HomeMy Public PortalAboutTHIRTEENTH PL_10 1OF2.pdfCITY OF TYBEE ISLAND
CERTIFICATE OF OCCUPANCY
DATE COMPLETED: 6/30/2017
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:
160358
NEW RESIDENCE - SINGLE FAMILY
Q
PRIVATE LENDING PROPERTIES,LLC
109 RIVERS EDGE
SAVANNAH GA 31405
10 THIRTEENTH PLACE
P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786-4573 - FAX (912) 786.5737
www.cityoftyl)ee.org
Building Permit Number l & —0,3S2
I. All development — Base Flood Elevation Data Provided:
A. The as -built elevation certification from a registered land surveyor or
Professional engineer has been submitted? YE or NO
B. The lowest floor elevation is at or above the required lowest floor elevation? YES or<jqg�,
C. Electrical, heating, ventilation, plumbing, air conditioning equipment (including
duct work) and other service facilities are located above BFE or flood proofed? YES or NO
II. Development in Zones A, AE, AI -A30 and AH:
A. Solid foundation perimeter walls located below BFE:
1. There are at least two (2) openings?
2. Square footage of enclosed area subject to flooding
3. Square inches of venting required
Vor
4. Square inches per opening (multiply 1 by w)
5. Number of required vents (3 above divided by 4 above)
_
6. Foundation contains the minimum number of vents?
Q�>
or NO
7. The bottom of each opening is no higher than one (1) foot above grade?
j4ES->
��Cc_
or NO
8. Any cover on openings will permit the automatic flow of floodwaters
In both directions?
ES
OR NO
B. Base flood elevation and/o• floodway data not available orAO Zones:
1. The lowest floor is at least one (1) foot above the highest adjacent grade?
YES
or NO
2. The development meets the setback requirements of the ordinance?
YES
or NO
3. If 2 above was "no", has a No -Rise Certification been submitted?
YES
or NO
Reviewer's Name: Date reviewed:
B. Floodway data is provided.
1. Did this development encroach in the floodway?
YES
or NO
2. Do the actual field conditions meet the proposed actions and technical
date requirements?
YES
or NO
3. If C1 was "yes", has a No -Rise Certification been submitted?
YES
or NO
Reviewer's Name: Date reviewed
III. Development in Zones V, VE and V! -V30, VO (Coastal High Hazard Areas).
A. Development location complies with all coastal setback requirements? YES or NO
B. Structure is securely anchored to pilings or columns and certification by a
Registered, professional architect or engineer has been submitted? YES or NO
Reviewer's Name: Date reviewed:
C. Walls permitted below the base flood elevation consist of decorative lattice work or,
Where permitted, are breakaway and have been certified by a registered, professional
Architect or Engineer? YES or NO
Reviewer's Name: Date reviewed:
Local Administrator's Signature: Date:
City of Tybee Island •q �r
403 Butler Avenue - P.O. Box 2749
Tybee Island, Ga. 31328-2749 :w
A 1;
U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30, 2018
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copv all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
SECTION A — PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owners Name
Policy Number:
Robert Sales
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Company NAIC Number:
Box No.
10 13th Place
City State ZIP Code
Tybee Island Georgia 31328
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 1A, Western portion of southern portion of beach lots 80 & 81, Ward 4, 5th G.M.D., Chatham County, Georgia, PIN: 4-0008-01-005L
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 31.9961 Long. -80.8475 Horizontal Datum: ❑ NAD 1927 >Q 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):
a) Square footage of crawlspace or enclosure(s) 167 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 2
c) Total net area of flood openings in A8.b 400 sq in
d) Engineered flood openings? X Yes ❑ No
A9. For a building with an attached garage:
a) Square footage of attached garage N/A sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? ❑ Yes JR No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
B3. State
City of Tybee Island 135164
Chatham
Georgia
B4. Map/Panel
B5. Suffix
B6. FIRM Index
B7, FIRM Panel
B8. Flood Zone(s)
B9. Base Flood Elevation(s)
Number
Date
Effective/
(Zone AO, use Base
Revised Date
Flood Depth)
13051 CO326
F
July 7, 2014
September 26, 2008
AE
12.0'+1.0' Freeboard
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
❑ FIS Profile X FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 X NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes X No
Designation Date: ❑ CBRS ❑ OPA
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6
ELEVATION CERTIFICATE OMS No. 008
Date:
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding 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:
10 131h Place
City State ZIP Code Company MAIC Number
Tybee Island Georgia 31328
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction` X Finished Construction
"A 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, AR/Al—A30, AR/AH, ARIAO.
Complete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters.
Benchmark Utilized: Local Vertical Datum: NAVD 88
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 X NAVD 1988 ❑ Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a) Top of bottom floor (including basement, crawispace, or enclosure floor) 12 0 34 feet ❑ meters
b) Top of the next higher floor 21 0 X feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) NIA . ❑ feet ❑ meters
d) Attached garage (top of slab) 11 7 feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 13 9 ❑ feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 10 3 �[ feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 11 4 ❑ feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including 11 4 ❑ feet ❑ meters
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.
I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false
statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? Yes ❑ No ❑ Check here it attachments.
Certifier's Name License Number
Terry M. Coleman GA# 2486
Title
Professional Surveyor (�jQ ORO/
17
Company Name v acST�RN) #
Coleman Company Inc. " Sral s
Address 1
17 Park of Commerce Boulevard, Suite 201
City State ZIP Code MqC GOv
Savannah GA 31405
Signa D7-,?-'t
lTelephone
1 7
Copy all pa TA
of this levation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments 4nztdTjng type of equipment and location, per C2(e), if applicable)
Section A9d: Garage vented by (2) engineered vents (Smart Vent Inc., Model # 1540-570). See attached certification,
Section 69: 1' (one foot) of freeboard is required by the City of Tybee Island Damage Prevention Ordinance.
SectionC2: Benchmark utilized was established using "EGPS" GPS base station network. Elevations shown are
referenced to NAVD 88 (12).
Section C2b: Elevation is top of finished floor for living space.
Section C2e: Lowest elevation of machinery servicing building is top of HVAC compressor pad.
FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 2 of 6
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No. Policy Number:
10 13th Place
City State ZIP Code Company NAIC Number
Tybee Island Georgia 31328
SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A (WITHOUT SFE)
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 Rica only,
enter meters.
E1. 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 1--2 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 BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge,
Property Owner or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ Check here if attachments.
FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 3 of 6
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding 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:
10 13th Place
City State ZIP Code Company NAIC Number
Tybee Island Georgia 31328
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 measurernent
used in Items G8—G10. In Puerto Rico only, enter meters.
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 Zane AO.
G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued 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 Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum
G10. Community's design flood elevation: ❑ feet ❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments (including type of equipment and location, per C2(e), if applicable)
❑ Check here if attachments.
FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 4 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: Novemhpr an gnin
IMPORTANT: In these spaces, copy the corresponding 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:
10 13th Place
City Slate ZIP Code
Company NAIC Number
Tybee Island Georgia 31328
If using the Elevation Certificate to obtain NFIP Hood insurance, affix at least 2 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." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
I Photo One Caption FRONT LEFT VIEW 5/15/2017 ~7
Photo Two Caption _ REAR RIGHT VIEW 5/15/2017
FEMA Form 086-0-33 (7195) Replaces all previous editions. Form Page 5 of 6
BUILDING PHOTOGRAPHS OMB No, 1660-0008
ELEVATION CERTIFICATE Continuation Page Exoiration Date- IVnvpmh— on --M4.
IMPORTANT: In these spaces, copy the corresponding Information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.Q. Route and Box No,
Policy Number:
10 13th Place
City State ZIP Code
Company NAIC Number
Tybee Island Georgia 31328
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
"Front "Rear
with: date taken; View" and View"; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
Photo One Caption VENT 5/15/2017
�
ti
r7
Photo Two Caption VENT 5/15/2017
FEMA Form 086-0-33 (7115) Replaces all previous editions.
Form Page 6 of 6
/�/J/e5) - /0 11 l- toe -1-4114-
Georgia Residential Energy Code Compliance Certificate*
Builder/Design
Professional:
Enveloge Summar
12 . G � c/�,•�
List the R -Value for the following components:
Flat ceiling/roof:
J2 ti 9
Exterior wall:
Attic kneewall:
Basement stud wall:If
Crawlspace stud wall:
All �-
Foundation slab:
P -
Cantilevered Floor:
Fenestration Components:
Window U -factor: . 33
Skylight U -factor:
Glazed Door U -factor: 31 ^�
• Building Envelope Tightness (BET):
Phone: 9,Y
Sloped/vault ceiling: 4)
Above grade mass wail:
Attic kneewall sheathing:
Basement continuous:
Crawlspace continuous:
Floors over unconditioned space:
Other insulation:
Window SHGC:
Skylight SHGC:
Opaque Door U -factor:
(<50% glazed)
BET test conducted by: Phone:
Fan Flow at 50 Pascals= i CFM Total Conditioned Volume = 6Yd fta
ACH50 = CFMso x 60 / Volume= ACHm (must be fess than 7 ACHs )
Low Rise Multifamily Visual Inspection Option
(The visual inspection option may be conducted by a third -party i nTd of the BET test for R-2 buildings only.)
Visual inspection conducted by: Phone: %f)- 2.A 7
Mechanical Summary:
Water Heater Energy Factor: • 9 / Ef Fuel type: ❑ Gas Electric ❑ Other
Number pf Heating and Cooling Systems: �-
Heating System Type (choose one):
❑ Gas: AFUE Ekkr-Source Heat Pump: HSPF
❑ Other: Efficiency:
Cooling System Type (Standard DX, Heat Pump, Geothermal, etc): 14e,,f / p4r
Cooling System Efficiency: / SEER ❑ EER ❑ Other
Heating/Cooling Load Calculations Performed by: e fifer A -- Phone: 7/-2-
Total
/2Total Heating Load (Based on ACCA Man. J or other approved methodolo y): 'f k -_2-!!,L( — Btu/h
Total Cooling Load (Based on ACCA Man. J or other approved methodology): y1-- 16 Y Btu/h
Cooling Sensible Load: 1l . 31-'7 Btu/h Cooling Latent Load ; Btu/h
Total Air Handler CFM (based on design calculations): CFM
Duct Tightness Test Conducted by: Phone:
CFM25 per 100 fe of conditioned floor area = CFM25 x 100 / Conditioned floor area served
If all ducts are not located within conditioned space, builder must verify that either the post construction duct leakage to outdoors
(PCO) is s 8 cfm/100 ft2, the posit construction total duct leakage (PCT) is <— 12 cfin/100 fl?, or the rough -in test (RM with air
handler installed is <_ 6 cfm/100 ftp. State which method was used to conduct the duct tightness test:
duct blower (DB), modified blower door subtraction method (MBD5), or automated multipoint blower door (AMBD).
System Method (DB, MEDS, AMBD) Test (PCO, PGT, Rro CFM25 Area served (fe) Test Result
1
2
3
*Note: This permanent certificate shall be posted on or in the electrical distribution panel. Certificate
shall be completed by the builder or registered design professional. Where there is more than one
value for each component, certificate shall list the value covering the largest area.
June 27, 2017
To: Lisa L. Schaaf
City of Tybee Island
Planning and Zoning Department
Tybee Island, GA 31328
RE: Lot 1 A — 13`h Terrace Lane
Richard Guerard Nugreen
Lisa,
ICOMPANY INC.
At the contractor's/owner's request, we have inspected the project referenced above for
compliance with the approved plans.
After a grief inspection of the project, it is our opinion that the project is in substantial
compliance with the approved plans including final stabilization on the vegetative areas of the
plan. A decorative wall was placed along the northern side of the residence with rock backfill in
lieu of the small drainage swale shown on the plans.
Thank you for your assistance and please do not hesitate to contact us with questions or
comments.
nc
Randa ichter, R.L.S, E.I.
Civil Engineer/Land Surveyor
17 Park of Commerce, Suite 201 /Savannah, GA 31405
(Office) 912-200-3041 + (Fax) 912-200.3056
CERTIFICATE OF OCCUPANCY REQUIREMENTS
Permit # ! 'Ir'2 — 6 3 S-9
Job Address �hL� e�b� 1(
Job Name
O n Contractor / Q 7
Q post house number (and unit numbers if applicable) y Co_1
no attic storage signs, if applicable
n�a
Energy Code Compliance Certificate
pass WriarBuilding inspection
Elevation Certificate, Finished Construction
As -built Survey
T1�ese e�i,n
Height Certification, if required
Drainage Certification from Project Engineer -
b e- 0 r SO&n e_
Nonconversion Agreement (attached) - must be recorded with Chatham County
Breakaway Wall Certificate (V -Zone only)
Mitigation of Trees, if required
Payment of outstanding fees, if applicable
City of Tybee Island
City staff will coordinate these items when the needed documents from the list above have been
submitted, Please do not contact the engineer or director.
Drainage Certification from the City's Consulting Engineer, if applicable
y r Drainage Certification from the Director of Public Works Department, if applicable
FEMA Inspection from Planning & Zoning Manager
1110312014
1A NONCONVERSION AGREEMENT
(V V
FOR STRUCTURES IN Tilt FLOODPLAIN
44,
gess of 11roperty
,S pernift Nurnfxr
PIN 0 ��QQ�5--L -
8FF J;t feet f Psnel Number 1'W '�V
NAVD) *efftctie dale
FIRM Zone Af—
Properly conlractot --; -V"
:n acwrdgnce with lht Flood Ournage Pievention Ordiumt of the City of Tyra Island, Cm;gia, thr, Ptoperty Owner agrets to he
1, That the enticed airea below the Base Flood Eltvation OAji be u solely for paridng of YeWeA, limited itorsige, orc
a'e be
bijilding, and will never be used far hurrianhibitation withemt first becorning fully cornViiant with the Flood Damagge pr,,vtntjon
OrtdinanCt M effect at a'14 limt Of c0nver%'Ofl.
'ioWI be unfinished or nstr
coucted of !j0od_rejiSt2zj
That all inletiol WAlls, ceilings, and hoots below alae Bast Floo4 L Itvatn S
materials,
Thai frxclaunical, ettcltital, Ot Plumbing devices shall not be installeti betow lhe Base F40t)dWevyW."inn
That the walls of the enclosed area below the Dau nood Elevation shall be. equipped with at least Woo vents which remit the
julomAtic entry and exit of floodwater with total oprojogs of at least one square inch fw evety square foot of enclOsed are,, below
flood level. T1* vents shill be an at least two different wills, and the bottoms of the vents shall bt no nwre then orte (00t above
grade. if located in A V-Zolne, breAkaway walls are rcqWW,
That the requested structurt may be sub;ect to increased piemium Wes for flood insurance available front the National Flood
In,surattct Program due Wits location in A Special Flood Ha td ,urea.
That any variation in wristruction beyond what is permitted shall conraitute A violation sAnd It tbalzble as such,
Bale
P -41r l
4:-
ittled Nam of Proptity ownct T416
Me VA
gnallift of Property OWMI Dait
:W—ad �NarrA Of Pf ;9ftY Owner
ATE OF C3EOR61A
)UN,ITY Of CHATP-kM
I hereby catify 1-hM on this day of
Wort eras, a Notary Public of the Seats of IvC 0 v a,
sonally ippeamd known 'a raw, lar sat'sfaclot'ly prrsvert to be
pep�on whoR narnoe is subscribed to the foregoing ins2rument, who atknowledSod that heAhe has executed it for the purposes
rein W fDtlb, and 1114t it is tS act and decd.
Its *,jness whertaf, lhave set my hand and Notarial Seal
Kim Rigsby
TARY NOTARY PUBUC
-y- -------ChaMWn Cox*, GEORGIA
cssaxxraissitsra expires on ._;,.My ,Comm. Expires
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o o A TOPOGRAPHIC SURVEY OF LOT IA, A PORTION OF LOT I, A PORTION OF SOUTH
PORTION 2F BEACH LOT 80 B NORTH PORTION OF BEACH LOT 81, MEE RAE C R E M A N C o M P A N L I N C•
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City of Tybee Island - Community Development Dept.
Inspection Report
403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328
Phone 912.472-5032 . Fax 912.786.9539
Permit No.
Owner's Name
Gen. Contractor
Contact Information
Project Address
Scope of Work
Inspector
Inspection
Inspection
Inspection
Date Requested
Date Needed
Subcontractor
Date of Inspection
Pass 0
Pass
Pass
Fail n Fee
Fail ❑ Fee
Fail ❑ Fee
Inspection Pass ❑ Fail ❑ Fee
HTE RNATi:7NAL
CODE COUNCIL
MEMBER
��C i t y o f T y b e e I s l a n d " C o m m u n i t y D e v e l o p m e n t D e p t .
I n s p e c t i o n R e p o r t ����* - -
4 0 3 B u t l e r A v e . P . O . B o x 2 7 4 9 T y b e e I s l a n d , G A 3 1 3 2 8 ��= '