HomeMy Public PortalAboutSIXTH PL_2-EC.pdfU.S.A T T OF HOMELANDI OMB
Federal enManagementa Expiration Date:
National Flood Insurance Program"
ELEVATION CERTIFICATE
Important., Follow the instructions on pages 1
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and () building owner.
SECTION— PROPERTY INFORMATION INSURANCE COMPANY USE
Al. Building is Name Policy Number
BRANNEN CONSTRUCTION COMPANY INC.
Building Street Address (including Apt., Unit, Suite, or Bldg. No.) or P.O. Route and Company IC Number
Box No.
8TH PLACE
City Ste ZIP Code
TYBEEISLAND Georgia 3132
A. Property Description (Lot and Block Numbers, Tax ParcelNumber," Legal Description, etc.)
LOT -1 OF A RESUBDIVISION OF LOTS 35 THRU 42 WARD 2 TYBEE ISLAND
Building Use (e.., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude6Long" de: Lat. N 3 ° 00'21 . 6 " Long. W 8 ° 50' 31 .2 " Horizontal Datum: 1927 xNAD 1883
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1A
. For a building with a crawls" or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 0.00 sq ft
) Number of permanent flood openings in the crawispaoe or enclosure(s) within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b A8. 0.00 sq in
d) Engineered flood openings? Yes x No
A9. For a building with an attached garage,
a) Square footage of attached garage 0.00 sq It
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings In A9.A9.b 0,00 sq in
Engineered flood openings? Yes x o
CTI FLOOD I (FIRM) ) I I
1. NFIP Community Name & Community Number 2. CountyName 3. Stat
e
E ISLAND 135164 CHATHAM Georgia
a anel . Su Index;B7. R Panel B8. FI . ase Flood Elevation(s)
ione , use e i
Depth)
Number Cate Effective/ Z e(s)
Revised to
13051CO214 G 08-16-2018 08-16-2018 AP 9A
10. Indicate the source of the Base Flood Elevation (FE) data or base flood depth entered in Item :
FIS Profile x FI Community etermine Other/Sour
11. Indicate elevation datum used for BFE in Item 1929 x NAVD 1988 Other/Sour
12. Is the building located in a Coastal Barrier Resources System (C S) area or Otherwise Protected A (OP' )? Yes Z No
Designation Dat R
FEMA Form 086-0-33 (1 19) Replaces all previous editions. Form Page 1 o
• ##t tri.
Building Street Address (including Apt., Unit, Suite, and/or f3ldg. No.) or P.O. Routs and Box No.
6TH PLACE
Policy Number:
rINFORMATION REQUIRED)
13 0
0 ._
E3SECTION
El N
w . W ARCHITECTCERTIFICATION
DSURVEYOR,
✓. t to be signedand sealed bya landsurveyor,orarchked authorized by law to certify. ,. • information.
This certification
I cer* that the inthrmation on this Cedftate represents my best efforts to interpret the data available, I understand that any false
statement may be punishable by fine or •r #nment underCode, Section 1001.
Were Wfitude and longitude in Section A provided by a licensed land surveyor? El Yes El No
E] Check here if attachments.
� Number
Certiftees NameLicense
VINCENT HELMLY 1882
Title
LAND SU EYOR
Com
• . NameVINCENT
HELMLY
U
Address
129 A BURTON ROAD
city State ZIP Code
SAVANNAHGeorgia 31405
Signature Data - - #
0"1-2022 t .. .
Copy all pages of this Elevation Certificate and all attach for (1) community official, (2) insurance agenticompany, an 3 building owner.
Comments (including type of equipment and location, per C2(), if applicable)
C2 (a) = ICE MAKER
THERE IS AN AIRCONDITION UNIT PLATFORM AT EL. = 14.7
A Form --3 (12/19)
Replaces all previous editions.
pati LNAESOJ_
ELEVATION CERTIFICATE OMB o. Kate: November 30, 2022
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Add (including Apt., Unit, Suite, and/or Bldg. o.) or P.O. Route and Box No. Policy Number:
2 6TH PLACE
City State ZIP Code Company NAIC Number
TYBEE ISLAND Georgia 31328
SECTION-- BUILDING ELEVATIONINFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A ( )
For Zones AO and A (without BFE), complete ftems EI—ES. If the Certificate Is intended to support a LOMA or L -F request
complete Sections A, Sand C. For Items EI—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,
enter meters.
1. -Provide elevation information for llo in 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,
crawispace, or enclosure) is feet meters above or below the HAG.
b) Top of bottom floor (including basement,
crawispace, or enclosure) is El feet El meters El 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 C.b in
the diagrams) of the building is feet meters El above or EJ below the HAG.
3. Attached garage (top of slab) is feet meters above or below the
4. flop of platlorm of machineryand/or equipment
servicing the building is feet meters EJ above or below the HAG.
. Zone AD 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? Yes Unknown. The local official must certify this information in Section
SECTION_ PROPERTY OWNER (OR OWNEFUS 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 ) 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 O nets Authorized Representative's Name
Address city State ZIPCode
Signature [Sate, Telephone
Comments
Check here if attachments.
FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 of 6
OMB No. 16
ELEVATIONExpiration Date. November , 2022
IMPORTANT: In spaces, copy the correspondinginformation om Section A. FOR INSURANCE COMPANY
USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policyumber;
2 6THP CE
city State ZIP Code Company NAIC Number
TYBEE ISLAND Georgia 31328
SECTION G -. COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance o administer the community's floodplain management ordinance n complete
Sections A, 8, C (or , and G of this Elevation Certificate. Complete t e applicable e () and sign below. Check the measurement
used in Items G 1 . In Puerta Rico only, enter mete
1, The information in Section C was taken from her documentation that has been signed and sealed by a licensed surveyor,
engineer, or architect who is authorizedby law to certify elevation information. (indicate the source and date of the elevation
data in the Comments area below.)
G2. A communityofficial completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE)
or Zone A.
Ga, The following information (Items G 10) is provided for community floodplain management purposes.
Permit Number G5. Date Permit Issued G6. Date Certificate o
Compliance/Occupancy Issued
G7. This permit has been issued r: Ej New Construction Ej Substantial improvement
G8. Elevation ofas-built lowest floor (including basement) El feet 11 meters
of the building:au
. BFE or (in Zone ) depth of flooding at the building site, feet meters Datum
G1. Community's design flood elevation: El feet El meters Datum
Local O'al" ame Title
Community Name Telephone
Signature ate
Comments (including typeof equipment and location, per C(e), if applicable)
Check here if attachments.
FEMA Form Oa6.0_ (12/19) Replaces all previous editions. Form Page 4 o E
BUILDING PHOTOGRAPHS OMB
No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2022
IMPORTANT: T In th on A. FORINSURANCE COMPANY USE
Building Street Address(including Apt., Unit, Suite, and/or Bldg. o) or P.O. Route and Box No. Policy Number:
6TH PLACE
city state ZIP Com Company AIG Dumber
Georgia 3132
If submiffing more photographs than ill fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date ken, "Front V a "Rear View"; and, if required, "Right i View" and "Leff Side View." When applicable,
photographs must show the foundation with representative examples of the floopenings or vents; as indicated in Section AS.
Photo Three
Photo Three
Photo Three Caption Clear Photo Three
Photo Four
Photo F«,r
Photo Four Caption r Photo Four
F
0 of 6
FEMA Form 033-0-33 (12/19) Replaces all previous editions. o age
0
Building Permit Number —(:2
Applicant's Narver r
Owner's Name:
Site Address, Tax#, Parcel#:
Address:
Telephone: Telephone:
69,5�,- 3 P-7
1. All development – Base Flood Elevation Data Provided:
A. The as -built elevation certificate from a registered land surveyor or
Professional engineer has been submitted?
or No
P. The lowest floor elevation is at or above the required lowest floor elevation?
es or No
C. Electrical, heating, ventilation, plumbing, air conditioning equipment (including
Duct work) and other service facilities are located above BFE or flood proofed?
e or No
® Development in Zone
A. Solid foundation 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
. Development in Zones V, VE a V! -V30, VO (Coastal High HazardAreas).
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: ate reviewed:
®cal Administrator's Signature: ate:'
City of Tybee Island
403 Butler Avenue-P.O. ox 2749
Tybee Island, Ga. 31328-2749