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Home My Public Portal AboutSIXTH AV_1311.pdfU.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 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 agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: James & Sherri Simmons A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIL Number: Box No. 1311 6th Avenue City State ZIP Code Tybee Island Georgia 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 311 Ward 4 Tybee Island Tax Parcel #4-0011-04-004 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 31.99721' Long. -80.85272° 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. A7. Building Diagram Number 8 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1964.00 sq ft b) Number of permanent ftood openings in the crawlspace or enclosure(s) within 1,0 foot above adjacent grade 4 c) Total net area of flood openings in A8.b 5417.00 sq in d) Engineered flood openings? ❑ Yes 0 No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ❑x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State City of Tybee Island 135164 Chatham Georgia B4. Map/Panel B5. Suffix B6. FIRM Index B7, FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 13051 CO326 F 07-07-2014 09-26-2008 AE 12.0 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Exoiration Date: NovemHwr qn gr„u 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: 1311 6th Avenue City State ZIP Code Company NAIC Number Tybee Island Georgia 31328 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction' 0 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, AR/A, ARlAE, ARiAI—A30, ARiAH. AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: eG,-S Vertical Datum: NAV088 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurernerit used. a) Top of bottom floor (including basement, crawlspace. or enclosure floor) 6.10 Ex] feet ❑ meters b) Top of time next higher floor 8.40 Lj feet ❑ meters c) Bottom of the lowest horizontal structurai member (V Zones only) N'/A [❑ feet Q meters d) Attached garage (top of slab) 'v: A ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building t g�� C feet [I type of equipment and focalion in Comments) _ Meters f) Lowest adjacent (finished) grade next to building (LAG) 5.90 EXI feet ❑ rnet(3rs g) Highest adjacent (finished) grade next to building (HAG) 030 ❑Q feet ❑ meteors h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 6,00 ❑x feet ❑ meteors 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 1 certify that the information on this Ceriifrcate represents my best efforts to interpret the data available, t 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? 0 Yes ❑ No ❑ Check here if attach) rents Certifier's Name License Number - J Craig Brewer a0 E0 R G GAG 15 T SRF tit C3 Title Professional Land Surveyor Company Name Brewer Lana Surveying* No. 3022 PROFESSIONAL. Address��, 604 US Highway 80 W SU C,�A IG City State ZIP Code Ppe_'IMf' i E ,)r(�38 1322 Signature Date Telephone Ext. (912) 856-2205 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner t VlIII rtG1rt� krrrwuurrry tylju ur ayurprrierir ano location. per uz(e), It applicable) Item C2 e1 is lime outside a!r con!itsoning ,,nr, FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Fuge 2 f6 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 3n �n1R 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: 1311 6th Avenue City State ZIP Code Company NAIC Number Tybee Island Georgia 31328 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFI=) 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, B,and C. For Items E3—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 HAG, 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 owners 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 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 ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 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.O. Route and Box No. Policy Number: 1311 6th Avenue City State ZIP Code Company NAIC 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 measurement 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 ❑ 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 G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. 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 (7115) Replaces afl previous editions. 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: 1311 6th Avenue 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; "f=ront 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. If submitting more photographs than will fit on this page, use the Continuation Page. I 1- r r 1 P— — Photo One Photo One Caption Front View - 5-9-2018 Clear Photo One 4 ; �. v t 1 J -- Photo Two Photo Two Caption Rear View - 5-9-2018 Clear Photo Two FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page 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.O. Route and Box No. Policy Number: 1311 6th Avenue 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 A8. t � 7 I ' i r Photo Three Photo Three Caption Left Side View - 5-9-2018 Clear Photo Three AOCI J i 9^� Y :r Photo Four Photo Four Caption Right Side View - 5-9-2018 Clear Photo Four FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 6 of 6