HomeMy Public PortalAboutTENTH ST_401A.pdf21 O's
Building Permit Number �-.
Applicant's Dame, �q
Owner's Name:
Site Address, 'Tax#, Parcel: A
Address:
Telephone: 5 — 3
Telephone:
h _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 r
NO
B. The lowest floor elevation is at or above the required lowest floor elevation?
YES or
O
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
II. Development in Zones A, AE, AI -A30 and
A. Solid foundation perimeter walls Located below BFE:
S
NO
1, There are at least two (2) openings?
or
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?
or
NO
7. The bottom of each opening is no higher than one (1) foot above grade?
ME or
NO
8. Any cover on openings will permit the automatic flow of floodwaters
In both directions?
19)OR
NO
B. Base flood elevation andlor 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
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
1 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:
4�4
.,+SS S Ott
City of Tybee Island
403 Butler Avenue - P.C. Box 274
`jF
Tyhee Island,, Ga. 31328-2749
FENIA Forms 066-0.33 (12/19) Replaces all previous editions. Form Page 1 Ot
'OMB 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30, 2022
IMPORTANT: In those spaces, copy the corresponding Infonnation from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. Tae) or P.O, Route and Box No. Policy Number:
401A 10TH Street
pity Mate ZIP Code CompanyhlA1 Number
Tybee Island Georgia 31326
SECTIO BUILDING L ATI INFORMATION (SURVEY REQI I )
Cl, Building elevations are based on: Construction Drawings* [:] Building Under Construction* Finished Construction
*A new Elevation Cerci to will be required when construction of the building is complete.
. Elevations — Zones Al—A30, AF, AH, A (with 6FF), VE, V1 V30, V (with IFF), AR, Aid/A, AR/AE, AR/Al-A30, /Ali, ARIAO.
Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: BM Fl. 6.10 site plan by RLS Vertical Datum: iNAVD 196
Indicate to elevation datum used for the elevations in items a} through h} below.
[] iNVD 1929 N NAVD 1963 [] Ther/Source:
Datum used for building elevations must be the same as that used for the BFE. M
Check the measurement used.
d} Top of bottom floor (including basement, crawlspdd , or enclosure floors 6.5 Z feet meters
b} Trap of the next higher floor 1509 feet meters
d} Bottom of the lowest horizontal structural member (V Zones only) feet meters
d} Attached garage (top of slab) /A] feet meters
e) Lowest elevation of machinery or equipment servicingthe building 14.5 Z feet [] meters
(Describe type of equipment and location in Comments)
Lowest adjacent (finished) grade next to building (LAG) —5.9 feet meters
gi Highest adjacent (finished) grade next to building (HAG) 6.5 N feet meters
} Lowest adjacent grade at lowest elevation of deck or stairs, including 1A feet meters
structural support
SECTION SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
f certify that the infonnation on this Certificate represents my best efforts to interpret the data available. 1 understand that any false
statement may be punishable by fine or imprisonment under 15 U.S, Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? E]Yes Z No Check here if attachments.
Certifier's Name License Number
William C. Griffin 3713 GA
Title
F,F,
Company Name �
kidaway Island Engineering, Inc. _
Address 4-A519 2-
P.O. Box 15195
City State ZII Code
Savannah Georgia 31416
Signature Date Telephone Ext.
4-1®2022 (912) 507-2767
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments (including type of equipment and location, per C (e), if applicable)
The lower 2100 sf unfinished area is enclosed with vertical lattice panels and used for parking, storage and entry.
C2(e), HVAC equipment outside on elevated platform.
FEMA Form 056-0- (12/19) Replaces all previous editions. Foram age z or o
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiraafa n Date: : f1 v rr,,A aar 30, 2022
u
IMPORTANT- those spaces, copy � ondin Information Born Section . INSURANCE COMPANY
i i Street Address inclu ki � ,, Unit, Suite,and/or �d 1 car P,O, Rout n Number:
01 a 10TH H Efr t
ataa Etfa cx, t Company any f AIC ftaacaatae
TTEhceri Island Georgia 1
SECTION E BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR Z O 1 EONS THS BEES
ForZones O and (without EEE.)„ ata pietaa items E 1—EE. if the Ea�artifar aatra is intended to support LOMA E gar Ef�"ta R-F a aarla. est,
ompttate Sections A. B,and E. Saar itraaaa f'. E4, use natural g raartal„ if available. Cher k the measurement meat used. In Puerto Rico rare
raaataar mt,,)trerra.
E 1. Provide ceiraaraatbn infra tbn fair the faaiiaawiaer sand check the as era . 6aatfa iWr;.aaraara to show a�ri wttaai�r the sire
1 " t aafinfa Tatar r tai
the highest adjacent grade t t (:,1) and the low"'I adjacent grade (LAG),
as Top of boitorn tfaaarr in faertin basement,
ant„
rarrawlspaace,t, r taaaira rrr i w,. _.. ,n. a fcar t ,_. ra sett a' .. aata era or it the 9
is Top of, hoftom goo (incltsdunq basement,
r as tenaaa,
or nna taaaaare i _ __ feet' raaaetefs dam.. �allove gar Blow ffie LAG,
E2, For Ecaiih ngi Diagrams 69 with pe artaane t flood opeanings provided in'Section A Iterns 8 aandl r to (sane pages 12 of Instructions),
the net higher Hearer (elevation C2.b C2.In
the diagrams) of the building is �.. wm .,... _.._..w _ � feet []m ter [:] ateve, or... aalraaa the HAG,
Eft, Attached garage e to ofstab) i � _ .. r facet E] meters "I atrove gartae , ttae HAG,
EE. `Top of taiaatforrra of machinery and/or equipment
servicing the EaaaiclinE Is eft [-'Imeters above rj belowthe ttfE.
EE: Zone AO only-, it no 114,,)o t depth aecare ber is aaaaaaiiaafaie, i fh of the txAt rra floor aata°^aaataaat in acrordanoe, with the community's
ttrrrahfrtaain management ordinance? L] Yes E ["J Unknown, Than iaaaaaaa€ official mut raartify this information in Section G,
SECTION F — PROPERTY OWNER (OR OWNEWS REPRESENTATIVE) CERTIFICATION
The propefty reamer or aaarr �rs aaaatho iz eat r tar aaeninta as who completes Sections A, E, and t for Zone A (w s la tit as FEMA-issued FEMA—issuedor
community-issued FE or Zone AO must sign here, The st taernerataf in Sections gag E„ and E aTe correct to the teamt of easy taraaraiaartg e,
Er E f a r or Owners uth rs d Representative's Name
a In taaa tie
Date Tpe home
Ecaa°nraaa nt�
Chef
.1k hereif attachments.
EMM Form Eft G-33 (12/19), Es,fataaces Ml previous editions, Form Page 3 of 6
ELEVATION E TIFF E Expkafion `ate:€ovezTib� r 30, 2022
IMPORTANT- - trr ttraarr spaces, copy the corresponding information frrrrrr Section � _ I OR INSURANCE COMPANY USE
att xt (Irr rrrfrrrft tl)f.a Unit, Stsrtr,, and/or . No.) or t .f t Route and No.
,o Policy f rrrrrbet � .
401AVITH Street
ltw State ZIP Code Company 9�$AICC Number
`rytrrn"e Istarrrt Georgia 31328
SECTION frl COMMUNITY INFORMATION ( PTIONAL)
The; local official who is autFrod2ed by lata or orcfrrran ° ,M to administer the community's floc-Aplain management ordinance can rvtrlrtrtte
Sections ter B, C (r E), and G of this Elevation Certificate, Complete the appfic ble item(s) and sign below, Check the measurement
used in Items t~a8—G10, In Puerto Rico only, eater meters,
G1, `The rrtfbrm tion in Section t s was taken from other documentation that has been signed andsealed by a fic—ensed surveyor,
engineer, or architect who is authorized by law to cr Mfv elevation Irrfofmaftlon. Qndrczrte the w'.xrr�,:e and sJater of the> elevation
data in the o me�ot a area below
2, Af orjai rpleted Se,tion E for a building lorded in rare (without a FEMA -issued •marred o corr-�rr unity -•sued Fwd)
Zone
=trf, _ The following inf rmabon (Iterrta CA—1O)) is provinfed for oorrrrrtrrnrty fbca xiplain management Irr.rrposea.-
G4_ Permit Number T65. Date Permit Issuedf� parte forts r arfnw of
fNdomphance,/t pancy issued
7, This permit has Farr issued far; � New Construction Subster ial Improvement
& Elevation of as -built lowest floor (including baeerrrent( rete rttrttrrra
o the brtrlrtrrrd, _ . Datum
139. BFE or (in Zone ) depth of flooding at the: building site: .�, ..w.. � .. fret, [__j r1letel-S flattrin
104 Community's cl aido food eleaaafronl �b feet meters l attst
rel flralal° sae T'Itl
errsrr unity Clare Telephone
�tprrat,ar€t date
p.orrtrhotrt 1 6ncludirrp type of rtqulprrrent and kx.,ation, per C e , if >afrtall
rfatala
,s nn:,t here if a ttachrr-enta.
F E MA Form 086-0-33 (12,119) Replaces, 0 frrrrariou% editions, harm gager 4 of
BUILDING PHOTOGRAPHS 01
k MS No, 166,0-0008
ELEVATION CERTIFICATE See h-ostfuctions ft- w Item A6Expalion, C)ate, Novt'-,aber 30. 2022
FEMA Rm, 086-0-33 (1'1219', Repaces afl previous edOx is Fcirrn Page 5 of 6
B1.11LDING PHOTOGRAPHS OMB No t660-0008
ELEVATION CERTIFICATE Continuation Page Exk',wation DaW f,,,lovernber 30, 2022
IMPORTANT: In utese sraces, copy ttie corresponding information rom SecUon A, FOR ViNSURANCE COMPANY USE
Bugiring Street Address (fns iLPt inf.j, Apt, Un4, :,dice, x. rad or Bklg. lac,t,orjP Rowe and Box No, gic,'Number,
401A 1011A Street
Cita' tale ZiP Codt,,' Corn ny N/,d 1',lu b r
K subri'13 it"g moie photo ri pta s than U" i" Mn the pre? .3.,,i ing pa,gaffix the addkLlonal photographs $aphs WOW Wenbty ali phokoprar01s, �
vvith� date taken, ""runt Vewxt" and "RearVt.;?vv rkdt if required, "R qht wide ,hrzvi' and 'leftS€wee Mewliet�,
="an �pric" °, i
potographs must show the % undafl n ;,ill -i repr.:-,enta6ve examples of the flood openwqs or vents, as mdK;atked in Sege n A8
g
P�-6-6 Four Caption
FEMA i oPnY'086 0-33 { 12/1 �,,h i k, pli,`�£;,tms wii pmL us edifions Form, Page 6 of 61