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HomeMy Public PortalAboutJONES AV_1511.pdfSECTION A PROPERTY INFORMATION F INSURANCE COMPANY USE A1. Building Owners flame Policy umber: Catskill Builders, Inc. A2, Building Street Address (including Apt., Unit, Suite, and/or Bldg. leo.) or P.C. route and Company MAIC Number: Box No. 1511 Jones Ave. City Mata ZIP Code Tybee bland Georgia 31328 A3, Property Description (Lot and Block Numbers, Tax Parcel dumber, Legal Description, etc.) Lot 100 Ward 4 Tybee Savannah Beach A4, Building Use (e.g., residential, Non -Residential, Addition, Accessory, etc.) New 'residential A5, Latitude/Longitude: Lat. N 31.99368 Long. w .61 .65112 Horizontal Datum: [] DIAD 1927 7 DIAD 1363 A6. Attach at least 2 photographs of the building if the Certificate is being used *o obtain flood insurance, A7. Building Diagram dumber A8. ' For a building with a crawlspace or enclosures): ai Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the cra lspace or enclosure(s) within 1.0 foot above adjacent grade NIA o} Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? El des No A9. For a building with an attached garage: aj Square footage of attached garageN/A so ft b) Number of pe anent flood openings in the attached garage within 1,0 foot above adjacent grad: N/A o) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? Yes Exj No SECTION — FLOOD INSURANCE RATE to (FIRM) I ATION 61. NFIP Comm. unity Marne Community Nu€nber X32. County Larne D3, Mate City Of Tybee Island 1351 Chatham i Georgia . eta /Panel 130, aux I6. Flrsl Index t Ile Fir barrel 8. Flood D9. Base Flood Gone ( Number Date revised Date Zone(s)AO, use BaseElevation(s) Flood Depth) 13061 CO326 C 08-16-2018 08-16-2018 AE 9;0 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 9: FIS Profile FIRM ,0 Community Determined ❑ Other/Source: 11. Indicate elevation datum used for BFE in item 69: 0 NGVD 1929 [x NA `D 1933 0 Other/Source: 811 is the building located in a Coastal Barrier Resources System (C r ) area or Otherwise Protected ,area (OPA) ? [] Yes o' Designation Date: Cl3r (] CPA FEMA Form 086-0-33 (12/19) replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB leo. 1660-0 Expiration Date: November 30, 2622 WORTA T: In these spaces, copy the corresponding inforination from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Alit., Unit, Suite, and/or Bldg. Flo.) or P.G. Porte and Box No. Policy Number-, 1511 Jones Ave, city state ZIP Code Company AIC Number Tybee Island Georgia 31326 SECTION — BUILDING ELEVATIONINFORMATION (SURVEY EMBED) 1. Building elevations are based on: rL-] Construction Drawings* [] Building Under Construction* [x] Finished Construction *A new Elevation Certificate will be required when construction of the building is complete, C1 Elevations -- Zones Al 30, AE, AN, A (with BFE), VE, VI—V30, V (with FE), AR, APIA, ARJAP, AAAI -A3 ,AR/AH, AR/AO. Complete Items C2. i below according to the building diagram specified in Item AT. In Puerto Rico only, enter meters, Benchmark (Jt lized: BM P!_ 3.12 site plan by PLS Vertical Datum: NAND 1966 Indicate elevation datum used for the elevations in items a) through h) below, NGVD 1929 [X] NAVD 1968 C, Other/Source: , DatUM used for building elevations must be the same as that used for the 8FE. Check the measurement used. a) Top of bottom flour (including basement, cra lspace, or enclosure floor) _ /A JE feet E] meters b) Top of the next higher floor 16.5 feet meters c) Bottom of the lovrest horizontal stri,ictural member (V hones only) /A feet riveters d) Attached garage (torp of slam) NIA feet meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment aid location in Comments) 16,0 x; feet meters ' f) Lowest adjacent (finished) grade next to building (LAG) � 6,9 feet meters g) Highest adjacent (fin€shed) grade next to building (HAG) 7a feet ri'ieters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support _, N/A feet meters SECTIONENGINEER, OR ARCHITECT C T'I IGATI This certification is to be signed and seated by a land suiRveyor, engineer, or architect authorized by law to certify elevation information. l certify that the inforniation on this Certificate represents my (rest efforts to interpret the data available. t understand that any false statement may be punishable by fuze garimprisonment under IS U� S. Code, Section 10011 Were latitude and longitude in Section A provided by a licensed land surveyor? 1:1 Yes Z, No Check Dere if attachments. , Certifiers dame License Number William C. Griffin 6713 GA Title P.E. Company Marta€ -_ Skidaviay Island Engineering, Inc.° e 114 // Address211491 P.C3. box 15195 city Mate ZIP Code Savannah Georgia 31416 Signature � Date Telephone Ext. 02-10-2022 (312) 507-2787 Copy all pages of this Elevation Certificate d all attachments for (1) community official, (2) insurance agent/company, and (3) building owner, Comments (including type of equipment and location, per C2(e), if applicable) C2(e) HVAC equipment outside on elevated platform, Lower area is enclosed on three sides with open vertical lattice panels and is at elevation 7.3 feet, i FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 2 of 6 OMB hire. 16650-0003 ELEVATION CERTIFICATE xDir ti n e November 30, 2022 FEMA Form 036-0-33 (12110) Rephoes all previous editions. Fora Page 3 of 6 Building Permit Number— t . Applicant's Name; w : ` (.owner's Name; 11 Site Address, Tax#, Parcel#: Address: � Jt l"wu -� Telephone: Telephone: L 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 YV20 NO B. The lowest floor elevation is at or above the required lowest floor elevation? Cr NO C. Electrical, heating, ventilation, plumbing, air conditioning equipment (including facilities located BFE flood 'ES or NO duct work) and other service are above or proofed? 11. Development in Zones A, AE, Ai, -A30 and AM 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 I 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 &. Any cover on openings will permit the automatic flow of floodwaters In both directions? YES OR NO B. Base flood elevation and/or floodway data not available or AO Zones: 1. The lowest floor is at least one (1) foot above the highest adjacent grade? YES or NO 1 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. L 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 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: bate reviewed Local Administrator's Signature: bate: M1;l,l n City of Tybee Island ; 403 Butler Avenue - P.O� Box 2748 ( ' Tybee Island, Ga. 31328-2749 a�