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Home My Public Portal AboutNINTH ST_10.pdfU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE LLE B No. 1660-0008 Federal Emergency Man agement Agency ires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Callan Pinkney Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 10 Ninteenth Street City Tybee Island State GA ZIP Code 313213 _ A3. Property Description (Lot and Block Numbers Tax Parcel Number, legal Description, etc.) Lot "C" of a subdivision of lot 114, ward 5 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. N 31 deg _59.288 min long. W 80deg 51.013_min Horizontal Datum: ❑ NAD 1927 [@ NAD 1983 Ata. 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) 163 sq ft a) Square footage of attached garage n/a sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade nla c) Total net area of flood openings in A8.b nla sq in c) Total net area of flood openings in A9.b nla sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bi. NFIP Community Name & Community Number B2. County Name 63. State Tybee Island 135164 Chatham GA B4. Map/Panel Number B5. Suffix B6. FIRM Index B7, FIRM Panel 138. Flood B9, Base Flood Elevation(s) (Zone 13051C0326F F Date Effective/Revised Date Zone($) A0, use base flood depth) 9126108 9126108 VE 16 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered fn 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) 1312. Is the building 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) Cl. 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 Ai A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, ARIAH, ARIAO. Complete Items C2.a-h below according to the building diagram specified in Item AT Use the same datum as the BFE. Benchmark Utilized IocalVertical Datum NAVD 1988 Ccnversion/Comments Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 8.4 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 18.2 ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) 16.0 ® feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) nla. ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 8.4 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7.9 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 8.4 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 8.3 ® feet ❑ meters (Puerto Rico only) structural support 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 on this Certificate represents my best efforts to interpret the data available.! understand that any false statement maybe punishable by rine or imprisonment under 18 U.S. Code, Section 1001.[:] Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No t5t3ry^` Certifier's Name J. Whitley Reynolds License Number 2249 Company Name J. Whitley Reynolds, Land Surveyor 636 enson Ave , Suite C City Savannah, State GA ZIP Cade 314051. Date 2/16110 Telephone 912-352-0464 FEMA Farm,8�41, Mar 09 See reverse side for continuation. ReplErces all previous editions 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 10 Ninteenth Street City Tybee IslandState GA ZIP Code 31328 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, ORARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments C2.a) is a storage area. C2.e) is AIC pad Signature Date 2176110 ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT CiFE) For Zones AO and A (without EFE), 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 El -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, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, 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 13FE) or Zone AO must sign here. The statements in Sections A, B, and E are cofrect 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 ❑ Cheek 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 ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and 09. 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 authorized 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 community -issued BFE) or Zone AO. G3. ❑ The following information (items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number I G5. Date hermit Issued I G6. Date Certificate OF Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions 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 10 Ninteenth Street City Tybee fsland State CA ZIP Code 31328 Company WC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Iters 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. Front View February 11, 2010 IN Um rl .,g a'.� . ` 'rat „ p�,, a �•, :4�� ., Mrd' J' '��` �•� `�� slu i E.0 1 , J 4. ,sFz- ry