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
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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.
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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
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