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Home My Public Portal AboutButler Av_403.pdfUl.S. DEPARTMENT OF HOMELAND SECURffY ELEVATION CERTIFICATE 5EDERAL EMERGENCY MANAGEMENT AGENCY Motion al Flood h7suraiwe Pro rain Important: Read the instructions on pages 1-9. SECTION A — PROPERTY INFORMATM Ai. Building Owners Name City of Tybee Island Al Building Street Address (including Apt., Unit, Suite, and/or Bldg, No,) or P.O. Route and Box No. 403 Butler Avenue EMEMEMEM State GA ZIP, Code 31328 OMB No. 1660..0008 Expiration Date: July 31, 2015 FOR INSURANCE COMPANYUSE _J 131, NFIP Community Name & Community Number 62, County Name B3, State Tybee Island 135164 Chatharn )d Base [34. MapfPanel Number M Suffix B6. FIRIM Index Date Bi. FIRM Panel B8. Fl od B9, Base Road Elevation(s) (Zone :7 'A D a 1305100214 F 711114 EffectivelRevised Date zone(s) AO, use base flood depth) 9126108 AE 12 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139. D FIS Profie 0 FIRM [] Community Detennined El Other /Source: 811, Indicate elevation datum used for 8FE in Item 89: [] NGVD 1929 R NAVD 1988 OtherlSourca: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes El No Designation Date: - — D CBRS 0 OPA 'WHIU11101! a) Top of bottom floor (including basement, crawispace, or enclosure floor) b) Top of the next Ngtrei floor c) Bottom of the lowest horizontal structural member ('Al Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servic4ig the building (Describe type of equipment and location in Comments) D Lowest adjacent (finished) grade next to building (LAO) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest ePevatiwl of deck or stairs, including structuraG support 8.2 Z feet E:j meters 0 feet E] meters a 11 0 feet 0 meters 0 feet E] meters 915 feet rneters &2 feet meters 9.5 feet meters n1a. 0 feet El 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. / certify that the infonvation on this Certificate represents my best efforts to interpret the date available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001, ED Check here if comments are provided on back of form,. Were latitude and longitude in Section A provided by a F1 (7hpnk W-.re if attachments. licensed land surveyor? ED Yes [I No Certifier's Name J. Whitley Reynolds [fitly Land Surveyor Address 6316 Stophe ison Avenue._. Signature fITm F-EThA Vorny,'MI'6-0-3i (7 /,l2) License Number 2249 Company Name City Savannah State GA ZlP Code 3,1405 Date 4/17115 Telephone 912-352-0464 See reverse side for continuation. 94� M Replaces all previous edifions, ELEVATION CERTIFICATE, page 2 !MPORTANT: 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 Sox No. Policy Number: 403 Butler Avenue 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 fbr (1) community official, (2) insurance agent/company, and (3) building owner. Comments C2 a) 's geothermal equipment. The elevation shown on G2.b) is the auditorium. The next higher floor is elev. 11.8. W Property Owner's or Owner's Authorized Representative's Name Address City State Zlp code Signature Date Telephone Comments, SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's voodplain management orainance can cor of this Elevation Certificate. Cornpiete the applicable itern(s) and sign btlow. Check the measurement used in Items G"10, In �Check here if attachments. iections A, 5, C (or E), and Rico only, enter meters. C1. [3 The inforamtion In Section C was taken frorn 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 SFE) or Zone AO G3. The following information (Items G4—G10) is provided for COMMUnity floodplain management Purposes. G Perutort NL mbar - Ciro. Ref ,I Issued ❑W e01Conp co.uipinc, Issued G7. This permit has been issued for EJ New Construction 0 Substantial improvement G8. Elevation of as-built lowest floor (including basement) of the building G9. BFE or (irr Zone AO) depth of flooding at the building site: G10. Community's design flood elevation: Local Official's Name Community Name &gnature Comments feet meters Datum feet meters Datum C1 feet E] meters Datum Title Telephone Im Check here if attachments. FEMA Form O86-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See lnstrucbons for ftern A5, IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bid g, No.) or P.O. Rotate acrd Box No. 403 Butler Avenue City Tybee Island State GA ZIP Code 31328 Compm-ry NAIC Nurnbec 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 VieV 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. som"R Mil F—uiT �orm'-0-8-6 0-33 Replaces all previous editions. ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page IMPORTANT: In these sp,aces, copy the corresponding Information from Section A._ Building Street Address (including Apt., Unlit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 403 Butler Avenue City Tybee Island State GA ZIP Code 31329 1, NMMG= Company NAIC Number, Ff subrnitfin�'more photographs than will fit on the preceding page, affix the additional photographs below. 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. i" �MA Fr;ru 86-0-33' j=7112) Repiaces 0 previous edifions.