HomeMy Public PortalAbout07-0374 Hartz 1 y
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CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 08-22-2007 PERMIT#: 070374
WORK DESCRIPTION: REPAIR COMMERCIAL BLDG
WORK LOCATION: 10 IZLAR AVE APTS
OWNER NAME ELDO HARTZ
ADDRESS 11 TYBRISA ST
CITY,ST,ZIP TYBEE ISLAND GA 31328
PHONE NUMBER 786-9329
CONTRACTOR NAME ELDO HARTZ
ADDRESS 11 TYBRISA ST
CITY STATE ZIP TYBEE ISLAND GA 31328
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE U
TOTAL FEE'S CHARGED $ 50.00
PROPERTY IDENTIFICATION#
PROJECT VALUATION $4,000.00
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.
Signature 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
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44' D Date
New ✓
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} )1 CITY OF TYBEE ISLAND Renewal
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4 BUSINESS LICENSE APPLICATION License#
Alcohol License Y or l,l w
coats°4 Entertainment App. Y o el
Business Name Cc.1,40 >1ase, /14f��
Location / /4 ��dAy% LJ f ,'„ Q
Mailing Address (pz.)4/ 7-1* Si fi >��,c //5514 il J a 3%3-;
Phone foZ 7�6 C/59' Email r,R J-TVn Jhe,/ e(17*- , I
Federal ID# Sales Tax ID NAICS Code
Business Type(circle one): ole Proprietor Partnership Corporation LLC Non-Profit Other:
Names and Home Addresses of Owners, Partners or Corporate Officers
Names Home Address City,State,Zip Title
Describe t.� b Q siness you would like to licen i 0(0— Yl_4�_�
Pei/ e, 14C, 6 ileY-17 kfj J j b l d- s . perms.-i- -F-o c I use_
ba--ere Is s u ;�S ':a.
Has this business or anyone connected with this business been cited or chi I vocal Ordinance,
LRule or Regulation of the State Revenue Commissioner or any Rule or Re! • <te%S-c, Lt f 4- VA/1 Co - 3? (circle one) YES cif NO
(If YES, include details)
Lict e
Will your business require signage off premise? /*Vo 0 r ' 0 2`1 • x 16) $100
,40 125
T
Any business that requires state licensing must present state license when `_( or ' L toning conformance. If
there is a question as to whether the location is zoned correctly please cd v" �7 4.4".f\ reverse side for further
instructions and schedule of regulatory fees. Application for alcohol lice r�': C/ 1 for live entertainment
requires annual review and approval. �a
Applicant Signature �`�..�?J! ;, �.4`(�
Printed Name Ej i ._
Received by tiv, &D Date CO —F'1 a
ROUTING APPROVAL BY DATE FEES
City Manager/Administrator REQUIRED 1000 Occupational Tax 125.00
Zoning Approval REQUIRED 9999 Administration Fee 10.00
Health Dept Certificate Required YES or NO Signage
Fire Inspector Certificate Required YES or NO
Insurance Policy Required for YES or NO
$
Police Chief Recommendation Required YES or NO
City Council Approval Required YES or NO TOTAL DUE WITH APPLICATION (I 3r,
Reason for denial:
403 Butler Avenue, P.O. Box 2749,Tybee Island, Georgia 31328-2749
(912) 786-4573 FAX (912) 786-9539
www.cityoftybee.org
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Affidavit Verifying Status
for City Public Benefit Application
By executing this affidavit under oath, as an applicant for a City of Tybee Island, Georgia, Business License or Occupation Tax
Certificate,Alcohol License,Taxi Permit, Contract,or other public benefit as referenced in O.C.G.A. Section 50-36-1,I am stating the
following with respect to my application of a City of Tybee Island:
firBusiness License or Occupational Tax Certificate,
• Alcohol License,
(circle all that apply)
• Taxi Permit,
• Contract
• Other public benefit
for h/ /161 r Z-- (printed name of natural person applying on behalf of
individual, business, corporation,partnership, or other private entity).
1) I am a United States citizen.
OR
2) I am a legal permanent resident 18 years of age or older or I am an otherwise qualified alien or non-immigrant under
the Federal Immigration and Nationality Act, 18 years of age or older and lawfully present in the United States. *
In making the above representation under oath,I understand that any person who knowingly and willfully makes a false, fictitious, or
fraudulent statement or representation in an affidavit shall be guilty of a violation of Code Section 16-10-20 of the Official Code of
Georgia.
�a p
Sig f re of Applicant-
Date
Printed Name
*Alien Registration Number for Non-citizens
SUBSCRIBED AND S V2101 N BEFORE ME ON THIS
THE g DAY OF J r■12-+ ,20 ID
Notary Public
• t$ry , County, GA
ANy No Commission pu�lie Expires Chgtham November t3, 2010
My Commission Expires: 1• JV r ''c 2. 010
Note: O.C.G.A. §50-36-1(e)(2) requires that aliens under the federal Immigration and Nationality Act, Title 8 U.S.C., as amended,
provide their alien registration number. Because legal permanent residents are included in the federal definition of "alien", legal
permanent residents must also provide their alien registration number. Qualified aliens that do not have an alien registration number
may supply another identing number below:
' ..
Report ,
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Ptri Apectiori
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4-63 Butler Ave.
PA:). Rox 2749
Thee Isd, GA 31328
PkGate; (912) 786-473 ext. 114
FA:it: (912) 786-9519
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Inspection Report
City o Tybee Island
403 Metier Avenue
I P.O. Box 2749
1 Tybee Island, GP 31328
I Phone! (912) 186-4573 extension 11.4
Fax: (912) 786-9.539
1 p,,„„tho - Date Requested H
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Owner's Name 1---, 0,-j. -+ a Date li eeded
Gen, Contractor Subcontractor T —PA \J■J . S- 0
Contact Number - , , 5
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Location \ 0 - —6 L2 \o,r' A,\i' Q . ---
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STATE OF GEORGIA
CHATHAM COUNTY
1° L A T OF LOT'S 12, 13 I & 4 , V Uf3DI v/5 IV N OF , eour
LOT 97 Se DoT 6 & WE T1 &f Po2Tic,1J OF LoT7,
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CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT \ —
7 01)2(\ I , V g t5C . -3' f5 " :1 ‘.
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Location: /0 °„/3 /2-/4!r 4-v_ PIN#
NAME ADDRESS TELEPHONE
Owner 7 z-O /L//P 020 y 7' v5 r 8-47,6 0 4e'
Architect
or Engineer
Building
Contractor
(Check all that apply)
epair ❑ Residential [1_ Footprint Changes
Tv Renovation ❑jingle Family r<Discovery
Li 'Minor Addition [Duplex ❑ Demolition
❑ Substantial Addition ❑ Multi-Family
❑ Other ❑ Commercial
Detai afProject: /0,71-4 rtic'F 1eak2 pcij7te.)it r-for ±ri ni 147,54//46'54/ 4
LLB 1 ..% _ ,
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c- - r i , c + " � fit- - " - A�� i .GCngLc4 ✓J
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Estimated Cost of Cons ruction: 3^
—� ii. • /. '" u --� � ,�- ,
Construction Type (Enter appropriate number)
(1) Wood Frame (4) Masonry (6) Other(please specify)
1 (2) Wood &Masonry (5) Steel &Masonry
(3) Brick Veneer
Proposed use: �,;,e/j.,t
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 ""1"e12
On-site waste and debris containers will be provided by
Construction debris will be disposed by /6;,e,-)t- by means of G c'1 v.77�f c(v p
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: 69/7/7 Signature of Applicant: Ar r
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 -VV j
Water meter size
Storm drainage
Approvals: Signatur Date FEES
Zoning Administrator �> / Permit ,°a
Code Enforcement Officer !_�� 0 -ZZ a7 Inspections /5;00
Water/Sewer Water Tap
Storm/Drainage Sewer Stub
Inspections Aid to Const.
City Manager
TOTAL ,C0
SAV: PRINT CO 1-B00-572-7260
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STATE OF GEORGIA
CHATHAM COUNTY
PLAT OF LOT 5 124 131 S4 4 , v 0ePIv15117Al . OF /CRokT
LOT ' 7 ge LOT & WE5TtL // P027'1o/4 OF L07- 7,
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