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HomeMy Public PortalAboutTeresa Ln_2107110/2001 15: 23 91235E1255 ...__ N S • JOHN KERN r.n JOH Ltn"s a /1\7G19tr 1 NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the Instructions on a es 1 - 7. SECTION A - PROPERTY OWNER INFORMATION WN Li=F ER pU �"S NAME BUILDING STREET ADDRESS (including Apt., Unit, Suite, and /or Bidg. No,) OR P.O. ROUTE AND BOX NO. 21 TERE f ANE - STATE GITY GA TYBEIr ISLAND PROPERTY DESCRIPTION (trot end Block Numbers, Tax Parcel Number, Legal Deeoription, etc.) LOT 21 NO RTHWAVE SUBDIVISION, PHASE 1 _ BUILDING USE (e,g., Residential, Non - residential, Addition, Accessory, eto, Use Comments seatton it necessary.) . RESIDENTIAL R0TAL DA UM SOURCE: GPS (Type):. ;- LATITUDEILONGITUDE (OPTIONAL) ( - ##" - ### or ##.#####°) 0 ❑ USGS Quad Map 0 Other: NADt97 PAGE 02 O.M.B, No. 3067-0077 i`xpir'es 31, 2002 ZIP CODE 31328 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 31. NF1P GOMMUNITY NAME & COMMUNITY NUMBER 82: COUNTY NAME TYBEE ISLAND 135.164 1 CHATHAM . — 84. MAP AND PANEL 1 135. SUFFIX BB. FIRM INDEX S . FIRM PANEL NUMBER DATE . EFFECTIVE/REVISED DATE 0001 C y 9/24/95 8t17/88 i0. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In 88, O FIB Profile CO FIRM E] Community Determined 0 Other (Describe): 11. Indicate the elevation datum used for the BFE In 89: ii] NGVD 1929 0 NAVE) 1988 0 Other (Describe): 12. is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ® No Designation Date_ 83. STATE GEORGIA B8. FLOOD Z v-a fag. BASE FLOOD ELEVATIONS) (Zone AO, use depth of flooding) 15.0 SECTION C - BUILDING ELEVATION INFORMATION (SURVEYAEQUIRED) Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction' {$f Finished Construction .A new Elevation Certificate will be required when construction of the building is complete. Building Diagram Number 8 (Select the building diagram most similar to the building For which this certlticete is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph) I; Elevations -- Zones M -A301 AE, Ali, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR.JAH, AR/AO Complete Items C3a -i below according to the building diagram specified in item C2. State the datum used. If the datum Is different from the datum used for the BFE In Section 8, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the apace provided or the Comments area of Section D or Section G, es appropriate, to document the datum conversion. • Datum j QVD/29 Conversion /Comments _ Elevation reference mark used Does the elevation reference mark used appear on the FIRM? 0 Yes No o a) Top of bottom floor (Including basement or enclosure) 20.9ft. 1 o b) Top of next higher floor g9.9ft. o c) Bottom of lowest horizontal structural member (V zones only) 19 . ,ft. a d) Attached garage (top of slab) 8.5 ft. o e) Lowest elevation of machinery and /or equipment servicing the building o f) Lowest adjacent grade (LAG) o g) iighest adjacent grade (HAG) • N /A,. ft. 8 1ft, 1.9ft, o h) No of permanent openings (flood vents) within 1 ft. above adjacent grade NIA o 1) Total area of ail permanent openings (flood vents) in` C3h N/A sq. in. (sq. em) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION is certification Is t0 be signed and sealed by a and surveyor, engineer, or architect authorized by law to certify elevation (nforrnetion. ertl y that the: information In Sections A, 8, and C on this certificate represents my best efforts to Interpret the data available. nderstend(het e,ri false statement rna by e pu»ishebley fine or imprisonment under 18 U.S. Code, Ser;tion 1001, 'I271Pi0 5 11Alt e: TERRY M CK COLEMAN LICENSE NUMBER GA. RLseesse 1,e- dtu�` L7FtGIp., RE6I EReo LAND SURVEYOR COMPANY NAME: Kern - Coleman & Co, C rrY STATE ZIP CODE Eayslnneh A___„_.,.._—______ 31.418 DATE — �'ELEPHONE 6 /25/0,1 —_111.a-� 4 R4a4 SEE REVERSE SiDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS 07 /10r'2081 15:2 312356'18`,5 JOHN S 1':ERld _.,.� . ,,, ,, uul" enoror wag, No.) OR p0 H. ROl1Ti: AND BOX NO, 21 TERESA LANE CITY TYBEE ISLAND STATE GA ZIP CODE 31328 SECTION 1? - 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 NO MACHINERY IN PLACE AT TIME. OF SURVEY, 0 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 Cerrtiffcefe is intended for use as supporting information fora LOMA or LOMR -F, Section C must be competed. El _ Building Diagram Number _(Select the building diagram rhoet similar to the building for which this certificate is being completed see pages Q and 7. If no diagram accurately represents the building, provide a sketch or photograph,) E2. The top of the bottom floor (including basement or enclosure) of the building is _, ft.(m) ,In.(cm) 0 above or 0 below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the buiiding is __ ft.(m) rin.(cm) above the highest adjacent grade. E4. For Zone AO only; If no flood depth number is available, Is the top of the bottom floor elevated In accordance with the community's flood (aln mane ement ordinance? ❑ Yes [] No official moat certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's ettthorIzsd representative who completes Sections A, 9, and E for Zone A (without a FEMR-issued or community- Issued BFE) or Zone AO must sign here.. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATiVE'S NAME ADDRESS -SIGNATURE COMMENTS CITY STATE ZIP CODE SECTION Q DATE TELEPHONE COMMUNITY INFORMATION (OPTIONAL) J� Check here if attachmsnta The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance cart complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. GI. 0 The info/Triotion in Section C was taken from other documentation that has been signed e,nd embussed by a licensed surveyor, engneer:er.; *Fehttect who Is authorized by state or local Jaw to certify elevation information. (Indicate the source and date of the elavatiiriY I.iafsl in .Comments area below.) 32. �] A community official completed Section E for a building located In Zone A (without a FEMA Issued or community- Issued BFE) or Zone .AO. :73. 0 e dllowing Information (Items G4-G9) is provided for community floodplain management purposes, 04. PERMIT"-NdM&ER G5. DATE PERMIT ISSUED G6. DATE CERTIFiCA,TE OF COMPLIANCE /OCCUPANCY 37. This permtt.has been issued for: E] New Construction Substantial Improvement 38. Elevation of as -b hit lowest floor (including basement) of the building Is: 39. BFE! or (in Zone AO) depth of flooding at the building site is: LOCAL OFFICIAL'S IrAME COMMUNITY NAME SIGNATURE COMMENTS ISSUED TITLE TELEPHONE DATE ft.(m) Datum: Datum: EMA Form 81 -31, AUG 99 Check he'ri ,if atta6hrivnts REPLACES ALL PREVIOUS EDITIONS SEP -19 -00 04:12 PM HALL &HULL ARCHITECTS,INC 843 836 2939 T9/19/2000 @ 1:52 7E65737 UP( CF TYBEE ISLOa Mayor Walt*r W. Pallor CITY COUNCIL Anna P. Monaghan, Mayor Pro Tem Ja,111$21 'Jimmy" Burke Pamela J t.l'Arlen M3,Iury Prima Shirley Seaslona Jsk Vaumenu CITY OF TYBEE ISLAND BREAKAWAY WALLS (IF APPLICABLE) P. 03 C(ly Manager Thom "idm` Can, Clark of CpwnC1 Jaeauelji R B Vw Lewis S. Off Property North Wave T bee.Island This is to certify that I am a duly qualiiledEngineer /Architect, licensed to practice in the State of Georgia. It is further certified that I have reviewed the design of the breakaway walls below the base flood elevation and have determined that the design wall would collapse from a water load less that that which would occur during the base flood event, (100 year storm). The elevated portion of the building and supporting foundation system will not be subject to collapse, displacement, or other structural damage. Signature: Date: September 20, 2000 P.0- box 274A . 403 tlutIer Avenue. Tuba fien4. C,aoraie 31328.2149 (9121 744 -4418 - FAX (912) 744 -47M7 www.dtVaitYbee.ore City At tarn,ty Edwar= M. hiuyl:Ct