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CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED; 05 -4 -2010 PERMIT #: 100230
WORK DESCRIPTION GO FROM SEPTIC TO CITY SEWER
WORK LOCATION 132 S CAMPBELL AVE
OWNER NAME W. TAYLOR SUMERFORD
ADDRESS 1849E 350 S
CITY, ST, ZIP SHELBYVILLE IN 46176 -9300
PHONE NUMBER
CONTRACTOR NAME JAY WINNER PLUMBING
ADDRESS 114 E 31ST ST
CITY STATE ZIP SAVANNAH GA 31401
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 200.00
PROPERTY IDENTIFICATION #
PROJECT VALUATION $1,500.00
TOTAL BALANCE DUE: $ 200.00
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
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P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(91 2) 786 -4573 - FAX (912) 786 -9539
www.cityoftybee.org
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CITY OF TYBEE ISLAND
BUILDING & ZONING DEPARTMENT
P.O. Box 2749
Tybee Island, GA 31328
,A Phone (912) 786 -4573 Fax (912) 786 -9539
PLUMBING PERMIT APPLICATION
Date _. (610
Location of work (street address) 132 e am/01-44- rove.
Contractor �� Y t� vet rj i \-s q
Address of Contractor 1 L 4 [ S%¢ A- , (2I YJVd)
Telephone number of Contractor q/c2R - (O ' 3 q 4 ? g Or fDy)/,yt ‘1
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Name of Property Owner `! v w, ¢3'
Mailing address of Property Owner oX 3'19
Telephone number of Property Owner t • 1
Date work will be ready for inspe tion, if known 5 - - 201 O Permit Number
Estimated cost of construction r 0 _ 0 2 -30
7KNew Work Replacement Oil Gas Electric
Backflow Preventor
Disposal Unit
Domestic Water Connection to Main
Drain Roof or Area
Drainage or Vent Piping
Fire Protection Sprinkler System; Number of Heads/Nozzles
Grease / Oil Trap
Hose Bib
Hot Water Heater
Icemaker
Lawn Sprinkler System
Plumbing Fixture
X, Residential House Sewer Connection to Main -)E-- ' e j�a -�-
Sewer Cleanout
Sewer Stub
Vacuum Breaker
Water Meter
Water Service Line - New Residence
Water Service Line - Replacement
Water Softener
Other
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