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CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 06-23-2010 PERMIT#: 100326
WORK DESCRIPTION ELECTRICAL-METER BOX
WORK LOCATION 5 EIGHTEENTH ST
OWNER NAME B.E.&LORNA SANDERS
ADDRESS 369 LANGSTON CHAPEL RD
CITY,ST,ZIP STATESBORO GA 30458-3773
PHONE NUMBER
CONTRACTOR NAME C&A ELECTRIC INC
ADDRESS 1800 ASH BRANCH RD
CITY STATE ZIP PEMBROKE GA 31321
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 50.00
PROPERTY IDENTIFICATION#
PROJECT VALUATION $200.00
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.
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Signature of Building Inspector or Authorized Agent: CItriv,a)
P.0.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328
(912)786-4573-FAX(912)786-9539
www.cityoftybee.org
•r � City of bee Island • Community Develk`gent Dept. Lkr
� u • Inspection Report mom
403 Butler Ave. P.O. Box 2749 • Tybee Island, GA 31328 �:�,� INTERNATIONAL
„� Phone 912.786.4573 ext. 114 • Fax 912.786.9539 CODE COUNCIL
MEMBER
Permit No. ) n - 3 % (v Date Requested L - 2_ :3 - ( 0
Owner's Name --,>Q S Date Needed L - 2 Li („3
Gen. Contractor 4 , La c . Subcontractor
Contact Information -77,-Y\ 5 S2” 2 )i 4 ('' e ii 62- Z.S�!q
Project Address 3 L=- n ...i1 s1—k '+ .
Scope of Work . i_ 1 P t' . --- n,r
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Inspector '1 7(; Date of Inspection ' 7(74)
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Inspection ° ,-`. P ,,? ,_C . Pass 0 Fail Fee
Inspection Pass ❑ Fail ❑ Fee
Inspection Pass El Fail ❑ Fee
Inspection Pass ❑ Fail ❑ Fee
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TX Result Report P 1
06/24/2010 11:26
Serial No. CM35228060004
IV 190136
Destination Start Time Time Prints Result Note
Georgia Power 06-24 11:26 00:00:44 8g001/001 OK yg
Note TUB:: Timer OrigPinal_TX11CALL:OManual1TX. CSRCZeCSRC,gFWD:F Forward, PC: PC-Fax.
RLY: Double-Sided y : confidential, : Bulletin. SIP: SIPnFax.FIPAADR:FIP Address Fax,TX.
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.
TO' egibb.
RELEASES FOR ELECTRIC SERVICE FROM TYREE ISLAND
FOR SAVANNAH ELECTRIC. FAX TO: Lynn IS reaasn 7 Phone 9 12
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Location Address: 5- g 1�'r/���+ �t. Lot# Release Date: (Q '1- i 7
Type of Release: Temporary V Permanent Subd Name:
Electrician: Q. 4- A Lam. l Q G . Electrician Phone NuT ber: p - 'RI
OwaerBuilder: L�r Cpl � �d�S Phone Number:41 Z"S3
Location Address: Lot# Release Date:
Type of Release: Temporary Permanent Subd Name:
Electrician: Electrician Phone Number:
Owner-Builder: Phone Number:
Location Address: Lot# Release Date:
Type of Release: Temporary Permanent Subd Name:
Electrician: Electrician Phone Number:
Owner-Builder: Phone Number:
ri
11110.- 11101-
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RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND
FOR SAVANNAH ELECTRIC. FAX TO: Lynn Brennan 937 Phone 912414 -5751Y63.
30 c4, 6,y�o .506-23oS
C'a.4I 34. 2,2.5—
ID- 032
Location Address: 5 h,14(2x-N`-k lj4-, Lot# Release Date: ( i i&iO
Type of Release: Temporary /Permanent Subd Name:
Electrician: M O - 2 6 4
e L, . Electrician Phone Number:
Ow rBuilder: LDrc Q Sae.cif23-5 Phone Number: 91 Z -s3 va-339 73
Location Address: Lot# Release Date:
Type of Release: Temporary Permanent Subd Name:
Electrician: Electrician Phone Number:
Owner/Builder: Phone Number:
Location Address: Lot# Release Date:
Type of Release: Temporary Permanent Subd Name:
Electrician: Electrician Phone Number:
Owner/Builder: Phone Number:
Jun 23 10 10:22a Jim Sullivan 912 858 2814 p.3
From:CITY OF TYBEE ISLAND 912 786 9539 0612312( 09:11 #706 P.0031003
�`' v`-,'Q, CITY OF TYBEE ISLAND
.11 BUILDING&ZONING DEPARTMENT
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� P.O.Box 2749,Tybee Island,GA 31328
Phone(912)786-4573 • Fax(912)786-9539
ELECTRICAL PERMIT APPLICATION & TEMPORARY SERVICE AFFIDAVIT
Date ,,.;.t Y 3 0,2_4.3 ( 0 ____ New Work Replacement t 1
Location of work(street address) -�� S l$ S e_'t oC - 4S
Contractor o.--k- 4 Fit c_.l rr:C.. Telephone q la_ (Qs-1 CQ 5"C c U - -j :
Address of Contractor /goo ,45k ID r--a.r1e.h- R L Pe b r D.k c., LCD. 3, J
Property Owner L n,.- NI CA S CJ.r) &c v Telephone
Date work will be ready for inspection,if known 3 Lk.11 C ,tilt, „2.0 t �
° v
Estimated cost of construction ,off 4 6 ,'' =7-7;77-,.
�. .:i l 6. ..2
A/C Unit and Heat Pump Range Hood-commercial
Attic Ventilation Fan Service: amps ALL WIRING,
Bell Transmitter-low voltage Sign Circuit-wattage
Border/Outline Lighting Smoke Detector-low voltage SERVICE
Building Saw Spa or Tub-grounding INCLUDED,
Exit Lights-life safety Special Outlet
Heat Pump Swimming Pool-grounding MUST BE
Lf Meter Box Water Heater
Motor(s): hp Welder-220 volts circuit COPPER. NO
Outlets-110 volts circuit Well Pump-grounding ALUMINUM
Parking Lot Lights X-ray
Pool Lights-grounding Other ALLOWED.
Range-commercial
APPLICATION FOR TEMPORARY SERVICE REQUEST
In requesting temporary electrical service,the undersigned understands and agrees:
1. Connection of temporary electrical service 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 i ,disconnection of the electrical service until all violations and deficiencies are corrected.
At ' - -M:L" Yu.-n! z oiZ ; Al G t b
Own=- Contractor Signature Date
Rt". , ,tItto.A. . 1.11--
Owner/Contractor Printed Name
• •
APPROVAL Fee
Building Official Date
tof (J LJ �- 0.4- Ck $ 3 a
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