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Home My Public Portal AboutLovell Av_1308falfERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the Instructions on pages 1- 7. O.M.B. No. 3067 -0077 Expires December 31, 2005 SECTION A - PROPERTY OWNER INFORMATION BUILDING OWNER'S NAME ALVIN L. DAVIS, INC. For Insurance Company Use Policy Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 1308 LOVELL AVENUE Company NAIC Number CITY TYBEE ISLAND, , STATE GA ZIP CODE 31328 PROPERTY DESCRIPTION `(Lcl eri�i LOT 12 -B, WARD NO.4 Ni i;Taxi Parcel Number, Legal Description, etc.) BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RES LATITUDE/LONGITUDE (OPTIONAL) ( /le - ## - #tt.##' or #ft.#####) HORIZONTAL DATUM: NAD 1927 ❑ NAD 1883 SOURCE: ❑ GPS (Type): ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bi. NAP COMMUNITY NAME & COMMUNITY NUMBER TYBEE ISLAND 135164 B2. COIN 1Y NAME CIiATHAM 133. STATE GA B4. MAP AND PANEL NUMBER 135164 0002 B5. SUFFIX C B6. FIRM INDEX DATE 8/17186 87. ARM PANEL EFFECTIVE/REVISED DATE 6/17/86 B8. FLOOD ZONE(S) A8 89. BASE FLOOD ELEVATION(S) (Zone A0, use depth of flooding) 12 B10. Indicate the source of the Base Flood Elevation (BFE) data or base food depth entered in 89. ❑ RS Profile ® FIRM 0 Go mxe*y Determined ❑ Ober (Describe): B11. trick& the elevation datum used forte BFE in B9: ® NGVD 1929 0 NAVD 1 ❑ Other (Describe): 812. Is the bolding located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Constnx ion Drawings* 0 Building Under Constnetion` ® Finished Construction *A new Elevation Certificate wilt be required when construction of the twiding is complete. 02. Building Diagram Number 1(Selecd the bulding diagram most similar to the building for which ttis certificate is being completed - we pages 6 and 7. tf no cltagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AO Complete Items C3. -a-i below according to the building dagran specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Shaw field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD 29 ConversbnlContmenls Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes [l No o a) Top of bottom floor (inchxfing basement or enclosure) 12. 4 ft.(m) o b) Top of nod higher floor NA . _ft(m) o c) Bottom of bwest horizontal structural member (V zones only) NA . _ft(m) o d) Attached garage (top of slab) 12. 1 ft(m) o e) Lowest elevation of mash nery and/or equipment servicing the buldung ( Desaibe in a Comments area) 12.8 ft.(m) o f) Lowest adjacent (finished) grade (LAG) 11.4 ft.(m) o g) Highest ad}av•nt (finished) grade (HAG) 11. 7)1.(m) o h) No. of permanent openings (flood vents) within 1 & above aacent grade 2 o 1) Total area of at permanent openings (flood vents) in C3.h 441 sq. in. (sq. cm) 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 in Sections A, B, and Con this certificate represents my bast 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. CERTIFIER'S NAME J. Whitley Reynolds LICENSE NUMBER 2249 TITLE Land Surveyor COMPANY NAME ADDRESS CITY 636 STEP r • UE, SUl . C Savannah, GA 10 Op SIGNA RE / f DATE 12/17/05 STATE GA ZIP CODE 31405 TELEPHONE 912 - 352 -0464 IMPOK ANT: in these spaces, copy the cotr: ponciing information from Section A. For Insurance Company Use BUILDING Si KEET ADDRESS (Including Apt., Link Stile and/or Bldg. Na) OR P.O. ROUTE AND BOX NO. Policy Number 1308 LOVELL AVENUE CITY STATE ZIP CODE Company NNC Number TYBEE ISLAND, GA 31328 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both skies of this Elevation Certificate for (1) cormuunity official, (2) insurance agent/company, aid (3) building owner. COMMENTS C3.e) =A/C PAD D Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BEE) For Zone AO and Zone A (without BFE), canpiete items El through Ed. if the Elevation Certificate Is intended for use es supporting information for a LOMA or LOMR -F, Section C must be completed. El . Btikfrg Diagram Number _(Select the bulking diagram most similar-to the building for wt*h this certificate is being completed — see pages 6 and 7. If no diagram accuratey represents the budding, provide a sketch or photograph.) E2 The top of the bottom floor (nch►dng basement or enclosure) of the bulking is _ ft (m) in {an) 0 above or 0 below (check one) the highest adjacent grade. (Use natural grade, If available). E3. For Building Diagrams 6-8 with openings (see page 7), the next hider floor or elevated floor (elevation b) of the buiding is _ ft (m) `in. (an) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the plciform ot machinery and/or equipment servicing the lidding is _ ft(m) _in.(an) 0 above or ❑ below (check one) the highest adjacent grade. (Use mural grade, if available). E5. For Zone AO orb: If no flood depth number is evadable, is the top of the bcilom floor elevated in aocordarre with the communiy's tkodpia i management orrnance? 0 Yes 0 No 0 Unknown. The kcal offidai mustcertft this Information fir Serial G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h acid C3.i only), and E for Zone A (without a FEMA - issued or community- issued BFE) or Zone AO must sign here The slater ifs in Sections A B, C s'Ad E are coned to the best of my knowledge, PROPERTY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check her 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 apptcabie iem(s) and sign below. G 1.0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the sauce and date of the elevation data in the Comments area below.) G2.0 A commurity official completed Section E for a budding located in Zone A (witiout a FEMA-issued or comhxmiy-iss ued BFE) or Zone A0. 03.0 The following information (Items G4-G9) is provided for co purity toodplain management purposes. 04. PERMIT NUMBER 05. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This pry has been issued for. 0 New Construction 0 Substantial Improvement G8. Elevation of as-built lowest floor (inducing basement) of the taking is: _ft.(m) Datum: G9. BFE or (n Zone AO) depth of flooring at the bunking site is: . _ ft.(m) Datum: LOCAL OFFICIAL'S NAME COMMUNITY NAPE SIGNATURE COMMENTS Tf11E TELEPHONE DATE 0 Check here if attachments