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CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 03 -28 -2008 PERMIT #: 080136
WORK DESCRIPTION FINISHING WORK TO ADDITION
WORK LOCATION 67 VAN HORN
OWNER NAME DIANE HOSTI RING
ADDRESS 67 VAN HORNE AVE # HC -32
CITY, ST, ZIP TYBEE ISLAND GA 31328 -9726
PHONE NUMBER
CONTRACTOR NAME DIANE HOSTI RING
ADDRESS 67 VAN HORNE AVE # HC -32
CITY STATE ZIP TYBEE ISLAND GA 31328 -9726
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 95.00
PROPERTY IDENTIFICATION #
PROJECT VALUATION $10,000.00
TOTAL BALANCE DUE: $ 95.00
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. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -5737
www.cityoftybee.org
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:: .:‘':.. 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 0..1$7tir
[ Phone 912.786.4573 ext. 114 - Fax 912.786.9539
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Permit No. (9 -_- - 01 3 (62 Date Requested I — 4 ... - ( CD
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403 Butler Ave,
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Fax= 0, 2) 766-9539
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WHEN INSTALLED PER MANUFACTURERS
SPECIFICATIONS, THIS UNIT MEETS UI CLASSIC DOUBLE HUNG
A STRUCTURAL RATING OF. N FRC c�. -
V inyl Fram Double Glaze iv
• �' Low -E
National Fenestration
Rating Council PAT - 049 -05
CERTIFIE SO 1968353 Line 2.007 Gr 12
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.DP50
ENERGY PERFORMANCE RATINGS
U cto U. l -P) Solar Aat G 'n efficient
ADDITIONAL PERFORMANCE RATINGS
This Unit has been tested
in accordance with ASTM E 330 and ! VI5i e Tr m tance
Design Pressure e Rated In
In
accordance with International national Residential L
Code 2000 and witnessed by an
irtaepr:ri .,t AAMA accredited lab.
This rating is strictly for this single unit. Ma nufacturer stipulates that these ratings conform to applicable NFRC procedures lot determining whole
If this unit is used in a multiple combination, WINDOWS.' product performance. NFRC ratings are determined for a fixed set of environmental conditions and a
• refer to the lowest rating of windows, doors specific product size. NFRC does not recommend any product and does not :�darrant the suitability of any
and/or mullions for overall rating of combinations, setae product for any specific use Consult manufacturer's literature for other product performance information.
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City ot Tye Islymul
403 Beier Ave-
Bor. 2149
r ` Tybee Island GA 3132g ° 4
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0 ID \' CITY OF TYBEE ISLAND, GEORGlpt
APPLICATION FOR BUILDING PERMIT
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io /� // :, Location: PIN #
NAME ADDRESS TELEPHONE
,/' wner ./,rt4 '/i 2 �-' ///✓A 7e / 1 7f6 9
Architect
or Engineer
- l ing � / ( / f l �/ �' //�� . eO lg 7
Contract G 7�
(Check all that apply)
❑ Repair ❑ Residential ❑ Footprint Changes
5 ' enovation E] Single Family n Discovery
• Minor Addition ❑ Duplex ❑ Demolition
❑ Substantial Addition ❑ Multi- Family
❑ Other ❑ Commercial
Details of Project: P1 V k \ Y1 c, (Ainsc V 2 a 1'-\--, or,
\...)
L--°Estimated Cost of Construction: $ 10 , 0 , CDO
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Construction Type ri) (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 # : G room # Bathrooms
Lot Area / vin_ pace (total sq. ft.)
# Off - street parking o ac / n
Trees located & list; i on .ite elan 11
Access: ,
Driveway (` it culv ? With swale?
Setbacks: Front ' -ar 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.
Durin onstruction:
-site restroom facilities will be provided through
On -site waste and debris containers will be prowj4ed by
Construction debris will be disposed by (477 z by means of � ,:' -?- .
I understand that I must comply with zoning, flood d mane 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 res ore drainage impaired by this
permit ed construction. 4// r-
Date: g C�C/
c� �i ature of Applicant:
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Note: A $ermit 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)
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Access to building site {. --- - 1 , 1 Q
Distance to water main tap site /l'S( I � j ) aU '
Distance to sewer stub site C% v
Water meter size O
Storm drainage
Approvals: `igna e Date FEES
Zoning Administrator Permit 6.9
Code Enforcement Officer •- / i (L___. 5 --z - d S Inspections _.gyp _ —
Water /Sewer v / Water Tap
Storm/Drainage u Sewer Stub /
Inspections Aid to Const. /
City Manager /
/
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TOTAL q, , �'
DEFT.O l ���
NATURAL , •i 4'Y
Rf60URCES � O
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.
Undersigned Da'
_Printed Name
Office Use Only:
Project Address:
Permit Number: