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Home My Public Portal AboutCAPTAINS VIEW_40.pdfOy (r FEDERAL EMERGENCY MANAGEMENT AGENCY J NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1.7. SECTION A - PROPERTY OWNER INFORMATION BUILDING OWNER'S NAME RAJEEV SAXENA BUILDING ST (R,(EETADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. CITY (J STATE TYBEE ISLAND, GA PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 7, CAPTAINS ROW BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.; RES LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ( #9 - ##'- ##.## or ##.#####� ❑ NAD 1927 ❑ NAD 1983 O.M.B. No. 3067-0077 Expires December 31, 2005 � forlc4rrp�yuse: IPolicy Number j Company NAIC Number ZIP CODEI 31328 LJ GPS (Type): ❑ USGS Quad Map SECTION B • FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1, NFIP COMMUNITY NAME & COMMUNITY NUMBER B2 COUNTY NAIvE TYBEE ISLAND 135164 1 CHATHAM B4. MAP AND PANELB7. FIRM PANEL NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEREVISED DATE 135164 0001 I C 1 6117/86 1 6/17186 B3. STATE GA ❑ Other. 139. BASE FLOOD ELEVATION(S) B8. FLOOD ZONE(S) (Zone AD, use depth of flooding) A8 1 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): — B11. Indicate the elevation datum used forthe BFE in 89: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): — B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ®No Designation Date 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. Building Diagram Number I (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Bevatons – Zones Al -A30, AE, AH, A (wish BFE), VE, VI 430, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, ARIAH, ARIAO Complete Items C3. -ad below according to the buildng diagram specified in item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation, Use the space provided or the Comments area of Section D or Section G, as appropdate, to document the datum conversion, Datum NGVD 29 Conversion/Comments _ Elevation reference marts used Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (including basement or enclosure) 15. 2 -Nm) m . o b) Top of nexi higher floor L4.2fl.(m) o c) Bottom of lowest horizontal structural member (V zones only) NA. _ft.(m) o o o d) Attached garage (top of slab) 14. 0 fl.(m) E W to N ' 49 o e) Lowest devation of machinery and/or equipment � l ` 9 �9 servicing the building (Describe in a Comments area) 15.0 fL(m) ro o f) Lowest adjacent (finished) grade (LAG) 13 , 6 ft(m) a o g) Highest adjacent (finished) grade (HAG) 13, 8 fL(m) o h) No. of perrnarient openings (flood vents) within 1 ft. above adjacent grade 4 o i) Total area of all permanent openings (flood vents) in C3.h 2264 sq. in. (sq. cm) 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./ 1 certify that the information in Sections A, B, and C 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. CERTIFIERS NAME J. WHITLEY REYNOLDS LICENSE NUMBER 2249 A TITLE LAND SURVEYpK� ADDRESS �� 636 STEP�ENS0AVE , SUIT C SIGMA 1RE// FEMA Dirm 81-31, Jan- rary 2�� COMPANY NAME CITY SAVANNAH DATE 618105 See reverse side for continuation. STATE ZIP CODE GA 31405 TELEPHONE 91252-0464 II Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. BUILDING STREETADDRESS (IndudN Apt, Unk Suite, andlor Bldg. No.) OR P.O. ROUTEAND BOX N0. Cm TYBEE ISLAND, STATE GA I .For Insurance Coinpany,Use, Policy Number ZIP CODEI Company NAIC N r 31 m r 328 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community cffidal, (2) insurance agentloompany, and (3) building owner. COMMENTS C3,e) = A1C PAD ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WfTHOUT BFE) ForZone AO and Zone A (without BFE), complete Items E1 through E4. ti the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed, E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed–see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or a closure) of the bUlding is — ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams H with openings (see page 7), the next higherfloor or elevated floor (elevation b) of the building is ^ ft.(m) „in.(cm) above the highest adjacent grade. Complete items C3,h and C3,i on front of form. E4. The top of the platform of machinery and/or equipment servicing the Wilding is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (use natural grade, if available). E5. For 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 loom 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, C (Items C3.h and C3J only), and E for Zone A (without a FEMA4ssued or community - issued BFE) er Zone AO must sign here. Me statements in Sections AS. Q andE are correct to the best ofmyimWedge. PROPERTY 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 lova! offldal who is authorized by law. or ordinance to administer the communis floodplain management ordinance can oormplete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below, G1. ❑ The information in Section C was taken from other documentab'on that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certif elevation information. (Indicate the source and date of the elevation data in the Comments area below,) G2. ❑ A community offidal completed Section E for a building located in Zone A (without a FEMA -issued or commun'rty4ssued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community flooVain management purposes, G4. PERMIT NUNBER G5. DATE PERMIT ISSUED G7. This penTO has been issued for. ❑ New Construction ❑ Substantidl Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS G6. DATE CERTIFICATE OF COWPLIANCEIOCCUPANCYISSUED TITLE TELEPHONE DATE JL(m) Datum: fL(m) Datum: ❑ Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions