HomeMy Public PortalAboutSOLOMON AV_1232.pdfU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
National 17lood Insurance Progrom Important: Read the instructions on pages 1-9
SECTION A - PROPERTY INFORMATION
Al. Building Owner's Name Saltwind Construction
A2. Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No.
1232 Solomon
City Tybee Island
State GA ZIP Code 31328
A3. Property Description (Lot and Block Numbers Tax Parcel Number, Legal Description, etc.)
lot 3 of a subdivision of lots 4, 5, 6 & a portion of Solomon Ave, Garden Ward
OMB No. 1660-0008
Expiration Date. Jiuly 31, 2015
131. NFIP Community Name & Community Number B2. County Name B3 State
Tybee Island 135164 �Chatham GA
84. Map✓Panel Number 135. Suffix B6. FIRM Index Date 67. FIRM Panel B8. Flood B9, Base Flood Elevation(s) (Zone
1305100213 F 7/7114 Effective/Revis:ed Date] Zone(s) AO,, use base flood depth)
9126108 AE 13
__. I — — --- ... . ....... .
B10. Indicate the Source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
El FIS Profile 0 FIRM El Community Determined D Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: [ NGVD 1929 R NAVD 1988 El Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes No
Deslgnation Date: El CBR5 El, OPA
SlUk" I Lei 91KA111=11111;1101 I I L11,10 u][2R
Check the measurement used
a) Top of bottom floor (including basement, crawspace, or enclosure floor)
7.5
feet
meters
b) Top of the next higher floor
16.7
feet
meters
c) Bottom of the lowest horizontal structural member (V Zones only)
n1a.
feet
meters
d) Attached garage (top of slab)
n1a.
feet
meters
a) Lowest elevation of machinery or equipment servicing the building
13.8
0 feet
El meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade, next to building (LAG)
§,9
0 feet
El meters
g) Highest adjacent (finished) grade next to building (HAG)
7.5
IZ feet
n— meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support
6,9
0 feet
❑ meters
AT"t
Certifier's Name J. Whitley Reynolds License Number 2249
Title Land Surveyor Company Name
Address 636 SteppetisonAvenue City Savannah State CA ZIP Code 31405
Signature w "" Date, i 115/1_. 5 Telephone 912-352..0464
— — -----------
FEMA 'or R'6-0-33 (7/12) See reverse side for continuation.
Replaces all previous editions.
11
1�11WIIVTULIII, Iff" 11, 111 1
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IiW�ORTAALT: In these spaces, copy the corresponding information from Section A.
77ding Si�,eet Address (including Apt., Unit, Suite, —and/or Bldg. No.) or P.O. Route and Box No. Policy Number:
1232 Solomon Avenue
City Tybee Island State GA ZIP Code 3,
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 C2.e) is
Signature
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_B` C (or E) and 0
of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G84310. In Puerto Rico only, enter meters.
G1. n 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. C-j 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. 0 The following information (items G4—G10) is provided for community floodplain management purposes.
M3119111911 M
G5. Date Permit Issued
G6. Date Certificate Of Compliance /Occupancy Issued
G7. This permit has been issued for: El New Construction Ej Substantial improvement
G8. Elevation of as,•built lowest floor (including basement) of the building: ❑ feet Ell meters Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet El meters Datum
G'l 0. Community's design flood elevafiom El feet 0 meters Datum
Local Official's Name 'Title
Community Name Telephone
Signature Date
Comments
Check here if attachments.
FEMA Form 086-0 33(7/12) Replaces all previous editions,
161
FEMA Form 086-0-33 (7112) Replaces all previous editions.
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FEMA Form 086-0-33 (7112) Replaces all previous editions.