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Home My Public Portal AboutCHATHAM AV_1606.pdfU.S. DEPARTMENT OF HWELAND SEC IM, riv ELEVATION CERTIFICATE rEi EMERGENCY MANAGEMENT Ar JJ'iod bw""wxv Pr',rP'wnn Ignportant, Read Hie instrucdons on pages 19 SEC11ONI A-- PROPERTY INFORMATION —71 Buill Cnef's N,_,rre Robert J, Mifs & Simon Daiwa i A2 Building Street Address (Including Apt., Und., 50e andlor Btb'D No) or P 0, Riorre and Box No, 1606 Chatham AvenLis, Cott' I yinee raisina S9a90 GA ZIP code 31 0KTIE3 No, 16A'4008 Explication Date: JOy 31, 2015 FOR JNSUWiCiE C01,MPANYu97E:_1 Lot 7-A, Mcleod Subdivai ward 5 .... .... .... A4. Building Use (e.9, Reiiidenlial Non-Resucbcribal, Addition. Accessory, etc.) Residential A5. Latitude)Longrru de., Lat Long. 4 BU doe 5l 11520 mirs Horizontal Datum" Ej NAD 1927 N_ NAD i P83 A5 Attach at least 2 photographs of the building !if the Cartirficalre is being used to obtain flood insurance. AT Building iDiagram NUTuber 6 AS. For a building with a crawlspece or enclosure(s): A9 For a building with an attached garage: a) Square footage ofcrawispace or enclosure(s) so it a) Square footage Of 2tiRol-ed garage rVa gq h b) Number of permanent flood openings in the crawlsp2cE b) 1',Iurnbw of permanent food openings in the attacked qaiiage or enckownsis) with in I .0 foot above adjacent grade 2 within 1 0 foin above adjacent grade '1fa c) Total not area of flood openings In A8.b 400 sq in ic) Total net area of flood operimi; )a in A9 b n/a so in 6) Engineered flood Openings'? Yes 0 No d) Engineered flood openings? [] Yes Z No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 51 11 Community Name & Community l'iUmber 82 Couolt+y Name B3, State, Liy'!a, Island 135164 C he t h a rn GA B4. MapiPanel Number 5 BE FIRM Ind", Data 87 F!"I'll Paned B8 Flood 69 Base Flood Ele,vationts), (Zone IF 114 1 a 13051C0326 711 Eff Date Zona AD use base flood depth) r.:._T. ,_ 9126108 ADO 13 810. Indicate the source of are Base Rood Elevation (BFE) data or baser Rood depth entered in Itern Bgr 71 FIS Proffle 0 FIRIO D Community Determined Ei OU'IW/Source __.- DI t Indicate elevation datum used for BFE in Item B9: E] NGVD 1929 0: NAVD 198E [D 01her/Source. B12. is the building located in a Coastal Barrier Resiowces, System (CRRS) area or Otherwise Protected Area (CPA)? YeF, No Designation Date: CBRS ORA SECTION C SUIL.DING ELEVATION INFORMATION (SURVEY REQUIRED) Cll. Building elevations are based ow Construction Drawings* InJ Building Under Conalnucfion' F Finished Construction 'A new Elevation Certificate will his required wtran COnStrUCtiOn of the building is coinprei 02, Elevations - Zones AI-A30, AF, AFI, A (with BFE), VE, V1--V 30 V twrth BFIE), AR, AR)A, AMAE, AWAI-A30, ARIAH, Ai Complete hems C2.a-h below according to the building diagram spec ified in Item AT In Puerto Rico only, enter molars Benchmark Utilized: local VerticbV Datum: NAVD 198 Indicate elevation datum used for the eavallons in items a) through h) below El 1 1929 0 NAVD 1980 0 09her/Scurce: Datum used for building elevations must be the same as that used for the SPE, This cerfification is to be signed and sealed: by 8 land SUNeYW, engineer, or architect authorized by law to certify elevation information. f certify that the information on this Csrffnala represents my beV offoris to iai!eiptet the d0 avairabre.. I understand lhel any false s1aierni may be punishrNe by firie, or fmprisomneid urideg 18 U1 Sr Code, Sectior? 11901 El Check here ifeemments are provided on back of fora, Were latitude and longikide in Section A provided by a [j Check Pierre if atischnni iceiised land surveyor"? D Yes C] No Cedifier's Name ..I WhiNey Reynolds License Number 2249 .. . ....... ... .. . ..... Title Land Surveyor 'crdp�jny Narne . . .. . .. .. ............... Address Avenue Qjly 5ziikinnah State GA ZIP Code 31405 Signarc n Date ApriI6,2015 Telephone 912-3 .. 52-0464 ........ X, .......... .... FEMA Forn)A86-0-33 �7?1 21) See revarse sane fcr continuation. Replaces all PrEVOUS edHic,n,,,, Check the rineasurennerit used, a) Top of bottom floor (inrlUdinq basement, craA4qiuce, or enclosure; noini) E EJ fast L1 meters b) Top of the nexi higher floor 1.7J feet 0 meters c) Bottom of the lowest horizontal structural': Pneni (V Zone,, only) i feet meters d) Attached garage (i of slab) n)a._ feet meters ie) Lowest elevation of madimery or arinitiouient sclvioing the building feet meters iDescrbee type of equipment and location in Opirmen1s) f) Lowest adjacent {finished) grade next to building (LAG) 7,. E] fear E) mOteirs g) Highest adjacent (finished) grade next to building (HAG) 0 feet 0 meters n) Lowest edlacent grade at lovvesl elevation of deck or stairs. including structural support T.5 2 feet LJ matee SECTION D- SURVEYOR, ENGINEER, OR ARCM7ECT CERTIFICATION This cerfification is to be signed and sealed: by 8 land SUNeYW, engineer, or architect authorized by law to certify elevation information. f certify that the information on this Csrffnala represents my beV offoris to iai!eiptet the d0 avairabre.. I understand lhel any false s1aierni may be punishrNe by firie, or fmprisomneid urideg 18 U1 Sr Code, Sectior? 11901 El Check here ifeemments are provided on back of fora, Were latitude and longikide in Section A provided by a [j Check Pierre if atischnni iceiised land surveyor"? D Yes C] No Cedifier's Name ..I WhiNey Reynolds License Number 2249 .. . ....... ... .. . ..... Title Land Surveyor 'crdp�jny Narne . . .. . .. .. ............... Address Avenue Qjly 5ziikinnah State GA ZIP Code 31405 Signarc n Date ApriI6,2015 Telephone 912-3 .. 52-0464 ........ X, .......... .... FEMA Forn)A86-0-33 �7?1 21) See revarse sane fcr continuation. Replaces all PrEVOUS edHic,n,,,, ELEVA"rION CERTIFICATE, par, - " IG�NnCtRTAN T: In these spsices, c a tion'-f'r-o-tirt -Secftin A 7uilding Street Ad7e,,,x, (iinc udlng Apt- BND No.) of P.O. Route and Box No. 1606 Chatham Avenue City Tybee laland Stale CA ZIP Code 31328 -OR, INSURANCE COMPANY USE Poky NUmben .. ........ . ......... — - - ----------- SECTION D - SURVEYOR, ENGWEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy path sides of ibis FievaLion Cerfificale for (t) corrin-runrly offrcial, (2) insurance agwikornpany, and (3) building owner Convrnonis C2',ey is AFC pad. C2 0) is the elevator share- A has 2 i5marl uend; iniodel 1540-520, Date April 6, 2015 E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A For Zones' AO nand A (without BIFE) complete uterus E1 -L5. If the Certificate e intended to support a LOMA or LOMRWF request, complete Sections A, B, and C. For (terns El-EA, use riaruiralgrade„ if avefable Chede the meas irernent used In Puerto RIce only, enter meters El provide elevation inforrriahon for the foilrowing and check the appropriate boxes to showhhethe, 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 E] meters L, above or E] below the HAG. b) Top of bottom floor (mcludirig basement, crawlspace, or enclosure} is meters Ell above or D below the LAG feet [D mcie E2 ro, Bui Olagvarns 6-9 with pennanent flood openings provided in Section A Items 8 anftv 9 isee pages &-S of'lostruclions), the ipxl higher floor (ek,vation C2.b in the diagrams) of the bu4idirig is —.— [I feet [:) meters above or C:J barow the HAG. E3. Alfached garage ftp of 'slab) is __ 0 feel [I meters [I above o( relay the HAG. E4 Top of platform of machinery and/or equipment servicing the building is _ _ feet 0 recri [] above or [] below the HAG E5 Zone AO orrly: if no flood depth number is avarable, is the top of the bottom floor elevated in accordance with the community's floodlilsur rinaregement ordnianzis? E) Yes El No 0 UnRnown. The local official must certify this information in Section G SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICA:rioN The property owner or avviner's aLiftirtzed representative who Completes Sections A, 8, and E for Zone A lw7ftrull a FBAA"issued or community-issried BFEI or Zone AD must sign hee. the stivarrients in Secliariq A, 8, and E are correct, to the bast of my knowledge. Property Ownef's or Owner's AetoQrized Representative's Name Address Cry Store Z:,P Code .... ... .... S1gn3tL1nB Date Telephone .. . . .... . ..... . Comments Check here if attachments, SECTiON G -CO MMUNITY INFORMATION QOPTIONAL) The local official who is authorized by law or ordinsince to administer the community's nocciplain management ordinance, can complete Sections A, B, C (or E), and G of this Elevist,on CerhftMer COMPle1e the applicable ilem(s) and sigiri below. Check the meaBLIreMerrit used in hems G8-A10 In Puerto Rice only, eater rosters. GI The information in Section C was taken tram other dooUMerrJjat1cn that ties been signed: and soared by a licensed surveyorr, erg[nesh, or suchflect vuhu is aunc�rrized ray Yanu' ¢o certify oleua¢�,on information (Indicate the source and date of the elevation data in the Comments area Wow) G2 E] A community ufflciil oornp8eked Section E for a building located in Zone A (withmn a FEIVIA-issued or community-issued SFE) or Zone AO G3 El The follDwrng Information yilems G41-010) is provided for community Noodplain mainayernent purposes . . .... . ....... . . Permit Numbef J_G5, Date Permit Issued C6. Lists Certificate Of CompliancEdOccuparicy Issued G7 This permit has been issued for: New Construction Substantial improvomeird G8 Elevation ofse-bufli ImNest flow (including baserneni) of the building: D feet [ meters Daturn G 9. BFF or (in Zone AID) depth of flooding at the building site ❑ feet F-11 meters Datum G10 Community's design flood clevatiom feet El meters Datum Local 01%jafs N me Tifle Community Name Telephone Signature Date Comments Qhpck hire 9 attachments. FEMA FOrT11 0,86.0 S3 (7j'12) Relplacres cil!! previous editions, ELEVATION CERTWICATE, p I BtAWIng Photographs See Insirucfions for ftern A6. NPORTANT: In those,- Spaces, copy tho toformation from Section A, FOR HNSURANCE COMPANY USE nc'udImp ArA., Unh, Suite, andlo Bldg No.) or P.O. Route and Box No Slate GA ZP Code 3'b'3 S Ccmpnny NAtC Numbeir: Dertifizale to obtain NFIP floDd insurance, affix it leash, 2 building ph olographs bebw accardmg to the ins1ructions Il photographs Wth date taken, "Front Vacw" and "Rear View ; and, if reqLli ed, "Right Side View' and Left Side i1e, photographs must show the foundation with representative exampRes of the flood openings or VErriS, as I If submitting more photographs than will fit an this Pagt L�, Use the 00nfift'060n page. �Front View April 3, 2015 W�,:. . . ...... . . ..... . ....... . . FEMA Form OF)&D-3:,,�7112) Rnpl,,,ices A provioul, edifians ELEVATION CERTIFICA,rE, p.- Building Photographs Continl Page WPORTAO: In Omse spaces, copy Ote corresponding Inforrnation! from Section A. FOR R�F�URANCE COMPANY USE 5W6l StTeel Addrem fincluding Apt, Unit, Suite, andlor Bldg. No.) ov P.0, Route wW Box 140 P,ollcy, Number 1606 Chatham Avenue City Tybee Island SWEl, GA ZIP ll 3137, Compony NAIC Number: If submiRting more photographs than Will fit an the preceding page, affix the addifionaf ph-,Acgraphs below, Identify all photographs w4h: date taken; "'Front View" and "Rear View"; and, if requred, "Right Side View" and " Vje%V.r, OgIC Left Side �u appkaWc, photogfall must show the found atton with representatNe exarnp,IesofOieflood opa,)lnp Ot vents, as indicated in SectjonMr Rear View April 6, 2015 Ilk' Ij � in ...... . . ... ......... .. . FEMA Form 086 0 33 �7/12) Replac,es kill previous ed1flons. el. Ij � in ...... . . ... ......... .. . FEMA Form 086 0 33 �7/12) Replac,es kill previous ed1flons.