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Home My Public Portal AboutEIGHTH ST_4-EC.pdfU.S. DEPARTMENT OF HOMELAND SE=CURITY OMB No. 1660-0008 � Federal Emergency Management Agency Ex piration Date: Novernber 30, 2018, National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenticornpany, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE CON[PANY USE Al. Building Owner's Name Policy Number. Joan Levy A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company MAIC Number: Box No. 4 Eighth Street City State ZIP Code Tybee Island Georgia 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) lots 3 & 4 of a sub of beach lot 48, ward 2 PIN 4-0005-20-024 A4. Building Use (e.g., Residential, Non -Residential, Addition. Accessory, etc.) Residential A5. Latitude/Longitude: Lat. N 32d 00' 12" Long, 1N 80d 50' 36" Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 233 sq ft b) Number of permanent flood openfngs in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in d) Engineered flood openings? [] Yes n No A9. For a building with an attached garage: a) Square footage of attached garage 0 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9 b 0 scl In d) Engineered Flood openings? ❑ Yes [] No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number B2. County Name B3. State Tybee Island 135164 Chatham Georgia . Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Fiood Elevation(s) B4. MaplPanel7F' Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 1305100214 07/07/2014 09/26/2008 AE 14 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ OtherlSource: R11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 9988 ❑, OtherlSeurce: R12 Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes LxJ No Designation Date: ❑ CBRS ❑ CPA FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No 1660-0008 Exoiration Date, Novpmhp-, --4n -m-io 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: 4 Eighth Street City State 71P Code Company NAIL —Number Tybee Island Georgia 31328 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: E]Construction Drawings" D 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, ARIA, AR/AE, AR/A1-A30, ARJAH, AR/AO- Complete Items C2.@, -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 iterns a) through h) below, F] NGVD 1929 L;�] NAVD 1988 [ ] Other/Source: Datum used for building elevations must be the same as that used for the BFF. Check the measurement used, a) lop of bottom floor (including basement, crawlspace, or enclosure floor) 11.46-1 feet meters Ix b) Top of the next higher floor 21. 26 [x] feet meters c) Bottom of the lowest horizontal structural member (V Zones only) n1a. - — ®R feet ❑ meters d) Attached garage (top of slab) n/a —XI feet meters e) Lowest elevation of machinery or equipment servicing the building 11 - 46 r X feet F] meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to budding (LAG) 7 0 8— feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including n/a [)<I 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 informaiion on this Certificato represents my best efforts to interpret the data available. I understand that any false statement may be punishable by free or imprisonment tinder 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? FX1 Yes El No E-1 Check here if attachments, Certifier`; Name License Number J. Whitley Reynolds 2249 Title r Land Surveyor CompanyMe (7k Address 636 Stephenson Avenue, Suite C City State ZIP code Savannah Georgia 31405 — — Signature Date Telephone -- 04117/2017 (912) 352-0464 ----/ ------------ cpy all pages of this Elevation Certificale and all attacnrnents for (1) community official (2) insurance agen')company, and (3) b'jilding owner. Comnjwfts (inclLiding type of equipment and location, per G2(e), if applicable) C2 e) is a bathroom C2.a) is entrance. bathroom & laundry FEMA Form 086-0-33 (7/15) Replaces all OreViClLls editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November in �niR 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: 4 Eighth Street Company NAIC Number City State ZIP Code 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, Band C. For Items E1 --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 IiAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or [-] below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ 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 ❑ 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, 6, 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 �..-j Check here if attachments. FEMA Form oam-33 mi 5) Replaces all previous editions. Form Page 3 of 6 OMB No. 660-0008 ELEVATION CERTIFICATE Expiration Date. November 30, 2018 IMPORTANT, In these spaces, copy the corresponding information from Section A. '7FQR INSURANCE COM t�ANY USE Building Street Address (including Apt, Unit, Suite, and/or Bldg, No.) or P.O. Route and Box No. Policy Number 4 Eighth Street City State ZIP Code Company MAIC 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 measurernent 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.) G2. 1:1 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3 F] The foilowing information (Items G4 -G 10) is provided for community ficodplain management purposes, G4. Permit Number G5. Date Pert -nit Issued G6, Date Cerificate of Compliance/Occupancy Issued G7. This, permit has been issued for: f -I New Construction [7' Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: I - n feet E] meters Datum G9. SFE or (in Zone AO) depth of flooding at the building site: _ G10. Community's design flood elevation: Ccc-al-d-ffiial's Name Title Community Ma -me Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) FEMA Form 086-0-33 (7/15) Replaces all p~evious editions []feet E] meters Datum feet D meters Datum Check here if attachments. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for item A6. 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.Q. Route and Box No. Policy Number: 4 Eighth Street City State ZIP Code Company NAIC Number" Tybee Island Georgia 31328 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_ Photo One Caption Front view 04/12/2017 Pheio One Photo Tyro Photo Two Caption Rear View 04/1212017 FEMA Form 086-0-33 (7/15) Replaces all previous editions _ Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 3() ?ni; IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt,, Wil, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number - 4 Eighth Street City State ZIP Code Company NAIC Number Tybee Island Georgia 31328 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 AS, PhOu One Photo One Caption Side View 04/12/2017 4.1 Photo Iwo Photo Two Caption Side View 04/1212017 I -LMA 1--orm 086-0-:3-1(1/15) Replaces all previous editions- Form Page 6cfE