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HomeMy Public PortalAboutSolomon Av_1317 A&B_20030717J uL -1 r —G JU) l,] • 4c: lrUHt, 1 HL .bHNK IDERAL EMERGENCY MANA NATIONAL FLOOD INSURAI ELEVATION CER Important: Read The instructic SECTION A. PROPERTY OV! BUILDING cWNER'S NAME G. S. VISIONS, LLC BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No) OR P.Oricoo'r vu bt 1" r- — 'vitimpany 11omner --' 1317 A & B SOLOMON AVENUE CITY STATE ZIP in IYBEE 1SLAND GA 31328 GO PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal description, etc) LOT 10 OF A RECOMBINATION OF LOTS 1, 2, 10 & 11 BLOCKS, SAY WARD BUILDING USE (e.g„ ResiderUal, Non - residential, Addition, Accenay, ctc. Ueb a Comments *ma, it noecaaary,) RES Pas -It° x Nate 7871 912 2811 4960 P.01 Sa Co. /Dept, c� Phone It 1247, s x'13 7 Fsx # / J Data [Pats 3 From Co. Phone r Fax# LATITUUEILONGITUOL (QPl'IONAL) ( €ie - Pit • *#.W or #4#.4#0e) HORIYONTAL DATUM: ❑ NAD 1927 D NAD 1983 SOURCE' GPS 'ape). C USGS Cued Map SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION ❑ Other. 01. NEIPCOMMJNITY NAME & COmmonTYNUMBEA TaiEE ISLAND 138184 B2 COUNT/NAME CHATNAM 53, STATE GA B4, MAP AND PANEL NUMBER 1351$4CCO1 B5. SUFFIX. 86, FIRM INDEX DATE 6/17186 B7. FIRM PANEL EFFECTNEFtEVISEO DATE 13117/86 68, FLOOD ZONE(S) V-9 89. BASE FLOOD ELEVATIONS) (ZrneAO, use depth of flooding) 14 810. Indicate the source of the Base Flood Elevation (EFE) data or base flood depth entered in B9. 0 PS Pro51e E FIRM 0 Community Determined ❑ Other (Describe): ^_ 811. Indicate the elevation datum used for the BFE Si 89: E NGVD 1929 ❑ NAVD 1988 0 Other (Describe): B12. is the baibin" located in a Coastal Barrier Resources S stem CBRS area or Otherwise Protected Area OPA)? ❑ Yes ® No Deslrnation Date SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1.8uildng Elevations we based on: ❑ Ctr ishuc1on Drawings' ❑ Bailang Linder Consttudion" ® Finished Construction 'A new Elevation Cerli cafe will be required when oanstruotion of the building is oomptete, C2. &rdding Diagram Number 5 (Select the bu king diagram most simile to the buiding for which this cedifoate is being competed -see pages 6 and 7. If no diagram accurately r preserts the building, provide asketch or photograph.) C3. Elevations –Zones Al -A3D, AE, AH, A (with BFE), VE, V't-V30, V (with BFE), AR, ARIA, AR+AE, AR1A1 -A30, AWAH, ARIAO Compfe•,e Items C3.44 below according to the building diagram specified in Item C2. State the datum used. If the datum is dfforer 1;roin the datum used for the 8FE in Section 6 strivers the datum to that used for the SFE. Show field measurements and datum conversion calculatan. Use the space pmvded or the Comments area at Section Dor Section G, as appropriate, to document the datum conversion, Datum NCVO29 Conversion/Comments, Elevation reference mar*, used _Does the elevation reference mark used appear on the FIRM? ❑ Yes Nc o a) Tap of bottom floor (Including basement cr enclosure) 9. 0 it(m) o b) Top of next higher floor T ,1;t.(m) o c) Bottom of loatchorizanid structural member (Vzones only) j. 3 ft.(m) o d) Attached garage (top of slab) 9. 0 h,(m) o 6) Lomat elevation of machinery and/or equipment servicing the building (Describe in a Comments area) 14.1 film) o f) Lowest adjacent (finished) grade (LAG) 8.5 tt.(m) o g) highest adjwent (finished) grade (HAG) 9, 0 ft(m) o h) No. of permanent openings (flood vends) within 1 fit. above adjacent grade NA o I) Tots area of all permanent openings (hood vents) in 03.11 sq, i11. (sq. cm) w e rg : _ SECTION D • SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certificaton is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation info motion. ! cert/ff that the information in Sections A, H, and Con this certificate represents my bust efforts to interpret the data available. i c:ntlarstand that any falso statement rftay be punishable by �'ne or imprfsonm &riI under 16 U.S. Cade, Section 1001, CERTIFIERS NAME J. Whitley Reynolds LICENSE NUMBER 2249 TITLE Land Surveyor COMPANY NAME ADDRESS 636 STE SIG I ' UR CITY Savalnah, GA DATE 7117103 Fie Form 81 -31. J, ' ary 2003 See reverse side for continuation. STATE GA TELEPHONE 912.35243464 ZIP CODE 31405 Replaces all previous editions JUL -17 -2003 13:43 COASTAL BANK :IMPORTANT: In these spaces, copy the corre•,, _acting information from Section A. BUILDIr4; STREET AOCRESS (minding AN , tint, Suite, er /or Bt}a. No.) CR PO, ROUTE AN0 BOX NO. 1317 A &B S'GLQ MON AVENUE CITY TYKE iS .AND STATE uA ZIP CGDE 3132a SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy boat sides of Ih s Elevation Certificate for (1) =milky official, (2) insurance agent/ company, and (3) building owner, COMMENTS C3.e) • BOTTOM OF W TER HEATER C3,a) CONC. SLAB UNDER HOUSE 912 2211 4960 =or insurance Company Use: Polity Ntrm sr Ciom ny NAJC jr NttUe F. 02 0 Check here if attachments SECTION E • BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without 9FE), complete items E1 through E4. If the Elevation Certificate is intended for use as suppling informaaon fora LAMA a LOMR-F, Section C moat be completed. El. Bunting Diagram Number _ ( S e a t the building diagram moil similar to the building forvvhirh this certfimte is being completed —sea pages 6 and 7. if no diagram accurately retrresents the building, provide a sketch or photograph,) M. The bp of the brlom Boor (including basement or enclosure) of the building is W„ ft,(m) _in.(cm) or 0 below (check one) the highest adjacent grade, (Use natrrai grade, if available), E3. For Buildng Diagrams 6.8 wtih openings (see page 7), the next higher fixer a elevated floor (eleva> on b) of the building is _ ii.(rn) _in,(cm) above the highest adjacent grade. Campine items C3.h and C:3,i on front o; form, E4, The top of The olatfertn of machinery and/or equipment servicing ?he buildng is _ ft(m) „m (con) ❑ above or ❑ below (check ore) the highest adjacent grade. (U natural grade, if available). ES. For Zone AO only; 1f no flood depth nUmbt•ris available, is the lop of the bottom 11oor elevated in ac :ordzncewith the communitys tcodplan management ordnance? ❑ Yes ❑ No 0 Unknown. The local official must rarti this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION T The property owner orownees authaized rcpresintative vufto completes sections A, B, C (he'ns C3.h aid C3.i oily), and B for Zane A (without a FEMAzissued orcommunity- issued BFE) or 7nne AO muss in here. The statements in Sections A B, C, and E are owed to the best of myknoiMedga, PROPERTY OWNER'S OROWNS;'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE 23P CODE SIGNATURE DATE TELEPHONE COMMENTS SECTION G • COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's tbodplain management ordinance can complete Seclions A, B, C (orE), aid G o' this Elevation Certificate, Compete the applicable itern(s) aid sgn bekiw. G1. ❑ The tifonnaton 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 lew locality elevation inrcrmaton. (Indicate the source and date of the eevation data in the Comments area below.) G2, 0 A community official completed Section E tor abuilding located in Zone A (without a FEMA- issued or a rnmutity -sued BFE) or Zone AO. 33, C The following information (Items 64439) is provided for cornminity flooeplain management purposes. 1 r34. PERMIT NUMBER G5. DATE PERNL'T ISSUKD G6. DATE CERTIFICATE OF COMPLIANCEJOCGUPANCI' ISS.JEI) ❑ Check here if atlaatmen4S G7, This perrnithas taeen issued for: ❑ New Ccnstruoton 0 Substantial Imarovernent GB. Elevation of as -built lowest floor (including basement) of the bulking is: _, ft,(rn) Datum: _ G9, EFE a (in Zone AO) depth of flooding at the buildng site is: ft(m) Datum: LOCAL OFFICIAL'S NAME CDMMUNIrY NAME SIGNATURE COMMENTS TITLE TELEPHONE DATE [:_j Check here if attachments FEMA Form 81 -31, January 2003 Replaces all previous editions