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Home My Public Portal AboutCRS DATA-8-1-2015-8-2-2016.pdfOMB No. 1660-0022 Expires: December 31� 2016 Community City of Tybee Island State GA CID 135164 County Chatham 14. Frimary source tor building data: Chatham County GIS 15. Primary source for area data: DFIRMS, Tybee Island GIS 16. Period covered: 10/l/14-9/30/15 I Current FIRM date: July 2014 If available, thefollowing data ivould be useful: 17, Number of new manufactured homes installed since last, report 18. Number of other new 1-4 family buildings constructed since last report I 19. Number of all other buildings constructed/instal led since last report .- (Please note the number of the line to which the! comment refers,) Community Certifications CC -213-6 Edition: 2613 A. In the SF�HA B In a regulated floodplain outside the SFHA Bil to] I film" I I ONE 411111111 WOMMONO Eli, WD 04, 'Itnallm-lum 01 011 14. Frimary source tor building data: Chatham County GIS 15. Primary source for area data: DFIRMS, Tybee Island GIS 16. Period covered: 10/l/14-9/30/15 I Current FIRM date: July 2014 If available, thefollowing data ivould be useful: 17, Number of new manufactured homes installed since last, report 18. Number of other new 1-4 family buildings constructed since last report I 19. Number of all other buildings constructed/instal led since last report .- (Please note the number of the line to which the! comment refers,) Community Certifications CC -213-6 Edition: 2613 PERMIT ADDRESS r 15:13MILLER ANENUE 11 u ill . ,911A MILLER ANENUE -. *LLER AVEN U Er .! .:5 TENTH PLACE U,S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY 6 ,Vvijowl Flood hisurance Progranl �Mp!�iratioon�Da Important, Read the instructions on pages 1-9. [!Ex A3.PropertyDescription (Lot and Block Numbers, tax Pard TNumber, Legal Description, etc.) LOT 172 WARD NO. 4 TYBEE ISLAND A4; Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc,) RESIDENTIAL.Horizontal Datum: [:3 NAD 1927 E NAD 1983 A5. LatitudelLongilude: Lat. Long. W_RT_51,_'0Z,4_7' 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 crawispace of enclosure(s): A9. For a building with an attached garage'. %/A sq ft a) Square footage of crawlspace or enclosure(s) Z44 so ft a) Square footage of attached garage b) Number of permanent flood openings in the crawlspace b) Number of permanent food openings in the attached garage or enclosure(s) within 1.0, foot above adjacent grade 2 within 1.0 foot above adjacent grade NIA c) Total net area of flood openings in A8.b 40 sq In c) Total net area of flood openings In A9.b NIA so in d) Engineered flood openings? 0 Yes [-] No d) Engineered flood openings? [] Yes No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community dame &.Community Number B2. County Name 63, S tate CITY 0F TYEE ISLAND CHATHAM GEORGIA _T�9 B — Flood 6�( —66 FIRM Index Date 17� F111�1,�,Padne AO, Flood Elevation(s) (Zone B4. Mat�/Panel Number Suffix r D, B& 0 'x Effectivell Zone(s) AO, use base flood depth) 1W i3051C0326 IF 07-07-14 er B; 09-26-08 AE 12-0 F 7ate B1 0, Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. [] FIS Profile 0 FIRM El Community Determined Other/Source: — B11 Indicate elevation datum used for BFE in Item B9: Ll NGVD 1929 NAVD 1988 0 OtherlSource: 812, Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? El Yes 10 No Designation Date: _ [J CBRS 0 OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: L3 Construction Drawings* El Building Under Construction* Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete, C2. Elevations — Zones A I —A30, AE, AH, A (with BFE), VE, VI- V30, V (with BFE), AR, AR/A, ARIAE, ARIA I —A30, ARIAH, ARJAO. Complete Items C2 a—h below according to the building diagram specified in Item A7, In Puerto Rico only, enter meters Benchmark Utilized: gA DOT BV 025 4 Vertical Datum: NAVE 19188 Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 0 NAVD 1988 0 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) 7.2 0 feet 0 meters b) Top of the next higher floor 16,6 0 feetj meters c) Bottom at the lowest horizontal structural member (V Zones only) �15� 23 feet meters d) Attached garage (top of slab) NIX feet C1 meters a) Lowest elevation of machinery or equipment servicing the building 13.0 feet meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 71 0 feet El meters g) Highest adjacent (finished) grade next to building (HAG) 7,2 0 feet F] meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 70 S feet El meters 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. I certify that the information on this Certificate represents my best efforts to interpret the date available. I understandthat arryfalse statement may be punishable lay brae orimprisonment under 16 U -S. Code, Section 1001, 1 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a Check here if attachments. licensed land surveyor? Yes 0 No N,,,, 2 7 4 Certifier's Name JAMES M. KEATON, RLS License Number GA #2743 Title LAND SURVEYOR Company Name CHATHAM SURVEYING SERVICES, INC Address POBOX 61649 City SAVANNAH State GA ZIP Code 31420 Date DECEMBER 29, 2015 Telephone 912-a03-0302 4�s 086-0-33 (7112) See reverse side for continuation. Replaces all previous editions- I=Lt:VA I ION ULK I IIG.# I L, page fi Building _ ay fi # Route and Box MILLER1513 (CHATHAM0# ISLANDCity CITY OF TYBEE State GA ZIP Code 3132 t SECTIONSURVEYOR, ARCHITECT Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments * ON PIERS WITH A 244 BLOCK ENTRANCE LATHINGA81a & A& ARE ENGINEERED OPENINGS (SMART VENT). THE GROUND FLOOR IS CONCRETE PARKING AND STORAGE WITH VERTICAL SPACES ON THE PERIMETER BETWEEN THE COLUMN& ITEM C2a IS THE GROUND FLOOR FOYER. ITEM C21c 1S THE HABITABLE FLOOR, C2o IS EXTERNAL HVAC ON A PLATFORM AT THE RIGHT SIDE OF THE HOUSE. ITEM C2h IS GRADE AT THE FRONT PORCH Date DECEMBER 2g, 2015 a.. .n flR M y a t • y M } i. y }, s:.. 1. « •. +� ..... . .., ...0The prop" 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's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Gate Telephone Comments Cheok here if attachments.. G6. Gate Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: [I New Construction El Substantial improvement G8. Elevation of as -built lowest floor (including basement) of the building: _ 0 feet El meters G9. BF6 or (in ;done AO) depth of flooding at the building site: El feet ❑ meters G10 Community's design flood elevation: ❑ feet El meters Local Officiars Name Title Community Name __ ... Telephone Signature Date Comments Datura Datum Datura Checn kerma if attachments. FEMA Form 086-0-33 (7142) Replaces all previous editions. A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No:) or P.O. Route and Box No, 911-A MILLER AVENUE City TYBEE ISLAND State CA ZIP Code 31328 ITB No. 1660-000 Expiration > A3. Property Description (Lot and Block Lumbers, Tax Parcel Number, Legal Description, etc.) LOT 142 OF A RECOMBINATION OF LOTS 131,142, A PORTION OF ar`' AVE. & ADJACENT MARSH, WARD 3, TYBEE IS A4, Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A6. Latitude/Longitude: Lat. 32.00235° Long. 8{7.84900° Horizontal Datum: ❑ NAD 1927 ® 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 A8. For a building with a crawlspace or enclosure(s): A9: For a building with an attached garage. a) Square footage of crawlspace or enclosure(s) 588 sq ft a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade 4 within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in Al 1791 sq in c) Total net area of flood openings in A9.b NIA, sq in ch Engineered flood openings? ❑ Yds ® No d) Engineered flood openings? ❑ Yes El No SECTION B -p FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2: County Name B3. State TYBEE ISLAND, GEORGIA - 135164 CHATHAM GA B4. Map/Panel Number 66. Suffix B6. FIRM Index Date B7. FIRM Panel 138. Flood B9. Base Flood Elevation(s) (Zone 1 3081 0021 3 F 710712014 Effective/Revised Date Zone(s) AO, use base flood depth) 9126/08 AE 11 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69. ❑ FIS Profile 0 FIRM El Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source: 1312. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 2 No Designation Date. N/A ❑ CBRS ❑ OPA 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, AR/AE, AR/A1-A30, AR/AH, Al Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: eGPS VRS NETWORK Vertical Datum: NAVD8 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NOVO 1929 0 NAVA 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFC. a) Top of bottom floor (including basement, crawlspace, or enclosure flour) §4 Z feet ❑ meters b) i op of the next higher floor 115.6 M feet ❑ureters c) Bottom of the lowest horizontal structural member (V Zones only) N/A. ® feet ❑ meters d) Attached garage (top of stab)P3Ct�E._ ® feet ❑ meters o) Lowest elevation of machinery or equipment servicing the building 12. I ED feet ❑ meters (Describe type of equipment and location in Comments) f) lowest adjacent (finished) grade next to building (LAG) 6A 0 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6.3 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of dock or stairs, including structural support 6.1 9 feet ❑ meters SECTION D -- SURVEYOR, ENGINEER, DR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 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 finder 18 U. S. Cade, Section 1001 tT' Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments; licensed land surveyor"? ED Yes l No Certifier's Name BERT B, BARRETT, JR License Number GA. 2225 Title OWNER/PRESIDENT Company Name BERT BARRETT, JR LAND SURVEYING PC Address 14 UNNER RO City SAVANNAH State GA ZIP Code 31410 Signature Date 2124116 Telephone 912-897-0661 s 03 SSU "y Replaces all previous editions ELEVATION CERTIFICATE, page 2 City TYBEE ISLAND State GA ZIP Code 31328 1 Company MAIC Numben SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments 1. GOOGLE EARTH USED TO OBTAIN LAT/LONG. 2. THE ELEVATION SHOWN IN C2 e) IS AN OUTSIDE GAS HOT WATER HEATER. 3. THE ELEVATION OF THE OUTSIDE HEATPUMP UNIT (CONDENSOR) IS AT 15.4 (NAVD88 DATUM) SignaturoT— c�l _to -p Date 2/24116 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, 13, and C, For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. 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, crawlsparre, or enclosure) is N/A._ [E feet Ej meters [3 above or below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is N/A,_ M 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 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is N/A_ 0 feet Ll meters [] above or E] below the HAG. E1 Attached garage (top of slab) is N/A._ Z feet D meters [] above or Ej below the HAG, E4. Top of platform of machinery and/or equipment servicing the building is N/A.— 0 feet El meters E] above or El below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottorn floor elevated in accordance with the community's floodplain management ordinance'? []'Yes Ej No 0 Unknown. The local official must certify this information In Section G. SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-lssued 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's or Owner's Authorized Representative's Name NIA Address N/A City N/A State NA ZIP Code NIA Signature NIA Date N/A Telephone N/A Comments NIA L] Check here if attaghrognts, 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 applicableitems) 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 bylaw 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 FEMA -issued or community -issued BFE) or Zone AO. G3. El The following information (items G4—G10) is provided for cornmunity floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued NIA N/A NIA G7. This permit has been issued for: El New Construction El Substantial Improvement (313. Elevation of as -built Iowest floor (including basement) of the building: NIA.— Z feet Ej meters Datum G9. BFE or (in Zone AO) depth OfflOOrding at the building site: NIA. 0 feet El meters Datum G10. Community's design flood elevation: NIA._ Z feet El meters Datum Local Official's Name N/A Title NIA Community Name NIA Telephone N/A Signature NIA Date NIA Comments NIA _E1 Check here if attach ---,- FEMA Form 086-0-33 (7112) Replaces all previous editions. DEPARTMENT •CERTIFICATE instructionsFEDERAL EM ERGENCY MANAGEMENT AGENCY "N"afronal Flood Insurance prograin Important. Read the pages Al. Building. A2. Building Street Address (including Apt.,, Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No. 911 MILLER AVENUE City TYBEE ISLAND State GA ZIP Code 31328 t � r A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 131 OF A RECOMBINATION OF LOTS 131,142 8, PORTIONS OF "a ' AVENUE & ADJACENT MARSH, WARD 3, TYBEE A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 32,00225 Long. 86:84873 Horizontal Datum: ❑ NAD 1927 Z NAD 1583 A6. ,Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage.- a) arage:a) Square footage of crawlspace or enclosure(s) 175 sq ft a) Square footage of attached garage N/A sq If b) Number of permanent flood openings in the crawlspace b) Number of "permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade 4 within 1.0 foot above adjacent grade NIA c) Total net area of flood openings in A8.b 462 ' sq m cj Total net area of flood openings in A9.b RIA sq in d) Engineered flood openings' ❑ Yes ® No d) Engineered flood openings? ❑ Yes -ED No SECTION B - FLOOD INSURANCE FATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Nance B3. State TYBEE ISLAND, GEORGIA -135164 CHATHAM GA B4. Map/Panel Number B5. Suffix 36; FIRM Index Date B7. FIRM Panel B8. Ftcod B9. Base Flood Elevation(s) (Zone 13051CO213 F 710712014 Effective/Revised Date Zones} AO, use base flood depth) 9126108 AE 11 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile rA FIRM ❑ Community Determined ❑ OtherlSource B11. Indicate elevation datum used for BFE in Item 139. ❑ NGVD 1929 ® NAVD 1988 ❑ OtherlSource� B12. is the building located in a Coastal Barrier Resources System (GBRS) area or Otherwise Protected Area (OPA)`1 ❑ Yes ED No Designation Date: NPA ❑ CBRS ❑ OPA Oil C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction" VJ 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 -V36, V (with BFE), AR, ARIA, AR/AE, AR/A1-A36, ARIAH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item AT. In Puerto Rico only, enter meters. Benchmark Utikzed: eGPS VRS NETWORK Vertical Datum: NAVD88 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the FIFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 15:6 ID feet ❑ meters bt Top of the next higher floor NONE._ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) NIA. feet ❑ meters d) Attached garage (top of slab) NONE._ ® feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 14.8 0 feet ❑ meters' (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5.5 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 5.9 ® feet ❑ meters LF h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 5.4 ED feet ❑ meters 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. I understand that any false statement may be punishable by fine orimprisonment under 18 11 Code, Section 1001. Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a Check here If attachments. licensed land surveyor? 0 Yes ❑ No Certifier's Name BERT B. BARRETT, JR License Number GA. 2225 Title OWNER/PRESIDENT Company Name BERT BARRETT, JR LAND SURVEYING PC -Address 145 RUNNER ROAD City SAVANNAH State GA ZIP Code 31416 Signature ) it V ) i\ 1, Date 8/62116 Telephone 912-897-0661 FEMA F Lulasinguafflial Building Street Address (including Apt., Unit, Suite, andfor Bldg. No.) or P.O. Route and Box No. 911 MILLER AVENUE State GA ZIP Code 31328 Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. Comments 1. GOGGLE EARTH USED TO OBTAIN LATILONG. 2. THE ELEVATION SHOWN IN C2 e) IS THE OUTSIDE HEATPUMP UNIT (CONDENSOR). a , /--\ �, Signature I 111_111\_A, �'J I I Date 8/02/16 lumber: For Zones AO and A (without BFI complete Items EI—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. 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._ [9 feet [:] meters El above or E:1 below the HAG, b) Top of bottom floor (including basement, crawlspace, or enclosure) is NIA,_ 0 feet El meters El above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 Of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is NIA._ Z feet E] meters L] above or [] below the HAG, E3. Attached garage (top of slab) is NIA.— 0 feet 0 meters L] above or El below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is N/A._ H feet El meters 0 above or EJ 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? 0 Yes 0 No E] Unknown, The local official must certify this information in Section G. SECTION I — PROPERTY OWNER (OR OWNER'S 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 AD must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name NIA Address N/A City NIA State NA ZIP Code N/A Signature I Date N/A Telephone N/A Comments I Check here if attachments 611*01 L01 KI Kt=#1*JJJ ILI, Lill, I I Ed I ggEOLUM The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C for E) and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—Gill. In Puerto Rico only, enter meters. G1. D 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 FEMA -issued or community -issued BFE) or Zone AO. G3. F] 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 NIA NIA G7. This permit has been issued for: E] New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: N/A.— E feet M meters Datum G9 BFE or (in Zone AO) depth of flooding at the building site: N/A, 0 feet El meters Datum G10. Community's design flood elevation: N/A. N feet El meters Datum Local Official's Name N/A Title N/A Community Name NIA Telephone N/A IMEMEMIAM Date I Check here if attachments FEMA Form 086-0-33 (7112) Replaces all previous editions U.S. DEPARTMENT OF HOMELAND SECUMTY ELETATE, -C-FRTtFJC�ATF FEDER0-0008 Mational Flood Insumnee ini-ograrn Important: Read the instructions on pages 1-9. Expiration Claw July 31, 2015 SECTION A - PROPERTY INFORMATION �10 A2. Building Street Address (including Apt., 5 Tenth Place City Tybee Island • State CA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc,) lot A of a recombination of lots A, B, C-1 & Ca2 of front lot 65, ward 4 PIN 4.006 -18 -DIB --y ---. ;ompany MAIC Number A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential AS. Latitudell-ongitudi Lat, N 31 deg 59 9740 min Long. iA6tJ d Sit 1160 min Horizontaf Datum: [I NAD 1927 0 MAD 1983 A6. Attach at least 2 photographs of the building if the Ceffificate is being used to obtain flood insurance A7 Building Diagram Number 6 AS. For a building with a orawlspace or enclosure(a): Aft For a putting with an attached garage: a) Square footage of crawlspare or enclosure(s) 283 zqft a) Square footage of attached garage flLa sq ft bt Number of permanent flood openings in the crawlspace b) Number of permanent good openings in the attached garage or enclusuTe(s) within 1.0 foot above adjacent grade 2 within lo foot above adjacent grade me C) Total net area of flood openings in A8.b 4o-0 on in c) Total net area of flood openings inAg.b We so in d) Engineered flood openings? ®'Yes El No d) Engineered flood openings? El Yes 0 No SECTION B -- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name 63, State Tybee Island 135164 Chatham GA B4. Map/Panel Number I R6 Suffix � B6. FIRM index Date 87. FIRM Panel B& Flood B9. Base Flood Elevations) (Zone 1305100213 F 717114 EffsobvelRevmed Date Zones) AO, use basee flood depth) 1 9/26108 AE 13.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89. L1 FIS Profile 0 FIRMi [I Community Determined [3 Other/Source: B11. Indicate elevation datum used for BFE in Item B9, L3 NGVD 1929 0 NAV0 1988 El Other/Source: 612. Is the building located in a Coastal Barrier Resources System (CRRS) area or Otherwise Protected Area (CPA)? [I Yes 0 No Designation Date: El CBRS 0 OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl Building elevations are based on: [] Construction Drawings* EI Building Under Construction* 0 Finished Construction `A new Elevation Certificate will be required When construction of the building is complete. C2: Elevations -ZonesAl-A30, AE, AH, A (with BEE), VE, Vi -V30, V (with BFEl, AR, ARIA, AREAE, ARIAI-A30, ARIAK, ARJAO. Complete Items C2a-h below according to the building diagram specified in Item A7, In Puerto Rica only, enter meters. Benchmark Utilized: local Vertical Datum: h[AVO 1988 _ Indicate elevation datum used for the elevations in items a) through In below C1 NGVD 1929 N NAVO 1988 0 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, crawIspace, or enclosure floor) 101 Z feet D meters b) Top of the next higher floor 19.1 FA feet 0 meters of Bottom of the lowest horizontal structural member (V Zones only) R feet 0 meters d) Attached garage (top of slab) ala- 0 feet E] meters e) Lowest elevation of machinery or equipment servicing the building 14-1 0 feet EI meters (Describe type of equipment and location in Comments) D Lowest adjacent (finished) grade next to building (LAG) N feet meters g) Highest adjacent (finished) grade next to building (RAG) CD feet meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 7,8 R feet meters IMPORTANT: In the spares, copy the corresponding information from Section A. Building Street Address (including Apt,, Unit, Suite, and/or Bldg. No) or P.O. Route and Be. —N. 5 Tenth Place City Tybee Island Slate CA ZIP Cc& 31328 MMMMEEMBL= SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides ofthis Elevation Certifiable for (1) community official, (2) insurance agentloompany, and (3) building owner Comments C2.e) is AJC pad C2,a) has 2 engineered flood openings. Smart Vent 1540-510 SECTIOIWE - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT SFE) For Zones AD and A (without BFE), complete items EI -E5. If the Certificate is intended to support a LOMA or LONIR-F request, complete Sections A, B, and C. For Item E1 -E4, use natural grade, it available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade hlAG) and the lowest adjacent grade (LAC). a) Top of bottom floor (including basement, crawispace, or enclosure) is El feet El meters 0 above or El below the HAG, b) Top of bottom floor (including basement, craivispace, or enclosure) is 0 feet [I meterd, El above or [] below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 andfor 9 (see pages 8-9 of InstruClions), the next higher floor (elevation C2.b in the diagrams) of the building is _,_ 0 feet E] meters El above or 0 below the HAG. E3. Attached garage (top of slab) is __ []feet []meters Elabove or E]below the HAG: E4, Top of platform of machinery andkir equipment servicing the building is __._ 0 feet El meters El above or El 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? M Yes [] No El Unknown. The local official must certify this information in Section G SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FENIXissued or community -issued BFE) or Zone AD must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. _Pr_opertyOwner`s or Owners Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments Check here if attachments I'll, i t4I'll I 111 1, , �. Ide local official who is authorized by law or ordinance to administer the commun4s floodplain management ordinance can complete Sections A, B, G (or E), and G of this Elevation Certificate Complete the applicable items) and sign below. Check the measurement used in Items G8__Gl OL In Puerto Rico only, enter meters, G1 LI 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, C] A community offidat completed Section G for a building located In Zone A (without a rEMA-issued or community -issued BFE) or Zone AO. G3. 0 The following information (items G4 -G10) is provided for community floodpoln management purposes, G4, Permit Number G5 Date Permit issued G6. 6"atwEorlifrcale em-p—han'trelOccupancy issued GT This permit has been issued for: E] Now Construction El substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building. E] fast [] meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: El feet El meters Datum Gill. Community's design flood elevation: 11 feet D meters Datum Local Official's Name Title Community Name Telephone Signature Date, Comments Check here it attachMe�nls, FEMA Form 086-0-33 (7/12) Replaces all previous editions,