HomeMy Public PortalAboutBUTLER AV_1415 (2).pdfIAA 1"I?: ISSUED: 04-12-2013
WORK DESCRIPTION
NVORK LOCATION
113NIONfRaLILM
WFIGN=
cnw, S'r, ZIP
PHONE NUN113ER
CONTRAurOR NAME
ADDRESS
CITYSTATE. ZIP
PROJECT VALUATION
BUILDING PERM[T
CAPTAINS WATCH
PO BOX 2802
TYBEE ISLAND GA 31328
DOUG BEAN SIGNS INC
1600 DEAN FOREST RI)
SAN"ANNAH GA 31408
P
$ MOO
9
PERMIT #: 130236
V
'It' L I 111 111 RM I A I 10,"M 1/20 TOTAL BALANCE 01JE, $ 15.00
it is mwersiowl t1tat il' titis perndt is granted the builder will it -all finies Comply with the zoning, subdivision, flood Control, building, fiwe, soil
and setlimentalion, "eflands, marsidands protection and shore protection ordinances and Codes wheillor local, state or federal, including all
environmental laws and regulations when applicable, subsequent omiers should be informed that any alterations to tile propet,t), must he
approNed by the issuance of '11101110- huilding, pernlif, Permit holder agrees to hold the City ol"i-Ybec island harmless Oil any construction
This permit musl he posted in is conspicuous location in tile front of building and protected from the weallier. It this permil is not posle(f Avi)r -k
is all be Stopped. The building contractor" will replave Curb paving and gutler broken daring construction. This ➢ernih will he voided unless
work has hegan within six momiths ol"the (late ofissuattee,
Signature ofBididing Inspector or Authorized Agent:
V? • 403 Nldcil A wome, i It iwv^ Wand, Gd!-wgR° 3 V;28
199 .?) 186-4373 FAX t912,d
City of Tybee Island, Georgia
912- 472 -5u33 or 912-472-5031 -Fax 912-786-9539
APPLICATION FOR BUILDING PERMIT
Property Address,:
Name Mailing Address T'el�epho-ne-"
Home:
Owner M&A&W Cell:
Architect or A4
A ineer
-W.6'4 Office:
Contractor Cell:
(Check all that apply)
❑ Single Family ❑ Discovery/Tearout ❑ Demolition of Structure
❑ Duplex ❑ Footprint Changes — ❑ Other
❑ Multi-Family units new _ square feet
❑ Commercial units heated/cooled
Details of Project:
41) 0141 (Z IP-3
Estimated Cost of Construction: $ . . . .............. p ..... (materials + labor + profit/overhead)
If applicable, attach a copy of the certified elevation certificate and/or survey of the property. Depending upon
the scope of the work, two sets of construction drawings, and/or a site plan may be required.
Year Built: Listed on National Historic Register or located within a National Historic District? Y / N
* Buildings older than 50 years may be eligible to be listed on the State / National Register. With this designation, you
may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island.
*Also see the Tybee Island Land Development Code Article 14: Historic Preservation
During construction:
On-site restroom facilities will be provided through Construction debris will be disposed
by by means of I understand that II must comply with zoning,
damage control, building, fire, shore protection and wetland ordinances,, FEMA requilations and all applicable codes and
adversely affected as required by Article 16, Stormwater Management. I accept responsibility for any corrective action that
may be nece S ary to restore drainage impaired by this p7Titted construction.
FEES
Permit
Inspections
Cap Cost Rec
Water Tap
Sewer Stub
Eng. Fees
Aid to Const.
TOTAL