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Home My Public Portal AboutBRIGHT ST_11 (2).pdfU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenticompany, and (3) building owner. SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Nurnber. MIKE AND DEBRA GOLDBERG - - -------- ---- A2. Building Street Address (including Apt., Unit Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number, - Box No. 11 BRIGHT STREET . .... ........ . . ......... City State ZIP Code TYBEE ISLAND GEORGIA 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) CHATHAM COUNTY PIN 40002 15006 LOT 38 & LOT 39 CAMPBELL SUB, TYBEE LOT 3 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIA -L ------ - ---------- - A5. Latitude/Long - ------------ I ------- - - - --------- A. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 6 A8. For a building with a cravAspace or enclosure(s).- a) Square footage of crav,4space or enclosure(s) N/A sqft -- ---- b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in d) Engineered flood openings? 0 Yes tM No A9. For a building with an attached garage: a) Square footage of attached garage- N/A sq ft I ------------- b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? []Yes No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number I B2. County Name B3. State I CITY OF TYBEE ISLAND 135164 CHATHAM GEORGIA _[_ - ___ T-- , __ F_ --i --1111111 - 11 1 Base Flood Elev-- — - B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood I B9 ation(s) Number Date Effective/ Zone(s) I (Zone AO, use Base Flood Depth) I I Revised Date 13051 C G 021308-16-20181 08-16-2018 AE 9.0 --- ------- . . ..... B10, Indicate the source of the Base Flood Elevation (BEE) data or base flood depth entered in Item B9: N/A [_]FIS Profile [@ FIRM E] Community Determined [-] Other/Source: Bll. Indicate elevation datum used for BFE in Item B9- [ [] Ot N/A . J NGVD 1929 2) AV 1988 her/Source: Bl 2. Is the building located in a Coastal Barrier Resources System (C S) area or Otherwise Protected Area (OA)? Yes Na Designation Date: N/A CBRS [J OPA Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE IMPORTANT: I these spaces„ copy the corresponding information from ectio FOR INSURANCE COMPAN r USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 11 BRIGHT STREET City State ZIP Code Company N,AIC Number TYBEE ISLAND GEORGIA 31328 SECTION— BUILDING ELEVATION1 (SURVEY REQUIRED) C1. Building elevations are based on: Construction Drawings* Building Under Construction* Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al—A30, AE, AH, A (with BFE), VE, V1 --V30, V (with BFE), A, AR/A, AR/AE, AR/Al —A30, A/AH, O. Complete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: VRS NETWORK SOLUTION Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a) through h) below. NGVD 1929 X NAVD l9 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, crawlsace, or enclosure floor) 6.1 feet [w] meters b) Top of the next higher floor 23.4 feet meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A feet meters d) Attached garage (top of slab) N/A feet [ j meters e) Lowest elevation of machinery or equipment servicing the building 13.0 feet meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5.5 feet [ meters g) Highest adjacent (finished) grade next to building (HAG) 5.9 feet [ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 1 x feet [_ meters structural support ----------- _ ° SECTIONtCERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by lato certify elevation information. / certify that the information on this Certificate represents my best efforts to interpret the data available. / understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? 1@Yes C..1 No Check here if attachments. Certifieras Name License Number GEORGE ..._..Title___.... GEORGIA LAMA? SURVEYOR �r Company Name MITR / / l AL _ Address __ _ . 374 EAST RIDGE DRIVE U City State ZIP CodeMfe SAVANNAH GEORGIA 31406 _ Signature Date Telephone Ext 'w07/28/2021 __ Copy all pages o his Elevation Certificate and all attachments for (l) community official, (2) insurance agent/company, and (3) building owner. _ _-_ _ Comments (including type of equipment and location, per C2(e), if applicable) _ . - A5 = GPS—NAD83 ITEM C2 = TRIMBLE GPS—VRS NETWORK SOLUTION PLATFORM),TEM TEM C2e= OUTDOOR HVAC UNIT (RAISED _ ' FROM SLAB TO TOP ROOF FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No. Policy Number: 11 BRIGHT STREET -- - ------- --- city State ZIP Code Company NAIC Number TYBEE ISLAND GEORGIA 31328 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (Without BFE), complete Items El -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, Band C. For Items El -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, cravvispace, or enclosure) is N/A El feet 0 meters El above or 0 belowthe HAG, b) Top of bottom floor (including basement, cravvispace, or enclosure) is N/A 21feet El meters 0 above or El belowthe LAG. E2. For Building Diagrams 6-9 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 N -/A - ----- E] feet 0 meters E] above or n below the HAG E3. Attached garage (top of slab) is N/A -] below the HAG. — ---------- - --- Ofeet [:]meters [:1 above or I_ E4. Top of platform of machinery and/or equipment servicing the building is N/A Elfeet n meters 0 above or I- belowthe HAG. E5. Zone AO 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? Eli Yes 0 No E] Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S 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 BFE) 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 Owners Authorized Representative's Name N/A Address city State ZIP Code N/A N/A N/A - - ------- -------- Signature Date Telephone N/A N/A N/A — - - - - -------- ---------------- - - — — - — --- --- ---- - --- --------------- --------------- ------ --- Comments Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 11 BRIGHT STREET -- ------------ — ------ 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 to administer the community's floodplain management ordinance can complete Sections A, B, C (or P, and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G&-Gl 0. In Puerto Rico only, enter meters. G1, [:j 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.) G2, A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G& The folio wing information (ItemsG4-G10)is provided for community floodplain management purposes. — — - - - --- --------------------- --- --------- --- -- G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued .............. . . .. ............ - — - -------------- --------- - ---- - ------------ - - GT This permit has been issued for: New Construction [] Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: 0 feet meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: — ---- - ---------- IJ feet El meters Datum GIO. Community's design flood elevation: El feet LEJ meters Datum — - — - --------- --- -- -- ------ — - ------------- -- ------------ Local ------Local Official's Name Title . ........ ........... Community Name Telephone — — -- ----------------------- ---- Signature Date — - - ------------- ---- - ......... ... . Comments (including type of equipment and location, per C2(e), if applicable) Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 4 of 0 13111-DIRG PiN0TGWP4'PAS �K&n ELEVATION CERTIFICATE See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. oute and Box No, Policy Number, 11 BRIGHT STREET M B . . . ... . ............ u P 'd R i B city State ZIP Code Company NAIC Number T TYBEE ISLAND GEORGIA 31328 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs Iia taken- "Front View" and "Rear Vie%P; and, if required, "Right Side View"and Left Side View" Men applicable, photographs must show tke foundation with representative examples of the flood openings or ents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. en LEFT SIDE VIEW I R143HT Sjpg__Y�_ FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 5 of 6 FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6 Building Permit Number_ff_i�/�F_3� Applicant's Name: Owner's Name: f Site Address, Tax#, Parcel: Address: n cit. Telephone: 7 Telephone. I. All development — Base Flood Elevation Data Provided: A. The as -built elevation certification from a registered land surveyor or Professional engineer has been submitted? r No B. The lowest floor elevation is at or above the required lowest floor elevation? evor No C. Electrical, heating, ventilation, plumbing, air conditioning equipment (including duct work) and other service facilities are located above BFE or flood proofed? YE or NO Development in Zones A, AE, AI -A30 and AH: A. Solid foundation perimeter walls located below BFE: AJO 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 I by w) S. Number of required vents (3 above divided by 4 above) 6. Foundation contains the minimum number of vents? �iis orNO 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 B. Base flood elevation andlorfloodway data not available orAO Zones: L The lowest floor is at least one (1) foot above the highest adjacent grade? YES or No 2. The development meets the setback requirements of the ordinance? YES or NO 3. If 2 above was "no", has a No -Rise Certification been submitted? YES or No Reviewer's Name: Date reviewed: B. Floodway data is provided 1. Did this development encroach in the floodway? YES or NO 2. Do the actual field conditions meet the proposed actions and technical date requirements? YES or NO 3. If C1 was "yes", has a No -Rise Certification been submitted? YES or NO Reviewer's Name: Date reviewed M. Development in Zones V, VE and V! -V30, VO (Coastal High Hazard Areas). 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: Date reviewed: C. Walls permitted below the base flood elevation consist of decorative lattice work or, Where permitted, are breakaway and have been certified by a registered, professional Architect or Engineer? YES or NO Reviewer's Name: - Date reviewed: r% Local Administrator's Signature: City of Tybee Island 403 Butler Avenue - P.O. Box 2749 1 1 P, Tybee Island, Ga. 31328-2749