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HomeMy Public PortalAboutFirst St_502U.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 VILLAGE PLAZA, LLC A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg No.) or P.O. Route and Box No 502 FIRST STREET (U.S HIGHWAY 80) City State ZIP Code TYBEE ISLAND GA 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number. Legal Description. etc.) LOTS 156, 157, & 175, TYBEE VILLAGE, WARD 1, TYBEE ISLAND, (SUBDIVISION MAP BOOK 38 -S, PAGE 73). For Insurance Company Use: Policy Number Company NAIC Number A4. Building Use (e.g.. Residential, Non - Residential, Addition, Accessory A5. Latitude /Longitude: Lat. 32.0130'N Long. 80.8444'W A6. Attach at least 2 photographs of the building if the Certificate is being A7. Building Diagram Number 18 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8 h 0 d) Engineered flood openings? ❑ Yes ® No etc.) COMMERCIAL Horizontal Datum: used to obtain flood insurance. sq ft sq in ❑ NAD 1927 Q NAD 1983 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 0 c) Total net area of flood openings in A9 h 0 sq in d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1 NFIP Community Name & Community Number CITY OF TYBEE ISLAND 135164 B2. County Name CHATHAM B3. State GA B4. Map /Panel Number 13051CO213 85. Suffix F B6. FIRM Index Date 09/26/2008 B7. FIRM Panel Effective /Revised Date 09/26/2008 B8. Rood I B9 Base Flood Elevation(s) (Zone Zone(s) AO use base flood depth) AE 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 89: ❑ NGVD 1929 612, Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date ❑ CBRS ❑ OPA ® NAVD 1988 ❑ Other (Describe) ❑ Yes El No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on. ❑ Construction Drawings' ❑ Building Under Construction* N 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 Vertical Datum NAVD 88 Benchmark Utilized LOCAL Conversion /Comments N/A a) Top of bottom floor (including basement. crawlspace. or enclosure floor) 9.8 b) Top of the next higher floor `19.7 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 '9.8 (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 8.3 g) Highest adjacent (finished) grade next to building (HAG) 9.8 h) Lowest adjacent grade at lowest elevation of deck or stairs. including 8.7 structural support Check the measurement used 0 feet ® feet ❑ feet ❑ feet © feet 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 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. OCheck 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 Joseph A. Hale, Jr Title Registered Land Surveyor Address 6 Mali Court Signature License Number GA RLSe 2886 Company Name Kern - Coleman & Co.. LLC City Savannah Date 1/25/2011 State GA Telephone 912 - 354 -8400 71P Code 31406 IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P O. Route and Box No 502 FIRST STREET U.S HIGHWAY 80) City TYBEE ISLAND Policy Number State ZIP Code Company NAIC Number GA 31328 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 SECTION A5: METHOD OF DETERMINATION BY USE OF HANDHELD GPS RECEIVER. SECTION C2 THE BENCH MARK USED FOR THIS CERTIFICATE WAS FSTARI ISHFD USING FGPS" GPS BASE STATION NETWORK Ft FVATIONS SHOWN ARE REFERENCED TO NAVD 88. SECTION C2 b: THE ELEVATION IS APPROXIMA I E AND IS I-OH 1 HE NEX I HIGHEH I -LOON. SECTION C2.e: THE ELEVATION IS FOR THE WATER HEATER THAT IS LOCATED ON THE BOTTOM FLOOR; THE CONDENSING UNITS ARE LOCATED ON THE ROOF. ACCORDING TO A FLOODPROOFING CERTIFICATE PREPARED BY MARK A. BOSWELL; GA PE #28372, DATED 1 -26 -2011, THE BUILDING IS FLOODPROOFED TO AN ELEVATION OF 12.47' (NAVD 88). Signature Date 1/25/2011 ® Check here if attachments SECT E - BUILDING ELEVATION IfIiPORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items El -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. 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 ❑ 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 BFF) 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 Owners 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 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 Iicensed 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 08. 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 G10 Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Community Name Title Telephone Signature Date Building Photographs See Instructions for Item A6. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 502 FIRST STREET (U.S. HIGHWAY 80) For Insurance Company Use: City State ZIP Code TYBEE ISLAND GA 31328 Policy Number 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. FRONT VIEW 1/25/2011 REAR VIEW 1/25/2011 LEFT SIDE VIEW 1/25/2011 RIGHT SIDE VIEW 1/25/2011 Building Photographs Continuation Page Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 502 FIRST STREET U.S. HIGHWAY 80 For Insurance Company Use: Policy Number City TYBEE ISLAND State ZIP Code GA 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." WATER HEATER LOCATED ON BOTTOM FLOOR 1/25/2011 FRONT VIEW 1/25/2011 SECOND FLOOR ROOM AS SEEN FROM INSIDE THE BUILDING 1/25/2011 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 NON - RESIDENTIAL 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 floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements. The permitting of a floodproofed residential basement requires a separate certification specifying that the design complies with the local floodplain management ordinance. BUILDING OWNER'S NAME Village Plaza, LLC STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. Number) OR P0. ROUTE AND BOX NUMBER 502 1st Street OTHER DESCRIPTION (Lot and Block Numbers, etc.) LOTS 156,157 &175,TYBEE ISLAND,WARD 1,TYBEE ISLAND,(SUBDIVISION 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 13051 FOR INSURANCE COMPANY USE POLICY NUMBER COMPANY NAIC NUMBER MAP BOOK 38- S,PAGE 73) 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 13051 PANEL NUMBER CO213 SUFFIX E DATE DE FIRM INDEX 9-26-2008 FIRM ZONE AE BASE FLOOD ELEVATION (In AO Zones, Use Depth) 11 SECTION II FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) Floodproofing Design Elevation Information: Building is floodproofed to an elevation of 12 ' 47 feet MfIMIfiL(Etevation datum used must be the same as that on the FIRM.) Height of floodproofing on the building above the lowest adjacent grade is 4,0 feet. NAVD (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. /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. MARK BOAWELL PE 28372 C RT FI R S NAME LICENSE NUMBER (or Affix Seal) CEO BOAWELL DESIGN TITLE COMPANY NAME 103 NASSAU DRIVE SAVANNAH, GA 314i'b ADDRESS CITY STATE ZIP CODE A06_Q ► - 3i " q�2- MT- 193 Z SIGNATURE DATE PHONE %G18TEri� /.:ArAIP, P ROFESSIONAL 0 i ✓1►.9�. GlPdreG�,Gvy� A. BO 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)