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Home My Public Portal AboutMILLER AV_911A.pdfU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION C'ERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGE14CY Important: Read the instructions on pages 1-9. SECTION A — PROPERTY INFORMATION Al, BLTildinq Owner's Name KATHARINE BURNS A2, Building Street Address (including Apt,, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No, 911-A MILLER AVENUE City TYBEE ISLAND State GA ZIP Code 31328 EOM�13 No 1660-0008 E I L: E' xpiration Date: JulY 31, 2015 LFOR INSURANuE GONIPANY USE I Policy Number: MALOHM =0 A3. PrDescription (16i and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 142 OF A RECOMBINATION OF LOTS 131,142, A PORTION OF 5"' AVE, & ADJACENT MARSH, WARD 3,TYBEE IS A4. Building Use (e.g., Residential Non -Residential, Addition, Accessory, etc.) LZ_ESIDENTI.SL A5. Latitude/Longitude: Lat..32.00235' Long. 80.84900' Horizontal Datum: El NAD 1927 Z NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 6 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) 588 sq It a) Square footage of attached garage N/A so b 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 4 within 1.0 foot above adjacent grade MA c) Total net area of flood openings in A8.b 1791 scl in c) Total net area of flood openings in A9,b NIA sq in d) Engineered flood openings? ❑ Yes 0 No d) Engineered flood openings? El Yes 0 No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION BI NFIP Community Name& Community Number B2r County Name B3, State I YBEE ISLAND, GEORGIA- 135164 CHATHAM GA �5 Suffix B4. Map/Panel Number J 135__J_711�6 DateJ By. 117RIMA Panel 138, Flood B9. Base Flood Elevation(s) (Zone T Index Effe of" 13051CO213 710�71'2014 Effe _�ie]Revised Date Zone(s) AO, use base flood depth) 9/26/08 AE 11 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. El FIS Profile C9 FIRM El Community Determined El OtherISOUrce: B11, Indicate elevation datum used for BFIE in Item B9: 0 NGVD 1929 EEI NAVID 1988 ❑ Other/Source: B12, Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA),? 0 Yes ED No Designation Date: NIA 0 CBRS [:] OPA all lbaw'". W C1. Building elevations are based on; El Construction Drawings* El Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al—A30, AE, AH. A (with BFE), VE, W—V30, V (with BFE), AR, AR/A, AREAE, AR/Al--A30„ AR/AH, ARIAO. Complete Items C2,9—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters, Benchmark Utilized: eGPS VRS NETWORK Vertical Datum: NAVD88 Indicate elevation datum used for the elevations in items a) through h) below. El NGVD 1929 Z NAVID 1988 0 OtheiISC)Urce: Datum used for building elevations must be the same as that used for the BFE. 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 mernber (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location In Comments) fi Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural Support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION_ Thos certification is to be signed and sealed by a tend surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the inforroation on this Certificate represents my best efforts to interpret the data avariabie. / understand that any false statement may be punishable by fine or imprisonment under 16 UrS Code, Section 1001 Z Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a Check here if attachments. licensed land surveyor? 'Yes El No Certifiers Name BERT S. BARRETT, JR License Number GA. 2225 Title OWNER/PRESIDENT Company Name BERT BARRETT, JR LAND SURVEYING PC Address 14KUNNER ROp City SAVANNAH State GA ZIP Code 31410 Signature Date 2/24/16 Telephone 912-897-0661 FEMA Form 0,86-0-'33 (7112 bee reverse side for continuation. I Replaces all previous editions. Check the measurement used. 6.4 0 feet 0 meters 15,,6 N feet El meters h!/Lk_ H feet El meters NONE, ED feet El meters 12,4 0 feet El meters �1 2 feet El meters 6.3 0 feet El meters 6.1 M feet El meters SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION_ Thos certification is to be signed and sealed by a tend surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the inforroation on this Certificate represents my best efforts to interpret the data avariabie. / understand that any false statement may be punishable by fine or imprisonment under 16 UrS Code, Section 1001 Z Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a Check here if attachments. licensed land surveyor? 'Yes El No Certifiers Name BERT S. BARRETT, JR License Number GA. 2225 Title OWNER/PRESIDENT Company Name BERT BARRETT, JR LAND SURVEYING PC Address 14KUNNER ROp City SAVANNAH State GA ZIP Code 31410 Signature Date 2/24/16 Telephone 912-897-0661 FEMA Form 0,86-0-'33 (7112 bee reverse side for continuation. I Replaces all previous editions. IMPORTANT: In these spaces, copy the corresponding information front Section A. Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route, and Box No, 011-A MILLER AVENUE City TYBEE ISLAND State GA ZIP Code 31328 FOR 111,1SURANCE COMPANY USE Policy Number: Company MAIC Number: SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcampany, and (3) building owner. Comments 1 GOGGLE EARTH USED TO OBTAIN LAT/LONG. 2. THE ELEVATION SHOWN IN C2 e) IS AN OUTSIDE GAS HOT WATER HEATER. 3. THE ELEVATION OF THE OUTSIDE HEATPUMP UNIT (CONDENSOR) IS AT 15.4 (NAVD88 DATUM) -".--T- Signature Date 2/24116 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE),_ For Zones AC, and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMB -'F request, cornl)lete Sections A, B, and C. For items E1—E4, use natural grade, if available. Chock 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 Poor (including basement, crawlspace, or enclosure) is N/A._ 0 feet El meters 0 above or F below the HAG b) Top of bottom floor (including basement, crawlspace, or enclosure) is N/A.___ 0 feet El meters C1 above or El below the LAG. E2. For Budding Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8--9 of mstrucfionsj, the next higher floor (elevation C2.b in the diagrams) of the bUildiric is N/A. Z feet 0 meters L] above or E] below the HAG. E3 Attached garage (top of slab) is NIA.__ ❑ feat El meters El above or El below the HAG. E4. Top of platform of machinery andloi equipment servidng the building is N/A____ Ej feet Ej meters E] above or El 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? E] 'Yes El No [] Unknown. Jr he local official must certify this information in Section G. SECTION F — PROPERTY 0 WNER (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 Ili Sections A, B, and E are correct to the best of imy knowledge. Property Owner's or Owner's Authorized Representative's Name WA Address N/A City N/A State NA ZIP Code NIA Signature N/A Date N/A Telephone NIA Comments N/A Check here if attachments, SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance Io adrn4,ister 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 GS --G10, In Puerto Rico only, enter meters. GI. ❑ 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 COMMUnry official completed Section E for a building located in Zone A (without a FENAA-issued or community -issued BFE) or Zone AO. G3, El The following information (Items G4G10)is provided for community floodplain management purposes. G4 "hir, Number G5 Date Permit Issued [-G6 Date Certificate Of Compliance/Occupancy Issued N!IA NIA G7. This permit has been issued for: El New Construction 0 Substantial Improvement Ga. Elevation of as -built lowest floor (including basement) of the building: NIA feet El meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: N/A.__ feet EJ meters Datum 010. Community's design flood elevation: NIA.__ feet F-1 meters Datum Local official's Name N/A Title NIA Community Name NIA Telephone N/A Signature NIA Date N/A Comments N/A Check here if attachments. FEMA Form 086-0-33,(7/12) Replaces all previous editions, ELEVATION CERTIFICATE, page 3 Building Photcqraphs See Instructions for Item A6 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address ("'ClUding Apt., Unit, Suite, and/or Bldg. No.) or P.D. Route and Box No. Policy Number: 911-A MILLER AVENUE City TYBEE ISLAND State GA ZIP Code 31328 Cornpany MAIC urnber: If using the Elevation Certificate to obtain NFlP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken-, Tront 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. FEMA Form 086-0-33 (7/12) Replaces all previous editions.