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Cri V' OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 04.z0-2007 PERMIT AL-. 01D175
WORK DESCRIPTION: REMOVE Ir.ENCE
WORK LOCATION: 160 LEWIS AVE
OWNER NAME JACQUELYN B BROWN
ADDRESS PO BOX 2159
CITY,ST,ZIP TYBEE ISLAND C:41. 3L32 8
PHONE NUITRP I
CONTRACTOR NAME JACQUELYN B BROWN
ADDRESS PO BOX 269
CITY STATE ZIP TYBEE ISLAND GA 33325
FLOOD ZONE
BUILDINC;VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL_FEE'S CHARGED $ aco
PROPERTY IDENTIFICATION#
PROJECT VALUATION $ 0.00
TOTAL BALANCE DUE: $ 0.00
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(912)786-4573-FAX( 12)76-5737
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CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
Location: 140 /-Q �''� PIN#
NAME ADDRESS TELEPHONE
Owner .4AG Cott 1i/t% /4 /--7-1--:7`- 7.ts•
Architect
or Engineer
Building
Contractor
(Check all that apply)
❑ Repair ❑ Residential ❑ Footprint Changes
❑ Renovation ❑ Single Family ❑ Discovery
❑ Minor Addition ❑ Duplex j2t Demolition
❑ Substantial Addition ❑ Multi-Family
❑ Other ❑ Commercial
Details of Project: / 1€44/0V/1 ,+ L '4z-ci-- z,e, e0_1'°fri
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Estimated Cost of Construction: $
.5-00 's1 -
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 CERTIFIED ELEVATION SURVEY OF LOT and complete the
following information based on the construction drawings and site plan:
#Units #Bedrooms #Bathrooms
Lot Area Living space(total sq. ft.)
#Off-street parking spaces
Trees located &listed on site plan
Access:
Driveway (ft.) With culvert? 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
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.
Date: Z o O �7 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
Code Enforcement Officer Inspections
Water/Sewer Water Tap
Storm/Drainage Sewer Stub
Inspections Aid to Const.
City Manager
TOTAL
LEWIS AVENUE 60' R/W
388.45' (MAP) N 37°10'00" E---- 59.96'
- r.179.96' R.B.S. o R.B.F. vL
la- N 37'10'00" E
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I- IMPROVEMENTS NOT LOCATED - id.• .2g,
W0 OR SHOWN AS REQUESTED BY 4' II
JONATHAN BROWN 2.10' - -r -
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APPROXIMATED EDGE OF MARSH —" 10 CRS
STATE OF GEORGIA �' ��NES �xl�
CHATHAM COUNTY „AI.. v.01
PLAT OF LOT 42, PALM TERRACE SUBDIVISION, HAMMOCK WARD,
KNOWN AS No 160 LEWIS AVENUE, TYBEE ISLAND, GEORGIA.
FOR: JONATHAN BROWN
DATE OF SURVEY: FEBRUARY 9, 2006 Gip R G�q
DATE OF PLAT: FEBRUARY 10, 2006 n ST;
SCALE: 1"= 30' i ��. a \ 1
IN MY OPINION THIS PLAT IS A CORRECT . N o /
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r'! REPRESENTATION OF THE LAND PLATTED .,�.�. . `1
; E.O.C. FIELD 1/ 22,730 -:� .9 0
< ERROR/POINT BERT BARRETT, JR. �,�p ' suR\IC- •
, ADJ. METHOD NONE LAND SURVEYING, P.C.
ii E.O.C. PLAT 1/ 51,166 145 RUNNER ROAD . BARB-
TnTM STATIInN C;F )flIMFTFR 610 SAVANNAH, GA. 31410
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