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HomeMy Public PortalAboutLAUREL AV_1110.pdfSep 21 17 0&12p P-2 U.$. I)EPARTMENT OF HCMEUWD SECUPffy ELEVATION CERTIFICATE 0MR W 1660-01M Errrergenry 6 Emir es Fetxuen 28. 2009 Fedetar ernenl ncy NaWnalFlood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For lnsmnice company Us$: Al. Building A2. i3uildrrig Street Address (znGuding Apt. Unit, SUID, arWor Bldg. No.) or P.o, Route and box No. Company MAIC Number 1110 LAUREL AVENUE City T"CE fSMND State GA ZIP Code 31328 A3. Property DesoriPbon (Lel and BkK* Numbers. Tax Frarcd Number, Legal Cescriptian, etc.) LOT 5, BLACK 10, GARDEN WARD, TYaEE ISLAND A4, SwIding Use leg.. Remential, Nott-Residoniiat, Addition, Accessory, etc.) RESIDENTIAL AS. t.atltudeztongitude: Lal. 32.42022 tong. 86,655310 HD67:ontalDatum: I-] NAD 1927 (Z NAD 19%3 A6. Aftacn at least 2 pltotDoajms of the bt U" if the CerSficale is being used to obtain food insurance. A7. Swlding Diagram Number 5 AS. Fora bui[ding with a cMY4 space or ertdoaum(s). prmAdle A9. Far a buiidlrr<,} with an attached garage, provide: a) Square footage of cr&A space orenck6ura(s)LAA sq It a) Square footage of attached garage NONE eq 4 b) No. of permanent food openings in the crawl space or b) No. of permanent il000 openings in the attactwd garage enclosura(s) walls within 1.0 loot above adjacent grade NNA walls within 1.0 foot above adjacent grade t1lA c) Total net area of Road openings iu AB.p " sq in c) Total riot area of flood openings in Ag.b NIA 59 in SECTION 8 - FLOOD INSURANCE RATE MAP (FlftlJi) INFORMATION 81. NF1P Community Name & Cornnuiriity Number (32, County Narire 83. State TYBEE ISLAND, GA - 935164 CHATHAM GA 84_ MapfParel Number B5. Suffix Bfi. F[FiA1 Index BT. FIRM Panel 88. Food 69. Base Road Etevation[s} (moo g,j,1 ® leek © meters (Puerto Rio- only) Date FJfeetivolRevoed Bate Zoete{s) AO, ase base hood depth) 135164-00 e) 86 11166 rte 13 811). Indicate the source of the Base Flood Elevation (WE) data or base flood depth erefmd in Item 08. 0 FIS Profile ® FIRM © Carnmunity Determined L7 Cater (Describe) 611, Indicate elevation datum users for BFE in horn 69: ® NGVD 1829 I] NAVA 1986 i] Other (Describe) 812. Is the bold ng located in a Coastal Barrier Resources System (CBRS) area or Othamise Protected Area (OPA)? Dyes ®No Designation Date MI,A_ © CBRS ❑ OPA SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQU11"I G1. Building elevations are based on: D Construction orawings- © Building Under Consum on• 0 Finished Constrocl on 'A new Elevatim CertdicaW will Do roquirad when construction of the building is complete C2. Elevations--Zcrles Al -0.30, AE, AH, A (wink BFE), VE, V1430, V (with SFE). AFL, ARIA. AR1AF-, ARIA1-A30, ARIAI4, AR1AC_ Complete Items C2 -&.g be[aw accoWirug to the building diagram specified in ftrn AT. BenchmarkUlRaed LOE,(,jt Vertical Datum Vgyp122 Convarslat+Cornmonts MDNE SECT1oN Q - SLMVEYOR. ENGINEER, OR ARCFWMCT CERTIFICATION This cetftfication is to be signed and sealed by a land sutveyvr, engineer, or arcidect alMotaed by tarn to eerljfy elevation inferrrwAon. 1 ceroyvim lure information on this Certificate represents my bust a!►orb to interpret "data avaytabfs. I undwstand #hat any faiso stai amant maybe pumhable by fine ori nprisonmeM wider 16 V.S Go^ SecLbn 1001. I �. 0 Check here if comments are provided on back of farm. Cerliriers Name BERT S. BARRETT, JR_ Licxerese Number GA 2225 Company Name City SAVANNAH Stale GA ZJF Date 10/i=07 Teiephma 912-887-0661 FEMA Form 81-31, February 2C*6 See reverse side for eandnuatipn. Replaces all previous editions Check the meeasuremertt used. a) Top of bottom. floor (including barserneru, crawl spsce, or enclosure Poor)_ g,j,1 ® leek © meters (Puerto Rio- only) b) Top of the next higher fk %Cf 9. d ® feel © meters (Puerto Ricooniy) e) Bottom d the (owest horizontal structural rnember (V Zones only) 9• ® feel © meters (Puerta Rim only) d) Attached garage (top nhoab) NONE._ ® feet EJ meters (Puerto Rico only) e) Lowest elevation d machinery or equipmem servicing the building 8.34 ® ieat {] maters (Puerto Rico oily) (Describe type of equipment in Comments) fj Lotiest adjacent (firtlxhed)grade (LAG) 7: ® fee: C r. Mata (Pusrto Rico oNy) g) H}ghpst adjacent (finished) grade (HAG) 0 feet © meters (Puerto Rim only) SECT1oN Q - SLMVEYOR. ENGINEER, OR ARCFWMCT CERTIFICATION This cetftfication is to be signed and sealed by a land sutveyvr, engineer, or arcidect alMotaed by tarn to eerljfy elevation inferrrwAon. 1 ceroyvim lure information on this Certificate represents my bust a!►orb to interpret "data avaytabfs. I undwstand #hat any faiso stai amant maybe pumhable by fine ori nprisonmeM wider 16 V.S Go^ SecLbn 1001. I �. 0 Check here if comments are provided on back of farm. Cerliriers Name BERT S. BARRETT, JR_ Licxerese Number GA 2225 Company Name City SAVANNAH Stale GA ZJF Date 10/i=07 Teiephma 912-887-0661 FEMA Form 81-31, February 2C*6 See reverse side for eandnuatipn. Replaces all previous editions Sep 21 17 03:12p p•3 IMPORTANT: In these spaces, COPY the corresponding information'from Section A. For Insurance Company Lisa: Building Street Address (Including Apt, UrvI. Suite, and/or Bldg_ No.) or P.O. Route and Box No, Policy Number 1110 LAUREL AVENUE Cfty TYBEE ISLAND State GA ZIP Code 31328 Company NA]C Atumber SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Lievation Certificate for (1) community Oficial. (2) fnaurance agentloompany. and (3) building owner. Comments t. THE ELEVATION OF THE OUTSIDE HEATPUMP UNIT (CONDENSER) IS AT T.Z NGVD 1929. � GARPAIN�ETIREX LEGEW GPS UNIT USED FOR IAULONG Signature SECTION E - BUILIBINO ELEVATION INFORMATION (SURVEY NCT REQUIRED) FOR ZONE ACI AND ZONE A I1fYIT+IouT r4Ft=� For Zones AO and A (w 1hout BFE), complete Items E1 -E3. If the Certificate is intended to support a LOMA or LOMB -F request, complete Sections A, B, and C. For Items E4 -E4, use natural grade, it avaifable, Check the me&surement used. In Puerto Rim only, enter meters. Et. Provide elevation Inlorrnation for the following and check the appropriate boxes to grow whether the elevation is above or below The highest adjacent grade (HAG) and ftkwiestadjaoerttgrade (LAG). a) Top cf boltorm flotx'!n :hiding baseman; Crass: spec ,+r enrloaure) is rilrr C3 feet [J maters L_7 above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is j fA.0 feet 0 meters ❑ above or ❑ below the LAG, F2. For Building Diagrams 6-8 with pemaanent #clod openings providod in Section A Items 8 and/or 9 {see page 8 of lnstnlciions), the next lighef poor (elevetion C2 -b as the d;agrarms) of the building Is NJA I❑ feet ❑ meters 0 above ur ❑ belew the HAG. F;3. Atla W garage (lop of slab) is NIA. MW ❑ meters ❑ above or ❑ below the HAG. E4. Tap of platform of machinery andlor equipment s"cing die buffing is NIA.____` ❑ feet 0 meters ❑ above or ❑below the HAG. ES. Zone AO only; Of no flood depth number is available, is the lop of the bosom floor elevated in accordance vrlfh the cornmurdty'a RoodptaKr 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 owners suthorized representative who cormplelos Sections A, B. and E forgone A (**cul a FEMA -issued or comrmunity-issued BF or Zone AO must sign here. The srafernenfs 81 -Sections AS, and E ata correct to Ute best of my knowledge. Pr -pe ly Owner's or Ownef's Atnhortasd Representative's Nartte -- .. .. btlA _ Address NIA City WA state Nl ZIP Code NIA Signature NIA Camnlentg NIA Date NIA Telephone NIA G -COMMUNITY INFORNLA The tical official who is authorised by law or ordinance to adrninislerlhe DoT]miril(y's floodplain rronagemonl ordinance can coinplele Sectiom A. B. C and G of this Elevation Cerliffcate. Complete ft applicable ilem(s) and sign below. Check the meastnernent used in Items CO. and G9_ G1.0 The Information in Section C was taker/ fmrn other doull menWon that has been sl7wd and sealed by a licensed surveyor. engineer, w arctdtecl who is euthodzed by law to car* ulevatloh Inlormation. (MK*:ale the souree and dab of the elcmtiun date in the Comments area below.) G2.0 A cannurrtyofficlal Completed Section E for a building located in Zone A (w ilhout a FEMA-(ssued nr comrrtunif y.issued 8FE) or Zone AO. G3. ❑ The following informalion (Items G4.-Gg.) is provided rot cammsrnity fbtWptatn rrtanagemeN_ pu+poses_ G4. Permit Numbor l Cry. Date Permit Issued G6. Date Cenir"te of Compliancwoccupancy Issued t NIA NIA NIA G7_ This pemait has been Issued for: ❑ New C nistruclion ❑ Substantial ImproVemenl G8. Eievalion of as -built Iovftst floor (Inctudhap basement) d the blinding_ NIA._ _[] feet 0 meters (PR) Datum WA G9 BFE or (in Zone AO) depth of flooding 81 the txillding Site: YLA_,_,w ❑ feet ❑ deters (13R) Datum NIA Local Official's Name NA Tile NIA Community Name WA Terephmte NIA Signalise N/A Data NIA Cornmortts WA ❑ Ctwck here if lattactlMents FEMA Form 131-31. February 2U06 Replaces all previous editions Sep 21 170312p Building Photographs SPA Instructions for Item AB. For Immance Cwnpany Use_ Building Street Address (including Apt., Unit. Suite, ar&or ftldg. No.) or P.O. Route and Box No. Arley Number 1110 iAUREt AVENUE City TYEME ISLA14D State GA ZIP Code 3iva Company Nwc nkm,ber If using the Elevation Certificate to obtain NFP Road insurance, affix at least two building photographs Wow according to the inductions far Item A6. Identify ail photographs with: date taWn; "Front Mew" and "Rear View`; and, if required, 'Right Side View' and "t_eft Side View' If submitting more photographs than will fit on this page, use the Continuadon Page, foilowing.