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CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 03-11-2009 PERMIT#: 090147
WORK DESCRIPTION REPAIR RESIDENTIAL BLDG
WORK LOCATION 613 SECOND AVENUE
OWNER NAME CARRIE EFIRD
ADDRESS PO BOX 402
CITY,ST,ZIP TYBEE ISLAND GA 31328-0402
PHONE NUMBER
CONTRACTOR NAME CARRIE EFIRD
ADDRESS PO BOX 402
CITY STATE ZIP TYBEE ISLAND GA 31328-0402
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 40.00
PROPERTY IDENTIFICATION#
PROJECT VALUATION $2,000.00
TOTAL BALANCE DUE: $ 40.00
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: `_,�j� �/
P.0.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328
(912)786-4573-FAX(912)786-9539
www.cityoftybee.org
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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
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Owner's Name — ►ate Needed U 51
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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
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Permit No. Date Requested
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403 Butler Ave.
I P.0. Box 2149
Tybee Island, GA 31328
Phone: (912) 786-4573 ext. 114
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CITY OF TYBEE ISLAND, GEORG A
q—0f/ 1 y APPLICATION FOR BUILDING PERMIT
- 3s�
10001004
Location: (013 2 >-ft 0261t>-Alre PIN #4c,-- I ZUtO
NAME ADDRESS TELEPHONE
Owner C c'c�tlre—b 1, 3 oZNd , C�I2�'o9s-585
Architect
or Engineer t lam'
Building
Contractor
(Check all that apply)
❑ Repair Residential ❑ Footprint Changes
H Renovation Single Family _ Discovery
❑ Minor Addition Duplex ❑ Demolition
n Substantial Addition ❑ Multi-Family
cxj Other Commercial
Details of Project: ..1Ct,.OSE SMA-L.t. 1'OPrC- 4- -AS SVNROONI )Nsf' S INN N6 o
AZ•L . WI AgMS oN c s - 114574u-cti P 0 v�2 �c-
Estimated Cost of Construction: $ 020O0 . c2c7
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: 540{20W /a\- lCW S6 5)4012-C.4—
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
Lot Area Living space(total sq. ft.) Q
# Off-street parking spaces hta,J
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.
OOL OF ...IEEE
NATURAL tr o
elitai
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.
6°0/Ve, 4(31
Undersigned Date
Printed Name
Office Use Only:
Project Address:
Permit Number:
REQUIRED FOR: Building Permits
Relocation Permits
Sign Permits
Demolition Permits
Land Clearing, Disturbance or Excavation Permits
Tree Removal Permits
Relocation Permits
Special Review Permits
Site Plan Approval
Subdivision of Land
Sketch Plan Approval
Preliminary Plan Approval
Final Plat Approval
Minor Subdivision Plat Approval
Major Subdivision Plat Approval
In addition to specific requirements for the above permits and approvals, applicants must
demonstrate that they are in compliance with the City of Tybee Island Storm Water Management
requirements as outlined in Chapter 5-4, Code of Ordinances.
Section 5-4-9 Prohibition provides, in part, as follows:
(4.) It is unlawful for any person to cause or permit any storm water to flow from their
property onto the property of another person, unless such storm water naturally
flowed thereon prior to any development activity.
(5.) It is unlawful for any person to interrupt the flow of any storm water runoff from
adjacent property onto their property by any development activity.
As part of the City's approval process applicants must illustrate how these storm water
management prohibitions will be met, including a showing of how storm water naturally flowed
on the affected property(prior to any development activity), and what changes in storm water
flow have occurred or are expected to occur, as attachments to this form. The City's approval or
permit does not guarantee that the applicant's plans will result in meeting requirements. The final
product must actually meet the City Ordinance requirements.
Applicant name: (Vd/t/11.6-0
Project I.D.:
Attachments approved by: Date: tr
it
PT. LOT 58-B
N 10°02'11"E 55.11'
5/8" RBS ° CMF
5 1
9.8'��p -A7 10.2'r>
1
z SOUTH 55'
co
LOT 59-A LOT 58—A
0 PT. LOT 58-A
W
2 STORY W
r=.1 FRAME RESIDENCE 4
un
I i Co
Z CO w
N PORCH U1
w �.e e =,e1a11
� 4 A���S � � GRILL
N 10°00'00"E �¢�4,:e"60.00' 5/8" RBS. p u CMF
HOE BIBB 8 W/M
S 10°00'00" 55.03'
SECOND AVENUE 60' R/W
PLAT OF THE SOUTHERN 55' OF LOT
58—A, WARD NO . 2, TYBEE ISLAND,
CHATHAM COUNTY, GEORGIA
STREET ADDRESS: 613 SECOND AVENUE
FOR: THE COTTAGE COMPANY
FEDERAL EMERGENCY MANAGEMENT AGENCY O,M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
ELEVQ 1]O? CERT MC ATE
Important: Read the instructions on pages 9-7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use
BUILDING OWNER'S NAME Policy Number
THE COTTAGE COMPANY ,
BUILDING STREET ADDRESS(Including Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
613 SECOND AVENUE
CITY STATE ZIP CODE
TYBEE ISLAND, GA 31328
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 58-A,WARD NO.2
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RES
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( #I#°-##'-##.##° or ##.#####°) ❑MAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COiMMUNITY NUMBER B2.COUNTY NAME B3.STATE
TYBEE ISLAND 135164 CHATHAM GA
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER 65.SUFFIX 66.FIRM INDEX DATE EFFECTIVE/REVISEDDATE B8.FLOOD ZONE(S) (Zone AO,use depth of flooding)
135164 0001 C 6/17/86 6/17/86 A8 12
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile 0 FIRM ❑Community Determined ❑Other(Describe):
B11.Indicate the elevation datum used forthe BFE in B9:®NGVD 1929 ❑NAVD 1988 ❑Other(Describe):
B12.Is the building located in a Coastal Banier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ►Ti No Designation Date
SECTION C A BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl,Building elevations are based on:❑Construction Drawings* 1I Building Under Construction* El Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2.Building Diagram Number 1(Selec t the building diagram most similarto the building for which this certificate is being completed-see pages 6 and 7. If no dagram
accurately represents the building,provide a sketch or photograph.)
C3.Elevations—Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A ARIAE,AR/A1-A30,AR/AH,AR/AO
Complete Items C3.-a-i below according to the building ctagram specified in item C2.State the datum used.tithe datum is different from the datum used for the BFE in
Section B,convert the datum to that used forthe BFE.Show field measurements and datum conversion calculation. Use the space provided orthe Comments area of
Section D or Section G,as appropriate,to document the datum conversion.
Datum NGVD 29 Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes >~1 No
o a)Top of bottom floor(including basement or enclosure) 13. 7 ft(m) c \
o b)Top of next higher floor ft(m) � 4 T A
o c)Bottom of lowest horizontal structural member(V zones only) NA._ft(m) o.5 ��ZSTE)?
o d)Attached garage(top of slab) NA. _ft.(m) UZ
o e)Lowest elevation of machinery and/or equipment � NO. 2249
servicing the building(Describe in a Comments area) _. ft.(m) r'
o f)Lowest adjacent(finished)grade(LAG) 10.9 ft(m) z 2 t' 7.'1,�`�w 4 4 4. 'ti"
o g)Highest adjacent(finished)grade(HAG) 11. 4 ft(m) / ��
o h)No.of permanent openings(flood vents)within 1 ft above ad)acent grade 0 = 44/1
o i)Total area of ail permanent openings(flood vents)in C3.h sq.in.(sq.cm) r
--
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 in Sections A,B,and Con this certificate represents my best efforts to interpret the data available.
I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S,Code,Section 1001.
CERTIFIER'S NAME J.Whitley Reynolds LICENSE NUMBER 2249
TITLE Land Surveyor COMPANY NAME
ADDRESS CITY STATE ZIP CODE
636 STEPHENSO ,.f? UE, . C Savannah,GA GA 31405
SIGNATURE DATE TELEPHONE
3/17/05 912-352-0464
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