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Home My Public Portal AboutFifth St_505F. .RAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. O.M.B. No. 3067 -0077 Expires December 31, 2005 SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use BUILDING OWNER'S NAME PAUL MANLEY BUILDING STREET ADDRESS (Including Apt., 505 FIFTH STREET Policy Number Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number CITY TYBEE ISLAND, STATE GA ZIP CODE 31328 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 1 OF A RECOMBINATION OF LOTS 161 & 171, WARD 2, TYBEE ISLAND BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, RES it necessary.) LATITUDE/LONGITUDE (OPTIONAL) ( ##° - #i> - ##.#or or ##. P) HORIZONTAL DATUM: ❑NAD1927 ❑NAD1983 SOURCE: ❑ GPS (Type): ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMUNITY NAME & COMMUNITY NUMBER TYBEE ISLAND 135164 B2. COUNTY NAME CHATHAM B3. STATE GA 84. MAP AND PANEL NUMBER 135164 0001 B5. SUFFIX C 86. FIRM INDEX DATE 6/17/86 87. FIRM PANEL EFFECTIVE/REVISED DATE 6/17/86 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ► ARM ❑ CommunityDethrmined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 0 Other (Describe): B12 Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 68. FLOOD ZONE(S) A8 B9, BASE FLOOD ELEVATICN(S) (Zone AO, use depth of flooding) 12 Cl. Building elevations are based on: 0 Construction Drawings' 0 Building Under Construction` ® Finished Construction `A new Elevation Certificate wit be required when construction of the building is complete. C2. Building Diagram Number 7 (Select the building diagram most similar to the bolding for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones Al.A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR AR/A, AR/AE, ARJA1 -A30, AR/AH, AR/AO Complete items C3: a-i below according to the building diagram specified in item C2. State the datum used. if the datum is drfferent from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion cAculaion, Use the space provided or the Comments area of Section D or Section G, as aQpropri te, to docurrennt the datum conversion. Datum 14_2/D 29 Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (including basement or enclosure) 6. 5 ft.(m) 16. 1 ft.(m) NA . ft(m) 6. 5ft.(m) o b) Top of net higher floor o c) Bottom of lowest hor¢ontal structural member (V zones only) o d) Attached garage (top of shah) o e) Lowest elevation of machinery andlor equipment servicing the building (Describe in a Comments area) o f) Lowest adjacent (finished) grade (LAG) o g) Highest adjacent (finished) grade (HAG) o h) No. of permanent openings (flood vents) within 1 ft above adjacent grade 7 o ) Total area of all permanent openings (flood vents) in C3.h 1512 sq. in. (sq. cm) 12.2 ft.(m) 5.5ft.(m) 6. 5ft.(m) 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 info I certify that the information in Sections A, B, and Con 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 J. Whitey Reynolds LICENSE NUMBER 2249 TITLE Land Surveyor ADDRESS 636 STEPHEN 1 AVENUE, �• i t C SIGNATUI COMPANY NAME CITY Sarvannah, GA DATE 7/25/05 STATE GA TELEPHONE 912 - 352 -0464 ZIP CODE 31405 IMPORTANT: In these spaces, copy the correspc information from Section A. BUILDING STREET ADDRESS (Including Apt., Uni, Sine, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 505 FIFTH STREET For Insurance Company Use Policy Number CITY STATE ZIP CODE TYBEE ISLAND, GA 31328 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurarxe agent/company, and (3) building owner. COMMENTS C.e) = NC PAD ❑ 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. lithe Oevation Certificate is intended for use as supporting information fora LOMA or LOMB F, Section C must be completed. El. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accu ratefy represents the bolding, provide a sketch or photograph.) E2. The top of the bottom floor (rnclud ing basement or endosure) of the building is _ ft.(m) jin.(cm) 0 above or ❑ below (check one) the highest adjacent grate. (Use natural grate, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is ft(m) _in.(cn) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment senricing the bolding is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if mailable). E5. For Zone AO only: If no flood depth number is avatade, is the top of the bottom floor elevated in accordance with the community's floodplain management ordnance? ❑ 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, C (Items C3.h and C3.i only), 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, C, and E are correct to the best of my knowledge PROPERTY OWNER'S OR OWNERS 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 taw or ordinance to administer the commo lty's floodptain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The information In Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date cf the elevation data in the Comments area be low.) G2. ❑ A community official completed Section E fora bolding located in Zone A (without a FEMA - Issued or community- issued BFE) or Zone AO. 03. ❑ The following information (Items G4-G9) is provided for community floodplan management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPUANCE/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 is: . _ft.(m) Datum: at G9. BFE or fin Zone AO) depth of flooding the to dlrrfinn site is: ft LOCAL OFFICIALS NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if attachments