HomeMy Public PortalAbout06-0275 Carole PawlikowskiC,
DATE ISSUED: 05 -8 -2006
WORK DESCRIPTION:
WORK LOCATION:
OWNER NAME
ADDRESS
CITY, ST, ZIP
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUAREFOOTAGE
OCCUPANCY TYPE
TOTAL FEE'S CHARGED
PROPERTY IDENTIFICATION #
PROJECT VALUATION
CITY OF TYBEE ISLAND
BUILDING PERMIT
CABINETS, FLOORING, BATH FIXTURES
817 FIRST STREET B2
CAROLE PAWLIKOWSKI
PO BOX 869
TYBEE ISLAND GA 313280869
STATEWIDE HOME IMPROVEMENTS
PO BOX 2996
RICHMOND HILL GA 31324
P
S 87.00
$8,_500.00
PERMIT #: 060275
TOTAL BALANCE DUE: $ 87.00
It is understood that if this permit is granted the builder will at all times comply with the zoning, subdivision, flood control, building, tire,
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. O. Box 2749 - 403 Bader Avenue, Tybee Island, Georgia 31328
(912) 7864573 - FAX (912) 7865737
www.cityoftybee.org
CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
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Owner
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Architect
Multi- Family
❑
Demolition
or Engineer
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Contractor
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(Check all that apply)
❑ New Construction
❑ Duplex
❑ Residential
❑ Footprint Changes
Other
Renovation
Single Family
❑ Commercial
❑ Repairs
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VEstunated cost of Construction: $ �j �CiIJ•
Construction Type
(1) Wood Frame
(2) Wood & Masonry
(3) Brick
Proposedi
Remarks:
(4)
(5)
_ (Enter appropriate number)
Masonry
Steel & Masonry
❑
Minor Addition
❑
Substantial Addition
❑
Multi- Family
❑
Demolition
(6) Other (please specify)
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 parking spaces
Trees located & listed on site plan
Access:
Driveway
Setbacks: Front
# Bedrooms
Living space (total sq. ft.)
With culvert?
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.
Np
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. ��
a"L te: �P /OG i`S gnatureofApplican
Note: A permit normally takes 7 to 10 days to rn ocess.
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The following is to be completed by City personnel:
Zoning certification NFIP Flood Zone
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
Utilities and Public Works:
Describe any unusual finding(s)
Access to building site
Distance to water main
Distance to sewer stub
Water meter size
Storm drainage _
Existing
Approvals: Signature
Zoning Administrator
Code Enforcement Officer
Water /Sewer
Storm/Drainage
Inspections
City Manager
Date
FEES
Permit
00
�°'`
Inspections
�'
Water Tap
Sewer Stub
Aid to Const.
TOTAL
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