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Home My Public Portal AboutBILLFISH LN_3.pdfU.S. DEPARTMENT O F HOMELAND SECURITY OMB No. 1660-0Opg Federal Emergency Winagement Agency Expiration Date: NovemFber 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Ele, vation Certificate and all attachments for (1) commu nity official, (2) insurance agent/company, and (3) building owner. SECTION A— PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's I Vame Policy Number: CHATHAM HOME BU ILDERS A2. Building Street Ad dress (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 3 BILL FISH LANE City State ZIP Code TYBEE ISLAND Georgia 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT C JONES COTTA 1GES A4. Building Use (e.g. , Residential, Non-ResidE!ntial, Addition, Accessory, etc.) RESIDENTIAL A5. LatitudelLongitu&e : Lat. N 32 ° 00' 02.6" Long. W 80 ° 50' 55 .3" Horizontal Dati.im: ❑ NAD 1927 Z INIAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram I Number 6 A8. For a building with € a crawlspace or enclosu re(s): a) Square footago of crawlspace or enclos€ure(s) 154 sq ft b) Number of pen �nanent flood openings in the crawlspace or enclosvre(s) within 1.0 foot above adjacent grade 2 c) Total net area of hood openings in A8.b 185 sq in d) Engineered flat od openings? ❑ Yes x❑ No A9. For a building with an attached garage: a) Square footage; of attached garage _ 0 sq ft b) Number of pert »anent flood openings in the attached garage withib 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes ❑x No 0 SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMIATION B1. NFIP Community I'Jame 8 Community Numlaer B2. Counl:y Name B3. State TYBEE ISLAND 135164 CHATHAM Georgia B4. Map/Panel B:5. Suffix B6. FIRM Indlex Number I i Date 13051 CO213 I G 1 08/16/2018 B7. FIRM Panel B8. Flood Zone(;s) B9. Base Flood ElEwation(s) Effective/ (Zone AO, use Base Revised Dat(: Flood Depth) 08/16/2018 AE 9.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: 0 FIS Profile E>] FIRM ❑ Community Determined ❑ Other/Source: 811. Indicate elevatio€7 datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: B12. Is the building to cated in a Coastal Barrier Resources System (CBF;S) area or Otherwise Prc tected Area (OPA)? ❑ fes 0 No Designation Date;: ❑ CBRS [—] OPA FEMA Form 086-0-33 (7)115) Replaces all reviou:s editions. Form Page 1 of 6 ELEVATION CERTIFICATE IMPORTANT: In these :spaces, copy the corresponding information fre)m Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.iD. Route and Box No 3 BILL FISH LANE silty TYBEE ISLAND State Georgia OMB No. 1660-0008 Expiration Date: NcWeml)er 30, 2018 FOR INSURANCE COWANY Policy Number: ZIP Code Company NAIC Nurnbe r• 31328 SECTION C – BUILCIING ELEVATION INFOiRIUTATION (SURVEY REQUIRED) _~ C1. Building elevations are based on: ❑ Construction Drawings* [:] Building Under Construction* ❑K Finished Construction *A new Elevation Certificate will be required when construction of the.- building is complete. C2. Elevations–ZonedS Al–A30, AE, AH, A (with BFE), VE, V1–V30, V (with BFE), AR, ARIA, AR/AE, AR/Al-A30, AR/AH, AR/AO. Complete Items C;2.a–h below according tci the building diagram specified in Item AT In Puerllo Rico only, enter meters. Benchmark Utilized: LOCAL Vertical C)atum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through It) below. ❑ NGVD 1929 ❑x NAVD 1988 E] Other/Source: Datum used for building elevations must be the same as that used fc�r the BFE. Check the measurernent used. a) Top of bottom floor (including basement:, crawlspace, or enclosure floor) 6. 4 Z feet [] nieters b) Top of the nex:t higher floor 16. 0 X feet [] nieters c) Bottom of the I owest horizontal structured member (V Zones only) NIA ❑x feet ❑ rr ieters d) Attached garage (top of slab) N/A 0 feet ❑ nieters e) Lowest elevation of machinery or equipinent servicing the building 15. 2 ❑x feet ❑ nieters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 6. 0 0 feet ❑ n ieters g) Highest adjacent (finished) grade next to building (HAG) 6. 3 feet ❑ nieters h) Lowest adjacent grade at lowest elevati on of deck or stairs, including 6.2 feet ❑ meters structural support SECTION D – SUR'VEYOR, ENGINEER, O R ARCHITECT CERTIFICATION This certification is to be signed and sealed by 2i land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the inform ation on this Certificate represents my best efforts to interpret the data available. l understand that an y false statement may be pun ishable by tine or imprison Rment under 18 U. S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? X Yes ❑ No ❑ Check here if attzachments. Certifier's Name License Number VINCENT HELMLY 1882 is !,Q Title �p�4T �>at6 LAND SURVEYOR �o. tt3Yt2 Company Name p VINCENT HELMLY r Address r 129-A BURTON ROAD �f y T "�, City State ZIP Code SAVANNAH Georgia 31405 Signature bate Telephone 08/17/2018 (912) 429-9395 Copy all pages of this E levation Certificate and all alta nts for (1) community official, (2) insurance agent/company, and (3) bijilding owner. Comments (including type of equipment and location, per C2(e), if applicsible) C2 (e) = AIR CONDITION UNIT PLATFORM FEMA Form 086-0-33 (7.115) Replaces all previous; editions. For —mPage 2 of 6 FI IPWATM CERTIFICATE OMB No. 1660-0008 Expiration Date: Noveml)er 30, 2018 IMPORTANT: In these :;paces, copy the corresponding information from Section A. FOR INSURANCE COAAPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 3 BILL FISH LANE City State ZIP Code Company NAIC Number TYBEE ISLAND Georgia 31328 SECTION E — BUILDING ELEVATION INFORAAATION (SURVEY NOT' REQUIRED) FOR ZONE AO AND ZONE i4 (WITHOUT BFE) For Zones AO and A (w ithout BFE), complete Iterns E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1—E4, use natural grade, if avai lable. Check the measurement used. In Puerto Ric o only, enter meters. E1. Provide elevation it rformation for the following and check the appropriate boxes to show whether the elevation is above e r below the highest adjacerit grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawispace, or enclosure) is ❑ feet ❑ mete rs ❑ above or ❑ below the HAG. b) Top of bottom f , oor (including basement, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagra ms 6-9 with permanent flood openings provided in Section A Items 8 and/or- 9 (see pages 1-2 of Inst ructions), the next higher floo r (elevation C2.b in the diagrams) of the e building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ mete rs []above or ❑ below the HAG. E4. Top of platform of r nachinery and/or equipment servicing the buildir ig is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If nc i flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain manager nent ordinance? ❑ Yes ❑ No [] Unknown. The local official must certify this information in Section G. S LECTION F — PROPERTY OWNER (OR OWNER':i REPRESENTATIVE) CIERTIFICATION 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 coi-rect to the best of my knowledge. Property Owner or Own er's Authorized Representative's Name Address Cit)/ State ZIP mode Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7,115) Replaces all previouS editions. corm Nage 3 of ti 1=1 I=VOTION CERTIFICATE OMB No. 1660-0008 Expiration Date: NOveml )er 30, 2018 IMPORTANT: In these spaces, copy the corres ponding information frapm Section A. FOR INSURANC;I— CW APANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 3 BILL FISH LANE City State ZIP Code Company NAIC Numbe r 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 measi irement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The informati(3n in Section C was taken from other documentatic n that has been signed and sealed by a licensed s urveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate th a source and date of the elevation data in the Cc)mments area below.) ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -is sued BFE) G2 or Zone AO. G3. ❑ The following information (Items G4—G 10) is provided for community floodplain management purposes. G4. Permit Number (35. Date Permit Issued G6. Date Certificate of (compliance/Occupancy Is ,sued G7. This permit has been issued for: ❑ IVew Construction ❑ Substantial Improvement G8. Elevation of as-bu ilt lowest floor (including t)asement) ❑ feet ❑ meters Datum of the building: — G9. BFE or (in Zone A O) depth of flooding at the building site: _. ❑ feet ❑ meters Datum _ G10. Community's desiign flood elevation: _ ❑ feet ❑ meters Datum Local Official's Name Title Community Name Te lephone Signature Date Comments (including tylpe of equipment and location, per C2(e), if applicat)le) ❑ Check here if a ttachments. FEMA Form 086-0-33 (7,115) Replaces all previous editions. ror m Naae 4 OT h BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE See Instructions for Item A6. IMPORTANT: In these a spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.(3, Route and Box No. 3 BIH. FISH LANE City TYBEE ISLAND State Georgia OMB No. 1660-00p8 Expiration Date: NaVeml:)er 30, 2018 FOR INSURANCI Policy Number: COAIIPANY ZIP Code Company NAIC Number 3132$ If using the Elevation Certificate to obtain NF IP flood insurance, affix at least 2 building photographs below according to the instructions for Item AE;. Identify all photographs with date taken; "Front View" and "Rear View"; an d, if required, 'Right Side View" and "Left Side View." When applicable, photographs must show the found�ition with representative examples of the flood oipenings or vents, as indicated in 'Section A8. If submitting more photographs than wil I fit on this page, use the Continuation Page. I Photo One Caption FRONT 08/17/2018 Photo Two Caption RFJ%R 08/17/2018 FEMA Form 086-0-33 (7J15) Photo One 11-0 Photo Two �I Replaces all previous editions. Form Paae 5 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE Continuation P age IMPORTANT: In these:3paces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.0. Route and Box No. 3 BILL FISH LANE City TYBEE ISLAND State ZIP Code Georgia 31328 OMB No. 1660-00p8 Expiration Date: Novemlaer 30, 2018 FOR INSURANCE COWANY Policy Number: Company NAIL Number If submitting more photographs than will fit on the preceding page, affix c the additional photographs below. Identify all pI iotographs with: date taken; "Frcint View" and "Rear View'; and, if required, "FRight Side View" and "L -eft Side View." When applicable, photographs must shoiry the foundation with representative examples of ttie flood openings or vent,,;, as indicated in Section .AB. Photo One Photo One Photo One Caption Photo Two Photo Two Photo Two Caption FEMA Form 086-0-33 (7115) Replaces all previ=3 editions. For m Page 6 of 6