HomeMy Public PortalAbout10-0317 Polak CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 06-16-2010 PERMIT#: 100317
WORK DESCRIPTION INSTALL FENCE
WORK LOCATION 12 EIGHTEENTH TER
OWNER NAME MICHAEL POLAK
ADDRESS PO BOX 671
CITY,ST,ZIP TYBEE ISLAND GA 31328-0671
PHONE NUMBER 527-4043
CONTRACTOR NAME MICHAEL POLAK
ADDRESS PO BOX 671
CITY STATE ZIP TYBEE ISLAND GA 31328-0671
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 50.00
PROPERTY IDENTIFICATION#
PROJECT VALUATION $1,000.00
TOTAL BALANCE DUE: $ 50.00
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
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Location: i2 10 Ttvv C _e PIN #
NAME ADDRESS TELEPHONE
Owner ►M�L.An a�J2 i 2 i 9'�`s .-v e•,—e.._ 0112_ ;D i'
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Architect
or Engineer
Building
Contractor
(Check all that apply)
(l Repair P.Residential ❑ Footprint Changes
❑ Renovation ❑ Single Family ❑ Discovery
❑ Minor Addition ❑ Duplex ❑ Demolition
❑ Substantial Addition ❑ Multi-Family
❑ Other Fe ce.._ ❑ Commercial
Details of Project: '1s- c.,�
Estimated Cost of Construction: $ L 0 v u , v 0
Construction Type ...., (Enter appropriate number)
(1) Wo d Frame (4) Masonry (6) Other (please specify)
(2) Wo d &Masonry (5) Steel & Masonry
(3) Bri Veneer
Propose use:
Remarks.
ATTACH • C• 'Y OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the
following i . o ation based on the construction drawings and site plan:
#Units A #Bedrooms # Bathrooms
Lot Area Living space (total sq. ft.)
# Off-stre- par ''ng spaces
Trees loc. ed & h ted on site plan
Access:
Drivew-,y '.) With culvert? With swale?
Setbac s: Front Rear Sides (L) (R)
# Sto 'es Height 'ertical distance measured from the average adjacent
grad; 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 V 4-
On-site waste and debris containers will be provided by 4. 1
Construction debris will be disposed by �
p y ®u, ,.� �' by means of pi
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: b I l' ( (0 Signature of Applicant: Q C Q
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 co
Zoning Administrator Permit
Code Enforcement Officer Inspections
Water/Sewer Water Tap
Storm/Drainage Sewer Stub
Inspections Aid to Const.
City Manager
TOTAL ��
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P P P
LOT 4
1 STORY
COTTAGE
20.0'
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PT. LOT 3 C I WEST 231 g PT.LOT 5
Lid LOT5i '"
2 STORY FRAME
wI r; I I RESIDENCE o (,,
20.2.
Z1 x
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el
m x
CMF Olom _2I
N 70°42'31'W 83.29' Mvx 5
I x x X 8'LAN x 01 x x zr
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CMF V I v
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PI m-
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S 70°31'38"E
5
234.89_ o
PLAT OF LOT 4, THE EAST 10' OF LOT 3
& THE WEST 23' OF LOT_ 5 OF A
SUBDIVISION, OF BEACH LOT 1-10, WARD
NO. 5, TYBEE ISLAND, CHATAHAM
COUNTY, GEORGIA
1
ACCORDING TO THE F.I.R.M. DATEI) 6/17/86
THIS LOT IS WITHIN THE 100 YEAR FLOOD EQUIPMENT:
ZONE. TOPCON AP-101A
ERROR OF CLOSURE:
fir 0R, LINEAR: 1/
ANG: —"/ANGLE
*(c117c-STE- 4,' � * PLAT: 1/30,700
J. WHITLEY REYNOLDS
LAND SURVEYOR re NO. 2249 A 0 20
636 STEPHENSON AVENUE ��� �a�
h.1 f � �
SAVANNAH,UGEORGIA 31405 svRy� SCALE: i" = zo'
TELEPHONE: 912-352-0464 - EY '� DATE: MAY 19, 1999
FAX: 912-352-7787 FILE NO. 99-111A