HomeMy Public PortalAboutButler Av_1508U.S. DEPARTMENT OF HOMELAND SECURu 1 Y
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 ROBERT M. CHU
Policy Number
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Bcx No.
1508 BUTLER 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.)
LOT B OF A SUBDMSION OF THE WESTERN PORTION OF BEACH LOTS 92 8 93, WARD 4, TYBEE ISLAND (KNOWN AS BRASSRAILL VILLAS 2)
A4 Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.)
A5. Latitude /Longitude: Lat. 31.99300 Long. 80.84842
A6. Attach at /east 2 photographs of the building if the Certificate Is berg used
A7. BuI$ding Diagram Number $
A8. Fora building with a crawl space or enclosure(s), provide
a) Square footage of crawl space or enclosure(s) 877 sq fl
b) No. of permanent flood openings in the crawl space or
endosure(s) walls within 1.0 foot above adjacent grade
c) Total net area of flood openings in AB.b
RESIDENTIAL
Horizontal Datum: ❑ NAD 1927 ® NAD 1983
to obtain flood insurance.
1156 sq In
A9. For a building with an attached garage, provide:
a) Square footage of attached garage Nth sq fl
b) No. of permanent flood openings in the attached garage
walls within 1.0 fool above adjacent grade Nth
c) Total net area of flood openings in A9_b N/A sq in
SECTIONS - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name b Community Number
TYBEE ISLAND, GEORGIA - 135164
B2 County Name
CHATHAM
B3. State
GA
B4. Map /Panel Number
135. Suffix
66. FIRM Index
87. FIRM Panel
B8. Flood
89. Base Flood Elevations) (Zone
Date
Effective/Revised Date
Zone(s)
AO, use base flood depth)
135164 -0002
C
6/17186
6/17/86
A8
14
B10. indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item 69.
❑ 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)? ❑Yes No
Designation Date N/A ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings' ® Building Under Construction' ❑ Finished Construction
'A new Elevation Certificate wr11 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/AO. Complete Items C2.a -g
below according to the building diagram specified in Item A7.
Benchmark Utilized LOCAL Vertical Datum NGVD 1929
Conversion/Comments NONE
a) Top of bottom floor (inducting basement, crawl space, or enclosure floor)- 11.48
b) Top of the next higher floor n.a.o
c) Bottom of the lowest horizontal structural member (V Zones only) Nth__
d) Attached garage (top of slab) NONE.
e) Lowest elevation of machinery or equipment servicing the building 11.46
(Describe type of equipment in Comments)
Lowest adjacent (finished) grade (LAG)
Highest adjacent (finished) grade (HAG)
f)
9)
10.8
15.2
Check the measurement used.
® feet ❑ meters (Puerto Rico only)
® feet ❑ meters (Puerto Rico only)
® feet ❑ meters (Puerto Rico only)
® feet ❑ meters (Puerto Rico only)
feet ❑ meters (Puerto Rico only)
® feet ❑ meters (Puerto Rico onty)
® 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. 1 certify that the information on this Certrecate represents my best efforts to interpret the data available.
!understand that any false statement may be punishable by fire or imprisonment under 18 U.S. Code, Section 1001.
® Check here it comments are provided on back of form.
License Number GA 2225
Title PRESIDENT
Company Name BERT BARRETT, JR. LAND SURVEYING, P.C.
Address 145 RUNNER ROAD City SAVANNAH
Signature
State GA ZIP Code 31410
Date 10/26/07 Telephone 912 -897-0661
FEMA Form 81 -31, Februark)006 See reverse side for continuation.
Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding Information from Section A.
Bonding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
1506 BUTLER AVENUE
City TYBEE ISLAND State GA ZIP Cede 31328
For Insurance Company Use:
Poky Number
Company HNC Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy bosh sides of this Elevation Certificate for (t) community official, (2) insurance agent/company, and (3) budding owner.
Comments 1. GARMtN ETREX LEGEND GPS UNIT USED FOR LAT/LONG
2. THE ENCLOSED AREA SHOWN IN A8 e) CONSIST OF (4) ELEVATOR SHAFTS, (4) ELEVATOR EQUIPMENT ROOMS AND (1) LARGE
STORAGE ROOM.
3. THE .' INERY CALLED • ' IN C2 v) CONSIST OF ELEVATOR EQUIPMENT LOCATED IN THE ELEVATOR EQUIPMENT ROOMS.
•; R MACH ERY S LOCATED ON THE NEXT NIGHER FLOOR AT ELEVATION 19.08'.
Signature �� \` Date 10126107
I'
SEC •'
q Check he if attachments
BUILDING _� TION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT IfFE)
For Zones AO and A (without BFE), ' • = , heirs E1 -E5. N the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Men E1-E4. use natural grade. it available. Check the measurement used. In Puerto Rico only. enter meters.
El . Provide elevation Iniomretion for the following and check the appropriate boxes to show wheeler the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (t.AG).
a) Top of bottom flow (including basement, crawl space, or enclosure) is WA... 0 feet ❑ meters ❑ above or Q below the HAG.
b) Top of bottom flow (Including basement, crawl shoe, or enclosure) is 1LAI . 0 feet ❑ meters ❑ above or 0 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 C2b in the diagrams) of the building is Na. ❑ feet ❑ meters ❑ above or dill below the HAG.
E3. Attached garage (top of slab) is NSA. ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is N8. ❑ feet 0 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 floodplaln 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-lesued or oommuNtyassued BFE)
or Zone AO must sign here. The statements in Sections A, B, end E are correct to the beat of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
WA
Address WA City WA
Stale W ZIP Code WA
Signature N/A
Date WA Telephone N/A
Con rents WA
❑ r 11
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodptain management ordinance can complete Sections A, B, C (or E),
and G of this Elevation Certificate. Complete the applicable items) and sign below. Check the measurement used in Items 08. and G9.
G 1. ❑ 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. D The following information (items 134_-09.) is provided for community floodpiatn management purposes.
G4. Permit Number
N/A
G5. Date Permit Issued
N/A
G6. Date Certificate Of Compliance/Occupancy Issued
N/A
01. This permit has been issued for
0 New Construction 0 Substantial Improvement
G8. Elevation of as -bultt lowest floor (inducting basement) of the building: NIA. l feet 0 meters (PR) Datum NA
09. BFE or (in Zone AO) depth of flooding at the building site: WA. ❑ feet ❑ meters (PR) Datum N(.6
Local Officials Name N/A
Community Name WA
Signature N/A
Comments N/A
Title N/A
Telephone NIA
Date NIA
J-1 Check here tf attachments
FEMA Form 81-31, February 2006 Replaces all previous editions