HomeMy Public PortalAboutLovell Av_1005FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Impoitut
Reed rie i w4ons on pages 1.7.
O.M.B. No. 3067 -0077
Expires December 31, 2005
SECTION A. PROPERTY OWNER INFORMATION
BUILDING O MER'S NAME
TIM FULLER
BUILDING STREET ADDRESS (Including Apt, Uni Su%, adlor Bldg. No.) OR P.O. ROUTE AND BOX NO.
1005 LOVELLAVENUE
For kensan sCompaq Use:
Pak'y Number
Comport NAIC Number
CITY
TYBEE ISLAND,
STATE
GA
ZIP CODE
31328
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, eta)
LOT 38+4, WARD NO.3
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Camn� area, necessary.)
RES
LATrTUDEALONGITUAE (OPTIONAL)
(U° -1N -A.t% or .intilA °)
HORIZONTAL DATUM:
0 NAD1927 0 NAD1983
SOURCE ❑ GPS (Type).
❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (F*) INFORMATION
B1. SHP COMMUNITY NAME k COMMUNITY NUMBER
TYBEE ISLAND 136164
Ea-COUNTY NAME
CHATHAM
133. STATE
GA
B4. MAP AND PANG.
B7. PRA PANEL
B9. BASERDODELEVATION(s)
NUMBER
95. SUFFIX
B6 HRM INDEX DATE
DATE
B8. FLOODZONE(S)
Rona AO, use depth aflooding)
1351640002
C
8/17186
611766
A8
12
B10. Indicate the source d the Base Flood Elevation (BFE`) data or basetood dept entered n 69
❑ FISPidle ® FIRM 0 Cann, ity Determined ❑ Oaher(oesathe):
B11. thcicste the elevation dabrn used forthe BFE n I3S: ® NGVD 1929 0 NAVD 1988 ❑ Other (Describe):
012 Is the bulling bcared in a Coastal Bads Renames System (MRS) area a CUierwise Protected Asa p )PA)? ❑ Yes ® No Desigralan Date
SECTION C - BURDNG ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Buting elavaions as based are ❑ Conskudion D►a ag;' ❑ Bulling Under Consmrclon'` ® Fibbed Caalruction
'A new Elevation Cerlficale wrrT be required when canstucion tithe baidog is complete.
C2 Building Diagram Number 5 (Select the btidng dagom most simiarbn the buid 1g for which this cedNIcate Is being completed - see pages 6 and 7. If no dcagam
accurately represents the butting, provide a sketch or photograph.)
C3. Elevation —Zane A1-A30, AE, AN A (wit BF) VE, V1 -V30, V (with BFE), AR, AR+A, ARIAE, ARIA1 -A3D, ARAN, AR/AO
Complete kerns Ca-a+ below eccordrg loo the buidng diagram specified in Item C2 State the data used t the datum is difaertfrom the datum used faire BFE in
Section B, convert the dekrmb that used for the BFE Show field measurements ad datum emersion calculation. Use Steepens pnxrided ate Cormherts area
Section D or Secdxhn G, as appropriate, to document the datum conversion.
Da4m NGVD 29
Elevation refers= mak used Does the elevalon reference mak used appear on the FIRM? ❑ Yes ® No
o a) Top d bottom toe (nckrdng basement or enclosure) 12 8 t(m)
o b) Top of rued higher floor ft(m)
o c) Bottom d lastest horizontal structural member (V zones only) NA . _R(m)
o d) Attached garage (lop dslab) Hes ft(m)
o e) L m steueraion of machnery acts equipment
sentig the bulking (Desathe in a Comments area) 12 . Wm)
of) Lowest aliment (LAG) alt(n)
o g) **et adjacent (Irish' add) grade (HAG) Q. 714m)
o h) No. of permanent openings (flood vents) wihir 11L &we adjacent grade Q
o j Tdat area d al permanent apenngs food %arils) in Cat sq tin (sq. am)
A
SECTION D - SURVEYOR, E NGINEHR, OR ARCHITECT CERTIHCAT ION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by haw b cot* elevation information.
t certify that the iionnetion in Sections A, a and Con Ns certificate represents my best efforts to hJterpet the data available
I understand that any false statement may be pur ishebie by fine or imprisonment under 18 U.S. Code, Section 1001.
CERIFER'S NAPE J. VN l y Iielrokh LICENSE NUMBER 2249
TRLE Land Surveyor COMPANY NAME
ADDRESS CITY STATE ZP CODE
B36 i C Saraneh, GA GA 31405
SIGNA► DATE HC E
06 912P4
MPORrANT: In these spaces, copy be corresponang infomtaion from Section
BUS 1,3i4G STREET ADDRESS Qrnhudig Apt. Urt, Sub, soft Bldg. No.) OR P.O. ROUTE AND BOX NO.
1005 LOVELL AVENUE
CRY STATE ZIP CODE
TYBEE ISLAND, GA 31328
For he saneConvey Use
Poky Wilber
Consery NAIL Ntsnber
SECTION D - SURVEYOR, ENGINEER, t, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy loot sides dths Be va nn Centifical , for (1) camanby litchi, (2) insurance age aco any, and (3) buicirtg owner.
COMMENTS
C3.e) =NC PAD
0 Check here f a aliments
SECTION E - BULDNG ELEVATION INFORMATION (SURVEY NOT REQUIBD) FOR ZONE AO ANDZONEA (IMTHOUT BFE)
For Zone AO and Zane A (wihoutBFE), complete liens E1 though Et he Sevalton Cerlilcalle is intended for use as suppling iiama`on fora LOW or LOMZ -F,
Section C must be completed
El. Boiling Diagram Minter _(Select the bullring diagram most sinter to the buidrg for Mich this certitude is being coned —see pages 6 and 7. If no cram accuracy
cy
represents the boiling, prudide a sketch or photograph.)
EZ The lop lithe bottom floor (inducing basement or endosue) of the boiling is _1(m) __i(cm) 0 above or 0 below (check one) the highest adlaoatt grade. (Use
nabral grade, t amiable).
Ea ForBtidng Diagrams 68w U openings (see page 7), the next higher floor elevated tour ( elevation b) lithe buidirg is ^ t(m) _n.(an) abode the highest adjacent
grade. Complete bans C3.h and Cat on front din).
E 4 . The top lithe * T a n n d mac finery a don egriprrrert serviang the bolding is _ ft(m) _n.(an) 0 stave or 0 be (check one) the highest adjacent grade. (Use
natural grade, I amiable).
B. For Zone AO ork If no flood depth numbers aysiable, is the by d the bosom floorefevaed in aooadance vat the oarxnunilys Ioodplain ma>agemert adnatce?
0 Yes 0 No 0 Urinate). The Coal official must cagy tics iifomtation in Section G.
SECTION F - PROPERTY OWNER pR OWNER'S REPRESENTATiVE) CERTIFICATION
The properly wrier or owners authorized reixesentatim who completes SecSas A, B, C (Berns CD and C3i arty), and E for Zone A (about a FEAiA- issued =manly-
issued BFE) or Zone AO must sign here. The statements » Sec6ionsA B, G end E a►ecorrect toll* best dmylvuar/edtia.
PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS
CITY
STATE ZIP CODE
SIGNATURE
DATE TELEPHONE
CONSENTS
0 Check here if attachments
SECTION G - COMMUNITY gr1FORMATlON (OPTIONAL)
The local Acid who s alliatsd bylaw or ordinate in admiisiarlhecamxnly'sioodplan management ordnance cat complete Secias A, B, C (or E), and G stiffs Elpxaion
Cer6icaie. Complete the typical* lam(s) and sign below.
G1.0 The infamaiat it Secbn C was taken iron otter doamtenktion that has been signed and embossed by a ieensed surveyor, engiieer, or adiledwho s authorized try stale
car local lay b certify elevation iiomtaion. (Inicale the scum and dale d fie elevation data n the Comments area below.)
G2. 0 A connwtby oiids completed Section E fora burg located in Zone A (witrout a FEMP issued or community-issued BFE) or Zone AO.
G3.0 Thefolowig iionndon (Name G449) is provided for cam* floodptan rna ugernert purposes.
G4. PEWIT NUM3Bt
G5. BATE PIT ISSUED
G6. DATE CERTFICATE OF COM'LUNCESOCCUPPNCYiSSUE
G7. 1Y63 punt hes been issued fo: 0 New C alneion 0 Substatiet Improvement
G8. Bevdon d as•btrit lowest.00r (rdudrg basement) dtte bulling is
GO.8FE or (n Zone AO) depth d tooling at the buuldrg cabs is:
Jun)
__i(m)
Dek1
Dakar
LOCAL OFFICALS NAME
COMMUNITY NAME
SIGNATURE
COMBOS
TITLE
TELEPHONE
ATE
0 Check here I a t eats