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HomeMy Public PortalAboutHWY 80-2101-DOLPHIN TOUR METER.pdfU.B. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency OMB No. 1 No National Flood Insurance Program Expiration Daate:te: November 30, 2022 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 agent/company, and (3) building owner. SECTION A - PROPERTY INFORMATION - FOR INSURANCE COMPANY USE i Al. Building Owner's Name Policy Number: BROWNDEREK - CAPT. DEREKISI C - TICKET BOOTH A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1 US HIGHWAY City State ZIP Code TYBEE ISLAND GEORGIA 3132 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) COUNTY PIN 40024 0 001 / TRACT N SIDE0 E SIDEOF LAZARETTO CREEK A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: -Lat. N3 2 "00' 5 8 ® 3 6" Long:W8 0 152' 5 5 a 9 8 "Horizontal Datum: ❑ NAD 1927 x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1® A8.For a building with a crawlspace or enclosure(s): a) Square footage of cravAspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade / c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? Yes EM No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/ c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood; openings? Yes 3c No CTI - FLOOD INSURANCE RATEA (FIRM) INFORMATION B1: NFIP Community Name &`Community Number B2. County Name B3. State CITY OF TYBEE ISLAND 135164 CHATHAM GEORGIA 4. 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 13051 C 194 08-16-2018 08-16-2018 11.0 B10. Indicate the source of the Base'Flood Elevation (BFE) data or base`flood depth entered in item B9: - - F] FIS Profile FIRM F] Community Determined ❑ Other/Source: / B11. Indicate elevation datum used for BFE in Item 9: ❑ NGVD 1929 M NAVD 1988 ❑ Other/Source: / B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or OthervAse Protected Area (OPA)? Yes No Designation Date: N/A LD CBRS OPA FE-MA'Form086=0=33{t2/19) Form Page 1 of 6 Comments (including type of equipment and location, per C2(e), rr applicable) E' AS = GFS- 83 ITEM C= TRIMBLE GPS-VRS NETWORK SOLUTION ITEM Ce= BOTTOM METERON ADJACENT SERVICE POLE (NO OTHER EQUIPMENT IST) SUBJECTILDI S A NON -HABITABLE FRAME TICKET BOOTH. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date:November 30, 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. No.) or P.O. Route and Box No. ` Policy Number: 2101 US HIGHWAY 80 City State ZIP Code Company MAIC Number TY EE ISLAND GEORGIA 31328 SECTIO C — BUILDING ELEVATION INFORMATION_ (SURVEY REQUIRED) C1. Building elevations are based on: Construction Drawings* OBuilding<Under Construction* Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2: Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH,`AR/AO: Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized:VRS NETWORK SOLUTION Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a) through h) below. NGVD 1929 NAVD 1988 ❑ Other/Source: N/A Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6.6 [M feet`' ❑ meters b) Top of the next higher floor N/A X feet -' ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A IM feet " ❑ meters d) Attached garage (top of slab) N/A EJ feet ❑ meters e) -Lowest elevation of machinery or equipment servicing the building 10.2 (Describe type of equipment and location in Comments) X feet E] meters f) Lowest adjacent (finished) grade next to building (LAG) 6.6 nx feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6.9 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 6.6 X feet ❑ meters SECTION D — SURVEYOR, ENCI , 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. I certify that the information on this Certificate represents my best efforts to interpret the data available.! understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by licensed land surveyor? x Yes >❑ No x Check here if attachments. Certifier's Name License Number GEORGE RI GRLS #2607 Title GEORGIA SURVEYOR \s r Company Name N MITR GIS/GPS/SURVEY P AL Address 374 EAST RIDGE DRIVE City State ZIP Code AA.P SAVANNAH GEORGIA 31406 Signature Date Telephone Ext 06/09/2022 912-657-3091 Copy all pages his 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 C2(e), rr applicable) E' AS = GFS- 83 ITEM C= TRIMBLE GPS-VRS NETWORK SOLUTION ITEM Ce= BOTTOM METERON ADJACENT SERVICE POLE (NO OTHER EQUIPMENT IST) SUBJECTILDI S A NON -HABITABLE FRAME TICKET BOOTH. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2022 Building Street Address (including Apt., Unit, Suite, and/or Bldg� No) or P.O. Route and Box No. Policv Number! 2101 US HIGHWAY 80 city State • Code Company NAIC._.. TYBEE ISLAND GEORGIA SECTION OINFORMATION, FOR ZONS�AO AND1ONli* i! • ri • ris R SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION I The property owner or owner's authorized representative who completes Sections A, - r • • R a. B, I communky-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowedge. Property Owner or Owner's Authorized Representative's Name Address city State ZIP Code SignatureDate Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 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. No.) or P.O. Route and Box No. Policy Number: 2101 US HIGHWAY City State - ZIP Code Company NAIC Number TYBEE ISLAND GEORGIA 3132 SECTION G -COMMUNITYI FORMATION (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 items) and sign below. Check the measurement used in Items G8 -G1`0. In Puerto Rico only, enter meters. G1: ❑ 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 [_1A community official completed Section E for a building located in Zone A (withouta FEMA -issued or community -issued BFE) 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 Compliance/Occupancy issued G7. This permit has been issued for: F7New Construction F -]Substantial Improvement G8. Elevation of as -built lowest floor (including basement) bE]❑ of the building: feet'meters Datum G9. , BFE or (in Zone AO) depth of flooding at the building site: E]feet E]meters Datum G10. Community's design flood elevation: E]feet E]meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. 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