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HomeMy Public PortalAboutJONES AV_1.pdfPROPERTY INFORMATION Al.t Owners Name" t t.. DIVERSIFIED DESIGNS Building Street Address (including Apt, Unit, Suite, an(Vor Slog. No.) or P.O. Route ando 1 Number: Box No, 1JONESAVENUE city to ZIP Code TYBEEISLAND Georgia 3132 Property ion (Lot and Block Numbers, Tax Parcel Number, Legal Description,etc.) LOT 103 WARD 1 TYBEE ISLAND A4. BuildingUse (e.., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL . L itudelLo itude: Lat. N 32 ° 1 . 5 " Long. W 50 * 50' 35. 0 " Horizontal Datum: 1927 xNAD 1953 AS. Attachat least 2 photographs of the building if the Certificate is beingused to obtain flood insurance. A7. Building DiagramNumber 1 . For a building with a crawispace orenclosure(s): a) Square footage of crawlspace or enclosure(s) 0.00 sq ft Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0 c) Total net area of floodopenings in A .b 0.00 sq in Engineered openings? El Yes 9 No A9. For a buildingwith an attached garage: ) Square footage of attached arae 0.00 sq ft ) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area d openings in A9.b 0.00 sq in ) Engineered floodopenings? Yes Z No EC — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 1. NFIP CommunityName & Community umber B2. County Name B3. State TYBEE ISLAND 135164 CHATHAMGeorgia Map/Panel x 15. FIRM Index Sy. FIRM Panel E3 Flood B9. Base Flood Elevartion(s) Number Date EffectivelZone(s) (Zone AO, use Base Ft ) Revised at 13051CO214 G 08-16-2018 08-16-2018 10.0 10. Indicate the source of the BaseFlood Elevation (BFE) data or base flood entered in Its Sg; FIS Profile 0 FIRMu ete i Other/Source: 11. Indicate elevation datum used for BFE in Item 89: 1929 x 1Other/Source: B12. Is the building in a Coastal Border ResourcesSystem (CSRS) area or Otherwise Protected Area ()? 0 Yes 0 No Designation Grate: E FEMA Form 0 (12/19) Replaces all previous edifions, Forrn Page 1 of 6 Bu4&9StreettR arObr Bldg.# # Policy ,Number. i' JONES State ZIP Code, 'U-o--mpany NAI6jN4urn--tW--- 31328 « © •�': # 13 94 Aft W - . VINCENT HELMLY 1882 ND OR Company Nam - f BURTONVINCENT H8LMLY Address 129 A -O_ city - Code SAVANNAH Georgia 31405 Signature Date - #hone 1 1 429-9395 Comments#* of equipment CONDITION IMPORTANT: I , copy ft conveI information from Section FOR INSURANCE C P Y USE Building Ado (Includin nit, Suite, and/or Bldg. No.) or P.O. Route and Box Policy Number 1 JONES AVENUE city stateZIP C e Company AIC Number TYBEE ISLAND Georgia 31328 BUILDING TI (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WrTHOUT ISFE) For Zones AD and A (with ), complete Items EI -E5. If the Certificate is intended to support a LOMA or LOMR-F request complete Sections A, B,and C. For Items EI -E4, use natural grade, If available. s en used. In Puertoonly, enter met E1. Provide elevation information for the following and check the appropriate xes to show whetherthe elevation is above or below e highest adjacent grade (HAG) and the lowest adjacent grade (LAG). ) Top of bottom floor (including basement, crawlspace, or enclosure) is El feet El metersabove or E] below the HAG. b) Top of bottom floor (including basement, crawlspeoe, or closure) is El feet El metersabove or below 2. For Building Diagrams with permanent flood openings vizi ' in Section Items 8 and/or 9 (see pages -2 of Instructions), the next hilt r (elevation C.b in the diagrams) of the building is 0 feet El metersabove or El belowthe HAG, 3. Attached garage (top of slab) is feetmeters above or [:] below the HAG. 4. 'Top of platform of machinery and/or equipment servicing a buffeling is El feet El meters 0 above or El belowthe HAG. .o epAD only: lain management no flood depth o anal number is available, is the to of o or elevated e th ' accordance community's tl ordinance? Yes o Unknown. The local Dial must is information in Section CTI _ (OR OWNER'$ REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative fetes Sections A, 8, and E for Zone A(without a FEMA -issued or community -issued) or Zone AD must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Ownees Authorized Representative's Na Add city State ZipC e Signature at Telephone Comments Check here if affachments, rmwm rex `i lu) Replaces all previous editions. Form Page 3 of E ELEVATION CERTIFICATE ..r.p•. wa.wa:.vs®® rwcakv. uwaxr« Iq R , tV IMPORTANT: In these spaces, c e corresponding information from Section A. FOR INSURANCE CE Y USE ull " Street Address (including Apt., Unit, Suite, and/or Bldg. o.) or P.O. Route and Box No. Policy Nu ber 1 JONES AVENUE i toZIP Code Company 1C �Number TYBEE ISLAND Georgia 31328 SECTION — COMMUNITY _ INFORMATION F TI ( The local Offical who is authorized by law or ordnance to administer the community's floodplain management ordinance n complete Sections i C(or ,and of Elevation n Certificate. Complete appl it () an sign below. Ch measurement u in Item G"10. In Puerto Rico only, enter meters. 1. El The information in Section C was taken from other documentation that has been signed and sealed by a licensed survey engineer, or architect whois authorized law to certify elevation information, (indicate the source and date of the elevation data in the Comments area below.) 2. A communityo' I completed Section E for a buildinglocated in Zone A (without a FEMA -issued or community -issued BF) or Zone A. G$. The fol 'ng information (items , 1) Is provided rcommunity fllain management purposes. 4, Permit Number G5. Dat ermit Issued G6. Date Certificate Compliance/Occupancy Issued G7. This permit has been issued for New Construction Substantial Improvement Elevation of as -built lowest floor (including basement) of the building: feet El m`Qters Datum S. BFE or (in Zone ) depth of flooding at the building site: El feet meters Datum G10. Community's design flood elevation: El feet 0 meters Datum i t cat's Na Title Community a _ Telephone Signature ate Comments (including of equipment and location, r C (e), if applicable) Check here if attachments. Ke ra...: s an previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Data: November 30, 2022 I In these spaces, copy corresponding information from Section -70—R INSURANCE COMPANY 3 ll n0 —Street Address (including Apt., Unit, Suite, arKVor Bldg. No.) or P.O. Route and Sox No. Policy tau 1JONESAVENUE city State ZIP Code Company u r TYBEE ISLAND Georgia 3132 If submitting more photographs than will ht on the precedingpage, affix the additional photographs below. Identify all photographs °tho data taken; "Front Vi d "Rear View"; and, if required, " Side a "Le applicable, photographs must show a foundationwith representative examples o ins r vents, as indicated Section A8. mioto,rhree Photo MVW Photo Three Caption Clear Photo Three Photo Four Photo Fopff Photo Four Caption Clear Photo Four FEMA Form (12/19) Replaces all previous editions. Form Page6 of