HomeMy Public PortalAboutEAGLES NEST DR_132-EC.pdfU.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency OMB No. Date: Nov
National Flood InsuranceProgram Expiration Date: 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 agent1company, and (3) building owner.'
SECTION — PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
KALIN AM -JAN JONES
A2. Building Street Address (including Apt., Unit Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number:
Box No.
132 EAGLES NESTI
City State ZIP Code
ISLANDTYBEE 3132
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
CHATHAM COUNTY PIN 40019 02046 / LOT 8 EAGLES NEST SUB PHASE 4
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5,Latitude/Longitude: Lat. N32 ®0 8 ' 4 5 e 5011 Long. 0 1 1 0 9 . 7111 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.
AT Building Diagram Number
A8. ' For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 110.37 sq ft
b) Number of permanent flood openings in the cravvlspace or enclosure(s) within 1.0 foot above adjacent grade 3
c) Total net area of flood openings in A8.b 340 sq in
d) Engineered flood openings? 0 Yes X 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 /
c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? 0 Yes No
SECTION B — I. INSURANCE RAT (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2.. County Name
B3. State
CITY OF TYBEE ISLAND 135164
CHATHAM
GEORGIA
4. Map/Panel
BS. 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
1
08-16-2018
-16®201
B10. Indicate the source of the Base flood Elevation (E) data or base flood depth entered in Item
❑ FIS Profile FIRM ❑ Community Determined ❑ Other/Source:/
B11. Indicate elevation datum used for BFE in Item 9: ❑ NGVD 1929 NAVD 1988 ❑ Other/Sour • `/
12. Is the building located in a Coastal Barrier Resources System (CB S) area or Otherwise Protected Area (OPA)? Yes No
Designation Date: N/A CBRS OPA
FEMA.Form 0350=33{1`2719) Replaces all previous editions. Form Page 1 of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2022
IMPORTANT: In these spaces, copy the corresponding information -from Section A.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:
132 EAGLES NEST DRIVE
City state ZIP Code Company NAIC Number
�TYBEE ISLAND GEORGIA 31328
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REOUIRED)
lil
E3
SECTION D - 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,
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 100 1.
Were latitude and longitude in Section A provided by a licensed land surveyor? MYes El No [E]Check here if attachments.
Certifier's Name License Number
GEORGE M. FERREIRA GRLS #2607
Title
iGEORGIA LAND k.
SURVEYOR
i Company Name
�MITR GIS/GPS/SURVEY
-Addmss
1374 EAST RIDGE DRIVE
i city State ZIP Code
SAVANNAH GEORGIA 31406
1 Signature Date Telephone Ext
06/13/2022 912-657-3091
Copy all pages*his El2evation Certif icate 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), if applicable)
,kTEM A5 = GPS-NAD83
FTEM C2 = TRIMBLE GPS-VRS NETWORK SOLUTION
,FTEX C2e= OUTDOOR HVAC UNIT RAISED PLATFORM)
FEMA Form 086-0-33 (12/19)
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30, 2022
IMPORTANT: In these spaces, copy the corresponding information from ectio FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:
132 EAGLES NEST DRIVE
City State ZIP Code Company NAIC Number
TYBEE ISLAND GEORGIA 31328
S BUILDING l INFORMATION (SURVEY REQUIRED)
F BFE)
For Zones AO and A (without FE), complete Items 1—E5. If the Certificate is intended to support a LOMA or LOMR-F request,
complete Sections A, B,and C. For Items E1 4, 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 boxes to show whether the elevation is above or below
the highest adjacent grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement,
crawlspace, or enclosure) is x feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement,
crawlspace, or enclosure) is N/A x feet ❑ meters ❑ above or ❑ below the LAG.
For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions),
the next higher floor (elevation C2.b in
the diagrams) of the building is N/A El feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is ` [Kfeet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment
servicing the building is N/A x feet ❑ meters ❑ above or ❑ below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? ❑ Yes ❑ No M Unknown. The local official must certify this information in Section G.
GTION F — PROPERTY OWNER(OR NE REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or
community -issued BFE) 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 State ZIP Code
Signature Date Telephone
/
Comments
❑ Check here if attachments.
FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 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:
132 EAGLES NEST DRIVE
City State ZIP Code Company NAIC Number
GEORGIATYBEE ISLAND 3132
SECTION - COMMUNITY INFORMATION ( TIONAL)
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 item(s) and sign below. Check the measurement
used in Items G 10. In Puerto Rico only, enter meters.
G1. ❑ The information in Section G 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 ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued F
or Zone AO.
G3. ❑ The folloWng 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: ❑ New Construction ❑ Substantial improvement
G8. Elevation of as-built lowest floor (including basement)
of the building: ❑ feet ❑ meters Datum
G9. 'BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum
G10. Community's design flood elevation: ❑ feet ❑ 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 036-0-33 (12/19) Replaces all previous editions. Form Nage 4 of
BUILDING PHOTOORAPHS OMB No' 1660-0008
ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2022
IMPORTA�T: In these spaces, copy the correspond.ing information from Section A.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:
EAGLES NEST DRIVE
city State ZIP Code Company NAIC NumbIII
er
TYSEE ISLAND GEORGIA 31328
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
instructions for Item A6. Identify all photographs with date taken; "Front Vieml'and "Rear View'; 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 A8. If submitting more photographs than will fit on this page, use the Continuation Page,.
FRONT VIEW REAR VIEW
FEMA Form 086-0-33 (12/19) Replaces all previous editions.
ME VIEW
Form Page 5 of 6
1111111111 3 61 #
FIMPORTANIT: In these spaces, copy the corresponding information from Section A.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:
132 EAGLES NEST DRIVE
City State ZIP Code i Company NAIC 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 View"; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
A8B-D
ENGINEERED VENT (YES) (NO) X
qTING MODEL NUMBER: N/A
VENT LOCATION: STRUCTURE (x) GARAGE
1 previous editions. Form Page 6 of 6
Building Permit Number.
Applicant's Name: ilkR
Site Address, Tax#, Parcel#; f
Telephone:
FENLA, check w
list
P
1. All_development — Base Flood ElevationData Provided:
A. The as -built elevation certificate from a registered land surveyor or
es r No
Professional engineer has been submitted?
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?
s r No
® Development in Zone
A. Solid foundation perimeter walls located below BFE:
1. There are at least two (2) openings?
es or No
2. Square footage of enclosed area subject to flooding
1167
3. Square inches of venting required
4. Square inches per opening (multiply 1 by w)
5. Number of required vents (3 above divided by 4 above)
6. Foundation contains the minimum number of vents?
e or o
7. The bottom of each opening is no higher than one (1) foot above grade?e
or No
8. Any cover on openings will permit the automatic flow of floodwaters in
both directions?
es or No
. Development in Zones V, VE and V! -V30, VO (Coastal Highazar 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'sName: Date reviewed:
Deal Administrator's Signature: ate® -
City of Tybee Island
403 Butter Avenue-P.O. Box 2749
TTybee Island, Ga. 31328-2749