HomeMy Public PortalAboutVillage Pl_4AU.S. DEPARTMENT OF HOMELAND SECURITI
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -8.
OMB No. 1660 -0008
Expires February 28. 2009
SECTION A - PROPERTY INFORMATION
For Insurance Company Use:
Al. Building Owner's Name ROCKER DEVELOPMENT, LLC
Policy Number
A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No.
4A VILLAGE PLACE
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 151 TYBEE VILLAGE
A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.)
A5. Latitude /Longitude: Lat. N30 -00 -44 Long. W80 -50 -42
A6. Attach at least 2 photographs of the building if the Certificate is being used
A7. Building Diagram Number 6
A8. For a building with a crawl space or enclosure(s), provide
a) Square footage of crawl space or enclosure(s) 853 sq ft
b) No. of permanent flood openings in the crawl space or
enclosure(s) walls within 1.0 foot above adjacent grade 5
c) Total net area of flood openings in A8.b
518
RESIDENTIAL
Horizontal Datum: ❑ NAD 1927 ® NAD 1983
to obtain flood insurance.
sq in
A9. For a building with an attached garage, provide:
a) Square footage of attached garage N/A sq ft
b) No. of permanent flood openings in the attached garage
walls within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A9.b NA
sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
B3. State
TYBEE ISLAND 135164 0001 -0002
CHATHAM
GEORGIA
B4. Map /Panel Number
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
Date
Effective /Revised Date
Zone(s)
AO, use base flood depth)
135164 -0001
C
06/17/1986
06/17/1986
A8
12
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe)
B11. Indicate elevation datum used for BFE in Item B9: Z NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes No
Designation Date ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction*
*A new Elevation Certificate will be required when construction of the building is complete.
C2. 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/A0.
below according to the building diagram specified in Item A7.
Benchmark Utilized USGS E -56 Vertical Datum NGVD 1929
Conversion /Comments
® Finished Construction
Complete Items C2.a -g
Check the measurement used.
a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ 6.5 ® feet ❑ meters (Puerto Rico only)
b) Top of the next higher floor 16.2 ® feet ❑ meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only) N /A. ❑ feet ❑ meters (Puerto Rico only)
d) Attached garage (top of slab) N /A. ❑ feet ❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 12.7 ® feet ❑ meters (Puerto Rico only)
(Describe type of equipment in Comments)
f) Lowest adjacent (finished) grade (LAG) 6.2 ® feet ❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade (HAG) 6.5 ® 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. / certify that the information on this Certificate represents my best 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.
® Check here if comments are provided on back of form.
Certifier's Name MICHAEL J. GARDNER License Number GA. # 2285
Title LAND SURVEYOR Company Name WARD EDWARDS
Address 138 CANAL STREET
UITE 304 City POOLER State GA ZIP Code 31322
Signature `'�'
Date 06/05/2007 Telephone 912 - 330 -0026
FEMA Form 81 -31. February 2006
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IMPORTANT: In these spaces, copy the ,rresponding information from Section A.
Building Street Address (including Apt., Unit, Su,__, and /or Bldg. No.) or P.O. Route and Box No.
4A VILLAGE PLACE
City TYBEE ISLAND State GA ZIP Code 31328
For Insurance Company Use: 1
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 JOB NUMBE- •60'08
NOTE C2 E HE PUMP
Signature / Da
❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
Aso 7
t
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.
E1. Provide elevation information for the following 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 page 8 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ 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 ❑ 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 best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address
City
State ZIP Code
Signature
Date Telephone
Comments
❑ Check here if attachment
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 G8. and G9.
G1. ❑ 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
G5. Date Permit Issued
G6. Date Certificate Of Compliance /Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
08. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site:
❑ feet ❑ meters (PR) Datum
Local Official's Name
Title
Community Name
Telephone
Signature
Date
Comments
❑ Check here if attachment
FEMA Form 81 -31, February 2006
Replaces all previous edition
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.
4A VILLAGE PLACE
Policy Number
City TYBEE ISLAND State GA ZIP Code 31328
Company NAIC 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 View" 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.
RIGHT
FRONT
LEFT