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Home My Public Portal AboutFifth Av_1003U.S. DEPARTMENT OF HOMELAND SECT,.,, n ELEVATION CERTIFICATE Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-8. OMB No. 1660 -0008 ' Expires February 28.2009 SECTION A • PROPERTY INFORMATION For Insurance Company Use: A1. Buiiding Owner's Name PAUL AND CHARLOTTE BERAN Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1003 57" AVENUE Company NAIC Number City TYBEE ISLAND State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc..) PORTION OF10TH STREET & 5n' AVENUE, WARD 3, TYBEE ISLAND. GEORGIA A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) A5. L altude/Longllude: Lat. $2.00195 Long. $0.84882 A6_ Attach at least 2 photographs of the building If the CerUflcate is being used A7. Building Diagram Number 5 A8. For a building with a crawl space or endosure(s), provide a) Square footage of crawl space or enclosure(s) N/A sq It b) No. of perrrranent flood openings in the crawl apace or endosure(s) walls within 1.0 foot above adjacent grade NIA c) Total net area of flood openings in A8.b WA eq in RESIDENTIAL Horizontal Datum: ❑ NAD 1927 10 NAD 1963 to obtain flood insurance. A9. For a building with an attached garage, provide: a) Square footage of attached garage WA. eq R b) No. d permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade NL c) Total net area of flood openings in A9.6 sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number TYBEE ISLAND, GEORGIA - 135164 132. County Name CHATHAM 1 133 State GA. B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date EffectivelRevised Date Zone(s) AO, use base food depth) 1305100213 F 9/28/08 9/26108 AE 11 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in item B9. ❑ FIS Profie ® FIRM ❑ Community Determined 0 Other (Describe) 811. Indicate elevation datum used for BFE in item 89: ❑ NGVD 1929 ® NAVD 1988 0 Other (Describe) 012. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ®No Designation Date N/A 0 CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Budding Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the building le 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. Complete Items C2,e-g below according to the building diagram specified in Item A7. Benchmark kibitzed LPL Vertical Datum NAVD 1988 Conversion/Comments NONE a) Top of bottom floor (including basement. crawl space, or enclosure floor)_ b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of stab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (HAG) 1) 9) Check the measurement used. a-25 ® feet ❑ meters (Puerto Rico only) 25.iet ® feet ❑ meters (Puerto Rico only) fL._ ® feet ❑ meters (Puerto Rico only) NIA._ ® feet ❑ meters (Puerto Rico only) §F.E.COMMENTS ® feet ❑ meters (Puerto Rico ony) 5.11 ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This oertUijation is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to codify elevation information. 1 earthy that The information on this Certificate represents my best efforts to interpret the data available. 1 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. Certifiers Name BERT 8. BARRETT, JR. License Number GA 2225 Title PRESIDENT Company Name BERT BARRETT, JR. LAND SURVEYING, P.C. City SAVANNAH State GA ZIP Code 31410 Date 10/29/08 Telephone 912 -897-0661 FEMA Form 81 -31, February 2006 See reverse side for continuation. Replaces all previous editions WARNING: Due to the possibility that changes may have been done to this residence after this elevation certificate was signed and dated by the surveyor, it is recommended that caution be taken in using this elevation certificate by anyone other than the person indicated in section Al IMPORTANT: In these spaces, copy ,.a corresponding Information from Section A. Building Street Address (including Apt.. Unit, Sufis, and/or Bldg. No.) or P.O. Route and Box No. 1003 5111 AVENUE For Insurance Company Use: Policy Number City TYBEE ISLAND State GA ZIP Code 31328 Company NAIL Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) oorrenu rly official, (2) insurance agentcornpany, and (3) building owner. Comments 1. THE ELEVATION OF THE OUTSIDE HEATPUMP UNIT (CONDENSER) IS AT 11.5T NAVD 1988. 2. ALL MACHINERY WITHIN THE FOUNDATION WALLS SERVICING THE BUILDING ARE AT AN ELEVATION OF 16.25 NAVD 1988. 3. GAR N ETREX L>-GJ?NO GPS UNIT USED TO OBTAIN LAT/LONG j 1 Signature =• Date 10+29/08 ❑ Check hens If attachments SECTION E - BUILD! NZ`s 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 Section A, 8, and C. For Items E1-Ed, use natural grade, It available. Check the measurement used. In Puerto Rico only, enter meters. El. 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 spec°, or enclosure) is ILB. ❑ feet ❑ meters ❑ above or ❑ below he HAG. b) Top of bottom floor (Including basement, crawl space, or enclosure) Is tia. 0 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 Soot (elevation CM in the diagrame) of the building Is rte. 0 feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is lia. ❑ feet ❑ meters 0 above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building Is 14/.6. ❑ 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 wen 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 beat of my knowledge. Property Owner's or Owner's Authorized Representative's Name N/A Address N/A City WA State N/ ZIP Code N/A Signature N/A Date N/A Telephone N/A Comments WA Check here ii amadhmente SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's lloodpialn management ordinance can complete Sections A. B, C for E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items 08. and G9. GI . ❑ 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. 0 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. -09.) is provided for community floodplain management purposes. G4. Pemdt Number N/A G5. Date Permit Issued N/A G6. Date Certificate Of Compltenoe/Occupency Issued N/A G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -buff lowest floor (inducting basement) of the building: NIA. . ] feet ❑ meters (PR) Datum N/A Ge. BFE or (in Zone AO) depth of flooding at the building site: fig. ❑ feet 0 meters (PR) Datum (Lk Local Official's Name WA Title N/A Community Name N/A Telephone WA Signature N/A Date N/A Comments N/A 0 Check here attechrthemmts FEMA Form 81 -31, February 2006 Replaces ell previous editions 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. 1003 5TH AVENUE 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 SIDE VIEW LEFT SIDE VIEW • FRONT VIEW REAR VIEW