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HomeMy Public PortalAboutFISHERMANS WALK_5.pdfFederal 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 C)wner's Name Policy Number: BRIAN BELL AND CONNIE WHITAKER-BELL A2, Building Street Address (including Apt., Unit, Suite, and/or Bldg No.) or P.O. Route and Company NAIC Number: Box No. 5 FISHEMANS WALK City State ZIP Code TYBEE ISLAND GEORGIA 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) CHATHAM COUNTY PIN 4-0010-04-018 / LOT 7-B-1 SD OF LOT 7B WARD 6 TYBEE IS. A4. Building Use (e g., Residential, Non -Residential, Addition, Accessory, etc.) _ RESIDENTIAL_ _ A5. Latitude/Longitude: Lat.N31059' 32.43° Long W800 51' 10.15 Horizontal Datum: i ] NAD 1927 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 5 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? MYes rX 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? [3 Yes 21 No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State CHATHAM COUNTY 130030 CHATHAM GEORGIA B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ i Zone(s) (Zone AO, use Base Flood Depth) 13051 C Revised Date 0326 F 07/07/2014 09/26/20081 AE 13.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: FIS Profile ] FIRM [ ] Community Determined [ ] Other/Source: N/A B11. Indicate elevation datum used for BFE in Item B9: [ ] NGVD 1929 (M NAVD 1988 L] Other/Source: N/A B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? [3 Yes ❑X No Designation Date: N/A M CBRS ❑ OPA ELEVATION CERTIFICATE 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: 5 FISHEMANS WALK City State ZIP Code Company IJAIc= HLIM gee TYBEE ISLAND GEORGIA 31328 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: OX Construction Drawings* OBuilding Under Construction* [:] 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, AR/AE, AR/Al—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: VRS NETWORK SOLUTION Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a) through h) below. EINGVD 1929 ©NAVD 1988 [ ]Other/Source: N/A 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) 15.07 ® feet I I meters b) Top of the next higher floor N/A Q feet L] meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A Q feet [ ] meters d) Attached garage (top of slab) N/A © feet [ ] meters e) Lowest elevation of machinery or equipment servicing the building N/A feet [ ]meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 6.1 feet [ ] meters g) Highest adjacent (finished) grade next to building (HAG) 6.3 Q feet meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including X 6.3 feet f l meters structural support 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. l understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 9001. Were latitude and longitude in Section A provided by a licensed land surveyor? ©Yes I I No [MCheck here if attachments. Certifier's Name License Number GEORGE M. FERREIRA GRLS #2607 Title GEORGIA LAND SURVEYOR Coml�any Name N 7 MITR GIS/GPS/SURVEY p ZONAL Address 374 EAST RIDGE DRIVE City State ZIP Code SAVANNAH GEORGIA 31406 Signature Date Telephone E:xt. �j 03/26/2018 912-354-4145 Copy this Elevation Certificate for insurance building all pages, and all attachments (1) community official, (2) agent/company, and (3) owner. Comments (including type of equipment and location, per C2(e), if applicable) ITEM A5 = GPS/NAD83 ITEM C2 = TRIMBLE GPS/VRS NETWORK SOLUTION ITEM C2e= HVAC OUTDOOR COMPRESSOR UNIT (GROUND LEVEL) THE PROPOSED SUBJECT STRUCTURE WILL HAVE A DIFFERENT ADDRESS ONCE CONSTRUCTION IS COMPLETE. ELEVATION CERTIFICATE Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE:' COMPANY USF Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O_ Route and Box No. Policy Number: 5 FISHEMANS WALK 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 BFE) 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, crawlspace, or enclosure) is N/A ❑X feet [_] meters [ I above or ( I belowthe HAG b) Top of bottom floor (including basement, crawlspace, or enclosure) is N/A ©feet l ] meters [I 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 N/A the diagrams) of the building is [M feet F ] meters [ ] above or F] below the HAG. E3. Attached garage (top of slab) is N/A _ ©feet F ] meters [ ] above or (—] below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is N/A ©feet E ] meters [ 1 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? El Yes [_] No 0 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 repFOSPntative who completes Sections A, B, and E for Ione 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 Owners Authorized Representative's Name N/A Address City State ZIP Code N/A N/A N/A Signature Date Telephone N/A N/A N/A Comments F ] Check here if attachments. ELEVATION CERTIFICATE 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: 5 FISHEMANS WALK City Skate 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 L), 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 [ I 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. L] 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: C] 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: _ _ ___ G10. Community's design flood elevation: Local Official's Name Community Name Signature Title Telephone Date comments (including type of equipment and location, per C2(e), if applicable) [ l feet [ I meters Datum ❑ feet [_] meters Datum [ ] Check here if attachments. 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 C OMPAl lY ! i�! Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 5 FISHEMANS WALK 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; "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. 0, l ��lp�`�il fix. �.•¢Ff_`'sr-. rr-.- i ... fiTi• � I�SFo- �lE. � � �` � i<��������� � FRONT VIEW REAR VIEW RIGHT SIDE VIEW LEFT SIDE VIEW ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. f 0 I II J-- JUN A WCf COM PA1--i Y ti51 . Building Street Address (including Apt., Unit, Suite, and/or Bldg No.) or P.O. Route and Box No. Policy Number: 5 FISHEMANS WALK 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. C2E — OUTDOOR HVAC (GROUND LEVEL) NO VENTING PRESENT NEERED VENT (YES) (NO) X NUMBER: N/A I VENTING LOCATION: STRUCTURE ( ) GARAGE ( ) C2E — OUTDOOR HVAC NO VENTING PRESENT ASB -D ENGINEERED VENT y(YES) (NO) X MODEL NUMBER: N/A VENT LOCATION: STRUCTURE ( ) GARAGE ( ) F.rauon