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HomeMy Public PortalAboutMEDDIN DR_37.pdfU.S. DEPARTMENT OF HOMELAND SECURITY eeral mer enc nagem nt genc Na, 1 -0008 iratian Date. November 30, 2022 National Flood Insurance Program ELEVATION CERTIFICATE Important: Fallow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachment 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: City of Tybee Island A2, Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.C. Route and Sox No. Company NAIL Number: 7 Meddin Drive City State ZIP Code City of Tybee Island Georgia 31328 A. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 23467,Recomb. Plat of Lot 4,BLK 9,Lot 2357, LKS 8&9&A Portion of unopened Wrenwood Ave,Fort Screven ard(PB 51,P 677) A4. Building Use (e.g., Residential, on -Residential, Addition, Accessory, etc.) Non -Residential A5. Latitude/Longitude: Lat. 32.02261 Long. -80.84375 Horizontal Datum: 0 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) 112.00 sq It 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 x No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq fl b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade NIA c) Total net area of flood openings in A9:b IA sq in d) Engineered flood openings? D Yes Ex Na SECTION — FLOOD INSURANCE A (FIRM) INFORMATION 1. NFIP Community Name & Community Number B2. County Name B3. State City of Tybee Island & 135164 Chatham Georgia .Map/Panel 135. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood 139. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 1305100213 &214 C 08-16-2018 08-16-2018 A 10. Indicate the source of the Base Flood Elevation ( FE) data or base flood depth entered in Item 139: FIS Profile Z FIRM Community Determined ED :ether/Sour 11. Indicate elevation datum used for BFE in Item 139: E] NOVD 1929 Z NAVD 1988 Other/Source: 12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ® Yes Z No Designation Date: EJ C R [] OPA FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Pagel of 6 B No. 1660-0008 ELEVATION CERTIFICATE Expiration Date; November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from cti FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. o.) or P;O, Route and Box No. Policy Number: 37 Meddin Drive City State ZIP Code Company NAIC Number City of Tybee Island Georgia 31326 SECTION E — BUILDING ELEVATIONINFORMATION (SURVEY NOTREQUIRED) FOR ZONE AID AND ZONE A (WITHOUT F' ) For Zones AO and A (without FE), complete Items El—E5. If the Certificate is intended to support a LOMA or LO R -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 El meters above or E] below the NAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is feet meters above or below the LAG. E2, For Building Diagrams 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 EI feet'El meters above or below the HAG. E, Top of platform of machinery and/or equipment servicing the building is [l feet El meters El above or below the FIG. 5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with thecommunity's floodplain management ordinance? Yes o ® Unknown. The local official mast certify this information in Section G. CTI F — P (OR OWNEKS 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 FE) 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 EJ Check here if attachments. FEMA Form 036-0-33 (12/19) Replaces all previous editions. Form Page 3 of OMB No. 660-000 ELEVATION CERTIFICATE Expiration1Da e: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information fro. ection A. FOR INSURANCE CO A Y USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Sox No. Policy Number: ber: 37 Meddin Drive Ci State ZIP Code Company NAIC Number City of Tybee Island Georgia 31328 SECTIO - 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 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.) G1 A community official completed Section"E for a building located in Zone A (without a FEMA -issued or community -issued FE) or Zone AO. G3. The following information (items G4 -G1 0) is provided for community floodplain management purposes. G. Permit Number G. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G?. This permit has been issued for. New Construction (] Substantial Improvement . Elevation of as -built lowest floor (including basement) fee/ meters of the building: Datum G9. BFE or (in Zone AO) depth of flooding at the building site: feet Ej meters Datum G0. Community's design flood elevations feet meters Datum Local Official's Name Title Community Name Telephone Signature Dae Comments (including type of equipment and location, per C2(e), if applicable) Check here if attachments. FEMA Form 066-0-3 (12/19) Replaces all previous editions. Form Page 4 of 6 Aaifliloyl Cuilding . StreetAddress • r +tSuite, and/or �1f ir ► r # '• - .� • :r r 37 Meddin Drive submittingCity State ZIP Code Company NAIC Number City of Tybee Island Georgia 31328 If more photographs than will fit on the preceding page, affix the additional photographs below. Identifyphotographs with: date taken; "Front Vill and "Rear View": and, if required, "Right Side View" and "Left Side View." When applicable, photographs must shr ♦. • representative t of sr• openings as r er in SectionA. Form Page 6 of iiz y t5 � �t L� t 9' �ti t r \\ }>: 5 �rc s s p t tt tW xo� 759".. . f °`"S �5£ i }3 �t \r i ..� \ �k 5 �U Photo Three Caption Right Side & Rear \66W'(04�0��� Form Page 6 of 3t1 t 9' r }>: 5 �rc s s t uwr i � Y c i s r ary t S FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of