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Home My Public Portal AboutJones Av_403(-u U U LLUL - -. L- u k u Ju • uU JLJUI.. FEDr-RAL EMERGENCY MANAGEMENT AGENCY I " J O.M.B. No. 3067 -0077 IONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the Instructions on pages 1 -7. SECTION A- PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number FIRST CITY ENTERPRISES BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 403 JONES AVENUE CITY STATE ZIP CODE TYBEE ISLAND, GA 31328 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Descriptlon, etc) LOT 76, WARD NO. 1 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, eta Use a Comments area, if necessary.) RES LATITUDEA- ONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##}#°- #p#'- ###.##q" or ##.#####0) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP COMMUNITY NAME & COMMUNITY NUMBER 82. COUNTY NAME B3. STATE TYBEE ISLAND 135164 CHATHAM GA B4. MAP AND PANEL Designation Date_ SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) B7, FIRM PANEL C1, Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction B9. BASE FLOOD ELEVATIONS) NUMBER B5. SUFFIX 86. FIRM INDEX DATE EFFECTIVEIREVISED DATE 138. FLOOD ZONE(S) (Zone AO, use depth of flooding) 135164 0001 C 6117166 6117186 A8 12 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 ❑ Other (Describe): B12. Is the building 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: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction `A new Elevation Certificate will be required when construction of the building is compleea 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 Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, AR/AE, ARIAII -A30, AR1AH, AR/AO Complete Items C3. -a -i below according to the building diagram specified in Item C2. Slate 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 NGVD 29 ConversionlComments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No • a) Top of bottom floor (including basement or enclosure) 9. 4 ft.(m) 0 R G j9 • b) Top of next higher floor NA. _ft•(m) a ZS TE • c) Bottom of lowest horizontal structural member (V zones only) NA . _ft.(m) o o • d) Attached garage (top of slab) NA. _ft.(m) w c ` Y No. 2 9 • e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) NA. _ft.(rn) E ro m y • f) Lowest adjacent (finished) grade (LAG) 8.9 ft.(m) z' ce 9. 2 ft.(m)IT g • g) Highest adjacent (finished) grade (HAG) FY • h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 0 • i) Total area of all permanent openings (flood vents) in C3.h 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, 8, and C 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. CERTIFIERS NAME J. WHITLEY REYNOLDS LICENSE NUMBER 2249 TITLE LAND SURVEYOR COMPANY NAME ADDRESS CITY STATE ZIP CODE 636STEPHEN AVE E,S C SAVANNAH GA 31405 SIGNATUR DATE TELEPHONE �-� 511/06 912 -052 -0464 FEMA Form �1 -31, JanuapfI963 See reverse side for continuation. Replaces all previous editions a - at LBLL ZSE ZTB spTouRad Ra1gTgM C eZTrLO 90 Z0 Rew LbLC, C..SL (- J-. Ou AVW IMPORTANT: In these spaces, copy the correspontr' information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS (Including Apt, Unit, Suite, arxUor Bldg.. _.) OR P.O. ROUTE AND BOX N0. Policy Number 405 JONES AVENUE CITY ' STATE ZIP CODE Company NAIC Number TYBEE ISLAND, GA 31328 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenNoompany, and (3) building owner. COMMENTS ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT 13FE) For Zone AO and Zone A (without BFE), complete Items Et through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F, Section C must be completed. E1. Building Diagram Number _(Select the budding diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the buikng, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ fi.(m) in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, If available). E3. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft(m) `in.(cm) above the highest adjacent grade. Complete items C3.h and C3J on front of form, E4. The top of the platform of machinery and/or equipment servicing the building is _ ft(m) _in,(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For 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, C (Items CD and C3,i only), and E for Zone A (without a FEMA4ssued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME AUURL55 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 Iioodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable ilem(s) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by stale or local 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 A0. G3. ❑ The following information (Items G4 -G9) is provided for commurity floodplain management purposes. G4. PERMIT NUMBER I G5. DATE PERMIT ISSUED GG. DATE CERTIFICATE OF G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _fi.(m) Datum: G9. BFE or (n Zone AO) depth of flooding at the building site Is: _. `ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS _ _ ❑ Check here if attachments FEMA Form 81 -31, January 2003 Replaces all previous editions F•d LBLG zSE aIG SPIOURaN R a I I T q C eET =LO 90 20 Few