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ROSEWOOD AVE_6 1OF3.pdf
CITY OF TYBEE ISLAND CERTIFICATE OF OCCUPANCY DATE COMPLETED: 71251201.7 This Certificate issued pursuant to the requirements of the Standard Building Code Certifying that at the time of issuance this structure was in compliance with the various ordinances of the Jurisdiction regulating building construction or use. PERMIT #: PROPOSED USE: OCCUPANCY TYPE: CONTACT NAME CONTACT ADDRESS CONTACT CITY STATE ZIP PROPERTY ADDRESS APPROVED BY: 160144 NEW SINGLE FAMILY HOME P BART J. ROWLEY III P.O. BOX 102 WEST GROVE PA 19390 6 ROSEWOOD AVE P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328 (912) 786-4573 - FAX (912) 786-5737 www.cityoftybee.org CERTIFICATE OF OCCUPANCY REQUIREMENTS Permit # L r 0 1 qq Job Address Job Name Owneerr/Contractor post house number (and unit numbers if applicable) ' no attic storage signs, if applicable Energy Code Compliance Certificate pass FihaFBuilding inspection Elevation Certificate, Finished Construction As -built Survey �--- Height Certification if required g � q Drainage Certification from Project Engineer Nonconversion Agreement (attached) — must be recorded with Chatham County Breakaway Wall Certificate (V -Zone only) Mitigation of Trees, if required Payment of outstanding fees, if applicable Cidof Tybee Island City staff will coordinate these items when the needed documents from the list above have been submitted. Please do not contact the engineer or director. /UA Drainage Certification from the City's Consulting Engineer, if applicable Drainage Certification from the Director of Public Works Department, if applicable FEMA Inspection from Planning & Zoning Manager 1110312014 Cross reference to Book,10 Page 10 IIIIIII! IIIIII IIIIIIII IIIIIlIIIllllll IIIIIIIIII llllllllll IIIIIlllIIIIIIIIIIIIIII Doc ID: 030464300001 Type: ACRE Recorded: 06/28/2017 at 12:47:pg pM Fee Amt: $10.008 Pape 1 of 1 Chatham, Ga. Clerk Superior Court Tammie Mosley Clerk �SSuperior Court BK 1 113 PG 132 1 3 L CITY OF TYBEE ISLAND COMMUNITY DEVELOPMENT NON -CONVERSION AGREEMENT FOR CERTAIN STRUCTURES IN THE FLOODPLAIN Application has been made for a permit from the City of Tybee Island, Georgia. ` � Permit #: /� —O ! 4T Property Owner: -Raw lec* i�dr-� �, Address: Cc 1ZG3 le W008 Poe n me PIN:4—0003-09-033 Legal: 1.08+ 12$ sag .-F Lc+ 1-.X Bock 1 a f+ Scre yen wa Base Flood Elevation at the site is 1 I feet (NGVD) In accordance with the Flood Damage Prevention Ordinance of the City of Tybee Island, Georgia, the Properly Owner agrees to the following: 1. That the enclosed area below the Base Flood Elevation shall he used solely for parking of vehicles, limited storage, or access to the building, and will never be used for human habitation without first becoming fully compliant with the Flood Damage Prevention Ordinance in effect at the time of conversion. 2. That all interior walls, ceilings, and floors below the Base Flood Elevation shall be unfinished or constructed of flood -resistant materials. 3. That mechanical, electrical, or plumbing devices shall not be installed below the Base Flood Elevation. 4. That the walls of the enclosed area below the Base Flood Elevation shall be equipped with at least two vents which permit the automatic entry and exit of floodwater with total openings of at least one square inch for every square foot of enclosed area below flood level. The vents shall be on at least two different walls, and the bottoms of the vents shall be no more than one foot above grade. If located in a V -zone, breakaway walls are required. 5. That the requested structure may be subject to increased premium rates for flood insurance available from the National Flood Insurance Program due to its location in a Special Flood Hazard Area. 6. That any variation in construction beyond what is permitted shall constitute a violation and be abatable as such. Signature of Property Owner Signature of Property Owner STATE OF GEORGIA COUNTY OF CHATHAM ) Subs ibed to and swo before his_)JE da of 1J WVw y , 20 { Notary Public WITNESS SIGNATUR E��� My commission expires:.3�(i 1 Note: A Nonconversion Agreement ntnst be used whenever atr enclosed strttcttu-e or portion of a su•ucture is built or substantially improved withiia the 100 -year Floodplain beloiv the Base Flood Elevation. A Nonconversion Agreement must satisfy all of the above Conditions and requires proper recordation in the land records of Chatham County, Georgia. Tammie Mosley Chatham County Clerk Superior Court 133 Montgomery Street Suite 304 Savannah, GA 31401 Phone: 912-652-7214 Fax: 912-652-7523 Request for Correction CITY OF TYBEE ISLAND PO BOX 2749 TYBEE ISLAND, GA 31328 Dear CITY OF TYBEE ISLAND, The following Document is being returned for reason (s) checked below: 07/13/2017 Date 5397 Reference No • Grantor/Grantee Error. Need property owners full name for indexing purposes. Document is listed as "unknown" • If you have any questions, please call the following number: 912-652-7206 9 Other: Additional $2 will be needed for each cross referenced book and page • Please include a re-recording fee. Please return this letter with the document(s) when you re -submit the document(s). Sincerely, • — �� Robin Osborne- uncap Cross reference to Bookd&f Page 10 +Illlllflll�llll!!Ill+Il�llfOl�lll�ll!![1111[+�ll�+![I�!! Doc ID: 030464300001 Type; AGFtE Recorded; 06/28/2017 at 12:47:09 pM Fee Amt: $10.00 Pape' of 1 Chatham, Ga. Clerk Superior Court Tammie Mosley Clerk Superior Court BK 1113 PG 132 CITY OF TYBEE ISLAND COMMUNITY DEVELOPMENT NON -CONVERSION AGREEMENT FOR CERTYI,IN STRUCTURES. IN THE FLOODPLAIN Application has been made for a permit from the City of Tybee Island, Georgia. Permit #: %& -0 t PropertyOwner: `1�aw le� Address: Co R03 e I COCA �tJB h LLQ PIN: 4-0003-09-033 Legal: L0+ 12.5 5148 04 � I'.)- $bcK l�. *+ Scr�ve�n Wa Base Flood Elevation at the site isi II feet (NGVD) In accordance with the Flood Damage Prevention Ordinance of the City of Tybee Island, Georgia, the Property Owner agrees to the following: 1. That the enclosed area below the Base Flood Elevation shall be used solely for parking of vehicles, limited storage, or access to the building, and will never be used for human habitation without first becoming fully compliant with the Flood Damage Prevention Ordinance in effect at the time of conversion. 2. That all interior walls, ceilings, and floors below the Base Flood Elevation shall be unfinished or constructed -of flood -resistant materials. 3. That mechanical, electrical, or plumbing devices shall not be installed below the Base Flood Elevation. 4. That the walls of the enclosed area below the Base Flood Elevation shall be equipped with at least two vents which permit .the automatic entry and exit of floodwater with total openings of at least one square inch for every square foot of enclosed area below flood level. The vents shall be on at least two different walls, and the bottoms of the vents shall be no more than one foot above grade. If located in a V -zone, breakaway walls are required. 5. That the requested structure may be. subject to increased premium rates for flood insurance available from the National Flood Insurance Program due to its location in a Special Flood Hazard Area. 6. That any variation in construction beyond what is permitted shall constitute a violation and be abatable as such. Signature of Property Owner Signature of Property Owner STATE OF GEORGIA ) COUNTY OF CHATHAM ) Subs 'bed to and swo before mr1his day of , 20 f 01k I U t; ,� ✓,�� Not ublic WITNESS SIGNATURE/ My Comm'ission expires:_ Note -,A-yoneonverslon Aireentent nntst be used whenever mr enclosed structure or portion of a structure is built or substantially improved +vitltin fire 100 ynar.F.loodplaiFrbelory the !lase Flood Elevation. A Nonconversion Agreement must satisfy all of the above conditions and requires proper recordation ire the land records of chalhats County, Georgia. az sce C70 engineering CivNFnvir onmental Consulting July 20, 2017 George Shaw Planning & Zoning Manager City of Tybee Island, GA P.O. Box 2749 403 Butler Ave Tybee Island, GA 31328 Phone: 912-472-5030 Fax: 912-786-9539 Re: ROWLEY RESIDENCE 6 ROSEW06D AVE,, TYBEE ISL, GA (Previously referred to as 8B ROSEWOOD AVE) Engineer's Certification Based upon my field observations of the project, it is my judgment that the work performed is in general conformance with the approved civil site plans and specifications dated Feb 20th 2016, Punchlist Items No punchlist items are remaining at this time. If you need more information or have additional questions, please do not hesitate to contact me at my email, amosley(cDsce-eng.cam or by phone (912) 354-7114. Sincerely, SCE Engineering l Ashley D. Mosley, PE GA PE # 032248 Georgia Residential Energy Code Compliance Certificate Address: 6 Rosewood Permit #: Builder/Design Prof.: Chatham Home Builders Phone: M_ 3q � List the R -Value for the following components: Flat ceiling/roof: 9-3v Exterior wall: 3(? Attic kneewall: t)14 Basement stud wall: /)/0-- 7 Crawlspace stud wall: ti Le✓ Foundation slab: D✓ Cantilevered Floor. -3v Fenestration Components: Window U -factor: v ' Skylight LI -factor: Cv Glazed Door U -factor: J • 3 , Building Envelope Tightness (BET): Sloped/vault ceiling: 3� Above grade mass wall: n/ Attic kneewall sheathing: Basement continuous: n <� Crawlspace continuous: Floors over unconditioned space: /3 Other insulation: t1ek___ Window SHGC: U Skylight SHGC: Gv Opaque Door U -factor: n /C✓ __ (<50% glazed) BET test conducted by: Edward Gresham Phone:4046680407 Fan Flow at 50 Pascals= 1589 CFM5r, Total Conditioned Volume =26900 ft3 ACH50 = CFM50 x 60 / Volume= ACH54 (must be less than 7 ACHso ) Low Rise Multifamily Visual Inspection Option (The visual inspection option may be conducted by a third -party instead of the KT test for R-2 buildings only.) Visual inspection conducted by: Phone: Mechanical Summary: Water Heater Energy Factor: (6qt Ef f=uel type: ❑ Gas Electric ❑ Other Number of Heating and Cooling Systems: Heating System Type: ❑ Gas: AFUE ❑ Air -Source Heat Pump: 2-.0 HSPF ❑ Other: Efficiency: Cooling System Type (Standard DX, Heat Pump, Geo rural, etc.): bear P UMP Cooling System Efficiency: �' '�,5 h SEER ❑ EER ❑ Other Heating/Cooling Load Calculations Performed by:!..,?_ &QLt �1� Phone: y2 L Slzi/S-S—?3 Total Heating Load (Based on ACCA Man. I or other approved methodology): Btu/h Total Cooling Load (Based on RCCA Man. I or other approved methodology): '' Btu/h Cooling Sensible Load: Btu/h Cooling Latent Load :_ Btu/h Total Air Handler CFM (bas on design calculations): CFM Duct Tightness Test Conducted by: qu�L"- Phone: CFM25 per 100 ft2 of conditioned floor area = CFM25 x 100 / Conditioned floor area served If all ducts are not located within conditioned space, builder must verify that either the postconstruction duct leakage to outdoors (PCO) is c 8%, the post construction total duct leakage (PCT) is <_ 12%, or the rough -in total duct leakage (RIr) with air handler installed is 5 6%. State which method was used to conduct the dud tightness test: duct blower (DO), modified blower door subtraction method (MODS), or automated multipoint blower door (AMBD). System Method (DB, MBDS, AMBD) Test (PCO, PCT, RIT) CFMs Area served (ft') Result %) 1 2 3 *Note: This permanent certificate shall be posted on or in the electrical distribution panel or air handler. Certificate shall be completed by the builder or registered design professional. Where there is more than one value for each component, certificate shall list the value covering the largest area. 00� STEVEN BUCKNER PIPIN:4-OOD3-09-032 ` RF S73• IRF S 42'17'42' E 142.78' a r� I;', 1�1iIlIll�! �l lij WOOD do WIRE FENCE(TYP) o IRF I�I ���i��1;'!j`.� ❑ -x— ���' �l��ll{��'i — �— 10' B.S.L_ AC — _ N+o� 0.66' LOT 12B ET T� 1�, t!it Ir�� . 1t. PIN.- C17)- OF � 0.83E !`l ��l �l1 �, �7t 1�.1��` f `! 13,1 2 SQ.FT. �J 1 4`0009 �9fE �.11{1� ��J�li'III;LI.�I.�I�7� �iF],I'l to 001 Tli!`Il'�LI��I1��IT�,.l1L�l' F TWO STORY 1 RAME BUILDlNG HEIGHT 34.5' ON PIERS 34.5" r I� I ... 1 0l il�i�'t,}�ifl �IJlr�lillf PORCH I 20' B.s.L. & OLD ZO7 LINE V z ` IRF I _ _ ARC_J54. 08 ^^ Cl SOLOMON AVENUE R/W VARIES CURVE TABLE CURVE I ARC LENGTHRADIUS IRRIGATION CONTROL VALVE PELTA ANGLE CHORD BEARING CHORD LENGTH Cl 154.08 1636.90' 5'23'36" I S 44'44"03" E 154.03' REFERENCE PLAT RECORD BOOK 26P, PAGE 70 ACCORDING TO F L R. M. MAP NO. 13051 CO213F, REVISEO SEPTEMBER 26, 2008, THIS PROPERTY SHOWN HEREON UES IN ZONE AE(BFE 11), EN IRRIGATION CONTROL VALVE 0 IPF IRON PIPE FOUND • IRF IRON ROD FOUND AC AIR CONDITIONER B.S.L. BUILDING SETBACK LINE BRICK PAVERS ERROR OF CLOSURE FIELD: 1134,786 0 20' 40' 60' ANGLE ERROR: 3" PER ANGLE POINT ADJUSTED BY COMPASS METHOD. PLA F.- 1/86,526 SCALE 1 " = 20' EQUIPMENT.- TOPCON GTS236W TOTAL STATION: SINGLE PRISM IRF IRF AN ASBUILT SURVEY OF LOT 1.2B OF LOT 12, .MOCK 1,? FORT S'C1�'EVEW XART 51h 67 At P TRICT, CITY OF TYBEZ CHATZIAM COUNTY, GEORGIA ADDRESS: 6 ROSEWOOD AVENUE PIN: 4-0003-09--033 SURVEYED FOR: CHATHAM HOME BUILDERS THIS WILL CERTIFY THAT THE PROVISIONS RELATIVE TO GEORGIA CODE SECTION 15-6-67 (D) DO NOT 0 R G REQUIRE APPROVAL OF THIS PLAT OY ANY GOVERNING Vincent Hel ml y AUTHORITY PRIOR TO THE RECORDING WITH THE CLERK C9 G�sTERFa 9 OF SUPERIOR COURT. THIS SURVEY WAS PREPARED IN CONFORMITY WITH THE 129-A BURTON ROAD No 188 TECHNICAL STANDARDS FOR PROPERTY SURVEYS IN SAVANNAH, GEORGIA 31405 �9 0� ORGIA AS SET FORTH IN CHAPTER 180-7 OF THE (912) 925 3523 LES OF THC GEORGIAPROFFESSIONAL ENGINEERSND LAND0ARD OFRSURRVEYORS AND CENT AS SET FORTH IN THE GEORGIA PLAT ACT, O.C.G.A. FIELD SURVEY DATE 6/23/2017 15-6-67, DATE.: 7/10/2017 .lna ,v., 17-1s7 Building Permit Number UP r 0 1` q I. All development — Base Flood Elevation Data Provided: A. The as -built elevation certification from a registered land surveyor or Professional engineer has been submitted? YES or NO B. The lowest floor elevation is at or above the required lowest floor elevation? S or C. Electrical, heating, ventilation, plumbing, air conditioning equipment (including duct work) and other service facilities are located above BFE or flood proofed? YES r NO II. Development in Zones A, AE, AI -A30 and AH: A. Solid foundation perimeter walls located below BFE: 1. There are at least two (2) openings? ('E or NO 2. Square footage of enclosed area subject to flooding f f jlj"D 3. Square inches of venting requireda� 4. Square inches per opening (multiply 1 by w) e2�p 5. Number of required vents (3 above divided by 4 above) 6. Foundation contains the minimum number of vents? �eO N7. The bottom of each opening is no higher than one (1) foot above grade? NO 8. Any cover on openings will permit the automatic flow of floodwaters In both directions? (!:E�) OR NO B. Base flood elevation and/or floodway data not available orAO Zones: 1. The lowest floor is at least one (1) foot above the highest adjacent grade? YES or NO 2. The development meets the setback requirements of the ordinance? YES or NO 3. If 2 above was "no", has a No -Rise Certification been submitted? YES or NO Reviewer's Name: Date reviewed: B. Floodway data is provided. 1. Did this development encroach in the floodway? YES or NO 2. Do the actual field conditions meet the proposed actions and technical date requirements? YES or NO 3. If C1 was "yes", has a No -Rise Certification been submitted? YES or NO Reviewer's Name: Date reviewed III. Development in Zones V, VE and V1 -V30, VO (Coastal High Hazard Areas). A. Development location complies with all coastal setback requirements? YES or NO B. Structure is securely anchored to pilings or columns and certification by a Registered, professional architect or engineer has been submitted? YES or NO Reviewer's Name: Date reviewed: C. Walls permitted below the base flood elevation consist of decorative lattice work or, Where permitted, are breakaway and have been certified by a registered, professional Architect or Engineer? YES or NO Reviewer's Name: Date reviewed: Local Administrator's Signature: Date: City of Tybee Island 403 Butler Avenue - P.O. Box 2749 Tybee Island, Ga. 31328-2749 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE See Instructions for Item A6. OMB No. 1 Expiration Date: ate: N08 November 30, 201$ 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: 6 ROSEWOOD AVENUE City State ZIP Code Company NAIL 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 or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. } Photo One Photo One Caption FRONT 06/2312017 K z.• Photo Two Photo Two Caption REAR 06/2312017 FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 5 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30 9niq 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: 6 ROSEWOOD AVENUE 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 :his 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 wno 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—G10) 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 ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet [:]meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 4 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30. 2019 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COA/IPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 6 ROSEWOOD AVENUE 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 and/or 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. lop 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 & 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. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: Novernhmr zn on, Q 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,O. Route and Box No. Policy Number: 6 ROSEWOOD AVENUE Company NAIL Number City State ZIP Code TYBEE ISLAND Georgia 31328 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRE©) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction" 2] 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, AR/AE, AR/A1—A30, ARIAH, ARIAO. Complete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters_ Benchmark Utilized: LOCAL Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 FRI 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) 817 ❑X feet ❑ meters b) Top of the next higher floor 19 0 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) NIA Z feet ❑ meters d) Attached garage (top of slab) N/A x feet El meters e) Lowest elevation of machinery or equipment servicing the building 14. 2 ❑x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 6.9 Z feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 8 6 Z feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 7.0 0 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. l certify that the information on this Certificate represents my best efforts to interpret the data available. t 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? ❑X Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number VINCENT HELMLY 1882 Title LAND SURVEYOR Company Name VINCENT HELMLY ra 47 Address Here 129-A BURTON ROAD City State ZIP Code SAVANNAH Georgia 31405 Signature Date Telephone 06/23/2017 (912) 429-9395 Copy all pages of this Elevation Certificate and all at8omlints for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) C2 (e) = ELECTRICAL SWITCH FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 2 of 6 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: Nov ernber 30,2 018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) buildinn nwnar SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: BART ROWLEY A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company Cam an NAIL Number; Box No. 6 ROSEWOOD AVENUE City State ZIP Code TYBEE ISLAND Georgia 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 12 B OF LOT 12, BLOCK 12, FORT SCREVEN WARD A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5, Latitude/Longitude: Lat. N 32 ° 00' 56.3 " Long, W 80 ° 50'40.1 " 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) 1,792 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 9 c) Total net area of flood openings in A8.b 1,800 sq in d) Engineered flood openings? ❑x Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage 0 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 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 TYBEE ISLAND 135164 CHATHAM Georgia B4. Map/Panel 65. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone A0, use Base Revised Date Flood Depth) 13051CO213 F 07/07/2014 09/26/2008 AE 11.0 B10. Indicate the source of the Base Flood Elevation (BFT=) data or base flood depth entered in Item B9: C] FIS Profile E] FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: [] NGVD 1929 0 NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Fx� No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 DIVISION: 08 00 00—OPENINGS SECTION: 08 95 43—VENTS/FOUNDATION FLOOD VENTS REPORT HOLDER: SMARTVENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 EVALUATION SUBJECT: SMART VENT° AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-520; #1540-521; #1540-510; #1540-511; #1540-570; #1540-574; #1540-524; #1540-514 ICC ICC ICC ��� C PMG TED LIS Look for the trusted marks of Conformity! "2014 Recipient of Prestigious Western States Seismic Policy Council (WSSPQ Award in Excellence" WC A ■ms A Subsidiary of ICO�ECOUHCP s��T ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not Lj"'(—";q)� specifically addressed, nor are they to be construed as an endorsement of the subject of the report or arecommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as to anyfinding or other matter in this report, or as to any product covered by the report. ^R°°"", TM Copyright ° 2017 ICC Evaluation Service, LLC. All rights reserved. ICC -ES Evaluation Report ESR -2074 Reissued February 2017 This report is subject to renewal February 2019. www.icc-es.or 1 (800) 423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council DIVISION: 08 00 00—OPENINGS Section: 08 95 43—VentsiFoundation Flood Vents REPORT HOLDER: SMARTVENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 (877)441-8368 www.smartvent.com info smartvent.com EVALUATION SUBJECT: SMART VENT' AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-5520; #1540521; #1540510; #1540-511; #1540570; #1540574; #1540524; #1540514 1.0 EVALUATION SCOPE Compliance with the following codes: ■ 2015, 2012, 2009 and 2006 International Building Code (iBC) ■ 2015, 2012, 2009 and 2006 International Residential Code (IRC) ■ 2013 Abu Dhabi International Building Code (ADIBC)t tThe ADIBC is based on the 2009 IBC. 2009 IBC code sections referenced in this report are the same sections in the ADIBC. Properties evaluated: ■ Physical operation ■ Water flow 2.0 USES The Smart Vent' units are engineered mechanically operated Flood vents (FVs) employed to equalize hydrostatic pressure on walls of enclosures subject to rising or failing Flood waters. Certain models also allow natural ventilation. 3.0 DESCRIPTION 3.1 General: When subjected to rising water, the Smart Vent® FVs internal floats are activated, then pivot open to allow Flow in either direction to equalize water level and hydrostatic pressure from one side of the foundation to the other. The FV pivoting door is normally held in the closed position by a buoyant release device. When subjected to rising water, the buoyant release device causes the unit to unlatch, allowing the door to rotate out of the way and allow flow. The water level stabilizes, equalizing the lateral forces. Each unit is fabricated from stainless steel. Smart Vent® Automatic Foundation Flood Vents are available in various models and sizes as described in Table 1. The SmartVENT®Stacking Model #1540-511 and FloodVENT' Stacking Model #1540-521 units each contain two vertically arranged openings per unit. 3.2 Engineered Opening: The FVs comply with the design principle noted in Section 2.7.2.2 and Section 2.7.3 of ASCE/SEI 24-14 [Section 2.6.2.2 of ASCE/SEI 24-05 (2012, 2009, 2006 IBC and IRC)] for a maximum rate of rise and fall of 5.0 feet per hour (0.423 mmis). In order to comply with the engineered opening requirement of ASCE/SEI 24, Smart Vent FVs must be installed in accordance with Section 4.0. 3.3 Ventilation: The SmartVENT Model #1540-510 and SmartVENT® Overhead Door Model #1540-514 both have screen covers with 114 -inch -by -'14 -inch (6.35 by 6.35 mm) openings, yielding 51 square inches (32 903 mm2) of net free area to supply natural ventilation. The SmartVENT® Stacking Model #1540-511 consists of two Model #1540-510 units in one assembly, and provides 102 square inches (65 806 mm2) of net free area to supply natural ventilation. Other FVs recognized in this report do not offer natural ventilation. 4.0 DESIGN AND INSTALLATION SmartVENT and FloodVENr are designed to be installed into walls or overhead doors of existing or new construction from the exterior side. Installation of the vents must be in accordance with the manufacturer's instructions, the applicable code and this report. Installation clips allow mounting in masonry and concrete walls of any thickness. In order to comply with the engineered opening design principle noted in Section 2.7.2.2 and 2.7.3 of ASCE/SEI 24-14 [Section 2.6.2.2 of ASCEISEI 24-05 (2012, 2009, 2006 IBC and IRC)], the Smart Vent® FVs must be installed as follows: ■ With a minimum of two openings on different sides of each enclosed area. ■ With a minimum of one FV for every 200 square feet (18.6 m2) of enclosed area, except that the SmartVENr Stacking Model #1540-511 and FloodVENT® Stacking Model #1540-521 must be installed with a minimum of one FV for every 400 square feet (37.2 m2) of enclosed area. ■ Below the base flood elevation. ICC -ES Eraluauan Reports are not to be construed as representing aesthelics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the mbfeef of the report or a recoaunendalion for its use, There is no warronfy by IC(' Lralualion Serilce, LLC. express or implied, as to all);finding or other matter in lhls report, or as to any p-oducf covered by the report. Copyright® 2017 ICC Evaluation Service, LLC. All rights reserved. Page i of 3 ESR -2074 I Most Widely Accepted and Trusted Page 2 of 3 ■ With the bottom of the FV located a maximum of 12 inches (305.4 mm) above the higher of the final grade or floor and finished exterior grade immediately under each opening. 5.0 CONDITIONS OF USE The Smart Vent® FVs described in this report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: 5.1 The Smart Vent® FVs must be installed in accordance with this report, the applicable code and the manufacturer's installation instructions. In the event of a conflict, the instructions in this report govern. 5.2 The Smart Vent® FVs must not be used in the place of "breakaway walls" in coastal high hazard areas, but are permitted for use in conjunction with breakaway walls in other areas. 6.0 EVIDENCE SUBMITTED Data in accordance with the ICC -ES Acceptance Criteria for Mechanically Operated Flood Vents (AC364), dated August 2015. 7.0 IDENTIFICATION The Smart VENT®' models recognized in this report must be identified by a label bearing the manufacturer's name (Smartvent Products, Inc.), the model number, and the evaluation report number (ESR -2074). TABLE 1—MODEL SIZES MODEL NAME MODEL NUMBER MODEL SIZE (in.) COVERAGE (sq. ft.) FloodVEN 1540-520 15314" X 7314' 200 SmartVENTO 1540-510 15314" X 7314" 200 Flood VENT® Overhead Door 1540-524 15314" X 7314" 200 SmartVENT® Overhead Door 1540-514 15314" X 73/4" 200 Wood Wall FlooclVENT�' 1540-570 14" X 8314" 200 Wood Wall FlcodVENT® Overhead Door 1540-574 14" X 8314" 200 SmartVENT° Stacker 1540-511 16" X 16" 400 FloodVent® Stacker 1540-521 16" X 16" 400 For Sc t inch = 25.4 mm; 9 square toot = m :: v�� [MES Evaluation Report ESR -2074 CBC and CRC Supplement Issued January 2017 This report is subject to renewal February 2019. www.icc-es.org 1 (800) 423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council® DIVISION: 08 00 00—OPENINGS Section: 08 95 43—Vents/Foundation Flood Vents REPORT HOLDER: SMARTVENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 (877) 441-8368 www.smartvent.com infoCa_smartvent.com L�I1��I:Yf E�1►1>E-��1-�Jx� it SMART VENT® AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540520; #1540-621; #1540-510; #1640-511, #1540-570; #1540-574; #1540-524; #1540-514 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that Smart Vente Automatic Foundation Flood Vents, recognized in ICG -ES master evaluation report ESR -2074, have also been evaluated for compliance with codes noted below. Applicable code edition: ■ 2016 California Building Code (CBC) ■ 2016 California Residential Code (CRC) 2.0 CONCLUSIONS 2.1 CBC: The Smart Vent® Automatic Foundation Flood Vents, described in Sections 2.0 through 7.0 of the master evaluation report ESR -2074, comply with 2016 CBC Chapter 12, provided the design and installation are in accordance with the 2015 International Building Code (IBC) provisions noted in the master report and the additional requirements of CBC Chapters 12, 16 and 16A, as applicable. The products recognized in this supplement have not been evaluated under CBC Chapter 7A for use in the exterior design and construction of new buildings located in any Fire Hazard Severity Zone within State Responsibility Areas or any Wildland-Urban Interface Fire Area. 2.2 CRC: The Smart Vent® Automatic Foundation Flood Vents, described in Sections 2.0 through 7.0 of the master evaluation report ESR -2074, comp with the 2016 CRC, provided the design and installation are in accordance with the 2015 International Residential Code (IRC) provisions noted in the master report. The products recognized in this supplement have not been evaluated under 2016 CRC Chapter R337, for use in the exterior design and construction of new buildings located in any Fire Hazard Severity Zone within State Responsibility Areas or any Wildland-Urban Interface Fire Area. The products recognized in this supplement have not been evaluated for compliance with the International Wildland–Urban Interface Code. This supplement expires concurrently with the master report, reissued February 2017. ICC -ES Evaluation Reports are not to be construed as representing aesthetics or any other auributes not specifically addressed, nor are they to be construed im as an endorsement of the subject of the report or a recommendation far its use. There is no warranty by !CC Evaluation Senwe, LLC, express or implied, as to any finding or other mailer in this report, or as to any product covered bV rite report. i,2u�au m_ a Copyright 0 2017 ICC Evaluation Service, LLC. All rights reserved. Page 1 of 1 ICC -ES Evaluation Report ESR -2074 FBC Supplement Reissued February 2017 This report is subject to renewal February 2019. www.icc-es.org 1 (800) 423-6587 j (562) 699-0543 A Subsidiary of the International Code Council® DIVISION: 08 00 00—OPENINGS Section: 08 95 43—Vents/Foundation Flood Vents REPORT HOLDER: SMARTVENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 (877) 441-8368 www.smartvent.com info smartvent.com EVALUATION SUBJECT: SMART VENT AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-520; #1540-521; #1540-510; #1540-6611; #1540-570; #1540-674; #1540-524; #1540-514 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that Smart Vent® Automatic Foundation Flood Vents, recognized in ICC -ES master report ESR -2074, have also been evaluated for compliance with the codes noted below. Applicable code editions: ■ 2014 Florida Building Code—Building (FBC) ■ 2014 Florida Building Code—Residential (FRC) 2.0 CONCLUSIONS The Smart Vent® Automatic Foundation Flood Vents, described in Sections 2.0 through 7.0 of the master evaluation report ESR -2074, comply with the FSC and the FRC, provided the design and installation are in accordance with the International Building Codee provisions noted in the master report. Use of the Smart Vent® Automatic Foundation Flood Vents has also been found to be in compliance with the High -Velocity Hurricane Zone provisions of the FBC and the FRC. For products falling under Florida Rule 9N-3, verification that the report holder's quality assurance program is audited by a quality assurance entity approved by the Florida Building Commission for the type of inspections being conducted is the responsibility of an approved validation entity (or the code official when the report holder does not possess an approval by the Commission). This supplement expires concurrently with the master report, reissued February 2017. WC -ES Eraluation Reports are not robe construed as representing ae.sthelics or any other attribores not specifically addressed, nor are they to he construed as an endorsement of rhe subject of the report or a recommendation jor its use. There is no warranty by ICC Avalaarion Service, LLC, express or onphed, as 3 to any finding or ocher mailer in this report, or as to any product covered by the report. aoEi`c4 e Copyright® 2017 ICC Evaluation Service, LLC. All rights reserved. Page 1 of 1 Permit No. Owner's Name Gen. Contractor City of Tybee Island • Community Development Dept. Inspection Report 403 Butler Ave. • P.O. Box 2749 - Tybee Island, GA 31328 Phone 912.472-5032 - Fax 912.786.9539 Contact Information Project Address Scope of Work Inspector. Inspection Inspection Inspection Date Requested Date Needed Subcontractor Date of Inspection Pass El Pass ❑ Pass ❑ Fail 0 Fee Fail ❑ Fee Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee INTERNPAA[ CODE COUNCIL MEMBCR City of Tybee Island • Community Development Dept. ==� f"MmMI 7 Inspection Report 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 ~M= fw�. `� Phone 912.472-5032 • Fax 912.785.9539 CODECOUNrii MEMBER Permit No. Owner's Name Gen. Contractor Contact Information Date Requested Date Needed Subcontractor Project Address Scope of Work Inspector Date of Inspection Inspection yl Passej Jl u RvG� Fail 1:1 Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee JF City of Tybee Island • Community Development Dept. `�W Inspection Report a 403 Butler Ave. - P.O. Box 2749 • Tybee Island, GA 31328 »`':�� -E Phone 912.472-5032 • Fax 912.786.9539 CODE COUNCIL MEMBER �- Permit No. ar Date Requested Owner's Name Date Needed Gen. Contractor Subcontractor Contact Information Project Address Scope of Work Inspector Inspection Inspection Inspection Inspection Date of Inspection pa$s\`:� Fail F� Fee Pass ❑ Fail ❑ Fee Pass ❑ Fail ❑ Fee Pass ❑ Fail ❑ Fee DATE ISSUED: 02-11-2016 WORK DESCRIPTION WORK LOCATION OWNER NAME ADDRESS CITY, ST, ZIP PHONE NUMBER CONTRACTOR NAME ADDRESS CITY STATE ZIP FLOOD ZONE BUILDING VALUATION SQUARE FOOTAGE OCCUPANCY TYPE TOTAL FEES CHARGED PROPERTY IDENTIFICATION # PROJECT VALUATION CITY OF TYBEE ISLAND BUILDING PERMIT TREE REMOVAL 6 ROSEWOOD AVE ROSEWOOD INVESTMENTS, LLC CITY I !E TYBEE I SIAND RECk 094921nn _,/11/2016 1_w rlt, TF(Mi ?_f-100il 'tUildi-fly -IFE ; KR Tr 4M; 00-1 RH#.- 0008 SCj,Flirr�� 7ENnEFRi FCIA0 1 CHEEKS) A'PPL1ED; 50.01_0- CHANK-m 9X0 P IT #: 160077 P.O. BOX 30919 SAVANNAH GA 31410 DIVERSIFIED DESIGNS {� 11 JONES AVE TYBEE ISLAND GA 31328 P �e v�C $ 50.00 4-0003-09-033 $ 0.00 TOTAL BALANCE DUE: $ 50.00 It is understood that if this permit is granted the builder will at all times comply with the zoning, subdivision, flood control, building, fire, soil and sedimentation, wetlands, marshlands protection and shore protection ordinances and codes whether local, state or federal, including all environmental laws and regulations when applicable, subsequent owners should be informed that any alterations to the property must be approved by the issuance of another building permit. Permit holder agrees to hold the City of Tybee Island harmless on any construction covered by this permit - This permit must be posted in a conspicuous location in the front of building and protected from the weather. If this permit is not posted work- will orkwill be stopped. The building contractor will replace curb paving and gutter broken during construction. This permit will be voided unless work has begun within six months of the date of issuance. Signature of Building Inspector or Authorized Agent: F. O. Box 2749 - 403 Butter Avenue, Tybee Island, Georgia 31328 (912) 786-4573 - FAX (912) 786-9539 www.cityoftybee.org ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page 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. 6 Rosewood Avenue City Tybee Island State GA ZIP Cade 31328 Company NAIL Number: 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 "Left Side View." When applicable, photographs must shove the foundation with representative examples of the Flood openings or vents, as indicated in Section A8. FEMA Farm 0$6-0-33 (7132) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6 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; 6 Rosewood Avenue City Tybee Island State GA ZIP Code 31328 Company NAIC Number 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 or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. FEMA Form 066-0-33 (7112) Replaces all previous editions. ELEVATION CERTIFICATE, page 2 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: 6 Rosewood Avenue City Tybee Island State GA ZIP Code 31328 Company NAIC Number- SECTION umber SECTION D— SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments C2_b) is Lop of column. Part of C2.a) is elevation 6.65. Signature Z� % Date 10/17/15 SE61ON 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 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 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 Owners Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments Check 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 T9, 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 architectwho 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 -G10) is provided for community floodplain management purposes. G4. Permit Number I 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 building: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments Check here if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions. U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY Motional flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION Al. Building Owner's Name Bart OMB No. 1660-0008 Expiration Date: July 31, 2015 FOR INSURANCE COMPANY USE Policy Number. A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number. 6 Rosewood City Tybee Island State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc_) Lot 12-B Block 12, Fort Screven Ward PIN 4-0003-09-033 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Res' ential A5. Latifude/Longitude: Lat. N 32d 00' 57" Long. W 80d 50' 40" 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 7 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) n/a sq ft a) Square footage of attached garage nla sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade n/a within 1.0 foot above adjacent grade n/a c) Total net area of flood openings in A8.b n/a sq in c) Total net area of flood openings in A9.b n/a sq in d) Engineered flood openings? ❑ Yes E No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name Tybee Island 135164 Chatham B3. State GA B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel 68. Flood 69. Base Flood Elevation(s) (Zone 13051 CO213 F 717/14 Effective/Revised Date Zone{s) AO, use base flood depth) ® feet ❑ meters n/a. 9/26108 AE 11.0 810. Indicate the source of the Base Flood Elevation (BFE) data or base Hood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: B12. 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 Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR1AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: local Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, 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 and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 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. 1 understand that any false statement may be punishable by fine 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 a1aTE �Ly, ® Check here if attachments. licensed land surveyor? E Yes ElNo * w�-1 'd ^ Certifier's Name J. Whitley Reynolds License Number 2249 Title Land Surveyor Company Name Address 636 St henso A nue ity Savannah State GA ZIP Code 31405 Signature ate 10/17/16 Telephone 912-352-0464 N 9" �/ Ix E`- FEMA Form 08Ob-33 (7/12) See reverse side for Continuation. Replaces all previous editions. Check the measurement used. 8.67 E feet ❑ meters 16.70 ® feet ❑ meters n/a. E feet ❑ meters n/a. ® feet ❑ meters n/a. ® feet ❑ meters 7.2 ® feet ❑ meters 7.9 E feet ❑ meters n/a. E feet ❑ meters 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. 1 understand that any false statement may be punishable by fine 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 a1aTE �Ly, ® Check here if attachments. licensed land surveyor? E Yes ElNo * w�-1 'd ^ Certifier's Name J. Whitley Reynolds License Number 2249 Title Land Surveyor Company Name Address 636 St henso A nue ity Savannah State GA ZIP Code 31405 Signature ate 10/17/16 Telephone 912-352-0464 N 9" �/ Ix E`- FEMA Form 08Ob-33 (7/12) See reverse side for Continuation. Replaces all previous editions. 12B, BLOCK 12, FOI ISLAND, CHATHAM C RETRACEMENT SURVEY THIS SURVEY WAS PREPARED IN CONFORANTY WITH THC TECHNICAL STANDARDS FOR PROPERTY PLAT OF LOT IN CHAPTER SURVDYO IN GEORGIA O THE IROIS OR THE GEORORTINGIA OF THE GEORGIA BOARD OF WARD, AILD, TY REGISTRATIONFOR AND RSR "COMERS it 11B�E AND AS T FO LAND 9URYEYOR3 ANB A9 9EI' FORTH IN 7HE THE GCOROM PWT ACT 0C.CA 15-5-67. AUTHORITY GEORGIA O.C.GAL BELS, i6-0-67. 43-15-4. 43-15-6, 45-15-19, 45-15-22. 110111pMENi: TOPCON AP-LIA REVISED OCTOBER IP. 2016 Tv SHOW UIRL]IDIG UNDER MNMUCTICN ERROR OF CLOSURE. FOR: BART ROWLEY y,0 14 LINEAR: 1/- 8 T R� ANC:-•/ANGIE J. WfuTm REYNOLDS 4yO BALANCED BY: - WATER LINE AND SERER LINE LOCATIONS PROVIDED BY THE CITY OF TYBEE ISLAND. LAND SURVEYOR 0 PLAT: PLAT: I /- NO. 2249 630 STEPHENSON AVENUE SUITE C :D 'yo 0 20 SCALE. 1" . 2G' 20 0 20 40 60 v SAVANNAH GEORGIA 014C5-0464 y suR 4, TELEPHONE: 912-352-04fl4 Ey Q' DATE: JUNERm 1e, 2016 SURVEY DATE: tuNE 23, 2015 PWT DATE: GRAPHIC SCALE - FEET FAR: 912-352-7767 —v FRE No. 16-62 12B, BLOCK 12, FOI ISLAND, CHATHAM C City of „oee Island • Community Develop... -ant Dept.it =w=� Inspection Report J 403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 =��+ Phone 912.472-5032 Fax 912.786.9539 INTER NAT ONAC ODE COUNCIL MEMBER Permit No. Owner's Name Gen. Contractor Contact Information Project Address Scope of Work Inspector Inspection Date Requested Date Needed s { Subcontractor Date of Inspection PassEl V Fail F] Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee Inspection Pass ❑ Fail ❑ Fee �%w ���� C i t y o f 1 y o e e I s l a n d - C o m m u n i t y ��D e v e l o p ��. . 4 n t D e p t . I n s p e c t i o n R e p o r t 4 0 3 B u t l e r A v e . " P . O . B o x 2 7 4 9 " T y b e e I s l a n d , G A 3 1 3 2 8 = s �� a I N T E R N A 1 1 0 N A L L . , " . P h o n e 9 1 2 . 4 7 2 - 5 0 3 2 " F a x 9 1 2 . 7 8 6 . 9 5 3 9 C O D E C O U N C I L M E M B E R P e r m i t N o . O w n e r '