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CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 04 -12 -2010 PERMIT #: 100183
WORK DESCRIPTION ELEC - METER BOX/HEAT PUMP
WORK LOCATION 124 LEWIS AVE
OWNER NAME MOLA C. JUNG
ADDRESS PO BOX 700
CITY, ST, ZIP TYBEE ISLAND GA 31328 -0700
PHONE NUMBER
CONTRACTOR NAME AMAK ELECTRIC & REPAIR SER INC
ADDRESS 111 RED BLUFF CIRCLE
CITY STATE ZIP RINCON GA 31326
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 25.00
PROPERTY IDENTIFICATION #
PROJECT VALUATION $1,500.00
TOTAL BALANCE DUE: $ 25.00
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: 430
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P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -9539
www.cityoftybee.org
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oi . ryberi Island . Community Development Dept.
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2T-1 p ectn Report
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403 Eutier Ave. - . r.. 224g - Tybee 3 1 3 3
Phone. '412-786.4573 amt. ti 4 - F.az 912.78(5.9539
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Date Requested . ' , z— i .._.)
Ow,grier's ii &file k ) 3 1 \ c< Date Needed. [ -- 1 n-- 1 0
Gen. Contractor 4,4('7, i- 9 / . Subcontractor
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Scope of Work ,,---'. I P f . ''.--".".' 1 YA (-:.. 4&. 10
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Irpspec.tor , /, -/ Date of Inspectio# ./../..,,,, yi ..)
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Inspection ' . r\r".---( P \ •
, e (..._ . Pass ELJ Fail [3 Fee
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In,spec Pass n Fail 0 Fee
Iospection Pass 0 Fail D FeE
Inspection Pass r---7, Fail
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T?{ Result Report P 1
04/13/2010 12:50
Serial N0. CM35228060004
TC: 174280
1 Destination 1 Start Time 1Time 1 Prints 1 Result' Note
1 Georgia Power 104 -13 12:49 � 00:00:44 1 I OK 1
Note MIX Mixed on ggina 1
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FWD:Fo e PC a PC -Fax.
MID: : Double-Sided y: confidential, Direction.
ti, : Bulletin, inCSIP: original,
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I -FAX: Internet Fax
Result OK: Communication OK, S -OK: Stop Communication, PW -OFF: Power Switch OFF,
TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer,
Refuse: Receipt Refused, Busy: Busy, M- Full:Memory Full,
LOVR:Receiving length Over, POVER:Receiving page Over, FIL :File Error,
DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error.
RELEASES FOR ELECTRIC SERVICE FRONT TYBEE ISLAND
FOR SAVANNA$ ELECTRIC. FAX TO: Lyon Brennan nom" '7 phone 912- _= •
$ o co - 2le�((
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Location Address: ��' � Lot # Release Date:
Type of Release: Temporary Permanent Subd Name:
Electrician: sL /YyJ� Electrician Phone Number:
OwnerBuilder: Phone Number:
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/Bnilder: Phone Number:
WI 1
RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND
FOR SAVANNAH ELECTRIC. FAX TO: Lynn Brennan 9=,37 Phone 912-44-5-5- o
3 0 (0 2a. yca 3o6-2 or
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Location Address: 12 l ".5 /J � Lot # Release ase Date.
Type of Release: Temporary Permanent Subd Name: ,
Electrician: 411Q'� Electrician Phone Number: 3 s
OwnerBuilder: lUA)L Phone Number:
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:
From:CITY OF TYBEE ISLAND 912 786 9539 04/09/2010 15:39 #627 P.003/003
$ 3 CITY OF TYBEE ISLAND
: f ._ . ,r BUILDING & ZONING DEPARTMENT
P.O. Box 2749, Tybee Island, GA 31328
TIP4 Phone (912) 786 -4573 • Fax (912) 786 -9539
ELECTRICAL PERMIT APPLICATION & TEMPORARY SERVICE AFFIDAVIT
Date 4— 0 1" ( _ New Work _ Replacement
Location of work (street address) \ Ili- L v „ , 5 I\ U
Contractor /Zzeg L -srr e,,r>i e ( Telephone ')i, r _.4 .A., ,S— y 7
Address of Contractor .1i/ d e .4 s is e i
Property Owner N1 v \ <4 nrt+ Telephone r� a `'A,
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Date work will be ready for inspection, if known 7 ° „ 666
Estimated cost of construction ) , L., vt}- o
/ A/C Unit and Heat Pump Range Hood — commercial
Attic Ventilation Fan 1 Service: :Zoo amps 1 ALL WIRING,
Bell Transmitter — low voltage 1 Sign Circuit - wattage
Border /Outline Lighting Smoke Detector — low voltage SERVICE
Building Saw 1 Spa or Tub — grounding INCLUDED,
Exit Lights — life safety Special Outlet
Heat Pump Swimming Pool — grounding MUST BE
,/ Meter Box Water Heater
Motor(s): hp Welder — 220 volts circuit COPPER. NO
Outlets —110 volts circuit Well Pump — grounding 1 ALUMINUM
Parking Lot Lights X -ray 1
Pool Lights — grounding Other 1 ALLOWED.
Range — commercial 1
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 result in disconnection of the electrical service until all violations and deficiencies are corrected.
., -- sari ?�., t " /0
O er /Contractor Signature Date
Owner /Contractor Printed Name
• •
APPROVAL Fee 2.S"'"
Building Official OM � D ate
g .r� Li-12.10
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