HomeMy Public PortalAbout10-0003 Elizalde r fi
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CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 01 -5 -2010 PERMIT #: 100003
WORK DESCRIPTION ELECTRICAL - REPAIR SERVICE
WORK LOCATION 203 LOVELL AVE
OWNER NAME PABLO & PATRICI ELIZALDE
ADDRESS 3 ANCHOR CT
CITY, ST, ZIP SAVANNAH GA 31410 -3410
PHONE NUMBER 441 -5383
CONTRACTOR NAME BRADDY ELECTRIC COMPANY INC
ADDRESS PO BOX 5598
CITY STATE ZIP SAVANNAH GA 31414
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 25.00
PROPERTY IDENTIFICATION #
PROJECT VALUATION $ 200.00
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: L�MnX/ ��
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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
01/05/2010 TUE 11:01 FAX 912 233 7872 Braddy Electric Savannah 0001 /0
RUG -31 -2005 10.23 L y OF TYBEE ISL. 912 ?SS 9539 P.e2/02
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° " a CITY OF TYBEE ISLAND t '
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ELECTRICAL PERMIT & TEMPORARY SERVICE AFFIDAVIT ``
� ' I 0 0 c3 S k
PnWertY address: c �l C ." I rl fe,1' i 1 -e 1 Date: / 5 - aD (C) � i
per's name: es
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owner's address: 02 03 Lo (tP 1 / . I Coritiactoes addreps10 C0 , rt lC7 ¥ .� .5 Fe ` 3 f qj c 1
Ownees telephone: 6 9 -2 _ s .' 1 Con ctor's telephone: Q ( - &3 ,/ ..-) ( pi
�e of Construction: New . Renovation I 1 Date Inspection Needed: /- S ,4 1'' ,
,p- /i 3c rtll CC' - CHECK ALL 'THAT APPLY:
°coon fix 1 p 1 Application for temporary service:
APPLICATION FOR PERMIT
NC Window 1 Intercom System Range Split Pool Ground
Air Compressor 1 Loudspeaker System Ranges Telephones
Attic Ventilation Fan 1 Meter Box Outlets -110: Services:
Bell Transmitter 1 Microwave Oven -15 or fewer 60 amps or less
1
Border/Outline Lighting 1 Motor(s): 16 - 25 61 -100 amps
I Building Saw I 0-1 hp 26 to40 101 -200 amps
- Cstiing t=an 1-3 hp 41 to 70 201 -400 arms
Central Vacuum 1 - 3-8 hp 71 to 100 401 --1500 arms
1 Dishwasher 1 8-15 hp 101 or more Temporary Service
Disposal 1 15-25 hp Receiver Disc Thermostat `
Dryer 1 25-50 hp Rectifiers TV Jacks
Exhaust Fan 50-100 hp Sign Circuit Water Heater
Exit Lights over 100 hp Smoke Detector Washing Machine
Food Processor 1 Parking Lot Lights Spas & Tubs Well Pump
Garage Door Opener 1 Pool lights Special outlet Welders
Heater - 1 Post Light Strip Heat X-ray
Ice Maker 1 Range Hood • Swimming Pool
[ *0 APPUCATION FOR TEMPORARY SERVICE REQUEST 0 0 .
In requesting temporary electrical service, the undersigned understand and agree:
1. Connection of temporary electrical service provides 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 disconnectiouyyf the electrical service until all violations and deficiencies are corrected.
Owners signature: t ►,, ' -, /, 0 rill , , 1/. ' Date: ,/ _ Q 7(-----) .
Contractor's signature: I.. _ _ '1/ 9 ' " .l __Data: / - 15 - - c?1 0 j
Appmvat
Code Enforcement Officer: d ---
Date:
Community Development Director; Date:
Fee: Initials:
Oformstom .tree removai.doc Jaml2aY 2a, 2002
TOTAL P.02