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CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 12 -12 -2007 PERMIT #: 070519
WORK DESCRIPTION: REROOF
WORK LOCATION: 62 VAN HORNE
OWNER NAME JIM & NANCY LAFAVOR
ADDRESS PO BOX 1745
CITY, ST, ZIP TYBEE ISLAND GA 31328 -1745
PHONE NUMBER
CONTRACTOR NAME D C CONSTRUCTION OF COASTAL GA
ADDRESS PO BOX 2996
CITY STATE ZIP RICHMOND HILL GA 31324
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEE'S CHARGED $ 43.00
PROPERTY IDENTIFICATION #
PROJECT VALUATION $2,600.00
TOTAL BALANCE DUE: $ 43.00
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: a r ry1A,...12)
P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -5737
www.cityoftybee.org
CITY OF TYBEE ISLAND, GEORGIA
APPLICATION FOR BUILDING PERMIT
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Location: (o 2 V n 1404 c-,2___, PIN #
NAME ADDRESS TELEPHONE
Owner E5 27) )=1 / IYGi 6- 70- 5- N-_'_
Architect
or Engineer
Building
Contractor a-_ ( 0 I &X 1 ° 7 _ -3/ - Li / 4
(Check all that apply)
❑ Repair ❑ Residential ❑ Footprint Changes
❑ Renovation ❑ Single Family ❑ Discovery
❑ Minor Addition ❑ Duplex ❑ Demolition
❑ Substantial Addition ❑ Multi - Family
❑ Other ❑ Commercial
Details of Proj ect: % j /7C �A– / �' — ( Project: .
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Estimated Cost of Construction: $
7 6- al)
onstruction Type _ (Enter appropriate number)
(1) ood Frame (4) Masonry (6) 0 .- -i (please specify)
(2) d & Masonry (5) Steel & Masonry
(3) Brick neer
Proposed use
Remarks:
ATTACH A COPY OF T ` ERTIFIED ELEV ION SURVEY OF LOT and complete the
following information based on " - constructi ► ' drawings and site plan:
# Units # : - i 4 oms # Bathrooms
Lot Area ving sp. (total sq. ft.)
# Off - street parking spaces
Trees located & listed on site an
Access:
Driveway (ft With culvert? With swale?
Setbacks: Front Rear Si. - (L) (R)
# Stories Height Vertical distance measured from the average al .. - t
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 e proyjded b
Construction debris will be disposed by 1 ( liy 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.
Dates Signature of Applicant:
Note: A hermit 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 n
Zoning Administrator Permit ,o(
Code Enforcement Officer Inspections i
Water /Sewer Water Tap
Storm/Drainage Sewer Stub
Inspections Aid to Const.
City Manager
TOTAL (13