HomeMy Public PortalAboutLEWIS AV_127-EC.pdfU.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1650-0008
Federal Emergency Management Agency Expiration Date: November 30, 2022
National Flood Insurance Program I
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 agenttcompany, and (3) building owner,
7 SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE
All, -Building Owner's Name Policy Number
LAWRENCE A. & DONNA C. PIPER
I A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Box No. Coman MAIC Number.
127 LEWIS AVENUE
Citi state ZIP Code
TYBEEISLAND Georgia 31328
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 23 PALM TERRACE
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Lafitude/Longitude: Lat. N 32 ® 001 43.3 Long. W 80 ' 50' 52 .6 " Horizontal Datum: C] NAD 1927 x NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
. A
AT Building Diagram Number kJ W i
A8. For a building with a crawispace or enclosure(s):
a) Square fbotage of crawlspace or enclosure(s) 0.00 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 loot above adjacent grade 0
c) Total net area of flood openings in A5.b 0.00 sq in
d) Engineered flood openings? El Yes Z No
A9. For a building with an attached garage-,
a) Square footage of attached garage 0.00 sq It
b) 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 A9.b 0.00 sq in
d) Engineered flood openings? []Yes ED No
SECTION 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
TYBEE ISLAND 135154 CHATHAM Georgia
B4. Map/Panel B5. -Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth)
Revised Date
13051CO213 G 08-16-2018 08-16-2018 AE 9.0
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
C] FIS Profile EJ FIRM E] Community Determined E] Other/Source:
811. Indicate elevation datum used for BFE in Item B9: E] NGVD 1929 Z NAVD 1988 Other/Source:
1312. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? El Yes 9 No
Designation Date: E] CBRS [] OPA
FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 1 of 6
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building street Address (including Apt, Unit, Suite, andtor Bldg. No.) or P.O. Route and Box No—.
127 LEWIS AVENUE )7
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TYBEE ISLAND Georgia 31328 ims
IL01,11LOM: I I . OR - I
C1. Building elevations are based on: E] Construction Drawinge E] Building Under Construction* nx Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
CZ Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, VI -V30, V (with BFE), AR, ARIA, ARME, AR/Al-A30, AR/AH, ARIAO.
Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: LOCAL Vertical Datum. NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below.
f-1 NGVD 1929 nx NAVD 1988 n Other/Source:
at used for building elevations must be the same as that used for the BFE.
a) TOP of bottom floor Pricluding basement, crawlspace, or enclosure floor,,
b) Top of the next higher floor
c) Bottom of the lowest horizontal structural member (V Zones only)
d) Attached garage (top of slab)
e) Lowest elevation of machinery or equipment serAcing the building
(Describe type of equipment and location in Comments)
Lowest adjacent (finished) grade next to building (LAG)
g) Highest adjacent (finished) grade next to building (HAG)
11) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support
This certification is to be siqned and seal bQv land
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LAND SURVEYOR
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FEMA Form 086-0-33 (12J19) Replaces all previous editions- Form Page 2 of 6
ELEVATION CERTIFICATE OMB No. 1660-0008
Expiration Date: November 30, 2022
IMPORTANT: In these spaces, copy the corresponding information om Section FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg, No.) or P.O. Route and B
127 LS AVENUE ox No. Policy Number.
City Sta#e ZIP Code Company NA Nulur ber
TYBE ISLAND Georgia 31328
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY
T REQUIRED)
FOR ZONE AO AND ZONE A UT
For Zones AO and A (without FE), complete Items E1 -E5. If the Certificate is intended to support a LOA or LOMR-F request,
complete Sections A, Band C. For Items Ell -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,
enter meters.
E1. 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,
crawlspa, or enclosure) is feet EJ meters El above or below the HAG.
b) Top of bottom floor (including basement,
craw!space, or enclosure) is feet ❑ meters above or below the 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 feet meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is 11 feet ❑ meters El above or El below the HAG.
EA 'Top of platform of machinery and/or equipment
servicing the building is feet El meters 0 above or below the HAG.
E5. Zone AO only: if no flood depth number is available, is the top of the bottom floor elevatedin accordancewith the community's
floodplain management ordinance? ®Y F]o ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY O (OR OWNERS P TAI ) 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 ®per's uthor�zed Represen#ative's Name
Address City state ZIP Cede
Signature Date Telephone
Comments
Check here if attachments.
FEMA Form 686-0-33 (12/19) Replaces all previous editions. Form Page 3 of 6
OMB No. 1660-0008
E I LEVATION CERTIFICATE Expiration Date: November 30, 2022
IMPORTANT: Int spaces, copy the corresponding inforrnation from Section A. FOR INSURANCE COMPANY USE
ilding Street Address (including Apt, Unit Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number.
127 LEWIS AVENUE
City State ZIP Code - Company NAIL 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 E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement
used in Items G8-G10- In Puerto Rico only, enter meters.
G1. E] 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. El A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE)
or Zone A.
03, E] The following information (items G4-G10) is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate of
Compliance/Occupancy issued
G7. This permit has been issued for: New Construction Substantial Improvement
G8. Elevation of as-built lowest floor (including basement)
of the building: feet meters Datum
G9. BEE or (in Zone AO) depth of flooding at the building site: feet ❑ meters Datum
G10. Community's design flood elevation, ❑ feet ❑ Meters Datum
Local Official's Name Title
Community Name Telephone
Date
Comments (including type of equipment and location, per C2(e), if applicable)
❑ Check here if attachments.
FEMA Form 086-0-33 (12J19) Replaces all previous editions. Form Page 4 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE See Insbimbons for Item A6.
FEMA Form 086-0-33 (12/19) Replaces all previous editions, Form Page 5 of 6
BUILDING PHOTOGRAPHS OMB No. 1600-0008
ELEVATION1 1 Continuation Page Expiration Date: November 30, 2022
IMPORTANT: In these spaces. copy the corresponding information from Section FFO7INSURANCE CC PANY USE
Building Street Address {including Apt., Unit, Suite, and/or ldg. No.} or P.O. Route and Box o. Polmber.
127 LENS AVENUE;
City State ZIP Code Company MAIC Number
TYBEE ISLAND Georgia 31328
If submitting more photographs than will fit on the preceding page, affix the additional photographs below, Identify all photographs
with: date taken; "Front View" and "Rear View"', and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
Photo Three
Photo Twee
Photo Three Caption Clear Photo Three
Photo Four
Photo Four
Photo Four Caption Clear PhotoFour
FEMA Form 086-0-33 (12!19) Replaces all previous editions. Form Page 6 of 6
Building Permit Number
__C;_�21�0�0
Applicant's Name: Owner's Name: 1
t
Site Address, Tax#, Parcel#: I Address: 4
Telephone: I 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 KESJ or NO
B. The lowest floor elevation is at or above the required lowest floor elevation? S or NO
C. Electrical, heating, ventilation, plumbing; air conditioning equipment (including
duct work) and other service facilities are located above BFE or flood proofed? ES or NO
]I. Development in Zones A, AE, Al -A30 and AH:
A. Solid foundation perimeter walls located below BFE: NO
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 1 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
8. 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:
I. 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.
I. 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
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: LIZ Date:
City of Tybee Island
403 Butler Avenue - P.O. Box 2749
Tybee Island, Ca. 31325-2749 \,R
Crry OF TYBM ISLAND COMMUNITY DEVEIMMOU
7VT JWFV�PUAW
Lng t r,7 M, rmm -, n.-, i " 77'=I , , -:4, 0 1 6 V- ...
L That the encbsed area below the Base Flood Elevation shalt be used solely for parymg of vehicles, limftd storage, or access to the
-A --11 fhr IT -1 hP Imt fim-t. betoming do- -n
Wit
b4dAn-6 My compliant with the Flood Damage Preven
Ordinance in effna at the time, of conversion.
2. That all iatesior walls, milings, and floors below thr, Baw Flood Elevation shall be unfinished -or constructed of flood-resisMnt
materials.
3. That mechanical, electrical, or plumbing devices shall not be #t "!G below the Baw klood Etevation.
4- That the walls of the enclosed area below the Base Flood Elevation shall be equipped with at least MO vents which PeWit the
alltDMadC entry antedt of f loodwater with total openings of at least one square inch fDr every squate foot of enclosed area below
ar ft eats shall be no more than one fba bo e
flood kWL The vents s1wall i at least two dff.---*t and the beff-mms f - v a v
grade. If locatedin a V -zone, breakaway walls = required.
5. That do requested structure may be suldect to increased premium rates kw flood insurance available, fium the National BOO!
Insurame, Program due to #s locaum m a Special Flood Hazard Area.
6. That any i�axiation in constructi yond what is permitted shalt constitute a violation and be abatable, as such.
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-ij'41VAM OCPVD� 0�r Signar= or Property Owner
STATE Of' GEORGIA
COUN71Y OF CHATHAM
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Sub"MR b& tD and swoti' fD Of aAA1, C-Vr 20 4?
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APPENDIX RD
1[3Prescriptive: R401-404
M I 1A -r—A- -a. Dl�'rr) 9 r
RESCheck: Keyed to 2015 IECC
[3Simulated Performance: R405
j 0 Energy Rating Index CERU): 11,40"
1 ERI Score
WA"'
Building Envelope (when multiple values per component, list value covering largest area)
fling/Roof R -value Above -grade mass wall R -value
-cfl;ng R 'va!u-- fl;,;Ors R vz!uc
terior wall R-vaiue lWindow/Giass Door SHGC
eewall (cavity and/or continuous) R -value lWindow/Glass; Door 1 -1 -factor
unda-ilon (cav-my- and/or con'Unuo-us) %'N -value T�MYlei MO Q
)ors over unconditioned R -value ;Skylight U -factor
Heating System T-,,-.-- Effidency (AFLIE, 1 C:c--!', Mg Syst2m Type Efficicricy ISEER. -an cy (EF o r
COP or udflerp ELK or Other) utile,}
Gas 1[3Air conditioner
=Heat pumn 11.7"Hp-st nump in Electric
L_1 Other ;U Other: tU Othei:
Y.. Nn Manual j; n or PrIttivalprit romplete?
Type (check one) -Oiesign Rate (ch
eck one)� I - --- —
10
Exhaust 6 Continuous (Design Ventilation
4-1 S --I- 7 - t
UFPI; -,7, -j
Balanced If intermittent, list runtime in min. per hour
ftEl peri lir + Cholac t (email/phone) 9
DEI Verifier 0
Jamie Kaye II
jamie Ogelmenergygroup.(:orn / 843-9296-3715 HERS 0340610
Uff rase ;tuw A 6a / hurmai Envelope Volume)
lower Door Fan Flow (CFMSO) 650 (Thermal Envelope Volume (ft') 10,750 !Envelope Tightness (ACH150) 3.6
multifla fly unit and conducting sampling, this unit is not required to be tested. Mark N/A.
ItF& 771C ITnT
lumber of Heating and Cooling Systems
— - - - -------
vct Tightness Leakage Test Results Svstem 1 Svstern 2 Svstem 3
i est not required it air handier and ductwork is located
entirely inside thermal envelopc/con-dit-n-d "Njn
Location h/A
Fan Flow (CFM25) NfA
ArPA I-,Prvi-d
notal Duct Leakage (CFM25/100 ft`) NIA
... . ......
Rough in Total (RI -i) or Post Construction Total (PCT1 NIA
Version 1 r,