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Home My Public Portal AboutVENETIAN DR_1308.pdfUMt5 NO. "IbW-UMS Federal Emergency Management Agency I Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE ��,,� Important: Follow the instructions on pages 1-9. 'E,�`14. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance aaent/comoafnev- and !3] hi,iiA;._ ... - SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: Estate of Patricia Cullum A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg_ No_) or P.O. Route and Company Com an NAlC Number: Box No. 1308 Venetian Drive City State ZIP Code Tybee Island Georgia 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lots 360, 360A & pt lot 333, ward 4 PIN 4-0011-03-018 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. N 31' 59'54" Long. W 80' 51' 12" Horizontal Datum: ❑ NAD 1927x❑ 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 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade NIA c) Total net area of flood openings in A8.b NIA sq in d) Engineered flood openings? ❑ Yes ❑x No A9. For a building with an attached garage: a) Square footage of attached garage N/A 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.b N/A 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 B5. Suffix B6. FIRM Index B7. FIRM Panel B8_ Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 13051 CO326 F 07-07-2014 09-26-2008 AE 12.0 B10_ Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11_ Indicate elevation datum used for BFE in Item B9: ❑ 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 0 No Designation Date: ❑ CBRS ❑ OPA EMAForm 086•-0-3s 17/10 omni- _H ...,,,...........,:.:--- - - ELEVATION CERTIFICATE vmu 1vv_ rvvv-vvvu Expiration Date: November 30. 201A IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Policy Number: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1308 Venetian Drive 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* 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, AR/AE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in item A7. 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 Fx� 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) 7.00 ❑x feet ❑ meters b) Top of the next higher floor NIA ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) N/A ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 6.63 x feet El meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 6.60 ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 7.20 E] feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including NIA ❑ 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? 19 Yes ❑ No ❑ Check here if attachments. Certifiers Name License Number J. Whitley Reynolds 2249 �0 R. el � Title Registered Land Surveyor w 44�' ��+j Company Name a 9 ea p Address 636 Stephenson Avenue, Suite C S g State ZIP Code City LEY Savannah Georgia 31405 Sign ure Date Telephone Ext. 11-14-2017 (912) 352-0464 dopy ail ges of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Coents (including type of equipment and location, per C2(e), if applicable) C2. ) is A/C =rKAA Fnrm nJQA_rL z4 MIM LLLVA I IVN GERTIFICATE VIVID IVU. loot/-vuVo Expiration Date: Novernhor In '!n,0 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Policy Number: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1308 Venetian Drive 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 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 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 EJ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or El 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 0 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. FMA Fnrm nurl_n_-4; 17rIFS1 v ..,, .J, - - - - - CLICVA I IUN C"tKTIFIGATE VIVID IYu. IDflV-U►.IVZS 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.O. Route and Box No. Policy Number: 1308 Venetian Drive City State ZIP Code Company NAIC 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 elevation data in the Comments area below.) ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) G2 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) ❑ feet ❑ meters Datum of the building: 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 =MA Fnrm nRs-n-.,A'i nrI_A%� D . 1 -11 tLevA I IUN W=KTIFICATE See instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR Expiration Date. November 30, 2018 Building Street Address (including Apt., Unit, Suite, and/or Bldg, No.) or P.O. Route and Box No. Policy NumbeCE COMPANY USE 1308 Venetian Drive City State .ZIP Code Tybee Island Georgia 31328 Company NAIL Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according instructions for Item A6. Identify all photographs with date taken; "Front View" and ~Rear View', and, if required, "Right Side V "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood oew" and ito the vents, as indicated in Section A8, if submitting more photographs than will fit on this page, use the Continuation Page. Penings or Photo One Caption Front view 11-13-2017 'hoto Two Caption Rear View 11-13-2017 1_lnrl rEJI ll! WnO-1 l -AA ! II1-'1l PF�aa Ekae PtW O Two Clear Photo one Clear Photo Two