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Home My Public Portal AboutJones Av_914U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood insurance Program ELEVATION CERTIFICATE Important Read the instructions on pages 1 -9. OMB No. 1660-0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION Al. Building Owner's Name JAMES C. AND CAROL L. BROWN For insurance Company Use: Policy Number A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 914 JONES AVENUE Company NNC Number City TYBEE ISLAND State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 55-8, WARD 3, TYBEE ISLAND A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Let. 32.00176 Long. 80.84756 Horizontal Datum: ❑ NAD 1927 0 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number ¢ A8. For a building with a c rawlepace or enclosure(s): a) Square footage of crawispace or enclosure(s) Ed sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 2 c) Total net area of flood openings in A8.b 222 sq in d) Engineered flood openings? ❑ Yes ® No A9. For a building with an attached garage: a) Square footage of attached garage HA sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade jA c) Total net area of flood openings in A9.b N/6 sq in d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number 182. County Name 1 133. State GA B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other (Describe) 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Designation Date ta CBRS ❑ OPA ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Construction' ® Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al A30, AE, AH, A (with BFE), VE, V1 -V30. V (with BFE), AR, AR/A, AR/AE, AR/Al -A30, AR/AH, AR/AO. Complete Items C2.a -h below according to the building diagram specified In Item A7. Use the same datum as the BFE. Benchmark Utilized LOCALVenccai Datum /AAV§ Conversion/Comments NONE a) b) c) d) e) f) 9) h) Top of bottom floor (including basement, crawispace, or enclosure floor) ¢.QQ 11.4 Top of the next higher floor Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) Highest adjacent (finished) grade next to building (HAG) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support g.4 Check the measurement used. ® feet ❑ meters (Puerto Rico only) IR feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) COMMENTS ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No Certifier's Name BERT B. BARRETT, JR. License Number GA 2225 FEMA F• 81-3 , Mar 09 See reverse side for continuation. Replaces all previous editions WARNING: Due to the possibility that changes may have been done to this residence after this elevation certificate was signed and dated by the surveyor, it is recommended that caution be taken in using this elevation certificate by anyone other than the person indicated in section Al. B4. Map/Panel Number 1305100213 B5. Suffix F B6. FIRM index Date 9/26/08 B7. FIRM Panel Effective/Revised Date 9/26/08 B8. Rood Zone(s) AE 89. Base Flood Elevation(s) (Zone AO, use base flood depth) 11 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other (Describe) 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Designation Date ta CBRS ❑ OPA ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Construction' ® Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al A30, AE, AH, A (with BFE), VE, V1 -V30. V (with BFE), AR, AR/A, AR/AE, AR/Al -A30, AR/AH, AR/AO. Complete Items C2.a -h below according to the building diagram specified In Item A7. Use the same datum as the BFE. Benchmark Utilized LOCALVenccai Datum /AAV§ Conversion/Comments NONE a) b) c) d) e) f) 9) h) Top of bottom floor (including basement, crawispace, or enclosure floor) ¢.QQ 11.4 Top of the next higher floor Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) Highest adjacent (finished) grade next to building (HAG) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support g.4 Check the measurement used. ® feet ❑ meters (Puerto Rico only) IR feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) COMMENTS ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No Certifier's Name BERT B. BARRETT, JR. License Number GA 2225 FEMA F• 81-3 , Mar 09 See reverse side for continuation. Replaces all previous editions WARNING: Due to the possibility that changes may have been done to this residence after this elevation certificate was signed and dated by the surveyor, it is recommended that caution be taken in using this elevation certificate by anyone other than the person indicated in section Al. IMPORTANT: In these spaces, copy the corresponding Information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 914 JONES AVENUE For Insurance Company Use; Poky Number City TYBEE ISLAND State GA ZIP Code 31328 Company NAB Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certifiaite for (1) unity official, (2) insurance agent/company, and (3) building owner. Comments 1. MAGELLAN MERIDIAN GOLD GPS UNIT USED TO OBTAIN LAT/LONG 2. THE LOWEST ELEVATION OF MACHINERY SERVICING THIS BUILDING WITHIN THE FOUNDATION WALLS IS AT 24.84' NAVD 1988. 3. THE Ek, VA r`o F THE OUTSIDE HEATPUMP UNIT (CONDENSER) IS AT 132 NAVD 1988. Signatu Date 3/30/11 ❑ Check here if attachments SECTION E - BUILD! LEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5. H the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For items El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is jy(g. El feet 0 meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlepace, or enclosure) is ljA. ® feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is W.A. ® feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) Is NL@. ® feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is WA. ® feet ❑ meters ❑ above or 0 below the HAG. E5. Zone AO only: If no flood depth number is available, Is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information In Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA - issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A B, and E am correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name N/A Address N/A Signature N/A Comments N/A City N/A State GA ZIP Code N/A Date N/A Telephone N/A SECTION G - COMMUNITY INFORMATION (OPTIONAL) QIIINIthimitiglastunta The local official who is authorized by law or ordinance to administer the communitys floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. GI. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA - issued or community- Issued BFE) or Zone AO. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G4. Permit Number WA G5. Date Permit Issued N/A G6. Date Certificate Of Compliance/Occupancy Issued N/A G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ICl/ . ® feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ht/A. ® feet ❑ meters (PR) Datum 010. Community's design flood elevation N/A ® feet ❑ meters (PR) Datum Local Official's Name N/A Title N/A Community Name N/A Telephone N/A Signature N/A Date N/A Comments N/A 51 Check here ii attachments FEMA Form 81 -31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 914 JONES AVENUE Policy Number City TYBEE ISLAND State GA ZIP Code 31328 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View "; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. IP RIGHT SIDE VIEW LEFT SIDE VIEW FRONT VIEW REAR VIEW