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HomeMy Public PortalAbout07-0181 Kitchens /,c';a mi R .,1/I *s,,,N., CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 04-24-2007 PERMIT#: 070181 WORK DESCRIPTION: NEW RESIDENTIAL BLDG- SF WORK LOCATION: 101 NINETEENTH ST OWNER NAME MACK KITCHENS ADDRESS PO BOX 1499 CITY,ST,ZIP TYBEE ISLAND GA 313281499 PHONE NUMBER CONTRACTOR NAME MACK KITCHENS ADDRESS PO BOX 1499 CITY STATE ZIP TYBEE ISLAND GA 313281499 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE 2000 OCCUPANCY TYPE P TOTAL FEE'S CHARGED $6,315.00 PROPERTY IDENTIFICATION# PROJECT VALUATION $250,000.00 TOTAL BALANCE DUE: $6,315.00 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 bolder 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. r Signature of Building Inspector or Authorized Agent: 1.2444.4...s3C _____ P.0.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328 (912)786-4573-FAX(912)786-5737 www.cityoftybee.org F' � 1 k�?UIX119R, CITY OF TYBEE ISLAND CERTIFICATE OF OCCUPANCY DATE COMPLETED: 12/03/07 This Certificate issued pursuant to the requirements of the Standard Building Code Certifying that at the time of issuance this structure was in compliance with the various ordinances of the Jurisdiction regulating building construction or use. PERMIT #: 070181 PROPOSED USE: NEW RESIDENTIAL BLDG- SF OCCUPANCY TYPE: P CONTACT NAME MACK KITCHENS CONTACT ADDRESS PO BOX 1499 CONTACT CITY STATE ZIP TYBEE ISLAND GA 31328-1499 PROPERTY ADDRESS 101 NINETEENTH ST APPROVED BY: / / P. O. Box 2749 -403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786-4573 - FAX (912) 786-5737 www.cityoftybee.org 471 CITY OF TYBEE ISLAND ENGINEERING REVIEW FEE DATE ISSUED: 10/15/07 PERMIT#: 070181 WORK DESCRIPTION: NEW RESIDENTIAL BLDG-SF WORK LOCATION: 101 NINETEENTH ST OWNER NAME MACK KITCHENS ADDRESS PO BOX 1499 CITY,ST,ZIP TYBEE ISLAND GA 31328-1499 PHONE NUMBER CONTRACTOR NAME MACK KITCHENS ADDRESS PO BOX 1499 CITY STATE ZIP TYBEE ISLAND GA 31328-1499 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE 2000 OCCUPANCY TYPE P TOTAL FEE'S CHARGED $6,390.00 PROPERTY IDENTIFICATION # $4 PROJECT VALUATION $250,000.00 TOTAL BALANCE DUE: $ 75.00 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.G.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328 (912)786-4573-FAX(912)786-5737 www.cityoftybee.org Mal 4 d. 10- o-1 DAVIS ENGINEERING,INC. 636 Stephenson Avenue, Suite C Savannah, Georgia 31405 Tel. (912)355-7262 Fax(912) 352-7787 IL. L i Lii` davisenginc @bellsouth.net 10-1V-0/ INVOICE October 14,2007 Invoice#20701902 Diane Otto City of Tybee Island P.O. Box 2749 Tybee Island, GA 31328 Phone (912)786-4573 Fax: (912)786-9539 RE: 19th Street for Mack Kitchens 4-0009-09-001 0.50 hours inspecting completed project @$150/hour=$75.00 total due Based on my observations and to the best of my knowledge this project has been completed in accordance with the approved plans. 20e95Z ° 12 02 - • Q a (.d --k 01 - ot°0 a o ito e-6ro- l.rl. r, c f ro 11e. 10uJ r 5 Dianne Otto From: Joe Wilson Sent: Monday, October 15, 2007 7:28 AM To: davisenginc @bellsouth.net; Dianne Otto Cc: Brannyn G.Allen Subject: RE: 10-4 Original Message From: davisenginc @bellsouth.net [mailto:davisenginc @bellsouth.net] Sent: Sun 10/14/2007 10:29 PM To: Dianne Otto Cc: Joe Wilson; Brannyn G. Allen Subject: I accepted this project in an earlier email. Joe Wilson advised he will coordinate with Mack on any repairs to the adjacent unpaved City parking lot. /Cr--2 11.E 5 Mi2,. ,„-4,4„, sk / -emu- s �,� tro o---1,2 7/E--- -e-4. -P L 1, h/ Uct ui ut uo:zua p.[ BOSVIWELL DESIGN SERVICES, INC. 103 NASSAU DRIVE SAVANNAH, GEORGIA 31410 912-897--6932 LAHBOS@BELLSOUTH_NEI' ©1- 01 ' October 2,2007 To: Diane Otto Planning and Zoning Tybee Island, Georgia Mack Kitchens Project Corner of 19th and Butler Tybee Island, Georgia Diane, As per the owner's request, we have inspected the project referenced above for compliance with the approved drainage plan. After a brief inspection of the project, it is our opinion that the project seems to be in substantial compliance with the approved drainage plan_ Thank you for your assistance and should you require more information please do not hesitate to contact us at 897-6932, fax to 897-2287 or e-mail to lahbos @bellsouth.net. Sincerely, MIA). • Mark Boswell OCT-03-2007 08:33 96% P.02 UtU. i, 1UU! I I :3WHN NU. 19U r. 1 .D FOR RECORD 11.(ZO/2O07 04:0eal PAM: 18.oci G i l °t), Massey Clark Superior Court of Chatham County Chatham County Georgia RECEIVED 12-3- 01 ria Harold B.Yellin Hunter,Maclean,Exley&Dunn,P.C. Post Office Box 9848 Savannah,GA 31412-0048 STATE OF GEORGIA ) COUNTY OF CHATHAM ) CONSERVATION EASEMENT 0-frh THIS CONSERVATION EASEMENT is made and entered into this day of 1\-___keagr.2007, between WILLIAM HERBERT BUTLER, JR. and MACK H. KITCHENS,JR. (collectively the"Grantor") and CITY OF TYBEE ISLAND, GEORGIA, a municipal corporation("Grantee"). WITNESSETH: A. Grantor is the owner of an unnumbered lot, Ward 5, Tybee Island, Georgia located at 101 19th Street,Tybee Island, Georgia(the"Property"); and B. In connection with certain approvals for the development of the Property, Grantor has agreed (i) to restrict its use of a triangular portion of the Property, which portion is known herein as the "Protected Property" and is further described below, and (ii) to dedicate the Protected Property as green space in favor of the Grantee. 689985-Di DEC-03-2007 11:37 96% P.02 DEC. 3. 2001 11 :34AM NU. 19() P. 3 For and in consideration of the sum of Ten and No/100 Dollars ($10.00) and other good and valuable consideration paid by Grantee to Grantor, the receipt and sufficiency of which are hereby acknowledged, Grantor agrees to the following: I. Grant of Easement. Grantor does hereby give, grant and convey to the Grantee, C) subject to the restrictions described herein, a perpetual conservation easement, in gross, in, art and over the Protected Property, which Protected Property is described as follows: All of that certain parcel of land, lying and being a portion of an unnumbered triangular lot, Ward 5, Tybee Island, Chatham County, Georgia and being is more particularly described as follows: BEGINNING at the concrete ffl monument found at the intersection of the western 80' right of way of Butler Avenue and the southern 60' right of way of 19th Street; thence S 20° 51' 18" W a distance of 99.96' to a point ("Point of Beginning"); thence running S 20° 51' 18" W a distance of 35.00'to a point; thence running N 00° 56'39" W a distance of 37.69' to a point; thence running S 69° 10' 35" E a distance of 14.00' to the Point of Beginning. Said triangular parcel being bounded on the north by the remainder of the unnumbered triangular lot, Ward 5, on the east by 80' right of way of Butler Avenue, on the west by 60' right of way of Chatham Avenue, all of which appears on that certain plat made by J. Whitley Reynolds, Georgia Registered Land Surveyor Number 2249, dated April 19, 2007, and recorded in Plat Book, Page _, Office of the Clerk of Superior Court, Chatham County, Georgia. 2. Perpetual Easement. This easement shall run in favor of Grantee in perpetuity, and shall bind the Protected Property in perpetuity for the purpose of ensuring that the Protected Property forever retains its predominantly natural and scenic condition as dedicated green space. The rights of Grantee hereunder shall not be transferable or assignable. 3. Right of Entry. Grantee shall have the right of entry upon the Protected Property, upon thirty (30) days advance written notice to Grantor for the sole purpose of inspecting the Protected Property to ensure compliance with the terms of this conservation easement. Any such entry upon the Protected Property shall be along a path or route designated by Grantor and shall be at the sole risk and expense of Grantee. Grantee shall use reasonable care and shall be responsible for any damage to the Protected Property and the Property or any personal injury or damage to any other property arising out of Grantee's entry or presence on the Protected Property. 4. Negative Covenant,. Grantor shall not perform any of the following activities within the Protected Property: (a) removal of any significant portion of trees on the Protected Property beyond what is required to maintain a healthy tree canopy thereon or to prevent unsafe or unsightly conditions; -2- DEC-03-2007 11:37 96% P.03 DEC. 3, 200/ 11 :34AM N0, 190 P, 4 • (b) placing of refuse, wastes, sewage, or any hazardous substances on the Protected Property; or (c) building of any structure on the Protected Property, whether temporary or permanent, other than common gardening or small landscaping elements. 5. Rights of Grantor. Grantor shall continue to own the fee simple title to the w fig Protected Property and may use it for any and all purposes not inconsistent with the terms of this .. easement. Notwithstanding anything herein to the contrary, Grantor shall have the right to construct improvements and any related structures on the remainder of the Property. r" Specifically, but not by way of limitation, this easement shall not prohibit Grantor from constructing or maintaining a single family residence and any related structures on the Property. .,. 6. No Z,ien on Other Property. This easement shall Grantee,grant to the rantee, any rn permitting agency, or any other person or entity, any interest in, lien upon, or right with'respect to any other property of the Grantor. 7, No Rights in the Public. Although this easement in gross will benefit the public by creating dedicated green space in favor of the City of Tybee Island, Georgia, this easement shall not be construed to convey any rights of entry, access or use of the Protected Property by the public. The exclusive right to such entry, access or use shall remain solely in the Grantor for the purposes described herein, subject to the provisions of this easement, [SIGNATURE APPEARS ON THE FOLLOWING PAGE.] -3 - DEC-03-2007 11:38 96% P.04 ULU. 3. 1U0 f 11 :34AM NO. 190 P. 5 TN WITNESS WHEREOF, Grantor has set his hand and seal as of the day and year first above written. GRANTOR: /,,-:.---- -, ,.�'�![L. S.] Wi am `• /ut1er, 7 r.i W .r [L.S.} 47- Ma.: .k. ''`tehens, 5/ r ao Signed, sealed and delivered in Cil rn th- •resence of: • r it:.�.._ 0.1 oi•A Wi`k . APFIIt MOORE •Corns sslon Expires September 4,2610 I∎ t• blic, Chatham County Georgia My commission expires: -4- DEC-03-2007 11:38 96% P.05 i:�. Rues ,�RA'� x. '90 6 ,..., , , a Vit‘ 19TH. STREET 60' RPT \ S B9°10'35"E 63.97' _ _ \\LPARIING IPF' co N 69°024 "W 033' 1/2° RBF METER Ca Q ■ IV G7 o T7 \moo LU lt, p c ec m =4 °I N cr CO rvp 0 \ co .4 a P. rte' ID ✓ ` aC4LF ,Nat .,,' = 69°10'35"E `\ L' 4 14,OG' inq t [" /... ° °' THIS'TRIANGULAR AREA IS DEDICATED GREENSPACE PURSUANT TO A CONSERVATION EASEMENT GRANTED TO THE CITY OF TYBEE ISLAND, GA. GUY Y1IRE THE CONSERVATION EASEMENT WILL I3E CABLE 1 1/4" IPF RECORDED WITH THIS PLAT. PLAT OF AN UNNUMBERED TRIANGULAR LOT, WARD 5, TYBEE ISLAND, CHATHAM COUNTY, GEORGIA FOR: SA"A K. BUTLER REVISED APRIL 11. 2007 TO SHOW DEDICATED GREEN:IPACE AT SOUTHERN PORTION OF LOT. ACCORDING + TIME F.LR.M. DATED AREA 3642 SF 8/17/66 TIE: LoT IS WITHIN FLOOD ZONE V9, B 17, EQUIPMENT: TOPCON AP-L1A REFERENCE'. DB 106 F OB3 d ERROR OF CLOSURE: G' 1 LINEAR; 1/- ANG; —"/ANGLE I. WHI aY. REYNOLDS ,(6x$TEih.,d * BALANCED BY: — ,'- FIAT: 1/64,000 LAND .URVEYOR r O. 224D '•J c 30 i63(3 STEPS TEO� AVENUE tikt f f � / 0 �� �^.-4' v / SCALE: 1" = 30' SA'4ANNAH GEORGIA 31405 /6 LEY "-- °I DATE: JANUARY 4, 2007 SURVEY TELEPHONE: 912-352-0464 / —/ I , DATE: JANUARY 7, 2007 PLAT FAX: 91.-352-7767 FILE NO. 06--213 75: P.06 DEC-03-2007 11:32 U EU. 3. NV! 1 : 33AI1 Nu. I YU r• I IIuntexMacleari HAROLD S.YBLLIN Attomeya at Law Phone 912,236.07,61 200 a Saint Julian Street Fax 912.236.4936 Post Office Box 9648 Ityell n @hunt eniaclean.eom HunterMadean Savannah,GA 31412-0048 ww,huziternacican,com December 3, 2007 To: Dianne Otto Foxed Sy: Company Name: City of Tybee Island Ch ry DeWitt City/State: Tybee Island Fax Number: 786-9539 Phone Number: 786-4573 From: Harold B.Yellin Client Number: t Reference: Conservation Easement for Mack Kitchens Pages: 6 including this cover sheet • Comments: • Also Sent Via US Mail Overnight Messenger Email Disclaimer under IRS Circular 230:Unless expressly stated otherwise,nothing contained in this communication is intended or written to be used, nor may it be relied upon or used,(1)by any taxpayer for the purpose of avoiding penalties that maybe imposed under the Internal Revenue Code, and/or(2)by any person to support the promotion or marketing of or to recommend any Federal tax tranasetion(s)or matter(s)addressed in this communication,Any taxpayer should seek independent tax advice with respect to any Federal tax transaction or matter addressed herein, Confidentiality Notice:This FAX has been sent from a law firm.It may contain privileged and confidential information intended for the use of th gs)named above.If you are not on intended recipient,you are hereby notified that any dissemination or duplication of this FAX is pi q and that there shall be no waiver of any privilege or confidence by your receipt of this transmission.If you have received this FAX in crrer,please notify us by collect telephone call and return the pages via first-class mail, Thank you. DEC-03-2007 11 37 96% P.01 Page 1 of 2 Dianne Otto From: Bubba Hughes [bhughes @CBRHLAW.COM] Sent: Friday, May 25, 2007 2:06 PM To: mecrone @bellsouth.net; Buelterman; tybeecreek @bellsouth.net; mpearce @scad.edu; Paul Wolff; shirleys @uwce.org; tybeewanda @bellsouth.net Cc: Diane Schleicher; Dianne Otto; Vivian Woods Subject: FW: Butler easement I am forwarding the easement relating to the triangular piece with Mack Kitchens. I have reviewed it&the plat& believe they are accurate. It is my understanding that the triangle part is to be maintained in its natural state so the draft does not include a right to cultivate it or mow it etc which we might otherwise want. If anyone has any concerns on this please let me know. Thanks & have a great weekend & holiday. From: Harold Yellin [mailto:HYellin @HunterMaclean.com] Sent: Wednesday, May 23, 2007 2:37 PM To: Bubba Hughes Subject: RE: Butler easement Easement attached. Harold B. Yellin Hunter, Maclean, Exley& Dunn, P.C. 200 East Saint Julian Street Savannah, GA 31401 Tel: (912)236-0261 Fax: (912)236-4936 hyellin @huntermaclean.com From: Bubba Hughes [mailto:bhughes @CBRHLAW.COM] Sent: Wednesday, May 23, 2007 1:37 PM To: Harold Yellin Subject: Butler easement Harold-can you email me the easement? I think I will have a few changes. Thanks Disclosure under IRS Circular 230: Unless expressly stated otherwise,nothing contained in this communication is intended or written to be used,nor may it be relied upon or used,(1)by any taxpayer for the purpose of avoiding penalties that may be imposed under the Internal Revenue Code,and/or(2)by any person to support the promotion or marketing of or to recommend any Federal tax transaction(s)or matter(s)addressed in this communication.Any taxpayer should seek independent tax advice with respect to any Federal tax transaction or matter addressed herein. Confidentiality Notice:This email has been sent from a law firm.It may contain privileged and confidential information intended for the use of the person(s)named above.If you are not an intended recipient,you are hereby notified that any dissemination or duplication of the email is prohibited,and that there shall be no waiver of any privilege or confidence by your receipt of this transmission.If you have received this email in error,please notify us by collect telephone call and immediately delete this email.Thank You. Hunter,Maclean,Exley&Dunn,P.C. 05/29/2007 Page 2 of 2 Savannah Office Telephone: 912.236.0261 Brunswick Office Telephone: 912.262.5996 05/29/2007 AFTER RECORDING,PLEASE RETURN TO: Harold B.Yellin Hunter,Maclean,Exley&Dunn,P.C. Post Office Box 9848 Savannah,GA 31412-0048 STATE OF GEORGIA ) COUNTY OF CHATHAM ) CONSERVATION EASEMENT THIS CONSERVATION EASEMENT is made and entered into this day of , 2007, between WILLIAM HERBERT BUTLER, JR. ("Grantor") and CITY OF TYBEE ISLAND, GEORGIA, a municipal corporation ("Grantee"). WITNESSETH: A. Grantor is the owner of an unnumbered lot, Ward 5, Tybee Island, Georgia located at 101 19th Street, Tybee Island, Georgia(the "Property"); and B. In connection with certain approvals for the development of the Property, Grantor has agreed (i) to restrict its use of a triangular portion of the Property, which portion is known herein as the "Protected Property" and is further described below, and (ii) to dedicate the Protected Property as green space in favor of the Grantee. 689985-01 For and in consideration of the sum of Ten and No/100 Dollars ($10.00) and other good and valuable consideration paid by Grantee to Grantor, the receipt and sufficiency of which are hereby acknowledged, Grantor agrees to the following: 1. Grant of Easement. Grantor does hereby give, grant and convey to the Grantee, subject to the restrictions described herein, a perpetual conservation easement, in gross, in, on and over the Protected Property, which Protected Property is described as follows: All of that certain parcel of land, lying and being a portion of an unnumbered triangular lot, Ward 5, Tybee Island, Chatham County, Georgia and being more particularly described as follows: BEGINNING at the concrete monument found at the intersection of the western 80' right of way of Butler Avenue and the southern 60' right of way of 19th Street; thence S 20° 51' 18" W a distance of 99.96' to a point ("Point of Beginning"); thence running S 20° 51' 18" W a distance of 35.00' to a point; thence running N 00° 56' 39" W a distance of 37.69' to a point; thence running S 69° 10' 35" E a distance of 14.00' to the Point of Beginning. Said triangular parcel being bounded on the north by the remainder of the unnumbered triangular lot, Ward 5, on the east by 80' right of way of Butler Avenue, on the west by 60' right of way of Chatham Avenue, all of which appears on that certain plat made by J. Whitley Reynolds, Georgia Registered Land Surveyor Number 2249, dated April 19, 2007, and recorded in Plat Book , Page , Office of the Clerk of Superior Court, Chatham County, Georgia. 2. Perpetual Easement. This easement shall run in favor of Grantee in perpetuity, and shall bind the Protected Property in perpetuity for the purpose of ensuring that the Protected Property forever retains its predominantly natural and scenic condition as dedicated green space. The rights of Grantee hereunder shall not be transferable or assignable. 3. Right of Entry. Grantee shall have the right of entry upon the Protected Property, upon thirty (30) days advance written notice to Grantor for the sole purpose of inspecting the Protected Property to ensure compliance with the terms of this conservation easement. Any such entry upon the Protected Property shall be along a path or route designated by Grantor and shall be at the sole risk and expense of Grantee. Grantee shall use reasonable care and shall be responsible for any damage to the Protected Property and the Property or any personal injury or damage to any other property arising out of Grantee's entry or presence on the Protected Property. 4. Negative Covenants. Grantor shall not perform any of the following activities within the Protected Property: (a) removal of any significant portion of trees on the Protected Property beyond what is required to maintain a healthy tree canopy thereon or to prevent unsafe or unsightly conditions; - 2 - (b) placing of refuse, wastes, sewage, or any hazardous substances on the Protected Property; or (c) building of any structure on the Protected Property, whether temporary or permanent, other than common gardening or small landscaping elements. 5. Rights of Grantor. Grantor shall continue to own the fee simple title to the Protected Property and may use it for any and all purposes not inconsistent with the terms of this easement. Notwithstanding anything herein to the contrary, Grantor shall have the right to construct improvements and any related structures on the remainder of the Property. Specifically, but not by way of limitation, this easement shall not prohibit Grantor from constructing or maintaining a single family residence and any related structures on the Property. 6. No Lien on Other Property. This easement shall not grant to the Grantee, any permitting agency, or any other person or entity, any interest in, lien upon, or right with respect to any other property of the Grantor. 7. No Rights in the Public. Although this easement in gross will benefit the public by creating dedicated green space in favor of the City of Tybee Island, Georgia, this easement shall not be construed to convey any rights of entry, access or use of the Protected Property by the public. The exclusive right to such entry, access or use shall remain solely in the Grantor for the purposes described herein, subject to the provisions of this easement. [SIGNATURE APPEARS ON THE FOLLOWING PAGE.] - 3 - IN WITNESS WHEREOF, Grantor has set his hand and seal as of the day and year first above written. GRANTOR: [L. S.] William Herbert Butler, Jr. Signed, sealed and delivered in the presence of: Witness Notary Public, County Georgia My commission expires: - 4 - i 1 . _ ,':45:'11/4e-Vp ,e_:;..f. ..:•;, .,4:-•• - ,li'. , ;C:• •'-''.'. ' 1 r-r • I 11 Inspection Report City of Tybee Island i 403 Butler Ave. P.O. Box 2149 il Tyhee Island, GA 313213 ,I Phone: (912) 786-4573 ext. 114 1 Fax: (912) 786-9539 PPriiiit rio.. n7- 0 ( ,..., i Date Regtif-qted I 1 Ctillifner' N a5-nP '4'. I-14--_r PO 0 S DatP Needed rontraci.nr Si ibco ntrarto r Contact !ifilbr , ii Pi\ G C.\- 1 1 CD kc 4 n e.... .e_e_r\ -4-k ---)--1- Location oss N — . ,, , r 3 a t f. o i l nspection ,ii Iu 5 --_-... 7.- ---\---",, I ingpe4-tor ..,;;.„...i......,_________Jy\_____ I - / I Type of 1 ncpertion I 1 ,4s ,L1 -- ,va m xe/ Pass Li /3 o 41, 001. ) ri,....„ r, !1 i C L ii\s‘ -Iv k . /1/1/4 C 1.-e At/7/ ) /1 4-S i)h 0 / Ste.,4 , '.... .4-14.■4.4.7 L411/c.--1/4.' (../1 -gsete /s, ( 1/- Z 0A/e) U.S DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires February 28, 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Sara K.Butler Policy Number A2. Building Street Address(including Apt.,Unit,Suite, and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 101 Ninteenth Street I I City Tybee Island, State GA ZIP Code 31328 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Unnumbered triangular lot,ward 5,Tybee Island A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory, etc.) residential A5. Latitude/Longitude:Lat.N 31 deg 59.294 min Long.W 80 deg 51.065 min Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 6 A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) 113 sq ft a) Square footage of attached garage n/a sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosures)walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State Tybee Island 135164 Chatham GA B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8. Flood B9. Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth). 135164 0002 C 6/17/86 6/17/86 V9 17 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑FIS Profile ® FIRM ❑Community Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes El No Designation Date ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings* ❑Building Under Construction* ®Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized local Vertical Datum NGVD 1929 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 9_9. ®feet ❑meters(Puerto Rico only) b) Top of the next higher floor 20.3. ®feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 19.1 ®feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 9.9 ®feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 18.1 ®feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent(finished)grade(LAG) 9.0 ®feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 9.6 ®feet ❑meters(Puerto Rico only) SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. ncAS ® Check here if comments are provided on back of form.Cert er's Name J.Whitley Reynolds License Number 2249 Title Land Surveyor Company Name J.Whitley Reynolds,Land Surveying Address 636 -ph: so ve., .uite C City Savannah, State GA ZIP Code 31405 Signature Date September 26,2007 Telephone 912-352-0464 1 IMPORTANT: In these spaces,copy the esponding information from Section A. For Insurance Company Use: Building Street Address(including Apt.,Unit,Suite, and/or Bldg.No.)or P.O.Route and Box No. Policy Number 101 Ninteenth Street City Tybee Island, State GA ZIP Code 31328 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments C2.e)=A/C pad Garage/parking area is enclose. Signat Date 9/26/07 ❑ Check here if attachments SEC N E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑ meters ❑ above or❑below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑ above or❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑ above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑ above or❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8.and G9. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The following information(Items G4.-G9.)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7.This permit has been issued for: ❑ New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt, Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number 101 Ninteenth Street City Tybee Island State GA ZIP Code 31328 CompanyNAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. Front View September 26, 2007 A 4 v s .:. o t k.`. I k it , � ®4m j K� :b Y_ rr • _ _ 0 v i s 4 ; y ',- • l'4..4:'''' ', "t '')t4' '. ' ' . 41111111111111.111111111111* kit .. r .4 ' i It __ ,, ' _— ` I .: _ *"...r.' - .,-.. +- " "�....._: . -.. `+may• ... '79 ... -ti.. *-ro a 4t `- .� s„�w +s — Building Photographs Continuation Page For Insurance Company Use: Building Street Address(including Apt, Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number 101 Ninteenth Street City Tybee Island, State GA ZIP Code 31328 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and"Rear View"; and, if required, "Right Side View" and"Left Side View." Back View Se stember 26, 2007 'I1 t 4-‘‘.<.' ,,,„.,..i ~ss�rclW u 7µ .411,..-�/'s t k �1{. - __ r . .F.-- .I y . y r % , , .�. � � t. s 1 N . Pry l! t II ,li r�r I ri. „wok ,_._ . .I ... ,i ], z r J. - .4.i...-. . ..e Inspection Report City of Tybee Island 403 Butler Ave. P.O. Box 2749 iybee Isldnd, GA 31328 Phone: (912) 786-4573 ext. 114 fax: (912) 786-9539 Permit Nn- EY.? - 0 I R I Date Requested 1 1 - Owner's ?game )4-) c i (.7k0 rtS Date Needed i 1 - I -S-- 0 7 13en. Contvartor Sethcontractor Co ntact 14 1.1P1 her Mo c,-i) L --g4 - igko Location 1 nS'pecto r A"I-- ______ Date of Inspection Type of Jnspertion Ri\sks r, eke c . CRJ < s-e ( t) Pass 13\ Fail El * -1, ,-Thot RPS%.9 6 I d?, . • "`'S• fe" . • / Inspection Report city of Tybee Island 403 Butler Avenue P.,O. Box 2749 Ty bee Island, GA 31328 Phone!, (911) 786-4573 extension 114 (912) 786-9539 -Th - Permit No, ( t 0( ( Date litt.cipiestedcIYI 7 Owe,rs NarYilF S Date itieeded• nem Contraf:thr Subcontractor g 1/4)SSCI ( E . co 1-04-3r.°- till;01-PPr AI\ 0 Le) g TT In 0 Li 4 -1 3 Di cane-n Inspect-07 Date of Inspection Type of inspeton r - Pass LiFail 1111110 s,11 1111:111N. 117,1- IN, WA- RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR SAVANNAH ELECTRIC. FAX TO: Lynn Brennan 9124444537 Phone 912-443-5063 (l43-Soil 3 Location Address: ! 0/ / 9 S' ' Lot# Release Date: T-/'7-- D Type of Release: Temporary k Permanent Subd Name: Electrician: h `/ ?4‹,5 P + Electrician Phone Number: 844.- 13o 7 Owner/Builder:/A 2 .k K,-�� c h Phone Number: 48 q-- 78'(0 6 Location Address: Lot# Release Date: Type of Release: Temporary Permanent Subd Name: Electrician: Electrician Phone Number: Owner/Builder: Phone Number: Location Address: Lot# Release Date: Type of Release: Temporary Permanent Subd Name: Electrician: Electrician Phone Number: Owner/Builder: Phone Number: *************** -COMM. .RNAL- ******************* DATE SEP-17-2a **** TIME 08:59 ******** MODE = MEMORY TRANSMISSION START=SEP-17 08:59 END=SEP-17 08:59 FILE NO.=213 STN COMM. ONE-TOUCH/ STATION NAME/EMAIL ADDRESS/TELEPHONE NO. PAGES DURATION NO. ABBR NO. 001 OK s 4435073 001/001 00:00:19 -CITY OF TYBEE ISL. - ************************************ -CITY OF TYBEE - ***** - 912 786 9539- ********* ell IN Olik" IV RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR SAVANNAH ELECTRIC.FAX TO:Lynn Brennan 9151g9a0M337 Phone 912-443-5063 44714141r99 43-col 3 Location Address; /C)/ / 2 S' ' Lot# Release Date: -�/V- Type ►' O Type of Release; Temporary Permaanent Subd Name: Electrician: fah v y_ ?,,his j j Electrician Phone Number: 844,- /3D 7 Owner/Builder:As c {�,-�c In e, Phone Number; 4 7 � Location Address: Lot# Release Date: Type of Release: Temporary Permanent Subd Name: Electrician: Electrician Phone Number; Owner/Builder: Phone Number; Location Address: Lot# Release Date; Type of Release: Temporary Permanent Subd Name: Electrician: Electrician Phone Number; Owner/Builder: Phone Number: „ • , .. .. 1 44.• • -1./ Inspection Report City of Tybee Island 403 Butler Avenue PO. Box 2749 Tybee Island, GA 31328 Phone: (912) 186-4573 extension 114 Fax: (912) 786-9539 Permit No, - O\ Date Rectogested Q70o Owner's Na_ 5 Date Needed - I - 07 Gen. Contractor Subcontractor contact N urn f!r AI\ CA C F F (4 Location \ , IP\ 4-k 54 inspector Date of inspection ■ Type of inspertio ft 5JL24- . /\-- QPS.9 Pass Lir Fa ii _ . _ I • a___., • ...x.4.,... i.c,,:•1::‘•••- •• , ,r,:,,,, • •. ...,!1'.. . '-,&•• :,,f,../ i •-*,,,,,,..,,,„ Inspection Report City of Tybee Island 403 Butter Avenue P.O. Box 2749 Tybee Island, GA 31328 Phone: (912) 186-4513 extension 114 FdX: (912) 786-9539 Permit No. () 7 - 0 I 3 I Date Requested Owners Name . ____r Date Needed Gen.. Contractor , Subcontractor Contact Number __ , k _ ,. Location ) (--) 1 N n cl---- --Q-V``-\s-V _S+' e inspector 1/ ) Date of Inspection _-7770 ---- -- Type of inspection 0"d/ .czT, Pass • '7' e . N S C2 C-1\--' r 0 j3 \--, ry\-g 6- k . ''' L r 4 ) L.I ,-------- () e c (---, 4- r 0 vvx (--. 5, 6 , n ,,- Is\--- 1 iNvi. -Aat(i „-..)6,- H -(;:i cp ( s. . , \ ■ ' / ) t' - .,..(ii.t,•-ik.1v,,., •,:a'C '•X •;- '• •• • i ; t''',1,71. • . ;,7'r 1 ‘. '•',, . 1-;,'4,3 /4;••‘._ / Inspection Report City of Tybee Island 403 Butler Avenue P.O. Box 2749 Tybee Island, GA 31328 Phone: (912) 786-4573 extension 114 Fax: (912) 786-9539 Permit No. 0 r-I —0 i ? 1 ---) D 2 Date Regidec;tPd 0 , - — - Owner's Name ei4c_La 5 Date Needed 0-1 - 3 3— 7 Gen. Contractor Subcontractor ...------ Contact Number Location D \ksi `, ,JD._4-24_ ,-4L Inspector i)' Date of Inspection Type of Inspection A e.....,. ' Ten ( k55 - ( elec ) Pass RNse Fail Li d • ...: .. • iTh ' • 'U fl,--Th , 4..‘;.'i, ..,. .,,--._,,.•.• ...,,k-. ;'..:;,:: 4.-• 3.V i Inspection Report City of Tybee Island 403 Butler Avenue P.O. Box 2749 Tybee Island, GA 31328 phone: (912) 786-4513 extension 114 Nix: (912) 786-9539 Permit ft rt- ri - ,W)I Date Requested Owner's: Name -4- C-\sate-I,S il,7-ite Needed Gen, contractor SUbc00traCt0 \J _g S52-(( L--.1 ec, . ..... I Contact Number .. --/—eD\-‘ r% /-1 -1-- 4 4 - 1 3 D -? LocatiOn Date of Inspection Type of Inspec.tion 4 r 'D L) C: \Th e....] e r ) , MI -t --P\74)0 ‘b . 6 molof 1:0'2., kA) 1TH )t i. 1 , i 7 Pass 5_134-141\Y-)E, ,o• -" ,i_.- ‘,-z-coietivS ire: oo? 611■1111•1111 ■ 6/0(21 211 I .-,‘ \ r 0 L.) k CI 0 vv-A .C.3"-" ,..,0 i • ) • All ii..- jail Emi N 1 \\V-1 k ( Lf r Ci ) ?; PI: V TE-‘, --)-. 'r6 (_ 6eit..13, z,. -- 12.c zoo ro ) c'o i, La ) (Th t -4' r- a rr, : /-'‘ ).---- l■-nl. 4a . t r EL 10th l52.3, 1 .._ i, _27000) 0 ig, 1 . •.--L. - ; --"4 c. I .:.-- .••.- . i .:144.1::::• .::-,,Ilic. : ,i;;;-. .., • A ; . i;•,-* ..,.7{ r ''A'.‘1..• • 'S\f" inspection Report 0 City off Tybee Island 17 e 403 !Metier Avenue \\I\ P.O. Box 2149 Ox/ Tybee Island, GA 31328 Pnovte: (91:Z) 186-45113 extension 114 I . Fox: (912) 786-9539 i 1 - Permit hic:'.. 017- Oiti Cp.atp. Rocujested . 1 Owner's tiamP nate Needed .- -4.'') e / 3, 27--a_.)7-- Gen. Contractor Mk- k ilolflEvN Subcontractor cp.) Location ........„r.- iiispector `-.N , f Date of inspection Type of inspection Ni 0,k ajC1C-- i n . Pass . Fa i L.j 77 , . fk ,, vi , h 'KIII LLC i; „ RECEIvEn - For all your Pest Control needs Over 24 years experience. This letter is to certify that the structure located at /0/ /4 549 ee ?yyb et , Georgia has been pretreated to at least the minimum requirements of the Georgia Structur 1 Pest Control Act section 620-6-.04. The chemical used for this structure was /3 at ,0 4) %. Any questions or comments please refer them to Jeffry Butler, DCO at TechniKill, LLC. He may be reached at 912-682-0676 or his answering service at 912-823-2030. 4 Initial Treatment for Structure ❑ Final Grade Treatment for Structure ❑ Borate Treatment for Structure ,' 4vrk/A.. I p • a:vme S// d 7 Date P.O.Box 963 10155 Mud Road Brooklet,Georgia 30415 912-823-2430 M 'O l p 912-823-2852 Fax 912 a' 912-682-0676 Cell Phone 1 . : X :,;:•.-,-;.;P.'.•-• ...'yA.-. 'It-.;,7:.-.-. •->,•-4` ■ Inspection Report City ot Tybee Island 403 Butler Avenue P.O. Box 2749 Tybee Island, GA 31328 Phone: (91:1) 786-4573 extension 114 . ix: (912) 786-9539 Pert i'd ry _ Q r3 — 0( R I . Date Rego tested ( ) 5- ID-o -1 Owner's. Narne , -Lchfort.S Date Needed Gen,. Co rttriArtp r___ _ ___ 9,1jticrantrar-tor Contart Number )Y\ a c V-) 14 g1-4 Location __ I_D_A _____.1\c__,_ rA Q, ri '& --• 4-12S). 4 1. „ T nspecto r. _1-V1- Date of Inspection If C Type of Inspection _ • CJ'(.\ &..S" Si a \ 1910 4" 0 it") - Ci> er d GA) ( e ) Pass P q•11.....s, - • "Tk Fail E . s- 1 alf) _ . . _ 'sK.. TMr ,k InSpection Report city ot Tybee Island 493 B 11.1 11k ° Ave:f :t.::' P. .. Box 77 TOPA. Is i tL la•tx., 313 . e;'ft: (9"c:-J.'z 136-4 5 F -4 /3 1-74exte RS 10a 114 Fax ( 2) 786-9539 .. .. - - --'-----_-- --'- Date r�q Lieste.., r _.--i___ y ` €3,-41a r$ H krac l)r SubcontRac6°fs .i" x-i -a ':t nryt b, " _________ LL:____- -____.._ _-_- { -r•- E .,-,-7 fr--7 QPSS 7 yd ..,-T-1 LJ { { /Ji ( { L UI4�,� CITY OF TYBEE ISLAND WATER METER PICKUP DATE ISSUED: 04-30-2007 PERMIT#: 070181 WORK DESCRIPTION: NEW RESIDENTIAL BLDG-SF WORK LOCATION: 101 NINETEENTH ST OWNER NAME MACK KITCHENS ADDRESS PO BOX 1499 CITY,ST,ZIP TYBEE ISLAND GA 313281499 PHONE NUMBER CONTRACTOR NAME MACK KITCHENS ADDRESS PO BOX 1499 CITY STATE ZIP TYBEE ISLAND GA 313281499 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE 2000 OCCUPANCY TYPE P TOTAL FEE'S CHARGED $6,315.00 PROPERTY IDENTIFICATION# PROJECT VALUATION $250,000.00 ONE WATER METER(3/4-INCH) 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. r iLlSignature 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 .---, /_ , --..., -_ __ __ „ / _ (" --,_ / , / .;.:.,;,•••.„.:;,i..,,,,, , ( 1 ,-,2e-ib,• _.44'.1•:-•• 4.1..--.. • . - .-. ic::::-,...- •-. • ',..,,,...-.....,. .,,..T.-•• port / _,,,„.., --.,,:e, -•tt -:, , 4ctI2.4.4 „island / .4'.1?"e/4:veretTi., , / / 749 , eidad, GA --4.1328' / „,,, d6-4573 exten4Tiol 1 - - / Date Recr#.1.f.,stit!,,e1 ED Li . c.) Li -• -7' .--,---- ------'c77, ei / / r c VI .-:. Dat-t- Ivea-ded C:) q • 7 SI ' ._._..,. _ .___:._. _........, c Subc6,11i.-raci-or- ---) . ' /I 7-i , (---_,44 / co,pfr, ___ , k L., , - --(1 - , .----------___ _ 4 t)castiA(.- 1(7) I V -i--e_...Q.v t- .., . / / -4 f -- ------------ -.-;,-...,---........,.--!.______ i, ...: . , .7.--„ - 1.:*,.c;•,,,./ , f bisitte fi f Inspection (.17,,-,-7. SA:77:7---,----- -------"-----------____`3__________ "--Plrie? 01 i , x if \----4":"-* : 1 I ,........4.ft.p.,, ■ ir:a i I ,, / ‘,..t.,,..„:" I i / i i 1 i : i 1 . , - - 1 . .. RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND FOR SAVANNAH ELECTRIC.FAX TO: Lynn Brennan 7 Phone 912-443-5063 443 7 5 O^1 - Otgll Location Address: I 0\ +� �j-4-. Lot# Release Date: O--ZS-03 Sa& otv Type of Release: Temporary Permanent Subd Name: Electrician: J S S2`1 1 Electrician Phone Number: -t 3 0 7 Owner/Builder: /" a c .K ; -�-G kl2.n 5 Phone Number: (4-o4 -11 g(D(j Location Address: + Cp 4-�rtiLD Lot#210- Release Date: L-1- ` / rhP . mss" Type of Release: Temporary V Permaneht Subd Name: Electrician: /h j ( (e G . Electrician Phone Number: (1s-. s' sari) Owner/Builder: 1-.car(-` Most S Phone Number: a.t 3- 42407 V Location Address: Lot# Release Date: Type of Release: Temporary Permanent Subd Name: Electrician: Electrician Phone Number: Owner/Builder: Phone Number: CITY OF TYBEE ISLAND APPLICATION FOR NEW CONSTRUCTION BUILDING PPERMIT own, 2 sets of building plans I1 copy of survey showing ground elevations&flood zone C)`g 1 $250 plan deposit Location: t 0 g;�4tp_n4%t 64, PIN # N• ADDRESS , Owner /A/4. 5 6/ 188 Architect 0,2 3333 or Engineer Building Contractor (Check all that apply) New Construction ❑ Residential ❑ Other ®'Single Family ❑ Duplex ❑ Multi-Family ❑ Commercial Details of Project: nj n no% 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 CERTIFIED ELEVATION SURVEY OF LOT and complete the following information based on the construction drawings and site plan: #Units I #Bedrooms #Bathrooms %2, Lot Area bd Living space(total sq. ft.) 7000 #Off-street parking spaces '7 located &listed on site plan / Access: /9 5 Driveway 21) (ft.) With culvert? With swale? Setbacks: Front `D / Rear Sides (L) (R) #Stories Height 33 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 i -0,77).625m 71 . On-site waste and debris containers will be provided by s // Construction debris will be disposed by by means of _ ',r . 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: %-/A 7 Signature of Applicant: Note: A permit normally takes 7 to 10 business 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 i . n q--)4-01 Permit I 6,S co Code Enforcement Officer ,_ p - Inspections 1+.50,av Water/Sewer �/ _ —1 _1 Water Tap 530 Sewer Stub 55© Storm/Drainage ` Inspections :f M/ Aid to Const. City Manager CC Recovery I Cpp 42 51) cteposA. (ck# ZSo4) 41< Rte (draw ir'3C Curl Spec tk;�c�k;o►-u 4t .14 1cu•e 4o be. TOTAL 4,3/.5.2=1-` com c! J 'We ct-1 iy.Wsk si,.190—xz �evk a��p, FDA (),t �`�t t3 v. G1 l 1 e w1 ii�f,s G�vv� c\e 0-0-1 t 1 v�a 0� "1 ' `u-e oW ��� fo,r�- bt.;,��.h�.i,-s rJectivcs C-o • (p 0(.s. 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: /9:Z i/ aj1/3 6/1.5 Project I.D.: Attachments approved by: Ake-, Date: SyD7 CITY OF TYBEE ISLAND BUILDING&ZONING DEPARTMENT P.O. BOX 2749 TYBEE ISLAND, GA 31328 PHONE(912) 786-4573 FAX (912) 786-9539 FEMA Certification of Elevation is required for structures in a Flood Zone. Location of Work: /�b� '1�5 Owner's Name: 4 k Gel' /I. 'PiS Address: f• j (29, J7 Contractor's Name: /// p `e74_ 115 This notice is to confirm our understanding that all equipment such as air conditioning compressors, water heaters, furnaces, electrical outlets, meters, etc., are not permitted below the required finished floor elevation. By accepting the building permit, I (owner/contractor) agree to construct/place the equipment above or up to the required finished floor elevation, which is stated below. / / BFE Acknowledged and agreed to this /`6"-- day of 4Th( , 20 E 7 . Owner 7 Contractor Signature Ad-4 ed/i) Owner/Contractor Printed Name STATE ENERGY CODE AFFIDAVIT Location of Work: /07 /9 Owner's Name: /714/d4 ; i kieii 5 Address: /4 3- CO/4/6 4 Contractor's Name: �� �d ee76q5 This letter is to confirm the understanding of the owner/contractor to the compliance requirement of the Georgia State Energy Code for Buildings, 2000 Edition. I hereby declare that the design and construction of the above referenced project is in compliance with the Georgia State Energy Code for Buildings, 2000 Edition. It is understood and agreed by the undersigned owner of agent and contractor(if applicable)that the approval of the permit does not constitute a privilege to violate the Code and that any omission of or misrepresentation of fact with or without intention of the permit issued which was based on the approval of this application. The owner as listed above will be held responsible for insuring that all permits have been obtained and that all required inspections have been made. The owner will be held legally liable for any violations which may occur with or without his knowledge. The owner shall be allowed to request a Certificate of Occupancy when all inspections have been approved. 77/W_ $1./75-76 Owner's Signature Date /46Z 4'hie4s Owner's Printed Name ///5--/ Contractor's Signature Date /47}, Contractor's Printed Name PERMIT FOR INFRASTRUCTURE ALTERATIONS Location of Work: J.4l /9 71 Owner's Name: / (4 44 t' Address: /"z Contractor's Name: /(470-)Z NOTE: Any alteration to City owned streets, curbs, sidewalks,waterlines, sewer lines,drainage pipes, catch basins, or other elements of the City's infrastructure,requires a permit from the City,and an acknowledgement by the individual seeking to accomplish the alteration,that: a. The City's infrastructure will not be degraded in any way. b. All necessary safety precautions will be undertaken. c. The City will inspect the work in process and upon completion. d. The work will be accomplished to the City's satisfaction. e. The City shall be held harmless of any liability or damages of any variety. f. The individual has read applicable portion of the City's Code of Ordinance dealing with the alteration, and agrees to fully comply with such provisions. >� Description of alteration: /'-"� A-6/0' cc1Z2 A sketch or drawing must be attached illustrating the planned alteration. Attached? City Design Standards and Specifications: All alteration to the City's infrastructure shall be accomplished in such a fashion so as to restore the infrastructure to essentially the same condition that existed prior to the alteration,or to an improved condition, as determined by the City. Certification: I hereby acknowledge the above requirements, and certify that I will perform the above described altera ion in accordance with these provisions. -00'7 Owner's ignature Date Owner's Print Nam 5-47 f:/// Contractor's ignature Date 0/7%/11., ontractor's Punted ame APPROVAL Zoning Date Building/Code Date Water/Sewer Date Drainage z - Date C( / /( / CITY OF TYBEE ISLAND BUILDING &ZONING DEPARTMENT Temporary Electrical Service Affidavit Location of Work: /a /1 Owner's Name: /%E G G ? 4 i G Address: / ‘ ,5 :ze, / Contractor's Name: / ?ii 7�t=�e�filc This letter is to confirm the understanding of the owner/contractor to the compliance requirement of the Georgia State Minimum Construction Codes. "I hereby declare that the requested temporary electrical power is intended for the completion of the construction process and the testing of equipment installed within the structure." It is understood and agreed by the undersigned that the issuance of temporary power DOES NOT constitute the approval to occupy the structures. A Certificate of Occupancy must be issued by the City of Tybee Island prior to the structure being occupied. The owner/ contractor is hereby held responsible for any violations to this policy. A violation of this policy may result in discontinuance of the electrical service. "//.5---/O Owner's Signature Date Owner's Printe Name ) /S Contractor's Signature Date ////ia /7/ Contractor's Printed Name " 4/ Witness's Signature Date De Z O c Witness's Printed Name CITY OF TYBEE ISLAND SUBCONTRACTOR LIST Location of Work: ,a /9A 5/ Owner's Name: /7,642',14 6426 Address: /ie ,5 d yyia i/ Contractor's Name: //� /646)yl5 List the company name,business type, address, license number, contact person and phone number of all participating subcontractors. 1. Company 6:-)/ &,' Business Type i Address/44,_. J License Number Contact Person ,4C',96C� G �� Phone Number 1491'9E6 l 2. Company � �P Business Type ` /-i Address License Number Contact Person / Phone Number 3. Company Gr/`e\Z9/7.4, Business Type „AO Address 5D(7‘ip //�!2)f`. / License Number Contact Person C ,'`/ Phone Number 3i3 ci9,2c 4. Company /U!611-k 5 ;-yk) 3/( Business Type ALyie2 /7 Address 'e..‘" &/-1--License Number Contact Person r �/ Phone Number b S ,2026Z 5. Company Al i/ Business Type Aedi�/ti1� Address, 4- 5 7/C / / License Number Contact Person —164 Phone Number 65; ' .7/�p Attach additional sheets if needed. 19TH. STREET 60' R/W S 69°14'35"E 53.97' 1 1/4" IPF — o PAVERS `4.'• 0) CMF N 69°02'43"W 80.33' 1/2" RBF -, _. 5.2' 3 STORY FRAME RES. © o (24 () 5.2'-A CI u, 0 .. I . 03 `S co i W W S. c5, o O5.2' z Z \� 5. OCMF CA e \ w �� S 69°10'35"E H A ,� \ 14.00' 0, III \ N THIS TRIANGULAR AREA IS DEDICATED .4, GREENSPACE PURSUANT TO A g CONSERVATION EASEMENT GRANTED TO THE CITY OF TYBEE ISLAND, GA. GUY WIRE CABLE / \ 1 1/4" IPF THE CONSERVATION EASEMENT WILL BE RECORDED WITH THIS PLAT. PLAT OF AN UNNUMBERED TRIANGULAR LOT, WARD 5 , TYBEE ISLAND, CHATHAM COUNTY, GEORGIA STREET ADDRESS: 101 19TH. STREET FOR: SARA K. BUTLER REVISED SEPTEMBER 26, 2007 TO SHOW FINISHED BLDG. REVISED APRIL 11, 2007 TO SHOW DEDICATED GREENSPACE AT SOUTHERN PORTION OF LOT. ACCORDING TO THE F.I.R.M. DATED AREA = 3642 SF 6/17/86 THIS LOT IS WITHIN FLOOD ZONE V9, BFE 17. EQUIPMENT: TOPCON AP-L1A REFERENCE: DB 198 F 583 cl.,pRGz4 ERROR OF CLOSURE: LINEAR: 1/- * 4� B��'jj SO ANG: -"/ANGLE J. WHITLEY REYNOLDS BALANCED BY: - ' NO. 2 PLAT: 1/64,000 LAND SURVEYOR r a 30 636 STEPHENSON AVENUE "�.*�� �o 4? 0 SUITE C , ,SUR�� A SCALE: 1" = 30' I SAVANNAH, GEORGIA 31405 ` / IPLEY g �1bl DATE: JANUARY 4, 2007 SURVEY TELEPHONE: 912-352-0464 / FAX: 912-352-7787 / DATE: JANUARY 7, 2007 PLAT FILE N0. 06-213C