HomeMy Public PortalAboutLovell Av_205.DERAL EMERGENCY MANAGEMENT AG ,Y
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 - 7.
O.M.B. No. 3067 -0077
Expires July 31, 2002
SECTION A - PROPERTY OWNER INFORMATION
For Insurance Company Use:
BUILDING OWNER'S NAME
GEORGE AND GRACE B. WEEKS
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO.
205 LOVELL AVENUE
CITY STATE ZIP CODE
TYBEE ISLAND GA 31328
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 28A,WARD 1 TYBEE ISLAND
BUILDING USE (e g.. Residential, Non - residential, Addition, Accessory, etc. Use Comments section if necessary.)
RESIDENTIAL
Policy Number
Company NAIC Number
LATITUDE /LONGITUDE (OPTIONAL)
( ##° - ##' - # #. # #" or ##. # #### ) ❑ MAD 1927 ❑ NAD 1983
HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):
❑ USGS Quad Map ❑ Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER
TYBEE ISLAND 135164
B2. COUNTY NAME
CHATHAM
B3. STATE
GEORGIA
B4. MAP AND PANEL
NUMBER
135164 0001
85. SUFFIX
C
-
B6. FIRM INDEX
DATE
6/17/86
B7. FIRM PANEL
EFFECTIVE /REVISED DATE
6/17/86
B8. FLOOD
ZONE(S)
A8
B9. BASE FLOOD ELEVATION(S)
(Zone AO, use depth of flooding)
13
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 0 Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 0 No
Designation Date
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. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7 If no diagram accurately represents the building, provide a sketch or photograph.)
C3. 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 C3a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from
the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion.
Datum N/A Conversion /Comments N/A
Elevation reference mark used N/A Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
❑ a) Top of bottom floor (including basement or enclosure) 13. 3 ft.(m) To
❑ b) Top of next higher floor 22 . 4 ft.(m)
® Finished Construction
❑ c) Bottom of lowest horizontal structural member (V zones only) N/A . ft.(m) 0
❑ d) Attached garage (top of slab) 13. 3ft.(m)
w
E m
z
a)
0
J
❑ e) Lowest elevation of machinery and /or equipment
servicing the building N/A . _ft.(m)
❑ f) Lowest adjacent grade (LAG) 11 . Oft.(m)
❑ g) Highest adjacent grade (HAG) 13. Oft.(m)
❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 0
❑ i) Total area of all permanent openings (flood vents) in C3h 0 sq. in. (sq. cm)
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 in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
1 understand that any false staternent may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIERS NAME WRIGHT C. POWERS, JR. LICENSE NUMBER 2612
TITLE REGISTERED LAND SURVEYOR
ADDRESS
P O BOX 10091
SIGNATURE
COMPANY NAME CONNOR & ASSOCIATES, INC
CITY
DATE
STATE • ZIP CODE
TELEPHONE
d
FEMA Form 81 -31. AUG 99
SEE REVERSE SIDE FOR CONTINUATION
REPLACES ALL PREVIOUS EDITIONS