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
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