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HomeMy Public PortalAboutCedarwood Dr_2U,S. DEPARTMENT OF HOMELAND E CURFTV ELEVATION CERTIFICATE FERAL EMERGENCY MANAGEMENT AGENCY National Floyd Insurcnee Program Important: Read the instructions on pages 1-9. A1. Building Owner's Name Ron Horton SECTION A PROPERTY iNFORMATION A2. Building Street Address (Inciuding Apt„ Unk, Suite, end /or Bldg. No.) or P,O, Route and Box No. 2 Cederwood Drive OMB No. 1660 -0008 Expiration Date: Ju)y 31, 2015 FOR INSURANCE COMPANY. USE P0ltcjiNurnber,, Compartiy.NAIC :Number;•: ;+ City Tybee Island State GA ZIP Coda 31328 A3. Property Description (Lot and BIo < umbers, Tax Parce Number, Legal Description, etc,) lot 11, block 18, Fort Screven ward A4. Bullding Use (e,g., Residential, Non - Residential, Addition, Accessory, etc.) Fiesldantlal A5, Latitude /Longitude: Let. 14 32 deg 01,2)10 min t,ong, )ft 8QderL50.?300 min A6. Attach at least 2 photographs or the building irthe Certificate is being used to obtain flo A7. Building Diagram Number Z AB. Fora building with a crawlspece or enclosure(s); A9. a) Square footage ofcrawlspace or enclosure(s) 1550 sq ft b) Number of permanent flood openings In the crswlspece or enclosure(s) within 1.0 foot above adjacent grade a c) Total net area of flood openings In AB,b 1525 sq in d) Engineered food openings? ❑ Yes El No Horizontal Datum: ❑ NAD 1927 ® NAD 1983 ad Insurance. Fora building with an attached garage: a) Square footage of attached garage nta sq ft b) Number of permanent flood openings in the attached garage within 1,0 foot above adjacent grade SA c) Total net area of flood openings in A9.b ➢Lip sq in d) Engineered flood openings? ❑ Yes IS No SECTION 13 — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 131. NFIP Community Name & Community Number Tybee island 135164 B2, County Name Chatham B3. State GA B4. Map/Panel Number 1305100213F 85. Suffix N. FIRM index Date 9126/08 BT. FIRM Panel Effective /Revised Date 9/28108 138, Flood Zone(s) AE 810, Indicate the source of he Base Flood Elevation (BFE) date or base flood depth entered in Item 89. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other /Source: B11. Indicate elevation datum used for BFE In Itern B8: ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source; _. B12. is the building located in a Coastal Barrier Resources Syatem CBRS) area or Otherwise Protected Area (OPA)7 Designation Date: _ _. �] CBRS ❑ OPA 89, Base Flood Elevations) (Zone AO, use bas1 flood depth) ❑ Yes Z1 No SECTION C BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1, Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Construction` ® Finished Construction 'A new Elevation Certifloate will be required when construction of the bl�llding is complete. 02. Elevations —Zones Ai- -A30, AE, AH, A (with BFE), VE, V1 —V30, V (wih BFE), AR, AR/A, AR/AE, AR/A1 -430, AR/AH, AR/AO. Complete Items C2.a —h below according to the building diagram specified in item A7. in PuertoiRtco only, enter meters. Benchmark Utilized: Vertical Datum: Indicate elevation datum used for the elevations In items a) through h) i elow, ❑ NGVD 1929 l8! NAVD 1988 iD Other /Source: Datum used for building elevations must be the same ea that used for the BFE, a) Top of bottom floor (Including basement, crawlepace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of stab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 1) Lowest adjacent (flntshed) grade next to building (LAG) 9) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, Including structural support Check the measurement used. feet Ig]feet feet ® feet feet ❑ meters ❑ meters O meters ❑ meters ❑ meters 8,2 ® feet ❑ metera 11..E IZ feet ❑ meters $• ® feet ❑ meters SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by e land surveyor, engineer, or architecl authorized by law to certify elevation information. t certify Chet the Information on this CarUlcate represents my best efforts to Interpret the data evelfable, 1 understand that any false statement may be punishable by fins 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 and surveyor? el Yes ❑ No Certifler's Name J, Whitley Reynolds Title Land 3ury yo Address . Step =newt. Company Name License Number 2249 Signs,„ ./ems — City Savannah Date 8/28/13 State GA ZiP Code 31405 Telephone 912. 352.0484 FEMA F 086 -0,33 (7/12) See reverse side for continuation, Replaces all previous editions. EOO /ZOO'd 6L339£ZZL6(XvA) jaoMl I 11•a Ueuuer,eSeV',OL tLOZ /tZ CO 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 P.O. Route and Box No. 2 Cedarwood Drive City Tybee Island State GA ZIP Code 31328 FOR INSURANCE COMPANY USE Foley Number: SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) Community offcial, (2) Insurance agentrcompany, and (3) building owner. Comments C2.e) is Eiertrical equipment.. Certificate revised 11!5/13 • It ow elevated elec.. equip., new vents & new pictures Slgnatu Date 8 /28/13 CTI• 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. E1, Provide elevation information far 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 (LAO). a) Top of bottom floor (including basement, crawispace, or enclosure) Is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawtspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2, For Building Diagrart,s 5-9 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 (1 feet ❑ meters ❑ above or © below the HAG. E3. Attached garage (top of slab) is ❑ feet E=) 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 le available, is the top of the bottom floor elevated In accordance with the community's floodplaln management ordinance? 0 Yea ❑ No ❑ Unknown, The local official must certify this information in Section G, . 8SCTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zane A (without a FEMA - issued at community4ssued BFE) or Zone AO must sign here. The statements In Sections A, B, and E are correct to the beat of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address Signature Comments City Date State ZIP Code Telephone _ SECTION 0 — COMMUNITY INFORMATION (OPTIONAL) The local official who is authortzed by law or ordinance to administer the community's floodplaln 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.68 —G10, In Puerto Rico only, enter meters. 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 G44310) Is provided for community fioodptaln management purposes. Check here if attachments, G4, Permit Number G5. Date Permit Issued 06. Date Certificate Of Comptlanoe /Occupartcy Issued L G7. This permit has been Issued far. ❑ New Construction ❑ Substantial Improvement B. Elevation of as -built lowest floor (Including basement) of the building' ❑ feet 0 meters Datum Gg. BFE or (In Zone AO) depth of flooding at the building site: ❑ feet 0 meters Datum ._ G10. Community's design flood elevation: _,. 0 feet ❑ meters Datum Local Official's Name Community Name Signature Comments FEMA Farm O88 -O -33 (7/12) Title Telephone �nr f�nn • H 6LS39£7t6(Xtl9) Date ❑ Ctiesk here If attachments. Replaces all previous editions. 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