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Home My Public Portal AboutHORSEPEN PT DR_12.pdfU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-4008 .+�arional Flood Ira"rance Program Important: Read the Instructions on pages 1-9. Expiration Date: July31, 2015 SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Jim Alexander Policy Number. A2, Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number. 12 Horsepen Point Drive City Tybee Island State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) M 6, Horsepen Point A4. Building Use (e.g-, Residential, Non -Residential, Addition, Accessory, etc.) Resifd2nijaI A5. Latitude/Longdude: Lat. N 32 deg 00.174 min Long. W 80 deg 51.312 min Horizontal Datum: ❑ NAD 1927 ® 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 69 A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 598 sq ft a) Square footage of attached garage EVA sq ft b) Number of permanent Hood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade 2 within 10 foot above adjacent grade WA c) Total net area of flood openings in A8.b 1000 sq in c) Total net area of Hood openings in A9.b sq in d) Engineered flood openings? ® Yes ❑ No d) Engineered flood openings? ❑ Yes ® No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name 8 Community Number 132. County Name 03. State Tybee Island 135154 Chatham GA B4. Map/Panel Number 85. Suffix 86. FIRM Index Date B7. FIRM Panel B8. FloodT�9 Bose Flood Elevations) (Zone 13051 CO213 F 9/26/08 Effective/Revised Date Zones) AO, use base flood depth) 8126/08 AE 13 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. Cl FIS Profile N FIRM ❑ Community Determined ❑ Other/Source: 1111. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 ® NAVD 1888 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: ❑ CBRS ❑ OPA SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. 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. C2. Elevations —Zones Ai—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, ARIA, ARAE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: local Vertical Datum: NAVD 1913@ Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: N&VP 1988 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) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (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) f) 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 �.3 ® feet ❑ meters 1 4 ® feet ❑ meters . ® feet ❑ meters • ® feet ❑ meters 19.7 ® feet ❑ meters -a ® feet ❑ meters 9.4 ® feet ❑ meters JA ® 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. t certify that the intonation on this CerL"frccate represents my best Moils to interpret the data avai/able. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Cotte, Section 1001. ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a I] Check here if attachments. licensed land surveyor? ® Yes ❑ No Certff es Name J. Whitley Reynolds License Number 2249 Trtle Land Su Company Name Address g tephenson City Savannah State GA ZIP Code 31405 Signa a 8/14 Telephone 912-3524W FEMA Farm -33(7/12) - See reverse side for continuation. Replaces all previews editions. ELEVATION CERTIFICATE, page 2 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: 12 Horsepen Po)nr Drive City Tybee Island State GA ZIP Code 31328 1 Company NAdC 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 C2.e) = AIC pad The vents are Smart Veats model 1540-570 Date 3/28/14 SECTI - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), 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 measurement 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 (induding 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 ❑ meters ❑ above or ❑ below the HAG. E3. 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 ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the lop of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official most certify this information In Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners 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 Address City State ZIP Code Signature Date Telephone Comments Check herd if attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The focal 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 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 building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The following information (items CA -G10) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10_ Community's design flood elevation: ❑ feet ❑ meters Datum Local Of iciars Name Title Community Name Telephone Signature Date Comments Check here if attachments. FEMA Form W-0-33 (7/12) 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 i Building Street Address (including Apt, Unk. Suite, and/or Bldg No) or P o Route and Box No Policy Number 12 Horsepen Point Drive :d City Tybee island State GA ZIP Code 31328 Company MAIC NurnOer 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 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 Manch 2014 FEMA Form 086-0-33 (7112) Replaces all previous editions ELEVATION CERTIFICATE, page 4 Building photographs Continuation Page IMPORTANT: to these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE $uilding Street Address (including Apt, Unit Suite. andlor Bldg No } or P O Route and Box No Policy NumGer. 12 Homepen Point Dnve City Tybee island State GA ZIP Code 31328 Company MAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below Identify all photographs with date taken, "Front View and "Rear View": and, if required, "flight 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. Rear View March 27, 2014 FEMA Form 086-0-33 (7112) Replaces all previous editions