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HomeMy Public PortalAboutBRIGHT ST_8.pdf�� fes�� ` ' :.N+r�� OMS 3067-0077 1*p..,," s FEDERAL EMERGENCY MANAGEMENT AGENCY Expires.June lest NATIONAL FLOOD INSURANCE PROGRAM 1 a n ELEVATION CERTIFICATE E This form is to be used for: 1) New/Emergency Program construction in Special Flood Hazard Areas; 2) Pie -FIRM construction alter September 30, 1982; 7) Post -FIRM construction; and, a) Other buildings rated as Post -FIRM ruleo. Dave R RakPr 8 Bright Street BUILDING OWNER'S ADDRESS NAME Lot 18, and the Southern 25' of Lot 19, Campbell S\D, Fort Screven Ward, PROPERTY LOCATION (Lot and Block numbers and address if available) Town of Tyhee,5th QMD, Chat. Cty.Ga _ 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. SECTION I ELIGIBILITY CERTIFICATION (Completed by Local Community Permit Official or a Registered Professional Engineer, Architect, or Surveyor) 13 COMMUNITY NO PANEL NO. SUFFIX DATE OF FIRM FIRM ZONE DATE OF CONSTR. BASE FLOOD ELEV. aUtLDINQ 15 .X On AO Zone. Use depihl O New/Emergency O Pie -FIRM Rep. 17 JUN 86 A-8 12 n Posi-FIRM Reg. YES NO It is intended that the building described above will be constructed in compliance with the community's flood plain Q' Q' ordinance. The cerlilier may rely on community rbcords. The lowest floor (Including basement) will be at an elevation Of ft, NGVD. Failure to construct the building at this elevation may place the building In violation of the community's flood plain management ordinance. YES NO The building described above has been constructed in compliance with the community's flood plain management Q' Q' ordinance based on elevation data and visual Inspection or other reasonable means, it NO is checked, attach copy of variance issued by the community. YES NO The mobile home located at the address described above has been tied down (anchored) In complitlnce with the Q' Q' community's flood plain management ordinance, or in compliance with the NFIP Specifications. MOBILE HOME MAKE MODEL YR. OF MANUFACTURE SERIAL NO. pIMENSIONS .X (Community Permit Official or Registered Professional Engineer, Architect, or Surveyor) NAME .'1 �� �� Lzr��- rticy J O S e ��1 [ t e! ke-. r JL'. _  ADDRESS C j Wall Ellin RtJ ;I; SI CTIC t�� 11 ELEVATION UERTIFICATION (Certified by a Local Community Permit Official or a Registered Professional Engineer, v Architect, or Surveyor,) FIRM ZONE Al -A30:. f certify that the building at the properly location described above has the lowest floor (including basement) at an elevation of 8 . 6 �� feet, NGVD (mean sea level) and the average grade at the building site is at an elevation of lget, NGVD. Finish Floor Elevation = 8.62 FIRM ZONES V. V1 -V30: I certify that the building at the properly location described above has the bottom of the lowest floor beam at an elevation of leet, NGVD (mean sea level), and the average grpde at the building site is at an elevation of feel, NGVD. FIRM ZONES A, A9$, AH and EMERGENCY PROGRAM I certify that the building at the property location described above has the lowest floor elevation of feet, NGVD. The elevation of the highest adjacent grade next to the building is feet, NGVD. FIRM ZONE AO: I certify that the building at the property location described above has the lowest floor elevstivn of feet, NGVD. The elevation of the highest adjacent grade next to the building is feet, NGVD, SECTION III FLOODPROOFING CERTIFICATION (Certification by a Registered Professional Engineer or Archilect) I certify to the best of my knowledge, information, and belief, that the building is designed so that the building Is watertight, with walls substantially impermeable to the passage of water and structural components having the capabllit�� of resisting hydrostatic and hydrodynamic loads and effects of buoyancy that would be caused by the flood depths, pressure@ velocities, Impact and uplift forces associated with the base flood. YES Q' NO Q' In the event of flooding, will this degree of ftoodproofing be achieved with human Intervention? (Human intervention means [hat water will enter the building when floods up to the base flood level oc- cur unless measures are taken prior to the flood to pravenl entry of water (e.g., boiling metal shields over doors and windows). YES Q' NO Cl Will the building be occupied as a residence? 11 the answer to both questions is YES, the floodproofing cannot be credited for iating purposes and the actual lowest floor must be completed and certified instead. Complete both the elevation and floodprooling certificates. FIRM ZONES A, Al -A30, V1 -V30, AO and AH: Certified Floodprooled Elevation is feet, (NGVD). THIS CERTIFICATION IS F0;4)J SECTION II Q' BOTH SECTIONS If AND III (Check One) CERTI FIER'S NAME COMPANY NAME LICENSE NO. (or Affix Seal) g�i1CkP)z, Jr Stuckey Land Surveying 1861 TITLE ADDRESS ZIP Land Surveyor 613 Wau Bun Road 31419 SIGNATURE DATE CITY STATE PHONE C41 V, P RF Savannah nPorul a (912) 925-8080 Tf lnsur re agent should attach the original copy of the completed form to the flood Insurance policy appllcallon, t e second copy shopid be supplied to the policyholder and the third copy retained by the agent INSURANCE AGENTS MAY ORDER THIS FORM FEMA Form 81.31, SEP 93 REPLACES FEMA FORM 81.31, APR 82, WHICH IB OeSOLETFs,