HomeMy Public PortalAbout09-0277 Powell r F.f. - j,
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CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 06 -8 -2009 PERMIT #: 090277
WORK DESCRIPTION REROOF
WORK LOCATION It 3 ^ONES AVE
OWNER NAME MARY LYNNE POWELL
ADDRESS PO BOX 738
CITY, ST, ZIP TYBEE ISLAND GA 31328 -0738
PHONE NUMBER
CONTRACTOR NAME THD AT -HOME SERVICES INC
ADDRESS 2690 CUMBERLAND PKWY STE 300
CITY STATE ZIP ATLANTA GA 30339
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 71.00
PROPERTY IDENTIFICATION #
PROJECT VALUATION $6,943.00
TOTAL BALANCE DUE: $ 71.00
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.
4"0111.
Signature of Building Inspector or Authorized Agent: /4� r
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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City oi Tybee Island , Coirnmunity Developmeni Esecit,
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403 Butler Awe. ,, P.O. Box 2J--9 - Tyirkee Isiand, tc_314 3132E1 .,... .7..4 i
Phone 912.7E.04573 egt.i.14 • Fax 912.786.9539 : :?-:,• .- :::;;;."• - :4!: - .
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Permit No- 6i z 77 Date Requested 5/0e.oe-i
Owner's Name 1)7i/ ra Date N eeded g/rf
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Geri. c:qritracter 11.41)1 ..75`," Subcontractor
Contact informaUDr4 jrc.4 017,, 71__.... el.., l'L%/-,::q0,53. di 49
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.Addres s
Scope of Work
Inspector -- )ig
gate of Inspection ,::.? Vt>1(),I,
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Orq 0277 CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
Location: '1 J/iS PIN #
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NAME ADDRESS TELEPHONE
Owner 7/3 Zn &S # ve
MA& kweiI Tel bee Iski74,ad 31322 9/2 -78 GC35"
Architect
or Engineer
Building � ,,// 32067 ( b EQ/ /errs 00./ 577 577
Contractor ) 46 1 460ea 9 tic ?J �><! '/fcc,Fret 303 40g-
(Check all that apply) a r
❑ Repair n Residential ❑ Footprint Changes Corr V
Renovation Single Family [ Discovery
n Minor Addition Duplex ❑ Demolition
❑ Substantial Addition ❑ Multi - Family
❑ Other ❑ Commercial
Details of Project: _/k -)E
Estimated Cost of Construction: $
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
Lot Area Living space (total sq. ft.)
# 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
On -site waste and debris containers will be provided by debris will be disposed by Ail 4i€ Y)e by means of
us.
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: r 5 Signature of Applicant:
/0 a /die4,
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 _ ,. Permit '6Z "
Code Enforcement Officer _ 100 Inspections 2.1
Water /Sewer -� v Water Tap
StouniDrainage Sewer Stub
Inspections Aid to Const.
City Manager
TOTAL 7/ "
KOURY. ,.SE el
415 RESOURCES ` 4
GEORGIA
Permit Acknowledgement of
Asbestos /Environmental Notification to Georgia EPD for
Proiects 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 9
Undersigned Date
1V E/en€ /,(k // /e
Printed Name
Office Use Only:
Project Address:
Permit Number: