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Home My Public Portal AboutSEVENTEENTH PL_15DATE ISSUED: 02 -04 -2014 WORK DESCRIPTION WORK LOCATION OWNER NAME ADDRESS CITY, ST, ZIP PHONE NUMBER CONTRACTOR NAME ADDRESS CITY STATE ZIP CITY OF TYBEE ISLAND BUILDING PERMIT PAVER DRIVEWAY 15 SEVENTEENTH PL 1 VIOLA BUFORD FAMILY LP PO BOX 2445 TYBEE ISLAND GA 31328 ORO LANDSCAPING 157 HOLLOW OAK DRIVE BLOOMINGDALE GA 31302 FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE P TOTAL FEES CHARGED $ 78.00 PROPERTY IDENTIFICATION # PROJECT VALUATION $6,500.00 PERMIT #: 130315 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: 512'14 0...4,1 * ,-0,. a( w o r - t1.44- S; f CoIv—tiLkLe, - Close. cile. 03;40, P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org Property Address: l J e City of Tybee Island, Georgia 912- 472 -5030 • Fax 912- 786 -9539 APPLICATION FOR BUILDING PERMIT PIN: El Single Family El Duplex ❑ Multi - Family units ❑ * Commercial unit(s) Check all that apply El Discovery/Tearout ❑ Footprint Changes ❑ additional square feet heated /cooled Co.( (Z- (o0 `I -- (o43I El Demolition or Relocation El Other * A commercial project requires 2 sets of sealed drawings by a design professional and construction by a contractor with the appropriate State of Georgia professional license. A commercial project may require Site Plan Approval. Details of Project: zc 5Le-c . 9.2_Q Favd( sad 2 (4 s ?4+ r t (; ,, (Au �.r,Y.: -(- 13 — 0 3 IS Estimated Cost of Construction: $ (materials + la r + 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: 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 designation, you 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 actions that may be necessary to restore drainage impaired by this permitted construction. Date: Signature: 19t Printed Name of Applicant: J_ a. - t Oro pe.za_ Note: A permit normally takes 7 to 10 days to process. Processing time for a historic structure may be longer. Approvals: Planning & Zoning Manager Building Official Water /Sewer Storm /Drainage City Manager Ca rel p o_rtc.e- w 44-) Op arp rove_cL an Signature- Date Permit Inspections �� J Cap. Cost Rec Water Tap Sewer Stub FEES & k Eng. Fees J 'r ' Aid to Const. TOTAL —0— Name Mailing Address Telephone Owner gai..3Litog..ois ' I a u _r,rct -Farr, Home Cell: ( 301,6,0 .. 3 30 Architect or Engineer Office: Cell: Contractor Vr0 S cao� O ee: N' "-', GPI: RtiI -9 S8' -3o43 El Single Family El Duplex ❑ Multi - Family units ❑ * Commercial unit(s) Check all that apply El Discovery/Tearout ❑ Footprint Changes ❑ additional square feet heated /cooled Co.( (Z- (o0 `I -- (o43I El Demolition or Relocation El Other * A commercial project requires 2 sets of sealed drawings by a design professional and construction by a contractor with the appropriate State of Georgia professional license. A commercial project may require Site Plan Approval. Details of Project: zc 5Le-c . 9.2_Q Favd( sad 2 (4 s ?4+ r t (; ,, (Au �.r,Y.: -(- 13 — 0 3 IS Estimated Cost of Construction: $ (materials + la r + 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: 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 designation, you 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 actions that may be necessary to restore drainage impaired by this permitted construction. Date: Signature: 19t Printed Name of Applicant: J_ a. - t Oro pe.za_ Note: A permit normally takes 7 to 10 days to process. Processing time for a historic structure may be longer. Approvals: Planning & Zoning Manager Building Official Water /Sewer Storm /Drainage City Manager Ca rel p o_rtc.e- w 44-) Op arp rove_cL an Signature- Date Permit Inspections �� J Cap. Cost Rec Water Tap Sewer Stub FEES & k Eng. Fees J 'r ' Aid to Const. TOTAL —0— 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. Si na rec ipt of Lead Pai t, Asbestos, and BMP notices Date Printed Name kw. le `DI+ rya-) Xa ko V w 17TH. PLACE 10' R/W 11'1 "4-08 0-Id,,1'- '71:7:M,Q0 'Q ra ' � �P (1.-1, ✓1 S 70'57'10 "E 'd J , ,79.19' J O :1 1.+- do,d. a,oy� da.�.s.35'snw_d�ap 'si 1 GRATE INIZT P BUTLER AVENUE TOP EIEV 6.99 11 6.04 WEST PORTION OF LOT 1 ACCORDING TO THE 6.1.6.8. DATED 6/17/86 THIS SITE IS WITHIN FLOOD ZONE A8, BEE 16. I. WHITLEY REYNOLDS LAND SURVEYOR 838 STEPHENSON AVENUE SUITE C SAVANNAH GEORGIA 31405 TELEPHONE: 912- 352 -0484 FAX: 912- 352 -7787 TOP 61EV 6.91 16 4.96 N 19'03'40"E 79.99' 9/8' 686 GRATE INLET TOP 6120 6.89 IE 4.89 5 71'00'00 GBAVTB, 1 6" PIPE O GRATE INLET TOP ELEV 7.03 12 3.63 16 8" PIPE GRA7E INLET IE 6" P1PE 6.92 3 STORY STUCCO BUILDING 6/8" RBF 10.8' 8' PIPE TOP EIEV 2 4.88 r■ NA" 0-j-5 {- o � � \/ t _ Dv C fist ; \j-J v±aS 1 t \A) \ a rb1 =111JP1*w 9iq awjod 40 pq jou S/VMOAIJp ate 060• pattagti LOT 2 GLUTS INLET TOP ELEV 6.96 1E 4.79 REVISED AUGUST 6. 2008 EQUIPI2NT: TOPCON AP -LTA ERROR OF CLOSURE: LINEAR: 1/- ANC: - .ANGLE BALANCED BY: - PLAT: 1/172.000 0 10 SCALE: 1" - 10' DATE: OCTOBER 29. 2007 32906? DATE: JUNE 30. 2006 PLAT FILE N0. 04 -226A 10 N 70'59'39"W 8 BEACH LOT 108 0 10 GRATE INLET TOP ELEV 6.91 IE 4.95 20 30 GRAPHIC SCALE - FEET teat ►1U- 41tiON% ueun. �a eaaB eq tou hells s malls ongnd gam 101 leIJuep�sal >E yaiynn 6uivado /eMaAPP V TP 6 apo WB L6,ea puei e a ciAl 1tV 6 25.00 IE 9 (AS -BUILT ELEVATIONS) TYBEE RETREAT A CONDOMINIUM STREET ADDRESS: #15 17TH. PLACE PLAT OF THE EASTERN 80' OF LOT 1 OF A SUBDIVISION OF BEACH LOT 107, WARD NO. 5, TYBEE ISLAND, CHATHAM COUNTY, GEORGIA FOR: TOMMY REESE DATE ISSUED: 05 -17 -2013 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 PAVER DRIVEWAY 15 SEVENTEENTH PL 1 VIOLA BUFORD FAMILY LP PO BOX 2445 TYBEE ISLAND GA 31328 VIOLA BUFORD FAMILY LP PO BOX 2445 TYBEE ISLAND GA 31328 P $ 78.00 PIN #4- 0009- 05 -006A $6,500.00 PERMIT #: 130315 TOTAL BALANCE DUE: $ 78.00 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 /3-63/‘ Property Address: City of Tybee Island, Georgia 912 -472 -5033 or 912 - 472 -5031 - Fax 912 - 786 -9539 APPLICATION FOR BUILDING PERMIT /.5 175=. Reice ❑ Single Family ❑ Duplex DMulti - Family units Commercial units Details of Project: (Check all that apply) ❑ Discovery/Tearout ❑ Footprint Changes — new _ square feet heated /cooled O.6 -a ziro Demolition of Structure ❑ Other 1 1) '1Ar ?EP/ l t;xlS ?iJ EkS 10c-awr 1 OF �..M l L f N I5._ l•c3.P • U t t-L. [3rd. 5C.o Estimated Cost of Construction: $ (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: _WA.- 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 designation, you 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 by e by means o damage control, building, fire, shore protection an construction debris will be disposed understand that I must comply with zoning, flood 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 thi . permitted co. - . cti • n. Date: " 6 t3 Signature of Applicant: Printed Name Note: A permit normally takes 7 to 10 days to process Approvals: Planning & Zoning Manager Building Official Water /Sewer Storm /Drainage City Manager ate cLr :Je�a� FEES Permit Inspections Cap Cost Rec Water Tap Sewer Stub Eng. Fees Aid to Const. TOTAL Name Mailin • Address Tele • hone 10 r Owner ", 1" 0:144 t."-/ ■, 2vkS7. ∎ b . 4.t... 144 Io+• LG Home: Cell:111 -2. o -3330 Architect or Engineer V ia.R Bafre t• Garnxy [.P RotA4 71O- g3'3.92c Contractor � � � ��b - - Office: Cell: 9i2..-4 f ... jf ) ❑ Single Family ❑ Duplex DMulti - Family units Commercial units Details of Project: (Check all that apply) ❑ Discovery/Tearout ❑ Footprint Changes — new _ square feet heated /cooled O.6 -a ziro Demolition of Structure ❑ Other 1 1) '1Ar ?EP/ l t;xlS ?iJ EkS 10c-awr 1 OF �..M l L f N I5._ l•c3.P • U t t-L. [3rd. 5C.o Estimated Cost of Construction: $ (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: _WA.- 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 designation, you 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 by e by means o damage control, building, fire, shore protection an construction debris will be disposed understand that I must comply with zoning, flood 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 thi . permitted co. - . cti • n. Date: " 6 t3 Signature of Applicant: Printed Name Note: A permit normally takes 7 to 10 days to process Approvals: Planning & Zoning Manager Building Official Water /Sewer Storm /Drainage City Manager ate cLr :Je�a� FEES Permit Inspections Cap Cost Rec Water Tap Sewer Stub Eng. Fees Aid to Const. TOTAL 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.orgidocs/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 woo • posts, post sp. Ty.e C or A. _ igna ure for receipt of L-ad Pa , Asbestos, and BMP notices. Printed Name c- , '71/4-1 � , - teao1cL �+ o. 1114 (SA -a1+ r' x a k 9‘) AC; W 17TH. PLACE 10' R/W 111 r'd cud, ,11th 7P, m e o 'Q & 1 K ` v J S 70'57'10 "E V 79.19' P .3-0 : I 1. -f,ra d 0X►, 7.1 0j•aCl dats -ITS ^w —a7a1 —'51 GRATE MET TOP ELEV 8.99 IE 5.04 BUTLER AVENUE WEST PORTION OF LOT 1 ACCORDING TO THE FIRM. DATED 8/17/88 THIS SITE IS WITHIN FLOOD ZONE A8, BEE 16. J. WHITLEY REYNOLDS LAND SURVEYOR 636 STEPHENSON AVENUE SUITE C SAVANNAH GEORGIA 31405 TELEPHONLI: 912- 352 -0484 FAX 912- 352 -7787 GF,O JIG (q o- \sTEJ�„o 01 N0. 2249 A TOP ELEV 8.91 IE 4.98 5/8" RBF A/C 71'00'00 4- 8" PIPE Q GRATE INLET TOP ELEV 7.03 1E 3.53 1E 8" PIPE 9 AV&oN. —J 10.6' CRATE IN 10 8' PIPE 5.92 3 STORY STUCCO BUILDING O 8' PIPE GRATE INLET TOP ELEV 8.89 15 4.89 9 9' O O- 15FLASTI- Piny o- 15' PLASTIC PIPE N 70.59'39 "W 8'..3' REVISED AUGUST 8, 2008 EQUIPMENT: TOPCON AP -WA ERROR OF CLOSURE: LINEAR: 1/- ANG: - "ANGLE BALANCED 137: - PLAT: 1/172.000 0 10 L. 1 SCALE: 1" - 10' DATE: OCTOBER 29, 2007 SURVEY DATE: JUNE 30, 2008 PLAT FILE 50.04 -2282 10 5/8' RBF TOP ELEV IE 4.88 b.9 -V" (-3 rn _J 01-9 j-0 \r.i I _-vJO -f.SJ;& j - v :1°±7-1 is r \■l , t•" -I tD 11il a}I+ar aigeawed o MIuea eq )inw sAamaAiJP lay neat dgQ mu* LOT 2 GRAM INLET TOP ELEV 6.96 10 4.79 GRATE INLET TOP ELEV 5.91 BEACH LOT 108 IE 4.95 0 10 20 30 Illllllllfl 1 GRAPHIC SCALE - FEET Poi - 1%uar4 uayt Jeleale eq tou gays ;awls opgndb lob Ieiluepsei a sloauuoo yoiyM Buivado IJM8ApP V 1.-3-080 -E Dv R. e�O }uawdoteI as puel eagA1, TOP ELEV 626 (AS -BUILT ELEVATIONS) TYBEE RETREAT A CONDOMINIUM STREET ADDRESS: 915 17TH. PLACE PLAT OF THE EASTERN 80' OF LOT 1 OF A SUBDIVISION OF BEACH LOT 107, WARD NO. 5, TYBEE ISLAND, CHATHAM COUNTY, GEORGIA FOR: TOMMY REESE Property Address: City of Tybee Island, Georgia 912 -472 -5033 or 912 - 472 -5031 - Fax 912 - 786 -9539 APPLICATION FOR BUILDING PERMIT ❑ Single Family 111 Duplex INLI Multi - Family units ] Commercial units Details of Project: (Check all that apply) ❑ Discovery/Tearout El Footprint Changes — new _ square feet heated /cooled Demolition of Structure El Other iUS'r tL ?)E. (Z.Vl S ?AV falls 1 faJW-Yr 8'0 ti&A ' C- il • a� L�ut�Lf#J C 103' Ki:FLE100- P . LL) t3t2. co *00-E k,%c- ytLs Estimated Cost of Construction: $ (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: 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 designation, you 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 by S , by means o damage control, building, fire, shore protection an onstruction debris will be disposed understand that I must comply with zoning, flood wetland ordinance, 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 thi . permitted co. - . cti • n. _ d f 4.u• c Q Date: Co %6 Signature of Applicant: Printed Name Note: A permit normally takes 7 to 10 days to process Approvals: Planning & Zoning Manager Building Official Water /Sewer Storm /Drainage City Manager Signatu z 1z _( 3 FEES Permit Inspections Cap Cost Rec Water Tap Sewer Stub Eng. Fees Aid to Const. TOTAL Name Mailing Address Telephone UAo Owner „�, wlj 1 �n�u trti ��S-� ; I O . 1�N r t.,`k�,. , tps, Home: Cell:111 -2 D 0 • 3350 Architect or Engineer Contractor ?c 7 7V ? g3- 4D-SCA- -" Office: Cell: �% /Z- t,t�('�L�3) ❑ Single Family 111 Duplex INLI Multi - Family units ] Commercial units Details of Project: (Check all that apply) ❑ Discovery/Tearout El Footprint Changes — new _ square feet heated /cooled Demolition of Structure El Other iUS'r tL ?)E. (Z.Vl S ?AV falls 1 faJW-Yr 8'0 ti&A ' C- il • a� L�ut�Lf#J C 103' Ki:FLE100- P . LL) t3t2. co *00-E k,%c- ytLs Estimated Cost of Construction: $ (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: 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 designation, you 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 by S , by means o damage control, building, fire, shore protection an onstruction debris will be disposed understand that I must comply with zoning, flood wetland ordinance, 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 thi . permitted co. - . cti • n. _ d f 4.u• c Q Date: Co %6 Signature of Applicant: Printed Name Note: A permit normally takes 7 to 10 days to process Approvals: Planning & Zoning Manager Building Official Water /Sewer Storm /Drainage City Manager Signatu z 1z _( 3 FEES Permit Inspections Cap Cost Rec Water Tap Sewer Stub Eng. Fees Aid to Const. TOTAL