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Home My Public Portal AboutLAUREL AV_1018.pdfImportant Read the instructions on pages 9 - 7. SECTION A - PROPERTY OWNER INFORMAT1CFs For lasurar m Company use: BUILDING OWNER'S NAME Policy Number LARRY & DIANE OTTO _ BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIL Number 1018 LAUREL AVENUE CITY STATE ZIP CODE TyBEE ISLAND, _ GA 3132E PROPERTY DESCRIPTION ;Lot snd 5!e � Numbers, Tax Parcel Number, Legal Desc ipiion, etc.) LOT 1, BLOCK 11, GARDEN WARD BUILDING USE (e.g., Resiaentia!, Ncn-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RES _ LATITUDEILONGITUDE (OPT!5FW) HORIZONTAL DATUM: SOURCE: L: GPS stype):__ ( 4W- # -##R+# or #r. #k') I] NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMtc MITY NAME & CC%lMUA!r_'Y NUM8ER BZ COUNTY NAME 83. STATE CHATHAM 1 KO 0 Ci {ATHAM I GA I34. MAY ANU PANEL I $/. HRM PANEL I t39. 2 SE FLOOD ELEVAT!oms — NUMBER B5. SUFFiX 86. FIRM INDEX DATE EFFECTIV REVIKD DATc 88. FLOOD ZONE(S) ! (ZoneAO, usedeA of fioodM) 130D'f]0t20 C 5119187 519;47 : 13 _ 810. indicate the source of the Base F oaxf Elevation (BFE) data or base flood depth e-itere,' 70 B3. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): 811.Ind:caie theeevation dabrn;:s-?dforihe B:E- in 69: ® NGVD 1929 ❑ NAVD 1°E8 ❑ Other (Describe): 812. Is t^e t6ldf:g located in a Coast<_Barrie, Pesaurces System (CBRS) area ar Otherwise Protected Area (CPA)? ❑ Yes LSI No Designation Dale ECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. EL,r.: cg deva*ons a:e based on. Ct "anstruction Drawings' ❑ Buildng Under Construction` 0 Pnished Construcflcn 'A new Sevation Certificate imis be texiired when constnrclion of the building is comple-a Building Diag, ai Nu!, lite: 6 ( lett ,r;a hA ;ding diagram most similar to the building fc; v titch this cerdit c is ung completed - see pages n and 7. if no diagram arcurately represerts.the :; :_' -g_ .- i�: a xet,;h or photograph.) C3. Ele.atinns - Zones A r: k35, : <E. A.!;m,:ii SFE'r, VE, V1430, V (with BFE), AR, A i.y, ARIAE, AR%A1:A30, ARIA F., ARi CcmOete liem's C3.-5- s~r+ ;fir: tr; ?tle bdtdirtg diagram specified in Item C2. ±at, the as m used. ff t* +c f i -n t,'* ;;dtttrn used for the BFE in Se,'son 8, convert the J- ,Tui : ic:11n ?FE. ShaN field measurementsand dBRi! 1 nY8i51Gn C2iCJIEti'Ui. Use the spFceprovided ,r a Comments area of Secy on D or Secton G, as ao; rop ve, to arc sjmsnt the datum conversion. Datum NGVD 29 ConvesioniCom.-nents Elevation reference mark used Does the elevation reference mark used appear on the FIRM? F] Yes No o a) Top of bottom floor (including basement or enclosure) 8. 7 ft.(m) oo o b) Top of ned higher floor 17.4 ft(m) a9i m �ry1S C_ \ o c) Bottom of lowest horizontal structural member (V zones only) NL. _fL(m) N m i Q O o d) Atlacheri garage (top of slab) NA. �ft.(m) o e) Lowest elevation of machinery andforequipmertt w 4 Na. smting the building (Describe in a Comments area) 13.4 tL(m) 9 o f) Lowest a4aCerit (finished) grade (LAG)UR ft.(m) i m S11F1 % y) H;gh'`;:a"+M'ni (Fril:.fir.d) yt. .11':? r'j ) �r6 r f o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 2 o i) Total areaof all permanent openings (flood vents) in C3.h 330 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. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 1 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 TITLE LAND SURVEYOR COMPANY NAME ADDRESS CITY S T ATE ZIP CODE 636STEPHE>361_1�EW61 C SAVANNAH GA 31405 SIGMA j DATE TELL -PHONE 41205 912-352-0464 FEMA Fo 81-3t, Jan ry 2003 See reverse side for continuation. Replaces all previous editions CIT( TYBEE ISLAND SPATE ZIP CODE GA 31328 SECTION O - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) wrlmunity c0dal, (2) insurance agenticompany, and (3) building owner. COMMENTS C3.0 = A/C PAD ❑ Check here if attainments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT I - For Zone AO and Zone (without BFE), complete Items El through E4. if the Bewli on Cert "a e is intended for use as supporting information for a LOMA or LOMR-F, Sect on C must be competed. El. Buldrg Diagram Number _(Select the building diagram most similar to the building €orvvNch this cordicate is being ccmpleted– see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (inducting basement or enclosure) of the building is _ ff.(m)—in.(cm) ❑ above or ❑ beimv (check cne) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6•S with openings (see page 7), the next higher floor cr e-ievated i1oor (e�evafion b) of 'the buiiding is _ ft.(m) `in.(cm} above the highe-« adjac& flt grade. Compete items C3h and C3.i on front of form. ��. .2 w� :.n c ie jnavvi u, . i eau Fs,cry E t�(iiEi ayinpl i � is �� vii �y u �., ui3iiuirly i5 � ti.`,.•i1j _iri.i;,�ii) ❑ aWYe 0r ❑ tJEttNr �u i�: � GiiCf t�"!e f it�i �qi Gu�c.•ci n yids.ic. (v5e natural grade, if available), E5. For Zone AO ally: If noflood depth number is available, is the top of the bottom floorelevated in accordance v& the cdmmunitys floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must testify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property awneror owners authorized representative who mmpletes Sections A, B, C (items C3.h and C3.i only), and E for Zone A (without a FEMA -issued or communtty- issued BFE) cr Zone AO must sign here. The statements in Secrons A, a, C, and E are correct to ft best of my knasvtedge. PROPERTY OWNFR'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE fP CGDE SIGNATURE DATE TELEP1 TONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The focal official who is authorized by taw or ordinance to administer the communiVs floodplain management ordnance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable items) and sign below. G1. ❑ The inforrrlation in Seton C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local taw to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. E] A community official completed Section E for a building located in Zone A (without a FEMA4sued orcommunity4ssued BFE) or Zane A0. C3. E3 The fdlovAng information (Items C,4 -G9) is provided for community floodpii in maim gNment purposes. G7. This perat has been issued for. ❑ New Construction ❑ Substantlal Improvement – C-8• Eevallon of asbuiff lowestfioor (ndudltng basement) of the building ls, _fL(m) Datum: G9.BF€or(inZoneAO)depthoffloodingatthebuildingsiteis: _#t(m) Datum: LOCAL OFFICIAL'S NAME TITI,.E COMMUNITY NAME TELEPHONE SIGNATURE DA COMMENTS ❑ Check here if attachments FEMA Form 61-31, January 2003 Replaces all previous editions