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HomeMy Public PortalAboutEIGHTEENTH PL_1.pdfU.S ,DEPARTMENT OFHOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY \,�liiin r1ll„od Insrirwice Program Important: Read the instructions on pages 1-9 SECTION A — PROPERTY INFORMATION Al Building Owners Name Tracy Young OMB No 1660-0008 Expiration Date July 31, 2015 FOR INSURANCE COMPANY USE Pohcv Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg No.) or P.O Route and Box No Company NAIC Number j #t 1C Place J City Tybee Island State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers. Tax Parcel Number, Legal Description, etc,) Lot 3 of the eastern portion of Beach Lot 112 Ward 5 Tybee Island, Tax Parcel #4-0009-06-031 A4. Budding Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5, LatitudelLongitude: Lat. 31°59'18.3" Long. 80'50'57.3" 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 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) 3.378 sq 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 0 within 1.0 foot above adjacent grade NIA c) Total net area of flood openings in A8.b 0 Sq in c) Total net area of Flood openings in A9 b NIA sq in d) Engineered flood openings? ❑ Yes © No d) Engineered flood openings? ❑ Yes ® No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1 NFIP Community Name & Community Number B2. County Name 153. State City of Tybee Island 135164 Chatham I Georgia B4. MaplPanel Number B5. Suffix B6. FIRM index Date 87. FIRM Panel B8 Flood 89 Base Flood Elevation(s) (Zone 13051C0326 F 7.7.2014 Effective/Revised Date Zone(s) AO, use base Flood depth) 9-26-2008 VE �^ 17.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89 ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: B12 Is the buitding 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) 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 C2. Elevations - Zones Al -A30, AE. AH. A (with BFE), VE V1 -V30. V (with BFE). AR ARJA ARIAE, AR/Al-A30, ARIAH. ARIAO. Complete Items C2 a -h below according to the building diagram specified in Item A7 In Puerto Rico only, enter meters. Benchmark Utilized eGPS Vertical Datum NAVD68 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ OtherlSource. 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) 8.5 ® feet ❑ meters b) Top of the next higher floor Q 3 ® feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) 18.0 ® feet ❑ meters d) Attached garage (top of stab) N1 A ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the budding 1$ ® feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 83 ® feet ❑ meters g) Highest adjacent (finished) grade next to budding (HAG) 85 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural suppon 8.5 © 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 information on this Certificate represents my best efforts to interpret the data available I understand that any false statement may be punishable by fine or imprisonment under 18 U. S Code. Section 1001. r. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by ak f ❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No Certifiers Name J. Craig Brewer, RLS License Number 3022 * No- 3022 ROFESSIgNaL Title Registered Land Sur Company Name Brewer Land Surveying AOtiress r U box 441 coy Wooler State GA ZIP Code 31322 Signature Date 1-12-2015 Telephone 912-856-2205 ;} " SURy \tYA I%i FEMA Form 086-0-33 (7/12) See reverse side for continuation Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY US[ Building Street Address (including Apt., Unit. Suite. and!or Bldg. No) or P O. Route and Box No. Policy Number. #1 18th Place City Tybee Island Slate GA ZIP Code 31328 Company NAIC Number. SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. Comments The elevation in Section C2e is the outside air conditioning unit. Signature ( lr✓� Date 1-12-2015 SECTId"- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO 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 enclosuie) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basemenl. 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 slab) 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 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, B. and E are correct to the best of my knowledge. Properly Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer (he community's floodplain management ordinance can complete Sections A B, C (or E). and G of this E�t vation Certificate. Complete the applicable item(s) and sign below- Check the measurement used in Items Ga -G10 In Puerto Rico only, enter meters G1 CJ 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 bylaw 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 G4 -G10) is provided for community floodplain management purposes. G4. Permit Number G5 Date Permit Issued G6 Date Certificate Of ComplianoerOccupancy Issued Comments Check here if attachments. FEMA Form 086-0-33 (7112) Replaces all previous editions G7 This perms has been issued for New Construction ❑ Substantial Improvement G8 Elevation of as -built lowest floor (including basement) of the building _Lf'❑�feet ❑ meters Datum G9 BFE or (in Zone AO) depth of flooding at the building side: V o L7 meet ❑meters Datum G10. Community's design flood elevation a7 ❑ feet ❑ meters Datum 0V i�Ylfl - MaV-Am,.,- L alOffia a lan� l Title C nun t N e Telephone _ LI 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. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: #1 181h Place City Tybee Island State GA ZIP Code 31328 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 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. I k Front View 1-7-2015 K Rear View 1-7-2015 FEMA Form 086-0-33 (7112) Replaces all previous editions. Note: The V Zone design certificate is not a substitute for the NFIP Elevation Certificate (see Fact Sheet No. 1.4, Lowest Floor Elevation), which is required to certify as -built elevations needed for flood insurance rating. V ZONE DESIGN CERTIFICATE Name Policy Number (Insurance Co. Use) Building Address of Other Description OR e Permit No. !. - 0113 City1;, 4" .514: State Zip Code 3Z, fit' SECTION I: Flood Insurance Rate Map (FIRM) Information ,. /3 � � ,'I Ff CommunityNo. / -� 1(p" 1 Panel No. Suffix FIRM Date /`�'7� FIRM Zone(s) 1r� SECTION II: Elevation Information Used for Design [NOTE. This section documents the elevations/depths used or specified in the design - it does not document surveyed elevations and is not equivalent to the as -built elevations required to be submitted during or after construction.] 1. FIRM Base Flood Elevation (BFE)............................................................................................................................... L7—feet* 2. Community's Design Flood Elevation(DFE).................................................................................................................. 6 .feet' 3. Elevation of the Bottom of Lowest Horizontal Structure Member................................................................................... 6? feet* 4. Elevation of Lowest Adjacent Grade............................................................................................................................. feet* 5. Depth of Anticipated Scour/Erosion used for Foundation Design................................................................................. feet 6. Embedment Depth of Pilings of Foundation Below Lowest Adjacent Grade................................................................. feet * Indicate elevation datum used in 1-4: ❑ NGVD29 XNAVD88 ❑ Other SECTION III: V Zone Design Certification Statement I certify that: (1) 1 have developed or reviewed the structural design, plans, and specifications for construction of the above - referenced building and (2) that the design and methods of construction specified to be used are in accordance with accepted standards of practice** for meeting the following provisions: • The bottom of the lowest horizontal structural member of the lowest floor (excluding piles and columns) is elevated to or above the BFE. • The pile and column foundation and structure attached thereto is anchored to resist flotation, collapse, and lateral movement due to the effects of the wind and water loads acting simultaneously on all building components. Water loading values used are those associated with the base flood***. Wind loading values used are those required by the applicable State or local building code. The potential for scour and erosion at the foundation has been anticipated for conditions associated with the base flood, including wave action. ECTION IV: Breakaway Wall Design Certification Statement [NOTE. This section must be certified by a registered engineer or architect when breakaway walls are designed to have a resistance of more than 20 psf (0.96 kN/m2) determined using allowable stress design] I certify that: (1) 1 have developed or reviewed the structural design, plans, and specifications for construction of breakaway walls to be constructed under the above -referenced building and (2) that the design and methods of construction specified to be used are in accordance with accepted standards of practice** for meeting the following provisions: • Breakaway wall collapse shall result from a water load less than that which would occur during the base flood***. • The elevated portion of the building and supporting foundation system shall not be subject to collapse, displacement, or other structural damage due to the effects of wind and water loads acting simultaneously on all building components (see Section III). SECTION V: Certification and Seal This certification is to be signed and sealed by a registered professional engineer or architect authorized by law to certify structural designs. I certify the V Zone Design Certification Statement (Section III) and the Breakaway Wall Design Certification Statement (Section IV, check if applicable). rint�4L.l� 13os�Eu� K� ozg3l2 Pla s Certifier's Name License Number r`� Title P. Y- . Company Name�EC'tt Address AiDO IF. \4%Ct1 A -Li 05c)1 l� %� l,Ra -28372 City '5AYAfuNA-4 . State S�Zip Code 3 l' 4 t o t • 31-FeSSyqL Signature �� 1 +aA�'� Date Z - 3i' Orrelephone n Z - 645 Z-