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CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 06 -26 -2009 PERMIT #: 090311
WORK DESCRIPTION ELEC - REPLACE SERVICE PANELS
WORK LOCATION 101 LOVELL AVE
OWNER NAME MACELWEES-
ADDRESS PO BOX 2138
CITY, ST, ZIP TYBEE ISLAND GA 31328
PHONE NUMBER 843 - 671 -5746
CONTRACTOR NAME RUSSELL ELECTRIC
ADDRESS 1714 WILMINGTON ISLAND RD
CITY STATE ZIP SAVANNAH GA 31410
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 25.00
PROPERTY IDENTIFICATION #
PROJECT VALUATION $2,000.00
TOTAL BALANCE DUE: $ 25.00
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: ,{ A I J Oh
P. 0. Box 2749 - 403 Butler Av enue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -9539
w w w .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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Permit No. Date Requested
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Owner's Name / ta c e weft s -(4 • Date Needed
Gen, Contractor IC- I 6 C Subcontractor
Contact Number ) 0
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Location \ A-Au (2-) •
nspecto e Date of inspection
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TX Result Report P
06/29/2009 15:31
Serial N0. CM35228060004
TC: 90652
Destination I Start Time I Time I Prints I Resultl Note
I Georgia Power 1 06 -29 15:30 1 00:00:46 1 001/001 I OK II
Note MIX: Mixed Original TX 1 CSRC 1 FWD:FForwa r dmePC: PC_
BUD: Double -sided Binding Direction. SP: Special original. FCODE: -cede. RTX: Re -TX.
ALYAX: : Re MBX: Fax Confidential, BUL: Bulletin. SIP: SIP Fax. IPADR: IP Address Fax.
I -Fn e rnet
Result OK: Communication OK, S - OK: Stop Communication, PH -OFF: Power Switch OFF,
TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer,
Refuse: Receipt Refused, Busy: Busy, M- Fu11:Memory Full,
LOUR:Receiving length Over, POVER :Receiving page Over, FIL :File Error,
DC :Decode Error, MDN:MDN Response Error, DSN :DSN Response Error.
RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND
FOR SAVANNAH ELECTRIC_ FAX TO: Lynn Brennan Phoae 912 - "= •
$ a to - Z tom' -lSo
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Location Address: 1a I Li t _- Lot # Release Date: �J e
Type of Release: Temporary Permanent Subd Name: f
Electrician: �L,,3yS�S is /1 (l Electrician Phone Number: 94 4
Owner /Builder: L Ky('��tn 1� !� r Phone Number :SC3 - - S��L
Location Address: Lot # Release Date:
'Type of Release: Temporary Permanent Subd Name:
Electrician: Electrician Phoae Number:
OwnerBuilder: Phone Number:
Location Address: Lot # Release Date:
Type of Release: Temporary Permanent Subd Name:
Electrician: Electrician Phone Number_
OwnerBuilder: Phone Number:
cN 4110
RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND
FOR SAVANNAH ELECTRIC. FAX TO: Lynn Brennan 9+2444=3:537 Phone 912 '
. 3040.24 4_ 3o% -Zii'oS'
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Location Address: 10 f / nai --Yo l Lot # Release Date: b /O
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Type of Release: Temporary • Permanent Subd Name:
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Electrician: \) ,S5 /E 1 C ��� tE�� (Z(C Electrician Phone Number: p 4 -(3U 7
Own uilder: C' `j Phone Number:3(73- (7/ -
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Location Address: Lot # Release Date:
Type of Release: Temporary Permanent Subd Name:
Electrician: Electrician Phone Number:
Owner/Builder: Phone Number:
Location Address: Lot # Release Date:
Type of Release: Temporary Permanent Subd Name:
Electrician: Electrician Phone Number:
Owner/Builder: Phone Number:
CITY OF TYBEE ISLAND
BUILDING & ZONING DEPARTMENT
P.O. Box 2749, Tybee Island, GA 31328
Phone (912) 786 -4573 Fax (912) 786 -9539
ELECTRICAL PERMIT APPLICATION & TEMPORARY SERVICE AFFIDAVIT
Date - 2J New Work /Replacement
Location of work (street address) IC ( 1_ Ot. t.'L_ - 45 (r4 R E:s )
Contractor PL.!, IL Telephone EPA}
Address of Contractor (71 `f 1-t L kirt 13 t. IZ.0
Property Owner `Y,4)-1 ZZe. 1 Cs- i_LL-- Telephone
Date work will be ready for inspection, if known Le - Permit Number
Estimated cost of construction Ztv
09 -03(
A/C Unit and Heat Pump Range Hood - commercial
Attic Ventilation Fan Service: amps f J CO >
Bell Transmitter - low voltage Sign Circuit - wattage n 1 0 M ..t�-
Border/Outline Lighting Smoke Detector - low voltage CO > <
Building Saw Spa or Tub - grounding w C�
Exit Lights - life safety Special Outlet - M
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Heat Pump Swimming Pool - grounding C7 � Z G)
Meter Box Water Heater m - r-
Motor(s): hp Welder - 220 volts circuit - cs
Outlets -110 volts circuit Well Pump - grounding o > d
Parking Lot Lights X -ray = W 0
Pool Lights - grounding Other
Range - commercial L,tt u- .;;Z,s
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APPLICATION FOR TEMPORARY SERVICE REQUEST
In requesting temporary electrical service, the undersigned understands and agrees:
1. Connection of temporary electrical service does not remove the requirement to comply with all State of
Georgia minimum construction codes.
2. Temporary electrical power is intended for completion of the construction process and testing equipment
installed within the structure.
3. Issuing approval for temporary power connection does not constitute approval to occupy the structure.
A Certificate of Occupancy must be issued by the City of Tybee Island prior to any occupancy.
4. The owner and contractor are hereby held responsible for any violations of this policy. A violation of this
policy may result in disconnection of the electrical service until all violations and deficiencies are corrected.
(jvner /Contractor Signature Date
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Owner /Contractor Printed Name
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APPROVAL Fee
Code nent ,1 - (O Date (D - G (0/C.-pc)