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HomeMy Public PortalAbout09-0029 Kelly CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 01-27-2009 PERMIT#: 090029 WORK DESCRIPTION SUPPORT PIERS/FLR/PLB/WNDWS WORK LOCATION 1702 INLET AVE OWNER NAME FRANK KELLY ADDRESS PO BOX 10 CITY,ST,ZIP TYBEE ISLAND GA 31328-0010 PHONE NUMBER CONTRACTOR NAME FRANK KELLY ADDRESS PO BOX 10 CITY STATE ZIP TYBEE ISLAND GA 31328-0010 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $ 77.00 PROPERTY IDENTIFICATION# PROJECT VALUATION $14,000.00 TOTAL BALANCE DUE: $ 77.00 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: 1,01 Or P.O.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328 (912)786-4573-FAX(912)786-9539 www.cityoftybee.org �..� Inspection Report City of Tybee Island 403 Butler Ave. P.O. Box 2749 Tybee Island, GA 31328 Phone: (912) 786-4573 ext. 114 Fax: (912) 786-9539 Permit No. _ 9 - 00 i Date Requested ' Uq Owner's Name (LT�,LL,_ Date Needed • • r Gen. Contractor Subcontractor Contact Number )-- L (NT-e: E s ,.N) 736 4-21 Locatio 1 '�0 7 . �U s� -�- A-4 — f I npe to r Date o f Inspection f Qt 's\ Type of Inspection L ( ] r�L l -1 Pass pLopli 17) al Li EL. f . 1 - , , ( , 1 .. .: •,-' . , , 1 Inspection Report City of Tybee Island 403 Butler Ave. P.O. Box 2749 Tybee Island, GA 31328 Phone: (912) 786-4573 ext. 114 i Fax: (912) 786-9539 i Date Requested " Z..- / - a9 _ i Owner's Name r) e_ i ( ,-(,-, Date Needed 5-2- ?" 0 9 (i - Geri Contractor Subcontractor Contact N umber 1----- r On _ 14 e 1 ,i ti 1 Locatir/n i I (7) 2 Lrri IC14 Ave. 1 xngpertar ----) 10 of i Date Irr iognectn , / Type cAt Ingpection _II') 1 .._ Pass I ) g.)0/13 1'i f\ 41 - .1 Fail: ri\, i -,, - *. 4 1-44/1 o A.C. S-S “,-1- 3(J)G- (14" %IF . ) k ...•. Inspection Report City of Tybee Island 403 Butler Ave. P.O.. Box 2749 Tybee Island, GA 31328 Phone: (912) 785-4573 ext. 114 Fax: (912) 786-9539 (2, Permit No. ) O0 2 Date Requested 2 - Owner's Name 2111/ Date Needed 2 - I -7 - 0g Gen. Contractor Subcontractor Contact Number —r b 7 3(0 - 97( c? • Location 1102 I e 4 • Inspector 1 )9 Date of Inspection Zi ///tYq Type of Inspection g ro c . Tif_y_5s Pass ailLi Fail El vAs,s, r P • _ _ ,.; Inspection Report City of Tybee Island 403 Butler Ave. P.O. Box 2749 Tybee Island, GA 31328 Phone: (912) 786-4573 ext. 114 Fax: (912) 786-9539 Permit No, L-i L Date Requested 1 Owner.s 0, k Date Needed i 2 CP Contract,- SUbcontractor Contact Nun-,:ber +". r 1-41 )(10 971,9 1..ocation 1-11 0 -2- AlieJ • t,/ 1 Inspector ( - Date of Inspection ( \ 7 'INC) CI r r Type of 3nspection -4-CD Pass Fail CITY OF TYBEE ISLAND, GEORGE APPLICATION FOR BUILDING PERMIT �yd O002 ' Location: (Y j_r\-- � ,} t,��1'lt,l ' PIN # �% NNAME ii ADDRESS TELEPHONE Owner r i� �� 702- Ve .A-uk 7 : d . p $�, Architect or Engineer Building Contractor (Check all that apply) Repair r<Residential ❑ Footprint Changes ❑ Renovation 2rSingle Family ❑ Discovery H Minor Addition ❑ Duplex ( Demolition ❑ Substantial Addition ❑ Multi-Family [7 Other r€0" v tom - S ❑ Commercial • Details of Project: 'k-r-ts���nc �- i.V"t,ndC!WdJ � �r� �t-��t ,..� (;�,�-� ,, AtSC; c'ep ct oLio nets Estimated Cost of Construction: $ iM iCCC Co truction Type (Enter appropriate number) (1) sod Frame (4) Masonry (6) Other(please specify) (2) Wo d&Masonry (5) Steel &Masonry (3) Brie Veneer Proposed a e: Remarks: 1 ATTACH A CO' OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following info R`a''sn based on the construction drawings and site plan: #Units #Bedrooms #Bathrooms Lot Area Living space (total sq. ft.) #Off-str et parking space' Trees 1,,cated & listed on si'- plan Acce-s: Dri eway (ft.) With culvert? With swale? S backs: Front Rear Sides (L) (R) # Stories Height Vertical distance measured from the average adjacent grade of the building to the extreme gh point of the building, exclusive of chimneys, heating units, ventilation ducts, air conditioni I g units, elevators, and similar appurtances. During construction: On-site restroom facilities will be provided through On-site waste and debris containers will be provided by Construction debris will be disposed by 0 tti ne by means of ck u tAP I understand that I must comply with zoning, flood damage control,building, fire, shore protections and wetlands ordinances, FEMA regulations and all applicable codes and regulations. I understand that the lot must be staked out and that the stakes will be inspected to ensure that the setback requirements are met. I understand also that a certified plot plan showing elevation must be attached to this application and that an as-built elevation certification is due as soon as the habitable floor level is established. Drainage: I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected. I accept responsibility for any corrective action that may be necessary to restore drainage impaired by this permitted construction. J n Date: \ •• 9 Signature of Applicant: Note: A permit normally takes 7 to 10 days to process. The following is to be completed by City personnel: Zoning certification NFIP Flood Zone Approved rezoning/variance? Street address and number: New Existing Is it in compliance with City map? If not,has street name and/or number been reported to MPC? FEMA Certification attached State Energy Code Affidavit attached Utilities and Public Works: Describe any unusual finding(s) Access to building site Distance to water main tap site ,{ Distance to sewer stub site Water meter size Storm drainage Approvals: Signature Date FEES Zoning Administrator API i Permit 75. —' Code Enforcement Officerrr; /7�` " . z 6, Zav1 Inspections LCr 2. Water/Sewer Water Tap Storm/Drainage Sewer Stub Inspections ;� Aid to Const. City Manager TOTAL /o11.°--9---- 8;. COU dr OF DATUM. Anams$o e y 474, GEORGIA 6' Permit Acknowledgement of Asbestos/Environmental Notification to Georgia EPD for Projects Involving Demolition, Wrecking, or Renovation The undersigned hereby acknowledges that the issuance of this permit does not in any way grant permission to the owner, owner's representative, or permit holder to proceed with demolition, wrecking, or renovation of a structure prior to the filing of any required ten (10) day "Project Notification for Asbestos Renovation Encapsulation or Demolition" form in accordance with the Georgia Asbestos Rules. The Georgia Environmental Protection Division administers the rules. In most cases, the rules require both the owner and the involved contractors to assure the portion of the building involved in the project is thoroughly inspected by an Accredited Asbestos Inspector for materials that contain asbestos; and the removal of the asbestos before renovation, wrecking, or demolition begins almost without exemption. Georgia EPD requires a completed demolition notification from be submitted 10 workings days in advance even if no asbestos is present in the building. Further guidance for regulatory compliance and contact telephone numbers are provided by the brochures entitled Asbestos & Renovation and Asbestos and Demolition. Other environmental issues such as asbestos removal techniques, lead abatement, ground contamination, or unusual site conditions may have EPD regulations that could affect the project. .1/ Undersigned ,J Date Printed Name Office Use Only: Project Address: Permit Number: Scope of the work at 1702 Inlet A -e Kitchen remodel The work is to consist of: Replacing two windows with new windows meeting DP 50. Existing shutters to be resized Replacing old and rotten wood where needed especially in wall and floors. Adding additional supports to existing supports to beams in the kitchen and porch area. p Relocating old sink Upgrading the cabinets in kitchen Chatham County �°oj 16 lldeb Cf setO REVIEW FOR CODE COMPLIANCE Site A� a Every effort has been made to identify at //��i/17 code violations, no oversight by the reviewer shall be construed as authority to violate, cancel, alter or set aside any applicable codes or ordinances, The review and permit should not be construed as a warranty or guarantee.. Reviewed By . Date r ALL CONSTRUCTION MUST COMPLY WITH THE SST! 0-6 AND THE IRC ONE AND TWO FAMILY DWELLING CODE____ AND STATE OF GEORGIA A ,, EDITION WINDOWS, DOORS AND SKYLIGHTS SSTD 1049 TABLES 6O2A1, 602A2,602A3,SECT.604 � AND IRC 3.O1,2.1. � M ` r►� s WINDOWS GLASS DOORS AND SKYLIGHTS SHALL BE APPROVED AND INSTALLED TO COMPLY WITH BOTH POSITIVE AND NEGATIVE PRESSURES. �oI.2..I. d IL %IV We Im,T,,I,'rm.'....■ 1 IRC SEC'T. R403 AND MID 10-99 SECT. 3DS. MINIMUM FOO. ,CA 20 INCHES WIDE V II 10 INCHES THICK WITH TWO NO. 5 FiEBAR. t)---_a —.54Ae..4- Aw- , THE BOTTOM OF THE FOOTING MUST BE A MINIMUM OF VeINCHES BELOW FINAL GRADE, I<\ \- ie.e.oNi c:.i( ANCHOR BOLTS RC SECT. ROM AND SSTD 10-9 SECT 303 BOLTS SHALL BE 10 INCHES LONC;), 6g..1 !NCH IN DIAMETER WITH A 3X3 II",;CI / /414 . / ,6 —* 118 INCH THICK AND RE).UIFIED NUT LtMAITED WITHIN 12 INCHES OF CORNER$ AND la TO 48 INCHES ON CENTER. 1 — —., . ... 'N- NSW 1 .. I I IP .. , Z , .. , 1 , '0 IIII , . . / . 71 . , a • 71........._.. • s ...vbirt1.4.6. C %en azi 0 g aditn\mt, a. 3 ilz/ a 0 —C*;.11"k — )'--- • i: 11 . — — — ALL CONSTRUCTION MUST COMPLY WITH THE 36" ' ff _ RcrioArl F71,4 we._ SSTD_JO-_ AND THE IRC ONE AND TWO 1 1 1 ' •±14 t FAMILY DWELLING CODE "7-0,* EMTION -Ni-_ , - AND STATE OF GEORGIA AMENDMENTS ie-- 2e," —4, pt.u.i . 1 Ca, •- 1 , %. • T. Heyward' 12s. CiBnillia[, �r 5 5706 lnlet Avenue St8 :::TYbe 1328 ( 22 17,5 ] , • • Bath Porc itc n h - r _ 1� — . _ _ _ _ 43 25 _..4 t 1 Bath \-`y S c R E E M w �-t I D • --7:.:::.":::::. ,•1 / / 25 11 1 Bedroom 1� Bedroom 1 ` --I-1 '..—'/ • 5 1 36.25 II= 2 r" ' Bedroom 136.25 4 I Bedroom 49.25 , r R C � ti -- .. ,.. � _ H 1 --------43.2 5 — — —--- ---- • I ed Porch I ! -- .,I • 29,25 •1 1 ¶../ I Kitchen Screenoci I 1 I 36 2 ..:v:ng I 22,5 13625 ,droo , Room 1 Porch J '29,2, I 1 _ �- ..• Cove, I I "ed ro r 366.2.5 -- • . - i 1 12 _ __ A.I.CONSTRUCTION MUST COMPLY wrniTHE _ 1 ,:; .: STS ID-7'1 AND T .I ONE . . i FAMILY DWELLING CODE -2 EDITION . - AND STATE OF GEORGIA AMENDMENTS . , .. 1 , .,- 2534, . 24 --,4---27" -4--24' . 74 / / 57 1 ' 11 4O " , ,tl• I 1 : 1 " 7 r34 /12"-/-19i"/1', 18" / ,651" 874" I 4 24" 1 ■ 19- , 30,•." .. 1 , , 1 1 , - - _ .... _ U(348409) _F430 W(273615) W24$0 1 1 / / --- BTe.12F8(193424) TRBD18! BEPF1 24,DISHW3DB(1934241 1., , •.., \I CNTYSB(873424) f SLS 1 - i ".2 ...:. .., k ' _ _. . F-. j I ---1 ,- STD-DR30 STD-DR30 , 4 ,, 1., • --I 4.• _1 ' 8- ngpz9E58 ,.35182C.. ,H .1, • 7 1 1 •,,- , .,. 1 . ._,..:•,.,1 ,- 1 „ -1.,_. . SP9634 5CREsTD-DR3CSTD-DR, p 4.11 (,.). 24" ,, 64 " mi - -."-: , ---: , 1/ -:: 7 1.4 _ -r,-■ . I . 6 t" ,i 769" .:. 1 '1 1- ! i ".. ..— , .. • 7---- -* i r•- I- - . ,c) ca ; 0 1 . I 1 . ■ 231 " /— 51i" 4' 152i" S I " - I / 2434" - 2559" 1 . . All dimensions size designations given are 20 This is an original design and must not be Designed 12'17'2i Kis subject to verification on job site and TECHNOLOGIES_A released or copied unless applicable fee has Printed 1,14.,20iN adjustment to fit job conditions, been paid or job order placed , , kelly kitchen12-17-08 I All 'Di aw mg. I 1 . Information Only -Not an Off,,ia1 Document Page 1 of 2 Chatham County Board of Assessors Page 1 of 2 4-0009-01-009 Property Record Card Published on 8/22/2008 11:56:19 AM Information Only-Not an Official Document-Tax Year 2008 LOT 23 WARD 5 TYBEE ISLAND KELLY FRANK A&NAN CARMEL*PO BOX 10*TYBEE 2001 NEW PIN;SPLIT OUT OF 4-9-1-7 9/27/00 PL*TY 02 ISLAND GA 31328 SURVS*TY07 MAIL ADD CHGE PER HS APP 1702 INLET AV Style TWO STORY 012AAAAt Building Use SINGLE FAMI 3 3 Land Value 476,000 Exterior Wall SIDING 22MB(26SP0(110) Misc Value 14,500 Roof Type HIP . 0.13AA. Bldg Value 156,000 Roof Cover METAL Al2AAAAO a Total Value 646,500 Heating HEAT PUMP 13GDT(169) Value by Cost-Market Interior SHEET ROCK A13AA0 Adj. Foundation MODERATE t00OD(95)t CL GAAA26AAAAAMOAAAAAAAg — 7 Floor Cover ALLOWANCE , , A) ' 3 Effective Area 1,948 Sub Floor WOOD 29 TWO(974) SUBFLR 3 22S36SPO(144) Points 0.0000 Fixtures 11 FIXTURES 3 SPO 3 Bldg Rate 94.09 Bathrooms 3 AAAAAAA36AAAAAAA' 3 3 RCN 183,296 Quality AVERAGE 7 000(252) 7 3 3 %Depreciation 0.1500 AAAAARPO6AAAAAAAAAAAA0 Quality Factor PLUS 10% AREA FLAT EFF% E/AREA ACTS A/AREA EA/AA HEATED OBSOL 0.0000 Actual Year Built 1938 Building Value 155,800 Effective Yr Built 1990 TWO 974 1.00 974 2.00 1998 1948 1948 WOD 95 1.00 95 1.00 95 95 _ Porches ROOF OV SPO 830 1.00 830 1.00 830 830 SLA RPO 504 1.00 504 1.00 504 504 GOT 169 1.00 169 1.00 169 169 Book Page Date QS Sales Price Normal Deprec. 55-YEAR LIF **Additional Subareas Exist, See Draw Summary Screen** 218M 0130 0101 QW 605,000 Functional Obs. 000000 TWO(L10U7WOD(R10SPO;SPO(R8SPO(R9D36L4U36)D36L8U36)U5L1 205R 0146 0899 U Economic Obs. 000000 9D5R9)L26029R36RPO;RPO(D7L361.17R36)U22)ADD(U30GDT(R13D1 3L13013)7720L10M8(D22500(057J22L5D22)L121J22R12)). Cost Multiplier CURRENT COS Permit No Type Date Amount Loc.Multipler FRAME 08-0020 RN 0108 2,200 Obsvd Cond 000000 . — TLW Appraiser TAKESHA WHITFIE L.Insp Date 06/11/07 Use Code 0006 RESIDENTIAL 20275,00 T275 NBHD TYBEE L100 M100 B160 History Values Tax Year Appraised Value 2007 641,000 2006 646,000 2005 448,500 http://www.chathamcourts.org/tax.asp?pkey=57960 01/09/2009 Information Only -Not an Off vial Document Page 2 of 2 MISC BLDG CODE DESC LENGTH WIDTH UNITS ADJ PRICE EYB DT PCT ADJUSTMENT VALUE 1 1 MBDA MISC BUILD. AV .00 .00 264.00 15.05 1960 ZR 63.00 1.00 1,470 2 1 RSPOA Roof Oct Por/Sla .00 .00 830.00 18.40 1980 IR 27.00 1.00 11,150 3 1 DGSDA AV Det Gar Sid 13.00 13.00 169.00 29.16 1960 2R 80.00 1.00 990 4 1 WODA WOOD DECK AV .00 .00 95.00 13.52 1990 2R 66.00 1.00 440 5 1 WODA WOOD DECK AV 15.00 15.00 225.00 7.98 1990 2R 66.00 1.00 610 LAND LUSE DESC ZONING UNITS TP PRICE ADJUSTMENT CODE/FACTOR VALUE 1 02 2-4 Family R2 8000.00 S 59.50 .00 .00 .00 .00 476,000 S 8000.00 7 4-0009 -01-009 Page 2 of 2 Reg By BEN GEIDEL 05/16/08 10:57:53 CHATHAM COUNTY CURRENT 2008 PARCEL SEQ 4-0009 -01-009 001 ADMIN DATA SUMMARY NO. CHARACTERISTIC VALUE DESCRIPTION 01 Light Code 00 0.00 02 Transit Distric 0 NO BUS CODE 09 COV. Last Date 05272008 10 COV. Last Value 0000646500 12 COV. Message Cd 18 14 Exemption 91 10S REGULAR HMSTD/D 01200000. 18 Tax 9.11oc Dist 000 NO TAD DISTRICT 20 Enterprise Zone 000 NO ENTERPRISE ZONE http://www.chathamcourts.org/tax.asp?pkey=57960 01/09/2009 Page 1 of 1 , . 4. , • .......„ ,......_ „--- ,,,..--....,-4.A.---_--qm,......„../40::Ac-.., 1.2:::-,..,.-.. at&:111e'7•••• 44.i::'''' '4-'4, _ .• . i, . P'.•1 , t '�i t ,. i 4; c ‘? `' ' r V y� ' z` L s. a•Fr r. ' ►6#' -A" Art. ti a+' �prr > . !. p. i.`y tee`.}.e -._ �_ry -.., �.� vsM` L ity � `6� >ri:.u.wic �, err, ... _ .s ", i_ 1• ' 4 . �....T./1'��L'C1Fiiii-�sl .. ► '� , i , i 1 ks . y __�_I \ \ \ .11.441.; "' . http://www.chathamcounty.org/prc/resident/40009/01009f.jpg 01/09/2009 Page 1 of 1 • . 4: 1 .....- - • 44. ifi■ ai - ".6. i '%• , go...Ai:1k' • .2*. iiPPAta ..,, ..." "• t at . der- la 11;K: lk , likr,11.11. • \I '"\ or., • -"*.-- s , • ,,, , , . _ , r ‘&'■ '‘V. ( .< - , - 1 . i■‘;‘, '' '..1 'r. ._ -- ' r '*' A , a I- .• ) iermit _,. . ....,,... _ .. .. .. - - ,,,, ',.,,0,44-; ,,,; -4•11160•-41.ryir .., .: - V i vows %. .01 07 -• ....lasso • i I • ' ''' . . . -out to j 4.1 clIMINa. • ikt, ••:-. 4- , ' - --- _;-.1 V ,-? .. _ .._ ' -3 . ' rw- •- 0"of, deft — -- ._.- . Or . - • % . - - liair". - I I I I I I I I 11111 ' . ( ' • - .. 1. • ' ° ° $ nil. • , , .., ... . 0.4„. il- 1 I I I I I . i' , 1 I I ; ; .<M111,11131W1 4 . . i'.. •_-, immi=im ' I '1 ... ..._, IITIN 1 http://www.chathamcounty.org/prc/resident/40009/01009b.jpg 01/09/2009 IOU iS Homeowner Affidavit STATE OF GEORGIA } } COUNTY OF CHATHAM } I, `'� 'F k I c On this � ( day of `J Q.h�v ,�- , 20 �5' , I, �—�,,,� �,.� agree with this affidavit relating to the construction of(project description) p: erS/.F ( f-8/W S'//2 X located at (street address) 11 J - - ' �f ,Tybee Island, Georgia. In accordance with O.C.G.A. § 43-41-17(h), any person is allowed to construct 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 w'.-h all other applicable provisions of this title, the rules and regulation of the board and division involved, and any applic 'le county or municipal resolutions, ordinances, codes, permitting, or inspection requirements. Failure to comply with this affidavit may result in the owner!.ring served with a sto• w% <% rder or additional legal action which may include a subpoena to attend a court hearing. „. 7.4/112,4 Signature(do not ign until i the presence of a Notary Public) SUBSCRIBED TO AND SWORN BEFORE ME THIS DAY OF VK (i ( , 20 NOTARY PU LIC (Seal) My Commission Expires Nov . (a -2-e,I Q P.O.Box 2749—403 Butler Avenue,Tybee Island,Georgia 31328-2749 DIANNE K. OTTO (912)786-4573—FAX(912) 786-9539 Notary Public,Chatham County,GA My Commission Expires November 6, 2010 www.cityoftybee.org illig ' OWNER 1 ' , )), RECONSTRUCTION/IMPROVEMENT '" ;,,, .01 AFFIDAVIT >�'ranif 1--r4? 4„; ee 1I 9 l �-- -`7 Z 9 "l 19 Name of Company � Telephone Contractor Address I 76 2 ra I e -I- Aven u e. Name of Property Owner Fir'Cl Y1 L. �- E 11 L� Location of Property 1 7 v 2 1 n le A-ue nu e' I hereby attest to the fact that the attached itemized list of the Estimated Cost of Reconstruction and/or Improvements are all of the repairs and/or reconstruction and/or improvements proposed on the subject building for the attached Building Permit Application included with the estimate. Listed below are the date(s) and details of the last occurrence(s) of any repairs and/or reconstruction and/or additions and/or remodeling at this property: I understand that I am subject to enforcement action and/or penalties and/or fines if inspection of the property reveals repairs and/or reconstruction and/or improvements not included on the attached list of the Estimated Cost of Reconstruction and/or Improvements as well as the Building Permit Application as well as the list of the last occurrence(s) of any repairs and/or reconstruction and/or additions and/or remodeling. I understand that any Building Permit issued by the City of Tybee Island pursuant to this Affidavit does not authorize the repair and/or reconstruction and/or improvement and/or maintenance of any illegal additions, fences, sheds, or non-conforming uses or structures on the '; subject property. Total Labor&Materials $ /O r 9( Overhead&Profit $ /Total Cost $ / 5-,,cJ CV STATE OF GEORGIA COUNTY OF CHATHAM Before me this day personally appeared 'Fra k \KRA who, by his/he'.signature below, states that the information provided on this Affi t is correct and that he/she has re°ad, understands, and agrees to comply with all the aforementioned conditions. .-.7" Owner's Signatui' Sworn to and subscribed before me this �� day of P° , 20 CDe( . Clivi$-........L)Kv ck E K. OTTO Signature of Notary Public ®u c, �lotary Public, Chatham County,GA my Commission Expires November E,, oii, My Commission expires t v Ov . co ?i 0(,0 ESTIMATED COST O'(F'RECONSTRUCTION / IMPROVEMENT �p�y� PROPERTY ADDRESS { (U� +^ Yl\'e-k- nue} ` t-�(kl�-�- -3\ckmoo C Fk Total Square Footage of the Structure SF J ITEM QUANTITY COST (LABOR +MATERIALS) OFFICIAL USE DEMOLITION&REMOVAL - k L pc A oo _v FOUNDATION,REPAIR&ADDITION dimensions slab convential pier / t7On CARPENTRY MATERIAL(ROUGH) C C) floor sf ceiling joist sf d wall stud sf arrO n 60 CARPENTRY,LABOR(ROUGH) sf ROOFING sf (:7 INSULATION sf /00 C re-I5G/ P / EXTERIOR FINISH !9 S„ ` mcde ��.... lap siding sf Cl 6 vinyl sf 0 siding sf 0 stucco sf U brick sf C) other sf 0 DOOR ea [7 WINDOW ea 9'60 SHUTTER ea �) LUMBER FINISH base mold If � f /� shoe mold If /V ?'� chair rail If � �a�, �'► other If _ (�2 CARPENTER,LABOR,FINISH paneling/bead board sf 6)WNe HARDWARE(FINISH) HARDWARE(ROUGH) CABINETS(BUILT-IN) ? �y � base If C6 wall If r FLOOR COVERING tile sy C-' vinyl sy (, carpet sy (' wood cv .cl_ r" .y---)