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Home My Public Portal AboutBUTLER AV_506.pdfJul 18 19, 02:56p Canady's Precision Air (912)756-6695 p.2 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal 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 agenticampany, and (3) building owner. SECTION A— PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number. Mary Ellen Brigham A2. Building Street Address (ncluding Apt., Unit, Suite, and/or Bldg_ No.) or P.O. Route and Company NAIL Number: Box No. 506 Butler Avenue City State ,ZIP Code Tybee Island Georgia 31328 �— A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 7 Subdivision of Beach Lots 31, 32, 33 and 34 Tybee Island Savannah Beach Tax Parcel #4-0005-05-008 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 32.00727° Long. -80.84301' Horizontal Datum: ❑ 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 1A A8. For a building with a crawlspace or enclosure(s), a) Square footage of crawlspace or enclosure(s) NIA sq ft b) Number of permanent Flood openings in the crawlspace or enclasure(s) within 1.0 foot above adjacent grade NIA c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? [--]Yes [K No A9. For a building with an attached garage: a) Square footage of attached garage 676.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0.00 sq in d) Engineered flood openings? ❑ Yes ❑x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State City of Tybee Island 135164 Chatham Georgia B4. Map/Panel ! B5. Suffix B6. FIRM Index B7. FIRM Panel i B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 1305100214 F 07-07-2014 09-26-2008 AE 13.0 i B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: 611. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑x NAVD 1988 ❑ OtherlSource: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 Jul 18 19, 02:56p Canady's Precision Air ELEVATION CERTIFICATE (912)756-6695 p.3 OMB. No. 1660-0048 Exniration Date_ November X1 2n1 R IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No. Policy Number: 5W Butler Avenue City State ZIP Code Company NA1C Number Tybee Island Georgia 31328 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* []Building Under Construction' FX1 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 SFE), AR, ARIA, ARIAE, ARIAII-,A30, ARIAH, ARIAQ. Complete Items 02.a -h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: eGPS Vertical Datum: NAVD88 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVO 1929 C NAVD 1988 0 OtherlSource: 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) T 1.80 ❑x feet ❑ meters b) Top of the next higher floor 21.80 0 feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) 11.00 ❑x feet C meters e) Lowest elevation of machinery or equipment servicing the building feet x (Describe type of equipment and location in Comments) 12.30 ❑ Q meters f) Lowest adjacent (finished) grade next to building (LAG) 10.70 Q feet Q meters g) Highest adjacent (finished) grade next to building (HAG) 11.60 C feet EJ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support NIA ❑ feet ❑ 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 myhest efforts to interpret the data available. 1 understand that arty false statement may be punishable by rine or imprisonment under 18 U.S. Code, Section 9001. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑ No ❑ Check here if attachments. Certifier's Nome License Number J. Craig Brewer 3022 ��ORO/ C,%ST�}� Tit Ie Professional Land Surveyor Q- Ccmpany blame Brewer Land Surveying Na. 3022 * PROFESSIONAL. C- '7 Address 604 604 US Highway 80 W 4"s `I �ftr �.�(� City tY State ZIP Code Pooler Georgia 31322 Signature ' y.- Date Telephone Ext. C3-12-2018 (912} 856-2205 Copy all p = o this Elevation Certificate and all attachments for (1) community official, (2) insurance agentfcompany, and (3) building owner. Comments (including type of equipment and location, per C2(e),'I applicable) Items Ag and C2d are the "built-in" garage, Item C2e is the outside air conditioning unit. FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 2 of 6 Jul 18 19, 02:56p Canady's Precision Air ELEVATION CERTIFICATE (912)756-6695 p.4 OMB No. 1660-0008 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. 506 Butler Avenue 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 hems 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. Et. 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 ❑ 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 1-2 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 Deet ❑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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 Jul 18 19, 02:56p Canady's Precision Air ELEVATION CERTIFICATE (912)756-6695 p.5 OMB No. 166D-0008 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. 506 Butler Avenue City State 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 E), 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 ❑ 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, ❑ The following information (Items G4—G10) Is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of E Complianoelflccupancy Issued G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) --j 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 (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 Jul 18 19, 02:57p Canady's Precision Air ELEVATION CERTIFICATE (912)756-6695 p.6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 See Instructions for Item A6. 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, andfor Bldg. No.) or P.O. Route and Box No. Policy Number: 506 Butler Avenue 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. � 44 p .y 4' Photo One Photo One Caption Front View - 03109/2018 Clear Photo One i.1g lllllil Il tt 1 l i Photo Two Photo Two Caption Rear View - 03/0912018 Clear Photo Tvro FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 5 of 6 Jul 18 19, 02:58p Canady's Precision Air ELEVATION CERTIFICATE (912)756-6695 p.7 BUILDING PHOTOGRAPHS OMB No. 1660-0008 Continuation Page Exoiration Date: November 3D- 2n1 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, andfor Bldg. No.) or P.O. Route and Brox No. Policy Number: 506 ButlerAvenue City State ZIP Code Company MAIC 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 AS. ohm 1 7 Photo?Tvae Photo Three Caption Left Side View - 03108/2018 Clear Photo Three � I Photo Four Photo Four Caption Right Side View - 0310912018 Clear Photo Four FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 6 of 6