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CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 12 -11 -2012 PERMIT #: 120651
WORK DESCRIPTION R &R METER BOX
WORK LOCATION 0 SECOND AVE
OWNER NAME CITY OF TYBEE
ADDRESS PO BOX 2749
CITY, ST, ZIP TYBEE ISLAND GA 31328 -2749
PHONE NUMBER
CONTRACTOR NAME CITY OF TYBEE
ADDRESS PO BOX 2749
CITY STATE ZIP TYBEE ISLAND GA 31328 -2749
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 0.00
PROPERTY IDENTIFICATION #
PROJECT VALUATION $ 500.00
TOTAL BALANCE DUE: $ 0.00
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
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City of Tybee Island • Planning & Zoning Dept. 11 Inii-lk
,AV Inspection Report si soak ,
I 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328
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Phone 912.472.5032 • Fax 912.786.9539 CODE COUNCIL
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Permit No. ,4,2- 6 6 57 Date Requested
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Owner's Name nfy 0,-- ,yig..e., Date Needed / /
Gen. Contractor Subcontractor
Contact Information A., fr
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Project Address ,...Coft.),6 „,fi - go !-:, L774-1
Scope of Work /( A ,Mt' 84
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Inspector // / Date of Inspection
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Inspection Pass Ili Fail El Fee
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Inspection Pass El Fail 0 Fee
Inspection Pass El Fail El Fee
Inspection Pass 0 Fail 0 Fee
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RELEASES FOR ELECTRIC SERVICE FROM
TYBEE ISLAND FOR GEORGIA POWER
PHONE: 1 -888- 748 -6843, Press 1, Extension 32855 or 32856
FAX: 1 -888- 851 -4411
Location Address: .046 ,S -74fiaL Release Date: /Z
Type of Release: Temporary ✓ P ermanent Permit #
Electrician: /X e.. Phone # e l 4 2, 41 -4 - 7bD
Owner /Builder: ® Phone #
Location Address: Release Date:
Type of Release: Temporary Permanent Permit 1*
Electrician: Phone #
Owner /Builder: Phone #
TX Result Report P
12/11/2012 10:39
Serial No. CM35228060004
TC: 369595
Destination 1 Start Time 1 Time I Prints 1 Result' Note
1 18888514411 1 12-11 10:39 1 00:00:47 1 001/001 1 OK
Note TMR: Timer TX. POL: Po URG: Ori final Size Setting FME: Frame Erase T X.
MIX: Mixed O rig i na l TX. CALL: Manu TX CSRC: CSRC FWD: Forwar PC PC -
BND: Double -Sid Binding Direction. SP: Special original. FCODE: F -code. RTX: Re -TX,
RLY: Re MBXt : Fax Confidential. BUL: Bulletin, SIP: SIP Fax. IPADR: IP Address Fax.
I -FAX: I laJ ernent
Result OK: Communication OK, S - OK: Stop Communication, PW -OFF: Power Switch OFF,
TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer,
Refuse: Receipt Refused, Busy: Busy, M Full:Memory Full,
LOUR:Receiving length Over, POVER:Receiving page Over, FIL :File Error,
DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error.
RELEASES FQR ELECTRIC SERVICE FROM
TYREE ISLAND FOR GEQRGIA PC ER
PHONE_ 1 -888- 748 -6843, Press 1, Extension 32855 or 32856
FAX: 1 -888- 851 -4411
Location Address: +Z> _��— J� IIt y�,��c Rele=ase Coate:
Type of Release: Temporary - Permanent Permit # y '
Electrician: �iP 2> Phone #
Owner /Builder: z✓'�.., o� ' �®` - Phone #
Location Address: Release mate:
Type of Release: Temporary Permanent Permit #
Electrician: Phone #
Owner /Builder: Phone #
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CITY OF TYBEE ISLAND
BUILDING & ZONING DEPARTMENT
;i P.O. Box 2749, Tybee Island, GA 31328
� Phone (912) 786 -4573 • Fax (912) 786 -9539
ELECTRICAL PERMIT APPLICATION & TEMPORARY SERVICE AFFID,A-VIT
Date / Z—// 2 Z- New Work V' Replacement
Location of work (street address) 2 n d 2 A-f/ e 6 "7-5 6-7q Lr a f
Contractor > P Telephone 1 4 ( `2._ — 7 Z. 0
Address of Contractor
Property Owner Telephone
Date work will be ready for inspection, if known Permit Number
Estimated cost of construction
A/C Unit and Heat Pump 1 Range Hood — commercial ALL wiring, service
Attic Ventilation Fan Service: amps included, must be
Bell Transmitter — low voltage Sign Circuit - wattage COPPER. NO
Border /Outline Lighting Smoke Detector — low voltage
Building Saw Spa or Tub — grounding aluminum allowed.
Exit ,Lights — life safety Special Outlet
at Pump Swimming Pool — grounding ". eans shall be
✓ Meter Box Water Heater provided to
Motor(s): hp Welder — 220 volts circuit
Outlets — 110 volts circuit Well Pump — grounding disconnect all
Parking Lot Lights X -ray conductors from the
Pool Lights — grounding Other service entrance
Range — commercial conductors. NEC 230.70
APPLICATION FOR TEMPORARY SERVICE REQUEST
In requesting temporary electrical service, the undersigned understands and agrees:
1. Connection of temporary electrical service does not remove the requirement to comply with all State of
Georgia minimum construction codes.
2. Temporary electrical power is intended for completion of the construction process and testing equipment
installed within the structure.
3. Issuing approval for temporary power connection does not constitute approval to occupy the structure.
A Certificate of Occupancy must be issued by the City of Tybee Island prior to any occupancy.
4. The owner and contractor are hereby held responsible for any violations of this policy. A violation of this
poi may result in disconnection of the electrical service until all violations and deficiencies are corrected.
---- ibe/ l ---�-" / 2__-/(-( 2—
OOner /Contractoji4irajtua) Date
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Owner /Contractor Printed Name
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APPROVAL Fee l. 'i . pro ` e- c
Building Official 0,01t
Date 1-1( —/ ,-