The URL can be used to link to this page

Home My Public Portal AboutMILLER AV_911.pdfU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No 1660--0008 Aarwaal 1.7oud M.Wo-CHIC0 P0�1�� (1117 Important: Read the instructions on pages 1-9. Expiration Date: Jlu I y 31, 201) SECTION A — PROPERTY INFORMATION FOR INSURANCE C01VIPANY USE At Building Owner's Name NOEL M. BRETZ Policy Number A2 Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 911 MILLER AVENUE City TYBEE ISLAND State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers Tax Parcel Number, Legal Description, etc.) LOT 131 OF A RECOMBINATION OF LOTS 131,142 & PORTIONS OF 5"' AVENUE & ADJACENT MARSH, WARD 3. TYBEE A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 32,00225 Long. 80,84873 Horizontal Datum: 0 NAD 1927 EJ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is Ibeing Used to obtain flood insurance AT Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 175 so ft a) Square footage of attached garage NIA 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 4 within 1.0 foot above adjacent grade M/ c) Total net area of flood openings in A8.b 162 sq in c) Total net area of flood openings in A9,b NIA sq in d) Engineered flood openings? [__1 Yes El No d) Engineered flood openings? Yes E No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2, County Name B3. State I YBEE ISLAND, GEORGIA - 135164 CHATHAM GA B4, Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 1305100213 F /2014 Effective/Revised nDate 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. EJ FIS Profile 0 FIRM E] Community Determined E] Other/Source: B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 Z NAVD 1988 Ll Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? El Yes No Designation Date: NIA 0 CBRS [_] OPA SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. 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, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, ARIAO. Complete Items C2,a—h below according to the building diagram specified in !tern AT In Puerto Rico only, enter meters. Benchmark Utilized: eGPS VIRS NETWORK Vertical Datum: NAVD88 Indicate elevation datum used for the elevations in items a) through h) below. IJ NGVD 1929 0 NAVID 1988 0 Other/Source: Datum used for building elevations must be the same as that used for the BFE. 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 informat(oa on this Certificate represents my best efforts to interpret the data available / ariderstand that any false statement may be punishable by fire or imprisonment under 18 U, S. Code, Section 1001. Z Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a E] Check here if attachments. licensed land surveyor? 0 Yes El No Certifier's Name BERT B. BARRETT, JR License Number GA. 2225 .... . . ........ Title OWNER/PRESIDENT Company Name BERT BARRETT, JR LAND SURVEYING PC .... . . ....... Address 145 RUNNER ROAD City SAVANNAH State GA ZIP Code 31410 Signature Date 8/02/16 Telephone 912-897-0661 . . . .................. . . ........ . FEMA Form b:: 6-p-33 (71i'2) See reverse side for continuation. NU. 2_225 Replaces all previous editions Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 156 Z feet 0 meters b) Top of the next higher floor NONE. ®feet El m eters c) Bottom of the lowest horizontal structural member (V Zones only) NIA._ 0 feet ❑ meters ch Attached garage (top of slab) NONE. E feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 14,8 El feet F meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5.5 [Q feet 0 meters g) Highest adjacent (finished) grade next to building (HAG) 5,9 [D feet E meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 5.4 0 feet E 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 informat(oa on this Certificate represents my best efforts to interpret the data available / ariderstand that any false statement may be punishable by fire or imprisonment under 18 U, S. Code, Section 1001. Z Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a E] Check here if attachments. licensed land surveyor? 0 Yes El No Certifier's Name BERT B. BARRETT, JR License Number GA. 2225 .... . . ........ Title OWNER/PRESIDENT Company Name BERT BARRETT, JR LAND SURVEYING PC .... . . ....... Address 145 RUNNER ROAD City SAVANNAH State GA ZIP Code 31410 Signature Date 8/02/16 Telephone 912-897-0661 . . . .................. . . ........ . FEMA Form b:: 6-p-33 (71i'2) See reverse side for continuation. NU. 2_225 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.Q. Route and Box No. Policy Number: 911 MILLER AVENUE I City TYBEE ISLAND State GA ZIP Code 31328 1 Company NAIC Number: I 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 1. GOGGLE EARTH USED TO OBTAIN LAT/LONG 2, THE ELEVATION SHOWN IN C2 e) IS THE OUTSIDE HEATPUMP UNIT (CONDENSOR). Signature iI 1 1/ i ,......If '._I :«i 2 � Date 8/02/16 For Zones AD and A (without BFE), complete Items E1—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 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 floor (including basement, crawlspace, or enclosure) is N/A._ Z feet El meters D above or n below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is N/A__ Z feet 0 meters El above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 andlof 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is N/A.— Z feet 0 meters [] above or 0 below the HAG. E3. Attached garage (top of slab) is N/A._ [A feet El meters [I above or El below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is N/A._____ N feet [J meters E] above or E] below the HAG. E5, Zone AD 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 E] No El 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, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name N/A Address NIA City N/A Signature NIA Date N/A Comments NIA State NA ZIP Code N/A Telephone N/A Check here If 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. Gl. [I 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 building located in Zone A (without a FEMA -issued or community -issued BEE) or Zone AO. G3. ❑ The following information (Items G4—G10) is provided for community ficodplam management purposes. _..Y._. .... .... ....... . 64 Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued N/A N/A INIA GT This permit has been issued for: ❑ New Construction F] Substantial Improvement G8, Elevation of as -built lowest floor (including basement) of the building: NIA._ N feet G9 BFE or (in Zone AO) depth of flooding at the building site: WX feet G10 Community's design flood elevation: NIA_ feet Local Official's Name N/A Title NIA Community Name N/A Telephone N/A Signature N/A Date N/A Comments NIA El meters Datum El meters Datum El meters Datum Check here if attagifin2gills. FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Buil�ding Photographs See Instructions for A• IMPORTANT: In these spaces, copy the corresponding information from 'Section A. Building Street Address (including Apt., Unit, Suate, and/or Bldg. No.) or P.O. Route and Box No, 911 MILLER AV'EN'UE City TYBEE ISLAND State GA ZIP Code 31323 FOR INSURANCE COMPANY USE Policy Number: Company MAIC Number; If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the irlstructionls 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 A,8. If submitting more photographs than will fit on this page, use the Continuation Page. 11 / / ,i, ,l,%/I/% ,rd �� ruff `iry// ; / / % �✓l% J, 1 ��' „ r �% /% ��/ %/� � VVVV°11iyVVIIVVVIIVVV�Vllllllll�,llli,�l 2,% j�'/ �1J /// o�� VVVV �IVVVVVVVVVVVVVV VVV VYV V %/ / flJllUoiaG/i/oi� �%/ii I f !" � V m Irk, 204,104/1, 0 FEMA Form 086-0-33 (7/12) Replaces a.Il previous editions.