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Home My Public Portal About06-0178 MooreDATE ISSUED: 03 -29 -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 INSTALL FENCE 1104 BUTLER AVE CHARLES H. MOORE 212 GRIMBALL POINT RD SAVANNAH GA 314065250 CHARLES H. MOORE 212 GRIMBALL POINT RD SAVANNAH GA 314065250 P $ 25.00 $ 100.00 PERMIT #: 060178 TOTAL BALANCE DUE: $ 25.00 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 STATE OF GEORGIA COUNTY OF CHATHAM ) THIS AGREEMENT is made the 0..4 day of by CkarteS Moore/ HOLD HARMLESS / INDEMNIFICATION AGREEMENT ar c k ,20 DCo , (hereinafter referred to as "Owner ") WITNES SETH 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. Witness O(o- 01 1 $ Owner 1104 3 , 4 k r Ave- Address Address CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT Location: II 04 Bu4- itY Ave. NAME ADDRESS PIN # 0(J 0-areAlecS (Check all that apply) Ii New Construction ❑ Duplex ❑ Residential ❑ Footprint Ch ges El Other -t lexc 2. Estimated cost of Construction: $ Construction Type (1) Wood Frame (2) Wood & Masonry (3) Brick Veneer Proposed use: Remarks: ❑ Renovation El Single Family ❑ Commercial ❑ Repairs ❑ Minor Addition ❑ Substantial Addition ❑ Multi- Family ❑ Demolition (Enter appropriate number) (4) Masonry (6) Other (please specify) (5) Steel & Masonry ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOTS and complete the following information based on the construction drawings and site plan: # Units # Bedrooms # Bathrooms Lot Area Living space (total sq. ft.) # Off - street parking spaces Trees located & listed on site plan Access: Driveway (ft.) With culvert? With swale? Setbacks: Front Rear 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. eihthtze•>//e%'`9.41 ,G, O'a� v y y �t .�,op 7.f4 ` 062 b./ Architect or Engineer Building Contractor (Check all that apply) Ii New Construction ❑ Duplex ❑ Residential ❑ Footprint Ch ges El Other -t lexc 2. Estimated cost of Construction: $ Construction Type (1) Wood Frame (2) Wood & Masonry (3) Brick Veneer Proposed use: Remarks: ❑ Renovation El Single Family ❑ Commercial ❑ Repairs ❑ Minor Addition ❑ Substantial Addition ❑ Multi- Family ❑ Demolition (Enter appropriate number) (4) Masonry (6) Other (please specify) (5) Steel & Masonry ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOTS and complete the following information based on the construction drawings and site plan: # Units # Bedrooms # Bathrooms Lot Area Living space (total sq. ft.) # Off - street parking spaces Trees located & listed on site plan Access: Driveway (ft.) With culvert? With swale? Setbacks: Front Rear 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 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: .� .2 ° (� 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? FEMA Certification attached State Energy Code Affidavit attached NFIP Flood Zone Existing 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: 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 BUTLER AVEN U E 50' R. J --II- 014'' 4.1 44° o c. Or, u _@ STATE 07 GEORGIA CHATS/ 411 cOT PLAT OF LOTS I A & I Ca OF A 5LJ DIV ',,1 ' OF MACH LOT , 68, KPJOVhJ AA Ma 1104 R. AVENUE, TY 5E E ISLAND, EORG IA eta MJC i TEL 08.7 ArroN -1 So N /W'30 E 70 �° t.�.. FRA/ct EASTERN HO 'AZT /ON LOT )FS 0 40 0 /.R5 80.0' 7+0.0' 5)ison — 1. R.5 2 J FOIL bri&M L, C. RAN6liAtd NEE S.CkAI�'MAN DAtIL JUNE t2, /!NS REvI5ED D•c, 12,914 sc .s:r - .4o' •AIQAETT LAND SURVIVING, INC. JAVA MAN, 0IEOf14IA 1A.C. FIELD T AILL I STlIOA LO.C.MAT TUANSIT ,w TAB! QAJL. 1/ F •