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Home My Public Portal AboutLEWIS AV_134.pdfU.S. DEPARTMENT OF HOMELAND SECURITY OMS No. le6O-OOO8 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 agenticompany, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Ownees Name Policy Number. BERYL BANISTER ETAL A2- Building Street Address (including Apt, Unit, Suite, andlor Bldg. No.) or P.O. Route and Company NAIC Number Box No. 134 LEWIS AVENUE City State ZIP Code TYBEE ISLAND Georgia 31328 A3. Property Description (Lot and Mock Numbers, Tax Parcel NumW Legal Description, etc,) LOT 55 PALM TERRACE A4. Building Use (e.g., Residential, Non-Residenfial, Addition, Accessory, etc-) RESIDENTIAL A5. Latitude/Longitude; Lat N 32 " 00' 41 . 0 " Long. W 80 * 50' 51. 1 " Horizontal Datum: [-] NAD 1927 xNAD 1983 AS. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. BdIdg Diagram Number 5 AB. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or ure(s) om sq ft b) Number of permanent flood openings in the crawlspace or end refs) within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0.00 sq in d) Engineered flood openings? E] yes 0 No A9. For a building with an attached garage. a) Square footage of attached garage 0.00 sq ft b) Number of permanent flood openings in ft attached garage within 1.0 foot above adjacent grade 0 c) To net area of flood openings in Ag.b 0.00 sq in d) Engineered flood openings? E] Yes No SECTION 8 — FLOOD INSURANCE RATE MAP (FI RNQ INFORMATION Bl. NFIP Community Name & Community Number 132- County Name 131 State TYBEE ISLAND 135164 CHATHAM Georgia !m ru M a _x B9. Base Flood Ellevation(s) 84, MaptPanel 135, Suft 136. FIRM Index B7. FIRM Panel B8. Flood Number Date Effectivel Zone(s) (Zone AO, use Base Flood Depth) Revised Date 13051CO213 G 08-16-2018 08-16-2018 AE 9.0 I B10, Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in item 139: 0 FIS Profile 0 FIRM [:] Community Determined 0 Other/Source. 1311. Indicate elevation datum used for BFE in Item B9: El NG VD 1929 0 NAVD 19M [] Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?E]Yes 2]No Designation Date. [] CBS [] OPA FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 1 of 6 OMB No.1660-0008 ELEVATION CERTIFICATE Expiration Date- November 30, 2022 Suite, andlor Bldg. No.) or P-0. Route and Box No. mr, Building Street ress (including Apt, Unit J34 LEWS AVENUE TYBEE ISLAND Georgia 31328 n Construction Drawings- E] Building Under Construction- nx Finished Construction C1. Buitding elevations are based on: *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones AI -A30, AE, AH, A (with 8FE), VE� VI -V30. V (with BFE), AR, ARIA, ARIAE, ARIAI-A30, ARIAH, ARIAO. Complete items C2.a-h below occor&q to the building diagram specified in item A7. In puerto Pico only, enter meWS. Benchinark Utilized: LOCAL Vertical Datum, NAVD 108 Indicate elevation datum used for the elevations in items a) through h) below. C] NGVD 1929 fx-1 NAVD 1988 [] Other/Source: - Datum used for building elevations must be the same as that used for the BFE. 8) TOP Or OLOKJ b) Top of the next higher floor c) Bottom of the lowest horizontal structural Member (V Zones only) d) Affa&,ed garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 1) Lowest adjacent (finished) grade ne)d 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 M- =0 of 14,1611 16.8 FxJ feet meters NIA feet meters NIA feet 0 meters N/A feet 0 meters 16.7 x feet []meters 5.4 feet ❑ meters 5.9 feet ❑ meters 5A feet meters �,-W�iwi'H-E-L-WILY '1882 VINCENT HELMLY 3n-1MM3MM=' C2 (e) AIR CONDITION UNIT PLATFORM FEMA Form 006-0-33 (12119) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expirabon Date: Novem 11 b I er 30,2022 iIL its and/or Bldg, No.) or P.O. Route and Box No. ng unit Su 134 LEWIS AVENUE C* I D Georgia 31326 TYBEEISLAN *Af� Lft 0 Property Owner or W mWve?t Name Code 6.Eit11`ILt� FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 3 off - a OMB No. 1860-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2W IMPORTANT: in #me spaces, copy the corresponding intormation from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt. Uoit, - I Suite, andfor Bldg. No.) or P,O. to and Box No. Policy Number 134 LEVWS AVENUE City State ZIP Code company NAIC Number TYBEE ISLAND Georgia 31328 SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local o who is authorized by law or ordinance to administer ie communiVs flwdplain management ordinance can complete Sections A, 8, 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 Moo only, enter meters. G1. C] 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, 0 A community official completed Section E for a building located in Zone A (without a FEMA -issued or communitywissued BFE) or Zone AO. G3. 0 The ibllo%4Ang information (Items G4 -G10) is provided for community floodplain management purposes. G4. Permit Number G& Date Permit Issued G8. Date Certificate of ComplianoelOcoupancy Issued G7. This permit has been issued for New Construction Substantial Improvement G8. Elevation of as -built lowest ffm (including basement) 0 feet meters Datum of the building: G9. BFE or (in Zone AO) depth of flooding at the building site, 0 feet metem Datum G10- CommunWs design flood elevation: led 0 meters Datum Local afficial's Name Title Commurfity Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) Check here if aftarhments. FEMA Form 086-0-33 (12110) Replaces all previous editions. Form Page 4 of 6 FEMA FQffn 086-0-33 021`19) Replaces all previous eattions. BUILDING PHOTOGRAPHS OMB No.1 ELEVATION CERTIFICATE Continuation Page EmVnffion Date: "November 30, 2022 InIMPORTAN717. In these spaces, cWjr the C 1 1 NCE COMPANY Sul " t Address (nc!uding Apt, Unit Suite, and/or Bldg. o.) or P-O. Route and Box No. Policy Number 1 S UE 134 state - ZIP Code--i enyNum .r Gfty 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 V View"; and, if required,"Right Side Vi Side View." en applicable, photographs must show the ;foundation with representative examples of the flood openings or vents, as indicated in Section AS. Photo Three toThree Caption Clsar o lb Photoree Four FWX Photo Four Captlon Char Photo Faur FEMA Form -33 (12I1 J) Replaces all pmhous editions. Form Page 6 of 0 Building P • 7Number Applicant's Name: Ann G_e,ne_rz;� Owner's Name:13oun 15+C_Y - ------ Site Address, Tax#, Parcel#: Address: / 3 4 kew t"',3 Aw. 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? Z'E or NO B. The lowest floor elevation is at or above the required lowest floor elevation? S or NO C. Electrical, heating, ventilation, plumbing, air conditioning equipment (including facilities located BFE or flood ES or NO duct work) and other service are above proofed? R. Development in Zones A, AE, Al -A30 and . A. Solid foioidation 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 Cl was "yes", has a No -Rise Certification been submitted? YES or NO Reviewer's Name: Date reviewed D1. 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 review0a,. Local Administrator's Signature: ac Date: City of Tybee Island ; 403 Butler Avenue - P.O. Box 2749 1 ! 1f Tybee Island, Ga. 31328-2749