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Home My Public Portal AboutLovell Av_1010ELEVATION CERTIFICATE 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 form Is used only to provide elevation information necessary to ensure compliance with applicable community ttoodplaln Management ordinances, to determine the proper Insurance premium rate, and /or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). instructions tor completing this form can be found On the following pages. O.M.B. NO. 3067 -0077 Expires May 31, 19't SECTION A PROPERTY INFORMATION FOnINSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER St BEET ADDRESS (Including Apt., Unit, SuLle andlor Bldg. Number) 011 P.O. ROUTE AND BOX NUMBER /o / o Lo v5Ge— 4v� Nv� COMPANY NAIL NUMBER 0 TIER DESCRIPT ION (Lot end Block Numbers, etc.) L o T l 3,R) 0 z-v 4 CITY /5c.AVvr 6 o726(g 3 j3z,g STATE ZIP couE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following horn the proper FIRM (See Instructions): 1. COMMUNITY NUMBER /35/C4- 2. PANEL NUMBED a a o 2 3. SUFFIX c 4. DAZE OF FIRM INDEX 6//78( 5. F,fM ZONE 4g 8. BASE FLOOD ELEVATION (In AO Zonns. use depth ) 7, Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ONOVD'29 Lather (describe on back) 8. For Zones A or V, where no BFE Is provided on the FIRM, and the community has established a BFE or this building site, Indicate the community's BFE:.1 1 1 1 ❑ Li feet NGVD (or other FIRM datum -see Section B, item 7), SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, Indicate the diagram number Irom the diagrams found on Pages 5 and 6 that best describes the subject building's reference level ✓' 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level Iloor Irom the selected diagram is at an elevation of LI 1 1L1.❑ feet NGVD (or other FIRM 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 level from the selected diagram, is at an elevation of I I I 1 1 1 ❑ feet NOVO (or other FIRM daturn —see Section B, Item 7). (c). FiRM Zone A (without BFE). The Iloor used as the reference level Irorn the selected diagram Is I I 1 Li feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO, The Iloor used as the reference level from the selected diagram Is L❑.LJ feel above ❑ or below ❑ (check one) the highest grade adjacent to the building. 11 no flood depth number Is available, Is the building's lowest floor (reference level) elevated in accordance with the community's Iloodplaln management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used In determining the above reference level elevations: 1 NGVD '29 ❑ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used orr the FIRM [see Section B, Item 7J, then convert the elevations to the datum system used on the F1RM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes No (See Instructions on Page 4) 5. The reference level elevation Is based on: CK actual construction 111 construction drawings (NOTE: Use of construction drawings is only valid If 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 1 1 1 181,0 .feet NOVO (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. 11 the community official responsible for verifying building elevations specifies that the reference level Indicated in Section C. Item 1 is not the "lowest floor" as defined in the community's iloodplairt management ordinance, the elevation of the building's "lowest floor as defined by 1119 ordinance Is: 1 1 1 L Li LJ teen NGVD (or other FIRM datum —see Section B, Item 7). 2. Date of the start of construction or substantial Improvement FEMA Form 81-31, MAY 93 REPLACES Alt. PREVIOUS EbIT1oNS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION Tills certification Is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation 1ntormatlon when the elevation information for Zones AI-A30, AE, Alt, A (with BFE),V1- V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building ofticlal, a property owner, or an owner's representative may also sign the codification. Reference level diagrams 6, 7 and 8 - Distinguishing Features -If the certifier Is unable to certify to breakaway /non- breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not Included In the certification under Comments below. TIIe diagram number, Section C, Item 1, must still be entered, I certify that the information in Sections 6 and C on this cedificate represents my best efforts to Interpret the data available. 1 understand (hat any false statement may be punishable by line or imprisonment under 18 U.S. Code, Section 1001. Bert B. Barrett, Sr. Ga. #1239 CERTIFIEFI S NAME LICENSE NUMBER (or MIN Seal) R.__L. S. Barrett Land Surveying, Inc. 1IILE COMPANY NAME P. 0. Box 10091 Savannah, Ga. 31412 ADDNESS-9 CITY STATE 3//6/r1 1- 912 - 897 -5460 DAI E PHONE SIGNATURE ZIP Copies should be made of this Certificate for: 1) community official, 2) Insurance agent /company, and 3) building owner. COMMENTS. PERM/ r - 1 1' 0 6 6 3 R_Fao) /tZED £L£Y, 12- ,,O 011 SLAB A ZONES InErEecocEl LEVEL BASE 0000 ELEVAI ION V ZONES Et ENENCE ADJACENT LEVEL WADE W1111 BASEMENT A ZONES ZONES ZONES ON PILES, PIEES, OR COLUMNS A V BASE FLOOD ELEVA TON ADJACENT 7. OWE LIEF EnENCE LEVEL BASE r1000 ELEVATION �� ADJACEIir The diagrams above illustrate the points at which the.elevations should be measured In A banes and V Zones. Elevations for all A Zones should be measured at the lop of the reference level floor. Elevations tor all V Zones should be measured at the bottom of the lowest horizontal structural member.