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HomeMy Public PortalAboutBAY ST. 1207.pdfU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires February 28, 2009 National Flood Insurance Program Important. Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: At. Building Owners Name Policy Number ROBERT B. MORGAN & JEAN E. MORGAN A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 1207 BAY STREET City TYBEE ISLAND State GA. ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 6A & 8A, BLOCK 4, BAY WARD TAX PARCEL NO. 4-0021-16-101 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longilude: Lat. N 32-04.20.4 Lang. W 080.51-25.6 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 crawl space or enclosures). provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosures) 237 sq ft a) Square footage of attached garage NIA sq It b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage anc!os;;relsy .rte is kilhlr 1 n ft,61. above art)acent grade _ 2 walls wit. in 1 C Teat above adiacent wade NIA c) Total net area of flood openings in A8.b 241 sq in c) Total net area of flood openings in A9.10 NIA sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1, NFIP Community Name & Community Number B2. County Name B3. State TYBEE ISLAND 1351[34-0001-0002 1 CHATHAM T GEORGIA B4, MaplPanel Number 95. Suffix B6. FIRM Index 67. FIRM Panel B8. Flood B9 Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) A0, use base flood deptn) 135164 0001 1 C 06/1711986 06/17/1985 A8 13 810. Indicate the source of the Base Flood Elevation (BFE) data or base Rood depth entered in Item B9. ❑ FIS Profile © FIRM ❑Community Determined ❑Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ®NGVD 1929 ❑NAVD 1988 ❑Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date ❑CBRS ❑OPA ❑Yes ®No 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, ARIA, ARJAE, ARJA1-A30, ARJAH, ARJAO. Complete Items C2.a-g below according to the building diagram specified in Item AT Benchmark Utilized LOCAL SUBDIVISION 13ENCHMARK Vertical Datum 1929 Conve(sion/Comments a) Top of bottom floor (including basement, crawl space, 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 in Comments) f) lowest aedJacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) 6.5 ®feet ❑ meters (Puerto Rico only) 5.8 ®Feet E] meters (Puerto Rico only) 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 on this Certificate represents my best efforts to interpret the data available- / understand that any false sfatement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Certifiier's Name License Number / i MICHAEL J. GARDNER GA. R.L.S. # 2265 Title Company Name LAND SURVEYOR i WARD EDWARDS INC. Address I City State ZIP Code 138 CANAL_ STREET Fp�DOLEaZ GEORGIA 31322 Signature fate Telephone 03/28/2007 912.330-0026 Check the measurement used. 7.5 ®feet ❑ meters (Puerto Rico valy) 17.4 ®feet ❑ meters (Puerta Rico only) NIA ❑feet ❑ meters (Puerto Rico only) NIA ❑feet ❑ meters (Puerto Rico only) 7.1 ®feet ❑ meters (Puerto Rico only) 6.5 ®feet ❑ meters (Puerto Rico only) 5.8 ®Feet E] meters (Puerto Rico only) 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 on this Certificate represents my best efforts to interpret the data available- / understand that any false sfatement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Certifiier's Name License Number / i MICHAEL J. GARDNER GA. R.L.S. # 2265 Title Company Name LAND SURVEYOR i WARD EDWARDS INC. Address I City State ZIP Code 138 CANAL_ STREET Fp�DOLEaZ GEORGIA 31322 Signature fate Telephone 03/28/2007 912.330-0026 IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.D. Route and Box No. Policy Number 1207 BAY STREET City State ZIP CadeCompany NAIC Number TYBEE ISLAND GEORGIA 31328 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate far (1) community official, (2) insurance agent/company. and (3) building owner. Comments C 2 (e) ELEVATION OF TOP OF AIR CONDITIONER PAD I5 AT ELEVATION 7.1' ate Check here if attachments SECTION E - BUIVIDING/ELEVATION INFORMAMON (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certirscate is intended to support a LOMA or LOMR-F request, complete Sections A, B. and C. For Items Et -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 (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom Noor (including basement, trawl space, or enclosure) is ❑ feet ❑meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 andlor 9 (see page 8 of Instructions), the next higher floor (etevatian 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 andlor 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 certif 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, 8, 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 nCheck 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 ardinance can complete Sections A, 8, C (or E), and G of this Elevation Certificate. Complete the applicable items) and sign below. Check the measurement used in Items G8. and G9. 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 authonzed 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 oommunityissued SFE) or Zone AO. G3. ❑ The following information (items G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑SUbStaniial iF11VfUver1ne11i G8. Elevation of as -built lowest floor (including basement) of the building: El feet ❑meters (PR) ❑Datum G9. BFE or (in Zone AO) depth of flooding at the building site: Ofeet ❑ meters (PR) ❑ Datum Local Official's Name Title Community Name Telephone Signature Date Comments _„_ [']Check here if attachment ....�. .. .• � wi•w.." I :lti�.3 `:13+ .• ' •�ee;:tr .- .. � ..�is�-1 f At` Building Photographs See Instructions for Item A6. For insurance Company Use: Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No- Policy Number 1207 BAY STREET City State ZIP Code Company MAIC Numiber TYBEE ISLAND GA 31328 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page, following. NOTE: PHOTOGRAPHS TAKEN ON FEBRUARY 26, 2007. y� I M Front View Rear View _ w - Dili' r `, ■ �� r y T. Leff Side View Right Side View