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Home My Public Portal AboutTENTH TE_3.pdfJ3 -v49 CITY OF TYBEE ISLAND BUILDING &ZONING DEPARTMENT P.0. Box 2749 Tybco Island, GA 31328 Phone (912) 7864573 Fax (912) 786.9539 ELECTRICAL PERMIT APPLICATION & TEMPORARY SERVICE AFFIDAVIT Date 'R' I _�) _ New Work ' ZReplacement Location of work (street address) p� � rL('-('(�lCL T 000 40 — t7 CJS' Contractor s ` & C �! z) - am - ffi ��..,b,, c �- t n�i 1�Te1 Telephone t g q 8 I IS Address of Contractor i4p �(iltlleAA4, 1\,A- Z,i VI Pro erty Owner . ),ha. rs, Tp r��'OI Telephone ?AkL-SCH6w} Q ^ q _ Date work will be ready for inspection, if known iJ l Permit Number Oa Estimated cast of construction ' A/C Unit and Heat Puna Attic Ventilation Fan Bell Transmitter — low voltage 13order/Outline Lighting Building Saw Exit Lights -- life safety Heat Pum Meter Box Motors : h Outlets --110 volts circuit Parking Lot Lights Poo) Lights — groundin Range — commercial Range Hood — commercial Service: s Sign Circuit - wattage Smoke Detector -- low voltage Spa or Tub — grounding Special Cutlet Swimmin pool — grounding Water Heater Welder — 220 volts circuit Well p — g2unding X-ray Other — i ALL wiring, service included, must be COPPER. NQ aluminum allowed. Means shall be provided to disconnect all conductors from the service -entrance conductors. w2w.7o APPLICATION FOR TEMPORARY SERVICE REQUEST 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 sinicture. 3. Issuing approval for temporary power connection does not constitute approval to occupy the structure. Certificate of Occupancy must be issued by the City of Tybee Island prior to any occupancy. 4. e owner and,contractor are hereby held responsible for any violations of this policy. A violation of this folicv n*vftl�s t in disconnection of the electrical service until all violations and deficiencies are corrected. Owner/Contractor Printed Name /. e........................................................................ rJ ............... .......... ....................., ..........e APPROVAL r ,building Of tial Date DATE ISSUED: 08-1-2013 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 R&R MAIN BREAKER 3 TENTH TER PAULSCHENKER PO BOX 1989 TYBEE ISLAND GA 31328 WEEKS ELECTRICAL CON PO BOX 30099 SAVANNAH GA 31410 P $ 50.00 PIN #4-0006-17-008 $ 450.00 PERMIT #: 130489 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: P. O. Box 2749 - 463 Butler Avenue, Tybee Island, Georgia 31328 (912) 786-4573 - FAX (912) 786-9539 www.cityoftybee.org City of Tybee Island - Community Development Dept. Inspection Report ��` p� la w 403 Butler Ave. - P.O. Box 2749 - Tybee Island, GA 31328 - : �t4hoi. N'' Phone 912.472-5032 - Fax 912.785.9539 CGOE�COUNCIL MEMBER Permit No. OL71 IYV Owner's Name Cf-e/r/ff-JC Gen. Contractor 4(1F K!5 e'ifc Contact Information b-Ox-J',eerr Date Requested ?/,?h Date Needed 1 113 Subcontractor -7 I� Project Address /0 yy %6 " Scope of Work Inspector Date of Inspection Inspection fzr✓ L Pass t Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee TX Result Report P 1 08/09/2013 11:31 Serial No. CM35228060004 TC -. 415455 Destination I Start Time ITime I Prints I Resultj Note 18888514411 00--09 11:31 1 00:00:52 1 OCH/DO1 I OR IMM: Ismer 1'X, POL: Polling DRG: Origginal Site Settingg FME: Frame Erase TX. Note MIX: Mixed Ori4final TX, CALL: Manual TX, CSRC: CSRC. FW6: Forward, PCI PC-Fax,BMD, Double -Sided Binding Direction, SP: Special orlyinal. FCODEI F -code, RTX: Re -TX, RLY: Relay, MBX: Confidential, BUL: Bulletin. SIP: SIP Fax, IPADR: IP Address Fax, I -FAX: Internet Fax Result OR: Communication OR, S -OR: Stop Communication, PW -OFF: Power Switch OFF, TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, Busy: Busy, M-Fu11:Memory Full, LOVR:Receiving length Over, POVER:Receiving page Over, FIL:File Error, DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error. GEORGIA POWER RELEASE FOR ELECTRIC SERVICE PHONE: 1-888-748-6843, Press 1, Extension 32855 ar 32856 FAX: 3. -888-8 51-4411 Location Address: Z V'H �Q Release Date: 0��/� Type of Release: Tempoaorary Permanent Electrician_ �� T��lT�ptG Phone # Builder Pftone # Owner: _G �(� nl/`��f2v PF+oMe # Location Address: Release bate: Type Of Release: Temporary Permanent Permit # Electrician- P19one # Builder: Phone # dwner• Phone # Planning and Zoning Jerris Bryarilt 912-472-5033 Tybee Island, GA GEORGIA POWER RELEASE FOR ELECTRIC SERVICE PHONE: 1-888-748-6843, Press 1, Extension 32855 or 32856 FAX: 1-888-851-4411 Location Address: 3 Release Date: 4'Clog 13 Type of Release: Temporary Permanent Permit # /3 Electrician: f -5 �� IG Phone# 9i.2- Say-y6//g Builder: Phone # Owner: '6- G �-(g to elip- Phone # Location Address: Type of Release: Temporary Permanent Electrician: Builder: Release Date: Permit # Phone # Phone # Owner: Phone # Planning and Zoning Jerris Bryant 912-472-5033