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HomeMy Public PortalAboutEighteenth Pl_2U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION 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 INSURANt~ QlVI SftlY U ._ Al. Building Owner's Name WISTAR LEWIS P©licyNtnnbet A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Cpntpn N�Ntxtaber' 2 18TH PLACE City TYBEE ISLAND State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT B OF A SUBDIVISION OF THE REMAINING PORTION OF BEACH LOT 111, WARD 5, TYBEE ISLAND A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude /Longitude: Lat. 31.98852° Long. 80.84882° 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. A7. Building Diagram Number 6 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) 206 sq It 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 WA 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 B1. NFIP Community Name & Community Number B2. County Name B3. State TYBEE ISLAND, GEORGIA - 135164 CHATHAM GA B4. Map /Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 13051CO326 F 7/07/2014 Effective /Revised Date Zone(s) AO, use base flood depth) 9/26/08 VE 18 B10. 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: N/A ❑ 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, AR /A1 -A30, AR /AH, AR /AO. Complete Items C2.a -h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: eGPS VRS NETWORK 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, crawlspace, 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 certify elevation information. 1 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. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No Certifier's Name BERT B. BARRETT, JR License Number GA. 2225 Title OWNER/PRESIDENT Company Name BERT BARRETT, JR LAND SURVEYING PC Address 145 NER ROAD City SAVANNAH State GA ZIP Code 31410 Signature j Date 11/06/14 Telephone 912 - 897 -0661 FEMA Form 086 -0 -33 (7/12) See reverse side for continuation. ORG�9 Q�aS��9E' Na.' - -2225 R. 9�aSU �.Ip ee R Replaces all previous editions. Check the measurement used. 11.4 ® feet ❑ meters 20.9 ® feet ❑ meters 19.4 ® feet ❑ meters NONE._ ® feet ❑ meters 20.9 ® feet ❑ meters 10.7 0 feet ❑ meters 11.3 ® feet ❑ meters 10.7 ® 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. 1 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. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No Certifier's Name BERT B. BARRETT, JR License Number GA. 2225 Title OWNER/PRESIDENT Company Name BERT BARRETT, JR LAND SURVEYING PC Address 145 NER ROAD City SAVANNAH State GA ZIP Code 31410 Signature j Date 11/06/14 Telephone 912 - 897 -0661 FEMA Form 086 -0 -33 (7/12) See reverse side for continuation. ORG�9 Q�aS��9E' Na.' - -2225 R. 9�aSU �.Ip ee R 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 Niitr,taer 2 18TH PLACE City TYBEE ISLAND State GA ZIP Code 31328 Company NAIC Numt�er: 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 1. GOOGLE EARTH USED TO OBTAIN LAT /LONG. 2. THE ELEVATION SHOWN IN C2 e) IS A HOT WATER HEATER LOCATED ON THE FIRST ELEVATED FLOOR. IiQ�l Signature I C Date 11/06/14 SECTION E — BUILDING 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 (HAG7 and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is N /A. E feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is N /A. E 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 N /A. E feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is N /A. E feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and /or equipment servicing the building is N /A. E 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 N/A Address NIA City N/A State NA ZIP Code N/A Signature N/A Date N/A Telephone N/A Comments NIA 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 G5. Date Permit Issued G6. Date Certificate Of Compliance /Occupancy Issued i N/A I NIA I N/A G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: N /A. E feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: N /A. E feet ❑ meters Datum G10. Community's design flood elevation: N /A. E feet ❑ meters Datum Local Official's Name N/A Title N/A Community Name N/A Telephone N/A Signature N/A Date N/A Comments N/A ❑ Check here if 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: 2 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. LEFT SIDE VIEW RIGHT SIDE VIEW 1k t Vii!• - "..._ _ =_' .. mil► i .► Ir..� .�, � � { i le I. REAR VIEW FRONT VIEW FEMA Form 086 -0 -33 (7/12) 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), which is required to certify as -built elevations needed for flood insurance rating. V ZONE DESIGN CERTIFICATE Name l� ���� " �s Policy Number (Insurance Co. Use) Building Address of Other Description,f ZR %Y�-t� /LL,46 —c L E 1-5L OA 3134 Permit No. City (/ ��� `✓� � �� State e ff Zip Code SECTION I: Flood Insurance Rate Map (FIRM) Information 22 C [1 1305 1003 -z;o F -Z (_—o VE j 8 Community No. .J 5 1 Panel No. Suffix_ FIRM Date' FIRM Zone(s) SECTION II: Elevation Information Used for Design [NOTE: This section documents the elevations/depths used or specified in the design -it does not document surveyed elevations and is not equivalent to the az -built elevations required to be submitted during or after construction.] 1. FIRM Base Flood Elevation ( BFE) ................................................................................................ ............................... /8 feet" 2. Community's Design Flood Elevation DFE * 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 ................................................... ............................... Meet 6. Embedment Depth of Pilings of Foundation Below lowest Adjacent Grade .............................. ............................... A) 1� feet * Indicate elevation datum used in 1-4: 0 NGVD29 fl�' AAVD88 0 Other 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 meeting 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 foundation and structure attached thereto is anchored to resist flotation, collapse, and lateral movement due to the effects of the wind and water 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. SECTION 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) i 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 standards 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 111). SECTION V: Certification and Seat This certification is to be signed and sealed by a registered professional engineer or aL54t9LcL authorized by law to certify stl - - - - Cc