HomeMy Public PortalAboutJONES AV_1502.pdfFEMA Form 066-0-33 (12/19) Replaces all previous edffions. Form Pape 1 of
FEMA orm 086-0-33 (12/19) Replaces all previous editions. t-orm Fags z or t
FLFVATION CERTIFICATE
B No. 1660-0003
ExDir tion [fit _ November 30, 2022
FEMA Form 066-0-33 (12819) Replaces all previous editions.
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Form Page 3 of 6
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration r 30, 2022
FEMA Form 066-0- (12119) Replaces all previous editions. Fora Fagg 4 of 6
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Photo Four Caption
MA Form 086-0-33 (12619)
Replaces all previous edition .
Form Page 6 of 6
Building Permit Number
Applicant's Name: ` ( Owner's Name:
Site Address, °Tax#, Parcel: Address:
Telephone, / 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
NQ
B. The lowest floor elevation is at or above the required lowest floor elevation?
YES or
Q
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
II. Development in Zones A, AE, Ai -A30 and
A. Solid foundation perimeter walls located below BFE:
1. There are at least two (2) openings?
S or
NO
2. Square footage of enclosed area subject to flooding
3. Square inches of venting required
1
4. Square inches per opening (multiply I by w)
5. Number of required vents (3 above divided by 4 above)
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6. Foundation contains the minimum number of vents?
E or
NO
7. The bottom of each opening is no higher than one (1) foot above grade?
or
NO
8. Any cover on openings will permit the automatic flow of floodwaters
In both directions?
S OR NO
B. Base flood elevation and/or floodway data not available orAO Zones:
1. 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 Cl was "yes", has a No -Rise Certification been submitted?
YES or
NO
Reviewer's Name: Date reviewed
in. (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:
Local Administrator's Signature:. Date:
City of Tybee Island_
4\.a�trY 9
403 Butler Avenue - P.O. Box 2749
[
Tybee Island, Ga. 31328-2749
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