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HomeMy Public PortalAboutChatham Av_1705.pdf-1-S. DEPARTMENT OF HOMELAND SI=CUR" Federal Emergency Management Agency National Flood Insurance Program Al. Building Owner's Name ASA B. DAVIS ELEVATION CERTIFICATE Important Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION A2. Building Street Address (including Ftipt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1705 CHATHAM AVENUE City TYBEE ISLAND State G,4 ZIP Code 31328 OMB No. 1660-0008 Expires March 31, 2012 For Insurance Company Use: IPolicy Number ICompany NAIC Number A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) NORTHEASTERLY PORTIONS OF LC FS 1 & 2, WARD 6, TYBEE ISLAND A4. Building Use (e.g., Residential, Nc...--Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 31.99105 Long. 80.85177 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of tt;a e,uilding if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 5 A& For a building with a crawlspace cii enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace zr enclosure(s) N A sq tt a) Square footage of attached garage N/A sq It b) No. of permanent flood openings in the crawispace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade NIA within 1.0 foot above adjacent grade NIA c) Total net area of flood opening-- in A8.b NIA sq in c) Total net area of flood openings in A9.b NIA sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No �:3 ECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 131. NAP Community Name & Cornmur ity Number B2. County Name I B3. State TYBEE ISLAND, GEORGIA - 135164 CHAHTHAM GA. B4. Map/Panel Number B5. Sufl,;c B6. FIRM Index 67. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 13051 C0326 F Date Effective/Revised Date Zone(s) AO, use base flood depth) 9/26/08 I 9126108 , AE I 13 B10. Indicate the source of the Base Fl,,od Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. indicate elevation datum used for t3FF- in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal 3arrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date NIA ❑ CBRS ❑ OPA SEC TION 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, AI , A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diatira n specified in Item AT Use the same datum as the BFE- Benchmark Utilized LOCALVerti(,a: 0jtum NAVD88 Conversion/Comments NONE Check the measurement used. a) Top of bottom floor (including Isasament, crawlspace, or enclosure floor) 10.80 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 10.87 ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizonter ul)uctural member (V Zones only) NIA ® feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) NON ._ ® feet E] meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building SEE COMMENTS ® feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) gra;le next to building (LAG) 7.3 N feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 7.8 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lower: elevation of deck or stairs, including 7.3 ® feet ❑ meters (Puerto Rico only) structural support SE�:.TION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and se:aied by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the informaric. ; on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statemt=nl r, i. p+ be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are p'ovid•ad on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No Certifler's Name BERT B. BARREfT, J,. License Number GA. 2225 Title OWNERIPRESIDENT Company Name BERT BARRETT, JR, LAND SURVEYING, PC. Address 145 FNrER ROAD City SAVANNAH State GA ZIP Code 31410 Signature \` l\ , /\ Date 5/27110 Telephone 912-897-0661 FEMA For3'rt 81-31, Mar 09See reverse side for continuation. Replaces al prev"'r editions WARNiNG: Due to the possibili.l chat changes may have been done to this residence after this elevation certificate was signed and dated by the surveyor, it is recommended t7a c action be taken in using this elevation certificate by anyone other than the person indicated in section Al IMPORTANT: In these spaces, ;:,:y>'y the corresponding information from Section A. For Insurance Company Use: Building Street Address (inciuding Aa: , U nit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 1705 CHATHAM AVENUE City TYBEE ISLAND State GA ZIP (:ole 31328 4 Company MAIC Nurnber SECTIO? HD - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Cert: i::; le for (1) community official, (2) insurance agent/company, and (3) building owner. Comments 1. MAGELLAN MERIDIA I (:'OLD GPS UNIT USED TO OBTAIN IAT)LONG 2. THE LO EST ELEVATION OF K's'HINERY SERVICING THIS BUILDING WITHIN THE FOUNDATION WALLS IS AT 19.9'+1- NAVD 1988. 3, THE EL OF THE OUTSI[ c- t-iEATPUMP UNIT (CONDENSER) IS AT 13.92' NAVD 1988. Signa, ' � ) } - Date 51271117 } ❑ CheCk here if attachments SECTION E - BUILDING 1=LE�i .TfON INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BF!_) For Zones AO and A (without BFE), c.:. n;Mete 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 :'ii etde, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information fo- U , following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adj ir'E.tt grade (LAG). a) Top of bottom floor (including -, asment, crawlspace, or enclosure) is NIA. ® feet ❑ meters ❑ above or ❑ below the HAG, b) Top of bottom Floor (including-a::emenl, crawlspace, or enclosure) is NIA. ® feet ❑ meters ❑ above or ❑ below the LAG. E2, For Building Diagrams 6-9 witl_e pi finanent 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 NIA. ® feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is id; 4. ®feet ❑ meters ❑ above or ❑ below the HAG, E4. Top of platform of machinery an: i D. equipment servicing the building is NIA. 0 feet ❑ meters ❑ above or ❑ below the HAG. E5, Zone AO only: If no flood depth i-: i'iber is available, is the top of the bottom floor elevated in accordance with the community's Floodplain management ordinance? ❑ Yes ❑ No L i Unknown. The local official must certify this information in Section G. SECTICIF - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authari. i c representative who completes Sections A, B, and E fur Zane A (without a FEMA- issued or community -issued BFE) or Zone AO must sign here. The state n c, its in Sections A, 8, and E are correct to tho best of my knowledge. Property Owners or Owner's Authorized i :epresentaiive's Name NIA - - - - Address NIA City NIA State GA ZIP Code N/A Signature NIA Date NIA Telephone NIA Comments NIA n Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by la, ,i m ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Com cele the applicable item(s) and sign below. Check the measurement used in Items GB and G9. The information in Section C v <<s taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized bylaw to certify c!ation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official complete Sliction E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. © The following information (Iten is (.A -G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued NIA N'A I NIA G7. This permit has been issued for: (,D New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest ftoor (in l fr ling basement) of the building: NIA ® feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flood � at the building site: N(A. ®feet ❑ meters (PR) Datum G10. Community's design flood elevation NIA ® feet ❑ meters (PR) Datum Local Official's Name NIA Community Name NIA Signature NIA Comments NIA Title NIA - - - Telephone NIA Date NIA n Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions