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Home My Public Portal AboutHWY 80_1114_20140210U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program ELEVATION CERTIFICATE IMPORTANT: Follow the instructions on pages 1 -9. OMB No. 1660 -0008 Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name STACYE JARRELL Policy Number: A2. Building Street US ddrGH (including inngApt., Unit, Suite, and /or Bldg. No.) or P0. Route and Box No. 80 Company NAIC Number: City TYBEE ISLAND State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) CHATHAM COUNTY PIN 4- 0026 -11 -011 LOTS 1, 2 AND 3,- PORTION OF BLOCKS 15 AND 16 - GARDEN WARD A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc) NON = RESIDENTIAL A5. Latitude /Longitude: Lat. 32 -01 -10 01 Long 80 -51 -20.10 Horizontal Datum: ❑ NAD 1927 ❑x 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 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b d) Engineered flood openings? ❑ Yes ❑ No N/A N/A N/A sq in sq ft A9. For a building with an attached garage: a) Square footage of attached garage b) Number 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 N/A sq ft SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number CITY OF TYBEE 135164 B2. Count Name CHATHAM COUNTY B3. State GEORGIA B4. Map /Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone Revised Date A0, use base flood depth) 13051 C 0213 F 08/05/2013 09/26/2008 AE 12 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 /Source• N/A B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source. N/A B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Designation Date• / / ❑ CBRS ❑ OPA g No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under 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 /A0. Complete Items C2.a -h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: GPS NETWORK Vertical Datum. NAVD88 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source' Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 9 6 b) Top of the next higher floor 19 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 9 8 (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) ® Finished Construction Check the measurement used. ® feet feet feet ® feet ® feet ❑ meters ❑ meters ❑ meters ❑ meters ❑ meters 9.3 ■ feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 9 4 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 9 3 IN feet ❑ meters structural support 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 ❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No Certifier's Name George Michael Ferreira License Number 2607 Title Land Surveyor Company Name MITR GIS /GPS /Survey Address 374 Eastridge Drive City Savannah State GA ZIP Code 31406 Signature Date 02/10/2014 Telephone (912) 354 -4145 FEMA Form 086 -0 -33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P0. Route and Box No. 1114 US HIGHWAY 80 City State ZIP Code TYBEE ISLAND GA 31328 SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent /company, and (3) building owner. Comments ITEM A5 = GPS /NAD83 ITEM C2 = GPS NETWORK SOLUTION ITEM C2e= DOWN STAIR/ OUTSIDE BATHROOMS Signature Date 02/10/2014 SECTION E — BUILDING ELEVATION 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. 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 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 or Owner's Authorized Representative's Name N/A Address N/A City N/A State N/A ZIP Code Signature Date Telephone Comments N/A ❑ 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 —G10. In Puerto Rico only, enter meters. G1. ❑ 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 A0. 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 Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10.Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments. FEMA Form 086 -0 -33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 BUILDING PHOTOGRAPHS See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P0. Route and Box No. 1114 US HIGHWAY 80 City TYBEE ISLAND State GA ZIP Code 31328 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs be ow 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. FRONT VIEW 1114 US HIGHWAY 80 02/10/2014 FEMA Form 086 -0 -33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 BUILDING PHOTOGRAPHS Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P0. Route and Box No. 1114 US HIGHWAY 80 City TYBEE ISLAND State GA ZIP Code 31328 FOR INSURANCE COMPANY USE Policy Number: 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. REAR VIEW 1114 US HIGHWAY 80 02/10/2014 FEMA Form 086 -0 -33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 5 BUILDING PHOTOGRAPHS Continuation Page 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 P0. Route and Box No. 1114 US HIGHWAY 80 City TYBEE ISLAND State GA ZIP Code 31328 Policy Number: 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. FEMA Form 086 -0 -33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 5 BUILDING PHOTOGRAPHS Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P0. Route and Box No. 1114 US HIGHWAY 80 City TYBEE ISLAND State GA ZIP Code 31328 FOR INSURANCE COMPANY USE Policy Number: 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. FEMA Form 086 -0 -33 (7/12) Replaces all previous editions. U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program FLOODPROOFING CERTIFICATE FOR NON- RESIDENTIAII- STRUCTURES OMB No. 1660 -0008 Expiration Date: July 31, 2015 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 LAA-0 -12- STREET ADDRESS (including Apt., Unit, Suite, and /or Mg. Number) OR P.O. ROUTE AND BOX NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) FOR INSURANCE COMPANY USE POUCY NUMBER COMPANY NAIC NUMBER 6 t C I- �`�CiA J t) f ` t 4, 3 1 3 z5 STATE C G4- ZIP CODE SECTION 1— FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM: COMMUNITY NUMBER .t.(9'5 fir/ PANEL NUMBER oz SUFFIX F DATE OF FIRM INDEX zip- 00 FIRM ZONE t BASE FLOOD ELEVATION On A0 Zones, Use Depth) (I 12-- Indicate elevation datum used for Base Flood Elevation shown above: D NGVD 1929 t! I$ D 1988 0 Other /Source: SECTION I1— FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) Elevations are based on: 0 Construction Drawings 0 Building Under Construction Inished Construction Floodproofing Design Elevation information //: Building is floodproofed to an elevation of .._feet (In Puerto Rico only-. _ _ meters). 0 NGVD 1929 NAVD 1988 0—Other/Source' (Elevation datum used must be the same as that used for the Base Flood Elevation.) 3 • feet (In Puerto Rico only: Height of floodproofing on the building above the lowest adjacent grade is meters). For Unnumbered A Zones Only: Highest adjacent (finished) grade next to the building (HAG) feet (In Puerto Rico only: meters) 0 NGVD 1929 0 NAVD 1988 0 Other/Source. (NOTE For insurance rating purposes, the building's floodproofed design elevation must be at least 1 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_ Ill — CERTIFICATION (By. a 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 construction are in accordance with accepted standards of practice for meeting the following provisions: The structure, together with attendant utilities and sanitary facilities, is watertightto 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, an debris impact forces. 1 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 A J by fine or imprisonment under 18 U.S. Code, Section 1001. Z_' 2— \""r: CERTIFIER'S NAME LICENSE NUMBER (or AffixSeai) TITLE COMPANY NAME E:1 3 .t i : ,,I 1i' �i:'v 1:2∎1 —'— ADDRESS CITY STATE ZIP CODE j D k3 F-- -t3 O a.--k `-V - 5 `alt, -K :' A-t- C4 0-.. . f 41.10 SIGNATURE DATE PHONE Copies should be made of this Certificate for. 1) community official, 2) Insurance agent /company, and 3) building owner. FEMA Form 086 -0 -34 (7/12) REPLACES ALL PREVIOUS EDITIONS F -056