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Home My Public Portal AboutBUTLER AV_211U.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 For Insurance Company Use: Al. Building Owner's Name 211 Butler LLC Policy Number A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 211 Butler Avenue Company NAIC Number City Tybee Island State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) lots 6 -11 & 20' driveway, Windsor Place, ward #1, Tybee Island A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Non - Residential A5. Latitude /Longitude: Lat. N 32 deq 00.596 min Long. W 80 deq 50.541 min Horizontal Datum: ❑ NAD 1927 ® 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 1 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) n/a 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 building with an attached garage: a) Square footage of attached garage n/a sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade n/a c) Total net area of flood openings in A9.b n/a sq in d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number Tybee Island135164 B2. County Name Chatham B3. State GA B4. Map /Panel Number 13051C00214F B5. Suffix F B6. FIRM Index Date 9/26/08 B7. FIRM Panel Effective /Revised Date 9/26/08 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 13 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) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date ❑ CBRS ❑ OPA ❑ Yes 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. C2. 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 IocalVertical Datum NAVD 1988 Conversion /Comments a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 9.9 b) Top of the next higher floor 27.9 c) Bottom of the lowest horizontal structural member (V Zones only) n /a. d) Attached garage (top of slab) n /a. e) Lowest elevation of machinery or equipment servicing the building 14.7 (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 9.5 g) Highest adjacent (finished) grade next to building (HAG) 9.9 h) Lowest adjacent grade at lowest elevation of deck or stairs, including 9.5 structural support Check the measurement used. ® feet Z feet ® feet ® feet ® feet Z feet ® feet ® feet ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ 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 available.) understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.0 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 J. Whitley Reynolds License Number 2249 Title Address Company Name J. Whitley Reynolds, Land Surveyor nson Avenue, Su - City Savannah, Sign"/ F MA For :1 -31, Mar 09 State GA ZIP Code 31405 Date 4/13/11 Telephone 912 - 352 -0464 See reverse side for continuation. Replaces all previou edition 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. 211 Butler Avenue City Tybee IslandState 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 C2.e) = - d Si. ature Date 4/13/11 ❑ Check here if attachments SECTI,O� - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zon . 0 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 or Items El -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. • rovide 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 ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ 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 ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. 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? ❑ 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 are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachment: 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. 01. ❑ 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 G5. Date Permit Issued G6. Date Certificate Of Compliance/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 (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum 010. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachmer FEMA 66rm 81 -31, Mar 09 Replaces all previous editioi U.S. DEPARTMENT OF HOMELAND SECURITY 0.M.B. NO. 1660 -0008 FEDERAL EMERGENCY MANAGEMENT AGENCY Expires March 31, 2012 National Flood Insurance Program FLOODPROOFING CERTIFICATE FOR NONRESIDENTIAL STRUCTURES The floodproofing of non - residential buildings may be permitted as an alternative to elevating to or above the Base Flood Elevation; however, a floodproofing design certification is required. This form is to be used for that certification. Floodproofing of a residential building does not alter a community's floodptain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements. The perrtiitting of a floodproofed residential basement requires a separate certification specifying that the design complies with the local floodplain management ordinance, BUILDING OWNER'S NAME 211 Butler, LLC STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. Number) OR P.O. ROUTE AND 80X NUMBER 211 Butler Ave. Tybee Island, GA 31410 FOR INSURANCE COMPANY USE POLICY NUMBER OTHER DCSCRIPT)ON (Lot and Block Numbers etc } COMPANY NAIC NUMBER Recombination of LOts 6 -11 and 20' Drive, Windsor Place, Ward No. 1 CITY TYBEE ISLAND STATE GA ZIP CODE 31328 SECTION I FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM: COMMUNITY NUMBER PANEL NUMBER SUFFIX DATE OF FIRM INOEX FIRM ZONE BASE FLOOD ELEVATION 135164 130551C00214 F On AO Zones, Use Depth) 9 -26 -2008 AE 13 SECTION II FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect Floodproofing Design Elevation Information: NAVD Building is floodproofed to an elevation of 14 ' 0 feet NGVD. (Elevation datum used must be the same as that on the FIRM.) Height of floodproofing on the building above the lowest adjacent grade is 4 . 50 feet. (NOTE: For insurance rating purposes, the building's floodproofed design elevation must be at least one foot above the Base Flood Elevation to receive rating credit. If the building is floodproofed only to the Base Flood Elevation, then the building's insurance rating will result in a higher premium.) SECTION III CERTIFICATION (By Registered Professional Engineer or Architect) Non - Residential Floodproofed Construction Certification: 1 certify that, based upon development and /or review of structural design, specifications, and plans for construction, the design and methods of construc- tion are in accordance with accepted standards of practice for meeting the following provisions: The structure, together with attendant utilities and sanitary facilities, is watertight to the floodproofed design elevation indicated above, with walls that are substantially impermeable to the passage of water. All structural components are capable of resisting hydrostatic and hydrodynamic flood forces, including the effects of buoyancy, and anticipated debris impact forces. 1 certify that the information on this certificate represents my best efforts to in(erpret the data available. l understand...-that any false state�ient may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ; MARK BOAWELL PE 28372 CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) CEO BOSWELL DESIGN TITLE COMPANY NAME 103 NASSAU DRIVE SAVANNAH, GA 31404 ADDRESS CITY STATE ZIP CODE SIGNATURE DATE PHONE Copies should be made of this Certificate for: 1) community official, 2) Insurance agent /company, and 3) building owner. FEMA Form 81 -65, Mar 09 Replaces all previous editions F -056 (3/09) 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. 211 Butler 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, following. Front View & Side View April 12, 2011 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. 211 Butler Avenue 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." Rear View A . riI 12, 2011