HomeMy Public PortalAboutFIFTH AV_1208 y
CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 03-4-2013 PERMIT#: 130140
WORK DESCRIPTION INSTALL FENCE
WORK LOCATION 1208 FIFTH AVE
OWNER NAME GARY&JOYCE PARKER
ADDRESS PO BOX 15
CITY,ST,ZIP TYBEE ISLAND GA 31328-0015
PHONE NUMBER
CONTRACTOR NAME GARY&JOYCE PARKER
ADDRESS PO BOX 15
CITY STATE ZIP TYBEE ISLAND GA 31328-0015
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 50.00
PROPERTY IDENTIFICATION# PIN#4-0007-11-003
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. .,
Signature of Building Inspector or Authorized Agent: /A
P.0.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328
(912)786-4573-FAX(912)786-9539
www.cityoftybee.org
STATE OF GEORGIA ) HOLD HARMLESS /
INDEMNIFICATION
COUNTY OF CHATHAM ) AGREEMENT
THIS AGREEMENT is made the day of /y/1rle,6 , 204?
by G A rj "P,LPX- 1—
(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
�aoe S h /a t/
Address
Witness -3_LH 3
/�e� City of Tybee Island, Georgia
/3.6/4 912-472-5033 or 912-472-5031 - Fax 912-786-9539
% APPLICATION FOR BUILDING PERMIT
Property Address: f ZG g 5 -pi AV E 0007 /1-- &d3
Name Mailing Address Telephone
Home:
Owner PA tZ >✓Z IZU g 571-1 AV CeIL518 221 3 i
Architect or
Engineer
Office:
Contractor Cell:
(Check all that apply)
11Single Family ❑ Discovery/Tearout ❑ Demolition of Structure
❑ Duplex ❑ Footprint Changes— ❑ Other fc AI
❑ Multi-Family units new square feet
❑ Commercial units heated/cooled 3- �- �; S 1,,-ir •
Details of Project: pt_Aa_t 1 E Ni I O P IN i' 1✓ tv C-E U Nj CAT I R IC-14 F OP
VIA' ; TO PREVEK T DEST Ru■c-1t Div c i= LAW PL_
AEI- i c LES., tEiv-ER () eETco ELF DR\ \JEI,oM pRoP12
�11vE.
Estimated Cost of Construction: $ AC)D ; G 0 (materials + labor+ profit/overhead)
If applicable, attach a copy of the certified elevation certificate and/or survey of the property. Depending upon
the scope of the work, two sets of construction drawings and/or a site plan may be required.
Year Built: VA Ck 3 Listed on National Historic Register or located within a National Historic District? Y N
*Buildings older than 50 years may be eligible to be listed on the State/National Register. With this designatiyou
may be eligible to take advantage of various tax incentive programs while preserving the heritage of Tybee Island.
*Also see the Tybee Island Land Development Code Article 14: Historic Preservation
During construction:
On-site restroom facilities will be provided through . Construction debris will be disposed
by by means of . I understand that I must comply with zoning,flood
damage control, building, fire, shore protection and wetland ordinances, FEMA regulations and all applicable codes and
regulations. I realize that I must ensure the adequacy of drainage of this property so that surrounding property is in no way
adversely affected as required by Article 16, Stormwater Management. I accept responsibility for any corrective action that
may be necessary to restore drainage impaired by this permitt construction.
Date: -5/11/3 Signature of Applicaat FEES -e.n
Printed Name G,'4/ ,y P4TRRER Permit 6 So
Inspections
Note: A permit normally takes 7 to 10 days to process Cap Cost Rec
Water Tap
Approvals: omre Date Sewer Stub
Planning &Zoning Manager 3-14-i 3 Eng. Fees
Building Official
Aid to Const.
Water/Sewer
Storm/Drainage
City Manager
TOTAL Spa
LEAD-BASED PAINT RRP RULES
Ordinary renovation and maintenance activities can create dust that contains lead. 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. After April 22, 2010, federal law will require you
to be certified and to use lead-safe work practices. Georgia Environmental Protection Division Lead-Based
Paint and Asbestos Program (404) 363-7026.
Projects must be done by a Certified Lead Renovation Firm AND a Certified Renovator
When disturbing lead-based painted or coated surfaces or components more than 6 ft2 per interior
room or 20 ft2 of exterior surfaces AND all window replacements and partial demolitions of any size.
* * * * * * * * * * * * * *** * * * **
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.
* * * * * * * ** ** * * * * * * * * * *
BMPs
While BMP deficiencies are not necessarily the fault of the owner or his agent, BMPs are their responsibility.
Two areas of deficiencies are in the most basic and common BMPs; Co — Construction Exit and Sd1 —
Sediment Barrier. Correct installation information can be found in the Field Manual for Erosion and Sediment
Control in Georgia, Fourth Edition 2002, Georgia Soil and Water Conservation Commission;
http://www.gaswcc.org/docs/field_manual_4ed.pdf.
Problems with the Co is not limited to the installation, but to material. The stone will be a representation of
1.5"-3.5" stone or larger.
Type A sediment barriers have been installed where Type C is required and shown on the permit drawings.
Where two rows are called for they will be installed with a separation that allows for the first one to fail (fall
over) without impacting the second one. The complete assembly and installation must be compliant; steel or
wood posts, post spacing, Type C or A.
Signature for receipt of Lead Paint, Asbestos, and BMP notices. Date
Printed Name
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