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Home My Public Portal AboutSecond Av_913FEDERAL 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, 200E SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME ANN WILLIAMS Policy Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 913 SECOND AVENUE Company NAIC Number CITY TYBEE ISLAND STATE ZIP CODE GA 31328 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 55-A, WARD 3, TYBEE ISLAND BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) ( ##O - 4#' - ##.##" or 4#.4/#44r) 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, GEORGIA - 135164 B2. COUNTY NAME CHATHAM B3. STATE GA. B4. MAP AND PANEL NUMBER 135164-0001 B5. SUFFIX C B6. FIRM INDEX DATE 6/17/86 B7. FIRM PANEL EFFECTIVEIREVISED DATE 6/17/86 B8. FLOOD ZONE(S) A8 B9. BASE FLOOD ELEVATION(S) (Zone AO, use depth of (boding) 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 Date N/A SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Constriction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1(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 Al A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, AR/AE, AR/A1 -A30, AR/AH, AR/A0 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/Comments NONE Elevation reference mark used LOCAL Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No ❑ a) Top of bottom floor (induding basement or enclosure) 10. 09 ft.(m) ❑ b) Top of next higher floor NONE . ft.(m) ❑ c) Bottom of lowest horizontal structural member (V zones only) N/A . _ft.(m) ❑ d) Attached garage (top of slab) NONE. _ft.(m) E ❑ e) Lowest elevation of machinery and/or equipment w as servidng the building (Describe in a Comments area) 10.09 ft.(m) a E ❑ f) Lowest adjacent (finished) grade (LAG) 7.7 ft.(m) z ❑ g) Highest adjacent (finished) grade (HAG) 9. 4 ft.(m) ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A ❑ i) Total area of all permanent openings (flood vents) in C3.h N/A 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. I certify that the information in Sections A, B, and C 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 BERT B. BARRETT, JR. LICENSE NUMBER GA. 2225 TITLE PRESIDENT ADDRESS 145 RUNNER ROAD SIGNATURE COMPANY NAME BERT BARRETT, JR. LAND SURVEYING, P.C. CITY STATE SAVANNAH GA DATE TELEPHONE 11/17/05 912- 897-0661 ZIP CODE 31410 FEMA Form 81 -31, January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresrvnding information from Section A. BUILDING STREET ADDRESS (Including Apt, Unit, Suite, anc ,. No.) OR P.O. ROUTE AND BOX NO. 913 SECOND AVENUE 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) insurance agent/company, and (3) building owner. COMMENTS ❑ 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 Certificate is intended for use as supporting information for a LOMA or LOMR -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 accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (induding basement or endosure) of the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, 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.(cm) 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 servidng the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. 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 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, 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 OWNER'S AUTHORIZED REPRESENTATIVE'S NAME N/A ADDRESS CITY STATE ZIP CODE N/A N/A NA NN SIGNATURE DATE TELEPHONE NN N/A N/A COMMENTS N/A N/A NIA ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by iaw 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 nam(s) and sign below. G1. ❑ The intonation 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 kcal ladf to cerffy elevatio,i information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A con imunity offidal n ✓ npleted 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-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER N/A G5. DATE PERMIT ISSUED NN G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED WA G7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (induding basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: NA/. _ft.(m) NA/ . _ ft.(m) Datum: N/A Datum: N/A LOCAL OFFICIAL'S NAME N/A TITLE NN COMMUNITY NAME N/A TELEPI LONE NN SIGNATURE N/A DATE N/A COMMENTS N/A N/A N/A ❑ Check here if attachments FEMA Form 81 -31, January 2003 Replaces all previous editions