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Home My Public Portal AboutMILLER AV_909A.pdfUS. DEPAR I-MENT OF HOMELAND SECURITY tea. 1660®0008 Federal Emergency Management A Expiration Date- �veu r 30, 2022 National Fled Insurance Program 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 a enti mpany, and (3) building owner. SECTION A m PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owners Name Policy Number: Michael Lemack Building Street Address (including Apt., Unit, Suite, and/or Bldg, No.) or P.G. Route and ax No. Company {gAIG umber: 909 Miller Avenue city State ZIP Cade Tybee Island Georgia 3132$ A3, pro ertY escri tion (Lot—and Black n—tubers, lax Far I t4 -u -m er, Legal Description, _. etc.) Lots 132, 141 & Marsh, Ward 3, 5th G.M. District, City of T"ybee Island, Chatham County, Georgia, PIN: 40012 01011 Building Use (e.g., Residential, flan -Residential, Addition, Accessory, etc.) Residential 5. Latitude/Longitude: Lai: 32.00240 Long. -80.84852 Horizontal Datum: Ali 1927 HAD 1933 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 6 AS. For a building atith a crawispace or enclosure(s): ) Square footage of cra is ace or enclosure(s) 1,515Fnw so ft �. � b) Number of permanent flood openings in the crawispace or enclosure(s) within 1.0 float above adjacent grade 3 c) 'Total net area of flood openings in A8.b 1,600 sq in ) Engineered flood openings? yes ❑ No A9. For d building with ars attached garage: a) Square footage of attached garage sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A .b N/A so in ) Engineered flood ripenings? ❑ Yes ®No SECTION l3' - FLOOD INSURANCE RAT"E:MAP (FIRM) INFORMATION [B1, NFIP Community Name Community Number 132. County IN, Baa State ty of Tybee Island 135164 Ghatharn Georgia ap/ Re 135, Staff! 6"6. FIRM Index B7. FIRM Panel 8- Flood 139. Ease Flood Elevation(s) Number Date EfFectivet Zone(s) (Zone ACS, use Base Flood Depth) Revised Date 13051CO213 G 08-16-2018 08-16-2018 AE 9.0& 1310. Indicate the source of the Base Flood Elevation (EFE) data or base flood depth entered in Item 139: ❑ FIS Profile ® FIRM Community Determined 0 Other/Source: 11. Indicate elevation datum used for SFE in Iters E9: 0 NGVD 1929 ® NAVID 1900 Other/Source: 12. Is the building located in a Coastal Barrier Resources Systema (G S) area or Otherwise protected Area (ORA)? El Yes Z No Designation Date; ❑CBRS A FEMA Form 086-0-33 (1 19) Replaces all previous editions. Form Page 1 of OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration mate: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding Information from ection A. FORINSURANCE PA Y USE Building Street Address (including Apt., Unite Suite, and/or Bid o.) or P.O. Route and Box No. Policy Number 909 Miller Avenue i#y Mate ZIP od --Cons any NAIL Number Tybee Island Georgia 31328 SECTION E — 13UILDING ELEVATIONINFORMATION (WITFOR ZONE AID AND ZONE A T REQUIRED) For Zones AO, and A (without FE), complete ItemsEl—ES. If the Certificate is in nded to support a LO CA or LOMR-F request, complete Sections A, Band Om For Items El -E4, use natural grade, if available. Check the measurement used, In Puerto Rico only, eater meters. E1. Provide elevation information for the following and check the appropriate boxes to shove whether the elevation is above or bele the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basements crawlspace„ or enclosure) is feet meters above or EJ below the HAG. b) Top of bottoms floor (including basement, drawls ace, or enclosure) is Wim... .. m.. feet meters [J above or blow the LAG. E2. For wilding Diagrams 6-9 with permanent flood openings provided in Sections A Items 8 and/or 9 (see pages 1-2 of Instructions), the nest higher floor (elevations O2.b in the diagrams) of the building is 0 feet E:1 meters El above or below the HAG. E3. Attached garage (top of slab) i r El feet meters El above or 0 below the CIAO. E4. Top of platforms of machinery send/or equipment servicing the building is ... [� feet meters EJ above or [J below the tiAO; ES° Zone AO only: If no flood depth number is mailable, is the top of the bottom floor elevated in accordance with the nr munity's floodplain management ordinance? [J Yes No (3 /Unknown. The local official must certify this information in Section O. SECTION F ® POSE ER (OR OWNER'SREPRESENTATIVE) CERTIFICATION The property owner or ownees authorized representative who completes Sections A, B, and E for Zone A (without a"FEMA-issued or community -Issued EFE) or Zone AO must sign here. The statements in Sections A, 18, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name =Mate -- ---, Address . City 21P� t3—dFe Signature ale T elephonev . _.. 60— ® Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 of 6 Building Permit Number (2 0 0 3 Z( 1. All development — Base :Mood Elevation Data Provided: A. The as -built elevation certification from a registered land surveyor or Professional engineer has been submitted? YED or NQ B. The lowest floor elevation is at or above the required lowest floor elevation? YES or C. Electrical, heating, ventilation, plumbing, air conditioning equipment (including duct work) and other service facilities are located above BFE or flood proofed? YES or NO H. 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 (� a 3. Square inches of venting required ( p 4. Square inches per opening (multiply I by w) 5. Number of required vents (3 above divided by above) 6. Foundation contains the minimum number of vents? or NO 7. The bottom of each opening is no higher than one (1) foot above grade? E ar NO 8. Any cover on openings will permit the automatic flow of floodwaters In both directions? OR NO B, Base flood elevation and/or floodivay 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 developrent 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 III. Development in Zones V, VE and Vi -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- v. -. W City 0f Tybee Island J 403 Butler Avenue - P.O. Bozo 274 . Tybee Island, Ga. 3132842749