304462205
JESS STOKES
8020 OLD LOUISVILLE RD
NEWINGTON GA 304462205
P
$ 55.00
$5,000.00
PERMIT #: 060167
TOTAL BALANCE DUE: $ 55.00
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
0(.0- 0(t0-1
Location:
CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
;LLe r PIN#
ADDRESS
TELEPHONE
Owner JAS
- — —
C aij 11 )( 5 /.0 ke
6 0
R 0 a �
-2, o Lit_ Ic -i„-
P,�� .w
4,./D--ac ?- 5 Z{ 3
Architect
o ngineer�
uilding
Contractor
Tr SS S "f G f i �-_5
`
(61 -2)
C
53/ "- D 0 lD 0
(Check all that apply)
❑ New Construction
❑ Duplex
❑ Residential
❑ Footprint Changes
❑ Renovation
❑ Single Family
❑ Commercial
❑ Repairs
WOther N•eu0 1-1W+, c 5 sTC —M
frKsimated cost of Construction: $
Minor Addition
Substantial Addition
❑ Multi- Family
❑ Demolition
Construction Type (Enter appropriate number)
(1) Wood Frame (4) Masonry (6) Other (please specify)
(2) Wood & Masonry (5) Steel & Masonry
(3) Brick Veneer � \\
Proposed use: 1 / e ut7 // 1J4 5y$ 7 J
Remarks:
ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOTS and complete the
following information based on the construction drawings and site plan:
# Units
Lot Area
# Off - street par
Trees located
Access:
Driveway
Setbacks: Front
# Bedroo s
Livi g sp : (to .1 sq. ft.)
g spa
listed on s t
(ft.)
WJth
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.
D g construction:
n -site restroom facilities will be provided through [ ,�
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.
ate: it -- 1— C9 (e2, 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 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 findings)
Access to building site
Distance to water main tap site
Distance to sewer stub site
Water meter size
Storm drainage
A
Approvals: Signature Date
Zoning Administrator
Code Enforcement Officer
Water /Sewer
Storm/Drainage
Inspections
City Manager
FEES
Permit
Inspections
Water Tap
Sewer Stub
Aid to Const.
TOTAL
FROM : HAGAN 8, OL I VER
P.O. BOX 396
121 CONE STREET
• STATESBORO, GA 30459
• PHONE: 912-764-6981 '
FAX: 912-764-9930
FAX NO. : 19127649930
22 2006 02:11PM P1
liAGAI;k1 Elf1.11‘fEr,
SHIEF," Vt!r-7111ilsri„
Tot 7-
t From: I je S en (4 a j. 4
Phone:
Pages: 3
Date: J-22-oC.
Re: cc:
Pe P. 4-
UP Tess S-kmo s
hp-k- e
Ter ckvck..,
0J- 3_9-r
POST IN A CONSPICUOUS PLACE
c"`t�`11����Z■ \N\
4
4
1
4
f
4
f
r
a
f
4j
L
i
CITY OF STATESBORO
TAX OFFICE
P.O. BOX 348
STATESBORO, GA 30459
PH. 912- 764 -5468
Occupational Tax Certificate
H1..GAN & OLIVER SHEET METAL
P. 0. BOX 396
STATESBORO GA 30459
00 265
i/41/2 6
Date of Issue'
W HAGAN, ..3 OLIVER
Owne r
in consideration of which Statesboro, Georgia, has granted a certificate for carrying
on the business of PLUMBING AND /OR HEATING El AIP
Ber ember
2006
This Certificate Expires On
ACT.
103230
Witness my hand and seal with day and year above written
LtlY wb'r ".ti
JUDY MCCOITCLE.
This Certificate is not transferable and is subject to be revoked if abused.
11111W1-- ..... --
1
D
X
z
0
0266179LET6T:
Wdtti:E0 90 ?E
STATE OF GEORGIA
CATHY COX, Secretary of State
State Construction Industry Licensing Board
Conditoned Air Non-Restricted
LICENSE NO. CN003523
Wendell Hagan
P.O. Box 396
121 Cone Street
Statesboro GA 30459 -0396
EXPIRATION DATE - 11/30/2007
Active
d9r 170 2 NUDUH :
11
D
X
Z
O
0266179ZEi61:
WdEti:EO 900E EE
13
w