The URL can be used to link to this page

Home My Public Portal AboutCRS-CC-10-15-2020 TO 10-12-2021.pdfProject ID Description Name Address 1 City Status 180183 NEW SINGLE FAMILY HOME MIKE GOLDBERG 11 BRIGHT ST TYBEE IS COMPLETE 200409 NEW SINGLE FAMILY HOME CATSKILL BUILDERS 608 MILLER AV TYBEE IS COMPLETE 200496 LIFT HOME SUSAN HILL 137 LEWIS AVENUE TYBEE IS COMPLETE 200548 NEW SINGLE FAMILY HOME GABRIELLI CONSTANCE 1210 BAY ST TYBEE IS COMPLETE 210099 NEW SINGLE FAMILY HOME JOSEPH MIKIELION 10 ROBINSON AV TYBEE IS COMPLETE 210138 1 NEW SINGLE FAMILY HOME SALTWIND CONSTRUCTION 1510 MILLER AVE TYBEE IS COMPLETE U.S_ DEPARTMENT OF HOMELAND SECURITY Federal r ency Management Agency National Flood Insurance Program 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— PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Budding0wrives Name Policy_ Number: MIKE AND DEBRA GOLDBERG a2.Budding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC umber: Box No. BRIGHT11 city state ZIP Code TYBEE ISLAND GEORGIA 31328 A3 Pro Description (Lot andI - k Nu ers, Tax Parcel Number, Legal Description, etc.) CHATHAM COUNTY PIN 40002 15006 LOT 38 LOT 39 CAMPBELLr TYBEE LOT 31 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Y �RESIDENTIAL A5. Latitude/Longitude- Lat. ° 1 ' " Long.W80' '® Horizontal m: E] NAD 1927 IMNAD1983 A6. Attach at least 2 photographs of the budding if the Certificate is being used to obtain flood insurance. AT Building Diagram Number A8. For a budding with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) sq ft ) Number of permanent flood openings in the cravvlspace or enc! re(s) within 1.0 foot above adjacent grade c) Total net area flood openings in A8.b N/A sq in d) Engineered flood openings? 0 yes No A9 For a budding with an attached garage: a) Square footage of attached garage __ / p _ mm 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 8 — FLOODI (FIRM) INFORMATION Bi, N IP Community Name Community Number 2. County Name to CITY OF TYBEE ISLAND 135:164 CHATHAM GEORGIA BSI: Map/Panel B5, Suffix B6. FIRM Index B?. FIRM Panel S8, Flood B9 Base Flood Elevation(s) Number Date Effective/ Zone(s) k (Zone AO, use Base Flood Depth) 13051 C Revised Date i 0213 G 08—I6-=2018 08-16-2018 AE 9.0 B10, Indicate the source of the Base Flood Elevation (BF data or base flood depth entered in Item : 0 FIS Profile 0 FIRM Community Determined [] other/Source: B11 Indicate elevation datum used for BFE in Item 89- N VD 1929 x NAVD 1988 L Other/Source: ®.. 12. Is the building located in a Coastal Barrier Resources System (C RS) area or Otherwise Protects Area (0)? Yes No DesignationDate: N/A C OA FFEMA Form 0&6-33 #�i . - Replaces all previous editions, Form Page 1 of 6 ELEVATION IFI IMPORTANT: to 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: 11 BRIGHT STREET City State ZIP Code j Company NAIC Number TYBEE ISLAND GEORGIA 31328 SECT C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl, Building elevations are based on: Construction Drawings* Building 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, Vi -V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-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 (fix 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) 6.1 IM feet ❑ meters b) Top of the next higher floor 23.4 [M feet meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A 0 feet 0 meters ) Attached garage (top of slab) N/A feet ❑ meters e) lowest elevation of machinery or equipment servicing the building I3.4 (Describe type of equipment and location in Comments) x feet ® meters f) Lowest adjacent (finished) grade next to building (LAG) 5.5 X feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 5.9 x feet [] meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 6.1 X meters structural support _W___ _ (� feet 0 SECTION - SURVEYOR, ENGINEER, O ECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by lawto certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I 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 a licensed land surveyor? [@ Yes No ®Check here if attachments. rfi ier's Name License Number G E. FE I S #2607 Title. . aST GEORGIA LAND SURVEYOR i Company Name MITR GIS/GPS/SURVEY AL Address m 374 EAST RIDGE DRIVE City State ZiP Code GEORGIASAVANNAH 31406 Signature Date Telephone Ext _ _ 7/28/2021 912-657-3091 Copy all pages c his Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. (including type of equipment an4�.. Comments includin d location, per C2(e), if applicable) TEM A5 = GPS -N 83' ITEM 2 = TRIMBLE GPS-VRS NETWORK SOLUTION ITEM 2e= OUTDOOR RVAC UNIT (RAISED PLATFORM) TOTAL BUILDING HEIGHT = 32.5` FROM TO TOP RF FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 2 of 6 !l® to 111- i Cin nnnn ELEVATION CERTIFICATE IMPORTANT: In these spaces, cope the correspond Ing i for ati o FOR INSURANCE COMPANY USE Building Street Address" (including Apt, Unit, Suite, and/or Bldg. No) or P.O. Route and Box No. Policy Number: 11 BRIGHT STREET 0� state ZIP Code Company NAIC Number CTI BUILDING L T INFORMATION REQUIRED) FOR ZONE A0 AND ZONE A [MTHOUT ) For Zones AO and A(without Fcomplete Items E1 5. if the Ce " ate is intended to support a LOMA or LOMR-F request, complete Sections A, Band C. For Kerns El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. 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 N/A Elfeet Elmeters F I above or El below the HAG. b) Top of bottom floor (including basement crawlspace, or enclosure) is / feet [] meters [] above or [] belowthe LAG. E2For Building Diagrams 6T 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 e diagrams) of the building is / t E]rneters [j a ve or lowe HAG. E_ Attached gars (top of stab) is / _ 0feet Elmeters (l above or [JbelowtheHAG. Epi. Top of platform of machinery and/or equipment servicing the building is N/A _.._ feetmeters El above or 0 Belo the NAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance h thecommunity's floodplain management ordinance? [:] Yes Q No X Unknown. The local official must certify is information in Section G. SECTION P W (OR OWNER'SREPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who comple coons A, B, and E for Zone A (without a FEMA -issued or community -issued BF or Zone AO must sign here. The statements in Sections A, B, and E ars correct to the best of my knowledge. ropeer or is Authorized Representatives Name Addr s city Sule ZIP Code ! / / Signature Date Telephone ! / l Comments F] Check here tf attachments. FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 3 of 6 IMPORTANT: in these "Ices, 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: 11 BRIGHT STREET state ZIP Code Company NAIC Number TYBEE ISLAM GEORGIA 31328 SECTION 0 -COMMUNITY INFORMATION (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 item(s) and sign below. Check the measurement used in Items G8 -G1 0. In Puerto Rico only, enter meter& GlThe 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. A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. Ej The following information (items G4 -GI 0) is provided for community floodplain management purposes. G4Pern-dt Number G5. Date Permit Issued ficate, Of Compliance/Occupancy Issued G7. This permit has been issued for NewConstruction E] Substantial Improvement G6. Elevation of as -built lowest floor (including basement) of the building: El feet El meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site- El feet [] meters Datum G10. Community's design flood elevation: E] feet El meters Datum lo—calb-ffi-cial"s Name Title ame Telephone Date ornments (including type of equipment and location, per C2(e), if applicable) Ej Check here if attachnneril FEMA Forin 086-0-33 (12/19) Replaces all previous editions. Form Page 4 of 6 A f� ► It!pll�Q i " • ' i , � s .; . f ' 4 i Building Street Address Cincluding Apt, Unit Suite, and/or Bldg- No.) or P.O. Route and Box No. Policy N i11 BRIGHT STREET city state ZIPC•iCompanys,. NA TYBE IC ISLAND GEORGIA usingIf the Elevation _ - to obtain " flood insurance, affix at least 2 building photographs below • • to the instructions for Item A6. Identify all photographswith datetaken; "Front VieW' and "Rear VieW'; and, if required, "RightSide View'and Side • 3 photographs • w,r the foundation with representative• of ' y • i openings o1 vents, as indicated in Section A8. If submitting more photographs than vAll fit on this page, use the Continuation Page. REAR VIEW RIGHT SIDE VIEW Replaces all previous ition Form Page 5 of 6 k BUILDING PHOTOGRAS r1UR N^ issn-nnna ELEVATIONFIC Continuation Page 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: 11 B..RIGHT ....... m _ ._.__ . City State ZIP Code Company NAIL Number TYBEE ISLMW GEORGIA31328 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. RAISED KAMP*), ADDITIONAL PHOTOS A8 -D ABB -D ENGINEERED VENT (YES) (NO) X ENGINEERED VENT (YES) (NO) X MODEL ER: N/A VENTING MODEL ER: N/A LOCATION: T T LOCATION: STRUCTURE ( )GARAGE ( ) FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page' 6 of 6 DEPARTMENT OF HOMELAND SECURITY OMB No. 166G-0008 Federal Emergency Management Agency Eipliat1dri Dak� November 30, 2022 National Flood Insurance Program I I ELEVATION CE!k!IFICATE 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 Al. Building Owner's Name Policy Number: Catskill Builders A2. Building Street Address (including Apt., Unit Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 608 Miller Avenue E �city State ZIP Code City island Georgia 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 115, Ward 2, Tybee Island Tax Parcel # 40005 13004 A4. Building Use (e.g., R"dential. Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 32.00669' Long. -80.84655' 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 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclasure(s) 1821.00 sq ft b) Number of permanent flood openings in the crawispace or enclosure(s) within 1.0 foot above adjacent grade 5 c) Total net area of flood openings in A8.b 2070.00 sq in d) Engineered flood openings? El Yes 9 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 NIA c) Total not area of flood openings in A9.b N/A sq in d) Engineered flood openings? E] Yes Z No SECTION 8 — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number B2. County Name B3. State City of Tybee Island 135164 Chatham Georgia FIRM Panel B. Fld B9. Base Effective/ Zone(s) (Zone AO, use Base Flood Depth) _Revised Date 84. Map/Panel B5. Suffix B6. FIRM Index 87T FIR. 800Flood levation(s) E Number Date ff 13051 CO213 G 08-16-2018 08-16-2018 AE 10.0 810. Indicate the source of the Base Flood Elevation (13FE) data or base flood depth entered in Item 139: [] FIS Profile N FIRM E] Community Determined [] Other/Source: B11 Indicate elevation datum used for BF IE in Item 139: E] NGVD 1929 2] NAV D 1988 [] Other/Source: B12. Is the building located In a Coastal Barrier Resources System (CS) area or Otherwise Protected Area (OPA)? [] Yes No Designation Date: EJ CRS [:] OPA FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 1 of 6 � • ,* '`t_�c '.r.• c:-. q r• •P • • ...` _.. • a : •• r ,..• - f....—u r _ iF�PY�II�IfLW.�III N` ♦ is r _ :- =. i • .I ::: ••= : r•. f • .1:: FI r 1, ,• •:. I,1 i' . -. : • t_ ::ail •� :® _. ..• • '-nt t •:., • _..: : .::I 1 t7> r ( l � =.f ;.-M .=r ♦•-: n."*: hl •.. • I... _ •. i a. i. s :� r• ir..' i:- i . ti a •, • a _:• = I::a _ • ;. t _ .mac ' . I .,. a r 1..._ _._ I '; aw • •alta s•::� .r":• aa.. :. .�:,. -•or- r : a•� ♦.• i � _a , ,�I_. •- _# ;;a- :• r: #: I• • • jai O - : ti ham. I :: Y. t f J: :ie a. •: l : • ! :•" : • ! _ ti 't 6 >. :,- f : h -...s� ! a Ftp• a • t 1 ..... I f .1, f i _. Ce Ors Norm rower, PLS Georgia 31 Telephone EA 'a : •�s • .. s...: • - i a. •, e - .r > • .: erre 1 l i .; _. 3 I a ] •I • ,i.. o t ♦ : : c hV f' • •', • ' i • M:.. .:,a _ ..r _ � •. � 1 " ®'I # � F ::- � Y'::h _ '.:i. 1' aM-2021856-2006 • 1 _ 1�;# r. _ a: 1 F �� u. !:• r♦.. a � h': �. _ r0. : •-: •• ::•.:. .i •i ♦ 1 • ,.:< e OMB No. 1660-0008 Exniration' ate* November30; 2022 'IMPORTANT: In these spaces, copy the corresponding infbrmaUon fromFOR INSURANCE COMPANY USE Building Street d (including t., Unit, Suite, and/or Bldg, o.) or P.O. Route ox No. Policy Number 608 Miller Avenue City state_ ZIP Code Company NAIC .._.umber Tybee Island Georgia 31328 ETI T BUILDING L INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT B): For Zones AO and A (without F), complete items 'ES . if the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B.and 'C. For Items EI—E4, use nater" grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. 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 cralspace, or enclosure) is feet meters above or below the b) Top of bottom floor (including basement crawispace, or enclosure) is feet metersabove or low the LAG. E2. 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 El feet El meters D above or below the HAG. E3. Attached garage (top of slab) is D feet El meters El above or below the HAG. E. Top of platform of machinery and/or equipment u servicing the building is 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 thecommunity's floodplain management ordinance? Yes 0 No Unknown. The local official must certify this information in Section G. CTI E (OR OWNEWS REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FE A4ssued 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 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 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. 608 Miller Avenue CkY State ZIP Code Company NAIL Number Tybee Island Georgia 31328` SECTION G - COMMUNITY INFORMATION (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 item(s) and sign below. Check the measurement used in items G8 -G10. 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. ❑ A community official completed Section E for a building located in Zone A (without a 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 ❑ 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. rtmH corm uau-u-3;i tiz/iv) Replaces all previous editions. Form Page 4`of 6 MR 16® AB\®/i A mm N! U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency nt Agencyira ' ate: m er 0 National Insurance ELEVATION CERTIFICATE Important: Follow the instructions on pages 1. Copy I pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent1company, and (3) building owner. SECTION A — INFORMATION FO INSURANCE COMPANY USE _717—Building Onets:Name PoliNumber: SUSANHILL Building Street Address (including Apt., Unit, Suite, or Bldg. .) or _ and Company AIC Number: Box No. 137 LEWISAVENUE City state - - ZIP Code TYBEEISLAND Georgia 31328 A3. Property Description Numbers, Tax _ Parcel Number, Legal Description, c.) LOT 18 PALM TERRACE A4. Building Use (eg., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL 5. t onit e: Lat. N 3" Long. W 80 ° . 7" Horizontal m: 1927 N NAD 1983 A. Attach at leastphotographs of the building if the Certificate is beingused to obtain flood insurance. A7. Building Diagramr A8. For a buildingwith a crawlspace, or enclosure(s): ) Square footage of crawlspace ore enclosure(s) o.00 sq ft b) Number of permanent flood openings in the crawlspace or u () within 1.0 foot above adjacent grade 0 ) Total net area of flood openings in A8.b 0.00 sq in ) Engineered flood openings? ❑ Yes x No A9. For a building attached garage: ) Square footage of attached garage 0.00 sq ft ) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 d) Total net area of flood openings in A.b 0.00 sq in d) Engineered flood openings? Yes x No SECTION B — FLOOD_I (FIRM) I 1. NIP Community a & CommunityNum r. CountyNa 3. State TY ISLAND 135164 CHAT Georgia n Map/Panel nel 5, Suffix . FIR In B7. FI Panel B8, Flo B9. a Flood I v ioFFs) Number Date Effective/ 20 (s) (Zone O, u lood ) Revised ate 13051 C 13 16-201 08-16-2018 AE 9.0 10. Indicate the source of the Base Flood Elevation (F or base flood depth entered in Item 9: FIS Profile Z FIRCommunity Determined ' / our : 11.'"Indicate elevation datum r BFE in Item VD 1929 x NAVD 1988 [] Other/Source: 1Z Is the building t in a Coastal Barrier Resources System ( ) area or Otherwise Protecteda ()? Yes 5D No si nab Datw. C FEMA (112/19) Replaces all previous itio Form a 1 of OMB No.1 ELEVATION ERTIFIC T Expiration Date: November 30, 2022 IMPORTANT-n theses c; copy the corresponding Information f Section A. FORIRA CE COM- PANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 137 LEWIS AVENUE pity State ZIP Code. Co ny NAIC-LNumbeLrL BEE ISLAND Georgia 31328 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* FxJ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones A4 30, AE, AH, A (withBFE), VE, V1 V30, V (with BFE), AR, AR/A, ARIAE, AR/Al-A30, AR/AH, AR/AO. - Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: LOCAL Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the sane as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 17.3 ® feet ❑ meters b) Top of then higher floor /A ® feet ❑ meters c) Bottom of the lowest horizontal structural mem (V Zones only) N/A ® feet ❑ meters Attached garage (top of slab) N/A feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 17.2 feet E] meters (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) 6.7 ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6.8 ® feet ® meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ meters feet 6.7 x ❑ structural support SECTIO 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. I ceftrty that the information 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 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No ❑ Check here if attachments. Ce .lees Name License Number y VINCENT HEL LY 1882 Idle LAND SURVEYOR Company Name VINCENT HELMLYIJ Address r 129 A BURTON ROAD Cit1r' State _ ZIP Code SAVANNAH Georgia 31405 Signature Date Telephone Ext 07-08-2021 (912) 429-9395 Copy all pages of this Elevation Certificate and aU s hrnents for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) C2 (e) = AIR CONDITION UNIT PLATFORM 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 f T A a oee c o I ion A. FOR INSURANCE COMPANY USE ifdin Street Address (ncluding Apt, Unit, Suite, and/or Bldg. No.) or P.O. Ro and Box No. Policy Number: 137 LEWIS AVENUE C" ty state ZIP Code Company NAIC Number TYBEE ISLAND Georgia 31328 L-I SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For on AO and A (without BFE), complete Items EI-E5. If the Certificate is intended to support a LO MA or LOMR-F request, complete Sections A, 13,and C. For Items EI-E4, use natural grade, if available. Check the measurement used. In Puerto RICO only, enter meters. El. Provide elevation information for the ibitg and check the appropriate boxes to show whether the elevatlon is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) To of bottom floor (including basement, aawlspace, or enclosure) is feet meters E] above or E] below the HAG. b) To of bottomillcor (ncluding basement, crawlspece, or enclosure) is C] feet meters [-] above or [-] below the G. E2. For Building Diagrams " with permanent flood openings provided in Section A items 8 andfor 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is feet [:3 meters E] above or E] below the HAG. E3. Attached garage (top of slab) is E] feet E] meters E] above or [] below the HAG. E4. To of platform of machinery and/or equipment servicing the building is feet E] meters E] above or E] below the HAG. E5. Zone AO only: If no good depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? E] Yes [:] No [] Unknown. The local official must cerfify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNERS REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, 13, and E for Zone A (without a FEMA-Issued or commundy-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 OwrWs Authorized Representative's Name City state ZIP Code Sign urDate Telephone --Comm e;t—s E] 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- 1n these spaces, copy the correspondlM 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: 137 LEWIS AVENUE City State ZIP Code Company NAIC Number TYBEE ISLAND Georgia 31328 SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the communitys 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 G8-G10. 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. E] A community official completed Section E for a building located in Zone A (without a FEMA4ssued or community-issued BFE) or Zone AO. G3, E] 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: ❑ New Construction E] Substantial Improvement G& Elevation of as-built lowest floor (including basement) of the building: El feet 11 meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: El feet 11 meters Datum G10. Community's design flood elevation: El feet El meters Datum Local Offidars Name Title CommunityNameTelephone 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 III I IIII'm 11 1- 1 11'l 011111 Will" 7777777777�'-'-- Building Y' - if - tuding r v:r r ri • or N AdOtii end Boxrplicy Number: 137 LEVWS AVENUE TYBEE ISLAND Georgia 31328, .: v i - I s: i : � •. ♦ v • - f ♦ • -' a �. ' 1 All i'I ll • • ♦ :f . ..; i. : • f i ♦ _.. ! :_+.. F. - - _ i A. • • • \ • ♦: ' i \ t✓. • M Y a s • \ Y f f \ .. f _ • ( G i ._ I. .. 1:• • f Pholo I" Caption FEMA Form 086-0-33 (12119) Replaces all pra�" editions. Form P" BUILDING OMB Not ELEVATION TIF Continuation Page Expiration Date: November 30, 2022 'IMPORTANT:'In these spaces. copy the cormsponding Infbnnation from''Section A. FOR INSURANCE CO 'PANY USE Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Routs and Box No. Policy Number:' 137 LEWIS AVENUE Citi State ZIP Cale Company NAIL 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. Photo Three Prao TVM Photo Three Caption Clear Photo Three Photo Four Photo Four PhotoFour Caption Clear Photo Four FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6 Wit` . �•_ 'r' � Y14• 1 ■ �1 � •� n• +- i + �' ., i f I f �" • 7 1 r> CONSTANCE W. 121 M A4. Building Use (e.g., Resider0lial, Non-Resklential, A4dWon, - ccepeory, eta) RESIDENTIAL AS. . t r: . t'g.. a f: y' 1 Attachat leastphotographs the building if the Certificate Is being Used to obtain flood Insurance. BuildingDiagram For building crawlspace a) Square footage of crawlspace or enclosure(s) 0.00 eq ft r) Number Of Permanent good opet- In the crawispace. _ c.=within1 footabove adjacentgrade Total area of .:o openings A8.b 0.00 1 : c� r inr r • flood t•. rat r =, fal No Ag. For a building with an attached garaW. a) Square footage of attached garage 0.00 sq it b) Number of permanent flood openings in the attached garage within 1.0 foot above acrjecent grade 0 Total of -..a• openings in Ag.b 00:11 't in d) Engineered flood openings? []Yes (g No Bl. NFIP Community Name & Cornmunity Numbs Iounty Name I TYBEE ISLAND 135164 1 =CHATHAM ., . Map/Panel 86. FI Index [1311 FIFQ -Panel 89. Base Flood Elevation(s) Number ): w ~. (Zone AO, use Base Flood Depth) ivised Daft I 13051CO213 08-16-2018 CO -16-2018 _ 1 r B10. Indicate the source of the Bass Flood Elevation (BFE) data or base flood depth entered in Rom B9; FIS "Is gg FIRM 0 Community Determined 0 Other/Source: 1311. Indicate elevation datum used for SFE in ftern 89: [:] NGVD 1929 0 NAVD 1988 0 Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? C] Yes No Designation t -. O..,.. T r fi{ TYBEE ISLAND u♦ m F1 _ .. ■ ._ - ♦ i i _ i Y ), ri f iV=mi. _ rYi 1 ,hoTyr, i a_ 4Y f i { 1."' _ i { i f. �: f ■ i _ Y W' W .. !� I. I i Z161 I MI toll, ... ' i ii' 1 1■ _ _ i. Y f Y 1� � { � 1 I i �:I fi _ ✓_ - _ 1T +MI f+ Wi _ ♦ fry;i { a MlMi x FEMA Form 086-0-33 (12m 9) Replaces edffions. f M 1210 BAY STREET TYBEE ISLAND Georgia 31328 Drr� • MM tort), ana U7 or Inis ElevadonZermiate. complete the 000icalik ilemw Check the measurement used In KOMS G"10. in Pue&Alco only, enter matens. G1. The inibrmation in Section C was taken from Other documentation that has been signed and sealed by a licensed surveyor, enginew, or archlie&who is authorized by law to C6*41444116n Informaltion. (Indicate Me source and date 4the elevation data in the Comments area below.) community Official completed Section E for a building located In Zone A (without a FEMMssued or community -issued sFE) or Zone AD. G3. [1 The IbWng lnftmabon (items G4 -G10) is provided fbr Community floodplain management purposel G4. Permit Number ---1 G7. This per has been issued for: [:] New Construction [] Substantial Improvement G8. Elevation of as-bult lowest floor (including basement) of the building: 11 fW meters Datum G9. BFE or (in Zone AO) depth of flooding at Me building 8W, E] feet meters Datum G1 0. Communkys design flood elevation: [-]feet[] Maim Datum LJ FEMA Form 086-0-33 (12119) Replaces all previous editions. Paoe BUILDINGo • 41 ISLANDcity stow TYBEE If submKing more 1l with: date kn®. E phologrephs must show ft lbundadon Photo Three Capdon Cornpa ASIC W i�Number V Photo Three Photo Four Four G Four Form (1 16) I all us itio . P 6 o DEPARTMENT,017 HOMELAND SECURITY Federalw.ency Management Agency ELEVATIONNational I" Imurince Pr6g-ram Ca"FICATE Irnpo"ant Follow the instructions on pages 1-9. U611T. F11 7,.% MI j r-716 k oil JOE MIKIELIAN r -•: • CRY State TYBEE ISLAND Georgia 31328 LOT I O� BLOCK 23, FORT 6CREVEN WARD, TYBEE ISLAND 4-OOM-08-005 . . .- I. . -...� !_ •.. 1. ; r . a: a 1- �.•. .:•� ." I 7 f. - • � t'. ... _ .` [ '. a .. .:.♦ � :sd_r- •'�.- • ••► • • _ Number: r. ♦ M ® r*64 CHATHAM i B6. FIRM IndeX B7. FIRM Panel ,'. Date :.e ! - rid - :� i•/ f:••! Date 13MIC 0213 0�6-2018 08-16-2018 B10. Indicate the source of the Base Flood Elevation (BFE) data or baselloodAeoth entered in Ilem B9: B11. Indicate elevation datum used for BFE in Item B9- 0 r 19,29 .•. ft B12. Is the building located in a Coastal Barrier Resources System (t%RS) area or OtherwiseVrollected Area (OPA)? Yes No Designation DaW.CBRS ■ f . rn-R, - W ., �""' _ . ....®...._®.. .. _.....w...,.. ,,. f'v" "4-WNAr%;t UUMPANY USE Building Street Address (including Apt. Unit Suite, andior Bldg. No.) or P.O. —Route and Box No. Policy Number: 10 ROBINSON AVENUE Cry S Comm r TYBEEISLAND Georgia 31328 SECTION C- BUOMING ELEVATION INFORMATION (SU ) C1. Building elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction' ® Finished Construction •A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations —Zones Al—AX, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR(AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized' GPS ESTABLISHED Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below.: ❑ NGVD 1929 ® NAVD 1988 ❑ Otner/Souroe: Datum used for building elevations must be the same as that used for the BFE. Check them measurement used. a) Top of m floor (inducing basement, crawls. , or enclosure flooq 75 ® feet ❑ meters b) Top of the next higher floor 12.1 x❑ feet ❑ meters C) Bottom of the lowest hattontal structural member (V Zones only) WAI ❑ feet ❑ meters d) Attached garage (top of stab) WA ❑ feet El meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location In Comments) 11A ® feet ❑ meters fl Lowest adjacent (finished) grade next to building (LAG) 63 ®feet ❑ meters g) Highest adjacent is grade next to building (HAG) 6.4 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 63 ® feet ❑ meters SETT D -- SURVEY ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer�or architect a by law tocertify elevation information. I certify that the Womhatfon on M Certftate represents my gest efforts interpret the data available. i u that any false statement may be Punishable by fine or imps sonment under 18 U. S. Code,Section fool. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No ❑ Check here if attachm er"s a License Number MICHAEL J. GARDNER GA RLS NO. 2286 taN.' i/ATION CERTIFICATE OF THIS SITE 08 09 2021. JOB NO: JOE MIKIELLAN (03) OiJ29/2021; F.B. MJG 20218, PG 12 EMA Form 0864)-33 (12119) Replaces all previous editions. Form Page 2 of 8 Will TYBEE ISLAND ,or FEMA ForM Offi-�33 (12119) Replaces all pnwAous editions.; • TM ember 30, 2022 n, UUM Um GuffCapunuing ImunmNuon Hum Decoon A. FOR INSURANCE COMPANY USE Building Street Address Oricluding Apt, Unit Suite, andfor Bldg. No.) or P.O. Route and Box No, PoWy Number 10 ROBINSON AVENUE city State ZIP Cod I e Company MAIC Number TYBEE ISLAND Georgia 31328 SECTION 0 —' COMMUNITY INFORMATION (OPTIONAL) The local official who Is authorized by low or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this ElmtIon Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 -G10. In Puerto Rloo only, enter meters. G1. ❑ The information in Section C was taken from other clocurnentation that has been signed and seated 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 FE sued or community -issued BFE) or Zone AO. G& ❑ The following Information (items G4—G1 0) is provided for community floodplain management purposes. G4 P mit Number G5. Date Permit Issued G6. Date Certificate of I CompgancefOccupancy 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 On Zone AD) depth of flooding at the building site: ❑ feet meters Datum G10. Community's design floodelevation: []*a[] meters Datum a Name— Title Community NaTelephone Signature Date type of equipment and location, per ❑ Check here if attachments. FEMA Form 086-0-33 (12119) Replaces all previous eclitions. Form Paoe 4 of BUILDING T ELEVATION CERTIFICATE Continuation Page OMB No. 1660 - Expiration Data. November 30, 2022 IM RTAivr. In thesecopy the toosepondkV infamwMon;fr+om Section A FOR MURANCE COMPANY uSE Building Street Address (including ApL, Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No. Policy Number. 10 ROBINSON AVENUE City State ZIP Code Company MAIC Number TYBEE ISLAND Georgia - 31328 It submitting more photographs than will fit on the preceding pop, affix the additional photographs below. Identify all photographs with: date 'taken; "Front Vre1M' and "Rear View"; and, N required, "Right 'Side View' and "Left Sim ." applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section AS. - 3 I hft 711M DhnM Tiroa ('�nA'nn: IrC&1r IRC{W' , t IWN 1 view CWW'PhOW Cleat';Ford` Replaces all previous editions. Form Page 6 of 6' U.S.T OF HOMELAND SECURITY OMB No. 1600 Federal Emergency Management enc Expiration Date: November National FI InsuranceProgram 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. CTI — INFORMATION i, FOR INSURANCE COMPANY USE Ai. Building Owner's Name Policy Number. SALT WIND CONSTRUCTION, LLC . Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number. Box No. 1510 MILLER AVENUE city State ZIP Code TYKE ISLAND Georgia 31328 A3. Property Description (Cot and Block Numbers, Tax Parcel Num r, Legal Description, etc.) PIN: 4000810019, LOT A RECOMBINATION OF LOTS 163,164 AND PORTION LOT 165 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 31.993837 Long. -80.851705 Horizontal Datum: D 1927 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 5 A. For a building with a crawlspace or enclosure(s): ) Square footage of crawlspac a or enclosure(s) N/A sq ft ) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade NIA c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? D Yes EJ 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/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered openings? Yes No SECTION B — FLOOD INSURANCE M (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. to CITY OF TYBEE ISLAND 135164 CHATHAMGeorgia 4. Map/Panel B5. Suffix 6. FIRM Index 7. FIRM Panel B8. Flood 9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 1305100326 G 08-16-2018 08-16-2018 AE 9.0 B10. Indicate the source of the Base flood Elevation ( FE) data or base flood depth entered in Item B9: FIS Profile Eq FIRM Community Determined ❑ Other/Source: 11. Indicate elevation datum used for BFE in Item 139: EJ NGVD 1929 0 NAVD 1988 Other/Sou 12. Is the building located in a Coastal Barrier Resources System (CS) area or Otherwise Protected Area (OPA)? Yes 0 No Designation ate: CBRS PA FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6 ELEVATION E IFI T MB No. 1660-0008 Expiration Date: November 30, 2022 PORTANT: 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. 1510 MILLER AVENUE City State ZIP Code Company NAIC Number TYBEE ISLAND Georgia 31328 SECTION C`- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building 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, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: LOCAL PLAT Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: 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) 17.1 ® feet ❑ meters b) Top of the next higher floor N/A ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) NIA ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 10.7 ® ❑ meters feet 0 Lowest adjacent (finished) grade next to building (LAG) 7.3 ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 7.6 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 7.5 ® feet ❑ meters SECTIO D - SURVEYOR, ENGINEER, O ARCHITECT CERTIFICATION This certification into 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. I 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 a licensed land surveyor? ®Yes []No ❑ Check here if attachments. mCertifier's Name License Number MICHAEL HUSSEY 2509 Title r LAND SURVEYOR T Company Name x # SUNDIAL LAND SURVEYING, PC NO. 250 Address ,r 1410 W U.S. HIGHWAY 80, SUITE 2 City State ZIP Code �Qg BLOOIGDALE Georgia 31302 Signature Date Telephone Ext. 07-20-2021 (912) 235-2477 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 C2(e), if applicable) BUILDING/PARKING PAD ELEVATION -7.7 C2e -HVAC UNIT FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 OMB ELEVATION CERTIFICATE - Expiration Date Novvember 30, 2022 IMPORTANT: In these spaces, copy the corresponding information eco A. FOR INSURANCE COMPANY USE Building Street Address (including t, Unit, Suits, and/or Bldg. o.) or P.O. Route and Box No. Policy Number 1510 MILLER AVENUE City state ZIP Code Company NAIG Number TYBEEISLAND Georgia 31328 .CTI BUILDING L T INFORMATION (SURVEY REQUIRED) FOR E Z(WITHOUT__ ) For Zones AO and A (without FE), complete Items E1 5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, Band 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 (NAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, cralspa, or enclosure) is feet meters above or low the HAG. b) Top of bottom floor (including base eK crawlspace, or enclosure) is El feet El meters El above or below the LAG. E2. 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 El feet El meters 0 above or below the HAG. E3. Attached garage (top of slab) is El feet El meters El above or below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 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 thecommunity's floodplain management ordinance? Yes No Unknown. The local official must certify this information in Section G. CTI (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA4ssued 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. z Property Owner or Owners Authorized Representative's Name Address City State ZIP Code Signature bate Telephone Comments Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. Nov Expiration DDate: ate: 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. 1510 MILLER AVENUE city State ZIP Code Company NAIL Number TYBEE ISLAND Georgia 31328 SECTION G - COMMUNITY INFORMATION (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 item(s) and sign below. Check the measurement used in Items G8 -G10. 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 ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community4ssued 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 Gi. 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 086-0-33 (12/19) Replaces all previous editions Form Page 4`o€ 6 BUILDING PHOTOGRAPHS OMB No. 166"008 ELEVATION CERTIFICATE - Continuation Page - Expiration Date: November 30, 2022 IMPORTANT• • In these s—ces co— the co B in information from'Q—A— A FOR INSURANCE COMP Y lJSE Building Street Address (including Apt, Unit Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number. 1510 MILLER AVENUE City State ZIP Code Company NAIL Number TYBEE ISLAND Georgia 31328 If submitting more photographs than will ft 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. Photo Faa Photo Four' apton SIDE -21-21 FEMA form 086-0-33 (12/19) Replaces all previous editions. Form