The URL can be used to link to this page

Home My Public Portal AboutLaurel Av_1111U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -8. SECTION A - PROPERTY INFORMATION A1. Building Owner's Name GREGORY A AND JULEE WILETS A2. Building Street Address (Including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 1111 LAUREL AVE City State TYBEE ISLAND GA A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 12 & THE WESTERN PORTION OF LOT 13, BLOCK 6, GARDEN WARD, TYBEE ISLAND, GEORGIA OMB No. 1660 -0008 Expires February 28, 2009 For Insurance Company Use: Policy Number Company NAIC Number ZIP Code 31328 A4. Building Use (e.g., Residential, Non - residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude /Longitude: Lat. 32° 02" 05.3' Long. 80° 85" 55.8' Horizontal Datum: ❑ NAD 1927 ❑x NAD1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 6 A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) 197 sq ft a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade 1 walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 311 sq in c) Total net area of flood openings in A9.b N/A sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 135164 TYBEE ISLAND B2. County Name CHATHAM B3. State GA B4. Map /Panel Number 1300300120 B5. Suffix C B6. Firm Index Date 9/20/1995 B7. FIRM Panel Effective /Revised Date 5/19/1987 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 B9. ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate the elevation datum used for BFE in B9: ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: ❑ CBRS ❑ OPA ❑ Yes ❑x No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zone 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 -g below according to the building diagram specified in Item A7. Benchmark Utilized N -206 Conversion /Comments NONE Vertical Datum NGVD 1929 a) Top of bottom floor (including basement, crawl space, or enclosure floor) b) Top of next higher floor c) Bottom of lowest horizontal structural member (V Zones only) d) Attach garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equiptment in Comments) f) Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) Check the measurement used. 8.03 p feet ❑ meters (Puerto Rico only) 17.90 p feet ❑ meters (Puerto Rico only) N/A ❑ feet N/A ❑ feet 14.83 p feet 7.4 p feet 7.9 p feet ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) 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. / 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. Certifier's Name License Number BERT B. BARRETT JR 2225 Title Company Name PRESIDENT BERT BARRETT JR LAND SURVEYING PC Address City State ZIP Code 145 RUNNER RD Signature SAVANNAH Date 6/18/2008 GA 31410 Telephone (912) 897 -0661 PLACE SEAL HERE FEMA Form 81 -31, February 2006 See reverse side for continuaton. Replaces all previous editions 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. 1111 LAUREL AVE City State ZIP Code TYBEE ISLAND GA 31328 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of the elevation Certificate for(1) community offficial, (2) insurance agent/company, and (3) building owner. For Insurance Company Use: Policy Number Company NAIC Number Comments 1. THE ELEVATION OF THE OUTSIDE HEATPUMP UNIT (CONDENSER) PLATFORM IS AT 16.00 NGVD 1929. 2. GARMIN ETREX LEGEND GPS UNIT USED FOR LAT /LONG Signature Date 6/18/2008 ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and Zone A (without BFE), complete items El - 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. El. 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, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6 -8 with permanent flood openings provided in Section A Items 8 and /or 9 (see page 8 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. The top of the 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 Section A, B, and E for Zone A (without 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. and G9. G1.0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect why is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.0 A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO. G3.0 The following information (Items G4 - G9) 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: ❑ feet ❑ meters (PR) Datum: ❑ feet ❑ meters (PR) Datum: Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81 -31, January 2006 Replaces all previous editions