HomeMy Public PortalAbout06-0279 Mary Ellen BeytaghInspection Report
city of Tybee Island
403 Butler Avenue
P.O. Box 2749
Tybee Island, GA 31328
Phone: (912) 185 -4573 extension 114
Fax: (912) 786-9539
Permit No. (�l ' 0� T Date Requested -) 3 ,D�o_ o,
�j
Owner's Name R(2 �: I_ r � C Q ► l _ Date Needed _ - c) ? - (D ?
Gen. Contractor'. r<-� Subcontractor
—
Contact Number �l - �1) / --7 (O?____..
Location __ J 7 -- -
Date. of Inspection 3`%/G7 Time Inspector -? —
Type of Inspection
/i p
* * * * * * * * * * * + * ** -Comm. RNAL- * * * * * * * * * * * * * * * * * ** DATE MAR -07 -20 ; * * ** TIME 11:37 * * * * * * **
MODE = MEMORY TRANSMISSION START= MRR -07 11:36 END = MRR -07 11:,37
FILE ND. =201
STN COMM. ONE - TOUCH/ STATION NAME /EMAIL ADDRESS /TELEPHONE NO. PAGES DURATIDN
NO. RBBR NO.
001 OK a 4435073
001/001 00 :00:20
-CITY OF TYBEE ISL. -
-CITY OF TYBEE - * * * ** - 912 7R6 9539- * * * * * * * **
RELEASES FOR ELECTRIC SERVICE FROM TYREE ISLAND
FOR SAVANNAH ELECTRIC. FAX TO: Lynn Brennan 9U=?7 Phone 912- 443 -5o63
1414 3 -W
507 3
0(,o5o4
Location Address: RR ( ,l 4 ( / ,L� v Lot # 3 I (D Release Date: 3.1-J-7
Type of Release: ,Temporary ✓ Persmsnent e_ J PSnbd Name:
r
Electrician: n' E (y C� Electrician Phone Number:
Owner/Builder; BJol%( .< Phone Number: -19&( -tO220
Ob -0-2 -74
Location Address; 4o3 uo n2 S JPJ . Lot # Release Date: 3-1-0-1
Type of Release: Temporary V Permanent Snbd Name:
Electrician: Electrician Phone Number: q -7 $(o-i
Owner/Builder.Mpr,L e1(jFr% 1�,0 „�sc,�„ phone Number: �g(o
Location Address:
Type of Release: Temporary _ Permanent
Electrician:
Owner/Builder:
# Release Date:
Subd Name:
Electrician Phone Number:
Phone Number:
rry
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Inspection Report
City of Tybee Island
403 Butler Avenue
P.U. Box 2749
Tybee Island, GA 31328
Phoree: (911) /86 -4573 extension 114
Fax: (912) 786 -9539
Permit No l/ – !��_� 4 -- Date Requests m d
Owner's Name 3 P/i. Date Needed
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Ge.n. Contractor rcS Subcontractor , u0 AV,
Contact Number
Location --
Date of Inspection ___ L U Time Inspector _=
type 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) 785 -4373 extension 114
Fax: (912) 785 -9539
Permit No. 7 5'
Owner's Name 0 I r7 cb !n
Gen. Contractor r S 0 .
Contact Number
Location
Date Requested / f J
Date Needed /0 /� C�
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Date of Inspection lbl2f�i( Time
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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. Q (o - 02 -7.9
Owner's Name: _ ��e
Gen. Contractor: T. r S�
Contact Number:
Dq 1, L
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Date Requested: 0-2- 14. Q, _
Date Needed: 01- 17 - O b_
Subcontractor:
07-
Location: I -2
Date of Inspection: _ -7�) % 6 Type of Inspection:
Comments:
Inspector: Time of Inspection: ^_
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Inspection Report
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City of Tybee Island
403 Butler Avenue `
P.O. Box 2749 �� 5
Tybee Island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786 -9539
Permit No. 06o- 31 Date Requested:
Owner's Name: ItL-- U� -a e�VN Date Needed: o [
Gen. Contractor: F s4 (2t Subcontractor:
Contact Number: J /,cam I S C2 +��
Location 40 J Z I 1 E `� I& J�
Date of Inspection: �7/ kW Type
Comments: Se. C h �A t k
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Inspector: Time of Inspection: _
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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. G�n (D-2-7'7_
Owner's Name. _ Q
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Gen. Contractor: T
Contact Number:
Date Requested; J �7 - I - O
Date Needed; 'D -� - 1 Z - b
Subcontractor:
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Location: L4 3 �� /tee A,, e, QL
Date of Inspection: a D Type of Inspe : Jkk e I e3
Comments:
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Inspection Report
City of Tybee Island
403 Butler Avenue
fio�
P_0. Box 2749
Tybee Island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786 -9539
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Inspection Report
City of Tybee Island
403 Butler Avenue
fio�
P_0. Box 2749
Tybee Island, GA 31328
Phone: 786 -4573 extensions 104, 107, or 114
Fax: 786 -9539
Permit No, 06 ' 177 Date Requested:
Owner's Name: becda A Date Needed: , %uA /e 9 Z06
Gen. Contractor: '300- l °l, Subcontractor-
Contact Number: 7L91),) ,5-07- VQ P &
Location: qd 3 0"&5
Date of Inspection: 6 /O C�
Comments:
Type of Inspection:
M @r/ pz.Tlre,
N,a
z
Inspector: Time of Inspection:
Inspection Report
City of Tybee Island
403 Butler Avenue
P.O. Box 2749
Tybee Island, GA 31328
Phone: 785 -4573 extensions 144, 107, or 114
Fax: 785 -9539
Permit No. n in - o2- 19
Owner's Name: DP -1 � O (7 t
Gen. Contractor:
Contact Number: I I
Date Requested: 0 S - -�) 3 - C7 (Z'
Date Needed: (,-) S " Z `f - C3 6
Subcontractor:
Location: TO 3 [ cJ� /nJ c s /` F✓e, _ I ��CV
Date. of Inspection: S / D G Type of Inspection: i_f� � qq_v -
Comments:
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(V V ,o
inspector: -�V0 time of Inspection:
DATE ISSUED: 05 -8 -2006
WORK DESCRIPTION:
WORK LOCATION:
Iry
CITY OF TYBEE ISLAND
BUILDING PERMIT
REPAIRS RESIDENTIAL BLDG
403 JONES
OWNER NAME
MARY ELLEN BEYTAGH
ADDRESS
PO BOX 1016
CITY, ST, ZIP
TYBEE ISLAND GA 313281016
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUAREFOOTAGE
OCCUPANCY TYPE
TOTAL FEE'S CHARGED
PROPERTY IDENTIFICATION #
PROJECT VALUATION
FIRST CITY ENTERPRISES
TYBEE ISLAND GA 31328
P
$ 335.00
$40,000.00
TOTAL BALANCE DUE:
PERMIT #: 060279
$ 335.00
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 mouths of the date of issuance.
Signature of Building Inspector or Authorized Agent:
P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 7865737
www.cityoftybee.org
CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
b(,- C) 2-79 IG
Location: 1 0-; JapoS byQ�VUQ-
NAME
ones=
PIN# /- 00oY- 2.2-00
TELEPHONE
Owner
"dle-ti
PD-8VX IDI
Substantial Addition
❑
Multi - Family
❑
-Z
Architect
or Engineer
Building
FIQ.$'t G11�
Contractor
1 8146
A N Ah 1137?
r - a
(Check all that apply)
❑ New Construction
❑ Duplex
® Residential
❑ Footprint Changes
❑ Other
Renovation
Single Family
❑ Commercial
M Repairs
Estimated cost of Construction: $ 00 Q , Q
®
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: _!�
Remarks: RoDAW
ATTACH
following information based on the construction drawings and site plan:
rffzrcj 9`-
Show o� PLAT)
complete the
# Units / # Bedrooms _3 # Bathrooms 2
Lot Area '7 a ae Living space (total sq. ft.) % 3D O
# Off - street parking spaces "
Trees located & listed on site plan
Access:
Driveway (ft.) With culvert?
Setbacks: Front Rear
With swale?
Sides (L) _ (R)
# Stories I 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 0 ky
On -site waste and debris containers will be provided by — IPQ_
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: Jr D b Signature of Applicant: A&"'Ac
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
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: Signa
Zoning Administrator
Code Enforcement Office
Water /Sewer
Storm/Drainage
Inspections
City Manager
ti
NFIP Flood Zone
Existing
Date
05_08 -06
FEES
Permit /5j °O
Inspections 00 , °O
Water Tap
Sewer Stub
Aid to Const.
TOTAL 3355
REQUIRED FOR: Building Permits
Relocation Permits
Sign Permits
Demolition Permits
Land Clearing, Disturbance or Excavation Permits
Tree Removal Permits
Relocation Permits
Special Review Permits
Site Plan Approval
Subdivision of Land
Sketch Plan Approval
Preliminary Plan Approval
Final Plat Approval
Minor Subdivision Plat Approval
Major Subdivision Plat Approval
In addition to specific requirements for the above permits and approvals, applicants must
demonstrate that they are in compliance with the City of Tybee Island Storm Water Management
requirements as outlined in Chapter 5 -4, Code of Ordinances.
Section 5 -4 -9 Prohibition provides, in part, as follows:
(4.) It is unlawful for any person to cause or permit any storm water to flow from their
property onto the property of another person, unless such storm water naturally
flowed thereon prior to any development activity.
(5.) It is unlawful for any person to interrupt the flow of any storm water runoff from
adjacent property onto their property by any development activity.
As part of the City's approval process applicants must illustrate how these storm water
management prohibitions will be met, including a showing of how storm water naturally flowed
on the affected property (prior to any development activity), and what changes in storm water
flow have occurred or are expected to occur, as attachments to this form. The City's approval or
permit does not guarantee that the applicant's plans will result in meeting requirements. The final
product must actually meet the City Ordinance requirements.
Applicant name: I-k
Project I.D.: 6
Attachments approved by: Date:
UU V •mil, 6Ua - U.1L 111
Ji. •UU JQu- —. nV
FEPaRAL EMERGENCY MANAGEMENT AGENCY
I O.M.B. No. 3067 -0077
ZONAL FLOOD INSURANCE PROGRAM
Expires December 31, 2005
ELEVATION CERTIFICATE
Important: Read the Instructions on pages 1.7.
SECTION A- PROPERTY OWNER INFORMATION
rrorlmurdnceCompanyUse:
BUILDING OWNER'S NAME
Policy Number
FIRST CITY ENTERPRISES
BUILDING STREET ADDRESS (including Apt.,
Unit, Suite, an for Bldg. No.) OR P.O. ROUTE AND BOX NO.
Company NAIC Number
403 JONES AVENUE
_
-TYBEE ISLAND, GA 31328
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc)
LOT 76, WARD NO. 1
BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc Use a Comments area, it necessary.)
RES
LATITUDEILONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(Type):_
( #!R' -#9 - ##.##' or ##.##!qF# °) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other:
SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
, "E'E .,.,,.,,.M,,,A, — ...................._...__..
TYBEEISlAND 135164 I GMTW`M I GA
NUNBFJ2 95. SUFFIX BB FIRM INDEX DATE EFFECTIVErtiEVISED DATE
1351640001 1 C 1 6117186 6117ffa
B8 FLOOD ZONES) I (Zone AO, use depth dfloodng)
All 12
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Descobe):
811. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Descnbe):
B12. Is the buldinq located in a Coastal Barrier Resources Syslarrl(CBRS) area a Olhervdse Protected Area (OPA)? ❑ Yes ® No Designation Date_
SECTION C- BUILDING ELEVATION INFORMATION (SUKVGY KtUUIKtU)
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's complete.
C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. It no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations- Zones Al -A30, AE, AH, A (with BFE). VE, V1 -V30, V (with BFE), AR, ARIA, ARIAE. APJA1 -A30, AWAH, APJAO
Complete Items C3. -a -i below according to the building diagram specified in Item C2. Stale the datum used. If the datum is different from the datum used for the BFE in
Section B, corweathe datum to that used for the BFE Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G. as appropriate, to document the datum conversion.
DahmNGVD29 ConversionlGonments_
Elevation reference made used _Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No
o a) Top of bottom floor (vlduding basement aenclosure) ORO(q
o b) Top ofnext Nigher floor •_film) v �Cy1STE,
• c) Bolton of lowest hodzontel structural member (V zones only) NA .
IL(m) on „ R'
• d) Attached garage (top of slab) NA. _ft.(m) E °c 4
w 9 No. 2 9 C7
• e) Lowest elevation of machinery andlor equipment
servicing the building (Describena Comments area) Na._It.(in) E;; 9 p
of)Lowest adjacent (finished) grade (LAG) 8.9ft.(in) Z.
• g) Highest adjacent (finished) grade (HAG) 9. VIM) � IT EY g' x
• h) No. of permanent openings (flood vents) within 1 R. above adjacent grade 0
o t) Total area of all permanent openings (flood vents) in C3.h _sq. in. (sq. an)
SFr:TION O - 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.,
1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the date available.
I understand that anv, false statement may be punishable by fine or impnsonmenf under 18 U S. Code Section 1001
TITLE LAND SURVEYOR COMPANY NAME
ADDRESS CITY STATE LIP CUUt
636 STEPHEN AVE p E SSA � SAVANNAH GA 31405
SIGNATUR DATE TELEPHONE
—� 511,06 912352 -0464
FEMA Form 1 -31, Janu f3 See reverse side for continuation. Replaces all previous editions
z"d LBLL OGE ZTG SpTouRay R011?gM C eal :L0 so 00 ReW
Lu d
�.Sb
Lb l 1 1 11,
IMPORTANT: Inthesespaces ,copythecorrespond' information from Section A.
BUILDING STREET ADDRESS (Including Apt, Unit$eile, andlorBldg._ _n OR P.O. ROUTE AND BOXNO.
405 JONES AVENUE
For Insurance CM0Wy Use:
t.0 -AV W
CITY STATE ZIP CODE I CompanyNAIC Number I
TYBEEISLAND, GA 3137&
SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) bolding owner.
❑ Check here if attachments
SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Ilan E1 through E4. If the Elevation Certificate is intended for use as suppodmg information for a LOMA or LOMR -F,
Section C must be completed.
E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate's being completed –see pages 6 and 7. It no diagram accurately
represents the buiking, provide a sketch or photograph.)
E2. The lop of the hollom floor (including basement or enclosure) of the buiding is _ L(m) _in.(cm) ❑ above or ❑ below (check one) the highest arljacenl grade. (Use
natural grade, If available).
E3. For Building Diagrams 68 with openings (see page 7), the next higher floor or elevated flow (elevation b) of the building is _fl.(m) _tn.(cm) above the highest adjacent
grade. Complete items CD and G31 on front of form.
E4. The top of the platform of machinery andror equipment servicing the building is _h.(m)_in,(an) ❑above or ❑ Mew (check one) the highest alacent grade (Use
natural grade, l available).
E5. For Zone AO only: 11 noticed depth number is available, is the top of the bottom floor devated in accordance Win the community's floDdplain management ordirrance?
❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The properly owner or owners authorized representative who completes Sections A, B, C (Items CD and C3i only), and E for Zone A (without a FEM 4ssued or community-
issued BFE) orZoneAO must sign here The statements in Sections A, 8, G, and Ears coiect to the best ofmyknowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
CITY STATE
SIGNATURE DATE TELEPHONE
SECTION
The deal official who is authorized by lax or ordinance to administer the communtly's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation
Cerfitidate. Complete the applicable item(s) and sign below.
GI. ❑ The information in Section Cwas taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
or beat law to certify elevation infomrafion. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official competed Section E for a building located in Zone A (without a FEMA-issued or community- issued BFE) or Zone A0.
G3. ❑ The following information (Items 34-39) is provided for community floodplain management purposes.
G7. This permit has been issued for: ❑ New Construction ❑ Subslan tal knprovement
38. Elevation of as-bull lowest floor (including basement) of the building is: _. t(m) Datum:
G9. BFE or (n Zone AO) depth of flooding at the building site Is: — _t4(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE
FEMA Form 81 -31, January 2003
C•d LBLL dsE eiG spToURab RaTicyn r
l Check here
Replaces all I
eET =LO 90 ZO ReW
CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
Location: 1'03 apps AVQ1PUe.
NAME
ADDRESS
PIN # l—OOO —22_0bl
TELEPHONE
Owner
1 F)JPJJ
❑
Substantial Addition
❑
Multi- Family
1 '
- 2
Architect
or Engineer
Building
F12T -r C FF/
T-01fbDX 01 b
Contractor
I 54&pi ios
riboo-RIAPD 6 13Z
°L
(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: 51 N91
Remarks: Rona in 011
Renovation
Single Family
❑ Commercial
® Repairs
$�D 000. D
(Enter appropriate number)
(4) Masonry
(5) Steel & Masonry
®
Minor Addition
❑
Substantial Addition
❑
Multi- Family
❑
Demolition
(6) Other (please specify)
PPvMS1 N9 , 004 sckgw t) ard-\ &34hjp So -Trbxk 1vLts CshaWtS o�
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 _ .3 # Bathrooms
Lot Area Living space (total sq. ft.) 1300f
# Off - street parking spaces "
Trees located & listed on site plan
Access:
Driveway (ft.) With culvert?
Setbacks: Front Rear
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.
9:
During construction:
On -site restroom facilities will be provided through 0 io
On -site waste and debris containers will be provided by — v
Construction debris will be disposed by ' t i Q _ 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: Js 2 O & 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
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
Stonn/Drainage
Inspections
City Manager
NFIP Flood Zone
Existing
Signature Date
FEES
Permit
Inspections
Water Tap
Sewer Stub
Aid to Const.
I TOTAL
REQUIRED FOR: Building Permits
Relocation Permits
Sign Permits
Demolition Permits
Land Clearing, Disturbance or Excavation Permits
Tree Removal Permits
Relocation Permits
Special Review Permits
Site Plan Approval
Subdivision of Land
Sketch Plan Approval
Preliminary Plan Approval
Final Plat Approval
Minor Subdivision Plat Approval
Major Subdivision Plat Approval
In addition to specific requirements for the above permits and approvals, applicants must
demonstrate that they are in compliance with the City of Tybee Island Storm Water Management
requirements as outlined in Chapter 5 -4, Code of Ordinances.
Section 5 -4 -9 Prohibition provides, in part, as follows:
(4.) It is unlawful for any person to cause or permit any storm water to flow from their
property onto the property of another person, unless such storm water naturally
flowed thereon prior to any development activity.
(5.) It is unlawful for any person to interrupt the flow of any storm water runoff from
adjacent property onto their property by any development activity.
As part of the City's approval process applicants must illustrate how these storm water
management prohibitions will be met, including a showing of how storm water naturally flowed
on the affected property (prior to any development activity), and what changes in storm water
flow have occurred or are expected to occur, as attachments to this form. The City's approval or
permit does not guarantee that the applicant's plans will result in meeting requirements. The final
product must actually meet the City Ordinance requirements.
Applicant name:
Project I.D.:
Attachments approved by: Date:
c u d c, , 1a -11 �- . uo juu� i — nil"
FE[" "4AL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067 -0077
TONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
ELEVATION CERTIFICATE
Important: Read the Instructions on pages 1 - 7.
SECTION A- PROPERTY OWNER INFORMATION ForlmuraroaCumpmyUse:
FIRST CITY ENTERPRISES
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
403 JONES AVENUE
CITY STATE ZIP CODE
-TYBEE ISLAND, GA 31328
PROPERTY DESCRIPTION (Lotand Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT.76, WARD NO.1 -
BUILDING USE (e.g.. Residential, Nonresidential, Addition, Accessory, eta Use a Comments area, if necessary.)
RES
L W- ##E/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):_
( tIR° -tl#' - il#.#k' or NN. #11#!Nt°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Ouad Map L] Other
SECTION B • FLOOD INSURANCE RATE MAP (FIKIVI) INruRMAIIUr4
B1.NFIP COMM. " NAME& COMMUNITY NUMBER B2 CgUNTY NAME 81STATE
TYBEE ISLAND 135164 CFINTHAM G4
B1. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATIIXJIS)
NUMBER B5. SUFFIX Bfi. FIRM BJOEX DATE EFFECTNEAIEMSED DATE 88. FLOODZONE(S) (ZaneAO,usrldtytBi af9ood'n9)
1351640001 C N17/66 61171&6 All
B10. Indicate the source of the Base Flood Elevation (BFE) data or base nom cepin enierea in W.
❑ FIS Profile N FIRM ❑ Commonly Determined ❑ Other (Descdhe):
B11. Indicate the elevation datum used forthe BFE in 89: N NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): _
B12. Is the building located in a Coastal Banter Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes N No Designation Date_
SECTION C- BUILDING ELEVATION INFORMATION (SUKVEY REUUIRtU)
Ct. Building elevations are based on: ❑ Conslrudion Drawings ❑ Builifing Under Conshuc;I& ® Finished Construction
'A new Elevation Certificate will be required when mnstruldO l of the building is complete.
C2. Building Diagram Number 1 (Select the builifing diagram most similar to the building lot which [his certificate is being completed -see pages 6 and 7. It no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations —Zones Al -A30, AE, AH, A (with BFE). VE, V1 -V30, V (with BFE). AR, ARIA, AR/AE, APJAI -A30, AR AH, ARIAO
Complete Items C3.-a4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriale, to document the datum conversion.
DalumNGVD29 ConversioniComnents_
Elevation reference mark used _Does 91e elevation reference mark used appear on the FIRM? ❑ Yes N No
• a) Top ofbdlom floor (inducing basementorenclosure) 9. 4ft.(m) w OLOROI9
• b) Top of next Nigher floor NA._ft.(m) a �O1STZ
a c) Bottom of lowest horizontal structural member (V zones only) NA , _ft.(m) a o t 4'
o d) Attached garage (top of slab) NA. _fi.(m) w Y No. 9
o e) Lowest elevation of machinery and/or equipment ' v C7
�A V
servicing the buildng (Describe in a Comments area) NA- -IL(m) E
o Q Lowest adjacent (finished) grade (LAG) 8.9 fL(m)
o g) Highest adjacent (finished) grade (HAG) 9. 2 ft.(m) V-
* h) No. of permanent openings ( fiood vents) within 1 ft, above ad)acent grade0
o 1) Total area of al permanent openings (flood vents) in C3.h _sq. in. (sq. an)
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 in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
.._.,_...,,.,,d ma, a,,,, r ,none mm, ha n,michah/e by fine ar imprisonment under 18 U.S. Code, Section 1001. _
TITLE LAND SURVEYOR COMPANY NAME
ADDRESS CITY STATE ZIP CODE
636STEPHEN AVE E S 56 l) E T
SAVANNAH 3140.5
SIGNATU / DATE TELEPHONE
511A6 912352 -0464
FEMA Form Erl-31, Januaaprj3 See reverse side for
a'd LBLL OSC 216 SPIOURab RaT1Tgm C
Replaces all previous editions
eZT =LO 90 ZO Rew
Lot d
'ANT: In
4Sb
I the correspond' 'nformation from Section A.
Unit, Swe, ardor Blrg., -.,.r OR P.O. ROUTE AND BOX NO.
1SL t-YL,
Falnsaerce CwterYUse:
CnY STATE ZIPCODE I ComPanyNAlC NUmcer
TYBEEISLAND GA 31328
SECTION D - SURVEYOR, ENGINEER OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agantfcompany, and (3) building owner. _
❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items Ei through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F,
Section C must be completed.
E1. Building Diagram Number _(Select the building dagram most similar to the building for which this cenifleate is being completed - see pages 6 and 7. II no diagram accurately
represents the bulking, provide a sketch or photograph.)
E2. The top of Use bottom floor (including basement or enclosure) of the building Is _ fl.(m) in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, If available).
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated flew (elevation b) of the building is _ fl.(m) _in.(cm) above the highest adjacent
grade. Complete items C3.h and C3.1 on front of forth.
E4. The top of the platform of machinery ardor equipment servicing the building is _ 11(m) _in.(rm) ❑ above or ❑ below (check one) the hghest adjacent grade. (Use
natural grade, 8 available).
E5. For Zone AO only: fl no flood depth number is available, is the lop of the bottom floor elevated in accordancewith the cornmunitys floedplain management ordinance]
❑ Yes ❑ No ❑ Unknown. The local dicial must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNERS REPRESENTATIVE) CERTIFICATION
The property owner or ownefs authorized representative who completes Sections A, B, C (Items C3.h and C3d only), and E for Zone A (without a FEMA- issued or community-
issued BFE) or Zone AO must sign here. The statements in Sec ors A, B, C, and Eare correct to the best of myknowfedge.
PROPERTY OWNERS OR OWNERS AUTHORIZED REPRESENTATIVES NAME
CITY - STATE ZIP CODE
SIGNATURE DATE TELEPHONE
Check
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordnance can complete Sections A, B. C (or E), and G of this Elevation
certificate. Complete the applicable Items) and sign below.
G1. ❑ The information in Section Cwas taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
orlocal 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 FEMAJssued or community- issued BFE) or Zone A0.
G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes.
G7. This permit has been issued for: ❑ New Construction ❑ Subslanfial Improvement
G8. Elevation of as -built lowest floor ( inciudirg basement) of the building is: Daum:
G9. BFEor (in Zone AD) depth of flooding atlhe Wilding site Is: __n(m) Datum:_
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
COMMENTS
FEMA Forth 81 -31, January 2003
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