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Home My Public Portal About11-0164 Carbo Ff. 1 CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 03-24-2011 PERMIT#: 110164 WORK DESCRIPTION ADD PERM PARK PAD&PATIO WORK LOCATION I XELEVENTH ST OWNER NAME MICHAEL CARBO (j\ ADDRESS 1 ELEVENTH ST n� x CITY,ST,ZIP TYBEE ISLAND GA 31328 V PHONE NUMBER `\)J 0 \k., (7 CONTRACTOR NAME BARRY BROWN 4 M�� ADDRESS 1216 2ND AVENUE \q. CITY STATE ZIP TYBEE ISLAND GA 31328 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $ 141.00 PROPERTY IDENTIFICATION# PROJECT VALUATION $12,000.00 TOTAL BALANCE DUE: $141.00 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: _j �_ P.O.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328 (912)786-4573-FAX(912)786-9539 www.cityoftybee.org , / CITY OF TYBEE ISLAND, GEORuIA //-O/65F APPLICATION FOR BUILDING PERMIT "t' '' 1 l' HI, ) Location: .3 - / 1 5T. Ty tier PIN # -�'` NAME ADDRESS TELEPHONE Owner Architect or Engineer X- Building Ae,eyA, 2bw n., Contractor (�o,v,t V Co CQ , / c. & 9 2t t- .57`. � e=-.e 9/2-716 -7f/6 (Check all that apply) ' "S— ❑ Repair ❑ Residential ❑ Footprint Changes ❑ Renovation ❑ Single Family ❑ Discovery ❑ Minor Addition ❑ Duplex ❑ Demolition ❑ Substantial Addition ❑ Multi-Family WOther X ❑ Commercial Details of Project: P4 21Gi ci A p q- 7°41, Estimated Cost of Construction: 2 D 00. °1) Construction Type (Enter appropriate number) (1) Wood Frame (4) Masonry (6) Other(please specify) (2) Wood &Masonry (5) Steel &Masonry (3) Brick Veneer Proposed tse: Remarks: ATTACH A XPY ' ' THE CERTIFIED ELEVATION SURVEY OF LOT and complete the following info .: 'on based on the construction drawings and site plan: #Units s #Bedrooms #Bathrooms Lot Area Living space (total sq. ft.) #Off-• eet parking\s aces Tre- located & listed n site plan , • cess: triveway (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 by means of . I understand that I 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: 3-,2/, .60,a Signature of Applicant: 4 ( ...,- .g., 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 Storm drainage Approvals: Signature Date FEES Zoning Administrator Permit Code Enforcement Officer Inspections Water/Sewer Water Tap Stotni/Drainage Sewer Stub Inspections Aid to Const. City Manager TOTAL A/1. _ - — . , ‘ r . / . -1- .. .... . .._, 1 , •„, \ i . .77-..,-. ,- , t . • ! i e,) , i . 1 5P• [ 1 , ' ST5 P5 . . I . , . , 1 _ ,...,_, (.-.) ,,,-, T , pve„.. , , , • , i .-------f- . r STATE OF GEORGIA ) HOLD HARMLESS / INDEMNIFICATION COUNTY OF CHATHAM ) AGREEMENT THIS AGREEMENT is made the 2 1 day of 2C h , 20 1 t by / ) ik-P 014230 (hereinafter referred to as "Owner") WITNESSETH Owner hereby agrees to protect, defend, indemnify and hold harmless the City of Tybee Island, Georgia, (a political subdivision of the State of Georgia), its Mayor and Council, officers, agents, and employees (hereinafter referred to as "City") from and against any and all liability, damages, claims, suits, liens, and judgments of whatever nature, including any claims for contribution and/or indemnification for injuries to any person or persons, or damage to the property or other rights of any person or persons, caused in any manner pertaining to the location of privately constructed or any other privately owned structures and plants, which protrudes into the right-a-way of any City street. The undersigned further recognizes and agrees that this license does not confer upon the undersigned any rights, title, estate, or interest in said licensed premises; nor does this license agreement confer upon the undersigned a license coupled with an interest or easement. This license merely gives the undersigned a revocable privilege, it being expressly understood and agreed that, regardless of any improvements or investments made, expense and harm incurred or encountered by the undersigned, this agreement shall be subject to revocation, cancellation or termination, this license shall be null and void. IN WITNESS THEREOF, Owner has hereunto set its hand and affixed its seal on the day and year first above written. Owner ilk'" Sk i►►{- TZ-1 h Address fitness e . SP+j Y' 3,,ko2