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CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 08-8-2008 PERMIT#: 080367
WORK DESCRIPTION INSTALL FENCE
WORK LOCATION 117 CEDARWOOD
OWNER NAME ANNICE/CLIFF ESTESBENTSEN
ADDRESS PO BOX 375
CITY,ST,ZIP TYBEE ISLAND GA 31328-0375
PHONE NUMBER
CONTRACTOR NAME ANNICE/CLIFF ESTESBENTSEN
ADDRESS PO BOX 375
CITY STATE ZIP TYBEE ISLAND GA 31328-0375
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 25.00
PROPERTY IDENTIFICATION#
PROJECT VALUATION $300.00
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:
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
t—_,) I d / T5
03- 03 (0/
CI .
Location: ( (`1 Cd)ek 72tuabb AuE PIN#
NAME ADDRESS TELEPHONE
Owner CLl f r-ofLD Tiet•Mc4t l 17 C 0.1-LMO 6-t) 776 —o32-
Architect
or Engineer
Building
Contractor
(Check all that apply)
❑ Repair El Residential ❑ Footprint Changes
❑ Renovation ❑ Single Family ❑ Discovery
❑ Minor Addition El Duplex ❑ Demolition
❑ Substantial Addition ❑ Multi-Family
Other FetILE ❑ Commercial
Details of Project: FENQC E 11J PACT DF- T b
00
Estimated Cost of Construction: $ 3 Q L
Construction Type (Enter appropriate ber)
(1) Wood Frame (4) Masonry (6) Other(please specify)
(2) Wood&Masonry (5) Steel &Maso
(3) Brick Veneer
Proposed use:
Remarks:
ATTACH A COPY OF THE CERTIFI. E EVATION SURVEY OF LOT and complete the
following information based on the,constructiodrawings and site plan:
#Units #Bedrooms #Bathrooms
Lot Area / Living space(tot. q. ft.)
#Off-street parkins aces
Trees located<31.,-listed on site plan
Access: 7/'
Drivew ' (ft.) With culvert? With swale?
Set cks: Front Rear Sides (L) (R)
# Stories Height Vertical distance measured om the average adjacent
grade of the building to the extreme high point of the building, excl ,ive of chimneys,heating
units,ventilation ducts, air conditioning units, elevators, and similar appurtances.
During construction:
On-site restroom facilities will be provided through
On-site waste and debris containers will be provided by
Construction debris will be disposed by by means of
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.
���Dg- Signature of Applicant:
Date:
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 di/ Permit °(
Code Enforcement Offic- i �Apar —0 T Inspections
Water/Sewer / Water Tap
Storm/Drainage Sewer Stub
Inspections Aid to Const.
City Manager
TOTAL
BMW
SWUM
RESOURCES
GEORGIA
Permit Acknowledgement of
Asbestos/Environmental Notification to Georgia EPD for
Projects 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.
4- defer
Unders*ed Date
Printed Name
Ojjiee 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 plans will result in meeting requirements. The final
product must actually meet the City Ordinance requirements.
Applicant name: C L I FFo RD
Project I.D.:
Attachments approved by: Date: 'tVv,&
STATE OF GEORGIA ) HOLD HARMLESS /
INDEMNIFICATION
COUNTY OF CHATHAM ) AGREEMENT
THIS AGREEMENT is made the day of AUG-t)51- , 20 De ,
by CL{ �tSVU
(hereinafter referred to as"Owner")
WITNESSETH
Owner hereby agrees to protect, defend, indemnify and hold harmless the City of Tybee
Island, Georgia, (a political subdivision of the State of Georgia), its Mayor and Council,
officers, agents, and employees (hereinafter referred to as "City") from and against any
and all liability, damages, claims, suits, liens, and judgments of whatever nature,
including any claims for contribution and/or indemnification for injuries to any person or
persons, or damage to the property or other rights of any person or persons, caused in any
manner pertaining to the location of privately constructed or any other privately owned
structures and plants,which protrudes into the right-a-way of any City street.
The undersigned further recognizes and agrees that this license does not confer upon the
undersigned any rights, title, estate, or interest in said licensed premises; nor does this
license agreement confer upon the undersigned a license coupled with an interest or
easement. This license merely gives the undersigned a revocable privilege, it being
expressly understood and agreed that, regardless of any improvements or investments
made, expense and harm incurred or encountered by the undersigned, this agreement
shall be subject to revocation, cancellation or termination, this license shall be null and
void.
IN WITNESS THEREOF, Owner has hereunto set its hand and affixed its seal on the day
and year first above written. //
/ 7 , , I4 .
Owner
117 Ce waoO Yc =� a J GA
41/4W/0-
Address
Witness
NOTE: ACCORDING TO `FIRM' 135164 f DATED 6/17/86
THIS SITE IS IN AN 'A8-12' FLT_� ZONE. REF, PLAT (MAG.)
REFERENCE: S.M.B. 29S-37 & A-94.
F.P.O.C. • FENCE POST ON CORNER PORTION LOT 2 — BLOCK 28
ALL CORNERS ARE 1/2" RE-BARS
FOUND UNLESS NOTED OTHERWISE
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oLOT 1 STORY FRAME p colti
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'O G `� 20' BUILDING SETBACK LINE
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EDGE OF ASPHALT PAVEMENT �/ / /V / / /
CEDARWOOD DRIVE R/W VARIES
STATE OF GEORGIA
CHATHAM COUNTY
PLAT OF LOT 2 OF A SUBDIVISION OF PARCELS 1 & 2 OF A
RECOMBINATION OF PORTIONS OF LOTS 1,2 & 3 BLOCK 14, LOT 2
BLOCK 28, ELMWOOD AVENUE, BAYWOOD, BUCKLEY PARK PLACE
AND ALL OF LOT 1 BLOCK 15, FORT SCREVEN WARD, TYBEE ISLAND.
KNOWN AS No. 117 CEDARWOOD DRIVE.
FOR: CUFF BENTSEN & ANNMCE ESTES
DATE OF SURVEY: MARCH 11, 2007
DATE OF PLAT: MARCH 12, 2007 GED ■G/,q '
SCALE: 1"= 30' 'R-*VIII IN MY OPINION THIS PLAT IS A CORRECT 0' 30' 60' / N , _
REPRESENTATION OF THE LAND PLATTED ~�pof
FIELD XIILERANCE 04 BERT BARRETT. JR. ', •� '�SURVE
LAND SURVEYING, P.C. B BARB 41
ADJ. METHOD 145 RUNNER ROAD 7
E.O.C. PLAT 1/ 58,984 SAVANNAH, GA. 31410
TOTAL STATION GEODIMETER 610 (912) 897-0661
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