HomeMy Public PortalAboutJones Av_908FEDERAL EMERGENCY MANAGEMENT AGENCY
"ATIONAL 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
Andrew DeWitt
Policy Number
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
908 Jones Avenue
Company NAIC Number
CITY
Tybee Island
STATE
Ga
ZIP CODE
31328
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 52 -B, Ward 3, Tybee Island, Chatham County Parcel Number. 40006- 09-001A
BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Residential
LATITUDE/LONGITUDE (OPTIONAL)
( ##° - ##' - ##.##" or ##.#>Y###)
HORIZONTAL DATUM:
❑ NAD 1927 ❑ NAD 1983
SOURCE: ❑ GPS (Type):
❑ USGS Quad Map ❑ Other.
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 AND PANEL
B7. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUMBER
B5. SUFFIX
B6. FIRM INDEX DATE
EFFECTIVE/REVISED DATE
B8. FLOOD ZONE(S)
(Zone AO, use depth of flooding)
0001
C
6/17/86
6/17/86
A8
12
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B11, Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation DateN/A
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. Building Diagram Number 6 (Select the building diagram most similar to the building 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 A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 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 different 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 calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum NGVD 1929 Conversion/Comrnents N/A
Elevation reference mark used TBM Does the elevation reference mark used appear on the FIRM? ❑ Yes ❑ No
o a) Top of bottom floor (including basement or enclosure) 8. 1 t.(m)
CD
o b) Top of next higher floor 17.1 ft.(m)
o c) Bottom of lowest horizontal structural member (V zones only) NBA . _ft.(m) o 0
o d) Attached garage (top of slab) 8. 1 ft.(m) E
(o
o e) Lowest elevation of machinery and/or equipment °,
ti servicing the building (Describe in a Comments area) 12.0 ft.(m)
o f) Lowest adjacent (finished) grade (LAG) 7.3 ft.(m) z'
o g) Highest adacent (finished) grade (HAG) 7. 9 ft.(m) w
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 12
o i) Total area of all permanent openings (flood vents) in C3.h 1,856 sq. in. (sq. cm)
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 in Sections A, B, and C 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.
CERTIFIER'S NAME Joseph A. Hale, Jr. LICENSE NUMBER GA RLS# 2886
TITLERegistered Land Surveyor
COMPANY NAME Kem- Cdeman & Co. LLC.
ADDRESS
7 Mall Court
SIGNATURE
egi
CITY STATE ZIP CODE
Savannah GA 31406
DATE TELEPHONE
4/24/06 (912)354-8400
FEMA Form 81 -31, January 2003
See reverse side for continuation. Replaces all previous editions