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HomeMy Public PortalAboutEIGHTEENTH ST_17.pdfpity of Tybee Island, Georgia 12-472-5030 ° Fax 912-7a6-9539 W 41 APPLICATION FOR BUILDING PERMIT Property Address' Mrs PIN Name Mailing Address Telephone M, W"4"d Home, Owner n 10 rk 411 Cell: - - -------- Architect or Office: er En ine Cell: Co tr tor 3y, Celle ffic: Contractor I Contractor D 2 Check all that apply Single Family ❑ Discovery/Tearout ❑ Demolition or Relocation Duplex ❑ F0 tpr'nt Changes ED Muffi-Family _ units additional square z-r�,-,\, TVIE ❑ sated/cooled Commercial unit(s) feet h A commercial project requires 2 sets of sealed drawings by a design professional and construction by a contractor with the appropriate State of Georgia professional license. A commercial project may require Site Plan Approval., Estimated Cost of Construction: $ -P, r� b 0 0- W (materials + labor + profitlOverhead) lf_ 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: f 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 throug by L'� OILLIC.9- -,, _.. _ .. - by means of .c . Construction debris will be disposed I understand thatl must comply with zQrlllnfl�00 rggulations. I realize that l must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected as required by Article 16, Stormwater Management. I accept responsibility for any corrective actions that may be necessary to restore drainage impaired by this permitted construction. FEES' F Date: Signature: L4 Lie) 1� Permit �d�ntd Name of Applicant: �TV6�a�, I'll -1111 " �� I Inspections -Ca-IL n Note: Cap. Cost R ec FWater Tap, historic structure may be longer, , Sewer u _r St Sewer Stub Approvals: Planning & Zoning Manager Building Official 'dater /Sewer Storm/Drainage City Manager Signature Contractor K�i Office: J 2, 1 4 i T, Cell-, ,, Details of Project: "T' 0 A, estimated Cost of Construction: $ City of Tybee island, Georgia 912-472-5030, Fax 912-7,86-9539 APPLICATION FOR BUILDING PERMIT u mm Property Address, J, ........ . . PIN. "y ar Name M I I 111 Address ary C4, Home' �� w� Owner � � � �' V Call: Architect or Office: Enqineer Cell: Contractor K�i Office: J 2, 1 4 i T, Cell-, ,, Details of Project: "T' 0 A, estimated Cost of Construction: $ if-applicable, attach a copy, of the certified elevation certificate and/or survey of the property, Depending upoin the scope of the work, two sets of construction drawings andlor 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 al�jble to take advantage of various tax incentive programs while preserving the heritage of Tybee Islan, d. • Also see the Tybee Island Land Development Code Article 14: Historic Preservation Orr site restroom facilities will be provided through (NU by by means of LL7pp, -r _�j ?;,, J �, k, � L, K., __ f fifleiNE111113M Lggglations, t realize that I must ensure the adequacy of drainage of this property so that surrounding property Is in no way- adversely affected as required by Article 16, Stormwater Management, I accept respotisibility for any corrective actions that may be necessary to, restore drainage impaired by this permitted construction. Date: k signature , """ x" 4 % FEE Printed N;�e of A pplicant: y,Ai 7, Permit S inspections Note: Aperm. t normali t Rkes 7 to 10 d-,,-,- Cap. Cost Rec, Water Tap 014 UN pty, u mm J, (materials + labor + profiVoverhead) if-applicable, attach a copy, of the certified elevation certificate and/or survey of the property, Depending upoin the scope of the work, two sets of construction drawings andlor 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 al�jble to take advantage of various tax incentive programs while preserving the heritage of Tybee Islan, d. • Also see the Tybee Island Land Development Code Article 14: Historic Preservation Orr site restroom facilities will be provided through (NU by by means of LL7pp, -r _�j ?;,, J �, k, � L, K., __ f fifleiNE111113M Lggglations, t realize that I must ensure the adequacy of drainage of this property so that surrounding property Is in no way- adversely affected as required by Article 16, Stormwater Management, I accept respotisibility for any corrective actions that may be necessary to, restore drainage impaired by this permitted construction. Date: k signature , """ x" 4 % FEE Printed N;�e of A pplicant: y,Ai 7, Permit S inspections Note: Aperm. t normali t Rkes 7 to 10 d-,,-,- Cap. Cost Rec, Water Tap 014 LEAD-BASED PAINT RRP RULES Ordinary renovation and maintenance activities can create dust that contains lead. Contractors who perform renovation, repairs, and painting jobs in pre -1976 housing and child-occupied facilities must, before, beginnirig work, provide owners, tenants, and child-care facilities with a copy of EPA's lead hazard information pamphlet 'sg6 gov a 1,8 1 �" " 'm 0"�a 1 , Lead Hazard 1� 'o�t '10� " � F a� !i $ C'!' dG I "2' 2 Pro v1'e's apd � c'o? 0 ntra ctors must docun e nt co mpin ce wlthh requirem ent. After A P�I , , 0, fed a ral Iaw11require y(:)u to be certified and to use lead-safe work practices, Georgia Environmental Protection Division Lead-Based Paint and Asbestos Program (404) 363-7026, Projects must be done by a Certified Lead Renovation Firm AND a Certified Renovator When disturbing lead-based painted or coated surfaces or components more than 6 ft2 per Interior room or 20 ft2 of exterior surfaces AND all window replacements and partial demolitions of any size, Asbestos /Environmental Notificatlon to Georgia EPD for Protects Involvinq Demolition, Wrecking, or Renova The undersigned hereby acknowledges that the Issuance of this permit does not In any way grant permission to the owner, owner's representative, or permit holder to proceed with demolition, wrecking, or renovation of a structure prior to the filing of any required ton (10) day "Project Notification for Asbestos Renovatlon Encapsulation or Demolition" form in accordance with the Georgia Asbestos Rules, The Georgia Environmental Protection Division administers the rules. In most cases, the rules require both the owner end the involved ' contractors to assure the portion of the building involved in the project s thoroughly inspected by an Accredited Asbestos Inspector for materials that contain asbestos; and the removal of the asbestos before renovation, wrecking, or demolition begins almost without exemption. Georgia EPD requires a completed demolition notification from be submitted 10 workings days in advance even if no asbestos is present in the building. Further guidance for regulatory compliance and contact telephone numbers are provided by the brochures entitled Asbestos & Renovation and Asbestos and Demolition. Other environmental lssues such as asbestos removal techniques, lead abatement, ground contamination, or unusual site conditions may have EP 0 regulations that could affect the project, SIVIPS While BMP deficiencies are not necessarily the fault of the owner or his agent, BMPs are their responsibility. Two areas of deficiencies are in the most basic and common BMPs; Co — Construction Exit and Sdl, — Sediment. Barrier, Correct installation information can be found in the Field Manual' tar Erosion and Sediment Control in Georgia, Fourth Edition 2002, Georgia Soil and Water Conservation Commission; http,//www,gaswec.org/does/f"ield_manual 49d,pdf. Problems with the Co is not limited to the installation, but to material, The stone will be a representation of 1,5"-3.5" stone or larger. Type A sediment barriers have been installed where Type C is required and shown on the permit drawings, Where two rows are called for they will be installed with a separation that allows for the first one to fail (fall over) without impacting the se�ponci one. The complete assembly and installation must be compliant; steel or wood s P06 spading, Type A d in t, sbestos, and BMP notices Sig at re for rec Gate Printed Name Chatham County Board of Assessors: 2014 Property Record Card 4-... http://boa,chatfiitincounty.org/DesktopModules/ChathamCounly/Boar., Property Record Card APPRAISER jlmarine I LOT 1 SUB OF BEACH LOT 109 WARD 5 TYBEE ISLAND SAVANNAH LAST INSP 06/14/20071 BEA CH :APPR 000008 �ZONE .................... SALES BOOK / INS VI OU RSN PRICE PAG E 25 Sep 2005 295J 0 147 WD I Q 645,000 GRANTORSEARS NICHOLAS N 8 DIANE GRANTEE:PARIC THEODORE B& FLOREN 26 Aug 1997 188J0329WDI U UN GRANTOR BEAIJDROT CHARLES R JR GRANTEE.,SEARS NUCHOLAS N & DIANE COMMENTS 21 Feb 2014 ADD CHG PER USPS CARD 11/08/13 06 Dec 2005 TY06 10S REMVD 12106105 JS *TY06 SURV 25 Jul 2005 ADD CHG PER FORM 07/25/05 JLM 06 Mar 2003 HS10S ENT 3/6103 APW EXTRA FEATURES 0# BLDG # SYSTEM DESC 140439 86398 WOOD DECK AV 140440 86398 Roof Scr Par /Slab AV ,140441 86398 Slab w/walls Under 1140442 86398 AV CPT FLAT/SHED RE m 4-0009-06-009 17 18TH ST TYBEE I S LAN! D PARIC THEODORE B &FLORENCE CAMA ASIVIT 1133 100 133,100 LAND i 2907 LYNBROOKE DH 159,600 59,600 BLDG 1 YARDLEY PA 19067-7277 14,100 14,100 206,800 206,800 Cost - MS - - I (CODES 0 PROPERTY 0006 RESIDENTIAL USE EXEMPTIONS UTA 0004 Tybee Island NBHD 020213.00 T213 TYBEE BTL 0 BEACH DIM 1 DIM 2 UNITS OL UNIT PRICE RCN AYB EYE DT ECON FUNC SP SP% RCNLID MKT VALUE 0 0 247,00 A 7.98 1,971 EXEMPTIONS 2R 926 900 0 0 294,00 A 18.40 5,410 1985 1985 IR HISTORY LAND IMPR TOTAL 289,00 A 12,49 3,610 1985 1985 IR 2A19 2,400 2013 133,100 74,800 207,900 Cama 2001 2001 IR 7,150 7,200 2012 133,100 55,600 188,700 Cama 2011 133,100 53,600 186,700 Car,,: 2010 12009 281,200 55,600 336,800 Cam I 281,000 58,000 339,000 Over [Click for larger picture] 12008 432,500 62,000 494,500 Came 2007 432,500 59,000 491,500 Cama . . . ....... . ....... . ....... . 20D6 2005 459,500 243,500 45,500 61,000 505,000 304,500 Cama Cama nw 2004 207,500 64,500 272,000 Cama 2003 207,500 63,500 271,000 Cama 2002 174,500 63,500 238,000 cairna 2001 152,500 64,500 217,000 Cama 2000 152,500 64,500 217,000 Ca m 1999 66,000 64.500 130,500 Cama a 1998 66,000 63,500 129,500 Cama 11997 66,000 59,500 125,500 Cama 1996 23,920 41,710 65.630 Cama 11995 23,920 44,030 67,950 Cama 1994 23,920 44,910 68,830 Cama 1993 23,920 33,270 57„190 Over 1992 23,920 33,270 57,190 Over DIM 1 DIM 2 UNITS OL UNIT PRICE RCN AYB EYE DT ECON FUNC SP SP% RCNLID MKT VALUE 0 0 247,00 A 7.98 1,971 2001 2001 2R 926 900 0 0 294,00 A 18.40 5,410 1985 1985 IR 3,625 3.600 0 0 289,00 A 12,49 3,610 1985 1985 IR 2A19 2,400 -0 0 953,00 A 8.43 8,034 2001 2001 IR 7,150 7,200 U'SE DESG FRONT DEPTH UNITS/TYPE PRICE ZONING LCTN TOPO OTHER ADJ1 ADJ2 ADJ3 ADJ4 MKT VALUE 110938 SINGLE FAMILY RES 52 80 4,160.00-SF 40.00 H2 -20 133100 1 of 2 2/23/2015 11:10 AM Chatham County Board of Assessors: 2014 Property Record Card 4, Property Record Card http://boa,chatbalilcotinly.org/DesktopModLilCs/ChathallICOLinty/l3uar. 4-0009-06-009 17- J 9-TIV S1 BUILDING SECTION ICONISTRUCTION TYPE RCN AYB EYB DEP TYPE PHYS ECON FUNC OBSV/116 TOTAL DEP% RCNLD J.FACTOR MKT VAL 86398-1-2014 lResidential- 100.00 87,457 1 - 938 1985 MS 33.00 2000 0,00 0,00 53.00 41105 59,600 ------------ 12, -- ---------- ; SECTION TYPE I - Main 4 3' 11 IMD A3 352 23, AREA 948 Automatic Floor Cover Allowance 16 GPFN TYPE 1 - Singie-family Residence W-1 Nd, OpenA* 12, FRAME I - Stud Frame 91 0 %VIA) L 9- 1 41 STY ILE 1 One Story Raised Subfloor (% or SF) 3 QUALITY 8.00 51 CONDITION 3.00 13 C PT 331 # UWTS D So-. P10 I only 2N% # OF BEDS I BATHS 3/2.00 ZR41 Units 0 t'P'v COMPONENTS 100.00 B.we Lhhg Arr. 4' 3' 4' V E04 J,N Composition Shingle 0mr-M. 11 IMD A3 352 IN..d D.k 16 Automatic Floor Cover Allowance ........... ....... [Click for larger picture) Units % QUAIL COMPONENTS 100.00 R11 108 Frame, Siding, Wood 1,00 R2 208 Composition Shingle 4- 4' 4:' A3 352 Heat Pump IR4 402 Automatic Floor Cover Allowance Op—A-, N NMI) R6 601 Plumbing Fixtures (#) W-1 Nd, R6 602 Plumbing Rough-ins .. I --- 622 Raised Subfloor (% or SF) R6 641 Single 1 -Story Fireplace Units % QUAIL 100.00 100.00 100,00 10.00 1,00 100.00 1.00 2 of 2 2/23/20115 11:10 AM Permit 4 Job Address Job Name Owner/Contractor post house number (and -unit numbers if applicable) no attic storage signs, if applicable Energy Code Compliance Certificate pass Final Building inspection Elevation Certificate, Finished Construction As-built - Survey H— eig-h—t,-C-,e-,-r-t-i-l-fi—ea-tion, if required Drainage Certification from Project Engineer Nonconversion Agreement (attached) - must be recorded with Chatham County Breakaway Wall Certificate (V-Zone only) Mitigation of Trees, if required Payment of outstanding fees, if applicable City of Tybee Island City staff will coordinate these items when the needed documents from the list above have been submitted. Please do not contact the engineer or director. Drainage Certification from the City's Consulting Engineer, if applicable Drainage, Certification from the Director of Public Works Department, if applicable FEMA Inspection from Planning & Zoning Manager 1110312014 E[GHTEENTH STREET 50' R/W 518" R85 S 71`44'54 "E 52.39'_� _ IN CG \C Q t i w I PG.�CN y ? q �r Ft �� I II PE. ] #1J I 1 7 LOT 1 d 3 3 9 71'Si2i.— 57.11' /Z6'G YG IS OT F.LR 2, TA`Il AE, BEE 1'Fil5 L @^ IS Rlli?:N FL6GT ZCYE ?.[. TTE to THIS SURVEY HAS PREPARED IN COrNTURMI. R TH THE TECHNICAL STA.NTARJS FOR . RETRACEStFN7 SJ(t �",' PROPER" - JH4'EY3 W GEORGIA AS SET FGRTH M CHAPTER 18© -7 of THE RULES OF THE GEOREIA N L -G I'ERS NAT14N FOR ;SLAT OF LOT 1 OF A SUBDIVISION OF PRQi'£5514NAL €tiGtNEGI AND LA:V {7 ACF. RCI P A!� 7 SETA FORT. 5- :- <HE BEACH LOT 109, WARD 5, MEE ISLAND, ITHGL4 . O. ACA S GA- -6-0,? E @LOP70.1' AUTH6FiT?' 4.C.G.A, SE:'S tS -G -b1, }l1 <iP -S. T9PCOk AP -L3x « F,-R OF CHATHAM COUNTY, GEORGIA O§2GyI L1vEAH, 1i87AO4 HAL4t;CED BY L S. n PLAT: I, "O ©O ETHEET ADDRESS: 17 E:GHT!.EVTH STREET J. i 'iV1}a�. i2j NO 2P4R Imo^, }I <d 'ACID SURVEYOR 636 STEPHE'S ©13 AVENUE C7R: KERSTIN hi. t� }NCH E - R „i,� -�i� YJ E.3 30 SUITE C $”` u � GATE: SEPTEMBER t &, 2 &15 �kVANIi7H, GE-7RGLA .3119^ -f'1 LEY GATZ: SEPTEmvEft _S, 2115 PLAT EJ 1111T -� - TELEPiIONE. 94Z- 352 -0464 ��'— Btu. �T "—.7A GRAPHIC SCALE — FEET E'?\: 917 -357 -7767 Applicant's Name: Site Address, Tax #, Parcel # Owner's Name: All development - Base Flood Elevation Data provided, A. The as-built elevation certification from registered land surveyor or professional engineer has been oubmitted7 (Yes " '- � B. The lowest floor elevation imu1or above the required lowest floor e|evaV ~ �un? "~mS� ^ C, Beuthcaiheating, ven0ot|on.plumbing, air oondbion�nQ equipment (indudinQ C�� duct work) and other service facilities are located above BFE or floodproofed? " No W. Development in Zones A, AE, 4l`43O and AH. A. Solid foundation perimeter walls located below BFE: 1. There are at least two (2)openings? No 2. Square footage of enclosed area subject toflnodinA 3. Square inches mfvanUng required 4. Square inohan per opening (Multiply ibya) 5. Number of required vents (3 above divided by4above) 0. Foundation ooutaine the minimum nunnherofvents? - No 7. The bottom nf each opening isnn higher than ono (1)foo< above gxsda? ^Yes- " No 8 Any cover on openings will permit the automatic 0owo[floodwatem in both directions? " 'Yw�` ~ �� No B Base flood elevation aodlbrVondway data not available orAOZones: 1 The lowest floor in at least three (3) feet above the highest adjacent grade? ^ Yes '' No 2. The development meets the setback requirements of the ordinance? ^ Yes " No 3.|f2 above was "no". has a No-Rise Certification been submitted? '' Yen '' No Reviewer's Nome: Date reviewed: C� Roodweyda/a is provided. 1, Did this development encroach in the 8nodwey? '' Y6e ^ ��� 2 Do the actual field condi§onsmeet the proposed acbonaand technical �9 data requirements? ^ Yee '' No 3. If C1 was "yes", has u No-Rise Certification been submitted? '' Yea " No Reviewer's Name: Date reviewed: ||| Q(We|oprwentin Zones V.VE,and Vi'V3G. VC) (Comsb*�Ffl0h��a�sr�Ar�ay�, A. Development location complies with o|| coastal setback requi/emen<a? '' Yao " No R. 8truok/ro is securely anohorod to pi|ingo nrco|umna and corU8oaiion by a nog/e1ered, professional architect ore/»ginecr has been submitted? " Yes " No Reviewer's Name: Dale mview*d� C. VVaUe permitted be|mm<hebune#oode|*va tionoonsiot or, where permitted, are breakaway and have been certified by nagio\anyd, pmh*aeione| architect or engineer? ^ yes ^ No Reviewer's Name: Lnoe| Administrator's Signature:Da8a � F�gure 74. Sample permit review checklist Ordinance Administration 7-30 L All development - Base Flood Elevation Data provided, A. The as-built elevation certification from m registered land surveyor or professional engineer has been submMed? '(Yes ° M B . The lowest floor elevation is at or above the required lowest floor elevation? ^-�a C� Electrical, heating, ventilation, plumbing, air conditioning equipment (including (� duct work) and other service facilities are located above BFEorUoodproofed? " No 8. Development in Zones A, AE, AI~A30 and AH. A. Solid foundation peilmeter walls located below BFE: 1, 'There are at least two (2) openings? No 2. Square footage of enclosed area subject to flooding 3, Square inches of venting required 4. 8quona inches per opening (Multiply | by w) 5, Number of required vents (3 above dividedby4above) 0. Foundation oontaina the minimumnumberofvents? 7,Thabo\tomof each opening|ynn higher than one (1) foot above grade? ''Yiea�" No 8, Any cover nn openings will permit the automatic flow offloodwaters ~ in both directions? ^ Yee�'^ No �� B. Base flood e/ovmtionendlorfloodemy data riot available orA0Zones: 1. The lowest floor is at least three (3) feet above the highest adjacent grade'? '' Yes " No Z. The deve(opman\ meets the setback requirements of the ordinance? ^ Yee " No I|f2 above was "uo". has a No-Rise C*hifioationbeen submitted? '' Yes " No Reviewer's Name: Date reviewed: C, Hoodwsy data isprovided. 1 Did this development encroach in the Ooodwmy7 " Yea " 2,On the actual field conditions meet the proposed actions and technical data requirements? ^ Yes ~ No 3r K C1 was "yes", has a No-Rise Certification been submitted? '' Yee " No Reviewer's Nome� Date reviewed: U|. Deme|mpnnentim Zones V' VE. and V|430.VO (Coastal F�l|gh Hazard Aremm), A Deve\opmen\ location oompUmmwhh all ooaa1a(sefl)orkrequi/emmnia? " YD ^ No B 8huctura IS aE)cure|yanohored to pilings oroo|umna und os(tifioaUon by regiytered, professional architect orengineer has been mubmitt*d? " Yes " No Reviewor'aNmme: Da1erevioWod: C� Walls permitted consist of decorative lattice work or, where permitted, are breakaway and have been certified byaregistered, pmhaaoiona|apnhite�orengineer? ^ Yes " No Reviewer's Name: reviewed: Lona| Administrator's 3ignatun* uaoe � Figure 7~3. Sample permit review checklist ()rJiz,anccAdxoioiutrotimn 7-30 Chatham, Ga. Clerk Superior Cowt. Daniel Massev rierk Swerior Cuud 133 Monionmery Psi, 100" 304 Savannah, GA 31401 Pimms Number: (912052 7214 Fax Wher: (912)652 103 V Mail; dwasseAchathamcounly.oqj official Weiph 2015-00022049 Reprinled on 10/01/2015 at 1100:43 AM by; ?4 qj SKV-P11917 CHATHAM COUNTY DEPARTHM OF We Reawded: 09/30/000) %trumept 1P Qwds! We Appoo hk 631 Og 391 10:64:01 Ad $1100 AFFIDAVI[ DONOHUE, KIRPON 10JAJN(AkJF, K!R,..dUN Itemized Wck Listinu Check 0 12340 $ W, 00 Total law $10 00 Pd1d By QW& $10,10 (Yhwwe QdamW $11) WE A NICE DAY NON CONVERSION AGREEMENT FOR STRUCTURES IN THE FLOODPLAIN Building Permit Number Address of Property PIN FIRM Zone BEE feet (NAVD) Panel Number xffec tive date Property Contractor Owner(s) In accordance with the Flood Damage Prevention Ordinance of the City of Tybee Island, Georgia, the Property Owner agrees to the following: I. That the enclosed area below the Base Flood Elevation shall be used solely for parking of vehicles, limited storage, or access to the building, and will never be used for human habitation without first becoming fully compliant with the Flood Damage Prevention Ordinance in effect at the time of conversion. 1 That all interior walls, ceilings, and floors below the Base Flood Elevation shall be unfinished or constructed of flood-resistant materials. 3, 'That mechanical, electrical, or plumbing devices shall not be installed below the Base Flood Elevation. 4. That the walls of the enclosed area below the Base Flood Elevation shall be equipped with at least two vents which permit the automatic entry and exit of floodwater with total openings of at least one square inch for every square foot of enclosed area below flood level. The vents shall be on at least two different walls, and the bottoms of the vents shall be no more than one foot above grade. If located in a V-zone, breakaway walls are required, 5. That the requested structure may be subject to increased premium rates for flood insurance available from the National Flood Insurance Program due to its location in a Special Flood Hazard Area. 6, That any vari#tion,.in construction beyond what is permitted shall constitute a violation and be abatable as such. Signature ©f Property W'11gr', Date ��� Illllllllll I (III I!lIII II II I I! I'IIlII I II IIlII!lIII I II I! 111111 Ile lhiek,61711 Doc ID: 029099810001 TVoe: AFF Recorded: 09/30/2015 at 10:04:07 AM Printed Name, of Property Owner Fee Amt: $10.00 Paqe I of I Chatham, Ga. Clerk Superior Court Daniel Massey Clerk Superior court �7114 Signature of Property Owner Date'.__ BK639 PG397 p Printed Name of Property Owner STATE OF GEORGIA COUNTY OF CHATHAM I hereby certify that on day of,-�Q,-XL 20 before me, a Notary Public of the State of Georgia, personally appeared 2, . I I , 9 known to me, or satisfactorily proven to be the person whose name is subscribed to the foregoing instrument, who acknowledged that he/she has executed it far the purposes therein set forth, and that,it is his act and deed. In witness whereof, I have set any hand and Notarial Sea], NOTARY t"Llf- My Commifs41n expires oan 7— WI1WESS SIGNATURE Printed Name pAl't 2 Address 0 , I , Note: A Noncomlersion ✓greenient niusi be used whenewr o I? enclosed strucawe orporiiot? q f o structure is buill or substonuallY iniproved it Ithin the 100- ' year Floodploin below the Base Flood Elei,ation. A Nopiconversion Agreeruelif rYiusl salis Y all o the (bone conditions and 1-equires /)ropey f recordotion in the land records of Chathmn Coioitv, Georgia. City of h ybee Island - Community Development Kept. J, � ;i Inspection Report 403 Butler Ave. P.C. Rox 2749 - gybes Island, GA 31328 Phone 912.472-5032 - Fax 912® 6.953'9 Permit No. Date Requested Owner's Name Date Needed Gen. Contractor Subcontractor ,Contact Information Project Address Scope of Work Inspector Date of Inspection Inspection Pasp Fail Fee Inspection Pass Fail Fee Inspection — Pass 1:1 Fail 1:1 Fee Inspection — Pass 1:1 Fail 0 Fee M I I E,,-� NA '10NAL CODE COUNCIL MEMBER "'Ir-TITTUror"T, Pass F'a i I E] Fee Fail Fee EJ ss o Fail o Fee City f 'e . -jee Island a Community velo rent Dept. f Inspection Report 403 Butler Ave. - P.O. Box 2749 m Tybee Island, GA 3132 .�. Phone 912.472-5032 w F'ax 912.786.9533 IIITI RI'IAf IC "dAk CODE COUNCIL E BE -R Permit No. Date Requested Owner's Name Date Needed Gen. Contractor Subcontractor Contact Information Project Address Scope of Work Inspector ate of Inspection Inspection Pass Fee Inspection ass , Fee Inspection Pass,,, El l aid Fee Pass Fail, EJ �, Inspection Pass Fail Fee Inspection -- Pass El Fail El Fee Inspection - Pass E] Fail 1:1 Fee clk City of In oee Island - Counmiunity Develop..id6nt Dept® Inspection Report 403 Butler Ave. - P.O. Box 2749 - Tybee Island, GA 31328 �Phone 912.472-5032 - Fax :t' m7 CODE COUNCIL M E MiFE R- Perm,it No. - Date Requested Owner's Name Date Needed Gen. Contractor Subcontractor Contact Information Project Address Scope of Work Inspector Date of Inspection Inspection Pass Fail Fee UTM,-,M= FMIMUM ass Fail 1:1 Fee Pass Fail Fee 1:3 1:1 Pass Fail r-n Fee 1:1 Li Enter Approval Details W Approval Portal -Home My App,roV@[.S Add A pproval Search Mlanaac De4aults User Profile Customer Service FAQs C -ontact , Us Learn More GemrgEaPovver.com I of 2 Welcome lisaroseschaaf Inspection Agency Information: TYBFEISLAND Enter Approval Details https://wiringapproval-southerncompany.com/CreateApproval.aspx Site Wp I Home I Contact Us User IM lisaroseschaaf Help I Log Out Approval Information Inspector's Notes Inspection Agency ¢ select One Inspector Select One Date 9/8/2015 4:28:07 PM Permit/Approva! # Type Select Type Classification Select One Electrician\Contact Contact Phone Wiring Approval Status Submitted Service Order Address Customer Name Phone Number Street # Unit/Suite/Lot# Street Name Select One Also Known As Zip Select City Select State Select Save & Copy Save Only Print Wiring m Date Approval Type Address f nsoector's Number Note 17 Eighteenth St, 09/0812015 150119 Permanent Tybee island, GA Temp Power release Edit 31328 09/08/2015 4:28 PM R= v� Fail Fee Pass 1:1 Fail 1:1 Fee Inspection — Pass 1:1 Fail 1:1 Fee City of "'I yi3ee Island Community Developooient Dept. Inspection Report �4 403 Butler Ave. - P.O. Box 2749 - Tybee Island, GA 31328 Phone 912.472-5032 - Fax 912.786.9539 Date Needed Date of Inspection Inspection Pass Lj I U Fee Inspection Pass, Fail 0 Fee Inspection Pass it r-1 Fee 1:1 Li Inspecti ass Fail r--q Fee 1:11 Li N 1 [RNAT I C M I CODECOUNUL City of I , ,ee Island - Community Developi..,ent Dept. F Inspection Report A a 403 Butler Ave. ® P.O. Box 2749, - "rybee Island, GA 31328 I V I MAi 10 ",IAL Phone 912.472-5032 - Fax 912.786.9539 CODE COUNCIL ME MCE R WflMO irnspector Date Requested Needed to of Inspection Inspection - Pass 11 Fail 1-1 Fee Inspection Pass 1:1 Fail 1:1 Fee Inspection - Pass 1:1 Fail 1:1 Fee Permit No. Date Requested Owner's Name Date Needed Gen. Contractor Subcontractor Contact Information Project Address Scope of Work Inspector Date of Inspection . ................ Inspection U Fail LJ Fee MEM= RM11"Or-Tron =0 Fail 1:1 Fee, Pass 1:1 Fee �Iass o Fail [:] Fee Gen. Contractor : I 1 11 Subcontractor ---------- r-- Inspection Pass Fail r—, Fee 1:1 Li Inspection — Pass 1:1 Fail 1:1 Fee Inspection Pass 1:1 Fail 1:1 Fee - Ei AK City of I j�ee Island COMMunity Develop... -nt Dept. �r - Inspection Report 403 Butler Ave. a P.O. Box 2749 - Tybee Island, GA 31328 1JL W� ATIONAL Re� Phone 912.472-5032 - Fax 91,2.786.9539 COD'E COUNCIL 1 EMBER Inspection — Pass 1:1 Fail 1:1 Fee Inspection — Pass 1:1 Fail 0 Fee Inspection Pass 1:1 Fail 1:1 Fee 'JR a City oUl .jee Island • Community Develop�..znt Dept. V In ction, Report 403 Butler Ave, - P.O. Box 2749 - 'Tybee Island, 1328 11: R N AT 1 U A I Phone 912,.472-5032 - Fax 912.786.9539 CODE COUNC11L PAMB R Permit No. Date Requested Owner's Name Date Needed Gen. Contractor Subcontractor Contact Information Project Address Scope of Wor'k Inspector Date of Inspection Inspection N' Inspection Pass 1:1 Fail Fee--. W'11�1' Inspection Pass 1:1 Fail 1:1 Fee Inspection Pass El Fail 1:1 Fee , 1 0 1 A "N"? 6% Tybee Island, G'"A FAX: 1-888-851-4411 , lik Location Address: Release Date: Type of Release- Temporary Permanent Permit Electrician: 4 Phone# Builder: Phone # k. Owner: A Phone # Location Address: Release Date: Type of Release: Temporary Permanent Permit # Electrician: Phone # I 'r'uilder: Phone # Owner: Phone # Planning and Zoning rl\ Li,so- 912-472-5033 ----------- Fax Transmission Result Rep Page [1] of [1] Date/Time Model Name Machine Serial Number Line] Line] Narne Line2 Line2 Name Job Destination Start Time 28198 Georgia Power rcle04-15-2015 10:25 ase/18888514411 AM 04-15-2015 10:26 AM CLX-9352 794UB,IED500022H City of'Tybee 9127869539 is not available is not available Duration Mode Job Type Page 00'59" G3 H-7'x 1/1 FAX: 1-888-851-4411 Sa�'j HO�e--- Location Address: �L Release Date: Type of Release: —6emporary _14 Permanent permit 0 -4Cz---6)/L'7 Electrician: I 0�1�1�ILA (ASISC Phone# Builder: Phone # SO °7 J 90 99 Owner: Phone # 27R- 7 12'1 Planning and Zoning 912-47�2-5033 User Result LocalUser OK H-Rx: Host Rx M-S: Memory Save P-Rx: Poll Rx D-Tx: Delay Tx H-Tx: Host Tx S-Rx: Secure Rx P-Tx: Poll Tx BC-Tx: BroadCast Tx Location, Address: Release Date: TypeofRolease. -Temporary _Permanent Permit # Oectriclan: Phone # Builden Phone# Owner: Phone# Planning and Zoning 912-47�2-5033 User Result LocalUser OK H-Rx: Host Rx M-S: Memory Save P-Rx: Poll Rx D-Tx: Delay Tx H-Tx: Host Tx S-Rx: Secure Rx P-Tx: Poll Tx BC-Tx: BroadCast Tx Date of Inspection m,I'; . ... ....... = Inspection -- Pass 11 Fail 11 Fee Inspection Pass El Fail 11 Fee Inspection — Pass 11 Fail 11 Fee DATE ISSUED: 03-5-2015 mt wk, OWNER NAME ADDRESS CITY, ST, ZIP flffaffiam"J& M, 11WAVICNIMM "0111AM190112 ADDRESS CITY STATE ZIP PROJECT VALUATION l �,V. CITY OF TYBEE ISLAND REMODEL/REPAIR/ADD TO EXISTING HOUSE 17 EIGHTEENTH ST THOMAS&KERSTIN DONOHUE 237 LYMAN HALL SAVANNAH GA 31410-1048 FIRST CITY ENTERPRISES PO BOX 1016 TYBEE ISLAND GA 31328 p $ 725.00 4-0009-06-009 PERMIT #: 150119 TOTAL BALANCE DUE: $725.00 9t is widerslood that if' this permit is growled the builder o,ffl a all times comply with the zoming, subdivision, flood! control, Imilding, fire, soill ind sedinivniation, wedands, 739 ars1flands protection lot(] shcore protection ordinances ind cades whelhurlocal, stable orCedcral, incljjdngjjjj environmental laws and regidations when applicable, milosequent owners should be informed that any afterations to the property aillist I)e approwed by the issmince opfanother building pernift. Permit ljolder agrees to h(Ad the City ot'Tybec Ishond har-mless on any cogustl'uction covered by this pernflL This permit must be posted in a conspicuous lovation in the fi-ont of bulkling and protecled from the wcoithvr, pp' this Per'nit is not Posted work 1i ill be stopped. The hofflding contractor mill relplace curb paving and gutter broken during construction. This Pull"it 14A be Vokled unless work has begun wfthin AN months dal the dake (A'issnance, Signature of Building Inspector or AtithorizedA. gent. P, (). i3w 2749 -403 Butler A%enoot,, T.ybee lslamL Georpia 31328 012) 786-45'73 - FAX 012) 796•95,19 www.(Atyoft) hee.org I Rwe DATE COMPLETED: 10/01/2015 This Certificate issued pursuant to the requirernents of the Standard Building Code Certifying that at the time of issuance this structure was in compliance with the variou�s ordinances of the Jurisdiction regulating building construction or use. PROPOSED USE: OCCUPANCY TYPE: CONTACT NAME CONTACT ADDRESS CONTACT CITY STATE ZIP PROPERTY ADDRESS 15-0119 RENOVATED RESIDENTIAL BLDG.-SF IN 37 LYMAN HALL SAVANNAH, GA. 31410 1.7 EIGITTEENT11 ST. P.O. Box 2749- 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786-4573• - FAX (912) 786-5737 www.cityoftybee.org