HomeMy Public PortalAboutANDERSON CT_12.pdfDATE ISSUED: 12-8-2016
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
PERMIT #: 160892
REPAIR ROOF -STORM
12 ANDERSON CT
CHARALEE SEDGWICK
12 ANDERSON
TYBEE ISLAND GA 31328
THAT HOUSING THING
1775 OLD JACKSON ROAD
LOCUST GROVE GA 30248
111r/f Q�
P �
$ 0.00 �o�Gr�e•
$8,500.00
TOTAL BALANCE DUE: $ 0.00
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 be¢un within six mnnthc of the date of iccnanoe_
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.cityoftybee.org
lb -- a%? --
City of Tybee Island Georgia
912-472-5030. Fax 912-786-9539
APPLICATION FOR BUILDING PERMIT
Property Address: %,� `,t 7C:+(� + PIN:
Check all that apply
❑ Single Family ❑ Discovery/Tearout ❑ Demolition or Relocation
❑ Duplex ❑ Footprint Changes ❑ Other
❑ Multi -Family units ❑ additional square
❑ * Commercial unit(s) feet heated/cooled
* 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.
Details of Project:
CCom`
Estimated Cost of Construction: $ nz') (materials +- labor + profit/overhead)
If 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: 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
Durina construction:
On-site restroom facilities will be provided through . Construction debris will be disposed
by by means of I understand that I must comply with zoning 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 actions
that may be necessary to restore drainage,impaired by this permitted construction.
Date: Signature: `r
Pri ted Name of Applicant:
Note A permit normally takes 7 to 10 days to process. Processing time for a
historic structure may be longer.
Approvals:
Planning & Zoning Manager
Building Official
Water/Sewer
Storm/Drainage
City Manager
Stire na re Date
1-x_16
FEES 570,
Permit '39.60
Inspections •00
Cap. Cost Rec.
Water Tap
Sewer Stub
Eng. Fees
Aid to Const.
—4
Name
Mailing Address
Telephone
Home:
Owner
r
l�! rt,}+C�
,�.' • .c�
Cell: l
Architect or
TOTAL .
Office:
Engineer
Cell:
Contractor
l ` �f
1 �� dl
Office:
trc� .- U +t✓
Cell: u'41%1
Check all that apply
❑ Single Family ❑ Discovery/Tearout ❑ Demolition or Relocation
❑ Duplex ❑ Footprint Changes ❑ Other
❑ Multi -Family units ❑ additional square
❑ * Commercial unit(s) feet heated/cooled
* 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.
Details of Project:
CCom`
Estimated Cost of Construction: $ nz') (materials +- labor + profit/overhead)
If 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: 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
Durina construction:
On-site restroom facilities will be provided through . Construction debris will be disposed
by by means of I understand that I must comply with zoning 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 actions
that may be necessary to restore drainage,impaired by this permitted construction.
Date: Signature: `r
Pri ted Name of Applicant:
Note A permit normally takes 7 to 10 days to process. Processing time for a
historic structure may be longer.
Approvals:
Planning & Zoning Manager
Building Official
Water/Sewer
Storm/Drainage
City Manager
Stire na re Date
1-x_16
FEES 570,
Permit '39.60
Inspections •00
Cap. Cost Rec.
Water Tap
Sewer Stub
Eng. Fees
Aid to Const.
—4
TOTAL .