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Home My Public Portal AboutHodges St_5FEDERAL EMERGENCY MANAGEMENT AGENCY 4TIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. O.M.B. No. 3067 -0077 Expires December 31, 2005 SECTION A - PROPERTY OWNER INFORMATION PooInsurance Camper/ Use: BUILDING OWNERS NAIL EAST COAST PACIFIC CONSTRUCTION Policy Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 5 HODGES STREET Company NAIC Number CITY TYBEE ISLAND, STATE ZIP CODE GA 31328 PROPERTY DESCRIPTION (Let and Block Numbers, Tax Patel Number, Legal Description, etc.) LOT 3-A-3, HORSE PEN HAMMOCK B(MLDING USE (e.g., Residential, Nan-neside�ai, Addition, Accessory, etc. Use a Comments area, if necessary.) RES LATITUDE/LONGITUDE (OPTIONAL) ( if -1(#I' - ttrux.# or fht. ) HORIZONTAL DATUM: 0 NAD1927 0 NAD1983 SOURCE: ❑ GPS (Type): ❑ USGS Quad Map 0 Other SECTION B - FLOOD INSURANCE RATE MAP (FIRM) */FORMATION 81. NFIP COMMUNITY NAME &COMMUNITY NUMBER TYBEE ISLAM 135164 82. COUNTY NAME CHATHAM 83. STATE GA 84. MAP AND PANEL 87. FIRM PANEL 89. BASE FLOOD ELEVATION(S) NUMBER 85. SUFFIX 86. FIRM INOEC DATE EFFECTIVE/REVISED DATE 88. FLOOD ZONE(S) (Zone AO, use depth of flooding) 135164 0001 C 6I17B6 6/17186 AS 12 B10. Inacabe the source d the Base Food Elevation (BFE) data or base flood depth entered n B9. ❑ FIS P t ie ® ARM ❑ Community Oetem*ied ❑ Other (D e): B11. Indcate the elevation datum used lathe 131E in O9 ® NGVD 1929 ❑ MAW 1968 ❑ Other (Describe): B121s the bulking located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on 0 Constrrxa on ❑ Building Under Construction* El Finished Construction `A new Elevation Celtic* xi be required when construction of the bulking is complete. C2. Buirkg Diagram Number 5 (Select the bolding & gram most sinks. to the bilking for which this calk* 's being completed - see pages 6 and 7. If no diagram amuratety repeeents the bulling, provide a sk eit or photograph.) C3. Elerratiors — Zones A1-A30, AE, AN, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -MO, AR/Al t, AR/AO Complete Items C3.-ai below axa*ng to the bulkng tiagrarn specified in item C2. State lie datum used. tribe 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 ca culdion. Use the space provided or the Comets area d Seale/ D or Section G, as apprgxiate, to docunect tie datum corersion. Datum NGVD 29 CaversionlComments Elevation cede malt used Does the elevation reference mark used spear on the FIRM? ❑ Yes ® No o a) Top of bitan floor (inducing basement or erhdosure) 19. 511.(m) Ts- 0 b) Top of net higher floor NA. ft m 13 o c) Bottom of lowest horizontal structural member (V zones only) NA _ ,ft(m) w * �CylSTE y� o d) Attached garage (bp of slab) NA. _ft(m) E ti o e) Lowest elevaion d machinery andlor equipment w I NO. 2249 servicing the buikng (Descrine in a Comments area) 17.7 it.(m) = t1 ; ° f) Lowest adjacent (finished) grade (LAG) 8.4 1t(m) z -Ea o Wittiest arilaoert (fished) grade (am) 9. 0t(m) I o h) Na of pemanent openings (flood vent) wlhin 1 ft abase atljacemt grade 0 o i) Total area d al permanent openings (Rood vents) in C3.h s4 n. (sq. cm) SECTION 0 - SURVEYOR, ENGINEER, OR ARq#TECT CERTIFICATION This certl&ation s 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 avarlable I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTFER S NAME J. Whitey Reynolds UCENSE NUMBER 2249 TITLE Land Surveyor COMPANY NAME CITY STATE ZIP CODE Samna/, GA GA 31405 DATE TEU HONE 8111/06 912352-0464 IMPORTANT: In these spaces„ copy the corresponciirrg intimation from Section A BUILDING STREET ADDRESS (Including Apt, Uni, Sute, art d3. No) OR P.O. ROUTE AND BOX NO. 5 HODGES STREET For traitors Company Use CITY STATE ZIP CODE TYKE ISLAND, GA 31328 Policy Number Compa y NAIC Number SECTION I) - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy bath sides of Ills Elevation Cedate for (1) canxnunly official, (2) inshracoe agempar ', and (3) building owner. COMMENTS C3.e) = A/C PAD 0 Check here if attachments SECTION E • BUILDING ELEVATION INFLATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (wi cut BFE), complete ftens El hough E4. If the E evation Certificate is intended for use as supporting mama ionfor a LOMA or LOMB F, Section C nest be completed El. Buldng Diagrarn Number _(Select the asking dragrarn most snh➢ar to the bulking for witch this certificate is being completed — see pages 6 aid 7. tf no ctagram accurately represents the building, provide a sketch or photograph.) E2. The bp of the bottom floor (inducing basement or erdosure) d the building is ft.(m) _in.(cm) ❑ above a ❑ below (check one) the highest adjacent gale. (Use natural gale, if malabfe). E3. For Building Diagrams 6.6 with openings (see page 7), the net higher floor or elevated door (elevation b) of the building is ft(m) __n.(am) above the highest adjacent grade. Complete kerns C3.h and Cal on trait of form. E4. The by of the plaftarm of machinery andrar egtiprnert servicing the buicing is _ ft(m) in.(am) 0 above or ❑ below (check one) the highest adjacent grade. (Use natural gale, 7 aradable), E5. For Zone AO only If no flood depth number is avaiabie, is the top of the bottom floor elevated in aoccordance wih the carmunity's fIoodpk-in management ordnance? ❑ Yes ❑ No 0 Udu>own. The !acid official must candy this i farhalon in Section G. SECTION F - PROPERTY OWNER {OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representikie who completes Sections A, B, C (Hems C3.h and C3.i only), and E for Zone A (without a FEMA- issued oroom m nty- issued BFE) or Zme AO rust sgn here The statements in Sections A a Q and E are coned loft best drily knowledge PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATIVE'S NAM= ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS 0 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The tool official who is authorized by law or ordnance to admiiister the community's itoodizen management ordinance can canplete Sections A, B, C (or E), and G of this Elevation Celibate. Complete the appic tole items) and sigh below. G1.0 The ihfoamation in Seddon C was taken from other doanerta ion that has been sighed and embossed by a licensed surveyor, engineer, or whiled who's authorized by stale or bcal taw to ced7y elevation idioms ion. (Indicate the source and dated** eledzion data in the Comments area below.) G2. 0 A commis* dial completed Section E fora fairing bated in Zone A (without a FENAissued or community-issued BFE) or Zone AO. G3. ❑ Thefnivwig nformaion (Mans G4-G9) is prated for community Itixdplan menagerrent purposes. G4. HER TT NUMBER G5. DATE PERMIT ISSUED G6. DATE CER FICATE OF COMPUANC JOCCUPAICY ISSUED G7. Th's pent has been issued for ❑ New Corsks:ion ❑ &Wargo! Impalement GB. Ekwa ion of as-xiit lowest loot (inducing basement) cf the butting is: G9. BFE or (n Zone AO) depth d flooring at the bul ing she is: _ft(m) _ L(m) Datum: Datum: LOCAL OFFICIALS NAME COMMUNITY NAME SIGNATURE COMMENTS TITLE TELEPHONE DATE 0 Check here if attachments