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Home My Public Portal AboutLewis Av_152U.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 OMB No. 1660-0008 Expires February 28.2009 For Insurance Company Use: Al. Building Owner's Name DONALD GORDON AND ALISON LARKIN Policy Number A2. Budding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 152 LEWIS AVENUE Company NAIC Number City TYBEE ISLAND Slate GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 46, PALM TERRACE SUBDIVISION, HAMMOCK WARD, TYBEE ISLAND A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 32.01016 Long. 80.84916 Horizontal Datum: A6. Attach at least 2 photographs of the building If tie Certificate is being used to obtain flood insurance. A7. Bulling Diagram Number A8. For a building with a crawl space or enclosue(s), provide a) Square footage of crawl space or enclosure(s) 136 sq ft b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade 1 c) Total net area of flood openings in A8.b 56 sq in ❑ NAD 1927 ® NAD 1983 A9. For a building with an attached garage, provide. a) Square footage of attached garage N16 sip ft b) No. of permanent flood openings In the attached garage wads within 1.0 foot above adjacent grade t c) Total net area of flood openings in A9.b lA 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/Panel Number 135164-0001 85. Suffix C B6. FIRM Index Date 6/17/86 B7. FIRM Panel Effective/Revised Date 6/17/86 68. Flood Zone(s) A8 B9. Base Flood Elevations) (Zone AO, use base flood depth) 12 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) 612. Is the budding located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes No Designation Date N/A ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Bulking Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the buiding is complete. C2. Elevations - Zones A1-A30, AE, All, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete hems C2.a -g below according to the building diagram specified in Hem A7. Benchmark Utilized t.00AL Vertical Datum NGVD 1929 Conversion/Comments NONE a) Top of bottom floor (including basement, crawl space, or enclosure floor). 1ZL NONE. ,x..77 b) c) d) e) f) 9) Top of the next higher floor Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (HAG) Check the measurement used. ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) 6.2 ® feet ❑ meters (Puerto Rico only) 6.¢ ® feet ❑ 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. I certify that the information 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. ® Check here if comments are provided on back of form. Certifier's Name BERT B. BARRETT, JR. License Number GA 2225 Title PRESIDENT Company Name BERT BARRETT, JR. LAND SURVEYING, P.C. City SAVANNAH State GA ZIP Code 31410 Date 6/11/08 Telephone 912 - 897-0661 See reverse side for continuation. 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. 152 LEWIS AVENUE City TYBEE ISLAND State GA ZIP Code 31328 For Insurance Company Use: Policy Number 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 1. THE ELEVATION OF THE OUTSIDE HEATPUMP UNIT (CONDENSER) IS AT 15.5' NGVD 1929. 2. GAR IN ETREX LEGEND GPS UNIT USED FOR LAT /LONG Date 6/11/08 ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete hems E1 -E5. lithe 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 infomralion 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 N/A. ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is N /A. ❑ 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 WA. ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is N/A. ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is NSA. ❑ 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 motes Sections A, B, and E for Zone A (without a FEMA-issued or convnu hiry-issued BFE) or Zone AO must sign here. The statements in Sections A B. and E are correct to the best of my knowledge. flupwty Owner's or Owner's Authorized Representative's Name N/A Address N/A City N/A State Ni ZIP Code N/A Signature N/A Date N/A Telephone N/A Comments N/A ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by taw 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 08. and G9. 01. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (indicate the source and date of the elevation data in the Comments area below.) G2. ❑ 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. ❑ The following information (Items G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number N/A G5. Date Permit Issued N/A G6. Date Certificate Of Issued N/A G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building: N /A. ❑ feet ❑ meters (PR) Datum N/A G9. BFE or (in Zone AO) depth of flooding at the building site: N/A ❑ feet ❑ meters (PR) Datum N/A Local Official's Name N/A Title N/A Community Name N/A Telephone N/A Signature N/A Date N/A Comments N/A ❑ Check here if attachments FEMA Form 81 -31, February 2006 Replaces all previous editions