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Home My Public Portal AboutWhite Oak Ln_4w��v-•� •- nu -IwLlw I eilrulruaQinGII I /117CIIIr I _. 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 FOE InsuranceConcery Use BUILDING OWNER'S NAME True Integrity Construction Poly t+lurr:: BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. #4 LEI -eak -hone (,,J t- :;-e Oa k k r+ • CITY Tybee Island Company TEAK Number STATE Ga ZIP CODE 31328 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot B Horse Pen Hammock Subdivision BUILDING USE (e.g., Residential, Non- residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) ( ##° -##' - ##.##' or ##.####/r) HORIZONTAL DATUM: ❑ NAD 1927 ® NAD 1983 SOURCE: ❑ GPS (Type): ❑ USGS Quad Map ® Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER 135164 82. COUNTY NAME Chatham B3. STATE Ga. 84. MAP AND PANEL NUMBER 0001 85. SUFFIX c B6. FIRM INDEX DATE 06117/86 87. FIRM PANEL EFFECTIVE/REVISED DATE 08/17/86 B8. FLOOD ZONE(S) A(8) B9. BASE FLOOD ELEVATION(S) (Zone A0, use depth of fioodng) 12 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Desabe): _ B11. Indicate the elevation datum used fa the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the bulling located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA) ?❑ Yes ® No Designation Date_ SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C 1. Building elevations are based on: ❑ Construction Drawings' ❑ Bulking Under Construction' ® Finished Construction *A new Elevation Certificate will be requred when construction of the buildng is complete. C2. Building Diagarm Number 6 (Select the building deg= most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diaganm accxrately represents the building, provide a sketch or photograph.) C3. Elevations — Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, AR/AE, AR/A1 -A30, AR/AH, AR/A0 Carpiete Items C3. -a-i below accaring to the bullring c agarn specified in Item C2. State the datum used. If the datum is dfferent from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to doctrnent the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (including basement or enclosure) 10. 39 ft,(m) o b) Top of next higher floor 20.21 ft(m) o c) Bottom of lowest horizontal structural member (V zones only) N/A . _ft.(m) o d) Attached garage (top of slab) N/A. _ft(m) o e) Lowest elevation of machinery and/or equkornent servicing the bulking (Describe in a Garments area) o 1) Lowest adjacent (finished) gade (LAG) o g) Highest adjacent (finished) gade (HAG) 15.59 ft(m) 8.26 ft.(m) 9. 54 ft(m) o h) No. of permanent openings (flood vents) within 1 ft above adjacent gade N/A o ) Total area of at permanent openings (flood vents) in C3.h NIA sq. in. (sq. am) 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. I understand r„,• false statements; be •unishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERT Naril, • n 0. ,- _ LICENSE NUMBER R.L.S # 1850 Registred r Surveyor COMPANY NAME John O. Parka Surveying ADDRESS P.O. Box 233 CITY Glenville STATE Ga ZIP CODE 30427 SIGNATURE DATE 01126(06 TELEPHONE 1-912-826-5283 umrv.. wl nt uuwc aNavca, wNy um wntapVnarny mrormmiauan Tram aecuon K BUILDING STREET ADDRESS (Inducing Apt., Unit 'x Bldg. No.) OR P.O. ROUTE AND BOX NO. 34 Lora Court CITY STATE ZIP CODE Rincon Ga 31326 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate fa (1) community official, (2) insurance agent/company, and (3) bulling owner. COMMENTS ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended fa use as supporting information fa a LOMA or LOMR-F, Section C must be completed El. Bulking Diag-rn Nurrber _(Select the building c iagarn most similar to the bulling fa which this certificate is being completed - see pages 6 and 7. If no c iagam acaratey represents the bulking, provide a sketch a photogaph.) E2. The top of the bottom floor (uidudng basement a en dostre) of the bulking is ft(m) _in.(an) ❑ above a ❑ below (check one) the highest adjacent gade. (Use natural gade, if avalable). E3. Fa Buiking Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the bulling is _ ft(m) _in.(an) above the highest ad}ac ent gads. Complete items C3.h and C3.i on front of form. E4. Fa Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the carrrwnity's fl000plain management ordnance? El 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 a owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E fa Zone A (without a FEMA a community- issued BFE) a Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowtedcle. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's ficodciain management acinance can complete Sections A, B, C (a E), and G of this Elevation Certificate. Complete the applicable item(s) and sigi below. 01. ❑ The information in Section C was taken frorn other doamentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indcate the source and date of the elevation data in the Comrnents area below.) G2. El A community official completed Section E fa a bulling located in Zone A (without a FEMA- issued a community- issued BEE) a Zone AO. G3. ❑ The following information (Items 04-69) is provided for community flocdplain management purposes. G4. PERMIT NUMBER G5 DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for. ❑ New Construction ❑ Substantial h rya uvement G8. Elevation of as-built lowest floor (inducing basement) of the building is: . _ft(m) Datum: G9. BFE a (n Zone AO) depth of flooring at the bulcing site is: . _ ft(m) Datum: LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS TITLE TELEPHONE DATE ❑ Check here if attachments