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Home My Public Portal About10-0091 Alexander GEORGIA PABTM DEPARTMENT FOOD SERVICE COMMUNITY HEALTH PERNIIT 09/08/2010 FSP- 025 - 000056 (DATE ISSUED) (PERMIT NUMBER) A PERMIT IS HEREBY GRANTED TO Nick C. Alexander to maintain and operate (OWNER) Nickie's 1971 as a - (NAME OF FOOD SERVICE ESTABLISHMENT) Permanent Located at 1513 Butler AVE (TYPE OF FOOD SERVICE ESTABLISHMENT) (STREET, HIGHWAY, OR RFD) TYBEE ISLAND CHATHAM 31328 GA (CITY OR.TOWN) {COUNTY) (ZIP CODE) This permit signifies compliance on the date of issue with the Rules of the Georgia Department of Community Health pursuant to the O.C.G.A. 26-2-373 et seq. and is valid until the permit is suspended, revoked or expires. AL Reny Francois, MD,IMISPH, PhD, Director Clyde L. Reese, 111, Esq., Commissioner DIVISION OF PUBLIC HEALTH r , 0" I I EPARTMENT OF COMMUNITY HEALTH Issuing Offi ' .1 "TrW — NOT TRANSFERABLE — PROPERTY OF THE HEALTH AUTHORITY City of )ee Island • Community Develoi, ant Dept. 1?" c Ci ?) Inspection Report ) 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 mom eiM1111111 INTERMNAL Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CODECOUNCIL MEMBER 1 Permit No , ( - , / ' / ' Date Requested / ' , / 71 • / Owner's Name 9' Vi",/, ) 1:- Date Needed , :7/ / Gen. Contractor Subcontractor Contact Information -- 'J's 77 Project Address / /3 , Scope of Work t', ' V ( F 1 / I // '''' i 7 1-7 Inspector - 2/q Date of Inspection D„, Inspection / P , J/7 / Pass 111 Fail 0 Fee t ) Inspection Pass 0 Fail 0 Fee Inspection Pass 0 Fail 0 Fee Inspection Pass 0 Fail 0 Fee City ,■&■ + ICC of aee • Community Develo , ent Dept. — ,._ 1 11 4 W [1 ' 1) Inspection Report immul 4y/ 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Imon...ii INTERZONAL Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CODECOUNCIE MEMBER Permit No. : .„, i .4 ,-" ' , Date Requested .,. t Owner's Name V.1,7_ ) <", Date Needed / / , 1 Gen. Contractor Subcontractor Contact Information - (L -. )'2 Project Address 1 <7 --, I; )i- i- 7 --, Scope of Work L.; ? - 77. 4-/,--f...11 1__J , -- ;7 17 :, ,' ' L , , s '' '---) ' - 7, 1 ( leje Inspector 12 I g Dat nspection 9/ / ----,„ Il. Inspection k j r-, -4- C - Pass 0 Fail RI Fee ,-, i , , i p ,_..,., 3 1 4/1/1. 1 i C,I&O 7 1 1\ 1€STIZDO k Inspection Pass 0 Fail 0 Fee - \-- 1/4■Sb i r\-)C. (_...) 1 1 NY. TT:4141u - 1::- -SP' ---- Inspection Pass a Fail El Fee H bp, , 02) N. Inspection Pass 0 Fail 0 Fee 01.2 ...5qs co ga 5/10/2010 Chatham County : Property Record Card r i . «a, g 5P.1..0. i __ c� E e _ -. -a' 07/25/2005 4 5 h (0,1( ) V‘44." : 0 (Pger441 ., _ - - ,-- 3Loc_ic e-c) ""at's 1 C / 5r ... chathamcounty .org /PropertyRecordCa... 2/3 W CheC ` ___ , , L _ 4 tai CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 03 -3 -2010 PERMIT #: 100091 WORK DESCRIPTION RENOVATE TO REOPEN WORK LOCATION 1513 BUTLER AVE OWNER NAME NICK ALEXANDER ADDRESS PO BOX 29 CITY, ST, ZIP TYBEE ISLAND GA 31328 -0029 PHONE NUMBER CONTRACTOR NAME NICK ALEXANDER ADDRESS PO BOX 29 CITY STATE ZIP TYBEE ISLAND GA 31328 -0029 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE U TOTAL FEES CHARGED $ 79.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $8,000.00 TOTAL BALANCE DUE: $ 79.00 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 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, GEORGIA APPLICATION FOR BUILDING PERMIT (Q °° (7 5�Y 1 Location: ': t ��1 —� PIN # NAME ADDRESS TELEPHONE Owner CaOSLCY\ISS-. 5 5 6dift44\)_,.., ,3 4) Architect or Engineer Building �. ^ Contractor } =� �v v✓16 , j " ep (Check 11 that apply) epair ❑ Residential ❑ Footprint Changes 1 I Renovation 1 Single Family n Discovery n Minor Addition 1 1 Duplex n Demolition n Substantial Addition [ 1 Multi- Family [7I Other 1 1 Commercial � r / Details of Project: P Estimated Cost of Construction: $ 0 0 . 0 (-) Construction Type (Enter appropriate number) (1) Wood Frame (4) Masonry (6) Other (please specify) (2) Wood & Masonry (5) Steel & Masonry (3) Brick Veneer Proposed use: Remarks: ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following information based on the construction drawings and site plan: # Units # Bedrooms # Bathrooms Lot Area Living space (total sq. ft.) # Off - street parking spaces Trees located & listed on site plan Access: Driveway (ft.) With culvert? With swale? Setbacks: Front Rear Sides (L) (R) # Stories Height Vertical distance measured from the average adjacent 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 be provided by Construction debris will be disposed by/7 I �," € Y- ey means of irigalarr . I understand that 1 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. Date: / Signature of Applicant: k GG2/12107- Note: 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 Stoi in drainage Approvals: Signature Date FEES Zoning Administrator - Permit Code Enforcement Officer S/ jor Inspections `f Water /Sewer Water Tap Storm /Drainage Sewer Stub Inspections Aid to Const. City Manager TOTAL DM. Or MAiUUL nFE WAUKEE 4- I I 2 d.i GEORGIA 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 peiuiit 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. Undersign D e i o P l°U M v s a Printed Name Office Use Only: Project Address: Permit Number: