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Home My Public Portal AboutLovell Av_1116.pdfU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT, AGENCY Nalionfg Mood ftrsrerance Program Important. Read the instructions on pages 1-9. Al Building Owner's Name Gus Heisey A2. Building Street Address (including ApL, Unit, Suite, andlor Bldg. No-) of P.O. Route and Box No 1116 Lovell Avenue MINEMEM 11410 State GA DIP Code 31328 �3,P�opia�tyDes��r�j3f�lonLot and Tax Parcel Number, Legal Description, etc. lots 23-B, 24-A & 24-8, Ward 3 PIN 4-0006-19-006 [OMB No. 660-t 15 Pir CIO a Ex a • Company A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5 Latitude /Longitude: Let. IN . ,1 de X90 &0 min Lonq.Y�Qo lea 5Q in HO'rizontal Datum: E] NAD1927 E NAD1983 A6, Attach at least 2 photographs of the building if the Cerhficate is being used to obtain flood insurance, AT Building Diagram Number 6 A8, For a building with a crawlspace or enCIOSLIre(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) na4Q sq ft a) Square footage of attached garage Q.(?_ so 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 128 within 1.0 foot above adjacent grade nom, c) Total net area of flood openings in A8.b M so in c) Total net area of flood openings in Ag,b n1.9 sq in d) Engineered flood openings? 0 Yes 0 No d) Engineered flood openings? C1 Yes 9 No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 62. County Name E3. State Tybee Island 135164 Chatham GA B4. Map/Panel Number $5. Suffix B,6. FIRM Index Date B7. FIRM P;nel 68. Fic;,od B9, Base Flood Elev,atiion(s) (Zone 11 1305100326 F 7/1114 Effective/Revised Date one(s) AO, use base flood depth) 9/26108 Zo AE 11,0 B1 C Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Itern B9. 0 FIS Profile E FIRM 0 Community Determined El OtherlSource: — 8,11. Indicate elevation datum used for BFE in Item 69: [I NGVD 1929 9 NAVD 1988 El Other/Source: E112. Is the building located in a Coastal Barrier Resources System (GBRS) area or Otherwise, Protected Area (OPA)? Yes No Designation Date: El CBRS n— OPA SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1 Building elevations are based on: El Construction Drawings* Building Under Construction* 0 Finished Construction *A new Elevation Certificate will be required when construction of the building is complete, C2. Elevations — ,Zones AI—A30, AE, AH, A (with BFE), VE, V1 —V30, V (with BFE), AR, AR/A, AR/AE, AR/Al—A30, AR/AH, AR/AO. Complete fterns C2-a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters, Benchmark Utilized: local ' Vertical Datum: NAND 1958 Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 M NAVD 1988 0 OtherlSource: Daturn used for building elevations Must be the same as that used for the BFE. Check the measurement used, a) Top of bottom floor (including b@serrient, crawlspace, or enclosure floor) 8.7 Z feet El meters b) Top of the next higher floor 179 Z feet E3 meters c) Bottom of the lowest horizontal structural member (V Zones only) n1a.— feet meters d) Attached garage (top of stab) n/2._ Z! feet E3 meters e) Lowest elevation of machinery or equipment servicing the building 89 [01 feet meters (Describe type of equipment and tocation in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 8.4 0 feet El meters g) Highest adjacent (finished) grade next to budding (HAG) 8,8 0 feet D meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 8.4 JZ feet meters SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION IMPORTANT: In these spaces, copy the corresponding information! from Section A. Building Street Address (including Apt., UnA, Suite, and /or Bldg. No.) or P.O. Route and Box No. 11,16 Lovell Avenue, SMIMMMEM State GA ZIP Code 31328 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number'. SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent1company, and (3) building owner. Comments r-2re) is A/C pad. Date 1114/16 1,11116W0121WIMUT Its, For Zones AO and A (without SFE), complete Items El-E5 If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measuremerit used, In Puerto Rico only, enter meters. E1. 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, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the I IAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG, E2. For Building Diagrams 69 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 ❑ meters ❑ above or ❑ below the HAG. Ea. Attached garage (top of stab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or [:1 below the HAG E5, Zone AO only: 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 O NER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, 6, and E for Zone A (without a FE MA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address Signature Comments City State ZIP Code Date Telephone Check here if attachments The local official who is authorized by law or ordinance to administer the cammunit s floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable items) 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 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. ❑ A community official completed Section E for a budding located in Zone A (without a FERIA- issued or community-issued BFE) or Zone AO. G3. ❑ The following information (Items G4-G10) is provided for community ftoodplain management purposes, R�I=ii!llmo G5. Date Permit Issued G6. Date Certificate Of CompfiancefOccupancy Issued G7. This permit has been issued for: ❑ New Construction Substantial Improvement G8. Elevation of as-burit lowest floor (including basement) of the building: ❑ feet [J meters Datum G9. BFE or (in Zone AO) depth of floodinig at the building site: ❑ feet ❑ meters Datum G10. Community's design flood etevatiom ❑ feet ❑ meters Datum Local Official's Name Community Name Signature .. . .......... . .. . r Comments KNE Telephone Date Check here if attachments. T E—MA Form 08-6-0-33 (7/1-2")— 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 130ding Street Address (including Apt, Unit, Suite, and/or Bldg, No,) or P.0, Route and Box No. PoIlicy Nurnber. 1116 Lovell Avenue City Tybee Island State GA ZIP Code 3132,8 Company NAIL Number; If using the Elevation Certificate to obtain NFIf"I 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 examples of the fl'oodl 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 13, 2016 I i`v j "'14 A A'A N, "M i, 1, o FFMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 Building Photographs Continuatlon Page IMPORTANT: In these spaces, copy the corresponding information frorn Section A. FOR INSURANCE COMPANY USE Builftg Street Address (including Apt., Unit, &6te, and/or Bldg. No ) or P .7. Route and Box No, policy Nurnber: 1116 Lovell Avenue CRy Tybee Island State GA ZIP Code 31328 Company NAIL Number: If submitting more photographs than wi it fit on the precedling page, affix the additional photographs below, Identify all photographs w0� date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When appficable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. . .. ..... . ... . .. ... FEMA Form 0186-0-33 (7/12) Replaces all pfeViOLls editions,