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Home My Public Portal About12-0244 Horton (40' 1 r *h CITY OF TYBEE ISLAND BUILDING PERMIT DATE ISSUED: 04-26-2012 PERMIT#: 120244 WORK DESCRIPTION ROOF RPR/SHTTRS/AC PLTFRM/SCRN WORK LOCATION 3 ALLEY 3 OWNER NAME RONALD HORTON ADDRESS 123 BRANNEN DR CITY,ST,ZIP SAVANNAH GA 31410-1418 PHONE NUMBER 897-9253 CONTRACTOR NAME RONALD HORTON ADDRESS 123 BRANNEN DR CITY STATE ZIP SAVANNAH GA 31410-1418 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $448.00 PROPERTY IDENTIFICATION# C I q g PROJECT VALUATION $6,800.00 1p 2 rl �� s TOTAL BALANCE DUE: $4 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. \ r Signature of Building Inspector or Authorized Agent: A_I .I1/LA . 1111)411 P.O.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328 (912)786-4573-FAX(912)786-9539 www.cityoftybee.org City ul Tybee Island • Planning & Zoning Dept. VI LI h% 1-; I , 1 Inspection Report amillk \\ / 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 ,& INTERNATIONAL Phone 912.472.5032 • Fax 912.786.9539 CODECQUNCIL / MEMBER / . Permit No. /7 , ,/ 7, 6-/ (/ Date Requested Owner's Name 1 _,;:-7---bpJ Date Needed Gen. Contractor i-L-- -,J Subcontractor Contact Information / L)./::11:•-, (1,2T2-t\--Lji-ai ,1:24( / -1-7-,6-:-'I Project Address 47) (-1r -11 -7 4. .... / Scope of Work Li7-:_ -X3-i,z-- 7:.7.-e°Y,..it:: - '' I r 1 Inspector --26 , / /, Date of Inspection /-'/'Z - Inspection ,e''') I ,.._, -; i- - ,,=,,- Pass Er-kZEI Fee _ Inspection ..,..-. Pass Fail 0 Fee Inspection Pass El Fail El Fee Inspection Pass 0 Fail 0 Fee ttl•••-- City of Tybee Island • Planning et Zoning Dept. lallak• Inspection Report nu* 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 amisolori \,,,. /•-„, INTERZONAL Phone 912.472.5032 • Fax 912386.9539 CODE COUNCIL' MEMBER Permit No. I -/- e)2.41.4 Date Requested Owner's Name ii--- 1Z--- A_I Date Needed Gen. Contractor Subcontractor Contact Information 1:171; /,,,,/-?^.1. u,L;// .,_:;',"_. ' /7J I Project Address i --- Scope of Work I / / Inspector ii e) Date of Inspection -----, Inspection ail 0 4if A) '3 17 )/:71 /_(; Li I:. ',''- / ...__, F ,j4 4 kJ Inspection (/ .....-''' Pass 0 Fail 0 Fee Inspection Pass 0 Fail El Fee Inspection Pass 0 Fail 0 Fee JUN.21'2012 09:04 9122324080 McCORKLE AND JOHNSON #0253 P.003/003 4.; N City of Tybee Island Planning & Zoning Dept. it s Q"; ■ i Inspection Report _� % (61,1/ 403 Butter Ave. • P.O. Box 2749 • Tybee Island, GA 33.328 INTERNhT10NAl Phone 912.472.5032 • Fax 912.788.9539 CODE COUNCIL' MEMBER Permit No. - e - Date Requested 4s4A Owner's Name mitr.sa=r.• , Date Needed 4/4/ Gen. Contractor 3. e Subcontractor Contact Information !3? ez i-aike di l Project Address 43 4 1 u. Scope of Work 4:00-t, _ ,-.:r 44 -, 'WO -i _744...1 ze.,1 J Inspector 114 Date of Inspection 101 /C-' Inspection ?"-,t J G .JA--/ - Pass D Fail Er Fee 6410. /411 V A tA 5 ge 47/1.4,,/4 4 ..- 06 t pbe , Li' $ .( :::,_ irtelA,,,j41 wtil LA 14. 4A.4/2 4 1( Lope›Pi A1 44 ViEgriaPP) Inspection _ Pass 0 Fail 0 Fee OW - 2 I-12 kisstorr, A record-128 ttreev,,.-v■--- has R.a-+n re.C4 . oe..,ci . CO git*(Z Inspection p roo a e--41—e--41--il r - re c`,nlfe c Pass Fail ID Fee r Inspection Pass LJ Fail ❑ Fee _ JUN.21'2012 10:15 9122324080 McCORKLE AND JOHNSON #0254 P.002/002 1411, 41 NONCONVERSION AGREEMENT +dry ~'',r., 0' . / FOR STRUCTURES IN THE VLOODPI, ' ,�, r , 1-"P ,h e.Building Permit Number / � C) Z 44 Address of Property I�' ' 54/(•.r '..• ti: d PIN 9 — 00 \ O _Qom_ 4;' , f FIRM Zone 'e BFE /9 feet(NAVD) Panel Number A.&'&,effective dale �(S�/7 4 - Property Owner(s) Ir.0-c.•R 4P f, Pet" ink Contractor _c- :...?.04 . „-= '. . In accordance with the Flood Damage Prevention Ordinance of the City of Tybee Island,Georgia,the Property Owner agrees to the following: 1. That the enclosed area below the Base Flood Elevation shall be used solely for parking of vehicles,limited storage,or access to the building, and will never be used for human habitation without first becoming fully compliant with the Flood Damage Prevention Ordinance in effect at the time of conversion. . 2. That all interior walls, ceilings, and floors below the Base Flood Elevation shall be unfinished or constructed of flood-resistant materials, 3. That mechanical,electrical,or plumbing devices shall not be installed below the Base Flood Elevation. 4. That the walls of the enclosed area below the Base Flood Elevation shall be equipped with at least two vents which permit the automatic entry and exit of floodwater with total openings of at least one square inch for every square foot of enclosed area below flood level.The vents shall be on at l st two different walls, and the bottoms of the vents shall be no more than one foot above grade.If located in a V-zone,breaks ay walls are required. 5. That the requested structure may •e subject to increased premium rates for flood insurance available from the National Flood lnsura� Program due to'.. I.c. 'on in a Special Flood Hazard Area. 6. That,. y • . on in gi�.• yo • ,at is permitted shall constitute a violati n and be abatable as such. i f%( 4/Z.../ /z. Signa - of Pro•-.4'. Owner Date ;;• TO1tca A 1-711 LLC1 • Printed Name of Property wner Signature of Property Owner Date Printed Name of Property Owner STATE OF GEORGIA COUNTY OF CHATHAM Sl- I hereby certif that op this i day of To.-12. ,20 12. , before me, a Notary Public of the State of Georgia, personally appeared 'k G. x A . .T 4 ,known to me,or satisfactorily proven to be the person whose name is subscribed to the foregoing instrument, who acknowledged that he/she has executed it for the purposes therein set forth,and that it is his act and deed. In witness whereof,awidt and Notarial Scat. iiii��iio��. NOTARY "re �„T 1 My Commission expires on r ' t , sit. .�xp, '- ., ., 41111110172,WITNESS SIGNATTr.raIR‹ ' C 1t 1 0O1 A 0 .)..,•Printed Name .1f'/ Ede./( - - +�+- , 4 Address/ ` -� 4 .'rRT Am ,f ' c-, + H G. t ryii,//r/ Note: A Nonconverston Agreement must be used whenever an enclosed structure or portion of a structure is built.or substantially improved within the 100 year Floodplatn below the Base Flood Elevation,A Nonconversion Agreement must satisfy all girlie above conditions and requires proper recordation in d:e land records of Chatham County,Georgia. TX Result Report p 1 06/21/2012 13:39 Serial No. CM35228060004 TC: 340660 Destination Start Time Time Prints Result Note 2324080 gg06-21 13:37 00:02:07 ccT��002/002 OK Setting.Note MIX:: Doouble-SidedaBindingADirection. SP: Specialsooriginal,Forward.F-code.PC-Fax. Re-TX. RL'.: Relay MBX: Confidential, BUL: Bulletin. SIP: SIP Fax. IPADR: IP Address Fax. I-FAX: Internet Fax Result OK: Communication OK, S-OK: Stop Communication, PW-OFF: Power Switch OFF, TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, Busy: Busy, M-Full:Memory Full, LOUR:Receiving length Over, POUER:Receiving page Over, FIL:File Error, DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error. J11N.21'2012 10:15 9122324080 McCORKLE ANL, JOHNSON #0254 5.001/002 1CCOF2.KL �JHSON,.ST f Att<:cne}.At L..W 319'I'attnall Street Savannah, Georgia 31401 O0� • {9I2)2';2ranisnrrra�r � r rsues- necorlcte3ohnson.com • P/<FlllpR McCorlK. C rlrerint/t4 Patorrebo(Go.4 SC) David X."otosmie Thomas IVl. Gore(Ga.F SC) Manses✓M.McCoy(Go.SC) Cottey,tw.Lonerley(Ga dt SCI Robert L McCorkle.XIX(Go de SC) '1'1:E AWS • _ Co R SHE CC: FASO NO. Fl2OM: ---- DATE: C ' LOA t 20 f RE: CLIENT'NO.: DESCI PTION OF T LYMENT'S AND/012 MESSAGE: \ . NUMBER OF PAGES (INCLIJDING COVER): CONTAc r IN EVENT ENTIRE TRANSMISSION NOT RECEIVED: This document and the accompanying materials constitute privileged and confidential infermattoa intended solely for the use of the individual or entity named above. Any disaemtnation, distribution, or copying of this transmission, except by the intended recipient named above or by the aathoriseti, agent th , is strictly prohibited. If you have received this transmission in error, then please notify us by telephone as soon no possible and return the original transmission to us by regular men. We will reimburse any expense incurred in complying with this request. F:\DATA\WPDATAIFI e-lul\Fax'transmittal 408O.doc 1) 4I1 114,,, "Sift* p MIN re¢,. qe Oft OUgli svc grzooAc -Floor b (t sere so r eci TLkB . . ik .s2 ‘. 0. Chatham County Board of Assessors: 2011 Property Record Card 4-0010-03-007 , Page 1 of 2 2011 Chatham County Board of Assessors 4-0010-03-002 Property Record Card 3 ALLEY#3 TYBEE ISLAND APPRAISER mwthomas S 63 FT OF N 126 FT OF LOT 13 WD 6 TYBEE LAST JURGEN E&ANN* CAMA ASMT ;LAST INSP 05/15/2007 PO BOX 1328 212,000 212,000 LAND 1 APPR ZONE 000008 TYBEE ISLAND GA 31328 478,000 478,000 BLDG 1 1 40,100 40,100 OBXF 2 730,100 730,100 Cost-MS SALES BOOK/ INS VI QU RSN PRICE i. RI!_'J ill ii it' CODES PAGE !tll ,.• Kill.' _� PROPERTY 0006 RESIDENTIAL 23 Oct 333J 0004 WD I Q 1,400,000 ' I USE 2007 \ UTA 0004 Tybee Island GRANTOR:TYBEE BEACH DEVELOPMENT L GRANTEE:LAST JURGEN E&ANN* INN gllg(IIniIII (I_._��_,I�.t,i NBHD 020189.00 T189 TYBEE BACK RIVR 23 Nov 279P 0133 WD I Q 480,000 - - _ EXEMPTIONS S1 SC L1 L9 2004 GRANTOR:GORDON NATALIE V.GRANTEE:TYBEEBEACHDEVELOPMENT,L k. ' /�r�' - ,j�(m_f�((�i - _ ! HISTORY LAND IMPR TOTAL 27 Sep 240X 347 WD I Q 227,850 - 2I '-I II 1Ill'1I11I�t--�t�IIIIhIIIi' III Col �iC 2011 212,000 518,100 730,100 Cama 2002 ---::: 2010 471,200 518,100 989,300 Cama 1 116. GRANTOR:ODELL PHILIP W 2009 471,000 637,500 1,108,500 Over GRANTEE:GORDON NATALIE - f ' 2008 471,000 637,500 1,108,500 Cama 11 Apr 211L0124 WD I Q 200,000 --- , _ , ; 05�29/:109 2007 471,000 484,500 955,500 Cama 2000 r~ GRANTOR:LUTTGE MARIANNA D 2006 338,500 196,500 535,000 Cama GRANTEE:ODELL PHILIP W [Click for larger picture] 2005 285,500 90,000 375,500 Cama 2004 193,000 65,500 258,500 Cama PERMITS TYPE DATE AMOUNT 2003 163,500 58,000 221,500 Cama ' SAG 16 .,;t Ci►a am oUnry 050099 NC 1 �7 }s}4+ 2002 104,000 58,000 162,000 Cama v_ Tax Commissioner 050099 CO 07 Sep 2007 Issued 'f s,/ r•,,,pF,r,,1a.suer-,, nc 2001 68,500 49,000 117,500 Cama 040487 GM 29 Nov 2004 Issued 1 2000 117,500 NC 02-340 RN 09 Aug 2002 Issued 30,000 1999 34,500 49,000 83,500 Cama 1998 34,500 48,000 82,500 Cama COMMENTS: 1997 34,500 45,500 80,000 Cama 19 Apr 2010 TY10 AOS ENT JURGEN& 1996 21,740 31,590 53,330 Cama ANN 1995 21,740 33,220 54,960 Cama 05 Dec 2007 *TY08 SURVS 1994 21,740 32,140 53,880 Cama 15 Feb 2005 TY05 10S REMVD 02/15/05 JS 1993 21,740 29,760 51,500 Over 12 Jun 2003 TY03 10S ENT 6/1/03 APW 1992 21,740 29,760 51,500 Over 22 Jan 2002 FOR SALE 01/18/02$265,000 10 Feb 2000 FOR SALE 2/4/2000$250,000 EXTRA FEATURES ID# BLDG# SYSTEM DESC DIM 1 DIM 2 UNITS QL UNIT PRICE RCN AYB EYB DT ECON FUNC SP SP% RCNLD MKT VALUE 140642 86484 Slab w/walls Under 0 0 809.00 A 18.64 15,080 2006 2006 IR 14,628 14,600 140643 86484 RESIDENTIAL ELEV 48" 0 0 1.00 V 26,250.00 26,250 2006 2006 IR 25,463 25,500 LAND - - ---- - ----- - ---ID# USE DESC FRONT DEPTH UNITS/TYPE PRICE ZONING LCTN TOPO OTHER ADJ1 ADJ2 ADJ3 ADJ4 MKT VALUE 1111066 SINGLE FAMILY RES 0 0 4,960.00-SF 95.00 R2 212000 http://boa.chathamcounty.org/DesktopModul es/ChathamCounty/B oardofAssessors/PropertyRecordCard.asp... 4/26/2012 Chatham County Board of Assessors: 2nl 1 Property Record Card 4-0010-03-007 Page 2 of 2 2011 Chatham County Board of Assessors 4-0010-03-002 Property Record Card 3 ALLEY#3 TYBEE ISLAND BUILDING SECTION CONSTRUCTION TYPE RCN AYB EYB DEP TYPE PHYS ECON FUNC OBSV/% TOTAL DEP% RCNLD U.FACTOR MKT VAL 86484-1 _Residential 492;759 2006 �' MS 3.00 0.00 0.00 0.00 3.00 477,976 478,000 " SECTION TYPE 1 -Main R• ,,/ 19• 3' AREA 3250 TYPE 1 -Single-family Residence FRAME 1 -Stud Frame h R-( STYLE 2-Two Story Area .+ QUALITY 6.00 CONDITION 3.00 #UNITS 0 #OF BEDS/BATHS 4/4.10 1: COMPONENTS Units % QUAL R1 108 Frame,Siding,Wood 100.00 R2 214 Metal,Preformed 100.00 R3 352 Heat Pump 100.00 R4 402 Automatic Floor Cover Allowance I,Roof R6 601 Plumbing Fixtures(#) 17.00 Is Alb 12o61.1,Porch wl16 Roof R6 602 Plumbing Rough-ins(#) 1.00 goo SM.P.R.wle Rao/ R6 622 Raised Subfloor(%or SF) 100.00 • [Click for larger picture] R6 648 Direct-Vented,Gas(#) 1.00 • R7 711 Built-in Garage(SF) 450.00 R7 711 Built-in Garage(SF) 100.00 R11 904 Slab Porch(SF)with Roof 100.00 R11 904 Slab Porch(SF)with Roof 100.00 R11 904 Slab Porch(SF)with Roof 282.00 R11 904 Slab Porch(SF)with Roof 282.00 R11 904 Slab Porch(SF)with Roof 282.00 R11 904 Slab Porch(SF)with Roof 42.00 R11 904 Slab Porch(SF)with Roof 144.00 R11 904 Slab Porch(SF)with Roof 144.00 R11 904 Slab Porch(SF)with Roof 144.00 R11 904 Slab Porch(SF)with Roof 324.00 I -- http://boa.chathamcounty.org/DesktopModules/ChathamCounty/BoardofAssessors/PropertyRecordCard.asp... 4/26/2012 zr F . :Al Alr -, , t LEGAL CC`E ✓y �I Ail r )T1 cry OF TYB•' Y VIOLATIONS) '. T � <<,� ' .111."1 ' �I! I ! ' 4 ■ PERN,II1 1() taieg be 12-132.44 WHEREAS.%IOL A I IONS OF THE('1101 OF THE(III OF TYSEE ISLAND HAVE BEEN POI .NOTICF.IS HEREBY tilvE N Di AT Ad I PERSONS CI'.i`"•DPSIST'R(1M AND - STOP WORK . tit•Fti(11•`.t`-1•••!<TPI`(11474 tl l • I I 1111 I:Al III'DIEM PRI All ■ 3 , ►! ey - ,rem- .`.111 tlii ,{I.1l'I•'s.•I. RI IN1••14 f 81 1111 I II II :5 Hi I ISI 551 -1 _ -4? ♦IR‘F'i fflw••l ill.'•K M..y 1 . apt t LAk,u is tlllit ,;PI ` �� .,/,, {1.`ut PI. II' '.1 /I— �iC Ki . i' a. F 4-2,-)21 1.N<17gh,-'S 713 , • :s SPF(IUV 0 '�` 0 • it,, ! w, l h �• %I '•, ti _ -, -. ‘. tip ...-3... .0. _ q `' '' eft ` JI ` .q �`, r" � *y � Jd l , . _.". 49 w P 111rt w• TM' 41 * "S 24 /07/ 2012 - 11 : 09 It VIu+ i 401 .1 In le 111 wit lllllllll _ TMI • • • / 07 / 2 '. CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT Location: 2 J Ak) e, 3 PIN # NAME ADDRESS TELEPHONE Owner Architect or Engineer Building , Contractor v - , (C�ck all that apply) Repair ❑ Residential ❑ Footprint Changes ❑ Renovation ❑ Single Family ❑ Discovery ❑ Minor Addition ❑ Duplex ❑ Demolition ❑ Substantial Addition ❑ Multi-Family ❑ Other ❑ Commercial r Details of Project: R'e f ccmR---' OpT) Tc,;.A-\-- l ,!'/'k-L Plcc- ././k p c- 0 c) t•a r-e_ �� l Estimated Cost of Construction: $ g e>0 sr-z, .-d b q_- -" Construction Type (E• er appropriate number) i' (1) Wood Frame (4) sonry (6) Other(please specify) (2) Wood&Masonry (5) steel &Masonry (3) Brick Veneer Proposed use: Remarks: ATTACH A COPY OF TH r CE TIFIED ELEVATION SURVEY OF LOT and complete the following information bas,d on the onstruction drawings and site plan: #Units #Be: ooms #Bathrooms Lot Area Living -.ace (total sq. ft.) #Off-street parki • spaces Trees located & sted on site plan Access: Driveway (ft.) With culvert? With swale? Setbacks: rront 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. it During construction: On-site restroom facilities will be provided through .%j(/ et S L- • On-site waste and debris containers will be provided by Construction debris will be disposed by Or,./Ajja-Z by means of 0, '7 5 I understand that I must comply with zoning, flood damage control, building, fire, shore protections and wetlands y G ordinances, u lI understand that he lot must be and that the stakes will be inspected applicable 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: ` (j j L Signature of A lican _iv` E�.rti.• r' 7 g pp . �ill1 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 complian\e with City map? If not, has street nrne and/or number i een reported to MPC? FEMA Certification a .ached State Energy Code Affid. it attac •d Utilities and Public Works: Describe any unusual finding(s Access to building site Distance to water main tap .ite Distance to sewer stub sit; Water meter size Storm drainage Approvals: Signature Date FEES Zoning Administrate r Permit Code Enforcement •fficer Inspections Water/Sewer Water Tap Storm/Drainage Sewer Stub Inspections Aid to Const. n City Manager ' `1 Work TOTAL ZS� 4 LEAD-BASED PAINT Adapted from http://www.epa.dov/lead/pubs/renovation.htm.Please use that site to access the following information. Information for Property Owners of Rental Housing,Child-Occupied Facilities —Property owners who renovate, repair, or prepare surfaces for painting in pre-1978 rental housing or space rented by child-care facilities must, before beginning work, provide tenants with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, IF YOU'RE NOT and Schools. Owners of these rental properties must document compliance with this requirement. EPA's sample LEAD SA'ECFRTFIED ore-renovation disclosure form may be used for this purpose. .DISTURBING After April 22, 2010, property owners who perform these projects in pre-1978 rental housing or space rented JUST SIX by child-care facilities must be certified and follow the lead-safe work practices required by EPA's Renovation, SQUARE FEET Repair and Remodeling rule. To become certified, property owners must submit an application for firm COULD COST YOU certification and fee payment to EPA. The Agency has up to 90 days after receiving a complete request for BIG TIME.. certification to approve or disapprove the application. Property owners who perform renovation, repairs, and painting jobs in rental property should also: • Take training to learn how to perform lead-safe work practices. • Learn the lead laws that apply regarding certification and lead-safe work practices beginning in April 2010. • Keep records to demonstrate that you and your workers have been trained in lead-safe work practices and that you followed lead- safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA has developed to help contractors comply with the renovation recordkeeping requirements that took effect April 2010. • Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. • Read about how to use lead-safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. Information for Homeowners Working at Home If you are a homeowner performing renovation, repair, or painting work in your own home, EPA's RRP rule does not cover your project. However, you have the ultimate responsibility for the safety of your family or children in your care. If you are living in a pre-1978 home and planning to do painting or repairs, please read a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools lead hazard information pamphlet. You may also want to call the National Lead Information Center at 1-800- 424-LEAD (5323) and ask for more information on how to work safely in a home with lead-based paint. Information for Tenants and Families of Children under Age 6 in Child Care Facilities and Schools As a tenant or a parent or guardian of children in a child care facility or school, you should know your rights when a renovation job is performed in your home, or in the child care facility or school that your child attends. • Before starting a renovation in residential buildings built before 1978, the contractor or property owner is required to have tenants sign a pre-renovation disclosure form, which indicates that the tenant received the Renovate Right lead hazard information pamphlet. • Beginning in December 2008, the contractor must also make renovation information available to the parents or guardians of children under age six that attend child care facilities and schools, and to provide to owners and administrators of pre-1978 child care facilities and schools to be renovated a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools lead hazard information pamphlet. Information for Contractors As a contractor, you play an important role in helping to prevent lead exposure. Ordinary renovation and maintenance activities can create dust that contains lead. By following the lead-safe work practices, you can prevent lead hazards. Contractors who perform renovation, repairs, and painting jobs in pre-1978 housing and child-occupied facilities must, before beginning work, provide owners, tenants, and child-care facilities with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools. Contractors must document compliance with this requirement. EPA's pre-renovation disclosure form may be used for this purpose. Understand that after April 22, 2010, federal law will require you to be certified and to use lead-safe work practices. To become certified, renovation contractors must submit an application and fee payment to EPA. See: Application for firm certification. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application. Contractors who perform renovation, repairs, and painting jobs should also: • Take training to learn how to perform lead-safe work practices. • Find a training provider that has been accredited by EPA to provide training for renovators under EPA's Renovation, Repair, and Painting (RRP) Program. Please note that if you previously completed an eligible renovation training course you may take the 4-hour refresher course instead of the 8-hour initial course from an accredited training provider to become a certified renovator. Click here for a list of eligible courses. • Provide a copy of your EPA or state lead training certificate to your client. • Tell your client what lead-safe methods you will use to perform the job. • Learn the lead laws that apply to you regarding certification and lead-safe work practices beginning in April 2010. • Ask your client to share the results of any previously conducted lead tests. • Provide your client with references from at least three recent jobs involving homes built before 1978. • Keep records to demonstrate that you and your workers have been trained in lead-safe work practices and that you followed lead- safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA has developed to help contractors comply with the renovation recordkeeping requirements. • Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. • Read about how to lead-s.fe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. :fir.► _ ._._ ��' Y A(0 `~ ZO Signature' Date �i I i Printed Na e if 3 0o a) Q(\ Dana .;"W{TYIN{, ,E. GEORGIA ^, moo^ 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. / 2 r-,4° tt Undersigne.' Date cf1-77L./...0aeita Printe• Name �b N V:11 Office Use Only: Project Address: Permit Number: LEGAL 1 CITY OF TYBEE ISLAND • VIOLATIONS) A l • � PERMIT NO. (1r)bL( be (Z41, 0Z(4 qv WHEREAS, VIOLATIONS OF THE CODE OF THE CITY OF TYBEE ISLAND HAVE BEEN FOUND, NOTICE IS HEREBY GIVEN THAT ALL PERSONS CEASE, DESIST FROM, AND STOP WORK AT ONCE ON ANY CONSTRUCTION, ALTERATION, REPAIR, OR FU THE USE OF THESE PREMISES KNOWN AS • f UNTIL THE VIOLATION HAS BEEN CORRECTED AND APPROVED BY THE CITY OF TYBEE ISLAND. ALL PERSONS ACTING CONTRARY TO THIS NOTICE OR REMOVING OR MUTILATING IT ARE LIABLE TO SUMMARY ARREST UNLESS SUCH ACTION IS AUTHORIZED BY THE CITY OF TYBEE ISLAND./ ?0 DATE 401,10_42. PHONE716 qc 3 INSPECTOR latellettir