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.
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FEMA Form 086-0-33 (12/19)
Replaces all previous editions.
Form Page 6 of