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CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 01 -22 -2013 PERMIT #: 130043
WORK DESCRIPTION OUTLETS/LIGHT
WORK LOCATION 1115 HWY 80 — PIN #4- 0026 -03 -021
OWNER NAME GERALD SCHANTZ
ADDRESS PO BOX 1095
CITY, ST, ZIP TYBEE ISLAND GA 31328
PHONE NUMBER
CONTRACTOR NAME TRINITY ELECTRIC
ADDRESS 725 BLUE GILL RD
CITY STATE ZIP ELLABELL GA 31308
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 55.00
PROPERTY IDENTIFICATION #
PROJECT VALUATION $2,000.00
TOTAL BALANCE DUE: $ 55.00
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: ' , /�%{/td . 7 ". / �i , p-
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P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -9539
www.cityoftybee.org
City of Tybee Island • Planning & Zoning Dept. tcaw '
Inspection Report
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e% Phone 912.472.5032 • Fax 912.786.9539 CODE COUNCIL
/ MEMBER
Permit No. 1 , - XX,/ Date Requested
Owner's Name , ' -- )e- T2 ),(_. Date Needed
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Gen. Contractor Subcontractor — ,
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Contact Information :-..„. 4 / / -- ,..,,,_, . L/, 2 7 1 - , . \ :,-) - 4) 2 7
Project Address / //,-, ' /41,,i, ,:c32.)
Scope of Work i iii-_,(1, ill / _ -4: :. ,
Inspector Date of Inspection
Inspection ,, „kr, 16 / Pass D Fs Fee
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Inspection Pass 0 Fail 0 Fee
Inspection Pass 0 Fail El Fee
Inspection Pass 0 Fail 0 Fee
e , 4 CITY OF TYBEE ISLAND
BUILDING & ZONING DEPARTMENT
\ ,, P.O. Box 2749, Tybee Island, GA 31328
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'" Phone (912) 786 -4573 • Fax (912) 786 -9539
ELECTRICAL PERMIT APPLICATION & TEMPORARY SERVICE AFFIDAVIT
Date / • : ` - "_- X : 3
New Work _ Replacement
Location of work (street address) 1 1/ c Z- ---- Az" ,�, C-- it U ; - C - G
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Contractor r,/-25 i 'Iv/ 7 4j L— C 4 Telephone / 2- 3/ 3 - 2c, 5 2
Address of Contractor (,2 6_ /3 e t' L 674G /-?4) i LL. 9 /3 - =G6- 6 3/3G7 5'
Property Owner 6 /j) -0, 3'C 74 ' Nr 2 Telephone j ( 2 7 56 ` y2 2 7
Date work will be ready for inspection, if known ( Permit Number
Estimated cost of construction 4c�i)C-
A/C Unit and Heat Pump 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
Heat Pump Swimming Pool — grounding Means 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
policy may re ult,i disconnection- f the electrical service until all violations and deficiencies are corrected.
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Owner /Contractor Signature c_____ Date
Owner /Contractor Printed Name
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APPROVAL Fee
Building Official .- - Date ;,. .
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