HomeMy Public PortalAboutMEDDIN DR_15 (2).pdfDATE ISSUED: 05-6-2013
NYORK DESCRIPTION
NVORK LOCATION
OWNER NAME
ADDRESS
crn', S'r, ZIP
PHONE NUMBER
CONTRACTOR, NAIL E
ADDRESS
CITYSTATF ZIP
PROJFCT VALUATION
rr, ol
CITY OF TYBEE ISLAND
BLJII..,DINS PERMIT
OUTSIDE SECURITYLIGHTS
15) INIEDDIN DR A ["'I'S
76 INIEDDIN LLC
1>0 BOX 2497
TYBEE ISLAND CA 31328
WCONNO.R. ELECTRIC CO
1431 DALE DR
SAVANNAH CA 31406
P
$ 50.00
PIN #4-0,002-12-020
TOTAL BALANCE DITE: $ 50.00
If is understood that it this Permil is gl,alited file builder will at all tinhes comply with the zoning, subdivision, flood control, building, ral-C, soil
and scdiMatcMlaatioMU, )Nretiall(IS, 111111-shlands prolection and shore protection ordinances and codes Nflicthu local, st ate or lederal, including all
clivirollmental laws and regulations when applicable, subsequent OaN liers should be informed that any ahel'atiomis to the property nillst lie
approved hIN the issuance of alwther building pernih. perillit holder agrees to hold the (111%, ol'Tybee lslqiid harmless on any constm,ktetioll
This po mil must be posted ill a conspicnous localiou' ill the front of building aod j)V01(?Ct,Vd fl'Olo the NNeather. If this PeRAW1 is 'Dot ])()steal wol'k
i) ill he stoppe(l. 'riie iwii(jing contra c I of. willi replace ell rh paving dllld gotter broken d alring cons I ruclion . This permil m i I I b e void(�cj jo of ess
work has begun within six months of the date ot'issjj:jjjc(,.
Signature of Building Inspector or Authorized Agent-
P. (). RoN 2749 - 403 Buller Avoijue, T ' flice Island, Goorgin 3I 328
(1) 12) 786-4573 - FAX (912), 786-9539
/)J IS,
CITY OF TYBEE ISLAND
AI
BUILDFNIG & ZONTNG DEPARTMENT
P.O. Box 2749, Tybee Island, GA 31328
Phone (912) 786-4573 Fax {912) 786-9539
ELECTRICAL PERMIT APPLICATION Se TEMPORARY SERVICE AFFIDAVIT
2 �1/11/
Date New Work Replacement
Location of work (street address) I I
cz__ Telephone
Contractor
Address of Contractor N, DO-/
Property Owner _j9_,L,_U 1,1ZTel ephone 7
Dale work will be ready for inspection, if known Permit Number
Estimated cost of construction
N
Range Hood – commercial
Service: arn2s
Sign Circuit - wattage
Smoke Detector – low e volta
Oita C
S a or Tub – ZLqunding
Special Outlet
Swimming Pool – grounding
Water Heater
Welder -- 220 volts circuit
Well Purrip – ,rounding
X-ray
Other
u
4 , k"
ALL wNrig, servlce,
lndUded, must be,
COPPER,,, 140
Whlowed.
Mearis sliall be
provided to
discorwriect all
cat'iductors frorn the
service,entrance,
ct)nductors. NEC230,70
In requesting temporary electrical service, the undersigned understands and agrees-,
1. Connection of temporary electrical service does not remove the requirement to comply with all State of
Georgia minimum construction codes,
2. Temporary electrical power is intended for completion of the construction process and testing equipment
installed within the structure.
3. Issuing approval for temporary power connection does inot const 4 tute approva
-Cer, ifi of Occupancy must be issued by the City of Tybee Island prior to any occupancy.
"i "�
4, Theo D a d contractor are hereby held responsible for any violations of this policy, A violation of this
polio
y r sull in disconnection of the electrical service until all violations and deficiencies are corrected.
OwContractor Signature Date
A--"(
Owner/Contractor Printed Narne
,4PPROVAL
Building Qfficiol
a.
Dole
nit and Heat EyET
Attic Ventilation Fan
Bell Transmitter – low voltage
Lighting
__
Build'in Saw
Exit Lights – life
Heat Pu
Meter Box
--m-0tor(s):
Outlets – 110 volts circuit
Parking Lot Lights
Range – commercial
N
Range Hood – commercial
Service: arn2s
Sign Circuit - wattage
Smoke Detector – low e volta
Oita C
S a or Tub – ZLqunding
Special Outlet
Swimming Pool – grounding
Water Heater
Welder -- 220 volts circuit
Well Purrip – ,rounding
X-ray
Other
u
4 , k"
ALL wNrig, servlce,
lndUded, must be,
COPPER,,, 140
Whlowed.
Mearis sliall be
provided to
discorwriect all
cat'iductors frorn the
service,entrance,
ct)nductors. NEC230,70
In requesting temporary electrical service, the undersigned understands and agrees-,
1. Connection of temporary electrical service does not remove the requirement to comply with all State of
Georgia minimum construction codes,
2. Temporary electrical power is intended for completion of the construction process and testing equipment
installed within the structure.
3. Issuing approval for temporary power connection does inot const 4 tute approva
-Cer, ifi of Occupancy must be issued by the City of Tybee Island prior to any occupancy.
"i "�
4, Theo D a d contractor are hereby held responsible for any violations of this policy, A violation of this
polio
y r sull in disconnection of the electrical service until all violations and deficiencies are corrected.
OwContractor Signature Date
A--"(
Owner/Contractor Printed Narne
,4PPROVAL
Building Qfficiol
a.
Dole