HomeMy Public PortalAboutTYBRISA ST_10.pdfDATE ISSUED: 05-15-2013
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
CITY OF TYBEE ISLAND
BUILDING PERMIT
REM SUS CEILING OVER BANDSTAND
10 TYBRISA ST
DOC'S BAR
PO BOX 2937
TYBEE ISLAND GA 31328-2937
912-786-5506
MARK CRASK
P.O. BOX 399
TYBEE ISLAND GA 31328
U
$ 50.00
PIN #4-0008-03-017
$ 300.00
PERMIT #: 130307
TOTAL BALANCE DUE: $ 50.00
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:
V 1- -04
P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786-4573 - FAX (912) 786-9539
www.Cityoftvbee.org
Property Address:
13 `0 -5 07 City of Tybee Island, Georgia
912-472-5033 or 912-472-5031 - Fax 912-786-9539
APPLICATION FOR BUILDING PERMIT
0669-0 'el
❑ Single Family
❑ Duplex
❑ ulti-Family units
Commercial units
Details of Project:
�(Check all that apply)
iscovery/Tearout
❑ Footprint Changes --
new _ square feet
❑ Demolition of Structure
❑ Other
Estimated Cost of Construction: $ (materials + labor + profit/overhead)
c? �,L
If applicable, attach a copy of the cerci ie elevation cficat /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 maybe 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
Durina construction:
On-site restroom facilities will be provided through 5 . Construction debris will be disposed
by by means of . I understand that I must comply with zonin flood
damage control building, fire shore protection and wetland ordinances FEMA regulations and all applicable codes and
regulations. I 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 responsibility for any corrective action that
may be necessary to restore drainage impaired by this permitted construction.
Date: .� /� �3 Signature of Applicant:
Printed Name 1�%411ZIL C/_'
Note: A permit normally takes 7 to 10 days to process
Approvals: Signature Date
Planning & Zoning Manager
Building Official
Water/Sewer
Storm/Drainage
City Manager
FEES
Permit
Inspections
Cap Cost Rec
Water Tap
Sewer Stub
Eng. Fees
Aid to Const.
TOTAL
Name
Mailing Address
Telephone
Owner
o �, 5)Sq
Home:
Cell: to 42�
Architect or
Engineer
ana.
Contractor
p`'51A
Office:
Cell:
❑ Single Family
❑ Duplex
❑ ulti-Family units
Commercial units
Details of Project:
�(Check all that apply)
iscovery/Tearout
❑ Footprint Changes --
new _ square feet
❑ Demolition of Structure
❑ Other
Estimated Cost of Construction: $ (materials + labor + profit/overhead)
c? �,L
If applicable, attach a copy of the cerci ie elevation cficat /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 maybe 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
Durina construction:
On-site restroom facilities will be provided through 5 . Construction debris will be disposed
by by means of . I understand that I must comply with zonin flood
damage control building, fire shore protection and wetland ordinances FEMA regulations and all applicable codes and
regulations. I 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 responsibility for any corrective action that
may be necessary to restore drainage impaired by this permitted construction.
Date: .� /� �3 Signature of Applicant:
Printed Name 1�%411ZIL C/_'
Note: A permit normally takes 7 to 10 days to process
Approvals: Signature Date
Planning & Zoning Manager
Building Official
Water/Sewer
Storm/Drainage
City Manager
FEES
Permit
Inspections
Cap Cost Rec
Water Tap
Sewer Stub
Eng. Fees
Aid to Const.
TOTAL
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