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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