HomeMy Public PortalAboutTybrisa St_23 (2)U.S. DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY
National Flood Insurance Program Important: Read the instructions on pages 1 -9.
ELEVATION CERTIFICATE
OMB No. 1660 -0008
Expiration Date: July 31, 2015
SECTION A - PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owner's Name William Navon
A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No.
23 Tybrisa Street
City Tybee Island State GA ZIP Code 31328
Policy Number:
Company NAIC Number:
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lots 5, 6 & pts of lots 4 & 7 sub of lots 94 -97, ward 4
A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) non - residential
A5. Latitude /Longitude: Lat. N 31 deq 59.5320 min Long. W 80 deq 50.9060 min
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood in
A7. Building Diagram Number 1
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) n/a sq ft
b) Number of permanent flood openings in the crawlspace
or enclosure(s) within 1.0 foot above adjacent grade n/a
c) Total net area of flood openings in A8.b n/a sq in
d) Engineered flood openings? ❑ Yes ® No
A9. For
a)
b)
c)
d)
Horizontal Datum: ❑ NAD 1927 ® NAD 1983
surance.
a building with an attached garage:
Square footage of attached garage n/a sq ft
Number of permanent flood openings in the attached garage
within 1.0 foot above adjacent grade n/a
Total net area of flood openings in A9.b n/a sq in
Engineered flood openings? ❑ Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
Tybee Island 135164
B2. County Name
Chatham
B3. State
GA
B4. Map /Panel Number
13051C0326F
B5. Suffix
F
B6. FIRM Index Date
9/26/08
B7. FIRM Panel
Effective /Revised Date
9/26/08
B8. Flood
Zone(s)
AE
B9. Base Flood Elevation(s) (Zone
AO, use base flood depth)
13
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:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation Date: ❑ CBRS ❑ OPA
❑Yes El No
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® 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/A0. Complete Items C2.a -h
below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: Vertical Datum: NAVD 1988
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.
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 13.6 ® feet ❑ meters
b) Top of the next higher floor n /a.
® feet 0 meters
c) Bottom of the lowest horizontal structural member (V Zones only) n /a. ® feet ❑ meters
d) Attached garage (top of slab) n /a.
® feet 0 meters
e) Lowest elevation of machinery or equipment servicing the building 13.6 ® feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 12.9 ® feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 14.9 ® feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support n /a. ® feet ❑ meters
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. 1 certify that the information on this Certificate represents my best efforts to interpret the data available.
1 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 J. Whitley Reynolds License Number 2249
Title Land Surveyor
Company Name
Address 636 Stephenson Avenue
Signatu e
City Savannah State GA ZIP Code 31405
FEMA Fo "0T"• -0 -33 (7/12)
e 2/5/14 Telephone 912 - 352 -0464
See reverse side for continuation. Replaces all previous editions.
ELEVATION CERTIFICATE, page 2
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.
23 Tybrisa Street
City Tybee Island
Policy Number:
State GA ZIP Code 31328 Company NAIC Number:
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 A/C comp. is elev
C2.e) is bathroom plumbing
Signature
Date 2/5/14
SECTION E — B ILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZQNE 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 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's or Owner's 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—G1 0. 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 AO.
G3. ❑ The following information (Items G4 —G10) 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:
G9. BFE or (in Zone AO) depth of flooding at the building site:
G10. Community's design flood elevation:
❑ feet ❑ meters Datum
❑ feet ❑ meters Datum
❑ 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.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No.
23 Tybrisa Street
Policy Number:
City Tybee Island
State GA ZIP Code 31328
Company NAIC Number:
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 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." 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 February 4, 2014
■
111
1
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 P.O. Route and Box No.
23 Tybrisa Street
City Tybee Island
State GA ZIP Code 31328
1 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- RESIDENTIAL 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
kAJI.LLtA+.w tAAV01J
STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
23 Pt" Pr N° 23 el)
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
FOR INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NAIL NUMBER
CITY
T GE-11 1orI-D, Ct 31 3ZS
STATE ZIP CODE
SECTION 1— FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM:
COMMUNITY NUMBER
135 t (04
PANEL NUMBER
13o5}c0 21..V
SUFFIX
F
DATE OF FIRM INDEX
1.2tp- o$
FIRM ZONE
Pir.
BASE FLOOD ELEVATION
(In AO Zones, Use Depth)
Indicate elevation datum used for Base Flood Elevation shown above: ❑ NGVD 1929 I5')VA5D 1988 ❑ Other /Source'
SECTION I1— FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect)
Elevations are based on: ❑ Construction Drawings ❑ Building Under Construction finished Construction
Floodproofing Design Elevation Information:
Building is floodproofed to an elevation of 15 1' feet (In Puerto Rico only _ meters). ❑ NGVD 1929 [J NAVD 1988 ❑ Other /Source'
(Elevation datum used must be the same as that used for the Base Flood Elevation.)
Height of floodproofing on the building above the lowest adjacent grade is • feet (In Puerto Rico only: meters).
For Unnumbeled A Zones Only:
Highest adent (finished) grade nextto the building (HAG) feet (In Puerto Rico only: meters)
❑,NGVD 1929 ❑ NAVD 1988 ❑ Other /Source'
(NgfE: 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 III — 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 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.
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.
CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal)
r ASK 1305V-DE - PE S5 Z-
TITLE COMPANY NAME
1-1t* -R } t6t) -5 u_. tc1 N
ADDRESS CITY STATE ZIP CODE
tb 3 !c5 V?--\\I E. SprvA 1,3 N 4,44 cfk . 314 i a
SIGNATURE DATE PHONE
-to_ t4 �t2-- 6932-
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