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Home My Public Portal AboutFifth Av_1408To'd M76 _ ...... ... . _- ...... ........ .... ..... __._...._. ,_ ... ... ........ _- ........ -- ....__..,.... — _...._ - -- - - - ........ -- - - - 7-17 t - (dW U,S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE ' OMB No. 11 660-0008 JE Federal Emergency Management Agency � Exoires February 21<, National Flood Insurance Pro gram Important., Read the inSti-Lictions on pages 1-8 SECTION A - PROPERTY INFORMATION For Insurance Company Use; At Building Owners Name E. C. Johns Construction Co. Policy Number A2. Building Street Address fincluding Apt.. Unit, Suite, an(Vor• Bldg. No.) or P.O. Route and Box No. Company NAIC Number 1408 Fifth Avenue City Tybee island, State GA ZIP Code 31328 A3. - Property Llcription (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 225, ward no. 4, Tybee island A4. Building Use (e n., Residential, Non - Residential, Addition, Accessory, etc.! residential A5. I_atitudeiLongitude. Lat. N 31 dcea 59.735 min Long. W 80 deg 51.11 G min Horizontal Datum: (J NAD 1927 @ NIAD 1983 A6. Attach at !east 2 prtotographs of the building if the Certificate is being used to obtain flood insurance. A7- Building Diagram Number G A8. For a building with a craws space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Square fooiage of cravwi space or enclosure(s) 112 sq ft a) Square footage of attached garage — sq fl b) No, of permanent flood openings in the craw, space or b) No or permanent flood openings in the attached garage enclosure(s) .,veils within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b ._. sq in SECTION 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION -_ -- - - - -- m ---FT 6 NFI 1. P Community Name & Community Number 92. County Name 63 State , I. Tybee island 135154 Chatham __` .— ...�..__.--- ___.....— ., - - - --• � GA 84. Map/Panel, Number 135. Sw:ix i B5. FIRM Index 87. FIRM Panel B8. Flood ` 99. Base Flood Elevation(.,) {Zone Cate Effective/Revised Date •Zones AO, use base flood capthl 135164 0002 C 6117186 5117; 86 A8 {) i 3 BID indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139 ❑ FIS Profile 9 FIRIM Cl Community Determined ❑ Other (Describe)._ 811 Indicate elevation datum used for BFE in Item 69: I$ NGVD 1920 ❑ NAVO 1988 0 Other fescribe) 812- Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protact=d Area (OPA)? Dyes ON-0 Designaiion Date __ (] CBRS ❑ OPA. -SECTION C - BUILDING ELEVATION iNF'ORitrM?' ON (SURVEY REQUIRED) C1. Building elevations are Lased on: ❑ Construction Drawings' ❑ Building Under Construction' 0 Finished Constructior, 'A nev✓ Elevation Certificate will be required when construction of the building is complete. C2 Elevations -Zones Al -A30, AE, AH. A (with BFE), VE, V 1 -V30, V (wfth BFE). AR, ARIA, ARIAS, ARAA1 -A30, ARIAH, AR/AO. Complete lterns C2 a..o below according to the building diagram specified in Item A7. Benchmark Utilized local Vertical Datum NGVD 1929 Conversion /Comments a) Top of bottom floor (including basement, crawi space, or enclosure floor)_ b-1 Top, of the next higher floor c) Bottom: of the !invest horizontal structural member (V Zones only) i_) - Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (De scribe type of equipment in Comments) i; Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) Check the measurement used 7.7 O feet 7 meters (Puerto Rico only) 16.5 feet r meters (Puerto Rico only) n1a._�- iBl feed ❑ meters (Puerto Rico only) .4 feet ❑meters (P- eft o Rico only) 15.E 19 feet ❑ meters (Puerto Rico only) &.5 M feet ❑ meters (Puerto Rico only) 711 17j feet ❑ meters (Puerto Rico only) SECTION 0 - 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. r cerbry that the information on this Certif!calp- represents my best efforts to interpret fie data available /understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001 0 Check here if comments are provided on back of form. Certifier's Name J Whitley Reynolds License Number 2249 Title Land Surveyor Company Name J. Whitley Reynolds, Land Strr veying GA ZIP Code 31405 Telephone �,%ryORGI �ViSTn�"`I No. 2249 0 r � T •d 2S98- 9131--aT6 eST:GO LOCI Jew ze d ib6 z� :t30 L00c— ��_�dW IMPORTANT: In these spaces, copy the corresponding information from Sectior. A. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O Route and Box No. Policy Number 1408 Fifth Avenue City Tybee Island, State GA LIP 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 C2.e) = a/c pad naiure _ ❑ Check here if attachm, 4 E - BUILDiNG ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT 9FE) For Zones AO and A (without SFE), complete !terns E1 -E5. if the Cortiiirate is intended to support a LOMA or LOMB -F request, complete Sections A. B. and C. For Items E1 -E4, trse 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 (!-SAG) and the lowest adjacent grade (LAG). al Top of bottom floor (including basement, crawl space, or enclosure) is L 1 feet ❑ meters 0- above or ❑ below the HAIL taj Top of bottom floor (including basement, crawl space, or enclosure) is —� —__ ❑ feet ❑ meters ❑above or ❑ below the LAU'. E2. For Building Diagrams 6 -8 with permanent flood openings provided in Section A items 8 andlor 9 (see page 8 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 andlor equipment servicing the building is _ ❑ feet ❑ meters ❑ above or U below the HAG. Es, Zane AO only: If no flood depth number is available, is the top of t!te bottom floor elevated in accordance with the community's floodplain managemerrl 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 c for Zone R (without a FEAIIA -sued ar community issued BFE) or one AO must sign here. The statements in Sections A, G. and C are cormot to the best of my knowledge. Property Owner's or Owners Authorized Representative's Name Address City State LIP Code Date •--- •---- - --... ._._._ Telephone --- - -_.__. Check here ii atlaphmen!s SECTION G - COMMUNITY INF=ORMATION (OPTIONAL) The local official who is authorized by taw or ordinance to administer the community's floodp +lain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certi icate. Complete the applicable dem(s) and sign below. Check the measurement used in Items G8. and G9. G1. ❑ The information in Section C was taken from other documentation that lies been signed and seated by a licensed surveyor, engineer, or architect who is authorized bylaw io certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. L7. A community official completed Section E for a building located in Zone A (without a FEIMA- issued or community- issued SFE) or Zone AO. G3. ❑ Tile following information (Items G4. -G9.) is provided for community floodplain management purposes L G4. Permit Number —^ TG5- Date Permit Issued w — � G6. Date Certificate Of CompliancelOcrupancy Issued — G7. T his permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the buildinq _j�l feet ❑meters (PR) Datum G9 SFE or (in Zone AO) depth of flooding at the building site. _._._ ❑ feet ❑ meters (PR) Datum _..� Local Official's Name --- ^-- �— .— T- .y.__--- . -. —_ -- ._Contmuniiy Name------- - -� - -- —� -- -- - re - Commsnts Title -- Telephone _ — - -- Date ____._..__❑ Check hire if 4Kacll2ients z•d �S98- 98L-ZT6 eSi:60 LO FT .,P,