HomeMy Public PortalAbout08-0216 Bergman y _F r,
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CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 05 -5 -2008 PERMIT #: 080216
WORK DESCRIPTION REPAIR/REPLACE ROOF
WORK LOCATION 104 LEWIS AVE
OWNER NAME ROY BERGMAN
ADDRESS PO BOX 2505
CITY, ST, ZIP TYBEE ISLAND GA 31328 -2505
PHONE NUMBER
CONTRACTOR NAME WADE ELECTRIC
ADDRESS PO BOX 1995
CITY STATE ZIP TYBEE ISLAND GA 313281995
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 40.00
PROPERTY IDENTIFICATION #
PROJECT VALUATION $2,000.00
TOTAL BALANCE DUE: $ 40.00
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.
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Signature of Building Inspector or Authorized Agent: �( ,f7� ,,ej 1
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P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -9539
www.cityoftybee.org
CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
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Location: e ` PIN #
NAME A ADDRESS 1 TELEPHONE
Owner U1'' ld /(( LM3(Jj s,4 ' ' ,.� 76:15 1f 3 _74
Architect
or Engineer A f4u, /�, � _ _ Building Contrac or ` T°C / T O ' I 4 7562 � ' c ""7 f N /
(Check all that apply)
71 ' Repair ❑ Residential El Footprint Changes
enovation ❑ Single Family ❑ Discovery
n Minor Addition I 1 Duplex ❑ Demolition
I Substantial Addition n Multi - Family
❑ Other El Commercial fM Details of Project: / Rocfik.A f
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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 CERTIFI D EVATION SURVEY OF LOT and complete the
following information bas on the cos tion drawings and site plan:
# Units e, roo s # Bathrooms
Lot Area iv' g s ace (total sq. ft.)
# Off - street parkin spac s
Trees located & li ted on site p1
Access:
Driveway ✓ (ft.) With ► ? 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 0 U j C P
On -site waste and debris containers will be provided b / ,�
Construction debris will be disposed by (10,44 by means of/k If"—
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 corre five action that may be necessary to restore drainage impaired by this
permitted construction.
Date: -- Signature of Applicant: _
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 ,2S
Code Enforcement Officer Inspections j C
Water /Sewer Water Tap
Storm/Drainage Sewer Stub
Inspections Aid to Const.
City Manager
TOTAL 40
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RESOURCES t4.
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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 un sual site conditions may have EPD regulations that could affect the
project.
Undersigned Date
f'VQ WrifL
P rinted Name
Office Use Only:
Project Address:
Permit Number:
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 pla will result in meeting requirements. The final
product must actually meet the City Ordin requirements.
Applicant name: U)
Project I.D.:
Attachments approved by: Date: