HomeMy Public PortalAboutSTRAND AV_1705.pdfU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
National Flood Insurance Prograrn Important, Read the instructions on pages 1-9.
O:MB: No, 11360 0008
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PExpir:atio:n D : July 31 201:5
A2. Building Street Address (including Apt., Unit� Suite, and/or Bldg. No.) or II out and ox o
1705 The Strand
City Tybee Island State GA ZIP Code 31328
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Pelican Point Condominium, lot 7 of a sub of beach lot 105, ward 5
Al Building Use (eg., Residential, Non -Residential, :Ad ditionj Accessory, etc.) Residential
A5Latitude[Longitude:Lat,N31d;-59'23" Long, W 80d 50'53" Horizontal Datum [I NAD1927 0 NAD1983
A6� Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A. Building Diagram Number
A8. For a building with a crawlspace or encloI A9. For a building with an attached garagei
a) Square footage of crawlspace or enclosure(s) 1280 sq ft a) Square footage of attached garage We sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s) within 1.0 foot above adjacent grade 0 within 1 0 foot above adjacent grade n/a
c) Total net area of flood openings in A8.b 2 sq in c) Total net area of flood openings in A• y. n/a sq in
d) Engineered flood openings? 0; Yes No d) E n gi neered flood openi ngs ? E] Yes Z No
LBy1.NFIPbee IslaCnd Chatham ommunity Name & Community Number 62, County Name B3. State
IF C GA
B4. Map/Panel Number B5, Suffix I B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone
13051CO326 F 717/14 Effective/Revised Date Zone(s) AO, use base flood depth)
9126108 VE 16
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
El
FES Profile El FIRM [1 Community Determined 0 Other/Source: —
B1 I . Indicate elevation datum used for BFE in Item B9: El NGVD 1929 Z NAVID 1988 El Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (CEPA)? E] Yes 0 No
Designation Date: E] CBRS El CPA
Title Land Suri e-Y—OF"'
Address 06 Stephet
City Savannah
A
State GA ZIP Code 31405
Telephone 912-352-0464
III Mlis-O-�33(7/112) See reverse side for continuation.
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SECTION D — SURVEYOR, ENGINEER, OR kRCHITECT CERTIFICATION
This certification is to be signed and sealed by a lan&surveyor, engineeri or architect authorized by law to certify elevation
inforrrI I certify that the infon-nation on this Certificate represents my best e�fforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 lI Code, Section 1001.
Z Check here if comments are provided Mn back of is Were latitude and longitude in Section A provided by a
Check here if attachments. licensed lend surveyor? Yes F1 No
Certifier's Name J. Whitley Reynolds License Number 2249
Title Land Suri e-Y—OF"'
Address 06 Stephet
City Savannah
A
State GA ZIP Code 31405
Telephone 912-352-0464
III Mlis-O-�33(7/112) See reverse side for continuation.
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A
I I 111120:1.3 F -A r M17, &- r M Mn
Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P,O. Route and; Box No.
1705 The Strand
City Tybee Island State GA ZIP Code 31328 1 Company NAK; NumDer: I
S 11 ECTION D —SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments C2.a),s par g and storage. The principai use of the building is on the elevated floors,
a�C2.e) is the elev 0,
Signature Date 6130/16
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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 A0 must sign here� The statements in Sections A, B� and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address city State ZIP Code
Signature Date Telephone
D smi-974-H
Check here if attachments.
1611741,T11111 MMs I RISEN! MMIVIIIMM�
fhe7I66aj_offijciaj —who is ad-t-h-onied by law or ordinance to administer the community's floodplairl management ordinance Gan 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 138-G10. In Puerto Rico only, entermeter&
Gl[] 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 informatiom (indicate the source and date of the elevation data in the Comments area below.)
G2 F1 -issud FE r Zne AO.
. I A community official completed Section E for a building located in Zone A (without a FEMA4ssued or community eBoo
G3� * The following information (items G4 -G10) Is provided for community flood�plain management purposes.
G6, Date Certificate Of Compliance[Occupancy Issuet
G4. Permit Number G5. Date Permit Issued _1
G7, This permit has been issued for: [] New Construction E] Substantial Improvement
G13, Elevation of as -built lowest floor (including basement) of the building: El feet 0 meters Datum
GG. BFE or (in Zone AO) depth of flooding at the building site: EJ feet n meters Datum
G10. Community's design flood elevation: El feet 0 meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
El Check here if attachments.
FEMA Form 086-0-33 (7/12) Replaces all previous editions-
ELEVATION CERTIFICATE, page 3 Building Photographs
See Instructions for Item A6�
Building Street Address (including Apt., Unit, Suite, andfor Bldg. No.) or P.0, Route and Box No
1706 The Strand
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If using the Elevation Certificate to obtain 11HP tlooa insurance, anm ax 9 1 - -
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 vent% as
indicated 'in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page
FEMA Form 086-0-33 (7/12) Replaces all previous editions.
ELEVATION CERTIFICATE, page 4 Building Photographs
Continuation Page
IMPORTANT: In these spaces, copythe corresponding information from Section A.
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dngeetAddreincuding Apnit,ue,andorBdgNoorPRouteand Boo.5 The Strand
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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 Vl!evV' 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.
13T.W.-
FEMA Form 086-0-33 (7/12) Replaces all previous editions.