HomeMy Public PortalAboutSIXTH AV_1411.pdfU.S. DEPARTMENT OF HOMELAND SECURITY
OMB w . 1660-0008
Federal Emergency tion Date: November 30,2022
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1
Copy all pages of this'Elevation Certificate and all attachments for (1) community official, () insurance agent/ m y, and () building owner.
SECTION— PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building OwneesPolicy Number:
DENNIS B. LOWE
Building Street Address (including Apt., Unit® Suite, and/orBldg- .) or P.O. Route and Company NAIL Number:
Box o.
1411 6TH AVENUE
City State ZIP Code
TYBEEISLAND Georgia 31328
. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 302 A WARD 4 TYBEE ISLAND
4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. N 31 " 59' . 1 " Lon ® 51 ' 12. 2 " Horizontal tum: E] NAD 1927 x NAD 1983
A6. Attach least 2 photographs of the building if the Certificate is being used to obtain flood insurance,
A7. Building'Diagram Number 6
A& For a building with a crawlspace, orenclosure(s):
a) Square footage of cralspace or enclosure(s) 344.45 sq It
) Number of permanent flood openings in the crawlspace orenclosure(s) within 1.0 foot above adjacent grade 2
c) Total net area of flood openings in A8.b A8. 400.00 sq in
d) Engineered flood openings? x Yes El No
A9. For a building with an attached garage:
) Square footage of attached garage 0.00 sq it
b) Number of permanent flood openings in the attached ra within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.b A9.ODO sq in
d) Engineered flood openings? Yes x No
—FLOODSECTION B INSURANCE RATEFI INFORMATION
1. NFIP Community ami & Community um r B2. County Name B3. State
TYBEE ISLAND 135164 CHATHAM Georgia
4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel 88. Flood B9. Base Flood Elevation(s)
Number DateEffective/ Zone(s) (Zone AO, use Base Flood Depth)
Revised Date
13061CO326 G 08-16-2018 08-16-2018 AE 10.0
10. Indicate the source of the Base Flood Elevation ( FE) data or base flood depth entered in Item
FIS Profile 0 FIR Community Determined Other/Source:
Bl 1. Indicate elevation datum used for BFE in Item B9. 11 NGVD1929 N NAVD1988 EJ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (C ) area or Otherwise Protected Area ( PA)? Yes Z No
Designation ' ate: CBRS O A
FEMA Form 086-0- (12/19) Replaces all previous editions. Form Page 1 of 6
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
P
ollcy Number:
1411 6TH AVENUE
City State_.. ZIP Code
Company NAIC #"-
TYBEE ISLAND Georgia 31328
BUILDING MN INFORMATION {M 'r
SO
M
# i s # r - r r+ y- r •
SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This ce0catlon is to be signed and sealed by a land surveyor, eng=r, or architect authorized by law to cerfify elevation information.
1 certify that the information # best a s to interpret the data ♦le, uridkRand that any false
statement may be punishable byfineor # #underCode, Section1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? Yes No
Check here if attachments.
Certifier's Rame License Number
VINCENT HELMLY 1882
�I r
Company Name
VINCENT HELMLY
# #
NORM # • 1
Signature.. .. Date Telephone
.. :1 e 429-9396
all pages of this Elevation Certificate and all atts ents for (1) community official, (2) insurance agenticompany, and (3) building owner,
Comments (including type of equipment and location, per C2(e), if applicable)
CONDITIONCopy
i'
ENGINEERED FLOOD OPENINGS ARE SMARTrr / r
CERTIFICATEOMB No.
660-0008
ELEVATION Expirationl ate: November r 3 , 2022
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt, Unit, Suite, and/or Bldg. o.) or P.O. Route and Sox No. Policy umber:
1411 6TH AVENUE
city to ZIP a Co y AI ber
ISLANDTYBEE eorgia 31325
SECTION— BUILDING ELEVATIONINFORMATION (SURVEY NOT REQUIRED)'
FOR ZONE AD AND ZONE A (WITHOUT
For Zones AO and A (without ), complete Items EI—E5. if the Certificate is intended to support a LOMA or LOMR-F LO-Frequest
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.
1. Provide elevation information for the following and check the appropriate bo e to show whether the elevation iabove or below
the highest adjacent grade (HAG) and the lowest adjacent grade (LAG).
) Top of bottom floor (including basement,
crawls,pece, or enclosure) ) is feet meters above or below the HAG.
b) Top of bottom floor (including basement,
crawlspaoe, or enclosure) is feet meters above or below the LAG,
2. For Building Diagrams with permanent flood openings provided in Section A Items 8 and/or 9 (see pg 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.
. Attached garage (top of slab) is feet meters above or below the HAG.
4. Top of platform of machine and/or equipment
servicing the building is feet metersabove or below the HAG.
. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance th the community's
floodplain management ordinance? Yes o EJ Unknown. The local official must certify this information in Section G.
SECTION (REPRESENTATIVE)CFERTIFICATION
The property owner orowner's authorized representative who completes Sections A, B, and E for Zone A (without aFEMA-Issued or
community -issued FE) 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 Owner's Authorized Representative's Name
Address city tate ZIP Code
Signature Date Telephone
Comments
Cheek here if attachments.
FEMA Form 0-0-33 (t 19) Replaces all previous editions. Form Page 3 of
ELEVATION CERTIFICATE OMB Expiration Date: 8ember 30, 2022
IMPORTANT: In these spaces, copy the corresponding Infonnation fromSection A. FOR INSURANCE COMPANY USE
Building et Address (including ., Unit, Suite, and/or Bldg, o.) or P.O. Route and Box No. Policy Number:
1411 6TH AVENUE
City State ZIP Code Company NAIC Number
TYBEE ISLAND Georgia 3132
SECTION—COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administerthe community's o plain management ordinance n complete
Sections A, B, C (or , and G of this Elevation Certificate. Complete the applicable item(s) and sin below. Check the measurement
used in Items 1 . In Puerto i only, enter meters.
1:. The information in Section C was taken from other documentation that has been signed and sealed y a licensed surveyor,
engineer, or architect who is authorized by law to certifyelevation information, (indicate the source and date of the elevation
data in the Comments area below.)
. E3 A community official completed Section E fora building located in Zone (without a FEMA -issued or community -issued )
or Zone AO.
3, The following information (Items" 10) is provided for community floodplain management purposes.
4. Permit Number G5. Date Permit Issued G6. Cate Certificate of
Compliance/Occupancy Issued
G7. - This permit has been issued for: E] New Construction Substantial Improvement
. Elevation of as -built lowest floor (including basement)
of the building: feet 11 meters Datum
9. BFE or (in Zone AO) depth of flooding at the building site: El feet 11 meters Datum
10. Community's design flo elevations Ej feet meters Datum
L I ffidial's Name Title
Community Name Telephone
Signature Date
Comments (including a of equipment and location, per C2(e), if applicable)
Check here if attachments.
FEMA Form 086-0-33 (1 1) Replaces all previous editions. Form Page 4 of
BUILDING PHOTOGRAPHS OMB No.
ELEVATION CERTIFICATE Continuation Pan 8
Page
Expiration Date: November 34; 2022
IMPORTANT: Int a coy a corresponding Info a f Section FOR INSURANCE COMPANY A USE
Building Street Address (Including Apt, Unit" Suite, and/or Bidg. No.) or P.O. Route and Box No. Policy Number:
1 411 6TH AVENUE
city State ZIP Code Company NIC 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 "; and, if required, "Right Side View" and "Left Side View." Men applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section
Photo Three
Photo Three
Photo Three Caption Clear Photo Three
Photo FOUr
Phwo Four
Photo Four Caption dear Photo Four
FEMA Form 086-0-33 (1 1) Replaces all previous editions. Form Page 6 of 6
Applicant's Name: , VaS
Owner's Name:
Site Address, Taxff, Parcel#:
Address:
ll
64k
Telephone: '76P- -202 -3,333
Telephone:
Ie All development — Base Flood Elevation Data Provided:
A. The as -built elevation certification from a registered land surveyor or
Professional engineer has been submitted?
YES
YES or No
B. The lowest floor elevation is at or above the required lowest floor elevation?
dSCD
C. Electrical, heating, ventilation, plumbing, air conditioning equipment (including
duct work) and other service facilities are located above BFE or flood proofed?
4fDor No
Development in Zones A, A.E, AI - A30 and AH:
A. Solid foundation perimeter walls located below BFE:
1. There are at least two (2) openings?
or No
2. Square footage of enclosed area subject to flooding
(4y
3. Square inches of venting required
3!1
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?
ar NQ
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?
OR NO
B, Base flood elevation andlorfloodway data not available orA0 Zones:
L 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 C1 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-.
Date:
City of Tybee Island
403 Butler Avenue - P.O. Box 2749
Tybee Island, Ga. 31328-2749