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HomeMy Public PortalAboutPULASKI ST_26-EC.pdfU.S. DEPARTMEW OF HOMELAND SaMMITY ELEVATION CERTIFICATE FEDERAL EMERGENCY .5 ® feet MANAGEMENT AGENCY OMB No. 1WIN000B Ndejawl Flood ienerdam ProMrarn Important: Read the instructions on pages 1-9. F)iraiicin Date, July 31, 2015 SECTION A — PROPERTY INFORMATION FOR INSURANCE comPANY u5E A", Building Owners Name NICHOLAS ROBINSON Policy Number. A2, Building Streat Address (including Apt.. UnA, Suite, andfor Bldg. No.) or P O, Rtwte mild Box No. Company NAIL Number 26 PULASKI STREET © feel City TYBEE ISLAND State GA ZI Cade 31328 e) Lowest elevation of maehfn" of equipment servicing the buodirg A3, Property Description (Lot and Block Humbert, Tax Parcel Number, Legal Deseriplion, etc.) _ --- EAST PART LOT 5, BLOCK 34, FORT SCREVEN WARD, TYBEE TAX PARCEL 4-0031-09-007 (Desulbe type of equipment and location in Coinments) A4. Suliding Use (e.g., Residential, Nan -Residential, Addlition, Accessory, etc.) RESIDENTIAL A5. Latnude/Longitude. Lat. 32-01-27.7 tang. OtiO,%w.30 Horizontal Oatvm: © NAP 1927 ® NAD 1963 A6. Attach at €east 2 photographs of the building a the Certificate is being used to obtain flood insurance A7. Building Diagram Number to AB. For a building with a craWspace or enclosure(s), AS. For a Wildirlg with an aftadred garage: a) Square footage of crawls pace nr andosunifs) NIA sq fl a) Square footage of oRechW garage NIA sq R b) Number of permanent flood openngs in the cravMpac:e b) Number of permanent flood openhigs in" attedied garage or enclosures) within 1.0 foot above atl(wm a grace NIA within 1.0 foot above adjacent grade N!A rl Total net area of flood openings in A8.b NfA sq In c) Total net area of flood openings in A9.b WA sq in d) Engineered Rood openings? ❑ Yes ® No d) Engineered flood openlngs? ❑ Yes ® No SECTION B - FLOOC INSURANCE RATE MAP (FIRM) INFORMATION Bi NFIP Community Name 6 Comfitunity, Number B2, County Name B3. State CITY OF TYBEE ISLAND 135164 CHATHAM ! GEORGtA B4. MaplPsne( Number 65. Suffix B6. FIRM Index Date 1 B7. FIRM Panel BB Flood BS. Base Flood Etevatlonfs) (lone 91 13051C 0213 F I W2008 Eifecmgwe Date Zo eepttl"(sl I13.A0, use base flood d, B10. Indicate the source of the Base Flood Elevation (BFE) data or bass flood depth strafed in item B9. ❑ FIS Pro111e ® FIRM ❑ Community Determined ❑ othedsource: - B11. Indicate elevation datum used for BFE in Item Bg: ❑ NGV13 1929 ® NAVD 1968 ❑ Other)Sourcc _ B12, is the building located in a Coastal Barner Resources System (L;&15) area or Olharwise Protedad Area (OPA)? ❑ Yes ® No Designation Date: - Lr CORS 0 JPA SECTION C --BUILDING ELEVATION IWoRMATION (SURVEY REQUIRED) Ci Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction" 0 Finished Construction •A new Elevation Certificate will be requhed when mnstrtmabon of the building is complete. C2 £!evvbons--Zones Al -A30, AE, AR A fwNh BFE), VL. VI -V90, V (with BFE), AR, ARIA, ARIAE, ARrAI-A36 ARJAH, APJAO. Complete Rom{; C2.a-h batuw according to the building diagram apecifred in Item A7. In Ouerte Rico only, enter nesters. Benchmark Ufflized: >zP_5 ESTABLISHED Vertical Datum: NAVD 1988 indicate atevallon datum used for the elevations in Rams a) through h) below. 0 NGVD 19,29 3 NAVD 1988 ❑ Otherisource: Dalvrn used for t "Ming elevations must be the some as that used for the BFE. Check rhe measurement used. a) Top of bottom poor (including basement, crawlspaee, of enclosure ifoof) .5 ® feet t❑ makers b) 'op or the next higher floor1�.__..._ Q feet ❑ motors c) Bottom of the lowest horizontal siniclurM member (V Zona only) ❑ fest ❑ meler5 d) Attached garage (top of slab) -WA © feel ❑ motors e) Lowest elevation of maehfn" of equipment servicing the buodirg r],� 7 ® feet Q melons (Desulbe type of equipment and location in Coinments) f) Lowest ad(acent (flnlshed) grade nmd to building (LAG) .L feel motors g) Highest adjacent (finished) grade next to building (HAG) 13,.3 �j fent © meters h) Lowest adjacent grade at foweat elevation of deck or stairs, inducing structural support _1Z 3 $ feet [] maters SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This corlifreation is to be signed and sealed by a land surveyor, eng"vreer, or architect authorised by lawfo codify alevasor information. f Ge iTy &W Moo im rmallon on this C Wkolo refrosems my best fs @Nmto intedpref the data evallable. V 1r� i I urrdersfand foal any false sfatarufB may be punbhebfa by fore or6rpdsommN under IS U -S. Code, Section 1001. ® Check here If comments are provided on back of form. Were Latitude and longitude A Section A pravidad by a if 0 Check here it aitochmenls.Hceftsed laird s .. � IMlbypt? (� Yes ❑ No / Certirrer's Name MICHAEL j. GARDNER tile LAND SURVEYOR --T Address 120 VARNE EN Signature FEMA Form OBt3-O-33 (7112) License Number GA. RLS 2285 Company Name NRCHAa J. GARDNER, LAND SURVEYOR City GARDEN CITY State GA ZIP Code 31408 Date 09121r2015 Telephone 912-661-0479 (CELL) See reverse side for all preirr ms editions. IMPORTANT, In these spaces, COPY the Gorreswding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including APL, ling, Suite, and/or Bldg, No,) or P.O. Route and Box No. Paliev Number: 26 PULASKI STREET City TYSEE ISLAND State GA ZIP Code 31328 Company MAIC Number. SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both skim of this Elevation CertHkyte for (1) community official, (2) Insurance agerillcompany, and (3) building owner. Comments C2 (e) Elevation of AC pedestal = 137 AC Pad located at Rear of Structure. NOTE: Finish Floor hiavalion of UNATTACFIED GARAGE _ 13.5'. FRtJJEC f NO: NROBINS 1121) 01 FB, MJG, 2015, 'B` PG 63 _ Signature / �, Date OWI/2016 SECTION E - S1fILIRNG ELEVATIOI MFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A IWETHOUT BFEI For ZoneE AO and A (without BFE), oompiete ttems Ef-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Seetlorn A, B. and C. For Items E1 -E4, use nslura: grade, if available. Check the measurement used. in Puerto Rico only, erder meters. E ) Provide elevation Information for Ilse foHowfny and (neck the apprWitite boxes to show whether the elevation is above or below the highest adjacent made (HAG) and the lowest adjacent grace (LAG). s) Top of botlom floor (IrckWing basement, crawlepace, oo enclosure) is ._ C] feet ❑ meters 0 above or ❑ below the RAG. b) Top of bottom floor ,including basement_ crawlepaae, OF enolOW111) Is ____- ❑ feet ❑ MOWS Q above or [I below the LAG. E2. For Building Diagrams 6-9 with permanent Rood openings provided in Section A Rums 8 and/or 9 (see pages 8-•0 of insta ctlons), the next higher floor (elevation G2.b in the diagrams) of the building Is ❑ test C] meters, ❑ above or p below the RAG. E3. Attached gore" (top of slab) is _ _ ❑ deet ❑ meters ❑ above or ❑ below the HAG. E4 Top of platform of msohinery and/or equipment servioing thy. auading is__ feet ❑ meters ---- G above or ❑ hetpry the HAG, E5. Zone AO only: If no flood depth mxnber is available, is the top Of the bottom lbor elevated in accordance with the community's rloodplam management ordinanre9 C] Yes 0 No Cj Unknown. The local ofWal must oar* 116 information In Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner, or owner's authorized cepres intattm who completes Sections A, 8, and E for Zone A (without a FEMA -issued or community -Issued BFE) or Zone AO must sign here, The statements In Sections A, 8, and E are cotreal to ttw heel of my knowledge. Property Owner's or Owners Authorized RepresentsWe's Name Address City Stale ZIP Coda Signature Date Telephone Comments-�--- 0 Check hem ts. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The beat OWe- al who is atrl)wrtmd by taw or atlklwice to a6minister the eom musky's floodplain manogemeal ordinarlee can complete Sec ionsA. B, C (or E7 and G of !tris EWaffion Certificate. Complete its applicable Alam(s) and sign below. Check the measurement used in llama G&G10. in Puerto Rico or*, anter meters. G1. l] The information it Seclton C was taken from other documentation that has been signed and seated try a licensed surveyor, engkroer, or mchherl wtso Is authorized by taw to certify elevation knrdrmation. (Indkele the source and date of the elevation data in the Comments area Wow.) G2.0 A community official completed Section E for • binding located in Zone A (without a FEMA -issued or community -issued t3FE) GrZone AO. G3. ❑ The f0knwing information fttenls G4 G10) is provided for community hoodpiein management purposes. G4. Pemsi Nunn G5. Date PCnnR Issued G6. Date Cenlfrcate Of CompaanrefOoaupancy issued G7, This permit has been iaued for fl New Construction C] 8ubslantisl Improvement - G6 Elevation of as buil[ lowest flaer (including baserrlarN) of the building' _ _ ❑het ❑ meters Datum G0. BFE or (in Zone AO) depth of flooding at the building site: C] lath ❑ meters Daturn GID. COmmtmdy's design flood elevation: ❑ fed 0 meters Daturn Local Orticwrs None Commun ty Nama -- Signature Comments Title Telephone Date FEMA Form 086-0-33 (7112) Replaces all previous i' s. r