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. Form Page 4 of 6