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U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30, 2022
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 (3) building owner.
SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Nurnberg
VIN FORSYTH
A2. Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route.. and
Box No, Company NAIL Number:
1109 BAY STREET
city _ state ZIP Code
BEE ISLAND Georgia 31326
Property Description (Lot and Block Numbers, 'fax Parcel Number, Legal Description, etc.)
LOT 3 B FI F NERS RETREAT
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5, Latitude/Longitude: Lata N 32 1 01 ' 24 , 9 ' Long. W 80' 1 ' '2 . " Horizontal Datum: HAD 1927 Z NACU 1969
ABP Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Brading Diagram Number
A6. For a building with a crawispace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 60.00 sq ft
b) {umber of permanent flood openings in the crawl ace or enciesure(s) within 1.0 foot above adjacent grade 2
m Total net area of flood openings in A8.b A8. 400,00 sq in
d) Engineered flood openings? Z Yes D No
A9. For a building wrath an attached garage;
a) "Square footage of attached garage 0.00 soft
of 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 Ag.b 0,00 sq in
d) Engineered flood openings? Yes Z No
ETI — FLOOD INSURANCE TE MAP (FIRIA), INFORMATION
B1. NFIP om un4 Name &� Community Number B2. oun Na a B3. State
EE ISLAND 1351. CHATHA Georgia
Boo Map/Panel B5, Suffix B6. FIRM Index B7. FIRMParcel B8. Flood B . Base Flood Elevation(s)
Number Date Effective/ Zone(s) Gone AD, use Base Flood Depth)
Revised Date
1305100213 G 06®16-2016 08-16-2016 AE 10.0
10, In i .,ate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139:
FIS Profile Flat i Community Determined [3 Other/Source:
1311, Indi to elevations datura used for BFE in Item 139. NOW 1929 NA'VI3 106$ Other/Sour
B12, is the building located in a Coastal Barrier Resources System ( RS) area or Otherwise Protected Area ( PA)? Yes No
Designation gate: CBRS PA
FEMA Form 066-0-33 (12/19) Replaces all previous editions. Form Page 1' of
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firfing Street Address (including Apt., Unit, Suite, andbr Bldg, No.) or P.O. Route and Box No.
03 BAY STREET
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FEMA Form 086-0-33 (12/19) Replaces all previous editions, t-oMage Z of
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Benchmark Utilize& LOCAL VerficW Datum: NAVO 1953
Ini1cate elevation datum used for the elevations in Items ) through h) bele.
NOVO 1929 Z NAVE} 1988 Other/Source:
Datum used for building elevations must be the same as that used for the BFE,
Check the measurement used.
a) Top of bottom floor (including basement, cra rls ace, or enclosure flexr)
7;9 ae feet meters
) Top of the next higher floor
17<1 Efeet meters
c) Bottom of the lowest horizontal structural member(V Zones only)
N/A El feet D Meters
d) Attached garage (top of slab)
N/A feet meters
) Lowest elevation of machinery or equipment servicing the building
1391E x feet meters
a of equipment and location in Comments)
Lowest adjacent (finished) grade next to building (LAO)
746 feet meters
g} Highest adjacent (finished) grade next to building (HA)
7.7 feet meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including7e7
x feet tars
structural support
SECTION SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION'
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
! cettify that the Information on this Certificate represents my best efforts to interpret the data available. l understand that any false
statement may be punishable by fine or irttprfsottrraent tender 18 U.S. Code, Section 1004.
Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes El No
Check herd if attachments.
Certifiers Marne License Number
VINCENT H LMLY 1882
�r
Title
t.
LAND SURVEYOR
Company Nast
k
VINCENT HELMLY
w ,
t
Address
x
129 A BURTON ROAD
City State ZIP Code
SAVANNAH Georgia 31405
Signature Date Telephone
Ext
05-24-2022 (912) 429-9395Copy
�Elevafion
all pagesof and all ., menta for (1 } enunity official, (2) lnsuran agent! rmpany, and (3) building owner.
bra m is (including type of equipment and location, per (e), if applicable)
O2 (e) ='AIR CONDITION UNIT PLATFORM
PEAK OF ROOF = EL. 41.6 (34,3'ABOVE AVERAGE GROUND BEFORE CONSTRUCTION)
A 8 () - FLOOD VENTS ARE SMART VENT MODEL #1540-570
FEMA Form 086-0-33 (12/19) Replaces all previous editions, t-oMage Z of
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ELEVATION}}
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OMS Nm 166G-0008
Expiration Date. November 3, 2422
IMPORTANT: In these spaces,copy the corresponding InfOrmatiOn from ootta rr A. FOR INSURANCE COMPANY U;E
Building Street Address dncNding Apt., Unit, Suite, end/or Bldg. No.) or P.O. Route and Bax No. Policy Number:
1103 SAS{ STREET
City State ZIP Code Company NAIL Number
BEE ISLAND Georgia 3132
SECTION — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
N ZONE AO AND ZONE A (WITHOUT F,
For Zones AC and A (without SFE), complete Items EI—E5. If the Certificate is intended to support a LOMA or LC 1R®F request,
replete Sections A, E,and C. For Items EI—E4, use natural grade, if mailable Check the measurement used. In Puerto Rico only,
enter meters.
El. Provide otevation information for the fallowing and check the appropriate boxes to show whether the elevation is above or below
the highest adjacent grade (HAG) and the lowest adiacent grade (LAG).
a) 'dap of bottom floor (including basement,
crawlspace, or enclosure) is F1 feet ® meters above or below the HAG.
t) Top of bottom floor (Including basement,
crawlspace, or enclosure) is El feetmeters [1 above or 0 below the LAG.
E1 For Building Diagrams " vAth permanent flood openings provided in Section A Items 3 and/or 9 (see pages 1-2 of Instructions),
the next higher floor (elevation C2.b in
the diagrams) of the building is W.. [:]feet []meters EJ above or below the HAG,
E3. Attached garage (top of slab) is feet 0 meters EJ above or below the HAG.
E4° Top of platform of machinery and/or equip "rat
servicing the building is ED feet El meters El above or below the HAG.
E6. gone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the rnmunity°s
floodplain management ordinance? E] `les No 0 Unknown. The local offdal must certify this information in Section G. .
SECTION F — PROPERTY OWNED (OR OWNEMS REPRESENTATIVE) CERTIFICATION
The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -Issued or
community -issued SFE) or Zone AN must sign here. The statements in Sections A, Sa and E are correct to the Fest of my knowledge,
Property Owner orOwner's Authorized Representative's Name
Address City State ZIP Code
Sigrista�re fate Telephone
Commenis
Check here if attachments.
Replaces all previous editions.
Form Page 3 of 6
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ELEVATION CERTIFICATE
IMPORTANT: In these spaces, copy the cormsponding, Infiennaticar from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., unit, Suite, and/or Bldg. No,) or P.O. Route and Sox No. Policy umber:
1143 BAY STREET
pity State ZIP Crede Company NAIL Number
T°YPEE ISLAND Georgia 31325
SECTION — COMMUNITY INFORMATION ( PTI NAL)
The local official who Is authorized by law or ordinance to administer thecommunity's floodplain management ordinance n complete
Sections Ae S, C (or E), and G of this Elevation Certificate. Complete the applicabte lterri(s) and sign below, Check the measurement
used In Items 10. In Puerto Rico only, enter meters,
G1. 0 The information in Section C was taken from other documentation that has been signed and seated by a licensed surveyor,
engineer, or architect who is authorized by law to certify elevation information. (indicate the source and date of the elevation
date in the Comments area below.)
2, ElA community official completed Section E for a building iocated in Zone A (without a FEMA -Issued or community -issued BFE)
or Zone AD.
3, The following information (Items 1) is provided for community floodplain management purposes.
4. Permit Number G5. Gate Permit Issued G6. Date Certificate of
Compliance/Occupancy Issued
7, This permit has been issued for: New Construction Substantial Improvement
6. Elevation of as -built lowest floor (including basement)
of the building. feet Ej meters Datum
9, SFE or (in Zona ASD) depth of fooding at the building site: Cj feetmeters Datum
10, Community's design flood elevation: feet meters Datum
Local Official's Name °Title
ommunity Marne Telephone
Signature Date
Comments (including type of equipment and location, per 2(e), if applicable)
Check here if attachments.
FEMA Form O 0-33 (12/19)
Aoftt
Replaces all previous editions.
Form Page 4 of
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BUILDINGh1S No, 1660-0008
W" "Ulmion sge xpwratson Date. November 30, 2022
IMPORTANT. In these spaces, copy the corresponding Information from Section A. FOR INSURANCE pA Y USE
EFullding Street Address (including Apt„ Unit" Suite, and/or Bldg,too.) or P.0, Route and Sox No. policy Number:
1103 SAY STREET
City State ZIP Code Company NAIC Number
TYBEEISLAND Georgia 31323
If submitting More photographs than will ft on the preceding e" affix the additional photographs below. Identify all photographs
with: date Wen; "Front VieW a "Rear Vow"; and, if required'„ `Right Side Vi ` and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the fled openings or vents, as indicated in Section AS.
Plioto Three
Pte, a Three
F�hoto i hra Caption Clear Photo Three
Photo Four
Photo
Phots Four Caption Clear photo Four
FEMA Form 086-0-33 (12/79)
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UNINEENIMEM
Evaluation Report
Reissued ebruary 2019
This report Is subject to renewal February 2021.
r L(,-tc-es.2 1 (000) 423.6607 1 ( 2) 099 3
Subsidiary f t Irrtaralotlon Council.
OwISi0 ; 06 00 00—OPENINGS
Each unit is fabricated from stainless steel. Smart Vents'
Section: 08 05 Ven /Foundation Flood Yeats
Autornatic Foundation Flood Vents are avallsb[e in
various models and sizes as described in Table 1. The
REPORTHOLDER:
SrnartVENT Stacking Model #1540-511 and F! dVENTs
Swc ing Model #1640-521 units each contain two
SMA,RT VENT PRODUCTS, INC.
vertically arranged rungs per unit.
3.2 Engineered Opening:
EVALUATION SUBJECT:
The FVs comply with the design principle noted in Section
SMART VEN70 AUTOMATIC FOUNWON FLOOD
2.7.2.2 and Section 2.7.3 of ASCE/30 24-14 (Section
W� 201 #1 21@ X610; m
2.5.2.2 of ASC SEI 24-05 (2012, 2009, 2006IBC and
511
IRC)] for a maximum rate of rise and fall of 5.0 feet per
FL #7 213
hour (0.423 cattle). In order to comply with the engineered
opening requirement of ASCE/SEI 24, Smart Vent FVs
1A EVALUATION SCOPE
must be installed in accordance with Section 4.0.
Compliance witb the following cod �
33 Ventilation,
2015, 2015, 2012, 2009 and 2006 International Building
The SmartVE T Model #1540-510 and SrnartVENr
Code" (1130)
Overhead Door Model #1540-514 bath have screen covers
with '14—Inch—by—/4-inch (6.35 by 5.35 mm) openings,
2018, 2015, 2012, 2009 and 2006 international
yielding 51 square Inches (32 903 €r,n,2) of net free area to
Residential CodO (IRC)
supply natural ventilation, The SmartVENr Stacking
2015 lrrtarr,attorier Energy Ocrrrservallra CodO (1E00)
Model #1640-611 consists of two Model #1540-510 units
2013 Abu Dhabi international Building O (DIS )t
in one assembly, and provides 102 square inches
(65 806 mni) of net free area to slippy natural ventilation,
irlis srsisc is based on the 2009 sac. 2009 sac Wde S00046 retarenomi
Other FVs recognized in this report do not offer natural
In thl report pre tN some Seegm sn Me AMC
ventilation.
Properties evaluated:
3A Flood Vent Seating iota
Physical operation
The Flood Vest Sealing Kit Model #1540-526 is used "t
martVEN Model #1540-520. It is a Floc asote 440
Water flow
Sound Barrier (ESR -1374) insert with 21 — Pinch -by -2-
.0 uSES
inch (51 rnm x 51 mm) squared cut in it. See Figure 4.
The Smart Menta. units are engineered mechanically
4.d OESI N AND INSTALLATION
operate flood vents (FVs) employed to equalize
4A Smai VEN and FloodV :
hydrostatic pressure on wails of enclosures subject to
martVENT* and FloodVEhi are designed to be
rasing or failing flood waters. Certain models atso allow
installed Into walls or overhead doors of existing or new
natural ventilation.
construction from the exterior side. installation of the
.0 DESCRIPTION
vents must be in accordance with the manufacturer's
General.
Instructions, the applicable code ;and this report.
,1
Installation clips allow mounting in masonry and concrete
When subjected to rising water, the Smart Vente FVs
walls of any thickness. In order to comply with the
Internal floats are activated, then pivot open to alloy flow in
engineered opening design principle noted' in Section
either direction to equalize water level and hydrostatic
2.7.2.2 and 2.7.3 of ASC "SFI 24-14 [Section 2.5.2.2 of
ray swag (mean .— kl sae tip. esu .d.14— to th. 'rt'
FV plv lrsg door Is normally helm In the closedposition by
^est - Gni Z -*-05 (ZO.12, Zo, 2ago saes Mc)]' tie
Smart Ver,i s must a Instal! as follows:
a buoyant releasedevice. When subjected to rising water,
the buoyant release device causes the unit to unlatch,
11 ith a minimum of two openings on different sides of
allowing the door to rotate out of the way and allow !lour.
each enclosed area.
The water level stabilizes, equalizing the lateral forces.
111 With a minimum of one FV for every 200 square
rc c -t;'s s:.1WR60irtr++' rd . Pis "re not in he"mrmrmed w reprP.it"k ono idhu^R:ml *M v ekl9her auaf+rsdatvc "w ff,p't'0fz'olit mid#c*owl, nor art, tho- to arc consiru "d
4$ an m',yr `rrfi'.??polf of fhe "abject 4„r Pym report Ora its Vic Mem 9x4!V'rrW W h ,iCi.; 13Xr 1sYiphed, as "
6¢16P8F,V e iP&c r6 Bd"& db p' fbi fry' krA rh9a mport, or cot io a,q pmhW S"owre r by 1hv "Imm.
Copyrjht 0 2019 ICC Evalusbon Serum, b;i.C. All tots r raved,
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ESS -2074 l Most dry Accepted and Trusted
a 2 of
feet (16,6 ) of enclosed area, except that the
5,2 The Smart Vent FVs must not be used in the place
SmartVENTO Stacking Model #1540-511 and
of "breakaway walls" in coastal high hazard areas, but
FloodVENr Stocking Model #1540-521 must be
ars pennifted for use in conjunction with breakaway
installed with a minimum of one FV for every
walls in other areas.
400 square feet (37.2 m2) of enclosed area.
Eta
6.0 EVIDENCE SUBMITTED
Below the base flood elevation.
6,1 Data In accordance with the ICC -ES Acceptance
0th the bottom of the FV located d maximum of
Criteria for Mechanically Operated Flood Vents
12 inches (305A mm) above the higher of the find
( 3 4). dated August 2015 (editorially revised
grade or floor and finished extedor grade immediately
October 2017).
under each opening,
6.2 -fest report on air infiltration in accordance with ASTM
4.2 Flood Vent Sealing Kit
E263.
The Flood Ven( Sealing Kit Model 1540-526 is used in
I
7.0 IDENTIFICATION
conjunction with Florad'VE Model #1540-520. When
®1 a Smart VEN models and the Flood stent Sealing
Instal and tested in a rden with STM E203, the
FV and Flood Vent Seeding Kit assembly have an air
Kit recognized in this report must be identified by a
leakage rate of less than 0.2 cubio feet per minute per
label beating the manufacturer's name (Smartvent
lineal foot (18.58 I/rrrin per lineal meter) at a pressure
Products, Inc.), the model number, and the evaluation
report number (ESR -2070.
differential of 1 pound per square foot (60 F"a) based on
12..50 lineal feet (3.6 lineal meters) contained by the Flood
7.2 The report holder's contact information is the
Vent Sealing Kit.
followings
6.0 CONDITIONS OF DISE
SMART VEIN" PRODUCTS, INC,
The Smart Vent FVs des "ted in this report CoMply with,
430 ANDBRO DRIVE® UNIT 1
PITMAN, NEW JERSEY D8071
or are suitable alternatives to what Is specified in, those
(377) 1-8363
codes listed in Section 1,0 of tins report, subject to the
vtLjfra,3rtvent qom
followingconditions:
- sr�f�airritTt.2� rkrlmii
5.1 The Smart Vent s rust a installed in rdan
with this report, the applicable a and the
manufacturers installation instructions. In the even) of
e conflict, the instructions, in this report govern.
` ABLE 1 - EL SIZE
MODELNAME MODELINUMBIER
MODEL SIZE (In.) COVERAGE tog, ft)
Floodi(EN 1540-520
15 /a ` X 7 /4" 200
SmartVEN i 1540-510
153/4" X'st4.e 266
FlooVE verhaa Door 1540-524
1/a"' X 7314" 200
SrrrartVEl t vedtdad r 15 0-914 .,.M
M15'/4"' X 73/4" 200
U ttVdll Fl d�lEnl 1 X570
14" X 83/4" 200
VV VVatI FI 1tEl verheed r 1540-7
14" K 5 a Q . 200
SmaatVE Stacker 1 Dw 11
101, X 16" 400'
FI dVartt Stacker i X521
16"X 161, 400
For $1, t inch 26.E arm; i square fort = rn2
t
l
t;
u
Y
i
"lR�?
i
FIGURE I—SMART VENT- MODEL 1540-610
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Building Permit Number
Applicant's Name. f7
�f_kame.
O er's N0 Frsm
a
Site Address, Tax#, Parcel#:
Address:
Telephone: Telephone:
. All development — Base Flood ElevationData Provided:
A. The as -built elevation certificate from a registered land surveyor or
Professional engineer has been submitted?
es or
The lowest floor elevation is at or above the required lowest floor elevation?
e or
C. Electrical, heating, ventilation, plumbing, air conditioning equipment (including
Duct work) and other service facilities are located above BFE or flood proofed?es
r No
H. Development in Zone
A. Solid foundation perimeter walls located below BFE;
1. There are at least two (2) openings?
es or No
2. Square footage of enclosed area subject to flooding
3. Square inches of venting required
. Square inches per opening (multiply l by w)
5. Number of required vents (3 above divided by 4 above)
6. Foundation contains the minimum number of vents?
nio or No
7. The bottom of each opening is no higher than one (1) foot above grade?
or No
. Any cover on openings will permit the automatic flow of floodwaters in
both directions?
-es or No
. Development n Zones V, VE and V! -V30, VO (Coastal High HazardAres).
A. Development location complies with all coastal setback requirements?
Yes or No
B. Structure is securely anchored to pilings or colum ns and certification by a
Registered, professional architect or engineer has been submitted?
Yes or No
Reviewer's Name: Date reviewed:
Local Administrator'sSignature: ate:
City of TybeeIsland
403 Butler Avenue-P.O. Box 2749
Tybee Island, Ga. 31328-2749