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Home My Public Portal AboutEighteenth St_17.pdfU.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY N olwnal h7avd Insurance Program Al, Building Owner's Name Kerstin M. Dono 1 5 , , 11 1 T I I'll, � 11,'&�, 11 rgrtw.M,1,0,�� A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) Of PLO, Route and Box No. 17 Eighteenth Street City Tybee Island A3. Property Description (Lot and Bieck Numbers, Tax Parcel Number, Legal Description, etc.) lot I of a subdivision of beach lot 109, ward 5 FOMB No. 1•6 1 - 008 Expiration Date: J'uly 31, 2015 t 01 N] It I ;A00"P&M-M Policy Number: A4. Building Use (e.g,, Residential, Non-Residential, Addition, Accessory, etc,) Residential A5, [,.ato-ttide/Longitude: Lat. N-tl-l-- deg 59,3680m.ilI Long. E..A_Q_deq51.Q140 Min Horizontal Datum: [I NAD 1927 0 NAID '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 AB. 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) iz sq ft a) Square footage of attached garage n1a sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or encesure(s) within 1.0 foot above adjacent grade 5 within 1.0 foot above adjacent grade n/a c) Total net area of flood openings in A8.b 51, sq in c) Total net area of flood openings in A9"b n1a sq in d) Engineered flood openings? El Yes rA No d) Engineered flood openings? F-1 Yes LA No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. N"FIP Community Name & Community Number B2. County Name B3. State T Ty ybee, Island 135164 Chatham GA B FR M Panel B8. Flood B9. Base Flood Elevation(s) (Zone 13051CO326 F 7/1114 _ Effec;76elRewsed Date Zone(s) AO, use base flood depth) . . . ... . .... B4. Map/Panef Number B5, Suffix B6. FIRM Index Date 9/26/08 AE 14 O. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. El FIS Profile 0 FIRM E] Community Determined El Other/Source: _ 311, indicate elevation datum used for BFE in Item Bq: 0 NGVD 1929 0 NAVD 1988 ❑ Other/Source B12, Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 0 No Designation Date: -, 0 CBR-S 0 OPA . . . ......... . -- - SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building i elevations are based on, 0 construction Drawings* 0 Building Under Construction* Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al-A.30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARIAE, AR/A1 -A30, AR/AH, ARIAO. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: local Vertical Datum: NAVD 1988 Indicate elevation datum used; for the elevations in items a) through h) below. 0 NGVD 1929 M NAVD 1988 0 Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. 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 elevafion of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 71 0 feet El meters 15.5 [0 feet Ll meters n1a.— Z feet n meters N feet ❑ meters 15.2 ED feet El meters f) Lowest adjacent (finished) grade next to 'building (LAG) 6.7 g) Highest adjacent (finished) grade next to building (HAG) ZA h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 6.7 0 feet El meters 0 feet ❑ meters Z 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. I 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 1(789."" CQ, El Check here if comments are provided on back of form. Were latitude and, longitude in Section A provided by a 0 Check here if attachments. licensed Land surveyor? N Yes El No <5 Certifier's Name J. Whitley Reynolds Title Land Surveyor _Tddfess 63r,,di.phoson Avenue FEMA Foarrrl iQ 66-0-33 (7/12�) Company Name City Savannah Late &/22ri!3 License Number 2249 State GA ZIP Code 31405 telephone 912-352-0464 See reverse side for Continuation. 2, 2� W"= I IMPORYANT'. In these spaces, copy tht 011.17-EPER-111MM M71 ITO": 11MIN. jPMAM Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.D. Route and Box No, Policy Number 17 6ghteenth Street City Tybee Island State GA ZIP Code 31328 Company NAIL Number: SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenticompany, and (3) building owner. Comments C2.e) is A/C pad Signature Date 9/22115 SECT104E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items EI—E5. If the Certificate is intended to support a LOMA or LONER -F request, complete Sections A, 8, and C. For Items E1 —E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawispace, or enclosure) is El feet EJ meters F1 above or El below the HAG b) 'Top of bottom floor (including basement, crawlspace, or enclosure) Is 0 feet [J 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 ___ 0 feet F1 meters El above or 0 below the HAG. E3. Attached garage (top of slab) is ____ LJfeet Elmeters []at)oveor D below the WAG. E4, Top of platform of machinery and/or equipment servicing the building is El feet El meters r below the HAG. ,_1 above or El E5. Zone AO only: It no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? F1 Yes n 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, 8, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments CLeq� here iI attachments SECTION G — COMMUNITY INFORMATION (OPTIONAL) he local Wfficiaf_^w_ho is authorized by law or ordinance to administer the community's fioodpdain management ordinance can complete Sections A, B, C (or E), and G this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G"10. In Puerto Rico only, enter meters, 1.0 The information in Section C was taken from other documentation that has been signed and sealed by a ficensed surveyor, engineer, 01' architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) 2, EJ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO, 3. El The following information (Items G4 --G10) is provided for community floodplain management purposes S4. Perrnit Number G5. DJate Permit Issued G6, Date Certificate Of Compliance/Occupancy Issued '7. This permit has been issued for: 0 New Construction El Substantial Improvement S. Elevation of as built lowest floor (including basement) of the building: E feet [I meters 9. RFE or (in Zone AO) depth of flooding at the building: site: 10. Community's design flood elevation: -coal Official's Name ,ommunity Name signature 'omments F] feet El meters feet 0 meters Titie Telephone Date Datum Datum Datum, Check here �ifataqhmgrits. --MA 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.) of P.O. Route and Box No. Policy Number 17 Eighteenth Street City Tybee Island State GA ZIP Code 31328 Company NAIL Numben 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, it 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, -EMA Form 086-0-33 (7/12) Replaces all previous editions, ELEVATION CERTIFICATE, page 4 Building Continuation P Photographs, age IMPORTANT: In these co, ,, the corressoading information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 17 Eighteenth Street City Tybee, Island State GA ZIP Code 31328 FOR INSURANCE COMPANY USE Policy Number: Company NAIL Number: If submitting 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. FEMA Form 086-0-33 (7112) Replaces all previous editions.