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Home My Public Portal AboutLewis Av_133O.M.B. NO. 3067.0077 ELEVATION CERTIFICATE Fxpires May 31,1946 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood Insurance purchase requirement. This forrn Is used only to provide elevation information necessary to ensure compliance with applicable commUh)ty tloodplaln management ordinances, to determine the proper Insurance premium rate, andlor to support a request for a Letter of Map Amendment or Revision (LOMA or LOW). Instructions for completing this form cart be found do the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME LAIM2Fn/cE MAAi Er2- POLICY NUMBER STREET ADDRESS (Including Apt., Unit, Sults andlor Bidg. Number) 011 P.O. ROUT AND BOX NUMBER COMPANY NAIC NUMBER WI s Avg ic' 0111611 DESCRIPTION (Lot and Block Numbors, etc.) Lo ZQ & 5 . 14, 0 f WT L / Phz M rEt2a_.,4cE , }-} A Af✓tiocK ct.l ick tP CITY STATE 7 '' 3gs )s6A' ,✓p, 4. 3 13A-9 SECTION 8 FLOOD INSURANCE RATE MAP (FIRM) INFORMATION ZIP CODE Provide the following from the p oper FIRM (See Instructions): 1. COMMUNITY NUMBED 13 §`1 64- 2. PANEL NUMBED 0oo 1 3. SUFFIX c 4. DATE OF FIRM INDEX 6/i-11 6 5. rem ZONE QS 6. BASE FLOOD ELEVATION (In AO Zones, use depth) tZ 7. Indicate the elevation datum system used on the FiRM for Base Flood Elevations (BFE): ❑ NOVO'29 ROOM' (describe on back) 8. For Zones A or V, where no BFE Is provided an the FIRM, and the commUrilty has established a BFE tor this building site, Indicate the community's BFE: .1 11L❑ ❑ feet NGVD (or other FIRM datum -see Section Item 7), SECTION C BUILDING ELEVATION INFORMATION i. Using the Elevation Certificate instructions, lndlcate the diagram number 'Toni the diagrams sound on Page§ 5 and 6 that best describes the subject building's reference level 5 2(a). FIRM Zones Al -A30, AE, AH, and1A (wills BFE). The lop of the reference level floor from the selected diagram is at an elevation of 1 1 1 11 l6l.Ri feet NGVD (or other RAM datum -see Section B, Item 7). (b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference levet from the selected diagram, is at an elevation of 1 1 I 1 I 1 Li feet NOVO or other FIRM datum -see Section B, item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram Is t 1 I L i feet above L or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is 1 1 1 ❑ feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. II no flood depth number is available, is the building's lowest floor ( reterence level) elevated In accordance with the community's Iloodpiain management ordnance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:. NGVD '29 ❑ Other (describe under Comments on Page 2). (NOTE: l( the elevation datum used in measuring the elevations Is different than that used ort the FIRM (see Section 13, Item 7J, then convert the elevations to the datum system used on the HI1M and show the conversion equation under Comments on Page 2.) 4. Elevation reference nark used appears on FIRM: ❑ Yes E No (See Instructions on Page 4) 5. The reference level elevation Is based on 0- actual construction ❑ construction drawings (NOTE: Use of construction drawings Is only valid 11 the building does not yet have the reference level floor in place, In which case this certificate will only be valid for the building during the course of construction. A post - construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is• 1 I I 1 .feel NGVD (or other RAM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. II the community official responsible tor vetitying building elevations specifies that the reference level Indicated In Section C, Item 1 is not the "lowest floor" as defined in the community's 'loodplaln management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance Is: 1 I 1 1iJ Li feet NGVD (or other RAM datum -see Section 8, Item 7). 2. Gale of the start of construction or substantial Improvement FEMAFo,mel•31, MAY 93 REPIACES Ail pREVioIS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification Is to be signed by a land surveyor, engineer, or architect who is authorized by slate or local law lo certify elevation Information when the elevation information for Zones Al —A30, AE, Al I, A (with,BFE),V1— V30,VE, and V (with BFE) Is required. Community officials who are authorized by local law or ordinance to provide Iloodplain management Intonnation, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a properly owner, or an owner's representative may also sign the certification. fleference level dlaglants 6, 7 and 8 - Distinguishing Features —II the certifier is unable to certify to breakaway /non-breakaway wall, enclosure size, location oI servicing equipment, area use, wall openings, or unfinished area Feature(s), than list the Feature(s) not Included In the certification under Comments below. 1 he diagram number, Section C, Ilene 1, must still be entered. 1 certify that the in Ornration in Sections 8 and C on this certificate represents my best efforts to interpret the data available. I understand that any rise statement may be punishable by line or imprisonment under 18 U.S. Code, Section 1001. Bert B. Barrett, Sr. Ga. #1239 cEnTIrIEn'S NAME LICENSE NUMBER (or Mix Seal) R. L. S. Barrett Land Surveying, Inc. 1111 -E COMPANY NAME P.O. Box 10091 Savannah, Ga. 31412 AUDiA'r/% � CITY i- - SIGNAIUr1E //7 99 untE S1AIE ZIP 1- 912 -897 -5460 PI IONE Copies should be made of tills Certlllcale for: 1) community official, 2) Insurance agent /company, and 3) building owner. COMMENTS: • DETEDEDCE L EVEL oN SLAB A ZONES v ZONES e ASE. NAM ELEVADON REFERENCE ADJACENT LEVEL GIIAUE wrnr BASEMENT A ZONES BASE FLOOD ELEVA1IOFI ADJACENT GDAUE ON PILES, PIERS, On COLUMNS A V ZONES ZONES BASE FLOOD ELEVAI M V0.IACEIIf Irit - GRADE 1 he diagrams above illustrate the points at which the elevations should be measured In A Zones and V Zones. Elevations for all A Zones should be measured al the lop of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.