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Home My Public Portal AboutTHIRTEENTH PL_10.pdfU.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: Novernber 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Fallow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (t) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: Robert Sales A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P_O. Route and Box No. Company MAIC Number: 10 13th Place City State ZIP Code Tybee Island Georgia 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 1A, Western portion of southern portion of beach lots 80 & 81, Ward 4, 5th G.M,D., Chatham County, Georgia, PIN: 4-0008-01-005L A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 31.9961 Long. -80.8475 Horizontal Datum: ❑ NAD 1927 X NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 167 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1,0 foot above adjacent grade 2 c) Total net area of flood openings in A8.b 400 sq in d) Engineered flood openings? X Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage NIA sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of Flood openings in A9.15 NIA sq in d) Engineered flood openings? [] Yes X No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State City of Tybee Island 135164 Chatham Georgia B4. Map/Panel B5, Suffix B6. FIRM Index FB7.FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 13051CO326 F July 7, 2014 September 26, 2008 AE 12.0' +1.0' Freeboard B10, indicate the source of the Base Flood Elevation (BFE) data or base hood depth entered in Item B9: ❑ FIS Profile X FIRM ❑ Community Determined ❑ Olher/Source: B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 X NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes X No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1 Expiration Date: N1660-0008 Nos November 30, 2018 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 13th Place City State ZIP Code Company NAIC Number Tybee Island Georgia 31328 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction" X Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. 02. Elevations — Zones Al—A30, AE, AH, A (with BFE), VE. V1—V30, V (with BFE), AR, ARIA, ARAE, AR/AI—A30, AR/AH, AR/A0. Complete Items C2.a—h below according to the building diagram specked in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: Local Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 X NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 12 0 feet ❑ meters b) Top of the next higher floor 21 C feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) NIA . ❑ feet ❑ meters d) Attached garage (top of slab) 11 7 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 13 9 ❑ feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 10 3 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 11 4 ❑ feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 11 4 ❑ feet ❑ meters 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. I 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. Were latitude and longitude in Section A provided by a licensed land surveyor? XYes El No El Check here if attachments, Certifer's Name License Number Terry M. Coleman GA# 2486 Title R Professional Surveyor Company Name oisTEq�o �} Coleman Company Inc. it 1,f Al 6 Address I 17 Park of Commerce Boulevard, Suite 201 s 4;�� City Skate ZIP Code MAG GOA Savannah GA 31405 Signa Dto Telephone t-7 Copy all pag of this levation Certificate and all attachments for (1) community official, (2) insurance agent/company, andJildowner. Comments ing type of equipment and location, per C2(e), 9 applicable) Section A9d: Garage vented by (2) engineered vents (Smart Vent Inc., Model # 1540-570). See attached ce Section B9: 1' (one foot) of freeboard is required by the City of Tybee Island Damage Prevention Ordinance SectionC2: Benchmark utilized was established using "EGPS" GPS base station network. Elevations shown referenced to NAVD 88 (12). Section C2b: Elevation is top of finished floor for living space. Section C2e: Lowest elevation of machinery servicing building is top of HVAC compressor pad. FEMA Form 086-0-33 (7195) Replaces alt previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 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.Q. Route and Box No. Policy Number: 10 13th Place City State ZIP Code Company NAIC Number Tybee Island Georgia 31328 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), 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 E1—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 andlor 9 (see pages 1-2 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 AQ 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 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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. rurrn rages or t) ELEVATION CERTIFICATE OMB No. 1660-0008 Exoiratinn ❑ata• NnvernF% 7n on,o 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.C. Route and Box No. Policy Number: 10 13th Place City State ZIP Code Company NAIL Number Tybee Island Georgia 31328 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—G10. In Puerto Rico only, enter meters. 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 elevntlnn aaia m Ine Comments area Delow.) 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. 33. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. 34. Permit Number G5. Date Permit Issued 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 binding: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site - G1 0. ite: G10. Community's design flood elevation: Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ feet ❑ meters Datum ❑ feet ❑ meters Datum ❑ Check here if attachments. FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018 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.Q. Route and Box No. Policy Number: 10 13th Place City State ZIP Code Company NAIC Number Tybee Island Georgia 31328 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 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." When applicable, photographs must show the foundation with representative examples of the flood openings ar vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. f� l f � r Photo One Caption FRONT LEFT VIEW 5/15/2017 J _ Noll 4 t' i Photo Two Caption REAR RIGHT VIEW 5/15/2017 FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COk4pANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg_ No.) or P.Q. Roule and Box No. Policy Number: 10 13th Place City State ZIP Code Company NAIC Number Tybee Island Georgia 31328 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "/.eft Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Photo One Caption VENT 5/15/2017 job .r Photo Two Caption VENT 5/1512017 FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 6 of 6