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HomeMy Public PortalAboutHWY 80_1013.pdfU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program Important: Read the instructions on pages 1-9 UNI ame Keith Gay SECTION A — PROPERTY INFORMATION OMB No. 1660-0008 Expiration Date: July 31, 2015 FOR,INSURANCFG90M NYUSE A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No,) or P.O. Route and Box No. Gompany'NAIQ Number: 1013 Hwy 80 1 1 City Tybee Island State GA ZIP Code 31328 Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) lot 15 & portions of lots 14 & 16, block 11, Garden Ward A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. N 32 deg 01.1730 min Long- W80 deg 51.2280 min Horizontal Datum: 0 NAD 1927 [A 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 1 A8. For a building with a crawlspace or enclosure(s): Ag. For a building with an attached garage: a) Square footage of crawlspace or enciosure(s) n/a sq ft a) Square footage of attached garage 286 sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade n/a within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8 -b n/a sq in c) Total net area of flood openings in A9.b _0 sq in d) Engineered flood openings? El Yes Z No d) Engineered flood openings? El Yes 0 No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81, NFIP Community Name & Community Number B2. County Name B3. State Tybee island 135164 Chatham GA B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7, FIRM Panel J B8. Flood 1 69. Base Flood Elevation(s) (Zone 13051CO213 F 9/26/08 Effective/Revised Date Zone(s) AO, use base flood depth) 1 1 9/26108 1 AE 11 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. [] FIS Profile Z FIRM El Community Determined El Other/Source: B11. Indicate elevation datum used for BFE in Item 139: El NGVD 1929 Z NAVD 1988 E] Other/Source: B12, Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? F-1 Yes 2 No Designation Date: _ [I CBRS El OPA SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl- Building elevations are based on: [I Construction Drawings* El Building Under Construction* Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones AI—A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, AR/AE, AR/A1—A30, AR/AH, 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: local Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 0 NAVD 1988 171 Other/Source: NAVD 1988 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, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 9.9 0 feet R meters 18.9 N feet T-1 meters nja 0 feet D meters 2-2 Z feet M meters 9.9 0 feet M meters 8.8 0 feet M meters 9.7 M feet 71 meters 9.7 Z feet F1 meters 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 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. C, ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a > ❑ Check here if attachments. licensed land surveyor? Yes 171 No Certifier's Name J. Whitley Reynolds License Number 2249 Title Land Surveyor Company Name Address 636 Stephe on Avenue City Savannah State GA ZIP Code 31405 Signature, - �Dat, 7�/10114 Telephone 912-352-0464 L FEMA FornrIA6-0-33 (7112) See reverse side for Continuation. Replaces all previous editions. 'LEVATION CERTIFICATE, page 2 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: 1013 Hwy 80 City Tybee Island State GA ZIP Code 31328 Company NAIC Number: SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments C2.e) is a Signature Date 7/10/14 SECTION E (BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT Bim) 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 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, crawispace, 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 8-9 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 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 correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) rhe 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 )f 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. 31. ❑ 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.) 32. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. 33. ❑ 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 ❑ Check here if attachments FEMA Form 086-0-33 (7/12) Replaces all previous editions. EU= iATIC0V CLERTIFIICATE, pa&,e 3 See Instructions for Item A6. IMPORTAMT: In these spaces, copy the corresponding infor—mation from Section A. i; FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No-) or P,O. Route and Box No. Policy Number: 1013 Hwy 80 City Tybee Island State GA ZIP Code 31328 i Company NAIC Number. I i 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. Front View July 2, 2014 X 4"M -:'`m FEIVIA, Form 086-0-33 (7/1.2) Replaces all previous editions, Continuation Page WPORTANT: In these spaces, copy the corresponding information fiom 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: 1013 Hwy 80 City Tybee Island State GA ZIP Code 31328 Company MAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional phphotographs"i �_ � photographs below. Identify all 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, Rear View Jul FENIA Form 086-0-33 (7/12) Replaces all previous editions. GASKET ALONG II II II EDGE OF SHIELD III �� 1/4" TUICKALUSHIELD ALUMINUM ANGLES, TYP. APPLY SEALANT S.S. LAGHYDRO—STOP 1.5E BARRIER GUARD TO BOLTS. BOLTED W/LEADED 1'-0' MIN. ABOVE SHIELD CONNECTION _ FLOOD PLAIN _ FLOOD PLAIN, TYP. EXTERIOR OF BUILDING PERIMETER GASKET ALONG' BOTTOM OF SHIELD—"/FIN. FLR. ELEV. Dry Proofing Single or Double Personel Door Shield Detail NOT TO SCALE CONTACT A MINIMUM OF 72 HOURS PRIOR TO DIGGING k'N UTILITIES PROTECTION CENTER 1-800-282-7411 1. RN. MJL — 9.90 (88 DATUM) 2. FLOOD ZONE — EL 11.0 (88 DATUM) S. MOOD PROTECTION 5HALL BE TO ELEVATION 12.0 (MINIMUM. 88 DATUM) 4. ALL ELEVATIONS TO BE VERIRED BY A REG15TERED 5UKVEYOR. No. 28372 PROFESSIONAL I0-29-14 9� FNG 1 NEF`� �y �k A. BOSy�F, FLOOD PROTECTION DETAIL DRA,W[NG NumsER 10 13 EAST HIGHWAY 80 FOR: GAYCO, INC. C-1 TYBEE ISLAND, GEORGIA October 28, 2014 1 of 1 SHEETS BOSWELL DESIGN SERWCES, INC. 103 MSSAUDRIVE SAVANNAH, GEORGIA 31410 912-897-6932 LAHBOS@BELLSO UTH. NFT December 13, 2015 Lisa Schaaf City of Tybee island P.O. Box 2749 Tybee Island, Georgia 31328 RE : Keith Gay Project 10 13 highway 80 Tybee lsland, Georgia At the request of the Contractor/Owner, we have inspected the project referenced above for compliance with the building flood protection plans only. We inspected the building exterior and questioned site personnel about installation methods and flood protection plates. At the time of our building flood protection inspection ( 12-1 1-15), it appears the hydra stop flood protection has been properly applied to the exterior of the building. The flood protection plates were labeled for location and were also in the installed position and would appear to be installed and functioning correctly. Site personnel said that It Is intended that the plates are to be stored on site in the back storage area. Thank you for your assistance and should you reciuire more information please feel free to contact us at Boswell Design Services, Inc. 897-6932, e-mail to lahbo5@bellsouth.net or fax to 897-2287. Sincerely, Mark Boswell