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Subcontractor
Project Address
Scope of Work 01,1
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Inspector Date of Inspection
Inspection Pass, Fail Fee
Inspection Pass Fail M Fee
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Inspection — Pass 1:1 Fail 1:1 Fee
Inspection — Pass 1:1 Fail 1:1 Fee
CITY OF TYB,EE ISLAND
BUILDING PERMIT
DATE ISSUED. 02,-2-2015 PERMIT #: 150048
WORK DESCRIPTION CHANGE ELECTRICAL
WORK LOCATION 203 FIFTH AVE A
OWNER NAME DONNA MEACHAM SMITH
ADDRESS PO, BOX 1069
CITY, ST, ZIP TYBEE ISLAND GA 31328
PHONE NUMBER
CONTRACTOR NAME JEFF STEWART ELECTRICAL SRVCS
ADDRESS 316 KUWE TRAIL
CITY STATE ZIP HINESVILLE GA 31313
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 50.00
PROPERTY IDENTIFICATION # 4-0004-13.008
PROJEC-17 VALUATION $900.00
TOTAL BALANCE DUE: $ 50.00
it is junjej-,stood that if this permit is granted the builder will at all thiles comply •itIl the Zoning, sul)(Wsion, flood cohdrol, building, firt, soil
avid sedimentation, wetlands, marshlands protection and shore protection ordinances and cudes whether local, Mate or federal, inchadinp 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. Perinit holder agrees to hold the City ofTybee Island harmless on any c0astrueflon
covered by this permit.
'Phis permit must be posted in a conspicuous location in the front of building and protected fru In the weather. If this permit is not posted work
will be 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.
0
Signature of Building Inspector or Authorized Agent-
P. 0. Box 2749 - 403 Butter Avenue, Tybee Island, Georgia 31328
(912) 786-4573 - FAX (912) 786-9539
www.cityoftybee.org
,W
CITY OFTYBEE ISLAND
BUILDING & ZONING DEPARTMENT
P.O. Box 2749, Tybee Island, GA 31328
Plionc(912)472-5030 - Fax(912)786-9539
ELECTRICAL PERMIT APPLICATION & TEMPORARY SERVICE AFFIDAVIT
late New Work Replacement
Location of work (street address) k..)
Contractor Telcplione
Address of C2
ontractor .)
Property Owner
Date work will be ready for inspection, if known
Estimated cost of construction
Telephone l01-f eL'
A/C Unit and Heat Pump
Attic Ventilation Fan
Bell Transmitter — low voltage
Border/Outlinc Lighting;_
Building Saw
. ...... . . . .......
Exit Lights — life safety
Heat Pump
Meter Box
Motor(s): ll
Outlets — 11.0 volts circuit
--F
-Parking Lot Lights
Pool Li gb is — gro urldipL
Range — commercial
Telephone l01-f eL'
Permit Number
III 'III Ili
..... . ....
VkhairIre' shmdHi liel
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C� 13 t''11 I I ct il) 11� 5,� INN�f
APPLICATION FOR TEMPORARY SERVICE REQUEST
In requesting temporary electrical service, the undersigned understands and agrces:
1. Connection of temporary c1cctrical service does not remove the requirement to coniply 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 poNver connection (toes not constitute approval to occupy the structure,
A Certificate of Occupancy must be issued by the City of Tybee Island prior to any occupancy.
4. The owner and contractor are hereby held responsible for any violations of this policy. A violation of this
to c Tay resul nk, d iscon nec Lion of the elecirical service until all violations and deficiencics are corrected,
Contractor Signature Date
Owner/Contractor Printed Narne
........... I ..................................... ........................................... ............ ............................
Apj)lication approved ky Date
-1--l-I . ... ... ... ..
02,2712oN
Range Hood — commercial
Service:
--aTPSs
Sign Circuit -_wattage
Smoke Detector — low voltage
Spa or Tub — rounding,
. ...... . . . .......
Special Outlet
Swim!Ern P(a(il rrcarindrtl�
Water Heater
Welder — 220 volts circuit
Well N-�— 9
--F
X-ray
—
0
Permit Number
III 'III Ili
..... . ....
VkhairIre' shmdHi liel
onrlfftu'; tcm"�i t111()111111111G d 02
C� 13 t''11 I I ct il) 11� 5,� INN�f
APPLICATION FOR TEMPORARY SERVICE REQUEST
In requesting temporary electrical service, the undersigned understands and agrces:
1. Connection of temporary c1cctrical service does not remove the requirement to coniply 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 poNver connection (toes not constitute approval to occupy the structure,
A Certificate of Occupancy must be issued by the City of Tybee Island prior to any occupancy.
4. The owner and contractor are hereby held responsible for any violations of this policy. A violation of this
to c Tay resul nk, d iscon nec Lion of the elecirical service until all violations and deficiencics are corrected,
Contractor Signature Date
Owner/Contractor Printed Narne
........... I ..................................... ........................................... ............ ............................
Apj)lication approved ky Date
-1--l-I . ... ... ... ..
02,2712oN
Chatham 'County Board of Assessors: 2014 Property Record Card 4 http: / /bo i.chatbani county. oj, g / Desktol° Modules /ChtithailiC.ouiity /Bo;tr...
2014 Chatham County Board of Assessors
Property Record Card
APPRAISER LESTEPH LOT 2 -A SUB OF LOT 2 TYBEE TRACE SUB SMB 37S 37.11 ac
LAST INSP 09/10!2009
APPR ZONE 000008
SALES BOOK / INS VI CID RSN PR',ICE
PAGE
28 Mar 3760 116 WD I U UR 325,000
2012
GRANTOR:SMITH RICHARD C 111 & DIANE K
GRANTFF:SMITH DONNA MEACHAM
30 Jun 2008 342N 0566 OC I U UO
GRANTOR :HFR LD JAMES P II!
GRANTEE:R J GROOVER CONSTRUCTION
130 Jun 2008 342N 0569 WD I U OF 487,000
GRANTOR:R J GROOVER CONSTR LLC
GRAN7EE:SMITH RICHARD C, III & PIA
13 Dec 31 BA 0400 QC V U UX
12006
GRANTOR:GSHP LLC
GRANTEE:R J GROOVER CONSTRUCTION
24 Apr 2.006 306B 0563 WD I U UX 600,000
GRAN "TC)R:R J GROOVER CONSTRUCTION
GRANTFF:GSHPL,LC
iPERMITS TYPE DATE
05 -0008 CO 13 Dec 2006 Issuer)
105 -0008 NO 13 Dec 2006 Issued
4�- 0004 -13 -00'8
203 5TH AVE, TYBEE ISLAND
SMITH DONNA MEACHAM I', LAMA ASMT
PO BOX 1069 119,800 119,800 LAND 2
TYBEE ISLAND GA 31328( 196,400 196,400 BLDG 1
OBXF 0
316,200 316,200 Cost - MS
(CODES
PROPERTY
0006 RESIDENTIAL
MUSE
UTA
0004 Tybee Island
NBHD
020222.00 T222 TYBEE
HORSE PEN
EXEMPTIONS
1-16TORY LAND IMPR TOTAI
mw M11luftlilllVt�WIuIV 0 ( 2012 119,800 193,000 312,8
1+11!1! l mm
I �
vlpml „� � II
II 95,400 175,700 371,1
�Nylu ulu Il it lll� " 61 d I to IN'
d Ili l ill`IiryI��������IIj�ii��lipp,' V l,i a VIYI�I !I i� i,
1201'1 239,500 178,500 410,0
lYiI���l °f�Ni�luulllllfffli °i��IVtlii��vlV�YY Phil �( �41�VI�i���,,� ii 81������I�t,lll
kl�lillpl INIU',i^ II C �I iIR 1 lyllil�ln mhi i1P1111 °pl'' 12011 195,400 219,600 415,0
u
12010 239,500 178,500 418,0
f �
[Click for larger picture] 2009 239,500 178,500 418,0
ill - 11�1M11 pi II �u uV
AMOUNT
COMMENTS:
03 Sep 2013 TAXPAYER 2014 - RETURN TO
00 Canna
00 Cara
00 Over
00 Canna
00 Over
00 Over
2009 23'9,500 178,500 418,000 Over
'y�v� IMIwaw ullu, °p 2008 368,500 180,000 540,500 Cara
q 2007 314,500 178,000 492,500 Cama
�u111buu� uv m Iwiiilullinl I;uuul Pl ?illd
SENDER PER LISPS 8/30/13.
BOX CLOSED - UNABLE TO
FORWARD
07 Jul 2010 1 "Y11 REF DEED: 358/453
EASEMENT TO TYBEE I
01 Apr 2008 TY08 LJC /D 335N497
15 Nov 2007 1Y08 3310253 PER ATTORNEY
DIS REGARD NJV 1I -15 -07
06 Dec 2006 2007 NEW PIN', SPLI TOUT OF
4- 4 -13 -3 12/6/06 PL
LAND
ID#J USE DESC FRONT DEPTH UNITS / TYPE PRICE ZONING LCTN TOPO OTHER ADJ1
109'066 MARSH VIEW 0 0 4,500.00 -SF 38.00 R2 V30
'1109067 MARSH VIEW 0 0 389.00 -SF 38,00 R',2 SZ -75
loft
I
I
AI:]J2 ADJ3 ADJ4 MKT' VALUE
117800
i
2000
1/29/2015 2:25 PM
Chathan7 County Board of Assessors 2014 Property Record Card 4 -... htt1): / /hr)al chath imcoucity.orl;IDeskioplV odules /ClroathatliC nttity/13oai-...
211'14 Chatham County Board of Assessors
602 Plumbing, Rough -ins ( #)
4- 0004 -13 -008
Property Record Card
622 Raised Subfloor (% or SF)
203 5TH AVE TYBEE ISLAND
BUILDING SECTION
I CONSTRUCTION TYPE RCN AYB EYB DEP TYPE
PAYS ECON FUNC OBSV / %
TOTAL DEP % RCNLD U.FACTOR MMTT VAL
84820 1-20114
Residential 261,235 2005 MS
6.00 0.00 0.00 0.00
6.00 2+45,561 196,400
'F'?"h oloo
SECTION TYPE
1 - Main
43 .rel.a fiuq.lovm
AREA
1918
9, r,r «,;r, «.
TYPE
1 - Single- family Residence
4-
0110
3, z °3' '6I5,s'3,
FRAME
1 -Stud Frame
E.d—d Pmn65c —Id 1,1'A
,o rs -.
---- -
-- Y1 o s^
STYLE
2 -Two Story
vrc %wr r, r<o.r
, 6
¢n'
QUAL%TY
5.00
CONDITION
100
Irua
# UNITS
0
I
Pl, in too
# OF BEDS / BATHS
4/2 10
'
err
Isuur.ia rmrnar
rw,,,se.,p
I7.s 39'
190
COMPONENTS
Units 'a QUAL
M(1
R1 109 Frame, Stucco
100.00
R2 214 Metal, Preformed
100.00
R3 352 Heat Pump
100.00
R4 402 Automatic Floor Cover Allowance
12°
31 1
R6 601 Plumbing Fixtures (44)
14.00
l i *r
,edl, N3 16hn-r
IN
[Click for larger picture]
2of2
R6
602 Plumbing, Rough -ins ( #)
1,00
R6
622 Raised Subfloor (% or SF)
R6
648 Direct-Vented„ Gas ( #)
1.00
R7
711 Built -in Garage (SF)
861.00
R7
711 Built -in Garagc (SF)
180.00
All
904 Slab Porch (SF) with Roof
18.00
All
904 Slab Porch (SF) with Roof
90.00
All
907 Enclosed Porch (SF), Screened Walls
90.00
100.00
1/29/20'15 2:25 PM