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Home My Public Portal About09-0056 Wexler CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 02-11-2009 PERMIT#: 090056 WORK DESCRIPTION FLOORING,KITCHEN,BATHROOM WORK LOCATION 72 SOLOMON AVE OWNER NAME JAN WEXLER ADDRESS 2456 MANOR WALK CITY,ST,ZIP DECATUR GA 30030 PHONE NUMBER CONTRACTOR NAME JAN LER e \ .s o f k, e,o^$t-, a a r, ADDRESS 2456 OR WALK �+ CITY STATE ZIP DE AT R GA 30030 —0 e C a. r A FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $335.00 PROPERTY IDENTIFICATION# PROJECT VALUATION $40,000.00 TOTAL BALANCE DUE: $335.00 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.0.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 00 (0 Date Requested (D - 2 2 Owner's Name LiexCe,3--- Date Needed - Gen. Contractor Subcontractor I Contact Number u 3 3 2 - I 2 $ 87- Location ri 2- Inspector 7(2.(2 Date of Inspection Type of Inspection c+- ic\A_P Pass Ei Fail TI gAS,s, I el e c AS's' r e _s e - :,0,1 o,s6, i I d e ' ' sie A i .„, ...,.:::':‘"ii-4C`v, ■ •C:: . . ''-',."': i Inspection Report i City of Tybee Island 403 Butler Ave. 1 P.O. Box 2749 Tybee Island, GA 31328 I Phone: (912) 786-4573 qt. 114 fax: (912) /86-9530 r-, c: . , __ Permit 1'4 L! \_1 __ Date Requested l ,../ - L_ t .--) -- . ) , 1 Owner's Name ‘ ..j 1:5 . ':'.. . _ Date Needed _ Gen. Contractor _ ,-...3 .--' : _ S Li bc 6_111 ntractor \ ,, , s , . I Contact Muir.ber , Location ! ,... ..> '71 t --) .-,.. -,, , Ay /' . 1 Inspector Date of Inspection - ,-ii. '. % - ------------------- 7yoe cif Tr:suet-Nen .. P-ass rul r 1 0.31 --"\--- , , \ ki5,1L , A 0 ■_ 1--- - --- --- - - ---- --- - a -- - - -- -- - -- - U, __. ( Inspection Report City of Tybee Island 403 Butler Ave. P.O. Box 2149 . Tybee island, GA 31328 Phone: (912) 786-4573 ext. 114 Fax: (912) 786-9539 Permit No (:2±-1 - (" .--.:2 Date Requested .7 2S--0 Owner's Name 7/1.)k'-itc/Z2. Date Needed 3 2._Zjefi Gen. Contractor _ c:-._2/-J.5-t: Subcontractor Contact Number \JO 1-ki ":---7/u -- -z,z 6- )12_3,& V _ Location -"7-7 1 rti pecto r '-,7/9 Date of Inspection -5 7.b ' C • Type of Inspection ____—_-_, ----) • "...I ---- ..-- -...) i....--- r Pi , j / --- ------ --...5 t:),,<:.«..1.1 /-..'/41/4Y -3 1/ i ..,_ , ....,(1,71/..31.1 -- ,........ 1 imj aiSUZSIE1 /t.' /‹. 7:-.Pr.5_.S .......4 --,, _ , t. I - / ----, i //-z- „.../,... e PT& ---,A - ,- fail, -4 - ,,•);"1-1;),,.,› i I L.L.p.--....)ra.147,--)-.Z-...f 2_, 0 j c_i, s AS •---L.--.) -----,1\ f.---1,.. • Q NS■9 .----A (- `---* 1 •.:\,/,..;(...)11 pi-VI c-:),-) - ---,) -->— , , I • •• • 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 -9 Permit No. 0_ JLL Date Requested 4 - Owner's Name Vv/e_ er Date Needed 3-2 9 lc 0, -0 Gen. Contractor C. Subcontractor ------ Contact Number j k r‘ 4-4D — 22 Cs7---/ ro \AJAL Location 7 2- 0/ 0er, -0 ,--224ve„ . Inspector Date of Inspection 37/ZS/05 Type of Inspection osSe I i.) ) p Pass Fail [] ip‘, ) I r e , E Cti" lzr.6641 0,) jr a rf‘ • OoS CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT \rui= Location: 1 SJ� ,;� kV PIN# - -a -04 NAME ADDRESS TELEPHONE l ^ � M W Owner L.I 5 et 1-i vOror D t?Ci a9 4) 6A. 3oC7 � `! `� 'aef'i 1 °awl Architect or Engineer Building � � ^ o r4 Ct 4-0 . G,03Contractor iD a vrl �i � 3��,SC� [.iG4( IRi5>oo 3;35' (Check all that apply) ❑ Repair ❑ Residential ❑ Footprint Changes ❑ Renovation ❑ S• ingle Family ❑ Discovery ❑ Minor Addition ❑ D• uplex ❑ Demolition ❑ Substantial Addition ❑ Multi-Family ❑ Other ❑ Commercial Details of Project: go-.4.,0 4-700 , iVt t ►� � � L4tD neT3 i --\ oo4°- S Estimated Cost of Construction: $ 1-0 r 0 or) Construction Type / (Enter appropriate number) (1) Wood Frame (4) Masonry (6) Other(please specify) (2) Wood&Masonry (5) Steel&Masonry (3) Brick Veneer Proposed use: Remarks: ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following information based on the construction drawings and site plan: #Units / #Bedrooms #Bathrooms cL Lot Area ` ,?�Sj �'t Living space(total sq. ft.) !, 5-6 #Off-street parking spaces Trees located& listed on site plan Access: Driveway (ft.) With culvert? With swale? Setbacks: Front Rear Sides(L) (R) # Stories Height Vertical distance measured from the average adjacent grade of the building to the extreme high point of the building, exclusive of chimneys, heating units,ventilation ducts, air conditioning units, elevators, and similar appurtances. During construction: @� On-site restroom facilities will be provided through e K;-,�; _ h 1,.rw On-site waste and debris containers will be provided by D , 'ter" CD Construction debris will be disposed by by means of 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. Date: 71 r ,p q 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: S' 1 Date FEES del"4 Zoning Administrator %� //'" Permit Code Enforcemen • Inspections Water/Sewer Water Tap Storm/Drainage Sewer Stub Inspections Aid to Const. City Manager TOTAL 4 3 3 5' D")4 NATURAL DEFT oc RESOURCES GEORGIA 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. Und- Date Printed Name Office Use Only: Project Address: Permit Number: 11.5.DEPARTMENT OFHOMELANDSEt .TY ELEVATION CERTIFICATE OMB No.1660-0006 t ederal Emergency Management Agency Expires Februarw 28,2009 Rational Flood Insurance Program important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owners Name Joseph Powers Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 72 Solomon Avenue Cky Tybee Island, Stale GA ZIP Code 31328 A3. Property Description(Lot and Bleck Numbers,Tax Parcel Number,Legal Description,etc.) Lot 11,Marshwinds Subdivision A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) residential AS. Latitude/Longitude:Lat N 32 den 01.2460 min Long.W 80 deg 51,0030 min Horizontal Datum: 0 NAD 1927 0 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 a A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) 518 sq tt a) Square footage of attached garage n/a, sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade watts within 1.0 fool above adjacent grads c) Total net area of flood openings in A8.b 214. sq in c) Total net area of flood openings in A9.b sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Bi.NFIP Community Name&Community Number B2.County Name 63.State Tybee Island 135164 Chatham GA 64.Map/Panel Number B .Suffix BS.FiRM Index 87.FiRM Panel 68.Flood 69.Base Flood Elevations)(Zone Dale Effective/Revised Date Zone(s) AO,use base flood depth) 135104 0213 F 9/26/08 9/26/08 AE 11 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in item B9. [i EIS Profile 0 FIRM 0 Community Determined 0 Other(Describe) 611. Indicate elevation datum used for BFE in item 69: 0 NGVD 1929 0 NAVD 1988 0 Other(Describe) 612. is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Oyes o No Designation Date 0 CBRS D CPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings' 0 Building Under Construction' ii+ 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,AR/A,AR/AE,AR/A1-MO,AR/AH,AR/AO. Complete items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized local Vertical Datum NAVD 1988 Conversion/Comments Check the measurement used. a) Top of bottom hoot(including basement,crawl space,or enclosure floor)- 5.1 0 feet 0 meters(Puerto Rico only) b) Top of the next higher floor j. A i.{feet 0 meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) gla. ti feet 0 feelers(Puerto Rico only) d) Attached garage(top of slab) 018. 0 feet 0 meters(Puerto Rico only) a) Lowest elevation of machinery or equipment servicing the building n.1 0 feet ()meters(Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent(finished)grade(LAG) 4.6 +feet 0 meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 5.1 0 feet 0 meters(Puerto Rico only) 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 ekes to interpret the data available. - I understand that any false statement may be punishable by fine ar imprisonment under 18 U.S.Code,Section 1001. (y.{ 0. Check here if comments are provided on back of form. .',`u Tt *`, (, i' aaa:tta rat Certifiers Name J.Whitley Reynolds License Number 2249 j f i r ?; ,. gg A Tile Land Surve,•r Company Name J.Whitley Reynolds,Land Surveying 9 }y O Address 63. teph s. . S C dy Savannah, Stale GA ZiP Code 31405 Signet Dat e November 20 2008 Telephone 912-352-0464 _ r LBLL aSe IT6 s,RIoURaei Relq- 4f7 T e9C:80 BO 0Z AON Zs '� .. '4�3sa g�iouo9 �uecge - 4S._�Ned. 4 L0:=0I` 800Z,;OZ noN._. xej.pz,nao3. `-_< IMPORTANT: In these spaces, y the corresponding information from Section A. Far Insurance Company use: Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box Na 'Policy Number 72 Solomon Avenue City Tybee!stand, State GA ZIP Code 31328 Company NAIL Number SECTION D-SURVEYOR ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments C2.e)=A/C pad Vents are Smart V- •r nd.Speclii ions state each vent can provide for 200 square feel of enclosure. signatu : Date 11120/08 � �) Check here if attachments SECT .4 N E.BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT UFE) For Z• es AO and A(without BFE).complete Items Ef-E5. tf the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items EI-E4,use natural grade,if available. Check the measurement used. In Puerto Rico 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)end the lowest adjacent grade(LAG). a)Top of bottom floor(Including basement,crawl space,or enclosure)is 0 feet 0 meters CI above or 0 below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is 0 feet Cl meters ❑above or Cl below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Hams 8 and/or 9(see page 8 of Instructions),the next higher poor (elevation C2.4 in the diagrams)of the building is Q feet 0 meters ❑above or 0 below the HAG. ES. Attached garage(top of slab)is ❑feet 0 meters 0 above or :0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building Is 0 feet 0 meters Q 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 L] 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,8,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representatives Name Address City State ZIP Code Signature Date Telephone Comments 0 eck hmen SECTION -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,8,C(or E). and G of this Elevation Certificate. Complete the applicable items)and stem below. Check the measurement used in Items 38.and GO. 61.0 The information in Section C was taken from other documentation that has been signed and seated 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.) G2.0 A community official completed Section E for a building located in Zone A(without a FEMA Issued or community-issued BFE)or Zone AO. G3.0 The following information(Items G4-G9.)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued 06. Dale Certificate Of Compliance/Occupancy Issued 07.This permit ties been issued for: ❑New Construction 0 Substantial Improvement 08.Elevation of as-built lowest floor(including basement)of the building: _0 feet 0 meters(PR)Datum G9.BFE or(in Zone AO)depth of flooding at the building site; _� _. ❑feet ❑meters(PR)Datum Coat Official's Name Title Community Name Telephone Signature Date Comments fl Check foie if attachments LEILL 2SE 2T6 spiouRa? ReT4Tym r egg rao SO 02 AOM I c ;iUuuo . ::oi 124$ xPj W 10;0[ 900E Di; r,oN : x22 paniz:a; s. IH RADIUS CHOR BEARING DELTA TANGENT J.99' 1894.20' 60.99 N65'20'15"W 01'50'41" 30.50' A�NUE 1 QO' R/W RBF _ - � Z r ,------- i SOt.OM C1 -� , O , �`�� RBF APPROX. 166' -9� n� / ' �� TO THE R/W OF •(n ANDERSON COURT O a RPN Z w a l'`• s B.S.Q. J�I \ 0 `4 I C /�'4 - --'1 ` -��{' 12.1' I 73 ■1 ONE STORY WOOD FRAME RESIDENCE ON PIERS , CONC. '11 PAD c o t, I — o r N N O r II �J -' w PORCH ON , N >- m SECOND LEVEL i f l l I . LOT 10 CI I, _ 13 N/F JOHN D. & ~ a z w1 CONCRETE —"��" -t LORI F. BLOESS O x z .y d. ri d. M V) z 'DECK; I I x 1 POOL i,, x U z F‹, c., • ar REFERENCE PLAT LOT 11 MARSHWINDS SUBDIVISION PHASE II 9,920 Sq. Ft. DATE: 2/12/88 \ 25' MARSH BUFFER f 0.23 Acres BY: WRIGHT C. POWERS, GA. R.L.S. No. 933 . \ 1 LEGEND CABANA CONC CA ANA CMF = CONC. MONUMENT FOUND. PAD RBF = REBAR FOUND � APNE R _ N50PROX.'32'36 HIGH yy'GROUND 60 LI ' ,. CMF MARSH IS CLAIMED BY STATE OF GEORGIA 20 10 0 20 40 MINIM 1111111111111111111111111111111 GRAPHIC SCALE • i''''.i>s:"1 PREPARED FOR: JOE POWERS L 8T ';,� "�, rt.uc I!VT I ire MI n nnn -7, oA It elm ri . +n n"\ mm� mina. r Ytn nns �• ',fO' 7FR MME ..---- RE� ...ENCE ON PIERS CONC. 4, - PAD a o '. 1 -- U I N CO 0 N J N- -1 d (a.__. PORCH ON c i >- m SECOND LEVEL I f LOT 10 • o i I __ t N/F JOHN D. & 0 0 Z JI 1. CONCRETE ` M LORI F. BLOESS J u, o in K) \ U in z :t M d- Z 'DECK I ', "x i x i POOL , •LI I x 0 z Ftic� - ,A IN REFERENCE PLAT LOT 11 7 MARSHWINDS SUBDIVISION PHASE II 9,920 Sq. Ft. DATE: 2/12/88 \ 25' MARSH BUFFER 0.23 Acres BY: WRIGHT C. POWERS, GA. R.L.S. No. 933 , LEGEND CABANA CONC CA ANA CMF = CONC. MONUMENT FOUND, L. PAD RBF = REBAR FOUND APPROX. HIGH GROUND LINE ,, N50'32'36 "•" '. CMF 60.36' .4111,. MARSH IS CLAIMED BY 41-12...c.,� 20 10 0 STATE OF GEORGIA 40 GRAPHIC SCALE 0 s i .i PREPARED FOR: JOE POWERS `" '4 °`?\, c _07 .JES 'N Ft CC^ ZONE 8A (�!!N. __.. 12 (1 ' o_p :!tai,' ‘\??,.- %lfK2y..2C1 ▪ `,- '',G. �_�. i_, OYI.4,.,N - N.. '35164. EC , 11/80. 1:4-�!-0/ �Z' dr E.Q.C. FIELD 1/26,284 '•ty�.✓�yr`��,, < ERROR/POINT 10" °. P C►t ADJ. METHOD LEAST SQUARES I._ E.O.C. PLAT 1/63,340 EQUIPMENT USED POWERSET 3010 WRIGHT C. POWERS, JR. DATE OF FIELD 08/27/01 GA. R.L.S. No.: 2612 SURVEY A PLAT OF FIELD CHECK: JDI LOT 11 OFFICE CHECK: WCP CONNOF AND AlsDCIATas, NC. PHASE iI DRAWN BY: LAM engineers planners surveyors MARSHWINDS SUBDIVISION DATE: 08/29/01 P.O. BOX 10091 / 4700 HWY. 80 EAST KNOWN AS No. 72 SOLOMON AVENUE SCALE: 1" PROJECT No.:GA01667 i667 SAVANNAH. GEORGIA 31412 TYBEE ISLAND, CHATHAM COUNTY F.B. No.: 502-63 PH (912) 897-5460/ FAX 912) 897-6'131 GEORGIA FILE: GA01667F.dwg Information Only -Not an Of' ,ial Document Page 2 of 2 MISC BLDG CODE DESC LENGTH WIDTH UNITS ADJ PRICE EYB DT PCT ADJUSTMENT VALUE 1 1 OPSG OPEN SLAB GD 10.00 24.00 240.00 4.88 1990 IR 15.00 1.00 1,000 2 1. KWPOG KNEE WALL /GLS/S 26.00 10.00 260.00 35.89 1990 IR 15.00 1.00 7,930 3 1 CPTFG Gd Cpt Flat/Shed 30.00 26.00 780.00 11.48 1990 IR 15.00 1.00 7;610 4 1 SWPOG Solid Wall/Slab 30.00 26.00 780.00 30.72 1990 IR 15.00 1.00 20,370 5 1 GAZG Gazebo 5.00 5.00 25.00 29.00 1990 2R 66,00 1.00 250 LAND LUSE DESC ZONING UNITS TP PRICE ADJUSTMENT CODE/FACTOR VALUE 1 01 Single Family Re RIB 7000.00 S 42.00 .00 .00 .00 .00 279,300 2 01 Single Family Re RIB 840.00 S 42.00 SZ .25 .00 .00 .00 8,380 S 7840.00 4-0020 -05-041 Page 2 of 2 Reg By: BEN GEIDEL 05/16/08 10:57:53 CHATHAM COUNTY CURRENT 2008 PARCEL SEQ 4-0020 -05-041 001 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 0000508500 12 COV. Message Cd 18 18 Tax Alloc Dist 000 NO TAD DISTRICT 20 Enterprise Zone 000 NO ENTERPRISE ZONE http://www.chathamcounty.org/tax.asp?pkey=58766 02/11/2009 Page 1 of 1 i 't J I.: �i f`! to . . . � ,rr� Rr j r d��k`4.n�71' l ,•e.••�. ,,,•ry; 1�,�. 1 .r� 0. ft44,1` •• • #.1 fir. _kirk it. .0 } ''-'4.- mot• 7I _ �AR� r ••v. _�- • it. ` 1 arik1J- ; •' • '::.. �G :.4 call'..•' j., . 4 r' . `'-' P .. .:' r. y V�1 [b•le,' e 4.1 '•Y. r A, 'a,, • .t vt +. `t ,° .. -. r 9 Ilt 11,x+, • r'' 1 of, Ili. L� �1' \L•• t` i y' + r rr . 1/��l .r L44I4'I t fir _ rte_.t . _ \- S. • • �"Y ti.� 7j , IL —tea• •-a • it •I' a rI .� t• ' - ` • f� .• '� X44 r fir,' NO.• � yr�,► ' _ ' ` � .' ,r h s ,:lv., . iti: ',tat oriNellie,limmicAjr:imirA.trimirreliV,idetv....,.....r. _ :. .; .,......: ...,1,..:, ova 1.111111111a �� y ! 4.0 T --iris, i I: a•• v.. )m_ Lam, e^� 1i .14 r4 S' a w •air.iii ,V •...;A w •. irlailt.: et= foe . __ tr .... ,... __ :..... ..,,.., ..,... . . .„ ... ...„ .•,__-••• ___---,--- _-_____ ..---,„•,,,,,,,,,,... ,,,,„.... , http://www.chathamcounty.org/pre/resident/40020/05041r.jpg 02/11/2009 . ' 1 CONTRACTOR ,' RECONSTRUCTION/IMPROVEMENT ' o % AFFIDAVIT Name of Company e-(0c „oaf/c C ....,5f .{L -vz -U._ Telephone 0 li•,-c2--(. % 3 a Contractor Address f • f r;d/e o t'r- .1)�e_. ,. e-- 6 `�- CtJ- Name of Property Owner C. ' c l'v r:7-,4 T IA,eie !tt Location of Property 72 4,01,,0,9, f I hereby attest to the fact that I, or a member of my staff, inspected the above mentioned property and produced the attached itemized list of the Estimated Cost of Reconstruction and/or Improvements. Further, all of the repairs and/or reconstruction and/or improvements proposed on the subject building for the attached Building Permit Application are included in this estimate. 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. 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 $ 9-cp t 4 a 0 Overhead&Profit $ Total Cost $ *ft 6-oc) STATE OF GEORGIA COUNTY OF CHATHAM Before me this day personally appeared i U�-- T. (,,.., u-; � S who, by his/her signature below, states that the information provided on this Affidavit's correct and that he/she has read, understands, and agrees to comply with all the aforementioned conditions. I f� IR1 tractor's Signature Dr Z 83 6 0 l Sworn to and subscribMeAH+ 6ilRTlN I day of F�..o , 20 0 1 . Notary Public, Chatham ounty, GA /1 /� Commission Expires July 30, 2012 0,, G. Signature o ota Public My Commission expires