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HomeMy Public PortalAbout11-0153 Gay_1of3Permit No. City of Tybee Island • Community Develop Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 Owner's Name Gen. Contractor raw \_ INTERNATIONAL CODE COUNCIL MEMBER Date Requested �` 10 —1 / Date Needed 7- 7-/I Subcontractor Contact Information TT; L7 W _ � 7 Project Address I "3 1 0 4-11,9 vYt V c • Scope of Work r e 0 VC'°i� r) r1 Inspector ? f ? Date of Inspection f-msy Inspection 7 - e r / ,/,c Pass Fee Inspection Pass Fee Inspection Pass Fail Fee Inspection Pass ❑ Fail ❑ Fee Cat\ 3,--3r 0 tceSS City of Tyree Island • Community Developrtic t Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 Permit No. 1 1 0 � 3 3 Date Requested ? � ` Date deeded ®� Owner's Name Gen. Contractor Contact Information Project Address Scope of Work t ('_ (' a Inspector watuvak PRITZTa INTERNATIONAL CODE COUNCIL' MEMBER e rvm Subcontractor Inspection c. Inspection Inspection �in Date of Inspection AgNSe e\c {,..�r;. inspection f G no_' i-�' 't 1- Pass Er Fail ® Fee Pass Fool ❑ Fee Pass Fail � Fee Okk Pass ❑ Fail 11 Fee c� I 0 I City of ee Island • Community Devel ent Dept. a rn 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 Phone 912.786.4573 ext. 114 • Fax 912.786.9539 Inspection Report Permit No. ) - 01 5' 3 Owner's Name OS Gen. Contractor -1 • Qs i'vm Subcontractor Contact Information Project Address Scope of Work Inspector Date of Inspection S. h a( Inspection h Pass Date Requested i( VS kik mum Emma INTERNATIONAL CODE COUNCIL* MEMBER Date Needed 1_4 _ L4 — 0 V.N rTh6 LW 14 Ci 319 aQ try-N V e ka Ce '- Inspection Fr) eJ S k el Q C. Pass Fail 31-0,,cl A r Inspection J) (2(4 a cz) V oo3k 1.-ikJ A C Pass Er- F Fee Fee Fee Inspection r ry-N . rms Pass oz- j L)112: 104 I 1(/) re7;(7," 1 1 0 0 / ;IL LI I ft( C 2 1 j 7 0 4-- I C\1 j ,k1 Fee / DATE ISSUED: 03 -18 -2011 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 RENOVATION 1319 CHATHAM ALAN GAY PO BOX 8123 SAVANNAH GA 31412 PIER & BEAM LLC 230 E 46TH ST SAVANNAH GA 31405 P $ 813.00 $96,000.00 PERMIT #: 110153 TOTAL BALANCE DUE: $ 813.00 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: __LA.460.Neato P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786 -4573 - FAX (912) 786 -9539 www.cityoftybee.org l -0I S3 Location: � CITY OF TYBEE ISLAND, GEORGIA APPLICATION FOR BUILDING PERMIT NAME AVEN U ADDRESS PIN# �1-- 00l1--D --01c TELEPHONE Owner 4 4 ��i '1,1F-Oi60 (©Z 1n/ r Ott r a(40 . -Vl t N411, Pad- Architect or Engineer 1 -0Tr�- P- t -1�8� 11D FR— y11:)c.7" 9T4300 \!/ -k-{\i (V{ -}-k (; 4r7 t - `j2-VC Building Contractor M 2---(0 4br+ie-rt- Yi.srl t gLit H G 31'4 05 484 - `Ji16 (Check all that apply) (l Repair [✓ Renovation ❑ Minor Addition ❑ Substantial Addition ❑ Other ❑ Residential Single Family ❑ Duplex ❑ Multi - Family ❑ Commercial Details of Project: See orL-4,14 oL Pfd." j (1 Footprint Changes ❑ Discovery ❑ Demolition Estimated Cost of Construction: $ 16 0 Construction Type (Enter appropriate number) (1) Wood Frame (4) Masonry (6) Other (please specify) (2) Wood & Masonry (5) Steel & Masonry (3) Brick Veneer Proposed use: Remarks: ATTACH A COPY OF THE CERTIF I I-D ELEVATION SURVEY OF LOT and complete the following information based on the construction drawings and site plan: # Units ( # Bedrooms # Bathrooms 3.5 Lot Area 0.0 6b4 Living space (total sq. ft) -4 to r74 6724: FT z # Off - street parking spaces Trees located & listed on site plan Access: th Driveway( (ft.) Setbacks: FrontXt '2-1"" A With culvert? El5T Rear 5,>(..-2-1- With swale? K�'7- Sides (L) (R) 1X. # Stories Height - X-1`75 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 cy , s-rn On -site waste and debris containers will be provided by S }L.e,,,, ResorceS Construction debris will be disposed by Pal,.,. /2eQs.,■ by means of So,- 4/4 „,, 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: 3 -(4/ - / ( Signature of Applicant: Note: A permit normally takes 7 to 10 days to process. The following is to be completed 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 NFIP Flood Zone Existing inq `”, ir do AIR 1 5 2011 Utilities and Public Works: Describe any unusual finding(s) ..................... 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 Officer Water /Sewer Storm/Drainage Inspections City Manager Signature Date FEES /2 / Permit Inspections Water Tap Sewer Stub Aid to Const. TOTAL 13 3 LEAD -BASED PAINT Adapted from http: //www.epa.govAead /pubs /renovation.htm. Please use that site to access the following information. Information for Property Owners of Rental Housing, Child- Occupied Facilities Property owners who renovate, repair, or prepare surfaces for painting in pre -1978 rental housing or space rented by child -care facilities must, before beginning work, provide tenants with a copy of EPA's lead hazard information pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools. Owners of these rental properties must document compliance with this requirement. EPA's sample pre- renovation disclosure form may be used for this purpose. After April 22, 2010, property owners who perform these projects in pre -1978 rental housing or space rented by child -care facilities must be certified and follow the lead -safe work practices required by EPA's Renovation, Repair and Remodeling rule. To become certified, property owners must submit an application for firm certification and fee payment to EPA. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application. Property owners who perform renovation, repairs, and painting jobs in rental property should also: • Take training to learn how to perform lead -safe work practices. • Learn the lead laws that apply regarding certification and lead -safe work practices beginning in April 2010. • Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and that you followed lead - safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA has developed to help contractors comply with the renovation recordkeeping requirements that took effect April 2010. • Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. • Read about how to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. Information for Homeowners Working at Home If you are a homeowner performing renovation, repair, or painting work in your own home, EPA's RRP rule does not cover your project. However, you have the ultimate responsibility for the safety of your family or children in your care. If you are living in a pre -1978 home and planning to do painting or repairs, please read a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools lead hazard information pamphlet. You may also want to call the National Lead Information Center at 1 -800- 424 -LEAD (5323) and ask for more information on how to work safely in a home with lead -based paint. Information for Tenants and Families of Children under Age 6 in Child Care Facilities and Schools As a tenant or a parent or guardian of children in a child care facility or school, you should know your rights when a renovation job is performed in your home, or in the child care facility or school that your child attends. • Before starting a renovation in residential buildings built before 1978, the contractor or property owner is required to have tenants sign a pre - renovation disclosure form, which indicates that the tenant received the Renovate Right lead hazard information pamphlet. • Beginning in December 2008, the contractor must also make renovation information available to the parents or guardians of children under age six that attend child care facilities and schools, and to provide to owners and administrators of pre -1978 child care facilities and schools to be renovated a copy of EPA's Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools lead hazard information pamphlet. Information for Contractors As a contractor, you play an important role in helping to prevent lead exposure. Ordinary renovation and maintenance activities can create dust that contains lead. By following the lead -safe work practices, you can prevent lead hazards. 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, Chi /d Care Providers, and Schools. Contractors must document compliance with this requirement. EPA's pre- renovation disclosure form may be used for this purpose. Understand that after April 22, 2010, federal law will require you to be certified and to use lead -safe work practices. To become certified, renovation contractors must submit an application and fee payment to EPA. See: Application for firm certification. The Agency has up to 90 days after receiving a complete request for certification to approve or disapprove the application. Contractors who perform renovation, repairs, and painting jobs should also: • Take training to learn how to perform lead -safe work practices. • Find a training provider that has been accredited by EPA to provide training for renovators under EPA's Renovation, Repair, and Painting (RRP) Program. Please note that if you previously completed an eligible renovation training course you may take the 4 -hour refresher course instead of the 8 -hour initial course from an accredited training provider to become a certified renovator. Click here for a list of eligible courses. • Provide a copy of your EPA or state lead training certificate to your client. • Tell your client what lead -safe methods you will use to perform the job. • Learn the lead laws that apply to you regarding certification and lead -safe work practices beginning in April 2010. • Ask your client to share the results of any previously conducted lead tests. • Provide your client with references from at least three recent jobs involving homes built before 1978. • Keep records to demonstrate that you and your workers have been trained in lead -safe work practices and that you followed lead - safe work practices on the job. To make recordkeeping easier, you may use the sample recordkeeping checklist that EPA has developed to help contractors comply with the renovation recordkeeping requirements. • Read about how to comply with EPA's rule in the EPA Small Entity Compliance Guide to Renovate Right. • Read about Fow to use lead -safe work practices in EPA's Steps to Lead Safe Renovation, Repair and Painting. FYOU'R OT EAD-SAFE CERTIFIED, ISTURBING JUST SIX SQUARE FEET COULD COST YOU 3 -iq- /) Signat Date I'Yle:sw-L_ Printed Name Permit Acknowledgement of Asbestos/Environmental Notification to Georgia EPD for Proiects 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. Rio` 1- vvol.ec+y Printed Name Date Office Use Only: Project Address: Permit Number: June 30, 2010 The following deficiencies have reached an unacceptable level on the projects in the City of Tybee Island. While the deficiencies are not necessarily the fault of the Owner or his agent, they are their responsibilities. The two areas of deficiencies are in the two most basic and common BMPs on local projects. They are: Co — Construction Exit Sdl — Sediment Barrier Correct installation information can be found not only in the "Green Book" but in the Field Manual for Erosion and Sediment Control in Georgia, Fourth Edition 2002, 4310 Lexington Road, P.O. Box 8024, Athens, GA 30603, telephone 706.542.3065, www.gaswcc.org, 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 the material. Specifically, the job site personnel are telling me the stone delivered is the 1.5 " -3.5" stone they requested. I have experienced on my own projects suppliers not adhering to the specs they are given with the orders. While I regret this situation, I will no longer be accepting any deviation from the State requirements. The stone will be a representation of 1.5 " -3.5" stone or larger. Gradations that are obviously smaller will no longer be tolerated. The smaller stone allows for a smoother surface with smaller voids, thereby reducing the function of the construction exit. Similarly, I am fmding Type A sediment barriers installed where Type C is required and shown on the permit drawings. I have attempted to work with the Owners through increased inspections, additional backup BMPs, etc. This has evidently become common knowledge based on the installations I am fording. 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. There has been no discharge into state waters due to previous occasional deficiencies. However, the increased frequency has created unnecessary exposure to: 1) Sediment discharge into nearby waters of the State, 2) Increased maintenance efforts by the DPW on downstream lines. 3) Due to #2, higher cost to island taxpayers. I will be adhering strictly to the manual on all BMPs and not just these two. Downer Davis City of Tybee Island Consulting Engineer Signa = •f i er /Contractor 1 Gregori S. Anderson, CBO Director CHATHAM COUNTY DEPARTMENT OF BUILDING SAFETY AND REGULATORY SERVICES P O BOX 8161 SAVANNAH, GEORGIA 31412 -8161 OFFICE 912- 201 -4300 Clifford Bascombe, CBO, CFM FAX 912- 201 -4301 Assistant Director NOTE: THIS INFORMATION MUST BE SUPPLIED PRIOR TO ISSUANCE OF PERMIT ELECTRICAL WORK Date -/s/ - // Owner's name AI., r General Contractor P) e i. I• Aced M LL C Job location / 3 / i c1,0.4-1,a44-1 , I hereby certify that I will perform the Electrical work for the project described above and I further certify that I have a valid State and Local Business Tax Certification (license) License number and jurisdiction C,4-erer / P4,2.342% 5'"%t K1(12" Company Name Signature MECHANICAL WORK Date S -. "y - I / Owner's name A,iet rt C ,t General Contractor Ace' +13 cokr- L L C Job Location / 3 Chc� &p,I., ? t� I hereby certify that I will perform the Mechanical work for the project described above and I further certify that I have a valid State and Local Business Tax Certification ( license) / License number and jurisdiction S40.44 L / ''-S. C N 2 o q 6 �O NI 51+ l a r Oj / 1 Ccal'Vi thoh y A►�1'� I , 1 C��r��r -z�/ Company Name Signature PLUMBING WORK Date 3 •Iil —// Owner's Name 4/0, •• C A y General Contractor // /!r. Job Location S/5 C L e. 1. La r ∎ /�► ti e.s, I hereby certify that I will perform the Plumbing work for the project described above and I further certify that I have a valid State and Local Business Tax certificate (license) CC '' License Number and Jurisdiction S 4 a V CA Th/ P o 4 Z p4 /;„,,,I,7 AlloCkkit•-\ Company Name L.3 Signatur Page 3 of 6 2011 Chatham County Board of Assessors Property Record Card Page 1 of 1 Requested By: READONLY 6/29/2010 4 -0011 - 09 -010A 1319 CHATHAM AVE TYBEE ISLAND APPRAISER mwthornas LAST INSP 05/15/2007 APPR ZONE 000008 LT A WARD 6 TYBEE ISLAND BACON JERRY L & ELIZABETH B PO BOX 1446* TYBEE ISLAND, GA 31328 -1381 CAMA ASMT 696,000 696,000 LAND 1 227,500 227,500 BLDG 1 3,000 3,000 OBXF 2 926,500 926,500 Cost - MS SALES BOOK /PAGE INS VI OU RSN PRICE CODES PROPERTY USE 0006 Residential UTA 0004 Tybee Island NBHD 020189.00 T189 Tybee Back Rivr EXEMPTIONS L1 L8 L9 S1 9/12/1997 187Z 0129 WD 1 Q 245,000 GRANTOR BRADLEY DAVID B, GRANTEE, BACONJERRYL &ELIZABETH, PERMITS TYPE DATE AMOUNT HISTORY LAND IMPR TOTAL 090535 PL 3/31/2009 Issued 1,000 99 -223 AD 12/5/2003 Comp 3,000 2010 696,000 230,500 926,500 Cama 2009 696,000 335,000 1,031,000 Over 2008 696,000 338,000 1,034,000 Cama 2007 696,000 268,000 964,000 Cama 2006 588,000 311,500 899,500 Cama COMMENTS 1/8/2002 HSIOS ENT 1 -8 -2002 SSB 6/8/1999 ADD CHG PER PO 6- 8 -99 /AP NOTES BUILDING SECTION 86634 -1 CONSTRUCTION TYPE RON AYB EYB DEP TYPE PHYS ECON FUNC OBSV / % TOTAL DEP % RCNLD U.FACTOR MKT VAL Residential 303,332 1977 1990 MS 25.00 0.00 0.00 0.00 25.00 227,499 227,500 26 32' 12 SECTION TYPE 1 - Main AREA 3,418 TYPE 5 - Duplex FRAME 1 - Stud Frame STYLE 1 - One Story 100.00% QUALITY 4.00 CONDITION 3.00 #UNITS 0 # OF BEDS / BATHS 2 / 2.00 -' 1 "' MI 100 flare lining Area Ing 10' Wtl h with �. IP with 132 � 1 944 4 h Nlth Kim) Mq 11ith RooF 'ba iktk I . 192 t 904 . h wnh R ,4C 'L COMPONENTS UNITS QUAL 2 2 711 Raid -in Garage 1111 T03 Base Living Area 1404 26' R1 109 Frame, Stucco - 100.00 R2 214 Metal, Preformed - 100.00 R3 352 Heat Pump - 100.00 R4 402 Automatic Floor Cover Allowanc - - R6 601 Plumbing Fixtures ( #) 8.00 - R6 622 Raised Subfloor (% or SF) - 100.00 R6 641 Single 1 -Story Fireplace ( #) 1.00 - R7 711 Built -in Garage (SF) 702.00 - R11 904 Slab Porch (SF) with Roof 286.00 - R11 904 Slab Porch (SF) with Roof 156.00 R11 904 Slab Porch (SF) with Roof 156.00 - R11 904 Slab Porch (SF) with Roof 192.00 - R11 904 Slab Porch (SF) with Roof 192.00 - R11 904 Slab Porch (SF) with Roof 132.00 - R11 904 Slab Porch (SF) with Roof 132.00 - 1 cos Stab Porch with Roof 11 , 2s5 156 TYBEE STOPPED WORK ON PROPERTY ROOF BEING REPLACED EXTRA FEATURES ID# BLDG # SYSTEM DESC DIM 1 DIM 2 UNITS QL UNIT PRICE RCN AYB EYB DT ECON FUNC SP SP', RCNLD MKT VALUE 141029 86634 2 "Decking /wpost,pi 10 36 360.00 G 23.55 8,478 1985 1985 2R 1,696 1,700 DOCK 141030 86634 WOOD DECK AV 12 16 192.00 G 10.76 2,066 2001 2001 2R 1,281 1,300 LAND ID# USE DESC FRONT DEPTH UNITS /TYPE PRICE ZONING SIZE LCTN. TOPO OTHER ADJI ADJ2 ADJ3 ADJ4 MKT VALUE 111272 RIVER/DIRECT ACCESS 60 58 3,480.000 SF 250.00 R2 1.00 RE -20 696,000 U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1 -9. SECTION A - PROPERTY INFORMATION Al. Building Owner's Name Alan Gay OMB No. 1660 -0008 Expires March 31, 2012 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. 1319 Chatham Ave. Company NAIL Number City Tybee Island State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot A, Ward 6, Tybee Island, Tax ID No: 4- 0011- 09 -010A A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 31°59'49.77" Long. 80 °51'17.09" A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood in A7. Building Diagram Number 1A A8. For a building with a crawlspace or endosure(s): a) Square footage of crawlspace or enclosure(s) NIA sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes © No A9. For a) b) c) d) Horizontal Datum: ❑ NAD 1927 © NAD 1983 surance. a building with an attached garage: Square footage of attached garage N/A sq ft No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A Total net area of flood openings in A9.b N/A sq in Engineered flood openings? ❑ Yes © No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number City of Tybee Island- 135164 82. County Name Chatham B3. State Georgia B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel 88. Flood B9. Base Flood Elevation(s) (Zone 13051 C0326 F Date Effective/Revised Date Zone(s) AO, use base flood depth) 9126/08 9/26/08 VE 13.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood de eat entered in Item B9. ❑ FIS Profile © FIRM ❑ Community Determined Li Other (Describe) B11. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 © NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Designation Date CBRS ❑ OPA No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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. 02. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR /A1 -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 Local Vertical Datum NAVD88 Conversion /Comments N/A a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 9.0 b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) 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 f) g) h) 19.0 17.6 NIA. 14.2 Check the measurement used. ❑ feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) 7.1 ❑ feet ❑ meters (Puerto Rico only) 7.4 ❑ feet ❑ meters (Puerto Rico only) 8.9 ❑ 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. /certify that the information on this Certificate represents my best efforts to interpret the data avallable.t 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 Dale E. Yawn License Number Ga. RLS No. 2510 Title Owner Address P. Bdx 30858 Signature Company Name Yawn Land Surveys, LLC City Savannah FEMA Form 81 -31, Mar 09 \ State GA ZIP Code 31410 Date 11/8110 Telephone 912- 897 -6307 See reverse side for continuation. Replaces all previous editions SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION 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. 1319 Chatham Ave. City Tybee Island State GA ZIP Code 31328 For Insurance Company Use: Policy Number Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments St mature is slab on grade. Parking garage is built under main portion of house. Elevation of parking garage is 7.6 Signature Date 11/8/10 ❑ Check here if attachments SECTION E - BUILDIN LEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. to Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is b) Top of bottom floor (including basement, crawlspace, or enclosure) is E2. For Building Diagrams 6 -9 with permanent flood openings provided in S 'ction (elevation C2.b in the diagrams) of the building is ❑ feet ❑ to E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ 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? LJ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. ow whether the elevation is above or below the highest adjacent grade ❑ feet ❑ meters ❑ above or ❑ below the HAG. ❑ feet ❑ meters ❑ above or ❑ below the LAG. and /or 9 (see pages 8 -9 of Instructions), the next higher floor LJ above or ❑ below the HAG. ❑ below the HAG. 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 are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address Signature Comments City State ZIP Code Date Telephone ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's 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. G1. ❑ G2. ❑ G3. ❑ 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.) A community official completed Section E for a building located in Zone A (without a FEMA - issued or community- issued BFE) or Zone AO. The following information (Items G4-G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Cert ii cat e Df Cjmpliance /Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (P a G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters ( ) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Community Name Signature Comments Title Telephone Date ❑ Check here if attachments FEMA Form 81 -31, Mar 09 See reverse side for continuation. 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. 1319 Chatham Ave. 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, following. Front View Rear View FEMA Form 81 -31, Mar 09 See reverse side for continuation. Replaces all previous editions Building Photographs Continuation Page For Insurance Company Use: Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1319 Chatham Ave. Policy Number City Tybee Island State GA ZIP Code 31328 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." Left Side View ERAL EMERGENCY MANAGEMENT A 3Y NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. O.M.B. No. 3067 -0077 Expires July 31, 2002 SECTION A - PROPERTY OWNER INFORMATION '_Fo sinsu,rance,,Company.Use: BU'.LDING OWNER'S NAME L- J.. 1 q" e c 7T-j 3 A �tPdllc}rTJJmt�err'' G G BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 13 CITY `. PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) k a, n o p �►., t eN o 4„oT18 io,i,s'o r Ls 1cl W BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use Comments section if necessary,) LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: #gt° - oar - ##.##' or $k#.##### °) LI NAD 1927 Li NAD 1983 1 1 C RYA /VU ,',Obnipany :NAI.CNumber STATE ZIP CODE 3(3Z8 SOURCE: J1 GPS (Type)• Li USGS Qu d Map LI Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFQf2MATION B1 NFIP COMMUNITY NAME & COMMUNITY NUMBER 1 '1 13 E 1 , Q 1 3.C-1_6 - 62. COUNTY NAME Ci-te -r r� V. STATE G cr--t kG / Pr Ba MAP AND PANEL NUMBER -4 85. SUFFIX B6. FIRM INDEX DATE 67. FIRM PANEL EFFECTIVE/REVISED DA 6—►`1 -567 B8. FLOOD ZONE(S) A8 B9. BASE FLOOD ELEVATION(S) (Zone AO, use depth of flooding) 14.0 810. Indicate the source of the•8ase Flood Elevation (BFE) data or base flood dep entered in B9. I 1 FIS Profile Li FIRM Li Community Determined 1_1 '.ther (Describe): B11 Indicate the elevation datum used for the BFE in B9: 1e<GVD 1929 1 , NAVD 1988 Li Other (Describe): 812 Is the building located in a Coastal Barrier Resources System (CBRS) -, ea or Otherwise Protected Area (OPA)? 1J Yes II-4,N° Designation Date: SECTION C - BUILDING ELEVATION 1 FORMATION (SURVEY REQUIRED) 01 Building elevations are based on: LIConstruction Drawings' I- JBuilding Under Construction' 1�✓ Finished Construction •A new Elevation Certificate will be required when construction '.f the building• is complete, C2. Building Diagram Number t (Select the building diagram ost similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3 Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V , 30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AO Complete Items C3a -i below according to the building d' gram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the -tum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comme s area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Elevation reference mark used O a) Top of bottom floor (Including basement •., enclosure) z 11 . ft.(se-) O b) Top of next higher floor iA ft.(m) O c) Bottom of lowest horizontal structural ember (V zones only) , ft.(m) O d) Attached garage (top of slab) $ . (o ft.004 O e) Lowest elevation of machinery an or equipment servidng the building 1 1 . 3_ ft.(*) • f) Lowest adjacent grade (LAG) . _ ft.(g) O g) Highest adjacent grade (HA I $ 7 ft.(0). O h) No of permanent opening (flood vents) within 1 ft. above adjacent grade /\jll' O i) Total area of all perrnan -t openings (flood vents) in C3h N/ /q sq. in. (sq. cm) Does the elevation reference mark used appear on the FIRM? IJ Yes Io 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 in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME / /NC N' 77 4E1 tw L ` T LICENSE NUMBER 88 TITLE COMPANY NAME /3 r.! O e5 t} (k.■ "41'1 o 2 % \ ■1 CR0 A SIGNATURE ADDRESS 6 nrC. �o, � C. CITY E O 1 1--6 9 -. STATE G A ZIP CODE) 3/ 32. FEMA Form 81 -31, AUG 99 SEE REVER DATE 1 z � J 1 TELEPHON _ ^ oi \"2..) -70- 2. l IDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS