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Home My Public Portal AboutCENTER TER_10.pdfU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date: July 31�, 2015 SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIL Number: 10 Center Terrace City Tybee Island State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description,, lot 4 of a sub of beach lots 31-34 A4. Building Use (e.g., Residential, Non-Residential,, Addition, Accessory, etc.) Residentiat A5, Latitudell-crigitude: Lat, N 32 deg 00,4520 min Long. W 80 deg 50.5800 min Horizontal Datum: ❑ NAD 1927 JZ NAD 1983 A6, Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): Ag. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) r! _Iq sq ft a) Square footage of attached garage n/a sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade his within 1.0 foot above adjacent grade n1a c) Total net area of flood openings in A8.b n/a sq in c) Total net area of flood openings in Ag.b n/a sq in d) Engineered flood openings? ❑ Yes ER No d) Engineered flood openings? ❑ Yes 0 No SECTION 13 — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81, NFIP Community Name & Community Number B2. County Name State — C Tybee Island 135164 Chatham GA B4. Map/Panel Number B5. Suffrx B6. FIRM Index Date 87. FIRM Panel B8. Flood 89. Base Flood Elevation(s) (Zone 13051CO0214F F 717114 Effective/Revised Date Zone(s) AD, use base flood depth) 9/26108, AE 14 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ OtherlSource: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (SPA)? ❑ Yes ❑ No Designation Date: ❑ CBRS ❑ OPA SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. CZ Elevations — Zones Al—A30, AE, AH, A(with BFE), VE, V1 —V30, V (with BFE), AR, ARIA, AR /AE, AR/A1 —A30, AR/AH, AR/AO, Complete Items C2,a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: Vertical Datum: Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 0 NAVD 1988 ❑ 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) 10.9 0 feet ❑ meters b) Top of the next higher floor 19.8 Z feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) n/a, g feet ❑ meters d) Attached garage (top of slab) n/a. [9 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 10.4 feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) j-0.9 [D feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) j-0.4 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 10-1) 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. It I understand that any false statement maybe punishable by fine crimprisonment under 18 U.S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a S T__�s ❑ Check here if attachments. licensed land surveyor? Yes ❑ No '2249 Certifier's Name J. Whitley Reynolds License Number 2249 N Zf Title Company Name Land Surveyor Address 6:36"S hen rlA k�de/ City,- rannah y State GA ZIP Code 31405 Signature Date 1/27115 Telephone 912-352-0464 FEMA Form OA-0-33 (7012) See reverse side for continuation. Replaces all 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/or Bldg. No.) or P.O. Route and Box No. Policy Number 10 Center Terrace City Tybee Island State GA ZIP Code 31328 Co . mpany NAIC Number: 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,) = AIC pad Signatu Date 1127/15 YL, I 1ATIC'm wimw now For Zones AD and A (without BFE), complete Items EI—E5. If the Certificate is intended to support a LOMA or LOIVIR-F request, complete Sectlons, A, B, and C. For Items Ei—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 tlhe 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 ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ 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 _._, ❑ feet 171 meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is _. -1 mete- El feet F rs ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet El meters ❑ above or ❑ below the HAG, E5. Zone AD arty: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ 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, 6, 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 !Check here ff 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 G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and seated 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.) GZ ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community - issued BFE) or Zone AO. G3r ❑ The following information (items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of C I c I m r pliancelOccupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building: G9. BFE or (in Zone AO) depth of flooding at the building site: G10. Community's design flood elevatiom ❑ feet ❑ meters Datum feet ❑ meters Datum feet ❑ meters Datum Local Official's Name Title ............ Community Name Telephone Signature Date Comments Check here if attachments. FEMA 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. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No, 10 Center Terrace City Tybee Island State GA ZIP Code 31328 FOR INSURANCE COMPANY USE Policy Number: Company NAIL Number; 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, if required, "Right Side View" and 'Left Side View." When applicable, photographs must show the foundation with representative exarnples 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. Front View January 22, 2015 FEMA Form 086-0-33 (7112) Replaces all previous editions. FEMA Form 086-0-33 (7112) Replaces all previous editions, NEI m ps 0491 m ' -2 25.6 I5�L8', RBS mm. 2 STORY BLOCK & FRAME HOUSE LOT 4 PRB C It 15-m W&MR4 CENTER TERRACE 20 R/W PLAT OF LOT 4 OF A SUBDIVISION OF BEACH LOTS 31-34, WARD 2, TYBEE ISLAND, CHATHAM COUNTY, GEORGIA ACCORDING TO THE Fl.R.M. DATED 9/26/08 THIS SURVEY WAS PREPARED IN CONFORMITY WITH THIS LOT IS WITHIN THE 100 YEAR FLOOD THE TECHNICAL STANDARDS FOR PROPERTY ZONE, SURVEYS IN GEORGIA AS SET FORTH IN CHAPTER 180-7 OF THE RULES OF THE GEORGIA BOARD OF �---MT—T —^ ---T^%TAT mnrnxrorrtrrnn —V�