HomeMy Public PortalAboutSOLOMON AV_1113.pdfFEDERAL EMERGENCY MANAGEMENT AGENCY 0,M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
ELEVATION CERTIFICATE
Important; Read the instructions on panes 1 - 7.
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNERS NAME Policy Number
DAVID ELDER
BUILDING STREET ADDRESS (Including Apt., UnA, Suite, and/or Bldg. No.) OR P.O- ROUTE AND BOX NO. Co.np6ny NAIL Number
1113 SOLOMON AVENUE
CITY STATE ZIP CODE
TYBEE ISLAND, GA 31328
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 2, BLOCK 10, BAY WARD
t3UILDING USE (e.g., Residential, Non-residential, Addition, Accessary, etc. Use a Comments area, if necessary.)
RES
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: it GPS (Type):_
( #e-#9 -#;<#.##' or ##.## ') El NAD 1927 0 NAD 1983 FI OSGS Quad Map n Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
01. NF,E rotv.roCN--rry,,4AMF & COMNUNITY NUMBER 132. COUNTY NAME 83. STATE
TYBEE ISLAND 135164 -T:','HATMM I GA
L64. MAP ANG 7p-APIE,.. W. FIRM PANEL 89' BASF FLOOD ELEVATIONS))
NUMBER B5. SUFFIX H!6. FIRM INDEX DATE EFFECTIVEIREIASED DATE 88. FLOOD ZONE(S) (Zone AO, use depth o; hooding)
64 MC
1351I C 6117186 6/17/86 A8 t .. 13
-- — — — ___j -- —
B1 0. Indicate ft source of the Base Flood Elevation (WE) data or base flood depth entered in B9.
El FJS Profile 2 FIRM F] Community Determined Ej Other (Describe):
911. 11ndicate' .h- elevation datum used 1cr the BFE in 139: 0 NGVD 1929 n NAVD 1988 f-] Other (Describe):
B12. Is the building located in a Coastal Barrier Restiurocs, System (CBIRS' )area or CXherwise Protected Arm {CPA)? OYes ENc DesignationDate_
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. 9Utding elevations are based on: El Construction Drawings* CI Buld,ng Lkmdar Constriction* Finished Ccrs' tructio.,i
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number 6 (Select the building diagram most similar to the building for which this certificate is being completed -see cages 6 and 7, if no diagram
axurately represents the building, provide a sketch or photograph.)
C3. Elevations -Zones Al -AK, AE, At I, A (with BFE), VE, V1 430, V (with BFF), AR, ARIA, ARAE, ARIAI -A30, ARIAH, ARAO
Complete;term 03.-a -i below according to the ouilding diagram specified in Item C2, State the datum used. J the datum is cifferent from the datum used V the BFE in
Scd',onB,,,.-,nvei'tthc�ddumtoth,itL;sedfo.,timeBFE.Shmvfie,'drr,eagirenimta,gddattimconversio,icalrijlation. Use the space provided arthe Comments area of
Section D orSectionG, as appropriate, todo=ner:t the datum ocriveelsion.
Datum NGVD 29 Conversion/Comments
Elevation reference mark used —Does the elevation reference mark used appear or the FIRM? FlYes LINO
0 @) Top of bottom floor (fncfuding basement or enclosure)
o b) Top of next higherfoor 17.2 ft.(m)
-0 "1 Z'p
a)
o c) 3oftorn of lowest horizontal structural member (V zones only) tLA-A(rn)
00
o d) Attached garago (top of slab) 8. 2 Nrn) .01
E �i 22--
o (,) Lowest elevator. of machinery ardor equipment Ul -
servicing the building (Describe in a Comments wea) 14.4 V m)
E
o 0 Lowest adjacent (finished) grade (LAG) 7.9 ft.(rn)
o g) Highest adjacent (finished) grade (HAG) 8, ZAM El
o h) No. of permanent openings (flood vents) within I ft. above adjacent grade 3
- j
o i) Total area of all permanent openings (flood vents) in G3,h 422 sq. in. (sq. cm)
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 information in Sections A, 3, and C an this certificate represents my best efforts to interprot the data available.
i understand t'
?at statamenf n7aybe punishable�bX fine arimprisoninent under 18 U.S. Code, Section 1601.
CERTIFIER'S NAME J. WHITLEY REYNOLDS LICENSE NUMBER 2249
TITLE LANDSURVEYORCOMPANY NAME
2 �;DD —�7 — — — —
S G T Y STA FE TIP CODE
ADDRESS
�32ENQAVE-. ITFC SAVANRAI 1 GA 31405
DATE TELEPHONE
SIG qTURE 317/05 912352-0464
81 31, January 2003 See reverse side for continuation. Replaces all previous editions