HomeMy Public PortalAboutLEWIS AV_134-EC.pdfU.S. DEPARTMENT OF HOMELAND SECURITY OMS No. 1660-0008
Federal Emergency Management Agency Expiration D. November 30, 2022
Nobonal Rood Insurance Program
ELEVATION CERTIFICATE
Important Follow the instructions on pages 1-9.
I r3f*77
SECTION A - PROPERTY INFORMATION
Al. Building Ownes Name
BERYL BANISTER ETAL
a
A2- ul Street Address (including Apt, U@Miii and/& 80g�.Tor
Company NAIC Number
BOX
134 LEWIS AVENUE
ft x.
City State Tip
TYBEEISLAND Georgia 31328
AG�MtLot FaWft�&Nu
A& Property Description (Lot nd ck mb�e�rms, a -Tx WP=W�W"uboi, Le�e
LOT 55 PALM TERRACE
A4. Building Use *g., Residential, Non-Residenfiai, Addition, Accessory, etc.) RESIDENTIAL —
A5. L-&Wde/Longitudw
. Let N 32 0 00' 41. 0" Long. W 80 * 50' 51. 1 " Horizontal Datum: 0 NAD 1927 FxJ NAD 1983
AS, Attach at least 2 photographs of the building if the Certificate is being used to obtain food insurance.
A7. Building Diagram Number 5
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or endosure(s) o.00 sq ft
b) Number of permanent flood openings in the crawlsPace or enclowre(s) within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8 -b 0.00 sq in
d) Engineered flood openings? F-1 Yes 9 No
Ag. For a building with an attached garaW.
a) Square footage of attached garage 0.00 sq ft
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 sq in
d) Engineered flood openings? 0 Yes No
SECTION 8 - FLOOD INSURANCE RATE MAP (FIRM) WORMATION
al. NFIP Community Name & Community Number B2. County Name
TYBEE ISLANIi
D 135164 CHATAM 0 4
136FIRM Index B7. FIRM Panel B9, Base Floo
DaecWd Elevation(s)
(Zone AO, use Base Flood Depth)
te Effel/#
Revised Date
08-16-2018 08-16-2018 9.0
810. Indicate the source of the Base Ftood Elevation (BFE) data or base flood depth entered in Rem 139:
n FIS Profile 0 FIRM f -I Community Determined M Other/SOUMS.
all. Indicate elevation datum used for BFE in Item B9: [] NGVD 1929 fx-1 NAVD 1988 n Other/Source.
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes Mx No
Designation Date: CBRS OPA
OMB No. 1660-OOM
ELEVATION CERTIFICATE Expiration Date: November 30, 2022
=4
Building street Address onduding Apt, Unit Suite, and/or Bldg. No.) or P-0. Route and Box No.
134 LEWS AVENUE
a ny C Number
TYBEE ISLAND Geor& 31328
bill
Construction Drawings* n Building Under Construction* nx Finished Construction
C1. Building elevations are based ond
*A new Elevation Cerfificate %-All be required when construcfjon of the building is complete.
Al -A30, ARIAH, ARIAO. —
C2. Elevatioris - Zones AI -A30, AE, AH, A (with BFE), VE, V1 -V30,, V (with BFE). AR, AR/A, AR/AE ARI
Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters.
Benchmark Utilized: LOCAL Vertical Daturn- NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below.
[3 NGVD 1929 M NAVD 1988 E] Other/Source: _
Datum used for building elevations must be the same as that used for the BF
a) Top of bottom floor (including 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 servidng the building
(Describe type of equipment and liii alion in Comments)
Q Lowest adjacent (finished) grade ne)d to building (LAG)
g) Highest adjacent (finished) grade ne)d to building (HAG)
h) Lowest adjacent grade at lowest elevation of deck or stairs. including
structural support
16.8
El feet
0 meters
N/A
0 feet
0 meters
NIA
k4-4
0 meters
N/A
feet
[]meters
um
5A
5.9
2, feet 0 meters
N f0et El meters
ED feet [I meters
VINCENT HELMLY 1882
LTM��
Sigrlatl.lre Date
cAk 05-25-2021
rl-%Nf�o
C2 (e) = AIR CONDITION UNIT PLATFORM
nMIIIII
Replaces all previous editions. Form Page 2 OR -
FEMA Form 066-0-33 (12/19) W
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30,
city Ste" compa I Number
!TYBEEISLAND Georgia 31328 1
For Zones AO and A (without BFE), 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. 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 acQacent grade (HAG) and the West adjacent grade (LAG).
a) Top of bottom floor (including basementfeet E) maters [] above or f-1 below the HAG
aaMspace, or enclosure) is
b) Top of bottom floor Cincluding basement
crawlspace, or enclosure) is feel: E] meters 0 above or 0 below the LAG.
E-7- For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 andfor 9 (see pages 1-2 of Instruction
the next higher floor (elevation CZb in
the diagrams) of the building is 0 feet [] meters 0 above or [I below Me HAG.
E3. Attached garage (top of slob) is Ofeet []meu" []aboveor C]belowtheHAG.
E4. Top of platform of machinery andlor equipment 0 above or n below the HAG.
servicing the building is 0 feet 0 meters
E5. Zone AO orgy: If no flood depth number is available, is the top of ft bottom floor elevated in accordance with the communitys
floodplain management ordinance? [] Yes F1 No [:] Unknown. The local official must cer* this information in Section G.
: Mill M*2 EMS
or ees Authorized Name
Date TeloMone
FEMA Form 086-0-33 (12M) Replaces all previous editions. Form Page 3 of q
OMB No. 1860-M
ELEVATION CERTIFICATE Expiration Date: November 30, 2022
IMPORTANT: In #me spaam copy the corresponding Information from S"don A. FOR INESURANCE COMPANY U
SE
Building Sbeet Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number.,
134 LEWIS AVENUE
City SWe ZIP Code Company NAIC Number
TYBEEISLAND Georgia 31328
SECTION G - COMMUNITy INFORMATION (OPTIONAL)
The local official who is authorized by low or ordinance to administer 9* communitys floodplain management ordinance can complete
Sections A, 8, 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. The information in Section C was taken from other documentation that has been signed and seated by a licensed surveyor,
engineer, or architect who is authorized by low to certify elevation information. (Indicate the source and date of the elevation
data in the Comments area balow.)
G2. A community official completed Section E for a building located in Zone A (wi#mt a FEMA-issued or community4ssued SFE)
or Zone AO.
G3. The following information (items G4-G10) is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate of
CornpllarKWOccupancy Issued
G7. This permit has been issued for New Construction [I Substantial Improvement
G8. Elevation of as-built lowest floor (including basement) []feet meters Datum
of Me building.
G9BFE or (in Zone AO) depth of flooding at the building site-, feet meters Datum
G10- Community's design flood elevation- 0 feet 0 meters Datum
Local Dificiars Name True
-'�Tq-nature Date
f applicable)
Check here W attachments.
FEMA Form 0WO-33 (12J10) Repleces all previcus editions, Form Page 4 of 6
- --- — -- . - - .--- -- . �m 2&%
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BUILDING GMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Expiration; November
30, 2022
IMPORTANT: In these spaces, copy the correspondinglnfomrAWn from section A. FOR INSURANCE COMPANY U
SE
Building Street Address (including Apt, Unit, Suite, andfor Bldg. No.) or P.d, Route and Box No. Poolicy Num
ber
134 LBNIS AVENUE
City Mate ZIP Code Company NAIC Number
BEE ISLAND Georgia 31328
if submitting more photographs than will fit on the preceding , a the additional photographs `. id all photographs
wtthdate taken; "Front V a "Rear 1( ; and, if required. "Right Side View" and "Left Side Yew." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
Photo Three
Photo Three Caption
Photo Four
P o r :�tion
C" r
E o2J1 s �pmvio�uac�m7o�ns Form 0# 6