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HomeMy Public PortalAboutJONES AV_1212-EC.pdfU.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2022 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 INFO ATIO FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: SHL MT Refuge LLC A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIL Number: Box No. 1212 Jones Avenue City _ State ZIP Code Tybee Island Georgia 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 70B, Ward 4, Tybee Island Tax Parcel # 40007 09014 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 31.99768° Long. -80.84924° 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. A7. Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 572.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 3 c) Total net area of flood openings in A8.b 756.00 sq in d) Engineered flood openings? ® Yes ❑ 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? ❑ Yes ® No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name& Community Number B2. County Name B3. State City of Tybee Island 130 Chatham Georgia B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 13051 CO326 G 08-16-2018 08-16-2018 AE 9.0 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: B11. Indicate elevation datum used for BFE in Item B9: NGVD 1929 ® NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Z No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6 rdPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURAN Building Street Address Cincluding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 1212 Jones Avenue City` state ZIP Code- Company NAIL Tybee Island Georgia 31328 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: [] Construction Drawings* [:] Building Under Construction* [E 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, ARME, AR(A1-A30, AR/AH, ARIAO. Complete Items C2.& -h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: eGPS Vertical Datum: RAVD88 Indicate elevation datum used for the elevations in items a) through h) below. n NGVD 1929 Eg NAVID 1988 E] Other/Source: flafiim eto^A "o —.6 L. A16. .... —:u. .—A e .a4..:.— a) A4..— a) Top of bottom floor (including basement, crawlspace, or enclosure flo 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) 0 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 Check the measurement used. 83 FRI feet 0 meters 16.5 feet [] meters toi Qr%r—!)nnr. feet E] meters N/A E] feet n meters 12.7 ®feet [:] meters 7.5 Z feet E] meters 8.1 ®`feet 0 meters 7.9 Z feet E] meters This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation informatior, I certify that the information on this Certificate represents my best efforts to interpret the date available. I understand that any false statement may be punishable by rine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? 9 Yes 11 No Check here if attachments. Certifier's Name License Number T_ James Craig Brewer, PLS Professional Land Surveyor Company Name, Brewer Land Surveying Address 604 US Highway 80 W City Pooler Signature state ZIP Code Georgia 31322 Date Telephone 04_n5,9091 toi Qr%r—!)nnr. I— Ext. Copy all !Wpag s Elevation Certificate and all attachments for (1) community official, (2) insurance ag f �11_1 Comrtleo'n—ts (including -type of equiiipment and location, per C2(e), if applicable) The 3 flood vents in Section A9 are USA Flood Air Vents Model FAAL. See attached ICC -ES Report. Item C2e is the outside air conditioning unit. ft.�3622 FROFESSIONAL parry, and (3) building owner. I FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2022 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: 1212 Jones Avenue city State ZIP Code Company NAIC Number Fybee 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, Band C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. Ell. 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 ❑ 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 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 (12/19) Replaces all previous editions. Form Page 3 of 6 ELEVATION C RTIFICA OMB No. 1660-0008 "Expiration Date: 'November 30,'2022 - 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: 1212 Jones 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 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 (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 4 of 6 BUILDING OMB No. 1660-0008 ELEVATION TI _ IG See Instructions for Item A6. Expiration Date: November 30, 2022 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2022 FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6 ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied as to any finding or other matter in this report, or as to any product covered by the report. a_ � .. , it • c c113, • Y' zML minIb9busafloodairvents.com -USA+LWD . BEL ,+GAi ;- FAAL,ROAL ;�, Compliance with the following codes: 2015 and 2012 international Building CodeP (IBC) 2015 and 2012 Intemational Residential Code®'(IRC) s.,.s - rupu.: ; ne rup,L is conswctea or aluminum ana has.a-solid®flapato- prevent ..the_free_flow of_airolnto_the. .underfloor -space. 3.1.4 FAAL: The FAAL is constructed of aluminum and has.a.flap-with.Ila1och.(6_mm)-diameter. holes to. _for, .the van n..of-under-floocspaces. 3.1.5 RO : The ROAL Is constructed of aluminum and has a solid flap to prevent the free flow of air into the under -floor space. It is intended for retrofit applications. •3.Z -Engineered-Opening: The USA Flood Air Vents flood vents comply with the design .principle noted in Section 2.7.2.2 of ASCEiSEI 24-14 ;(Section 2.6.2.2 of ASCEISEI 24-05), for a rate of rise and fall of 5 feet per hour (0.423 mm/s). In order to comply with the engineered opening requirement of ASCE/SEI 24,, USA Flood °Air Vents flood vents must be Installed in accordance with Section 4.0. 3.3 Ventilation: Property evaluated: USA Flood Air Vents models FASS and FAAL have 14 Inch ■ Physical operation (6 mm) diameter holes in the flap to supply natural i waterflow ventilation for under=floor ventllatlon.µSee Table-l--for-the net'tres area pravidedlor underviloor ventllation. Ventilation 4.0 DESIGN AND INSTALLATION 2.0 USES " USA Flood Air Vents flood vents are designed to be The USA Flood Air Vents are used to provide for the Installed into walls or doors of existing or new construction. equalization of hydrostatic flood forces on exterior walls. Installation of the flood vents must be in accordance with Certain models also allow natural ventilation. the manufacturer's Instructions, the applicable code and 3.0 DESCRIPTION this report. USA Flood Air Vents flood vents can be -InstaWJn wood,.mesoacy and_concrete.wags. in-order.to- -M. Aenerak . comply with -the. engineered. opening_design_pdpciple.noted, USA Flood Air Vents are engineered mechanically In Section 2.7.2.2 of ASCE/SEI 24-14 '(Section 2.6.2.2 of operated floodvents that automatically allow flood waters ASCEISEi 24-05), the USA Fiood Air Vents flood vents to enter and exit enclosed areas. The vents are must be installed as follows: constructed of stainless steel or aluminum. On contact with ■ With a minimum of two openings on different sides of rising flood water, the grill will disengage from its secured each enclosed area. position, allowing flood water and debris to flow through in either direction'. See Table 1 for vent sizes and Figure 1 for ® With a minimum of one flood vent per the amount of an111ustration.ofthe.vents.. enclosed area coverage noted In Table 1. 4:1:1`-FCW*.-MeF It. constructed`df-stainless steel -a-Below-the.base.floodelevatien. and has a solid flap to prevent the free flow of air into the ■ With the bottom of the flood vent located a maximum of under -floor space. 12 inches (305 mm) above grade. ICC ESBvahwionRgo mow not w be a amued m rig aar"ex or m yodWre& dW aot sPrcjrkd&addrma4 nwaro goo be ewu %md at an endhrnement oftherabJeM of& report ora nxommoadodonforat urn Th•re hrno warm* C Evaluamn $Www, LLC e.prss or hnpl&4 ar 1p ioanyfledWg or other nosier In dk repwia armor aWprndrulcowedhy die report Mma Copyright ei 2018 lCC Evaluadon SwAce, LLC. PJ(vights reserved. Page 1 of 2 t oil...... - i 71 Mm is 'Wail FAAL, FASS FOSS & FOAL ROAL FIGLIRE 1-4AA FLOW AIR VEICM VENT SIZE ROUGH OPENING SIZE (Mdth x Hel ght) (Mdth x Height) bili`0111;;� ME FAAL, FASS FOSS & FOAL ROAL FIGLIRE 1-4AA FLOW AIR VEICM " '. L:if" 11;. III 11. " .. C'.��. L;- 6 - i" 1 I i ,yc I.. ,f Vii:,. EVALUATION SUBJECT- 'USA-FLAWVE*T&-PAGOEL4*Gg&-FAS&-FGAL;-FAAL -MAL 1:0-PURP09E 8�PE Pu . The purpose of this evaluation report supplement is to Indicate that USA Flood Air Vents, recognized In ICC -ES master evaluation report ESR -3907, have also been evaluated for'compliance with flood vent provisions of ASCE 24 referenced In CBC Chapters 16 and 16A and CRC Section R and ventilation provisions of CBC Section 1203.3 and CRC Section R4082. Applicable code editions: �% 2013 California Bulding Code.(CBC). -ar2013-CalKomia Realdentla/-Cods (CRC) 2.0 CONCLUSIONS 2.1 CBC: The USA Flood Air Vents, described In Sections 2.0 through 7.0 of the master evaluation report ESR -3907, comply with flood vent provisions of ASCE 24 referenced In CBC Chapters 16 and 16A and ventilation provisions of CBC Section 1203.3, provided the applicable vents are designed and Installed in accordance with the 2012 international Building Codee (IBC) provisions noted in the master report and the additional requirements of CBC Chapters 16 and 16A and CBC Section 1203:3; as applicable. 22 CRC: The USA Flood Air Vents, described in Sections 2.0 through 7.0 of the master evaluation report ESR -3907, comply with flood vent provisions of ASCE 24 referenced in CRC Section R322; and ventilation provisions of CRC Section R408.2, provided the applicable vents are designed and Installed in accordance with the 2012 Intemadonal Residential Code's (IRC) provisions noted in the master report and the additional requirements of CRC Sections 8408.2 and R322, as applicable. This supplement expires concurrently with the master report, issued October 2016. WC-EBEvalaadm Reports arc not to be cmfted as npmwdng aestbedes or maystheradrgwft notspft*aW addressed nor am they to be r.�nf wd In ae ate fmwiItent ofAff=bj*t of 0e report or a rsc=w rdW1 mfot ft tete 7h&w es wxmr w& by=Smbra&a Service, = espnss or tdtpNed as to my-fim rg or other etader In fbis tepm orastoaayprodm ommd by dig r"rL Copyright 0 2016 ICC Evaluation Service, LLC. M tights reserved. Page I of 1 s& • i,rrri,a it ... r. : i • i :.r r: - i r�• � : 4, "R ,i 1 X i :. )•w;e r!" i� I (! i • i i • I 1: ­&-- { '!T'A! • • 1- I Is Lo .--o ..y _: i 1.0 REPORT PURPOSEAND SCOPE .purpow- Applicable - . "i!• •::i ` •� v • Yip' .� . _• i • 1:� t: i : rl •:,-: i �Y •' •:::: e. * 2014 Florida Building Code -Building Building* 2014 Florida 1 -CONCLUSIONS - Florida Building Code—Bulding and Roddis Building Cods—Residendel, provided the design and Installation am accordance with the 2012 Intemedonal Building CodbP provisions noted in the master report. Use of the USA Flood Air Vents has also been found to be in compliance with the High -Velocity Hurricane Zone provvislo of the Rodda Building Code—Building and Florida Building Code—Residenffal. • r products i':underFlorida Rule 9N-3, _ thereport• r qualityV . program audited ,51; 1 _u. Building Permit Number Applicant's Name: [, I Owner's Name: Site Address, Tax#, Parcel#: Address: J Telephone: Telephone: I. All development — Base Flood Elevation Data Provided: A. The as -built elevation certification from a registered land surveyor or Professional engineer has been submitted?Wor or NO B. The lowest floor elevation is at or above the required lowest floor elevation? NO C. Electrical, heating, ventilation, plumbing, air conditioning equipment (including duct work) and other service facilities are located above BFE or flood proofed? YES or NO H. Development in Zones A, AE, Al -A30 and AH: A. Solid foundation perimeter walls located below BFE: 1. There are at least two (2) openings? YES or NO 2. Square footage of enclosed area subject to flooding 3. Square inches of venting required 4. Square inches per opening (multiply 1 by w) 5. Number of required vents (3 above divided by 4 above) 6. Foundation contains the minimum number of vents? YES or NO 7. The bottom of each opening is no higher than one (1) foot above grade? YES or NO 8. Any cover on openings will permit the automatic flow of floodwaters In both directions? YES OR NO B. Base flood elevation and/or floodway data not available orAO Zones: 1. The lowest floor is at least one (1) foot above the highest adjacent grade? YES or NO 2. The development meets the setback requirements of the ordinance? YES or NO 3. If 2 above was "no", has a No -Rise Certification been submitted? YES or NO Reviewer's Name: Date reviewed: B. Floodway data is provided. 1. Did this development encroach in the floodway? YES or NO 2. Do the actual field conditions meet the proposed actions and technical date requirements? YES or NO 3. If C1 was "yes", has a No -Rise Certification been submitted? YES or NO Reviewer's Name: Date reviewed in. Development in Zones V, VE and V! -V30, VO (Coastal High Hazard Areas). A. Development location complies with all coastal setback requirements? YES or NO B. Structure is securely anchored to pilings or columns and certification by a Registered, professional architect or engineer has been submitted? YES or NO Reviewer's Name: Date reviewed: C. Walls permitted below the base flood elevation consist of decorative lattice work or, Where permitted, are breakaway and have been certified by a registered, professional Architect or Engineer? YES or NO Reviewer's Name: Date reviewed: Local Administrator's Signature: etr � City of Tybee Island} 403 Butler Avenue - P.O. Box 2749s Tybee Island, Ga. 31325-2749 x