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Home My Public Portal AboutVAN HORN_34.pdfU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 Nadmml Flood Armmxe Progron' Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A -PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owners Name David & Marine Makel Policy Number A2. Building Street Address (including Apt., Unit, Suite, andIor Bldg. No.) or P.O. Route and Box No. Company NAIC Number 34 Van Hoon City Types Island State GA ZIP Code 31328 A3. Property Desorption (Lot and Block Numbers, Tax Parcel Number, Legal Desaipton, etc) Lot 1A of a Second Recombination of Lots 1, 7 & pan of Lot 6, Block 30, Tax Parcel 4-002-01-012 A4. Building Use (e.g., Residential, Non- Residential, Addition, Accessory, etc.) Residential -4 Unit Apartment Building A5 LatrudelLongitude: Lat. 32001'11.8" Long. 80°5052.3" Horizontal Datum: ❑ NAD 1927 S NAD 1983 AS. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. Al. Building Diagram Number 2 A8. For a building with a crewlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crewlspace or enclosure(s) 4 889 sq fl a) Squarefpotage of atoched garage WA sq It b) Number of permanent flood openings in the craWspace b) Number of permanent flood openings in the attached garage or enclosures) within 1.0 foot above adjacent grade 4 within 1.0 foot above adjacent grace WA Q Total net area of flootl openings in AB 0 2 sq in c) Total net area of flood openings in A9.b NIA Sq in d) Engineered flood openings? ❑ Yea S No d) Engineered flood openings? ❑ Yes S No City of Tybee Island 1351848 Community NamNumber I Chia my Nam Georgia B4. MaWPanel Number B5. Suffix B6. RRM Index Dale B7. FIRM Panel B8. Flood 69. Base Flood Elevation(s) (Zone 1305100213 F 7-7-2014 Effl BL.lRevI. Date Zone(S) AO, use base flood depth) 112 S feet ❑ meters 9-28-2008 AE 11.0 BID. Indicate Me source of the Base Flood Elevation (EIRE) data or base flood depth entered In Item B9. ❑ FIS Profile S FIRM ❑ Community Determined ❑ OlherlSmoce: 811. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 S NAVD 1988 ❑ O9rerlSource: B12. Is the building located in a Coastal Banner Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes S No Designation Data: _ ❑ CBRS ❑ OPA SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' S Finished Construction 'A new Elevation Certificate will be required when cenSbudion of We building is complete. C2. Elevations -Zones At -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, AR/AH, ARIAO, Complete Items C2.a-h below according to the building diagram specified in Item AT In Pueno Rico only, enter meters. Benchmark Meet: eGPS Vertical Datum: NAVD88 Indicate elevation datum used for the elevations in items a) Mrough h) below. 11 NGVD 1929 ® NAVD 1988 ❑ Olherlsource: 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, crawapace, or enclosure floor) b) Top of Me nem higher floor c) Bonom of Me lowest horizontal sWdumi member (V Zones ony) J) Attached garage (top of stab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grace nem M building (LAG) g) Highest adjacent (finished) grade nem to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 3.91 S feet ❑ meters 13.1 S feet ❑ meters WA ❑ feet ❑ meters NI.A ❑feet ❑ meters 112 S feet ❑ meters sfi ®feet ❑ meters -.1 S feet ❑ meters N/.A ❑ feet ❑ meters SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION Title Registered Surveyor Company Nam Brewer Land Surveying Address `.U. BOX M Cary Paonnr sbro OA Zn' Cab 34322 IMPORTANT: In these spaces. cop, the corresaondina information from Section A. I FOR INSURANCE COMPANY USE Building Street Address (indur ing Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.I Policy Number: 34 Van Hom City Tybee Island State GA ZIP Code 31328 1 Company NAIC Number: 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 Items A8 8 C2a is the basement floor. Item C21, is the main floor. Item C2e is the lowest outside air conditioning unt. For Zores AO and A (vnthout BFE), complete Items E1 -E5. If the Ceniflcate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1{4, use natural grade, if available- Check Ne measurement used, In Puerto Rim only, enter meters. Et. Provide elevation information for the following and &a& me appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Tap of bottom floor (inducting basement, crewispace, or enclosure) is _ _ 0 feet 0 meters 0 above or 0 below the HAG. b) Top M bottom floor (including basement, crawlapace, or enclosure) is 0 feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 8-9 with permanent flood openings provided in Section A Items 8 and or 9 (see pages 8-9 of Instructions), Me nerd higher floor (elevation C2.b in the diagrams) of Me building is __ 0 feel 0 meters 0 above or ❑ below the HAG. E3. Attached garage (top of slab) is _ _ 0 feel 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery andlor equipment servicing the building is _ _ 0 feet 0 meters 0 above or 0 below the HAG. ES. Zone AO only: If no footl depth number is available, is me top of the bottom floor elevated in accordance with Ne community's floodplain management ordinance? 0 Yes 0 No 0 Unknown. The local official must witty this information m Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATWE) 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 corect to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Add." City state ZIP Code Signature Data Telephone Comments 0 Check here if attachments. SECTION G -COMMUNITY INFORMATION (OPTIONAL) The low] official who is aumonsed by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. C (or E), and G of mu Elevation Certificate. Complete her applicable items) and sign below. Check the measurement used in Items G8G10. In Puerto Rim only, enter meters. G1.[3 The information In Section C was taken hon rather dommentation mat has been signed and sealed by a licensed surveyor, engineer, or archite l who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA -issued or mmmunity-issued BFE) or Zone AO. G3. 0 The following information (Items G4 -G10) is provided for communlly floodplain management purposes. G4. Permit Number G5. Data Peimt Issued Ge. Date Certi tate Of Compliance/Omupancy Issued G7. This permit has been issued for 0 New Construction 0 Substantial Improvement G8. Elevation of as -built lowest floor (Including basement) of the building: _ _ 0 feet 0 meters Datum Gg. BFE settle Zone AO) depth of flooding at the building site. _ _ 0 feet 0 maters Datum G10. Community's design flood elevation: _ _ 0 feet 0 meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments FEMA Form 086-0-33 (7/12) 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: 34 Van Horn 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 086-0-33 (7/12) Replaces all previous editions. 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.O. Route and Box No. Policy Number: 34 Van Horn City Tybee Island State GA ZIP Code 31328 Company NAIC 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 show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Left Side View 7-29-2015 Right Side View 7-29-2015 FEMA Form 086-0-33 (7/12) Replaces all previous editions.