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Home My Public Portal AboutLEWIS AV_144.pdfU.S. DEPARTMENT OF HOMELAND SECURITY OMBo. 1680®0008 Federal Emergency Management Agency Expiration Date: November>30, 2022 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 agent/company, and (3) building owner. SECTION — PROPERTY INFORMATIONFOR INSURANCE C 14 PA Y USE Al. Building Owner's Name Policy Number: David McNaughton Building Street Address (including Apt., Unit, Suite, and/or Bldg. o.) or P.O. Route and Company NAIC Number: Box No. 144 Lewis Avenue City State ZIP Code Tybee Island Georgia 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 50 Palm Terrace Subdivision Tax Parcel # 4®0004®1®014 4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5.Latitude/Longitude: Lat. 32.01074° Long. 480.84876° HorizontalDatum: 0 NAD 1927 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 5 A8. For a building with a grawispace or enclosure(s): a) Square footage of crawisace or enclosure(s) /A sq tt b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade /A c) Total net area of flood openings in A8. /A sq in d) Engineered flood openings? El Yes , No A9. For a building with an attached garage. ) Square footage of attached garage /A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade /A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? Yes 0 No 1- 1. NFIP Community Name & Community Number B2. County Name B3. State City of Tyee Island 135164 Chatham Georgia 4.Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AG, use Base Flood Depth) Revised Date 1305100213 G 08®18®2018 08-16-2018 AE 9.0 10. Indicate the source of the Base Flood Elevation ( FE) data or base flood depth entered in Item 9: FIS Profile -0 FIRM 0 Community Determined Cather/Source: 511. Indicate elevation datum used for BFE in Item 9: NGVD 1929 0 NAVD1988 0 Other/Source: 12, is the building located in a Coastal Barrier Resources System (0 S) area or Otherwise Protected Area (O A)? [J Yes 0 No Designation Date: CBRS GPA FEMA Form 0864033 (12/19) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No.1 000 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A- FOR INSURANCE COMPANEIS Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No- Policy Number. 144 Lewis Avenue City State ZIP Code Company N,AIC Number Tybee Island Georgia 31328 SECTION C — BUILDING ELEVATION INFORMATIURVEY REQUIRED) C1. Building elevations are based on: [] Construction Drawings* [] Building Under Construction* Z Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones A7 30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, ARIA, ARIAE, AR/Al—A30, ARIAH, ARIAO. Complete Items C2.a—h below according to the building diagram specified in heart`A7. In Puerto Rico only, enter meters. Benchmark Utilized: eGPS Vertical Datum: NAVD88 Indicate elevation datum used for the elevations in items a) through h) below. [] NGVD 1929 [g] 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, crawispace, or enclosure floor) 15.0 0 feet meters b) Top of the next higher floor N/A E] feet meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A E] feet meters d) Attached garage (top of slab) N/A E] feet 0 meters a) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 14.5 feet meters fi Lowest adjacent (finished) grade next to building (LAG) 5.1 at feet meters g) Highest adjacent (finished) grade next to building (HAG) 5.8 Z feet F] meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 5.5 0 feet [] meters SECTION D —SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized bylaw to certify elevation information. I cerffy 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? 9 Yes El No Check here if attachments. Certifier's Name License Number James Craig Brewer, PLS 3022 0 %ST Title Professional Land Surveyor Company Name Brewer Land Surveying No. 3022 PROFESSIONAL C� Address 604 US Highway 80 W U 4 Cit Y state ZIP Code Pooler 1 Georgia 31322 Signature Date telephone Ext. 7-20-2020 (912) 856-2005 tff Copy all pageso i levation Certificate and all attachments for (1)'community official, (2) insurance agenticompany, and (3) building owner. 'n n Comments (in, udingg type of equip ipmr, ant and location, per C2(e), if applicable) Item C2e is the outside air conditioning unit. The screened shed shown in the rear view image is not attached to this house. FEMA Form 086-0-33 (12119) Replaces all previous editions, Form Page 2 of 6 OMB No. 1660-0008 EII-EV"0114 CERVIC"FE Expiratioovein!J600,A/-/- IMPORTANT: In these spaces, copy the corresponding information fromSection 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: 144 Lewis Avenue city State ZIP Code Company NAIC Number Tybeelsiand 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 F1 5. If the Certificate is intended to support a LO MA or LOMR-F request, complete Sections A, ,and C. For Items F1® 4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. 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{ G). a) Top of bottom floor (including basement, crawlspace, or enclosure) is feet [] meters above or E] below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is EJ feet [J meters above or E] below the G. 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 E] feet E] meters [:] above or EJ below the HAG. E3. Attached garage (top of slab) is feet meters E] above or E] below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is feet meters E] above or E] below the HAG. F. 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? E] Yes E] No E] Unknown. The local official must certify this information in Section G. SECTION F — PROPERTY OWNER (OR OWNER'$ 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 BFF) 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 E] Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 of 5 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30,'2022 IMPORTANT: Ithese spaces, copy the cors ponding Information from Section A. FOR INSURANCE C PA USE - Building Street Address (including Apt., Unit, Suite, and/or Bldg. o.) or P.O. Route;an ox No. Policy umber: 144 Lewis Avenue city State ZIP Code Company NAIC Number Tyee Island Georgia 31328 SECTION 1 INFORMATION (OPTIONAL) The local oici l whois authorized y law or'ordinance to administer ta community's floodplain management oinance cancomplete Sections A,'' , C (or E), and'G of this Elevation Certificate. Complete the applicable 'item(s)'and sign 'below. 'Check the measurement used inIte s 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 ofthe 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 community -issued BFE) or Zone AO. G3. The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G. Date Permit Issued G6. ate Certificate of Compliance/Occupancy Issued 7. This permit has been issued for: New Construction ❑ Substantial Improvement 8. Elevation of as -built lowest floor (including basement) of the building: _ feet meters pato G9. BFE or (in Zone O) depth of flooding at the building site: feet'El meters Datum G1. Community's design flood elevation: feet meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 4 of 6 BUILDIkqtPKOTOORAPHS 11 ELEVATION,. s� ,� _e Instructions rt y. Ex ra r 1 FEMAForm 086-0-33 (12/19) replaces all previous editions. ;M .. i ii f PolicyyNumber: a ny NAIC Number i': i is • •' is i' i i ii i i �i .i :'.• ";• i. i -.♦ - •, ^' i .... i ' fii ii' i i� "' f .i � i... $� t Photo Four Caption FEMA Form 066-0-33 (12/19) Photo Three Left Side View - 7-17-2020 Photo Four 0 Right i' View -7-17-2020 Replaces previous M • dear Ph—oto;F t Form Page;6 of 6