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Home My Public Portal About08-0018 Yesner a 0� CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 01-10-2008 PERMIT#: 080018 WORK DESCRIPTION: ELEVATE EXSTNG HOUSE/FTG&FND ONLY WORK LOCATION: 160 S CAMPBELL AVE OWNER NAME ALAN YESNER MD ADDRESS 8207 NW 63RD CT CITY,ST,ZIP PARKLAND FL 33067-5028 PHONE NUMBER CONTRACTOR NAME ACE REMODELING ADDRESS 67 MAIN ST CITY STATE ZIP GARDEN CITY GA 31408 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEE'S CHARGED $295.00 PROPERTY IDENTIFICATION# PROJECT VALUATION $35,000.00 TOTAL BALANCE DUE: $295.00 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. E Signature of Building Inspector or Authorized Agent: P.O.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328 (912)786-4573-FAX(912)786-5737 www.cityoftybee.org U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No.1660-0008 Federal Emergency Management Agency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name ALAN J,AND MICHELLE YESNER Po`cy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Corneeny NAIL Nernbse 160 SOUTH CAMPBELL AVENUE City TYBEE ISLAND State GA ZIP Code 31328 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 25,HORSE PEN HAMMOCK SUBDIVISION,FORT WARD A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat.32.00941 Long.80.85220 Horizontal Datum: ❑ NAD 1927 :4 NAD 1983 A8. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number § A8. For a building with a crawlspace or enclosure(s): A9. Fora building with an attached garage: a) Square footage of crawlspace or enclosure(s) Wes sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade Me c) Total net area of flood openings in A8.b N(@ sq in c) Total net area of flood openings in A9.b NLA sq in d) Engineered flood openings? ❑ Yes es No d) Engineered flood openings? ❑ Yes C4 No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Bt.NFIP Community Name&Community Number B2.County Name B3.State TYBEE ISLAND.GEORGIA-135164 CHAHTHAM _ GA B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 13051CO213 F Date Effective/Revised Date Zane(s) AO,use base flood depth) 9/26/08 9/26/08 AE 13 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9, ❑ FIS Profile E4 FIRM ❑ Community Determined ❑ Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes 0 No Designation Date N/A ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction' ® Finished Construction •A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized OL CALVerticai Datum NAV Conversion/Comments NONE Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)1 .11 0 feet ❑meters(Puerto Rico only) b) Top of the next higher floor NONE._ ►_feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/6.- ®feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) NONE. 0 feet ❑meters(Puerto Rica only) e) Lowest elevation of machinery or equipment servicing the building SEE.COMMENTS ?4 feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) 1) Lowest adjacent(finished)grade next to building(LAG) $.2 0 feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) glf -f feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,Including $.2 LEI feet ❑meters(Puerto Rico only) structural support 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. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. 1 I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. p es Check here If comments are provided on back of form. Were latitude and longitude in Section A provided by a 0 R C A licensed land surveyor'? 0 Yes ❑ No ee, �i''s_4'. ■ +t, ,, Certifiees Name BERT B.BARRETT,JR, License Number GA.7775 , � i r• Title OWNER/PRESIDENT Company Name BERT BARRETT,JR.LAND SURVEYING,PC. 14 V.-41 Address 1'�U U.N•i ROAD` City SAVANNAH State GA ZIP Code 31410 )100 I''•eiVeZ,. _,�(�Q �' gigue��' �ae�`- Date 10/07/09 Telephone 912-897-0661 , S(JI FEMA Fo 81-31,Mar 09 ` See reverse side for continuation. Replace-"ligiumnitions Replace-"l WARNING:Due to the possibility that changes may have been done to this residence after this elevation certificate was signed and dated by the surveyor, it is recommended that caution be taken in using this elevation certificate by anyone other than the person indicated in section Al Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number 160 SOUTH CAMPBELL AVENUE City TYBEE ISLAND State GA ZIP Code 31328 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken;"Front View" and "Rear View";and, if required, "Right Side View"and"Left Side View."If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. REAR VIEW FRONT VIEW .sty. '� -; . N I V.,I, - t '.�! • , 144.,Vr"fr.-46‘ . ,-. '-', _ ift :i.:". , 4.0.6, - . -Ili _,_-.„ • el 1 - rw . . �j`} - _ _ _ - . _ 1' a t wan 1111 III It ' .i.,',' Nr-, ,-- - t-:-....- - - ti r q. i 4 • 1 a _. .„ec T” ,+f .. r. rt 3,i 0;37 u• t ! , '-'`.2a9t1 f07 em .; .-- x ,,,. kV - ' e".ii , , . ,,, . , ,.,.. _ . i It i , ,t, ..„-,.. , ...,. ,. „ .._._ „ .. ) . tivi 1 . , ,-,,... , _...._ .. • - , . , , . .....„.„...,.... .. , . _ . ..... . ._,_____........__- __ _..... .,., , , .. • ____,..r I) , . -, ' r itiorialy. - t • l I I. 1, r[ ' ,1.1 t j • . ..'_._ I. f 4 '1 LEFT SIDE VIEW RIGHT SIDE VIEW PROJECT\01309-5 10-7-09 ' OF' PLAT SOUTH CAMPBELL AVENUE 60' R/W 1/2" R.B.F. N 10'54'05" E•`; --- 89.89' .. � 5/8" R.B.F. -- 2.76' 3.08'—.— 89.96' in 10.0 . 179.76' ai N 1089.96'" E i� g ( PORCH J PORCH /wW S 11'00'00" W d d U _ N Z —= C1/ aD EXISTING ONE STORY FRAME == WIRE FENCE -V' / it RESIDENCE ON PIERS ^ `�' LOT25 12.02. LOT 26 -. /� � r 16.12.E I COVERED i co ^v- I \ PORCH 8.g5 I ;rJ 1, 1--1 �� I co / A.C. PLATFORM J $i I 24 CHAIN LINK FENCE 1/2" R.B.F. k 89>>, 25' MARSH BUFFER LINE --- N .ilk . SURVEY TIE LINE AIL R� WIRE FENCE p N METAL STORAGE BUILDING `oE(!N ✓ R � _ IS OVER THE UNE BY 0.9' ' eY C H s 3N? �� 7 -IL- RI ngN N ?/ f \09" K, y0R . , _-4i11,- Hoop?tilt `��" 5 . :11 SF p� \ - 5/8" R.B.F. Or c T R.B.F. = REBAR FOUND �� EDGE OF MARSH STATE OF GEORGIA THIS PLAT IS A REVISION OF A PLAT DONE ON FEBRUARY 24, 2006. THE PURPOSE OF THIS PLAT IS TO SHOW THE NEW LOCATION OF THE CHATHAM COUNTY EXISTING RESIDENCE AFTER IT WAS RAISED AND PLACED ON THE PIERS PLAT OF LOT 25, HORSE PEN HAMMOCK SUBDIVISION, FORT WARD, KNOWN AS No. 160 SOUTH CAMPBELL AVENUE, LOCATED IN THE CITY OF TYBEE ISLAND, GEORGIA. FOR: ALAN J. YESNER DATE OF SURVEY: OCTOBER 7, 2009 DATE OF PLAT: OCTOBER 7, 2009 GEO R G/,q SCALE: 1"= 20' %srF,p IN MY OPINION THIS PLAT IS A CORRECT F� REPRESENTATION OF THE LAND PLATTED 0 2 0' 40' \•,- E.O.C. FIELD 1/ 27,683< ERROR/POINT BERT BARRETT, JR. 116-4k---- '• NONE LAND SURVEYING, ��i�'.' "O '° • ADJ. METHOD VEYING, P.C. SURE �• E.O.C. PLAT 1/ 51,785 145 RUNNER ROAD T TOTAL STATION GEODIMETER 610 SAVANNAH, GA. 31410 9 BARRY' (912) 897-0661 PROJECT\01309-4 9-15-09 REF. PLAT SOUTH CAMPBELL AVENUE 60' R/W 1/2" R.B.F. N 10'54'05" E ' -- 89.89' 1 �- 5/8" R.B.F. u: 89.96' M 10 >2 2.81' 3.20'—•- 179.76' ai and N 10'56'42" E I w I PORCH l ,.-PORCH S 11'00'00" W ai / W Z\i' '� EXISTING ONE STORY FRAME 1 WIRE FENCE ,� RESIDENCE ON PIERS Ni..... LOT 26 :3 I LOT 25 72.05' n 16.80' I COVERED v \ I PORCH ; 9.01' is �� 11 0/ co A.C. PLATFORM o s 2 "' LOT 24 CHAIN LINK FENCE -,....k.,<,,..-- 1/2" R.B.F.� \ 89> ' 25' MARSH BUFFER LINE --,......... I -ilk SURVEY TIE LINE � -at- 0 -gam- ■ WIRE FENCE , p n f R J ∎k\ METAL STORAGE BUILDING \ (/N RlS IS OVER THE LINE BY 0.9' ' eYC T piC � \\\R S4 774N ,,/23 f''�''�\y oaf/0 1 „�� , \ 5/8" R.B.F. AF N ' ' O ^ °CI �� \ c i� EDGE OF MARSH R.B.F. = REBAR FOUND \\ a111c _ STATE.OF GEORGIA THIS PLAT IS A REVISION OF A PLAT DONE ON FEBRUARY 24, 2006. THE PURPOSE OF THIS PLAT IS TO SHOW THE NEW LOCATION OF THE CHATHAM COUNTY EXISTING RESIDENCE AFTER IT WAS RAISED AND PLACED ON THE PIERS PLAT OF LOT 25, HORSE PEN HAMMOCK SUBDIVISION, FORT WARD, KNOWN AS No. 160 SOUTH CAMPBELL AVENUE, LOCATED IN THE CITY OF TYBEE ISLAND, GEORGIA. FOR: ALAN J. YESNER DATE OF SURVEY: SEPTEMBER 15, 2009 DATE OF PLAT: SEPTEMBER 15, 2009 *4:17RR �q\SCALE: 1"= 20' RFa IN MY OPINION THIS PLAT IS A CORRECT 0' 20 40' REPRESENTATION OF THE LAND PLATTED E.O.C. FIELD 1/ 27,683 , ' < ERROR/POINT BERT BARRETT, JR. ••��. -l0�ADJ. METHOD NONE LAND SURVEYING, P.C. �- r E.O.C. PLAT 1/ 51,785 145 RUNNER ROAD a�,, t TOTAL STATION GEODIMETER 610 SAVANNAH, GA. 31410 B BARRF' (912) 897-0661 ) •• • sz, Inspection Report citv k Tybee island 403 Butler Ave. P.O. Box 2749 Tybee isiand, GA 3132 Phone-: (912) 786-4573 ext. 114 Fax° (912) 786-9539 C6 hn )0 / SI rm N 0 — / D ate Requestpd thmer N tit e Date weeded 14 - tio - Gcn. Co ntracto r ,4C eniode " Subco ntrachir Co nitact Num her e Gc3 508- -33 S1 Ltycatio / /0 O 64:11-A p -he 1/ /1 / -477.0 r4.crlitzrtnr Fsatr r,41i111MTPPrtifl n t -7- Tecnn /4 ri Pass Fail 7 Inspection Report City ot Tybee Island 403 Butier Ave. oar, 2149 • \ fiebee !skint GA 3;33'8 - he: (912) 786-4513 ext. 114 Fx: (cit'12) 786- 4-519 Prrt hi °8 Date Reqi,lestp!ei - , r wnc Date pc:peried 1-7-Dci zoo a 1-.1;en_ r_rq-ltra-i--til t- 5.:411.-W-Prliteeslcr _ riti3Cit S ',TO e AA ( -5- 85 (r) \L) Lk..? 7/11 i-m-pecto 7 Date of 'inspection / of I risg-,4-7c.tio v Cv_S Pass • Fa Lt.,A RS-Savannah Regional Landfill 84 Clifton Blvd. Ticket: 114364 Port Wentworth,GA 31408 Date: 2/20/2008 Mon-Fri 7AM-5PM Sat 7AM-12PM Time In: 15:32:33 Time Out: 15:56:29 Truck: 310 Gross: 6040 lb In Scale 1 L Customer: 1000310/CASH CUSTOMER Tare: 5960 lb Out Scale 1 .� t Net: 80 lb �„� ,CA- Net Tons: 0.04 �,,,J Carrier: 310/CASH Truck Type: OTHER CC Profile: 80234/ASBESTOS-DR.ALLEN Y Comment: -,�0 Origin Materials&Services Quantity Unit Rate/Unit Amount iYBEE 0091/ASBESTOS-NONFRIABLE 5.00 Yards $30.0000 Min $250.00 Mandatory Fees: $12.57 Total Amount: . :_ 7 C.. : $263.0.: C .nge: $0.4,' Driver: Deputy Weighmaster: MICH S Ce,., Ill V S REPUBLIC � SERVICES, INC. ASBESTOS WASTE SHIPMENT DOCUMENT **SEE INSTRUCTIONS FOR PROPER COMPLETION OF THIS FORM I. GENERATOR 2. OPERATOR/CONTRACTOR Work site name: :!" , 4." ,,`�14 , r t, i, c: ; y;%_ C. _ Name: "l - �. ( iw-" Mail/ing address: /;'r' \ ^, ' iN !G-b rte,:,i,< ; _ Address:6 7 %�;', �, •/,i ,..,� Odvner's Name: \ \± /cll., . " ,1J-�- Phone Number: „, , ;--7(- i-' - ?-1— Owner's Phone Number: lj V / 7; - ;; -y - 3. WASTE DISPOSAL SITE(WDS) 4. RESPONSIBLE&GENCY Name: a-- -s\-s--,'�i.� ��t�;J,,�x _ �_„,�c i�.`,-'1 -> -,,,k1 Name: :,',., , a- Q: ,,,,I.:c- -`__ ., ..;: .,,:_. ..' .if, Mailing address: �6(C i, di : J,,.`-, 4,F?'k af.: ti Address: _ - ,r .. t. , I -,;--- ' Physical site location: 4,, Phone Number: ((ft 2) `7 i ti " *-- Phone Number: ,;-,c )i ` 5. DESCRIPTION OF MATERIALS Friable or %on-friable:Asbestos:jam, 4.iC--, ;,I ;,, Hazard Class: 9 Identification Number:NA2212 .1! _ Packing Group: III Additional Description: Reportable Quantity(RQ) 6. CONTAINERS Number of Containers: Type of Containers(drums,bags,etc): Total Quantity(/,((c�u ft., Cu yds., lbs.,tons): - _S _ _ ��7 I l �, ' f/,- '5 J _I 7. SPECIAL HANDLING INSTRUCTIONS AND ADDITIONAL INFORMATION Handled in accordance with all EPA,NESHAP, AND OSHA Regulations 8. OPERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed, marked, and labeled,and are in all respects in proper condition for transport by highway according to applicable international and government regulations. Printed/Typed me, (`lam 1 C-1-...\-� , 1,y i/ 1 e_ Title: �;C ;∎- ` Signature: ///i--11.1 l'4 mac---- - Date: -,2_(_ 9.TRANSPORTER(Acknowledgement of Receipt of Materials): ' Name:,( K(,,,,(-1- I t ; , y'r, ,J. •t"_5 ([ 6 Address: % i"l^-A; A._ ,A.%,.'e" -- (.,=,rA: „` (r Phone Number: i`�. P --Y, ,fiJ — Printed/Typed Name: ,"2) 'I� j,�; /��{__ �/ Title: CT' Ay :� Signature: ;//-1,-L -Z--/ tf_ — _ Date: -01 " ;,:.: — ,/ 10. DISCREPANCY INDICATION SPACE: 11. WASTE DISPOSAL SITE OWNER OR OPERATOR: Certification of receipt of asbestos materials covered by this manifest except as noted in item 10. _ _ Printed/Typed Name: p,, k& is 4._ Title: C ,.'_� 6 b ��c Date: i Signature 4 _:�, 11 c � .t� �- tC_f --�� ` �i Form SW03(2003) Office Use Only Ftaac r . L I C REPUB. Approval Number �# 7r.SERVICE'S, INC. Expiration Date: .....2'',6'4.-q SPECIAL WASTE PROFILE Information utilized for completion of this form must originate from an authorized representative of the generator of the waste material. The information on this form must be COMPLETE,LEGIBLE,and the form must be SIGNED. A. GENERATOR INFORMATION „ B.CUSTOMER/BNL ING WORM 41101%.1 1 1. Generator Name: Or- , 1t ,,; Fr S J*L. 1. Billing Name: PAC C- :-Y•-k.:1�d t, J .� L L �', Ai) �' f i C 2. Address: 16c, cat-K Cr n\ a? 1 2. Address: 6 ? n�at-.,r., S fi'` -i-A-`/ >// City: (\1I,E.�_3l,i,,1 County: 4,. ,. • . [ ,'r . City:c:'Ir'�� (Y l(-� County: 0 h.,i i- f^ -Y A. State: (-r. , Zip: State: jA _ / Zip: .' /‘-/r' . 3. Site Location(if different): Sr_I,y\..0 3. Contact Name: t N i NC( I.A.4 (t-C- 4. Phone Number: j/2 5.0 4' 33 d"J 4. Contact Name: O • A i it,; ,r;;,,e(--., 5. Fax Number: /0 /1. 5. Phone Number: I5-17'---- 7.s 5-- 4/ , ,1`7 6. Is there a service agreement on file? OYES IUNO 6. Fax Number: A, 4 C.TRANSPORTER EVORMATI N D.AGENT/CONSULTANT INFORMATION I. Name: ,�C e_ e�f��.r°i,( k.', t . 't,:CL , L�.(. . 1. Name: 2. Street Address: i /1'v'} i,v''J J I I'•'t 1 2. Street Address: City:( .v. ;,..; `'; •� State: C.1( - Zip: - f Ai' City: State: Zip: 3. Phone Number: 5/2 / t.j 33 cr..i-- 3. Phone Number: 4. Fax Number: A../ 4. Fax Number: 5. Contact Name: (IN '% t_ t,...!-0/ f L, 5. Contact Name: 6. Is there a Letter of Authorization on file? ❑YES ❑NO E.WASTE STREAM INFORMATION 1. Common Name of Waste: f r‘ c 2. Detailed Descri do of Process: ' ,,.., ;� - , .: ).�.6 t��',-- ,'-\-- p c.) ),- /) to <_ .''/\.. f�c-..; -t -S�' :r, . / se(C _-;_- T , ./t_ ' �. its /--2v�.J;I f< r/1 i-- 3. Physical . -"at 70°' T'Solid El Semi Solid ❑Liquid ❑Powder ❑Other j 4. Odor: Fil one ❑Mild ❑Significant: (describe) 5. Color: (l ,,i__. 6. Flash Point:/\/..\ °F 4'14 °C 7. Reactive: ENO ❑YES with 8. pH Range: /t / 9. Heat Generating Waste 121 -0 ❑YES 10. Free Liquid: 111 NO ❑YES 11. Water Content: �',%by water �� 12. Does the waste contain radioactive or U.S.D.O.T.hazardous materials,PCB's,or asbestos? ONO LaYES 13. Does the waste contain any etiological agents or untreated medical waste? Elicf0 ❑YES 7 14, Is the waste proposed for management a hazardous waste as defined by Federal or State regulations? QNO . ES F.SUPPLEMENTAL INFORMATION 1. Attached Document(s): [done El MSDS ❑Certified Analytical Report ❑Memo/Letter ❑Process Knowledge 2. If analytical data is attached,is the data derived from testing a representative sample in accordance with 40 CFR 261 and/or other applicable laws? OYES ❑NO G. SHIPPING INFORMATION 1. Packaging: ❑Bulk Solid Bulk Liquids ❑Drums ❑Roll-Off ❑Dump Truck 0 Tank Truck Other: f f, ' �/-//) 2. Estimated Volume: $ / ,:}-l S. ❑Tons ❑Cubic Yards ❑Drums ❑Gallons ❑Other: 3. Shipping Frequency: per ne Time 0 Month 0 Year 0 Other: 4. Designated Landfills \-- 14.-- _-'Ac 'tGA,A ( Zu Z,_:.>1/‘..0 4.- Z1-- 1,,(Aff 5. Disposal Method: LJ Landfill ❑Solidification UrBioremediation ❑Other: H. Generator's Certification Statement: I hereby certify that the above and attached information is complete and accurate to the best of my ability,that no deliberate information was omitted,that all known and suspected hazards have been disclosed,and that the waste is not a regulated hazardous waste by government or local authority,and does not contain PCB's regulated by TSCA or any other regulatory authority. If any of the above information changes,I agree to notify Republic Services prior to offering the waste for shipment or management. C- I, E V\. \-t `l 1,, 1/'L__ (NAME,PLEASE PRINT)am employed by Ct j.:1t c.,--c,?t ‘ ,1t,-r .k k`k,;L . S Lc_ C. (COMPANY NAME)and am authorized to sign this request for r COMPANY NAME:,�f' tr 1<Cf ,cl:Li)'k.1 L t.c__S 1/ C... PRINTED NAME:f7,f _ u�.L . / DATE: c� :, - ,;2 L•,.:`."V SIGNATURE: . ' _ .7 � ?2, .d.� Form SW01 (2003) CZ: : Inspection Report City of Tybee Island 403 Butler Ave. P.O. Box 2749 Tybee Island, GA 31328 d el Phone: (912) 786-4573 ext. 114 doe5 Fax: (912) 786-9539 CA-/ Permit No. 08 - 0°/ Date Requested Owner's Name YE 6A'C' r Date Needed Jan. z3; 2 008 Gem Contract°. r/4)0 e Rem cerkIr Subcontractor 'C/6-a#-■ 15X Contact Number fl9 k O8 - 33 es- Location /&0 .0b.,E, /1 Inspector '7/ Date of Inspection Type of Inspection izale Pass Fa.. EJ „._ *************** -COMM. ANAL- **************** DATE JAN-23-2E ;**** TIME 11>08 > **>k*** MODE = MEMORY TRANSMISSION START=JAN-23 11 07 END=JAN-23 11 08 FILE NO.=722 STN COMM. ONE-TOUCH/ STATION NAME/EMAIL ADDRESS/TELEPHONE NO. PAGES DURATION NO. ABBR NO. 001 OK s 3062646 001/001 00:01:04 -CITY OF TYBEE ISL. - ****************************>k>k****** -CITY OF TYBEE - *>k>k>K* - 912 786 9539- ********* ; .��, i F 4,14 ,401 RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR SAVANNAH ELECTRIC.FAX TO:Lynn Brennan X37 Phone 912-443-5063 311(0-?.446 Location Address: 1 (D 0 S t2Qmfdl Ate,Lot# Release Date:1-23-0? Type of Release: V ,.Tempor ry Permanent Subd Name: Electrician: A. L. (oan Electrician Phone Number:SO 3 S: Owner/Builder: - Phone Number; (1794)-2214-.6,5?29 _kii,,,i/es_h.0- Location Address: Lot# Release Date: m 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: . lOW is• ej IN I I Oill jN / RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR SAVANNAH ELECTRIC.FAX TO: Lynn Brennan 9137 Phone 912-443-5063 30(0-24 '-" 0`t" -bc1F 7 Location Address: 1 (00 S, e� 1 (A€. Lot# Release Date: 1---23-0a> / SawPole. P Type of Release: _ V Temporary Permanent Subd Name: Electrician: L_. J (oar 5 A . 1 Electrician Phone Number: C7 -- 3S Owner/Builder: a h .eS � Phone Number: (ris-)22(1—(pg2 9 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: ., Al 1p..,.1. .,.,-•7. I A I .t, • ,,r Y t �� o • _ , I rX11 11.4. 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Hydro Seed Grassing•Sodding•Fine Grading Erosion Control•Wetlands Planting r R.Alan McNeese Superintendent Mobile(912)213-1793 P.O.Box 428 Office(912)739-8805 Hagan,GA 30429 Fax(912)739-4624 _....� R.B.F. = REBAR FOUND REF' .PLAT SOUTH CAMPBELL AVENUE 60' R/W 1/2" R.B.F. N 10°54'05" E 89.89' 5/8" R.B.F. % ® - -® i, 89.96' °'—3.00' 3.15' 0.23. 179.76' ' cd N 10'56'42" E / S 11'00'00, W m Ltj ri / I WIRE FENCE cv I EXISTING ONE STORY V- ;•-•'w FRAME RESIDENCE IN to co LOT 26 � h ' , o lk LOT 25 8.77, / �� I I� o° co LOT 24 � X CHAIN LINK FENCE 1/2" R.B.R.B.F. s �,, 25' MARSH BUFFER LINE AL, . -\ SURVEY TIE LINE -a p�' DAR Illle �\ WIRE FENCE O dF . JAR �� ,� METAL STORAGE BUILDING IS OVER THE LINE BY 0.9' CliRI SI 23 _ „ilt AN 2 jINF ` GV F . ,6% � a>lic ' 5/8" R.B.F. r/ �� o 4-4. ..,,,,, '\` -tic-� - EDGE OF MARSH -AL STATE OF GEORGIA NOTE: ACCORDING TO 'FIRM' 135164 0001 C DATED 6/17/86 CHATHAM COUNTY THIS SITE IS IN AN `A8-14' FLOOD ZONE. PLAT OF LOT 25, HORSE PEN HAMMOCK SUBDIVISION, FORT WARD, KNOWN AS No. 160 SOUTH CAMPBELL AVENUE, LOCATED IN THE CITY OF TYRE ISLAND, GEORGIA. FOR: ALAN J. YESNER DATE OF SURVEY: FEBRUARY 23, 2006 DATE OF PLAT: FEBRUARY 24, 2006 SCALE: ,��p R G , IN MY OPINION THIS PLAT IS A CORRECT ' \ '''t. , 0' 20' 40' I <Z- REPRESENTATION OF THE LAND PLATTED � ��. , ` E.O.C. FIELD 1/ 27,683 _ N• 22' •�� < ERROR/POINT BERT BARRETT, JR. ,�." ADJ. METHOD NONE LAND SURVEYING, P.C. al�,A`9ti/su �E-0 � E.O.C. PLAT 1/ 51,785 145 RUNNER ROAD T R TOTAL STATION GEODIMETER 610 SAVANNAH, GA. 31410 B B A RR� (912) 897-0661 ^J 6 (Fp m- _.nQ' rcvcrvwr-tIVICKCitNtilr MANAGEMENT AGENCY p_M,B. No 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200! ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. • SECTION A-PROPERTY OWNER INFORMATION f(syiar _ t. : BUILDING OWNER'S NAME R >.::: ; ANNETTE S.YESNER BUILDING STREET ADDRESS(Including Apt.,Unit Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO .8 r'N IC't` iil*:,: ': 160 SOUTH CAMPBELL AVENUE CITY STATE ZIP CODE::::} TYBEE ISLAND GA 31328 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 25,HORSE PEN HAMMOCK SUBDIVISION,FORT WARD,TYBEE ISLAND BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS(Type): ( ##°-Mt'-Nor or ##.#fl#tttt°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION BL NFIP COMMUNITY NAME&COMMUNITY NUMBER B2 COUNTY NAME B3.STATE TYBEE ISLAM),GEORGIA-135164 CHATHAM GA. B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX 66.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of flooctrg) 135164-0001 C 6/17/86 8/17/86 All 14 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Proftie ®FIRM ❑Community Determined ❑Other(Describe): B11.indicate the elevation datum used for the BFE in B9:®NGVD 1929 0 NAVD 1988 ❑Other(fie): B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)?D Yes ®No Designation Date N/A SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Bunking elevations are based on:❑Constructia Dre ngs* ❑Btikdrng Under Construction* ®Finished ConstIuction *A new Elevation Certificate will be required when conduction of the bufldmg is ca nplete. C2.Build ng Diagram Number S(Select the building diagam most similar to the burg for which this ate is being completed-see pages 6 and 7. If no diagarn 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,AR/AE,AR/A1-430,AR/AH,AR/AO Complete Items C3.-a-i below according to the bung cfagarn specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section 0 or Section G,as appropriate,to document the datum conversion. Datum NGVD 1929 NONE Elevation reference mark used LOCAL Does the elevation reference mark used appear on the FIRM? ❑Yes El No ❑ a)Top of bottom floor(including basement or enclosure) 11. g t(m) 1 Ci b)Tap of next higher floor 11.60 fL(m) to ❑ c)Bottom of lowest horizontal structural member(V zones only) N/A. ft.(m) g o t N ❑ d)Attached garage(top of slab) NONE. ft(m) w 2 Ilk) ❑ e)Lowest elevation of machinery and/or equipment servicing the bulking(Desabe in a Comments area) 11.44 ft(m) 2 W \f))11 ' I3 f)Lowest adjacent(finished)Bade(LAG) 8.7 tt.(m) z N O g)Highest adjacent(finished)grade(HAG) 10.2114m) N N !v ❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade SEE COMMENTS ❑ )Total area of all permanent openings(flood vents)in C3.h N/A sq.in.(sq.an) 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 may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. CERTIFIER'S NAME BERT B.BARRETT,JR. LICENSE NUMBER GA 2225 TITLE PRESIDENT COMPANY NAME BERT BARRETT,JR.LAND SURVEYING,P.C. ADDRESS CITY STATE ZIP CODE 145 RUNNER ROAD i # SAVANNAH GA 31410 SIGNATURE DATE TELEPHONE /" 8/19 1 04 912-897-0661 08_008' FOR I Coastal Resources Division December 6, 2007 1 1 �� Mr. Alan Jay Yesner, M.D. 8207 NW 63rd Court Parkland, FL 33067 RE: Jurisdictional Determination -Marsh Jurisdiction Line for property known as 160 South Campbell Avenue,Tybee Island, Chimney Creek, Chatham County, Georgia. Dear Dr. Yesner: Our office has received the survey plat for the property known as Lot 25 also known as 160 South Campbell Avenue, Tybee Island, GA prepared for Ace Remodeling stamped by Mark Boswell, P.E. and dated December 6, 2007. The Georgia Department of Natural Resources line shown as on this survey generally depicts the delineation of the marsh/upland boundary as required by the State of Georgia for jurisdiction under authority of the Coastal Marshlands Protection Act of 1970. The delineation of jurisdictional tidal wetlands is subject to change due to environmental conditions and legislative enactments. This delineation is valid for one year from the date of this letter, but may be voided should legal and/or environmental conditions change. This letter does not relieve you of the responsibility of obtaining other state, local or federal permission or authorization relative to the site. It is also incumbent upon you to contact your local government authority or the Environmental Protection Division of the Department of Natural Resources regarding any impacts of land within 25 feet of the established marshlands jurisdiction boundary. We appreciate you providing us with this information for our records. Please contact me at 912- 262-3134 should you have any questions. Sincerely, , t ) John Wynne Permit Coordinator Habitat Management Program Cc: file L.eorvia Department of Natural Resource,. • ( oatitat Resources 1_)i i ion (,)ne onserC.dti,)l l�a‘ • Cii uIiso\icL l eorgia iLl . (012. ,1,4- l� • F.A\ i-,; 2h2-;i4 • 1\ 11; nttp: s_!._; Decc-06-2007 12:41pm From-CRD ECOLOGv +9122623131 T-409 P.002/002 F-735 23/4 E OR ,I Coastal ReS47urce, Division December 6,2007 Mr, Alan Jay Yesner, M.D. 8207 NW 63rd Court Parkland, FL 33067 RE; Jurisdictional Determination - Marsh Jurisdiction Line for property known as 160 South Campbell Avenue, Tybee Island, Chimney Creek, Chatham County, Georgia. Dear Dr. Yesner: Our office has received the survey plat for the property known as Lot 25 also known as 160 South Campbell Avenue,Tybee Island, GA prepared for Ace Remodeling stamped by Mark Boswell, P.E. and dated December 6,2007. The Georgia Department of Natural Resources line shown as on this survey generally depicts the delineation of the marsh/upland boundary as required by the State of Georgia for jurisdiction under authority of the Coastal Marshlands Protection Act of 1970. The delineation of jurisdictional tidal wetlands is subject to change due to environmental conditions and legislative enactments. This delineation is valid for one year from the date of this letter, but may be voided should legal and/or environmental conditions change. This letter does not relieve you of the responsibility of obtaining other state, local or federal permission or authorization relative to the site. It is also incumbent upon you to contact your local government authority or the Environmental Protection Division of the Department of Natural Resources regarding any impacts of land within 25 feet of the established marshlands jurisdiction boundary. We appreciate you providing us with this information for our records. Please contact me at 912- 2623134 should you have any questions_ Sincerely, John Wynne Permit Coordinator Habitat Management Program Cc; file (.:;eor 'If11_cisrl' 1-no..n! of 1N1;itircti Re,:cuL1'ce: i_aoc,sLal 1iiir.,; \'lsil-■i", _ \:cl■ ._aLt11 .1'.'111. C■,rc",I':I,'i %i'" 11__ l f , __7-. . _'1' 1' f l _, 'r'- .J 1' ' \\'17.n. 1 Dec-06-2007 12:41pm From-CRD ECOLOG" +9122623131 T-409 P.001/002 F-736 GiaiiA Deparcmmt of lYat¢ml R4Rource: Coastal Rcsourccs Division FAX Transmittal TO: - DATE C!4vc. k /s' -4. 7) 2/L .•� i / / - FROM: PAGES (INCLUDING THIS PAGE) FAX: COMMENTS: • l#/-'4 s-e ( 4-e. *1 4 C 6-1C- GEORGIA DEPARTMENT OF NATURAL RESOURCES COASTAL RESOURCES DIVISION ONE CONSERVATION WAY BRUNSWICK, GEORGIA 31520-8697 912-264-7218 FAX 912-262-3143 CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT Location: /6b 4--k e \` PIN# NAME ADDRESS TELEPHONE Owner fk ./kl:v■' yN2 ) 75"y (i ,49, A r c h i t e c t ( <) /.2 'C 'y��` or Engineer #� C.m,1)■ KP1'�' (y,�L i Z :T1)3�a' Building nn (n.�i,kz Contractor l�� al-A-I:.� s1R-- 6-7 tyy'tia Size. 6M ��`� f -Sod,..?3J �..�. (Check all that apply) ❑ Repair esidential ❑ Footprint Changes El Renovation Single Family ❑ Discovery El Minor Addition El Duplex ❑ Demolition ❑ ubstantial Addition ❑ Multi-Family Other OA:(& (j t ❑ Commercial Details of Project: Cr)■r KN /14 - txG e /0 ' A ,, c...)r) is-1— /1.1,414/ Estimated Cost of Construction: $ - l C? C 0 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 I #Bedrooms #Bathrooms I Lot Area ./3 41.t Living space(total sq. ft.) #Off-street parking spaces $�r Trees located &listed on site plan 27, Access:SO.)1-k Driveway ,/S (f.) With culvert? 410 With swale? rt/0 Setbacks: Front 4:7 - Rear A A- Sides(L) / (R) /1.1 / # Stories / Height_ 3 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 4(,,,P, •°nu a P-I ;• C 7'7, -''J s) On-site waste and debris containers will be provided by 4,x,,,,,,, )-1 A J t h i U 4 k_ Construction debris will be disposed by,4 b E 1 r-- kA j means of Oun,,fn.3 J--C/ 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: /fri 7 Signature of Applicant Lif7 � 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 E X- S Water meter size Storm drainage Approvals: ;' Sig 4 ;/ Date FEES Zoning Administrator Permit 9A. -- Code Enforcement 8 ii - j��,_ 12.....28_0g Inspections I 05T Water/Sewer a Water Tap Storm/Drainage Sewer Stub Inspections �'' Aid to Const. �' � - City Manager Aie ?� 2t5t� l— , and F367-/n1 /1z o,) 75, TOTAL 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 t•- .ity Ordinance r-.uirements. Applicant name. L_ C r ✓' //1/772/k Project I.D.: Attachments approved by: Date: 7k /7 -c)7 .. . . . . . . , . . 7,=7,-;',-,\'7-Y.;.""=',,r4;;i1f7 ,, " • :::.,'"','':'l' ' j,:i:,, . -7-7, , !Il . ' -;' ' _-:-: :,,:: -,- .7,. :: , 1-?0. ' -q:)... . . 4 .,%---. • glathaia GOVOstZA ' C.:'.--, '‘-':' ,---, a 0 7 R" 9" Ik) • ‘5,77,,,,,/-5-411(7.9//z3pll e. .4. 1'"/ eX, 7--;/ 5Nit 44/ - S4 ---- -iv ' lon e-J)--Tchfp--z5t .. _. .,-.„. _-:• :,., . . my= F71 co : COEPLI.P.70 -43a I ii /pi pic/1.02 1,13, 4 Ar (::// ---. ''',/13-: A :') ;'1: ; ' :..-• -'7: '.:' T:' 1 '; 1._:.' f ;'';:[::•'- --. -Pli''';'.-." -: , 7f-e; , '3Q.7 It iiivoiT 7i.-3,_7!n -Pl&Z,_o to j._asnti- ..•?..' : ii .1 ':'' . • :f.c:7:: •.:_1 :11-_,-,;:-:,-.",,. T-.:7: -.:'7 :-:.:-.-;:;'.;_.; ::-;..1., b;'II theE; mint fal :::: , , 4. 706/03,twip.,/e, .kr 00:7<eizic e36.90erjap 0/1/17 ut5h4 i . . 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