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