Loading...
HomeMy Public PortalAboutLOGAN ST_18.pdfI 11 111 1 II U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Dateovember 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: TIMOTHY SCHIRMER AND PATRICIA CRANDALL A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIL Number: Box No. 18 LOGAN ST. City State ZIP Code TYBEE ISLAND Georgia 31328 A3. Property Description (Lot and I B - lock Numbers, Tax Parcel Number, Legal Description, etc.) PAR ID # 40002 15008, LOT 43, CAMPBELL SUB TYBEE A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTAIL A5. Latitude/Longitude: Lat. N 32-00158.83" Long. E 80-51*09.65" Horizontal Datum: E] 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 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1040.00 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 NIA sq in d) Engineered flood openings? 0 Yes 9 No A9. For a building With an attached garage: a) Square footage of attached garage sq ft b) Number of permanent flood openings in the attached garage within 1,0 foot above adjacent grade c) Total net area of flood openings in A9.b sqin d) Engineered flood openings? [] Yes E] No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number B2. County Name B3. State CITY OF TYBEE ISLAND CHATHAM Georgia B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) Revised Date 13051C/0213 G 08-16-2018 08-16-2018 "AE" 91 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: F-1 FIS Profile RX FIRM [] Community Determined R Other/Source: B11. Indicate elevation datum used for BFE in Item 139: R NGVD 1929 Z NAVD 1988 R Other/Source: 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? R Yes [] No Designation Date: ❑ CBRS R OPA FEMA Form -086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 I: FITOE H. U#T1 I PRI FEMA Form 086-0-33 (7/15) Replaces all previous editions. rV1111 r-avc; 4 V1 V Building Street Address (including Apt., Unit, Suite, and/or BjdgNo) or P,O. Route and Box No. Policy Number: 18 LOGAN STpyUa . city state ZIP Code Company TYBEE ISLAND Georgia 31328 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) wig 9z] Wq This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to cert4 elevation information. inforn7ation this Certificate represents my best efforts to interpret the data available. underitand that any false I certify that the on statehient may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? Yes No Check here If attachments. Certifier's Name Licensj Nur�ber William Mark Glisson Company Name GLISSON LAND SURVEYING Address 377 TUCKER RD ZIP Code Ity State CLAXTON Georgia 31407 Signatur ate Telephone Ext. (9 -712)282 052 "10 o I hreva Viry g A", I NMI Coylents (including type of equipment and location, per C2(e), if applicable) FEMA Form 086-0-33 (7/15) Replaces all previous editions. rV1111 r-avc; 4 V1 V 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: 18 LOGAN ST. city State ZIP Code Company NAILNumber TYBEE ISLAND Georgia 31328 t SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AD AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items EI—E5. If the Certificate is intended to support a LOMA or LOMB -F request, complete Sections A, Band C. For Items EI—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. 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 F-1 feet ❑ meters F-1 above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is El feet El 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 El meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is El feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is D 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'$ REPRESENTATIVE) CERTIFICATION The property owner or owners 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 Owners Authorized Representative's Name Address city State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7115) Replaces all previous editions. Fo.•- or o ---``--'—`- ----- FEMA Form 086-0-33 (7/15) Replaces all previous editions. -F*11" OSV�TU'T' FEMA Form 086-0-33 (7/15) Replaces all previous editions. -F*11" OSV�TU'T' BUILDING PHOTOGRAPHS OMB No. 1660.0008 rt-tti-tuatiot R"e Expirafton Date: November 30, 2018 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? or NO B. The lowest floor elevation is at or above the required lowest floor elevation? YES or 45> C. Electrical, heating, ventilation, plumbing, air conditioning equipment (including duct work) and other service facilities are located above BFE or flood proofed? ES or NO R. Development in Zones A, AE, Al -A30 and . A. Solid foundation perimeter walls located below BFE: 1. There are at least two (2) openings? or NO 2. Square footage of enclosed area subject to flooding 15,0 3. Square inches of venting required 160 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? or NO 7. The bottom of each opening is no higher than one (1) foot above grade? or NO 8. Any cover on openings will permit the automatic flow of floodwaters In both directions? 4LE9 OR NO B. Base flood elevation andlor floodway data not available or AO 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 isprovided. 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 DEL 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: Date: City of Tybee Island „ifx j, 1,7rll f, 403 Butler Avenue - P.O. Box 2749 Tybee Island, Ga. 31328-2749 r :i 1