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HomeMy Public PortalAboutLovell Av_150906/22/2008 19:17 9127482122 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -8. PAGE 03/06 OMB NO. 1660 -0008 Expires February 28. 2009 SECTION A - PROPERTY INFORMATION For Insurance Company'Use: Al. Building Owner's Name MARSHA MEEKS A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1509 LOVELL AVENUE Policy Number Company NAIC Number City TYBEE ISLAND State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 36 -6 WARD 4 A4. Building Use (e,g„ Residential, Non - Residential, Addition, Accessory, A5. Latitude/Longitude: Lat. 32 00 10 N Long. 80 50 39 W A6. Attach at least 2 photographs of the building if the Certificate is being A7. Building Diagram Number AB. For a building with a crawl space or enclosure(s), provide a) Square footage of crawl space or enclosure(s) 0 sq ft b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade Q a) Total net area of flood openings in AB.b 0 sq in etc.) RESIDENTIAL Horizontal Datum: ❑ NAD 1927 El NAD 1983 used to obtain flood Insurance. A9. For a building with an attached garage, provide: a) Square footage of attached garage Q sq ft b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION l 61. NFIP Community Name Community Number CHATHAM COUNTY 135164 B2. County Name TYBEE ISLAND 83. State GEORGIA B4. Map/Panel Number 135184 0002 65. Suffix C B6. FIRM Index Date JUN 17.1986 87. FIRM Panel Effective/Revised Date JUN 17, 1986 B8, Flood Zone(s) AE B9. Base Flood Elevations) (Zone AO, use base flood depth) 14.0 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in ken 89. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item 89: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? DYes No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ®Building Under Construction- ❑ Ftnisnea Construction 'A new Elevation Certificate will be required when construction of the building ls'complete. C2. Elevations- Zones A1-A30. AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARIAE, AR/A1 -A30, AR/AH, AR/AO. Complete items C2.a-g below according to the building diagram specified In Item A7. Benchmark Utilized LOCAL Vertical Datum 1929 Conversion/Comments Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)- 19.31 ® feet ❑ meters (Puerto Rico only) b) To of the next higher floor 26.75 IR feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) WA. ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 9.75 ® feet [] meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 1222 ® feet ❑ meters (Puerto Rico Only) (Describe type of equipment in Comments) 0 Lowest adjacent (finished) grade (LAG) - 9.8 El feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) Q.4 ® 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 averlabl9. 1 understand that any false statement may be punishable by Fine or imprisonment under 18 U.S. Code, Section 100.1, ❑ Check here if comments are provided on back of form, Certifler's Name MICHAEL A. HUSSEY License Number 2509 Title LAND SUR YOR Address 100 CO Signature Company Name SUNDIAL LAND SURVEYING,PC City POOER State GA ZIP Code 31322 Date 06-11 -2008 Telephone 912- 748 -2147 FEMA Form 81 -31, February 2006 See reverse side for continuation. JUN -23 -2008 08:22 9127487172 qa. Replaces all previous editions o raz 06/22/2008 19:17 9127482122 PAGE 04106 IMPORTANT: In these spaces, copy the corresponding information from Section A_ 1 For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1509 LOVELL AVENUE • City TYBEE ISLAND State GA ZIP Code 31328 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 Signature Date 12 -24 -2007 ❑ 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 Items E1 -E5. If the 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. Et. Provide elevation Information for the rollowing 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 ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ 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 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or 0 below the HAG. E3. Attached garage (top of slab) is • ❑ feet ❑ meters ❑ above or ❑ below the HAG, E4. Top of platform of machinery and /or equipment servicing the building is ❑ feet ❑ meters 0 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 completes Sections A, B, and E for Zone A (without a FEMA - issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the bast of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Comments Date Telephone 0 Check here 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 applicable item(s) and sign below. Check the measurement used In Items GB. and G9. (31, ❑ 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 05. Date Permit Issued 06. Date Certificate Of Cornplianc e/Occupancy Issued 07. This permit has been Issued for, ❑ New Construction ❑ Substantial improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum 09. BFE or (in Zone AO) depth of flooding at the building site: 0 feet ❑ meters (PR) Datum `_ Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81.31, February 2006 . Replaces all previous editions JUN- 23 -2008 08:22 9127492172 qFi 0 ran 06/22/2008 19:17 9127482122 PAGE 05/06 Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1509 LOVELL AVENUE Policy Number City TYBEE ISLAND State GA ZIP Code 31328 Company WC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front Vie' and "Rear View"; and, if required, "Right Side View' and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. JUN -23 -2008 06:23 9127482122 P 17 06/22/2008 19:17 9127462122 Building Photographs Continuation Page PAGE 06/06 For Insurance Company Um Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1509 LOVELL AVENUE Policy Number City SAVANNAH State GA ZIP Code 31410 Company NW Number If submitting more photographs than will fit on the preceding page. affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." SIDE JUN -23 -2008 08 :23 9127dR71,7