HomeMy Public PortalAboutSECOND AV_1303.pdfU,S DEPAR I MEN f OF HOME 1, AND SECURITY ELEVATION CERTIFICATE
PELEaAi., EMERGENCY MANAGEMENT AGENCY OMB NO U360-0008
VaNvmal / hpW h ..... �wp , 11r, i�nvir Irnportant IRead the �nstrucfions On pages 1-9. Lxpirabon DaW,July 31, 2016
SECTION A - PROPERTY INFORMWfOR ..... . ..... FOR INSURANCE, COMPANY USE
RaZdaig �)wners Na�; - Policy Number
A2, Building Street Address (including Apt, Unit, Suile anWoF Bldg No.) or P.0 Route and Box No Company NAIL Number
1303 Second Avenue
City fybee Island State GA ZIP Code 3t328
Description (Lot and Block Nunib'eis,"Tax Parcel Number, Log at Desci itotion, etc
ot',14 A ward 4
A4 Building Use to g , Ron'trienturl, Non-Resid•ntial, Arldhion, Accosnoty. elc) R-gai UJ_njiqj
A5 LalitudefLorigiludc Lot, N 31 �de%8Q4 in Long. I lorizomal Datum NAD 1927 Z NAD 1983
AC, Attach at least 2 photographs of then building if the Cerkficate �s being used to obtain flood insurance.
A? Building Dwgram Number 5,
Al. For as building with a CraoilSlJoVe On ei`IOQSLII`e(Sp A9. For a building with an attached garage
a) Square iuotageofcrawispaceoverictosuie(5f uLha sc; ft a) Square footage of alfaCired, garage n1a; sq It
D) Number of pernianert food openings In the crswlspace b) Number of permanent flood openings in the attached garage
or enclosure(s) within 1,0 foot above adiaceni grade fill within 1 -0 foot above adjacent grade [Va
Total not area of flood openings III AS I) w
so In c) ToWl net area of food openings in A9.1t rila Sri Ill
dt Engin•ered flood openings? Yes [j- No d) Erigmeeled hood openings'? El Yes LA No
SECTION B — FLOW INSURANCE RATE MAP (FIRM) INFORMA"I'lCIN
� B1 Coan¢y Name Bf NFIP Community Nxi,,e & COMMI-Hilty NUmber 93 State
lyheo nl d f C naflnar -
A .
f
134, MapiPanel Number 85 Suffix BIG FIRM InTm, D, B-
R.M Forney ri, is B6 F-I..rt 39 Base Flood Elevation(s) (Zone,
as
13051C032b F 711114 Fffec ,IR " B AO, rise basis flood depth)
BIO. Indi.cate the source ai'Vie Bass Florid Elevation tBFEt data or base flood depth entered in lie
'ji Bff
Contyriunity Deleiprimed
I FTS Profile LIx) riRm [] 0"Ie0souice
B'11 Indicate tnevation daturn used for SEE in Item 69 [ NGVD 1929 Ej NAVD 1988 ['1 OtherfSource-
BI 2, is the budding located in a Coastal Barrier Resources System ICBRS) area or Otherwise Protected Area (OPA)? Li Yes fx—j No
t, :dsasitTraa lean Date: CIBRS CIPA
SECTION C — BUILDING El-EVA1110N WFORMATM (SURVEY RE(1UMED)
C1. Building alevaboris are based on El Construction Drawings' BuOding Under Construction' U Finished Construction
"A new Elevahon Certificate will be required when construction of the bui4dirip is complete
C2 E'levation's - Zones Al—A30, AE, AH, A (mth HFE), VE, VI—V30, V ('with BF F) AR, AftIA, AR/AE, AR/Al AiO, AR/AH ARIAO. Complete Rams C2.0--in
I3edw according to the braiding dragraim specified in Iteol AT In Poofto Rico only, enter meters
Benchmark Utrlized: local Vertical Dad,irri NAVD 1988
todicatir elevation diii used for the elevations in rhariT, of through h) befow, C3 NGVD '192(9 R NAVD 1988 EJ OtherJSouirce
Daturn used for binding Plevations must be the same as that used for he BFE
SECTION D -- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This derfification is to be signed and sealed by a land surveyor, crigincer, or archriect authorized by law to certify elevation
Cliecli the rueasurernenk used.
a I I op of boom floor tindirding basement crawlspace, or ariciDsure fi=�
'Or Z
ED feet
El meters
b) Jap of the irext higher floor
6.3
121 feel
0 meters
c) Bottom of the lowest horizontal structural member (V Zones only)
It4a
M feet
Lj Inefeis
d) Attached garage (top of stab)
rila I -
r>1 foot
[] meters
e) Lowest elevation of machinery or equipmeril %ervicing the building
87
0 feet
ILJ meters
(Describe type of equipment and Vocation in Cornmernsi
f) Lowest adjacent (finshed) grade next to budding (LAGI
6
feet
] metws
g) I fiqhest adjacent (finished) grade next, to buOding (HAG)
0 feel
El momrs
h) Lowest adjacerif grade at lowest elevation of deck or Stairs including structural support
.613
l3 feet
[] niciiPris
SECTION D -- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This derfification is to be signed and sealed by a land surveyor, crigincer, or archriect authorized by law to certify elevation
infoinl3fion. I certify that the rrrXorrrr drora on ihm cedificato ropresortIs ran best Winds to inImIaml Me renta avoilablo,
r
'Oots, Se�jjoo JQ01
I undpistarld Mar! any fakio Walenterif may be punishab)e by iiiirr" tjnDar 1£i US C
r
Ctheclk here 1f comments are provided on back of form WFe latitude and dvigritude in Section A provided by a
(' 'cenI( here h aRtartrrsnents. licensed land suiveyor? q� Yes D- No
Certifier's Name J WhMey Reynolds LjQense Number 2249
'Fiili? Irr"Ind SUrVoyrn Gornpany Nanne
Adcliess 616 Slophorispn Avenue City, Savannah State GA ZIP Code
.. ... .......
sigriatuIe, Drite 7r9,115 Telephone D12-352 0464
f--EMA Form 086310-33 (7112) See reveese side Mro continvaWn
Replaces all previous edifion$."
ELIEVAT110N CERTIFICATE, page 2
IMPORTANT° In theso spaces, copy the corresponding informathon froin Section A. FOR INSURANCE COMPANY USE
BLdding Street Address {including Apt ,Unit Suite, andlor Bldg No) or P 0 Polito and Box No. policy Number,
1303 Second Avenue
City rybee Island State CA Zill Code 31328 Company NAIC Nunibui.
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIRCATION (CONTINUED�
Copy boll) sties, of this Elevation Certificate for (1), community official, (2) imwrance ageiWcornpary, and (3) builbaig ovjire°
. . . ... . . .... ....
Comments NC pad is elev 10.5
. .. .. . ....... .......m, --
Signature Date 7J9J 15
SECTION E -SUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT SEE)
I=or Zones AO and A (without SIFE), cornplele, Items E-1 F5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C I-or Items E 1 -E4 use natural grade, it available Uieck the measurement used In Puerto Rico only, enter meters
El. Provide elevation infDrmahos for the fieflowing and chouk the appropriate boxes to show whether the elevation is above or below Rie highest adIacent
grand (HAG) and the lowest adjacent grade (LAG)
9) Top of i floor (Including basement, CreWlgpic'e, lot eod0SUre) is n neat .I -rs L] above or Lj below the! HAG,
t met(
b,) Top of bottem floor (includ;ng basement, clawlspace, or enclosure) as [J fast E] meters D above or Ij below ins LAG
E2. For BuqWing 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 fibriv
(elevation C2 b in the diagrams) of the building is
feet D meters [) above or ID Wow the i
E3, fiopidiedgpir age (trap of slab] is Ejfeiet [-,1 meters [_'J above ur below the HAG.
E4r Top of pIattorrn of machinery andfarequipinent servicing the building is feet Lj tneters C] above nor [ I below the HAG.
E5 Zone AG only, If no flood depth number is available is the top of the bottom floor elevated in accordance with the community's floodiplarn manaqsmont
ordinance ?' F] Yes E] No [-,] Unknown, The local official must cerrfy this information in Section 'G.
SECTION F - PROPERTY OWNER (OR OWNEWS REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who comp4etes Sections A, B, and E for Zen(,, A (without a FEMA-issued tar C0rrlN"0My-iSSUed BF E)
or Zone AID must sign here The statements in Sections A, 8, and E aife correct Co the best of my knowledge
Property Owner's or Owners Authorized Representative's Name
..... . .......... . ... ......
Address city State ZIP Code
.. . ...... . ..........w,- _- .__...
Signalure Date Telephone
. .......... . . .. ..... .......
Comments
,heck here, if, altaghrqqpts
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
is local official who is authZW by law or ordinance to arin-nnister the community's floodplain management ordinance can camolrra -Seclims A, B C (., -F), and 'G
of this Elevation Certificate. Contolete the applicable itern(s) and sign below. Check the measuiernent used in Items G0 -G10. In Puerto Rico only, enter matters
Gl, E] The prontriation in Section G was taken from other documentation that has been signed and sealed by a liceinsed surveyor, engineer, or architect who
is authorized by law to cortirly elevation information, (Indicate the source and date of Hie elevation data in the Comments area below.)
G2, U A cornmunDty official completed Sed: ion E for a building located in Zone A (without a FEMA-lssuod or ourrimunity-issued BFE) or Zone AO,
G3. [ I 'rhe following mformation (items G4-G10) is provided for rorrimunity floodIrrain ninnagement purposes
...... . .... .
iF64, Permil"Nuniber errnR Issued Certificate Of Compliance/Occupancy Issued
... ........... ...... ..... - I :=,-.
Orr This permit has been issued for El New Construction El SLastandal Improvement
(38, Elevation of as -built IIOWOSI floor (indlUdiNg basement) of the hwilchng� 0 feet meters Driturn
G9, WE or (in Zone AO deplit of flooding at the building, sate', [ J feel 0 ureters Dalum
G10. Curnmup4y's design flood elevation: 0 feet I-] ineels Datum
Local Official ''s Narne
Community Name
5`ignarure
Cornments
-'FICA 6'i3 i 0, ;"3-3 (7J1 Zj
Telephone
Check here if atlich mlnr
Replaces all previous editions
ELEVATION CERTIF11CATE, page 3 Building Photographs
See e 1n5tl['UCfl0r1S for Item AC)L
IIM PORTANT: In these, spaces, copy the corresponding informatiori f royn Section A FOR INSURANCE COMPANY USE
Bkjilding Street Address (indUding Apt., Unit, Suft, andior Bldg. No) or P 0 Roure and Box No Policy Number:
1,303 Second Avenue
-----------
City Tybee Islond slato GA ZIP Code 11320 Company NAIC Number
If using lhe Eievation CLrfificate to obtain IqFIP flood insurance, affix at least 2 building photographs below according to the instructimi5
for Item A6. Identify alt photographs with date taken; "Front View" and "Rear View,'''" and, if requurod, "Right Side VieW and "Left Side
View," When applicable, photographs must show the foundation with represematAfe examples of tire t(ood openings or vents, as
Indicated in Soc;tion A8r if submitting more photographs than will F4 on this page, use the Confinuafion Page,
editions
A Form 0�560-37 F1% 2) Replaces all previous
li
editions
A Form 0�560-37 F1% 2) Replaces all previous
E9_EVA"11"ON CERTIFICATE, page 4 Building Photographs
Continuation Rage
IMPORTANT: In 01 wse spaces, copy the corrospWidinq Information from Section A. FOR INSURANCE COMPANY USE
y 7Num�m
80ding Street Addross (including Apr Unil, SOIe, avd/ar Bldg Na,) or P 0. Roule wid Box No
Q03 Second Avenue
City Tybee lsWand Stets GA ZIP Code 31328 Compmiy NAlC NILIgnbef
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Fr()nt Vlr w` and "Rear View'% aod, it reqUilod, "'Right time View` and "Left Side View," When applicable,
photographs must show the founciation with representative examples of the flood openings or vents, as indicated in Section A8.
Rear View July 7, 20
FEMA f7onn 086-0-33 (7/12) Replaces 0 previous editiom,
I
LOT '74 -B
N 19*3.8" 6"E 59.76'
1/2" RBF
30 , 00, w
0
1 .1�111 .... . . .. .... .. ...
5/8" RBSa S 19*30'00"W WOO 5/8" 'RBF
SECOND AVENUE
60' R/W
RETRACEMENT SURVEY
PLAT OF LOT 74-A,
WARD
4, TYBEE
ISIAND, CIIA,rHAM COUNTY,
4.f- ENCLOS-ED
C6
PORCH
n
FOR: BRENDA TIMMS
LOT 75 A
LOT 74-A
R
L
,11
f 1 STORY DUPLEX
ffi*I�
LOT '73 A
cii
Fed
J. WHITUEY REYNOLDS
LAND SURVEYOR
6316 1-3'l!l'kTlJ-lKNS0N AVENUE
SUITE C'
SAVANNAH, C.9.E,0HGLA 314-0b
TELEPHONE: 912--352 0464
FAX: 912-352-7767
LINEAR: I/-
APNO: "ANGLE
BALANCED BZ�
PLAT�
0, 20
SCA18: I" -20'
DATE: JI3LY 7, 201J3 SURVEY
DATE: JULY 9. 2015 PI-AT
I I I G N0. 15 - 6 5
30 , 00, w
0
1 .1�111 .... . . .. .... .. ...
5/8" RBSa S 19*30'00"W WOO 5/8" 'RBF
SECOND AVENUE
60' R/W
RETRACEMENT SURVEY
PLAT OF LOT 74-A,
WARD
4, TYBEE
ISIAND, CIIA,rHAM COUNTY,
GEORGIA
S I'REET ADDRESS: 1303 SECOND AVEI-40E
FOR: BRENDA TIMMS
C
THIS ,,URVFY WAS.! PRMIARET) IN CONFORMITY
WITH nm TEC31NICAL 3TANDARDS F,OR
PROPERTY SURVEYS IN GP,'QRG",A AS SET FORTH
IN CHAPTLR 180-7 OF THE RULES OF' THE,
GEORGIA BOARD OF NEWSTRATION FOR
PROFESSIONAL ENGINEERS AND LAND
SURVEYORS AND AS SE'T FORTH IN THE GEORGIA
1i;Q8ryVpmp7q,,r;
PLAT ACT O.C'.G.A, 15-6-67. MJTffOlUTY O.C.G,A.
'POPCON AP LIA
SECS, t5 G. 67, 43- 15 4, 43-15-6,
43-15-19, 42-15
EIRROR OF, CLOSUPE:
J. WHITUEY REYNOLDS
LAND SURVEYOR
6316 1-3'l!l'kTlJ-lKNS0N AVENUE
SUITE C'
SAVANNAH, C.9.E,0HGLA 314-0b
TELEPHONE: 912--352 0464
FAX: 912-352-7767
LINEAR: I/-
APNO: "ANGLE
BALANCED BZ�
PLAT�
0, 20
SCA18: I" -20'
DATE: JI3LY 7, 201J3 SURVEY
DATE: JULY 9. 2015 PI-AT
I I I G N0. 15 - 6 5