HomeMy Public PortalAboutSixth Av_1209FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
O.M.B. No. 3067 -0077
Expires July 31, 2002
Important: Read the Instructions on Eages 1 - 7.
SECTION A - PROPERTY .OWNER INFORMATION Fof'lr>surence Conpainy ui'e'
BUILDING OWNER'S NAME P. olicy Number _:.
CHRISTOPHER P. SOLOMON
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIL Nub r =
1209 SIXTH AVENUE
CITY STATE ZIP CODE
TYBEE ISLAND GA 31328
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 343 WARD 4 TYBEE ISLAND
BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc, Use Comments section If necessary.)
RESIDENTIAL .. . - "" .. - . _ ..
LAµ IyI I UWLILUNUI I ULA (UKIIUNAL). MUK140NIAL U/A:I UM: .. SUUKGt: • 1-.1 Ueb (1 ype ?:.
( #00 - ##'- ##,W or ##.## #� C) NAD 1927 . ❑ NAD 1883 0 USGS Quad Map ❑ Other
SECTION $ - FLOOD INSURANCE, RATE MAP (FIRM) INFORMATION
81. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER
82. COUNTY NAME
B3: STATE
TYBEE ISLAND, GEORGIA - 135164
CHATHAM- _7
GA
84. MAP AND PANEL
B5. SUFFIX
B6. FIRM INDEX
87. FIRM PANEL
B8. FLOOD
BA. BASE FLOOD ELEVATION(S)
NUMBER
I
DATE
EFFECTWE/REVISED DATE.
ZONE(S)
(Zone AO; use depth of flooding)
1351840002
C
811718@
81171W i
AE
13
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM Q, Community q'etermined. [] Other (Describe):
B11. Indicate the elevation datum used for the BFE "in B9.-:o NGVD 1929 ❑ NAVD 1988', ,❑ .Other (Describe):
B12. Is the building, located in a Coastai Barrier Fkesourcee'System (t8 R reap r OthelrvvIse Protected Area (OPA) ?,❑ Yes ®No
Designation DateN /A
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 complete.
C2. Building Diagram Number I (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, V1430, V (with BFE), AR, ARIA, AR/AE, AR/Al-A301, AR/AH, AR/AO
Complete Items C3a-i below according to the building diagram specified in Item C2. State 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 Sedion G; as appropriate, to document the datum conversion.
Datum NGVD 1929 Conversion /Comments NONE
Elevation reference mark used LOCAL Does the elevation reference mark used appear on the FIRM? []Yes ®No
❑ a) Top of bottom floor (including basement or enclosure) 8.71ft.(m) i
❑ b) Top of next higher floor NONE. _ft.(m) N
❑ c) Bottom of lowest horizontal structural member (V zones oniy)N /A . tt.(m)
• d) Attached garage (top of slab) NONE.
• e) Lowest elevation of machinery and/or equipment
servicing the building 1. 72ft.(m)
• f) Lowest adjacent grade (LAG) A-. lft.(m) :2.5
• g) Highest adjacent grade (HAG) 8. 5 LM
• h) No. of permanent openings (flood vents) within 1 ft above adjacent grade N/A
• i) Total area of all permanent openings (flood vents) in C3h Nasq. in. (sq, cm). .
m
N
T SECTION D - SURVEYOR, ENGINEER, OR ARC HIT>=CT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized' by law to certify elevation information.
l certify that the information. in Sections A, S, and C on this cert*ate represents my best efforts to interpret the data available.
l understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME BERT B. BARRETT, JR. LICENSE NUMBER 2225
BERT BARRETT, JR. LAND SU
SIGNATURE l ) /-7C '74Z, 1 DATE