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Home My Public Portal AboutSECOND AV_1009.pdfIW- 6,rf - / 2q,-1 (, , 5uavp-yo(�) U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE 6MB No. 1660-0008 FEDERAL EMERGENCY MANAGEMENT AGENCY N Expiration Date: July 3E Important: Read the instructions on page 00� M ti 0. �"O-pJul8y 31, 20�15 Nafionul Flood Insurance Prograin SI-9. [Exp ra onD�ate I Al. Building Owner's Name FOR INSURANCE COMPANY USE icy Numbev ROBERT C. MORRIS, JR, A2, Building Street Address (Including Apt., Unit, Suite, and/or Bldg, No,) or P.0, Route and Box No. Company NAIC Number, 1009 2ND AVENUE 61. NFCITY OF TYBEE IP Community ISName LAND & Community N 135 umber 164 1 32, CHATH County AM I Name B3. GA State I B10 Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. 0 FIS Profile Z FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NIG'VD 1929 0 NAVID 1988 ❑ Other/Source: 812. is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes No Designation Date: [:] CBRS ❑ OPA a) Top of bottom fioor (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) a) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 1) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to buitding (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support '6.6 0 feet ❑ meters *7.4 0 feet ❑ meters NIA.— ❑ feet ❑ meters NIA. ❑ feet ❑ meters *1D.9 El feet ❑ meters 7.0 0 feet ❑ meters 7.3 0 feet [:3 meters NIA. ❑ feet ❑ meters nfhqsrx shy I Certifier's Name Joseph A. Hale, Jr, License Number GA RLS# 2886 Title Registered Land Surveyor Company Name Kerr? & C orripany, LI-C Add,,,s, 6 Malt Court City Savannah State GA ZIP Code 31406 --7---- 7-- -'- T — ----- - Si nature 1", " Date 10120/2015 Tetephone 912-354-6400 , I � � cZ r. FEMA Form 086-0-33 (7/12) See reverse side for continuation. %�_" No, 2686 I , - IS 0.1 \,"Voib 4 'IUM5,vo 1 s A. %4w 166 11, Replaces ail previous editions IMPORTANT- In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt,, Unit, Suite, and/of Bldg. No,) or P.O. Route and Box No. Policy Number: 1009 2ND AVENUE city State ZIP Code Company NAIL Number: TYBEE ISLAND GA 31328 Signature Date , 11� — laj. Al—� - , ", 14", , 10/20/2015 m,�� winworm nagTgowong, gzvmm&�� 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 (OP'TIONAL) The local offoiai wha is authorized by Iav� or ordinance to administer the community's floodpIain management ordinance can complete Sections A, 13, C. (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign betow. Check the measurement used in items G"10, In Puerto Rim only, enter meters. Gl.o The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, enqBneer, of 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. Lj 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. El The following information (items G4—G10) is provided for community floodplain management purposes. FEMA Form 086-0-33 (7112) ZA0 Replaces all previous, editions. ELEVATION CERT�FICATE, page 3 Building Photographs See Instructions for Item A6, .......... —�ddress (including Apt., Unit, Suite, and/or Bldg. Route and Box No Building St�,et 1009 2ND AVENUE FOR INSURANCE COMPANY USE Policy Number F-CT-11Y State! ZIP Code Company NAIL Number: � YBEE ISLAND GA 31,328 1 1 If using the Elevation Certificate to obtain NFIP Rood 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, 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. ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page �FA VIEW (NEW ADDITION) AR VIEW I CONDENSING UNITS F -10/20/2015---- f L4 IG FEMA Form 086-0-33 (7112) Replaces ah previous editions. LEFT SID�E VIEW . ..... RIGHT SIDE VIEW 10/20/2015 j 10/20/2015 LEFT SIDE VIEW 10/20/2015 \\ FEMA Form 06-0-33 (7Y12) N � \� . Y [ � � � \�y /��\ 114 \ \�_ FEMA Form 06-0-33 (7Y12) N � \� . Y [ � � ELk"NATION CERTIFICATE, pagie 6 Building Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding informatio fromSectionA. I Building Street Address (including Apt,, Unit, Suite, and/or Bldg No.) or P.O. Route and Box No. 1009 2ND AVENUE UITY State ZIP Code Company NAIL Number: TYBEE ISLAND GA 31328 If submitting more photographs than will it on the preceding page, affix the additional photographs bellow. 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 AS. NMI -CRAWLS-PACE OPENIN 10/20/2015 po REAR VIEW/ DUCTWO,RK 10/20/2015 am FEMA Form 086-0-33 (7112) Replaces all previous editions, lli 01'l )Ml ilv uV jh 0, jjo�m am FEMA Form 086-0-33 (7112) Replaces all previous editions,