Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My Public Portal
About
Eighteenth Pl_1
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660 -0008 n'ar;orral Flood /nsurartce 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 Tracy Young Policy Number. A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O, Route and Box No. Company NAIC Number: #1 18"' Place City Tybee Island State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description,. etc.) Lot 3 of the eastern portion of Beach Lot 112 Ward 5 Tybee Island, Tax Parcel #4- 0009 -06 -031 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5. Latitude /Longitude: Lat. 31 °59'18.3" Long. 80 °50'57.3" 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 6 A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawispace or enclosure(s) 3.378 sq ft a) Square footage of attached garage NIA sq ft b) Number of permanent flood openings in the crawispace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade p within 1.0 foot above adjacent grade NIA c) Total net area of flood openings in A8.b 0 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 B1. NFIP Community Name & Community Number f B2. County Name I B3, State City of Tybee Island 135164 I Chatham Georgia 610. 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: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source: B12. 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) Cl. 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. C2. Elevations — Zones Al —A30, AE, AH, A (with BFE), VE, V1 —V30, V (with BFE), AR, AR/A, AR /AE, ARIA1 —A30, AR /AH, ARIAO. Complete Items C2.a —h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: eGPS Vertical Datum: NAVD88 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawispace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) I) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 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 certtfy 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 punishable by fine or imprisonment under 16 U. S. Code, Section 1001. ® Check here if comments are provided on back of farm. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. licensed land surveyor? 2 Yes ❑ No Certifier's Name J. Craig Brewer, RLS License Number 3022 Title Registered Land Sur Company Name Brewer Land Surveying aoaress P. O. Box 441 City Pooler State GA ZIP Code 31322 Signature l Date 1 -12 -2015 Telephone 912 -856 -2205 ry. * No. 3022 ROFESSIONAL SURVF�r�ti`� FEMA Farm 086 -0 -33 (7/12) See reverse side for continuation. Replaces all previous editions. Check the measurement used. 8._5 ® feet ❑ meters 20.3 E1 feet ❑ meters 18.0 @ feet ❑ meters N /.A ❑ feet ❑ meters 18.0 ® feet ❑ meters 8.3 ® feet ❑ meters 8.5 ® feet ❑ meters 8.5 ® 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 certtfy 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 punishable by fine or imprisonment under 16 U. S. Code, Section 1001. ® Check here if comments are provided on back of farm. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. licensed land surveyor? 2 Yes ❑ No Certifier's Name J. Craig Brewer, RLS License Number 3022 Title Registered Land Sur Company Name Brewer Land Surveying aoaress P. O. Box 441 City Pooler State GA ZIP Code 31322 Signature l Date 1 -12 -2015 Telephone 912 -856 -2205 ry. * No. 3022 ROFESSIONAL SURVF�r�ti`� FEMA Farm 086 -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: #1 18th Place 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 The elevation in Section C2e is the outside air conditioning unit. Signature Date 1 -12 -2015 SECT - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items Ei -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 NAG. 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 andlor 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters C] 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, 8, C (or E), and G of this EI vation 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. Q--The following information (Items G4 -G10) is provided for community floodplain management purposes. G4. Permit Number G5, Date Permit Issued G6. Date Certificate Of Compl'rancelOccupancy Issued G7. This permit has been issued for: EiNew Construction ❑ Substantial improvement G8. Elevation of as -built lowest floor (including basement) of the building: / F. [] feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: J. feet ❑ meters Datum G10. Community's design flood elevation: . 0 ❑ feet [I meters Datum dv14-K 44.1 12 e CA- L al Offici a lQ nod Title , Z '7,-G t -13 C u' N e 1 Telephone_ Signature Date Comments ❑ Check here it attachments. FEMA Form 086 -0 -33 (7112) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. 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: #1 18th Place City Tybee Island State GA ZIP Code 31328 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and 'Rear View "; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. C if 1 - _ I 1k Front View 1-7-2015 f r loo- Rear View 1-7-2015 rraivv -\ rUrrTl UOD -U -03 k// I LJ Replaces all previous editions. Note: The V Zone design certificate is not a substitute for the NFiP Elevation. Certificate (see Fact Sheet No. 1.4, Lowest Floor Elevation); hick is required to certify as -built elevations needed for flood insurance rating. V ZONE DESIGN CERTIFICATE Name I mpi, Policy Number (Insurance Co. Building Address of Other Description fa IRk, State C- L_Zip Code Permit No. l _1 - Q i it Community N (NOTE: This section docur and is not equivalent to the I: Flood Insurance Rate Map (FIRM) Information anel No. Suffi FIRM Date`""7 FIRM Zone(s) NF ,CTION II: Elevation Information Used for Design the elevations /depths used or specified in the design - it does not document surveyed elevations ilt elevations required to be submitted during or after construction.] ,, rr�� 1. FIRM Base Flood Elevation (BFE) ........................................................................................................ ....................... .7Lfeet* 2. Community's Design Flood Elevation (DFE) ............. ....,....................Meet* 3. Elevation of the Bottom of Lowest Horizontal Structure Member .................................................... ............................... %? feet* 4. Elevation of Lowest Adjacent Grade .............................................................................................. ............................... feet* 5. Depth of Anticipated Scour /Erosion used for Foundation Design .................................................. ............................... feet 6. Embedment Depth of Pilings of Foundation Below Lowest Adjacent Grade .................................. ............................... feet * Indicate elevation datum used in 1 -4: ❑ NGVD29 XNAVD88 ❑ Other I SECTION III: V Zone Design Certification Statement I certify that: (1) 1 have developed or reviewed the structural design, plans, and specifications for construction of the above - referenced building and (2) that the design and methods of construction specified to be used are in accordance with accepted standards of practice ** for meetir2g the following provisions: • The bottom of the lowest horizontal structural member of the lowest floor (excluding piles and columns) is elevated to or above the BFE. • The pile and column foundatiQII n and structure attached thereto is anchored to resist flotation, collapse, and lateral movement due to the effects of the wind and tter loads acting simultaneously on all building components. Water loading values used are those associated with the base flood`*". Wind loading values used are those required by the applicable State or local building code. The potential for scour and erosion at the foundation has been anticipated for conditions associated with the base flood, including wave action. IV: Breakaway Wall Design Certification Statement [NOTE. This section must be certified by a registered engineer or architect when breakaway walls are designed to have a resistance of more than 20 psf (0,96 kN /m2) determined using allowable stress design] I certify that: (1) 1 have developed or reviewed the structural design, plans, and specifications for construction of breakaway walls to be constructed under the above - referenced building and (2) that the design and methods of construction specified to be used are in accordance with accepted stand �'ids of practice ** for meeting the following provisions: • Breakaway wall collapse shall result from a water load less than that which would occur during the base flood * * *. • The elevated portion of the building and supporting foundation system shall not be subject to collapse, displacement, or other structural damage due to the effects of wind and water loads acting simultaneously on all building components (see Section Ill). SECTION V: Certification and Seal This certification is to be signe1d and sealed by a registered professional engineer or architect authorized by law to certify structural designs. I certify the �V Zone Design Certification Statement (Section III) and the Breakaway Wall Design Certification Statement (Section IV, check if applicable). Certifier's Name ¢`K' I 1305w F_U License Number ► "!L © -Z �j �J -7 Z Title 9, Y_ . � Company Name Mdress A-100 15"C>1 \ _State y0-Zip Code 12 - 31- OTelephone i ' 1045?— ��s N O N C O N V E R S I O N A G R E E M E N T Z r F O R S T R U C T U R E S I N T H E F L O O D P L A I N B u i l d i n g P e r m i t N u m b e r 1 , a - d ( j 3 A d d r e s s o f P r o p e r t y P I N F I R M Z o n e B F E I 7 f e e t ( N A V D ) P a n e l N u m b e r e f f e c t i v e d a t e ` P r o p e r t y O w n e r ( s ) C o n t r a c t o r O L L , , e ��K 6 V I A I n a c c o r d a n c e w i t h t h e F l o o d D a m a g e P r e v e n t i o n O r d i n a n c e o f t h e C i t y o f T y b e e I s l a n d , G e o r g i a , t h e P r o p e r t y O w n e r a g r e e s t o t h e f o l l o w i n g : 1 . T h a t t h e e n c l o s e d a r e a b e l o w t h e B a s e F l o o d E l e v a t i o n s h a l l b e u s e d s o l e l y f o r p a r k i n g o f v e h i c l e s , l i m i t e d s t o r a g e , o r a c c e s s t o t h e b u i l d i n g , a n d w i l l n e v e r b e u s e d f o r h u m a n h a b i t a t i o n w i t h o u t f i r s t b e c o m i n g f u l l y c o m p l i a n t w i t h t h e F l o o d D a m a g e P r e v e n t i o n O r d i n a n c e i n e f f e c t a t t h e t i m e o f c o n v e r s i o n . 2 . T h a t a l l i n t e r i o r w a l l s , c e i l i n g s , a n d f l o o r s b e l o w t h e B a s e F l o o d E l e v a t i o n s h a l l b e u n f i n i s h e d o r c o n s t r u c t e d o f f l o o d - r e s i s t a n t m a t e r i a l s . 3 . T h a t m e c h a n i c a l , e l e c t r i c a l , o r p l u m b i n g d e v i c e s s h a l l n o t b e i n s t a l l e d b e l o w t h e B a s e F l o o d E l e v a t i o n . 4 . T h a t t h e w a l l s o f t h e e n c l o s e d a r e a b e l o w t h e B a s e F l o o d E l e v a t i o n s h a l l b e e q u i p p e d w i t h a t l e a s t t w o v e n t s w h i c h p e r m i t t h e a u t o m a t i c e n t r y a n d e x i t o f f l o o d w a t e r w i t h t o t a l o p e n i n g s o f a t l e a s t o n e s q u a r e i n c h f o r e v e r y s q u a r e f o o t o f e n c l o s e d a r e a b e l o w f l o o d l e v e l . T h e v e n t s s h a l l b e o n a t l e a s t t w o d i f f e r e n t w a l l s , a n d t h e b o t t o m s o f t h e v e n t s s h a l l b e n o m o r e t h a n o n e f o o t a b o v e g r a d e . I f l o c a t e d i n a V - z o n e , b r e a k a w a y w a l l s a r e r e q u i r e d . 5 . T h a t t h e r e q a 6 a e d s t r u c t u r e m a y b e s u b j e c t t o i n c r e a s e d p r e m i u m r a t e s f o r f l o o d i n s u r a n c e a v a i l a b l e f r o m t h e N a t i o n a l F l o o d I n s u r a n c r g r a m d u e t o i X $ c a t i o n i n a S p e c i a l F l o o d H a z a r d A r e a . 6 . T h a t a f i y y d r i a t i o n i n . ��" c t i o n b e d w h a t i s p e r m i t t e d s h a l l c o n s t i t u t e a v i o l a t i o n a n d b e a b a t a b l e a s s u c h . S i g n a r e o f P r o p e r t y 0 e r D a t e _ r a c u y O U f l a P r i n t e d N a o f P r o p O w n e r S i g n a t u r e o f P r o p e r t y O w n e r P r i n t e d N a m e o f P r o p e r t y O w n e r D a t e I I I I I I I I I I I I I I I I I V I I I V I I I ( I I I I V I I I V I I I i l l l l V I I I V I I I V I I I V I I I V I I I I I I I I I I I D o c I D : 0 2 8 5 5 3 5 1 0 0 0 1 T y p e : A G R E R e c o r d e d : 0 1 / 0 6 / 2 0 1 5 a t 0 2 : 3 8 : 2 9 P M F e e A m t : $ 1 0 . 0 0 P a q e i o f 1 C h a t h a m , G a . C l e r k S u p e r i o r C o u r t D a n i e l M a s s e y C l e r k S u p e r i o r C o u r t B K T 3 V P G 4 V S T A T E O F G E O R G I A C O U N T Y O F C H A T H A M ��, u I h e r e b y c e r t i f y t h a t o n t h i s t K d a y o f 2 0 ��S b e f o r e m e , a N o t a r y P u b l i c o f t h e S t a t e o f G e o r g i a , p e r s o n a l l y a p p e a r e d " F y W C . N l f M L n , k n o w n t o m e , o r s a t i s f a c t o r i l y p r o v e n t o b e t h e p e r s o n w h o s e n a m e i s s u b s c A b e d ' t t h e r e g o i n g i n s t r u m e n t , w h o a c k n o w l e d g e d t h a t h e / s h e h a s e x e c u t e d i t f o r t h e p u r p o s e s t h e r e i n s e t f o r t h , a n d t h a t i t i s h i s a c t a n d d e e d . I n w i t t i n e s s w h e r e o f , I h a v e s e t m y h a n d a n d N o t a r i a l S e a l 1 �� N O T A R Y t . ( A A - . L t _ 4 t ^ _ _ M y C o m m i s s i o n e x p i r e s o n Q t ( - 1 X L a - 0 1 S W I T N E S S S I G N A T U R E 0 . M , L p 1 , P r i n t e d N a m e - 0 a x r ; e ` L g - A d d r e s s 1 5 ? ) % & X \ 5 e �� ( O F F t = S M ) N O T A R Y P U B L I C G E O R G I A C A T H E R I N E A N N H U D S O N ( S e a t ) ' + C O U N T Y O F C H A T H A M M y C o m m i s s i o n T r e s 1 2 2 , 2 0 8 N o t e : A N o n c o n v e r s i o n A g r e e m e n t m u s t b e u s e d w h e n e v e r a n e n c l o s e d s t r u c t u r e o r p o r t i o n o f a s t r u c t u r e i s b u i l t o r s u b s t a n t i a l l y i m p r o v e d w i t h i n t h e 1 0 0 y e a r F l o o d p l a i n b e l o w t h e B a s e F l o o d E l e v a t i o n . A N o n c o n v e r s i o n A g r e e m e n t m u s t s a t i s f y a l l o f t h e a b o v e c o n d i t i o n s a n d r e q u i r e s p r o p e r r e c o r d a t i o n i n t h e l a n d r e c o r d s o f C h a t h a m C o u n t y , G e o r g i a .