HomeMy Public PortalAboutMILLER AV_1316.pdf,.S, oEPARTMENT OF HOMELAND SECT R. T �, ELEVATION CERTIFICATE OIC No. 1660-0008
FederarEmergency Management Agency x-ires March 31, 2012
Nationi+l Flood Insurance Program Important: Read the insmuctions ori pages 1-9.
SECTION A - PROPERTY INFORMATION Fcr insurance Company Use:
Al. building Owner's Narr* JAMES W. AND KITTY B. WILLIAMS, JR. Pclicy taur�r
A2. l3uilaing Street AcOress (in;.(uding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No, Company NA1C Number
1316 MILLER AVENUE
City TYBEE ISLAND State GA ZIP Code 31328
A3. Properry Description (Lot and Siock Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 149,'rVARD 4, TYBEE ISLAND
A4. Buiiding Use (e.g., Resiaential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Ladtude/Longitude: Lat. 31.3 631 Long. 80. 5068 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.
A7. Building Diagram Number 1
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) NIA sq ft a) Square footage of attached garage N1A sq fl
b) No, of permanent flood openings in the crawispace or b) No. of permanent flood openings in the attached garage
enciosure(s) within 1.0 foot above adjacent grade NIA within 1.0 foot above adjacent grade N/A
C) Total net area of flood openings in A8.b NIA sq in c) Total net area of flood openings in A9.b hyA sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP Community Name 8 Community Number B2. County Name B3. she
TYBEE ISLAND, GEORGIA - 135164 CHAHTHAM GA.
84. Map/Panel Number B5. Suffix 86. FIRM Index B7. FIRM Panel B8. Flood B9 Base Flood E(evafion(s) (2
1305100326 F Date Effective/Revised Date Zones) AO, use base flood depth)
9126108 9126/08 AE 11
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FiS Profile ® FIRM ❑ Community Determined ❑ Other (Describe)
BI 1. 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)? ❑ Yes ® No
Designation Date NIA ❑ 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, Vi -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 GASK Vertical Datum NAVD88
Conversion/Comments NONE
Check the measurement used.
a)
Top of bottom floor (including basement, crawlspace, or enclosure floor) 6.44
® feet
❑ meters (Puerto Rico only)
b)
Top of the next higher floor
NONE._
® feet
❑ meters (Puerto Rico only)
c)
Bottom of the lowest horizontal structural member (V Zones only)
N)A.
® feet
❑ meters (Puerto Rico only)
d)
Attached garage (top of slab)
NONE._
® feet
❑ meters (Puerto Rico only)
e)
Lowest elevation of machinery or equipment servicing the building
o.0
® feet
❑ meters (Puerto Rico only)
(Describe type of equipment and location in Comments)
f)
Lowest adjacent (finished) grade next to building (LAG)
5.fi
feet
❑ meters (Puerto Rico only)
g)
Highest adjacent (finished) grade next to building (HAG)
6.2
® feet
❑ meters (Puerto Rico only)
h)
Lowest adjacent grade at lowest elevation of deck or stairs, including
6.0
® feet
❑ meters (Puerto Rico only)
structural support__
SECTION D - SURVEYOR, ENGINEER,
OR ARCHITECT CERTIFICATION
This certification is to be signed and seated by a land surveyor, engineer, or architect authorized by law to certify elevation
information. t 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.
® 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
Certifier's Name BERT B. BARRETT, JR. License Number GA. 2225
Title OWNERIPRESIDENT Company Name BE BARRETT, JR. LAND SURVEYING, PC,
Address1 UNTIE R AD City SAVANNAH i State GA ZIP Code 31410
Ph Signatu , _ / �� �(J Date 4107/11 Telephone 912-897-0661
e $aRR�i
FEMA Fdr T81 -S1, Mar 09, \ � �, See reverse side for continuation. Replaces all previous editions
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