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Home My Public Portal About08-0026 Jurick OFF' � �� ) Vk��gZUxnra a'�,� CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 01-16-2008 PERMIT#: 080026 WORK DESCRIPTION: ADDITION WORK LOCATION: 1105 LAUREL AVE OWNER NAME JOHN JURICK ADDRESS JOHN JURICK CITY,ST,ZIP TYBEE ISLAND GA 31328-8748 PHONE NUMBER CONTRACTOR NAME THE COTTAGE COMPANY ADDRESS P 0 BOX 2947 CITY STATE ZIP TYBEE ISLAND GA 31328 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE 1720 OCCUPANCY TYPE P TOTAL FEE'S CHARGED $2,275.00 PROPERTY IDENTIFICATION# PROJECT VALUATION $175,000.00 TOTAL BALANCE DUE: $2,275.00 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: 44:4. 64.424 .... P.0.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328 (912)786-4573-FAX(912)786-5737 www.cityoftybee.org v. CITY OF TYBEE ISLAND BUILDING PERMIT REINSPECTION FEE DATE ISSUED: 04/18/2008 PERMIT#: 080026 WORK DESCRIPTION ADDITION WORK LOCATION 1105 LAUREL AVE OWNER NAME JOHN JURICK ADDRESS JOHN JURICK CITY,ST,ZIP TYBEE ISLAND GA 31328-8748 PHONE NUMBER CONTRACTOR NAME THE COTTAGE COMPANY ADDRESS P 0 BOX 2947 CITY STATE ZIP TYBEE ISLAND GA 31328 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE 1720 OCCUPANCY TYPE P TOTAL FEES CHARGED $2,335.00 0 PROPERTY IDENTIFICATION# •`(5/v PROJECT VALUATION $175,000.00 , REINSPECTION FEE-FRAMING TOTAL BALANCE DUE: $ 30.00 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)786-5737 www.cityoftybee.org p j l CITY OF TYBEE ISLAND BUILDING PERMIT REINSPECTION FEE DATE ISSUED: 04/16/08 PERMIT#: 080026 WORK DESCRIPTION ADDITION WORK LOCATION 1105 LAUREL AVE OWNER NAME JOHN JURICK ADDRESS JOHN JURICK CITY,ST,ZIP TYBEE ISLAND GA 31328-8748 PHONE NUMBER CONTRACTOR NAME THE COTTAGE COMPANY ADDRESS P 0 BOX 2947 CITY STATE ZIP TYBEE ISLAND GA 31328 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE 1720 OCCUPANCY TYPE P TOTAL FEES CHARGED $2,305.00 PROPERTY IDENTIFICATION# 0 PROJECT VALUATION $175,000.00 411\:121 REINSPECTION FEE—ROUGH MECH TOTAL BALANCE DUE: $ 30.00 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/(/t/t,-2 ) /" P.O.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328 (912)786-4573-FAX(912)786-5737 www.cityoftybee.org "rPk)t - /----' \ ) ' • . ( ' v• ':,:='••- ••-: ; Inspection Report a City of Tybee Island \/ a_ sic_ 0,.-1 cS 403 Butler Ave. CI o e. S ,t-,'. t'D ira, S i.,-- P.O., Box 2749 Tybee Island, GA 313A8 Phone: (912) 786-4573 ext. 114 Fax: (912) 786-939 Permit No. n 6-- - oc-3-2_(0 Date Requested ...... Owner s: Name j ..) i . 4'''''-\ Date Needed 0 (-) 2 Q 0 P .--) Gen. contractorl . J I 0 1-1- c q.12 (-.-0 • Subcontractor .e-- Co ntact Number DaZ4-4" 15° 3 9 / c7 Location I i 0S-- 1,-,_ 0 Li r c_. 1 Ay e-) . .,.. Inspector_ IfiN4 r71/)1 Date of Inspection - Type of Inspection ,r:,-a j. .e [e c . ( 2.Jc_cll / lec .) L_\ – - Pass 0 - Faii El , . , , re ,(.- spv c:--I-- •-C,',-,0.1 D i ;).-.., b i f` . (-7-,-- ,./ IT,. , , .s-) ---\-- t Rp.s,9 \ --i--- re , r• SneC — . ,-- ck r, RNS,9 .---P ,..-a ----i--- ,r.,..,--: . __ _ _ _ .i, , r .•. .. / I , :- . ii ,, ..,.. ,,, --,-, t-, - .-..- •'-.1`.\ ' ••• inspection Report t City of Tybee Island 403 Butler Ave. P=6, Box 7.740 1 . Tybee Island, GA 31328 I \ Phone: (912) 786-4573 ext. 114 Fax: (912) 786-9539 I ‘•'-‘: ••••:, 1 c. - .--N -7 ' „ permit Nip, (,) CD ,...,) — l .,'D :`.-late Regilested r.',) (0 -I c - 0 S. '■ , . Ommer'-275.. Mame j J r . c V--) Date seeded (-) (r) -- 1 itst -1 NO Gen. Contra:ATM k._n D-jr-1-0, ,,,(2 L.33 . Subcontractor Contact tiO urn -er 4-7.,.) (•, --\--' +. - -3 I 3 — 39 I I r iy '1 0 S L. c; ) e.._\ iki Q) . Locaf.lon _ — Inspector -7 __ Inspection P _ Date of Ins AtI . .) Type of inspection ----- — , ■ miglY --- ( ': c, Q-1 e. C.:- • ( 'T?‘ d 5 cQ-I k -.....1 Q C..) --- l-----714`‘. , rl I ,-- Pass ; /4 -TatiV i-Dit 116 -0 ” ZZOTETZ- V%)1/31c"--- e__71;IXQI'L'' 1 V Mi. ZOLA tOL. S' ( ) . I I •cl' . 1 K-&$ k.i.:1 1)Zizrz: orilysitoi-r,, c.2_720 c 1A6‘----C) f,t-e-rep auia 0 04 ird 001 i . . •...A 1,..„. .,1 , , ,,_.L,:-..., . ,--s2._ ( 1 T , „v. (.. s ) _ [ \ ( 1 , 1_. 1 \ t i — c>i i ifli .5.-.. '-itt) -rt oolz. 5-PC "Lc 0(-. 41)-5 . , . _.. . . - , . . ,..----..:-. •7 1_- , i.o.#,::1.4.„:0 i r i-all?(,,,y_..-44,1_. --p /3 1 4 i'.. (23 (2D 7E1<:-.711STZ;i 0-iz, i g. 6-. Zoo (s, 1 q--I 1, -22;.. 1 • ..„- — — — - - - - — -- — -- -- — — -- — -- . ----- - R I / (-) Inspection Report City of Tybee Island 403 Butler Ave. P.O. Box 2749 Tybee Island, GA 31328 rIgvae: (912) 786-4573 ext. 114 F : (912) 786-9539 —.1 —, Permit Nn ) g- 0 C72-(C) Date Requested 014 —Z.,3-OE Date Needed - Gen. Contractor 0044, 06-CP 0-s-)-- . Subcontractor Contact Number .-. .0 ' A--- r. 3 3 - '11 ci Location 1 \ 0 5 . 1 e-\ Ai e .. Inspector 1/4 Date of Inspection Type of Tnspection re I IN s p_e c_'`' -- Fail E 4zi..s& C.„?-0' ----\--- -- — -- — — —— -- APR-16-2008 WED 01 :07 PM VISTA FAX NO, 8037948812 P. 02/02 1074 SUNSET BOULEVARD WEST COLUMBIA, SOUTH CAROLINA 29169 PHONE (803) 794-8311 FAX (803) 794-8812 April 16,2008 Gaster Lumber& Hardware 15010 Abercom Exp Savannah, Ga. 31419 Dear Mr. Keith Williams, The order for the Jurick project on Tybbe Island with quote#SQDFN000010D,was for vinyl windows from KOLBE Windows& Doors.These units are from the Inspiration series.They all were ordered with the High Performance modification (HP)with structural mull for the twins,triples and single units with transoms. This HP modification provides a DP 50 to the units. Testing was by STORK dated 1/8/2007# 180-7288 If you need anything further please don't hesitate to call. Rick Lindsey 143*--16 7-07--0-)/bi°4 506? Received Time Apr, 16, 12: 53PM - •- •• •`-••• : -. inspection Report City of Tybee Island 403 Butler Aye. P%.0. Box 2749 Tybee Island, GA 31328 Phone: (912) 786-4573 ext. 114 fax: (912) 786-9539 Permit No, k----; C Li L" Date Requested 04 - i i- to F --------------------- Owner's Marne , 71 r- , (- fr--- Date Needed L) 9 1 )-44 - 7' Gen. Ccmtractov `-- -, 0 C',12- (--- .D . Subcontractor ---s- ,..---- Contert Number L')C, Location _ I C) S L 0 ,, r d I AVei , I- irkgpector____ Date of inspection Type of inSpertiOn, -\----77-------.," --- ,--k- r D J ':.,) -, r\-4? - 1 ss e....\..7 Fail [::1 . . ou. , A \ \ )---bc41 " ■ 7 / 1-- e ,., .5.,c),_2 c .. -47 r c,, --•veu. . o, --)._ \ ) / i '■ 1 '''' ) 1 i) xj(:). , -Vitl,„\\)r.:1 E I.AK.J...-..› • J . , IP\ :77)-(L),.-1-S I J 1 6464616- . I .1%,!, It 1 - . ,-...... , -\ .7) 47----<-44o. 1:1".:41 3, ,j(z-''''16>, ,\•--•- ,,,„ eri---1, 0 —f i —. 5r E 3 i ii. , / r ) k --AD ' \ --).\,.' --1 -- --) --, 0 , , ,....- ,---- , ),-. i 1 ' '-• ,,,,,-...„, • : ,•,,,,, ; ,. -,•cl'1411-,,f, 1 ‘ . , . ._...• ..,.. .., 'i•::::.7;s }i3,-='::::zrtion Report city c Tybee Island 403 Butler Ave. P.O. Box 2749 I . Tybee Isiand„ GA 31328 Pone:: (912) 786-4573 ext. 114 Fax: (912) 786-953e c. I-) '-." 0 C•-)) 1(4 Permit 1.41L, irl.) -- I ...,,- 1 . '"' oS)' Date Needed ,, Gem Cortra:tor - ',-)'-r-NA'-,--- t., n , SU bco Titrac to r . 3 :3 1 conta,t. Num ber .:71) C '•:::-4--.\---" Locaticin 1 I (....) ,:.). L. (77 (,) )-2_, 1 Av e) - , 1 nspecto 7 -lig Date of Inspection _ 47/716/7‘4_3 Type oi: Inspection , •--- ( e Cd d --_ \ e , r ,.> 1..1• C. \ (..) ' ...1 •& 1. I • . T,-• 1 2 • ---qi' NYIZ:-17Ta V i-10 ) < 4 ''' -7 '-ir 1-1 1 • K .- - ik ,..). t)rc,...v0 .•.- i <10410.1",..LS'N •; 0 1 r7,_..1.,,,.4 677.i.'17: •' \ \-7:LA 047-11:(> rc ;i"x.i t c.,...ic.---'\--, ■ 0—21+7 47.0.0 67 ( I 602 . 6 ! 1 , (-OD, 0-7-a , 46-22,, kl-m 4....• , . • i p.ii. V 11-- It .— ,....,( --r r a v-v-- - .--, c\ , - _ --\--- I I .......,) I 1, I 1 f -- i I 1 i I 7,1 115.17-26)0 1 i.:. ft A , .i,:2 0 1 rl 1 I.:jP *F-1,14.1 13 6:r_S Z ,•:',:„ A 1:4-Ziras.::: 1 1 30ç11-• -7) 7,-03, z, --, CT 7-m- ( ‘\.._. .0 e, •":::, •• 2.- --;:. ; i 0011 Sc --t--1-. Inspection, Report City of Tybee Island L 2 403 Butler Ave. _----------- P.O. Box 2749 Tybee Island, GA 31328 Phone: (912) 786-4573 ext. 114 Fax: (912) 786-9539 Permit Cv r: , og - 001 (., Date fl pry leg-F4 011 (DoF Owner's Name \ 0 r • 4*-- Date Needed 0 4+ - 1 ) --(.)g Gen. Cc ntractor 00 .ii.'6 Oa. 0_1. . Subcontractor _ S / 5 Contact innbp.r ,_..)C._ 0 - C? . Location 1 1 0 5 Louc-eJ ---A-4e— / [ Inspector //6 Date of Inspection 1 Type of Inspection 1 , i. \ r ,ff. i'n 50 64- r c)--',) ch.) ^- b ' - ( I f- 0 Til' i-v, .I- e-% Pass S --1-- Fail Liri--17 \ R AS0 C / 1 ...----- ec. , -- s-,,,y,-L,e_ c_■-\arN2re_,(PJ.5_(c.i() 'Dy-kele-la5e- I i,sf a c-L-t. k-^ -pcq SS-e_ci t 5r4,47?,01cIi. Cr-6.E., -014 0)‹. ---t., 7-01 gasif.. ci k cYN9 c\--s • ( e a i c•j•Lo-e( I) - .....-- 1 VI 1‘ --\- i ta 0 4 b ) 'i31-t--(14. .fezrA,) v.=,k 00 , z , 6) ■116_, z,co ,o'L., S ,L41( --cz-r* , -1 J-73-VIZA(Al 0 f° I bOCI *o'************* -COMM. RNAL- ******************* DATE APR-11--20 **** TIME 11:48 ******** MODE = MEMORY TRANSMISSION START=APR-11 11:47 END=RPR-11 11:48 FILE NO.=111 STN COMM. ONE-TOUCH/ STATION NAME/EMAIL ADDRESS/TELEPHONE NO. PAGES DURATION NO. RBBR NO. 001 OK a 3062646 001/001 00:01:05 -CITY OF TYBEE ISL. - ************************************ -CITY OF TYBEE - ***** - 912 7E6 9539- ********* ! A— RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR SAVANNAH ELECTRIC FAX TO:Lynn Brennan 9537 Phone 912 '5040-260.0o . 06-29as .■ .�6e 3°F- 2"5- ®8=odZ Co Location Address: f ( DS Lauc-t- AVp,, - Lot# Release Date: C)4-ii-0g serve, e (aka.' Type of Release: Temporary Permanent Subd Name: . . Electrician )S 5 e j` 17-,lee,,, _ Electrician Phone Number: 4-( so-7 Owner/Builder: Lr„ ,,r; c`C Phone Number: 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/Budlder: Phone Number: •Pla ,... .1. ,„ ....F i %u wv,IN. 4,0 -41414 RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR SAVANNAH ELECTRIC. FAX TO: Lynn Brennan 9-235-37 Phone 912 otel- 2 C0 yco 30k,-290S' Qa+tuf 3a8- 2 4,237 Q T-Do (.o Location Address: 1 ( 0 S Lau c t Ave) . Lot# Release Date: 0 4-11-0 g /Permanent-.erv <e ekav -Type of Release: Temporary Subd Name: Electrician: v S.S eA I �J> (e o>. Electrician Phone Number: ( 3o 7 Owner/Builder: ,)O —To r ; L. k Phone Number: % v i" D N 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: .1 , , • I ; i . • . 0 0 . ....k ,.. . .. ; . . . r jt.:'• • • , ... nit;PeCtiOn Report OP/ of Tybee Island 403 Butler Ave. Box )149 1 Tvbee IsUdott GA 31328' Phone: If 912) 786-4.573 t_kxt. 114 (91)) 786-9539 1 Permit No. . 0?- OC)2 (1) (---) Date Reglik.-..sted .__..., ...) -0 S - 0 F • Owner's: tii-arne k ,J r • ‹._ki D-ate Neec .,d () Q4 3S 0 c,-,,,tract,„ 0:01---1,---Gc2_ Lo , s.bcontractor I r 3 ti c,-,3, -4t. ct pi t)PI her 0 Li k 0 rIA Q5 LiSLI - i 0 (c -r- , , ,..- 1 Location 11 (.. .) : L ouv-e_ i 4,,& , : 7 • _ , F)AtPt 4-)f Tnspertipri 5 03 ___________„_....7_____________ ) :Type ot 4-Bsper0.7#o N.--" 0 J c V-> r....--,; Pass L \--2 ( , . . 0.11. ', 14'4 ----\-- ....,- .......„- • r . (Th 1•. . . Inspection Report City ot Tybee Island 403 Butler Ave. P.O. Box 2749 Tybee Island, GA 31.326 Phone: (91 ) 786-4573 ext. 114 Fax: (912) 7 -•939 Foci-01kt ( C _C Cc, R-F4 02 - 19 - 0F rCirOf' TT:: C •k) 'Date N eeded CD-2.. 2 0 - 0 e Ccrador subcontractor Contact Nliryitier \ N Location I L.) La T nsper f:Ck r "7/4) Date of Inspection Type of Inspection Fail f Pass :. co . n ..........„ A .. insuectiora Report pg, Iybee Isia4 4.03 P:utier Ave. '0_0, acnt 2140 isid itd,, Ghi :313-1G 9 11) 713Ci--4".:i 7:r...- tr".gt_ It 14 Vif,x: 1.-;• ) A36 .9"i31 e.- V) natf-' RP'eNieSted 0c7R - 1 3 - 0 3 : TL _K_ Dare tieMed 0 - i q - D3 U -A-csA :1.4;rt r c fro r C z • nate .i)f Inspertkin Type of linspertirva LIMPIIMIr3i rill*Vskiaal Ali ran. i .11 1 1 i I I• (..... I ' 1 A., •-- . ..._2._..,„ ....- • -1 ..e . . , ,. ; / i.1 / I. c ' / / ......-4,1:-;•'. A• e recsasui ,- ii-J--(7C;?......' -, 1O ' ...,01 1 / / ...,...,_ ....r ,. --1 C, .il f.,if/ "2..k.;?, Fr r',.'/ P.C7i 4 1 -7 CI /r/ C:/ff/4(.2‘(1.215.7(' r„.....-- ...,... C—.„-- . —— 4_104.31.iSili JO • ro,..",, v 1 ---0-1 I i c," 1 ....''., , C) 1 1 uctrteck.ol , r L11-) :3 -- -7" c-_,....„— 1-t C D C- A o-6-10.44'im _peltics3 ----- , . . ..1434.4e.i.p_lopc-pis .t(-J4U 423 -u pi i I C 1------ ppaat4 %-. - -F. Z_.. - i (-) I aisarib2e 2,-.12,6 u - .4-_tN i?sta.-dati: 1 — p ) to 0 - s r ) • 6S6-901 (Ziii) :74P1 VET "ixa ELSV-98L (1145) :•atictikil i sz.c.jc tr,-, * 3puPri azig.A,§ - 64711 xog a-AV Aatinfli E.A.P. pupgsi eagAkici 1,4P 1.sodyi uo!iaadsuy s''''?,-,... ..•,.:'il:. , r -, .. , CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT EH wiv Location: II OS cpURci- Ave . PIN# 1- D4(-DDS NAME ADDRESS TELEPHONE Owner JottN J.va.lL lL I I(35 LAinLeL A>1E t-1 1 3 6 4•)3 1316 Architect v.o• $ox 3041/3 or Engineer ��vMiO"' °�5�GNS snvpnrvp).1, bA . 3NJ/ Building TH4- 24131 NAB Ev1.51inwt S(- Contractor 6ntrA4E- ton.PA+" rivc- cy "m.014 GA. 31101 711-313 49! 9 (Check all that apply) Repair Fr Residential Er ootprint Changes O'Renovation [./Single Family Iscovery ❑ Minor Addition ❑ Duplex [Demolition 7 Substantial Addition ❑ Multi-Family ❑ Other ❑ Commercial Details of Project: Ann e A1°1'AOX. 1750 F of 5PAe‘ 70 /"2-51-Nt srrwe-r>m Alt A8ov FZ-401 . TEAS o(-F UIi 11L ST OW ilzelotA0 w3-?}} NA'101 Sr0ir � Rµ4 (LFPFT2 F+zOwf P6rt,W6 , Estimated Cost of Construction: $ /75; o o Construction Type (2) (Enter appropriate number) (1) Wood Frame (4) Masonry (6) Other(please specify) (2) Wood &Masonry (5) Steel &Masonry (3) Brick Veneer Proposed use: Ex/NrvSrory o PT Sbr,T fIA/4 F/MSG L/ Nnn,. 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 l #Bedrooms 1.14. #Bathrooms 3 Lot Area SBSe.,rd Living space(total sq. ft.) 1126 #Off-street parking spaces 7 Trees located &listed on site plan d Access: 1...21 ve_C2 x15 7.11\16 D2Z✓Z-w w.rGG rip/ 4,1.149146 Driveway sA s.-F (ft.) With culvert? Sn k(_ With swale? S' Setbacks: Front z a Rear io Sides (L) /. (R) i.P # Stories 3 Height C 3 Vertical distance measured from the average adjacent ,17 Aic grade of the building to the extreme high point of the building, exclusive of chimneys, heating e),<75 7 Th,-6 units, ventilation ducts, air conditioning units, elevators, and similar appurtances. 1-1F76N7 During construction: On-site restroom facilities will be provided through -fib N 1t's jr''Os PO r D 7 7 Oij • On-site waste and debris containers will be provided by iZ o$-o ENVIgotwervw Construction debris will be disposed by DLit-1257 L dL by means of 12 c i3ea A-t„y ei1G_ . I understand that I must comply with zoning, flood damage control,building, fire, shore protections and wetlands ordinances, FEMA regulations and all applicable codes and regulations. I understand that the lot must be staked out and that the stakes will be inspected to ensure that the setback requirements are met. I understand also that a certified plot plan showing elevation must be attached to this application and that an as-built elevation certification is due as soon as the habitable floor level is established. Drainage: I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way adversely affected. I accept responsibility for any corrective action that may be necessary to restore drainage impaired by this permitted construction. Date: t 16, c 7a 1 Signature of Applicant: ( cc Note: A permit normally takes 7 to 10 days to process. The following is to be completed by City personnel: Zoning certification NFIP Flood Zone Approved rezoning/variance? Street address and number: New Existing Is it in compliance with City map? If not, has street name and/or number been reported to MPC? FEMA Certification attached State Energy Code Affidavit attached Utilities and Public Works: Describe any unusual finding(s) Access to building site . Distance to water main tap site Distance to sewer stub site J-/A-) Water meter size Storm drainage Approvals: Signature Date FEES Zoning Administrator �// / / Permit 0 --- Code Enforcement Office il, �� UC--/,-0$/ Inspections 5 5 Water/Sewer I Water Tap /V/4 Storm/Drainage ._-ffr ///y( Sewer Stub f_441-__ Inspections . ..rs ��d Aid to Const. 00 City Manager AP / TOTAL o ,q15.--' 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: SeOT? e F7 s.,0 Project I.D.: it v S c.A i u L 7lIb- Attachments approved by: Date: -7DERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important Read the instructions on pages 1-7. SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number JOHN JURICK BUILDING STREET ADDRESS(Including Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO Company NAIC Number 1105 LAUREL AVENUE CITY STATE ZIP CODE TYBEE ISLAND, GA 31328 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 16&THE EAST 15'OF LOT 15,BLOCK 6,GARDEN WARD 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): ( ##°-##'-##.##' or ##.##414W) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other. SECTION B-FLOOD INSURANCE RATE MAP(ARM)INFORMATION 81.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE TYBEE ISLAND 130030 CHATHAM GA 84.MAP AND PANEL 87.FIRM PANEL 89.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (ZoneAO,ust depth°flooding) 130030 0120 C 5/19/87 5/19/87 AE 13 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile ►1 FIRM ❑Community Determined ❑Other(Describe): 811.Indicate the elevation datum used for the BFE in B9: ' NGVD 1929 ❑NAVD 1988 ❑Other(Describe): 1312,Is the buildi .•located in a Coastal Barrier Resources S stem CBRS area or Otherwise Protected Area OPA? ❑Yes ■ No Desk nation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.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.Building Diagram Number 6(Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,ARIAO Complete Items 03.-a-i below according to the building diagram 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 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(induding basement or enclosure) 7. 3 ft.(m) 0® o b)Top of next higher floor 16,5 ft(m) i Nr o c)Bottom of lowest horizontal structural member(V zones only) NA._ft.(m) 8 co /' ��c 'i[ qF6 o d)Attached garage(top of slab) NA. ft.(m) o e)Lowest elevation of machinery and/or equipment w '$� servicing the building(Describe in a Comments area) 16.4 ft(m) I t .o ci o f)Lowest adjacent(finished)grade(LAG) 6.5 ft.(m) z .y' O o g)Highest adjacent(finished)grade(HAG) 7. 4 ft.(m) , b� f TL By o' o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 2 �� o i)Total area of all permanent openings(flood vents)in C3.h 288 sq.in.(sq.cm) 4 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 informatio . 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. CERTIFIERS NAME J.Whitley Reynolds LICENSE NUMBER 2249 TITLE Land Surveyor COMPANY NAME ADDRESS CITY STATE ZIP CODE 636 STEPH ON AV'N SU 'C SAVANNAH GA 31405 SIGNAT '.1 DATE TELEPHONE 9/23/04 912-352-0464 FEMA Fo .1-31,January 2003 See reverse side for continuation. Replaces all previous editions LOT 6 LOT 7 S 79°43'14"E 65.06' 3/4" RBF' �� P CMF LOT 16 t� DECK I z CO 0 <4 '3 LOT 17 a WEST PT. LOT 15 Oi r 2 STORY VI I t in FRAME BLDG. H K W CO O W. I 41 .1 F o PORCH � ,S1 9.4'D/,�. DRIVE c rn Co csi 1/2" RBF o v •CMF 100' x N 79°55'-90"W 65.06' LAUREL AVENUE 60' R/W PLAT OF LOT 16 8c THE EASTERN 15' OF LOT 15, BLOCK 6, GARDEN WARD, TYBEE ISLAND, CHATHAM COUNTY, GEORGIA STREET ADDRESS: 1105 LAUREL AVENUE FOR: JOHN JURICK REVISED SEPTEMBER 23, 2004 TO SHOW PORCH AND STEPS. ACCORDING TO THE F. I. R. M. EQUIPMENT: DATED 5/19/87 THIS PROPERTY TOPMON AP-L1A IS WITHIN THE 100 YEAR FLOOD ZONE ERROR OF CLOSURE: ZONE AE, BFE 13 cpRGj4 NEAR: 1/39,800 ANG: 1"/ANGLE * �ic,ZSTE o� * BALANCED BY: L. S. J. �fIHITLEY REYNOLDS I PLAT: 1/110,000 LAND SURVEYOR 0• 9 A m 0 20 636 STEPHENSON AVENUE - 04' O 1 1 1 SUITE C d 41'- .- SCALE: 1" = 20' SAVANNAH, GEORGIA 31405 gS DATE: JULY 21, 2004 SURVEY TELEPHONE: 912-352-0464 T DATE: JULY 22, 2004 PLAT FAX: 912-352-7787 FILE NO. 04-140