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Home My Public Portal AboutMILLER AV_1510.pdfU.S. DEPARTMENT OF HOMELAND SECURITY [Era No. �Dae.ON�ovember Federal Emergency Management Agency tion 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 INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: SALT VAND CONSTRUCTION, LLC A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1510 MILLER AVENUE City State ZIP Code TYBEE ISLAND Georgia 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PIN: 40008 10019, LOT A RECOMBINATION OF LOTS 163,164 AND PORTION LOT 165 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. 'Latitude/Longitude: tat. 31.993837 Long. -80.851705 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 5 A& For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A 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 N/A sq in d) Engineered flood openings? 0 Yes 0 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 o CTI — 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 B8. Flood B9, Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 1305100326 G 08-16-2018 08-16-2018 AE 9.0 810. Indicate the source of the Base Flood Elevation (BE) data or base flood depth entered in Item B9: FIS Profile Z FIRM EJ Community Determined ® Other/Source: B11. Indicate elevation datum used for BFE in Item 139 ❑ NGVD 1929 N NAVD "1988 Other/Source: 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? El Yes Z No Designation Date: CBRS 0 OPA FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6 nd Box No. Building + + Apt, Unit Suite, andlor Bldg No.) of P.0 Route a1510 MILLER AVENUE Policy Number TYBEE ISLAND Georg31328 �J t Gert fier's lame � License Number MICHAEL HUSSEY 2509 Title-- ND SURVEYOR Company Name SUNDIAL LAND SURVEYING, P Address 1410 VV U.S. HIGHWAY 80,Sl i Cry �. State ZIP C BLOOMINGD LE Georgia 313 Sigrrata Date Tel 07-20-2021 {912 C%ijvJIG ll es Mis ion ri ate a hr e mrY tinny otn al, Comments(ing; ing type of equiprr - rid to rs,per 2(e), if applicable) BUILDINGIPARKING PAD EAi O 7®7 2e a WAC UNI FEMA Form (12119) Replaces all previous editions. Form Page 2 of S ELEVATION CERTIFICATE OMB No'1660-0008 &!=-Mug �Iw �11 il IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE _Policy Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Number: 1510 MILLER 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 Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and 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, crawlspace, or enclosure) is feet ❑ meters 0 above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is E] feet meters E] 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 E] feet [-] meters [-] above or E] below the HAG. E3. Attached garage (top of slab) is [:]feet [:]meters E] above or E] below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is -- - ----- ------ ❑ feet [:] meters 0 above or E] 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? EJ Yes E] No E] 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 (12119) Form Page 3 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: 1510 MILLER AVENUE City State ZIP Code Company NAIC Number TYBEE ISLAND Georgia 31323 SECTION — 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 ), 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 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 8. 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 IBuilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1510 MILLER AVENUE city State ZIP Code Company NAIC 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 A8. Replaces all previous editions. Clear Photo Four Form Page 6 of 6