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Home My Public Portal About10-0203 Chufly, Inc. is s 1 1 - 171. 0 CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 04 -21 -2010 PERMIT #: 100203 WORK DESCRIPTION DISCOVERY / TEAROUT ONLY WORK LOCATION 1311 BUTLER AVE OWNER NAME CHUFLY INC. ADDRESS 722 WILMINGTON ISLAND RD CITY, ST, ZIP SAVANNAH GA 31410 -4502 PHONE NUMBER CONTRACTOR NAME KURTIS SCHUMM (270- 952 -3474) ADDRESS CITY STATE ZIP FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE U TOTAL FEES CHARGED $ 50.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $1,000.00 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: A.0.0i6-- P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org CITY OF TYBEE ISLAND, GEORGin' APPLICATION FOR BUILDING PERMIT ( o-c2 o3 0 ) Location: t' I 1 6- \ Z PIN # NAME ADDRESS TELEPHONE )( Owner IN\ 9I7 3 .Z25‘ Architect or Engineer B . 1di ( (,c4.-:S /� Co actor Scln u m + 21 -952 -3 7' (Check all that apply) n Repair n Residential anges n Renovation n Single Family Disc. _- . . 1 Minor Addition El Duplex ❑ Demolition n Substantial Addition Multi- Family Other n Commercial Details of Project: v12— Estimated Cost of Construction: $ / (r)(l 0 eST . onstruction Type (Enter appropriate number) (1) ood Frame (4) Masonry (6) O er (please specify) (2) Wo. i & Masonry (5) Steel & Masonry (3) Brick - ' eer Proposed use: Remarks: ATTACH A COPY OF THE TIFIED E ATION SURVEY OF LOT and complete the following information based on the c. ction drawings and site plan: # Units # Bedroo # Bathrooms Lot Area Living space ..1 sq. ft.) # Off - street parki • spaces Trees locate. listed on site plan Acces • D. seway (ft.) With culvert? With Swale? Setbacks: Front Rear ' ' • es (L) (R) # Stories Height Vertical distance measured from the aver. _e adjacent grade of the building to the extreme high point of the building, exclusive of chimne heating units, ventilation ducts, air conditioning units, elevators, and similar appurtances. During construction: `` 11 On -site restroom facilities will be provided through c' PiC,t �- \ N`� r15 I On -site waste and debris containers will be provided by Ct1 / v M� ' Construction debris will be disposed by Sc004■ by means of A Vis J c W PJ I understand that I must comply with zoning, flood damage control, building, fire, shore I 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: 4/ Z-1. I l a Signature of Applicant: / L i Ne: 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 Water meter size Storm drainage Approvals: Signature Date FEES Zoning Administrator Permit Code Enforcement Officer Inspections Water /Sewer Water Tap Storm /Drainage Sewer Stub Inspections Aid to Const. City Manager TOTAL C j 7 , DEPT. OF NATAAL 1T 11 / S NEiWpCE6 W EORGA� Permit Acknowledgement of Asbestos /Environmental Notification to Georgia EPD for Projects 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. , i' v-- lt Z t ( E D Undersigned k v 3 Date 'C.U2--� \. �C.A M. 1 Printed Name Office Use Only: Project Address: Permit Number: