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Home My Public Portal AboutTybrisa St_23U.S. DEPARTMENT OF HOMELAND SECURITY =LEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660 -0008 National Flood Insurance Program Important: Read the instructions on pages 1 -9. Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name William Navon Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 23 Tybrisa Street City Tybee Island State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lots 5, 6 & pts of lots 4 & 7 sub of lots 94 -97, ward 4 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) non - residential A5. Latitude /Longitude: Lat. N 31 deg 59.5320 min Long. W 80 deg 50.9060 min Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) n/a sq ft a) Square footage of attached garage n/a sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade n/a within 1.0 foot above adjacent grade n/a c) Total net area of flood openings in A8.b n/a sq in c) Total net area of flood openings in A9.b n/a sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name &Community Number 62. County Name B3. State Tybee Island 135164 Chatham GA B4. Map /Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 13051 CO326F F 9/26/08 Effective /Revised Date Zone(s) AO, use base flood depth) 9/26/08 AE 13 10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other /Source: 11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source: 12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. 2. Elevations - Zones Al -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 -h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 El Other /Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 13.6 ® feet ❑ meters b) Top of the next higher floor n /a. ® feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) n /a. ® feet ❑ meters d) Attached garage (top of slab) n /a. ® feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 13.6 ® feet ❑ meters (Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grade next to building (LAG) 12.9 ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 14.9 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support n /a. ® feet ❑ meters 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 on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be by fine or imprisonment 18 U.S. Code, Section 1001. G IA punishable under pR ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a $TEA? ❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No P Certifier's Name J. Whitley Reynolds License Number 2249 Title Land Surveyor Company Name Address 636 ephenson Avenue City Savannah State GA ZIP Code 31405 �D SUg Signature - - e 2/5/14 Telephone 912- 352- 0464ITLE� =EMA For -0 -33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Policy Number: 23 Tybrisa Street City Tybee Island State GA ZIP Code 31328 Company NAIC Number: SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments A/C comp. is elev C2.e) is bathroom plumbing -' Signature Date 2/5/14 SECTION E — B)MLDING 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 Sections A, B, and C. For Items E1 —E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. 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, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and /or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and /or equipment servicing the building is ❑ 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 with 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 best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments Check here if attachments SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ 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. ❑ The following information (Items G4 —G10) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments Check here if attachments. FEMA Form 086 -0 -33 (7/12) Replaces all previous editions. U.S. DEPARTMENT OF HOMELAND SECURITY FLOODPROOFING CERTIFICATE OMB No. 1660 -0008 FEDERAL EMERGENCY MANAGEMENT AGENCY FOR NON - RESIDENTIAL STRUCTURES Expiration Date: Jul 31, 2015 National Flood Insurance Program p y The floodproofing of non - residential buildings may be permitted as an alternative to elevating to or above the Base Flood Elevation; however, a floodproofing design certification is required. This form is to be used for that certification. Floodproofing of a residential building does not alter a community's floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements. The permitting of a floodproofed residential basement requires a separate certification specifying that the design complies with the local floodplain management ordinance. BUILDING OWNER'S NAME W 11.t. + FOR INSURANCE COMPANY USE t, P..w t�►l�VOIJ STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER ( POLICY NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) COMPANY NAIC NUMBER CITY 31 T 32 STATE ZIP CODE � f3�-C �st,� -�, �I f� . S SECTION 1— FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM: COMMUNITY NUMBER PANEL NUMBER SUFFIX DATE OF FIRM INDEX ZONE BASE FLOOD ELEVATION ` r �3� ✓�G�32�� '��_ �[, ,/FIRM {1�i (in ADZ In�UseDepth) Indicate elevation datum used for Base Flood Elevation shown above: ❑ NGVD 1929 M'NAVD 1988 ❑ Other /Source: SECTION 11 — FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) Elevations are based on: ❑ Construction Drawings ❑ Building Under Construction finished Construction Floodproofing Design Elevation Information: Building is floodproofed to an elevation of L 5 feet (In Puerto Rico only, _ . meters). ❑ NGVD 1929 M AVD 1988 ❑ Other /Source: (Elevation datum used must be the same as that used for the Base Flood Elevation.) Height of floodproofing on the building above the lowest adjacent grade is 2 id feet (In Puerto Rico only: meters). For UnnumbWed A Zones Only: Highest adjacent (finished) grade next to the building (HAG) feet (In Puerto Rico only: meters) EI NGVD 1929 ❑ NAVD 1988 ❑ Other /Source: (NPTE: For insurance rating purposes, the building's floodproofed design elevation must be at least 1 foot above the Base Flood Elevation to receive rating credit. If the building is floodproofed only to the Base Flood Elevation, then the building's insurance rating will result in a higher premium.) SECTION III — CERTIFICATION (By a Registered Professional Engineer or Architect) Non - Residential Floodproofed Construction Certification: I certify that, based upon development and /or review of structural design, specifications, and plans for construction, the design and methods of construction are in accordance with accepted standards of practice formeeting the following provisions: The structure, together with attendant utilities and sanitary facilities, is watertight to the floodproofed design elevation indicated above, with walls that are substantially impermeable to the passage of water. All structural components are capable of resisting hydrostatic and hydrodynamic flood forces, including the effects of buoyancy, and anticipated debris impact forces. I certify that the information on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER (or Affix Sea[) nn A le K t3os w� L� PC 2$ 3'i 2� TITLE �r- COMPANY NAME ,Vlq I t-3 R 9_z5w f-u_ -rl 1z 51ei N ADDRESS CITY STATE ZIP CODE to 3 to &5_c � DZ%,I E m N A-%4 6L&. 31 a SIGNATURE DATE PHONE "1. 3 -10 _ t4 ct - M-7. 69 3 Z_ Copies should be made of this Certificate for: 1) community official, 2) Insurance agent /company, and 3) building owner. FEMA Form 086 -0 -34 (7/12) REPLACES ALL PREVIOUS EDITIONS F -056