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CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 12-12-2012 PERMIT#: 120659
WORK DESCRIPTION INSTALL FENCE
WORK LOCATION 111 LEWIS AVE
OWNER NAME WILLIAM NAVON
ADDRESS 111 LEWIS AVE
CITY,ST,ZIP TYBEE ISLAND GA 31328
PHONE NUMBER
CONTRACTOR NAME WILLIAM NAVON
ADDRESS 111 LEWIS AVE
CITY STATE ZIP TYBEE ISLAND GA 31328
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 50.00
PROPERTY IDENTIFICATION#
PROJECT VALUATION $300.00
TOTAL BALANCE DUE: $ 50.00
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: 1,A v, ,
I
P.0.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328
(912)786-4573-FAX(912)786-9539
www.cityoftybee.org
E. « 1 _0 ‘15-1 City of Tybee Island, Georgia
912-472-5033 or 912-472-5031 -Fax 912-786-9539
>g:,;) APPLICATION FOR BUILDING PERMIT
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Property Address: i I / -- k.___ °' i c' f 'VC
Name Mailing Address Telephone
` Home: 3c
re,Owner t t t «7%., ��1rt V i✓t�� U 1 I L•--- ,3 ,\r.. Cell (I 1 Z 3 X12. I
Architect or
Engineer _
Office:
Contractor Cell: p
(Check all that apply) C�.t S 112"2 I O-2o SS
Single Family ❑ Discovery/Tearout ❑ Demolition of Structure
❑ Duplex El Footprint Changes- El Other
❑ Multi-Family units new square feet
❑ Commercial units heated/cooled
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Details of Project: �~(�`:1 1 A l�\ 7-eV)(=-1. "x�, q. in i 1 i\ 5-1—a ii 1 c\.6_
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Estimated Cost of Construction: $ - (materials + labor+ profit/overhead)
If applicable, attach a copy of the certified elevation certificate and/or survey of the property. Depending upon
the scope of the work, two sets of construction drawings and/or a site plan may be required.
Year Built: Listed on National Historic Register or located within a National Historic District? Y / N
*Buildings older than 50 years may be eligible to be listed on the State/National Register. With this designation,you
may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island.
*Also see the Tybee Island Land Development Code Article 14: Historic Preservation
During construction:
On-site restroom facilities will be provided through . Construction debris will be disposed
by by means of . I understand that I must comply with zoning,flood
damage control, building,fire, shore protection and wetland ordinances, FEMA regulations and all applicable codes and
regulations. I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way
adversely affected as required by Article 16, Stormwater Management. I accept responsibility for any corrective action that
may be necessary to restore drainage impaired by this permitted con ruction.
Date: 12..-11--M.— Signature of Applicant: / /' - / �--' FEES
Permit
Printed Name ( ) lit t 1 A.,,.-, /\ir G-tr'1 Inspections
Note: A permit normally takes 7 to 10 days to process Cap Cost Rec
Water Tap
Date Sewer Stub
Approvals: 0 Eng. Fees
Planning &Zoning Manager t24-1-1-2_ Aid to Const.
Building Official
Water/Sewer
Storm/Drainage
City Manager
TOTAL ads SO
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LEAD-BASED PAINT RRP RULES
Ordinary renovation and maintenance activities can create dust that contains lead. Contractors who perform
renovation, repairs, and painting jobs in pre-1978 housing and child-occupied facilities must, before beginning
work, provide owners, tenants, and child-care facilities with a copy of EPA's lead hazard information pamphlet
Renovate Right: Important Lead Hazard information for Families, Child Care Providers, and Schools.
Contractors must document compliance with this requirement. After April 22, 2010, federal law will require you
to be certified and to use lead-safe work practices. Georgia Environmental Protection Division Lead-Based
Paint and Asbestos Program (404) 363-7026.
Projects must be done by a Certified Lead Renovation Firm AND a Certified Renovator
When disturbing lead-based painted or coated surfaces or components more than 6 ft2 per interior
room or 20 ft2 of exterior surfaces AND all window replacements and partial demolitions of any size.
* * * * * * * * * * * *** * * * * * * *
Asbestos/Environmental Notification to Georgia EPD for
Protects 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.
* * * * ** * * * * ** **** * * * **
BMPs
While BMP deficiencies are not necessarily the fault of the owner or his agent, BMPs are their responsibility.
Two areas of deficiencies are in the most basic and common BMPs; Co — Construction Exit and Sd1 —
Sediment Barrier. Correct installation information can be found in the Field Manual for Erosion and Sediment
Control in Georgia, Fourth Edition 2002, Georgia Soil and Water Conservation Commission;
http://www.gaswcc.org/docs/field_manual_4ed.pdf.
Problems with the Co is not limited to the installation, but to material. The stone will be a representation of
1.5"-3.5" stone or larger.
Type A sediment barriers have been installed where Type C is required and shown on the permit drawings.
Where two rows are called for they will be installed with a separation that allows for the first one to fail (fall
over) without impacting the second one. The complete assembly and installation must be compliant; steel or
wood posts, post,spacing, Type C or A.
I2 —/2 — IZ
Signature for receipt of Lead Paint, Asbestos, and BMP notices. Date
Printed Name
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LEWIS AVENUE 60' R/W
STATE OF GEORGIA REFERENCE: S.M.B. F PAGE 173
CHATHAM COUNTY
PLAT OF LOT 31, PALM TERRACE SUBDIVISION, HAMMOCK WARD,
KNOWN AS No. 111 LEWS AVENUE, TYBEE ISLAND, GEORGIA.
FOR: LAWRENCE A. PIPER & DAWN M. PIPER
DATE: JANUARY 22, 2001
SCALE: 1"= 30' f,l(E0 R G/"
IN MY OPINION THIS PLAT IS A CORRECT ✓r.�o I REPRESENTATION OF THE LAND PLATTED O 30 60' t/�� F, ,
E.O.C. FIELD 1/ 16,415 (' 2
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ADJ. METHOD INSPECTION LAND SURVEYING, P.C, 'n�7,f,' C) -,
E.O.C. PLAT 1/ 118,572 145 RUNNER ROAD '�1).` , UR`IF�.`-`"
TOTAL STATION GEODIMETER 610 SAVANNAH, GA, 31410 ,\tip SARPF-
(912) 897-0661 „
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STATE OF GEORGIA REFERENCE: S.M.B. F PAGE 1• 3
CHATHAM COUNTY
PLAT OF LOT 31 , PALM TERRACE SUBDIVISION, HAMMOCK WARD,
KNOWN AS No. 111 LEWIS AVENUE, TYBEE ISLAND, GEORGIA.
FOR: LAWRENCE A. PIPER & DAWN M. PIPER
DATE: JANUARY 22, 2001
SCALE: 1"— 30' f..<-`C R r;1q
IN MY OPINION THIS PLAT IS A CORRECT I,.('�,IST
REPRESENTATION OF THE LAND PLATTED 0' 30' 60' // �fC�•" A PuIa4614.1 ') I 1'1c;. 2 E.O.C. FIELD 1/ 16,415 _ �•
< ERROR/POINT BERT BARRETT, JR. ' ' .a e Q
ADJ. METHOD INSPECTION LAND SURVEYING, P.C. <.\\.:7,,-,.��" � i�' , ?
E.O.C. PLAT 1/ 118,572 145 RUNNER ROAD ' ''-.`'�SUR`� ,<
TOTAL S1ATION GEODPETER 610 SAVANNAH, GA, 31410 BARP "
(912) 897-0661 �_