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Frequently Asked Questions
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Q1.
Who is re uired to hold a license from the State Licensinq Board Q11. What are the insurance requirements under the new law?
for Residential and General Contractors?
Q2.
How can I obtain a state license?
Q12. If a company loses its gualifyina agent can it continue to
operate?
Q3.
How can I receive an, application?
Q13. Will my Georgia license be accepted in another state?
04.
Are there any project size limitations based upon the contract
014. Is my_out of state license recognized in Georgia?
amount orthe Proiectwithin each category of licensure?
Q5.
Should I apr)ly as an `Individual in his or her own behalf` or as an
015. What are the required fees for a licenseg
individual acting as a qualify no agent for a Georgia business
organization`?
Q6.
Can a licensed general contractor perform workwithin the
Q16. If I am granted a license under examination exemption will I be
residential dassifications?
able to receive a reciprocal license in another state?
y,Nill i be able to build m awn hous e or buildin without
Q17. In addition to the contractor license,
nse. what other requirements
license?!
must I meet in orderto open a business?
Q8.
Can a business have more than one qualifying anent?
Q18. What is a `denial letter.' and what does it mean?
Q9.
Can an individual qualify more than one company?
Q19. What is a 'deficiency letter'?
010.
Is there a minimum net worth requirementfor licensure?
020. What is the exam process?
Answers
AT Yes, property owners may construct a building or structure which is for their own use and not for use by the general public
and not offered for sale or lease. If you sell or transfer the building or structure, you will not be allowed to build another for a
period of two years, unless you obtain a license or hire somegne who is licensed to oversee the construction.
license requirements under this chapter may perform work for an owner that would
otherwise require a license under this chapter where the total scope of the work to
be performed is predominantly of the type for which such specialty contractor is duly
recognized as exempt under this subsection by the board, provided that such other
work involved is incidental to and an integral part of the exempt work performed by
the specialty contractor and does not exceed the greater of $10,000.00 or 25
percent of the total value at the time of contracting of the work to be performed.
(g) Nothing in this chapter shall preclude a person from offering or contracting to
perform or undertaking or performing for an owner repair work, provided that the
person performing the repair work discloses to the owner that such person does not
hold a license under this chapter and provided, further, that such work does not
affect the structural integrity of the real property. The board shall by rule or
regulation further define the term "repair" as used in this subsection and any other
sC-_:�
a�
necessary terms as to the scope of this exemption.
(h) Nothing in this chapter shall preclude any person from constructing a building or
structure on real property owned by such person which is intended upon completion
for use or occupancy solely by that person and his or her family, firm, or corporation
and its employees, and not for use by the general public and not offered for sale or
lease. In so doing, such person may act as his or her own contractor personally
providing direct supervision and management of all work not performed by licensed
contractors. However, if, under this subsection, the person or his or her family, firm,
or corporation has previously sold or transferred a building or structure which had
been constructed by such person acting without a licensed residential or general
contractor within the prior 24 month period, starting from the date on which a
certificate of occupancy was issued for such building or structure, then such person
may not, under this subsection, construct another separate building or structure
without having first obtained on his or her own behalf an appropriate residential or
general contractor license or having engaged such a duly licensed contractor to
perform such work to the extent required under this chapter, or it shall be presumed
that the person, firm, or corporation did not intend such building solely for
occupancy by that person and his or her family, firm, or corporation. Further, such
person may not delegate the responsibility to directly supervise and manage all or
any part of the work relating thereto to any other person unless that person is
licensed under this chapter and the work being performed is within the scope of that
person's license. In any event, however, all such work must be done in conformity
with all other applicable provisions of this title, the rules and regulations of the board
and division involved, and any applicable county or municipal resolutions,
ordinances, codes, permitting, or inspection requirements.
(i) Nothing in this chapter shall preclude an architect licensed pursuant to Chapter 4
of this title, an interior designer registered pursuant to Chapter 4 of this title, or an
engineer registered pursuant to Chapter 15 of this title from performing work or
providing services within the scope of his or her registration for the practice of
architecture or interior design or license for practicing engineering.
(j) Nothing in this chapter shall preclude an architect licensed pursuant to Chapter 4
of this title, an interior designer registered pursuant to Chapter 4 of this title, or an
engineer registered pursuant to Chapter 15 of this title from offering to perform or
offering or rendering design -build services to an owner; provided, however, that
such offer or contract shall clearly indicate at the time of such offer or contract that
all services of a general contractor incident to the design -build performance shall be
/J1
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CITY OF TYBEE ISLAND
CERTIFICATE OF OCCUPANCY
DATE COMPLETED: 04/08/2011
This Certificate issued pursuant to the requirements of the Standard Building Code
Certifying that at the time of issuance this structure was in compliance with the various
ordinances of the Jurisdiction regulating building construction or use.
PERMIT #:
PROPOSED USE:
OCCUPANCY TYPE:
CONTACT NAME
CONTACT ADDRESS
CONTACT CITY STATE ZIP
PROPERTY ADDRESS
APPROVED BY:
100146
NEW RESIDENTIAL BLDG - SF
Q
JERRY BUNTON
6603 CONCORD RD
SAVANNAH GA 31410
12 TERESA LN
P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786-4573 - FAX (912) 786-5737
www.cityoftybee.org
CITY OF TYBEE ISLAND
BUILDING PERMIT
ENGINEERING FEES
DATE ISSUED: 04/03/2011
WORK DESCRIPTION
WORK LOCATION
OWNER NAME
ADDRESS
CITY, ST, ZIP
PHONE NUMBER
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEES CHARGED
PROPERTY IDENTIFICATION #
PROJECT VALUATION
NEW RESIDENTIAL BLDG - SF
12 TERESA LN
JERRY BUNTON
6603 CONCORD RD
SAVANNAH GA 31410
912-844-8354
JERRY BUNTON
6603 CONCORD RD
SAVANNAH GA 31410
1931
P
$6,758.90
$154,500.00
PERMIT it: 100146
ENGINEERING FEES TOTAL BALANCE DUE: $ 87.50
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 months 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) 786-9539
www.cit.voftybee.org
DAVIS ENGINEERING, INC.
636 Stephenson Avenue, Suite C Savannah, Georgia 31405
Tel. (912) 355-7262 Fax (912) 352-7787
davisengincCa)bellsouth.net
INVOICE
April 1, 2011 Invoice #20703403
Diane Otto
City of Tybee Island
P.O. Box 2749
Tybee Island, GA 31328
Phone (912) 786-4573 Fax: (912) 786-9539
BY:
RE: 12 Teresea Lane (TYB ref 06-0438) .
March 31, 2011 0.50 hours Site observations and concurrence..
0.50 hours @$175/hour = $87.50 Total Due This Invoice
accept the Engineer's assessment that the site appears to be graded and stabilized in substantial
accordance with the general conditions of the permitl.
�p-.01LA�0
li-IzTg7
Dianne Otto
From: Downer Davis [dkdbus@gmail.com]
Sent: Friday, April 01, 2011 7:46 AM
To: Dianne Otto
Subject: HOLD THIS INVOICE AND CONCURRENCE
Attachments: 20703403.doc
Diane,
Sometimes I try to hard to respond too quickly. The site grading and stabilization is acceptable. However,
while the driveway appeared to be properly constructed, I did not flow water across it. It was not raining at the
time. During a phone conversation late yesterday, Mark said it appeared porous to him. While I trust Mark, as
Tybee charges me to perform a complete inspection, I plan to drop by this site on my way onto the island today.
More importantly, the driveway is extremely wide and I was distracted prior to leaving and I overlooked
checking it. Bottom line is I plan to flow water on and measure the width of the driveway (at the property line)
when I return to the island today.
Downer
�'ey �Yy
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www,S?'1Aa.
BOSWELL DESIGN SERVICES, INC.
103 NASSAUDRIVE
SAVANNAH, GEORGIA 3141 O
912-897-6932
LAHBOSC@6ELLSOUTH. NET
March 30, 2011
Diane Otto
Planning and Zoning
Tybee Island, Georgia
Re: Jerry Button Project ( formerly Ron Jacobs Project )
Lot Number 12
Teresa Lane
Tybee Island, Georgia
Diane,
At the request of the Owner, we have inspected the project referenced above for
compliance with the approved drainage plan.
After a brief inspection of the project, it is our opinion that the project is in substantial
compliance with the approved drainage plan including final stabilization.
Thank you for your assistance and please do not hesitate to contact us if you should
require more information. We may be reached at 897-6932, fax to 897-2287 or e-mail to
lahbos a)bellsouth.net.
Sincerely,
Mark Boswell
City of aee Island • Community Develo, fent Dept. ERM
Inspection Report
`1 b 403 Butler Ave, - P.O. Box 2749 • Tybee Island GA 31328
Phone 912.786.4573 ext. 114 • Fax 912.786.9539
INTERNATIONAL
MEMBER
Permit No. I � - 01 L -
Owner's Name, n -- n
Gen. Contractor
Contact Information
Project Address
Date Requested
Date Needed
Subcontractor
A
- 's 3 S
Scope of Work 01 JJ
Inspector 04 -L -I-) Date of Inspection
Inspection Pass Fail Fee
h
1�)5C.
-6--
dS 0/-1
atSo brea�a.,,jAy ,,alt X-(e—
Inspection Pass ❑ Fail ❑ Fee
Inspection
Inspection
Pass ❑ Fail R Fee
Pass ❑ Fail ❑ Fee
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE =Expires
0-0008
Federal Emergency Management Agency h 31, 2012
National Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION For Insurance Company Use:
Al. Building Owner's Name Jerry Bunton Policy Number
A2. Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No Company NAIC Number
12 Teresa Lane
City TYbee Island State GA ZIP Code 31328
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
lot 12, Northwave Subdivision
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. LatitudelLongitude: Lat, N 32 deo 01.200 min Long. W 80 deg 51.680 min Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 6
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 313 sq ft a) Square footage of attached garage nla sq ft
b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage
enclosure(s) within 1.0 foot above adjacent grade 7 within 1.0 foot above adjacent grade nla
c) Total net area of flood openings in A8.b 1635 sq in c) Total net area of flood openings in A9.b nla sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes
® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
Tybee Island 135164 Chatham GA
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
139. Base Flood Elevation(s) (Zone
13061CO213F
F
Date
Effective/Revised Date
Zone(s)
AO, use base flood depth)
0 Lowest adjacent (finished) grade next to building (LAG) 6.3 ® feet ❑ meters (Puerto Rico only)
9126108
9126108
VE
13
B10. Indicate the source of the Base Flood Elevation (BFE) data or base Flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe)
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction' ® Finished Construction
wA new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, ARIA1-A30, ARIAH, AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item AT Use the same datum as the BFE.
Benchmark Utilized IocalVertical Datum NAVD 1988
Conversion/Comments
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 7.2 ® feet ❑ meters (Puerto Rico only)
b) Top of the next higher floor 16.1 ® feet ❑ meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only) 14.1 ® feet ❑ meters (Puerto Rico only)
d) Attached garage (top of slab) nla. ® feet ❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 15.0 ® feet ❑ meters (Puerto Rico only)
(Describe type of equipment and location in Comments)
0 Lowest adjacent (finished) grade next to building (LAG) 6.3 ® feet ❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG) 6.7 ® feet ❑ meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including nla. ® feet ❑ meters (Puerto Rico only)
structural support
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. /certify that the information on this Certificate represents my best efforts to interpret the data available/
understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 9001. ❑
R G
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
�gy0
T
licensed land surveyor? ®Yes ❑ No
����'
01,
Certifier's Name J. Whitley Reynolds License Number 2249
U_;
11
_0
o. 2 49
Title Company Name J. Whitley Reynolds, Land Surveyor
Address 636 Stephenson Aven e, Suite Ci avar nah, State GA ZIP Code 31405
Signature j Date 3117111 Telephone 912-352-0464
H
FEMA Form 81-31, Ma
09 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces, copy the? esponding information from Section A. For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
12 Teresa Lane
City Tybee IslandState GA ZIP Code 31328 1 Company NAIC Number
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) building owner.
Comments C2.e) = A1C pad-)
Signature Date 3117111
❑ Check here if attachments
SECTIO - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
Et. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFF)
or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge_
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E),
and G of this Elevation Certificate_ Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by 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 FEMA -issued or community -issued BFE) or Zone AO.
G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes.
G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum
G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum
Local Official's Name Title
Community Name Telephone
Signature
Comments
Date
Check here if attachments
FEMA Form 81-31, Mar 09 Replaces all previous editions
Building Photographs
See Instructions for Item A6.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
7 Teresa Lane
City Tybee Island State GA ZIP Code 31328
parry Use:
Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
Front View March 15. 2011
Building Photographs
Continuation Page
For Insurance Company
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
12 Teresa Lane
City Tybee Island State GA ZIP Code 31328 f Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below_ Identify all
photographs with: date taken; "Front View' and "Rear View"; and, if required, "Right Side View" and "Left Side View."
Rear View March 15, 2011
[loll
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From:CITY OF TYBEE ISLAND 912 786 9539 03120"1011 11:29
s%
V -ZONE CERTIFICATE
Building. Address -f�(� Pre -construction
Owner's Name
ti
Contractor's Name / ,
SECTION 1: Flood Insurance Rate Map (FIRM) Information
#930 P.001/001
O -P Z
As -built
Community Panel 12 Date of / Firm
Number / % Number �� Suffix FIRM Index
�l Zone _
SECTION 11: Elevation Information
NOTE: This V -Zone Certificate does not substitute for an Elevation Certificate
I. Elevation of the Bottom of Lowest Horizontal Structural Member........................................................... _1.11 feet (NGVD)
2. Base Flood Elevation ($FE)..................................................................................................................... __.� � feet (NGVD)
3. Elevation of Lowest Adjacent Grade ............. ............................................................ ................ _... _........ feet (NGVD)
4. Approximate Depth of Anticipated Scour/Erosion used for Foundation Design ... _ ................................. _ _ feet (NGVD)
5-. Embedment Depth of Pilings or Foundation Below Lowest Adjacent Grade .................. .................. .------ feet (NGVD)
SECTION III: V -Zane Certification Statement
NOTE: This section must be certified by a registered engineer or architect
I certify that I have developed or reviewed the structural design, plans, and specifications for construction and that the design -and
methods of construction to be used are in accordance with accepted standards of practice for meeting the following provisions.
• The bottom of thelowest horizontal structural member of the lowest floor (excluding piles and columns) is elevated to or above
the BFE; and,
The pile and column foundation and structure attached thereto is anchored to resist flotation, collapse, and lateral movement due
to the effects of the wind and water loads acting simultaneously on all building components. Water loading values used are those
associated with the base flood. Wind loading values used are those required by the applicable State or local building code,
whichever is more restrictive. The potential for scour and erosion at the foundation has been anticipated for conditions assouiated-
with the base flood, including wave action.
SECTION IV: Breakaway Wall Certification Statement
NOTE: This section must be certified by a registered engineer or architect when
breakaway walls exceed a design safe loading resistance of 20 pounds per square foot
I certify that I have developed or reviewed the structural design, plans, and specifications for construction and that the design and
methods of construction to be used for the breakaway walls are in accordance with accepted standards of practice for meetinkthe
following provisions:
• Breakaway wall collapse shall result from a water load less than that which would occur during the base flood; and,
The elevated portion of the building and supporting foundation system shall not be subject to collapse, displacement, or other
structural damage due to the effects of wind and water loads acting simultaneously on all building components (wind and water
loading values to be used are defined in Section 1II).
ECTIONV,r Certificaiiote_
.Signature below certifies: Section I; �% Section II; Section III;
Certifier's Name 11#0& d / Company Name _
Title T _
Strict
Sign,
License Number C-61
Section IV
ity, State, Zip
late' 47/A_ Telephone �S�- <fl(3d—
FROM :BUNTON
FAX NO. :8974207
V -ZONE CERTIFICATE
Building Addregq �Z l ��QE, ire} Gi��y� Pro -construction
Ict. 18 2010 06:29AM p2
ep, 2 o �-a
As -built
Owner's Name !S�,/,�,�,[ K all" 0J
Contractor's NameCly �.dY��
SECTION I: Flood Insurance Rate Map (1~IRM) Information
Community Panel
Number Number Suffix
Date of Finn
FIRM Index Zone,
SECTION 11: Elevation [nformadon
NOTE 'L itis Y !A>tjC Gertincate dohs uul xubsiltule,jrtr ren Elevrrtlosr. C'a�7ificatE<
4.
1. Elevation of the Bottom of Lowest Horizontal Structural Member.. ........................ ......... -.- ................. feet (NGVD)
2. Base Flood Elevation (BFE) .... ........ ......................... _ feet (N(;VD)
3. Elevation of Lowest Adjacent Grade .........................................................................................................
—71 feet (NGVD)
4. Approximate Depth of Anticipated Scour/Erosion used for foundation Design .................................... 4- foet (NGVD)
S, Embedment. Depth of Pilings or Foundation Below Lcfwetit Adjacent Grade ........................................... t feet (NGVD)
SECTION 11; V-Zonc Ccrtiticstion Statement
NU7L'; This sec'llon »xt�st Le certif ed by rt regist�rc�rl Pn�ine�r or ryrehFis�ct
I certify shat I have developed or reviewed the structural design, plane, and specifications for consnuetion and that the design and
methods of construction to be used are in accordance with accepted Standards of practice for meeting the following provisions:
• The bottom of the lowest hotxzoatal structural member of the lowest floor (excluding piles and columns) is elevated to or above
the BFB; and,
• The pile and column foundation mid structure attached thereto is anchored to resist notation,, collapse, and lateral movement due
to the etf'cutsi of the wind and water loads aeting simultaneously on all building components. Water loading values used are those
associated with the base flood. Wind loading values used arc those required by the applicable State or local building code,
whichever is mere restrictive. The potential for scour and erosion at the foundation has been anticipated for conditions associated
with the base flood, including wave fiction,
SECTION 1V: 1lreakaway Wall Certification Statement
)VOTE., This section must he certifud 1�y u registerul engineer or architect when
breakalWny Nulls exceed a design safe loading resistance gf'20 pounds per square foot.
I certify that I have developed or reviewed the structural design, plans, and specifications for construction and that the design and
methods of construction to be used for the breakaway walls are in accordance with accepted standards of practice for meeting the
following provisions:
• Breakaway wall collapse shall result from a water load less than that which would occur during the base flood; and,
+ The elevated portion of the building and supporting foundation system Shall .Trot be subject to collapse, displacement, or other
structural damage due to the effects of wind and water loads acting simultaneously on all building components (wind and water
loading values to be used are defined in Section III).
Signature below certifies,
Certifier's Name t4- -;�Yh n9on
Title��N/eJe2_
5troet Address
Signature
SECTION V: Certifleatlon
section 1,• section 11; _
Company Name.
f,
License Number G
City, State,
Date
Telephone �T,Z Av'e
Permit No.
owner's Name
Gen. Contractor
City of bee Isla n spect on Community
ityDevele. lent Dept.
epo
403 Butler Ave. • P.O. Box 2749 • TYbee Island, GA 31328
phone 912.786.4573 ext. 114 • Fax 912.786.9539
Date Requested _1 � 1
4F- ----------
Date Needed r
Contact Information
Project Address
Scope of Work
S T=
Subcontractor
n
Date of Inspection
Inspector
nu t Pass El
Fail ❑ Fee
Inspection"P5s
f �
l t)
Pass Fail II Fee
Inspection u
inspection
-
Pass rj Fail n Fee
Pass LJ Fail ^ Fee
Inspection u
L
a
Miami
111TERNATPIAL
CODE COUNCIL
MEMBER
�� U \ \ i n t D e
C i t y o f '