HomeMy Public PortalAbout10-0358 City of TybeeDATE ISSUED: 07 -12 -2010
WORK DESCRIPTION
WORK LOCATION
OWNER NAME
ADDRESS
CITY, ST, ZIP
PHONE NUMBER
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEES CHARGED
PROPERTY IDENTIFICATION #
PROJECT VALUATION
CITY OF TYBEE ISLAND
BUILDING PERMIT
INSTALL SIGN ON DOOR COVER
TYBRISA
CITY OF TYBEE
PO BOX 2749
TYBEE ISLAND GA 31328 -2749
CITY OF TYBEE
PO BOX 2749
TYBEE ISLAND GA 31328 -2749
P
$ 0.00
$ 100.00
PERMIT #: 100358
TOTAL BALANCE DUE: $ 0.00
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
(- o 3 5�
CITY OF TYBEE ISLAND, GEORUTA
APPLICATION FOR BUILDING PERMIT
Location: 60C �UMasa- ' n ' -er
NAME
ADDRESS
PIN #
TELE
Owner
Of. 7(11 (,4-- "Fti
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Architect
or Engineer
Building
Contractor
(Check all that apply)
Repair
n Renovation
Minor Addition
Substantial Additi
Other
Il
Details of Project:
n
lJ
I
11
Residential
Single Family
Duplex
Multi- Family
Commercial
n Footprint Changes
n Discovery
Demolition
10,-,f a 64 ft_ GiCor C u r
b _r - see Qlj i
Estimated Cost of Construction: $ r%$ CLIO r o_ -aIs
Construction Type
(1) Wood Frame
(2) Wood & Masonry
(3) Brick Veneer
Proposed use:
Remarks:
(Enter appropriate number)
(4) Masonry (6) Other (please specify)
(5) Steel & Masonry
i-, Cote
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vsed tea
ATTACH A COPY OF THE CERTIFIED ELEVATION SURVEY OF LOT and complete the
following information based on the construction drawings and site plan:
# Units # Bedrooms # Bathrooms
Lot Area Living space (total sq. ft.)
# Off - street parking spaces
Trees located & listed on site plan
Access:
Driveway (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
N
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: 1 , ('2 - I 0 Signature of Applicant:
Note: A permit normally takes 7 to lays to -preys
The following is to be com eted by City personnel:
Zoning certification
Approved rezoning /variance?
Street address and number: New
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)
NFIP Flood Zone
Existing
Access to building site
Distance to water main tap site
Distance to sewer stub site
Water meter size
Storm drainage
Approvals:
Zoning Administrator
Code Enforcement Offic
Water /Sewer
Storm /Drainage
Inspections
City Manager
Signature
Date
FEES
Permit
Inspections
Water Tap �4 •
Sewer Stub
Aid to Const S