The URL can be used to link to this page

Home My Public Portal AboutLEWIS AV_153-EC.pdfU.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2022 National Flood Insurance Program 949�� ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: FRANCES GALLOWAY A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 153 LEWIS AVENUE --- city State ZIP Code TYBEEISLAND Georgia 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 10 PALM TERRACE, HAMMOCK WARD A4, Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc,) RESIDENTIAL A5. Latitude/Longitude: Lat. N 32 * 00' 37.2" Long. W 80 ' 50' 58. 1 " Horizontal Datum: [] NAD 1927 xNAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 5 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 0.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0.00 sq in d) Engineered flood openings? El Yes Z No A9. For a building with an attached garage: a) Square footage of attached garage 0.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0.00 sq in d) Engineered flood openings? ®Yes Z No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number B2. County Name B3. State TYBEE ISLAND 135164 CHATHAM Georgia B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 13051 00213 G 08-16-2018 08-16-2018 AE 9.0 BI 0. Indicate the source of the Base Flood Elevation (BEE) data or base flood depth entered in Item B9: [] FIS Profile 0 FIRM E] Community Determined [-] Other/Source: 1311. Indicate elevation datum used for BEE in Item 139: E] NGVD 1929 Z NAVD 1988 E] Other/Source: B12. Is the building located in a Coastal Barrier Resources System (C S) area or Otherwise Protected Area (O A)? [:] Yes [E No Designation Date: E] CBRS E] OPA FEMA For 086-0-33 (12/19) Replace11 s all previous edons. For Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration ate. November 30, 2022 IMPORTANT: In these cess o Py sp ndln info at1 fro Section A. FOR INSURANCE COMPANY Building tr t Address (including Apt;, Unit, Suite, and/or Bldg, o:) or P.C. Route and Box No. Policy Number: 153 LEWIS AVENUE Ci tate l -Company _ ! —Number EE ISLAND Georgia 3132 SECTIONBUILDING I IREQUIRED) C1. Building elevations are based on: Construction Drawinge EJ Buildinglander Construction* 0 Finished Construction *A new Elevation Certificate ill be required herr construction of the' building is complete. C2, Elevations - Zones AI—A30, AE, AH, A (with FF), VE, VI -V30, V (with FE), , AR/AE, AR/Al—A30, AH, ARIAO, Complete Items C2. —h below accordingto the building is r m specified in Item A7. in Puerto Rico only, enter meters. Benchmark Utilized: LOCAL Vertical Datum: NAVID 1988 Indicate elevation datum used for the elevations in items a) through h) bel VD 1929 0 NAVD1988 Other/Source: Datum used for building elevations must be the same as that used for the Cheek the measurement used, ) Top of bottom floor (including basement, crawispace, or enclosure floor) 16A 21 feet meters b) Top of the next higher floor N/A 0 feet meters c) Bottom of the lowest horizontal structural meth r ones only) N/A 0 feet eters d) Attached raga (top of slab) N/A Z feat El meters ) Lowest elevation of machinery or equipment servicing the building 14.0 0 feet eters (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) 5.8 feet meters ) Highest adjacent (finished) grade next to building (HAG) .t} x feet D meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 5. ° feet EJ mete rs structural support e. SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to' e 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 p cents my best efforts to interprot the data available° f understand that any false statement may be punishable by fine ori prisonment under 18 U.S.Code; Section 1001. _. Were latitude and longitude in Section A provided by a licensed land surveyor? 9 Yes EJ No Check here if attadim nts. Ce ifier's Name License Number VINCENT HELMLY 1882 Title LAND SURVEYOR $f Co pany l'Z. VINCENT H L LY Address t , 129 A BURTON ROAD City State ZIP Code SAVANNAH Georgia 31405 Signature Telephone Ext. 67---2-2-2022�tyffici �(2 9a 395 Copy all pages of this Elevation Certificate ' and ail tt m nts for (1) dom usur n a efilco pan, and () ulldln o ner. Comments (including pe of equipment and location, per C2(e), if applicable) C (a)= AIR CONDITION UNIT STAND THE PEAK F THE O F THE RESIDENCEIS AT ELEVATION I 28.5 IT IS 22.6'HIGHER THAN THE AVERAGE ADJACENT _A FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of OMB No. ELEVATION CERTIFICATE Expiration1660-0008 ate: HNovember 30, 2022 IMPORTANT: Int , Copy the corresponding Information from ecti A. FOR INSURANCE COMPANY USE Building t' Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 153 LENS AVENUE pity State ZIP Coda Company NAICNumber TYBEE ISLAND Georgia 3132 TION E — BUILDING ELEVATIONINFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT F) For Zones AO and A (without SFE), complete -Items E'l—E6. If the Certificate Is Intended to support a L i A or -F request, complete Sections A, B,and C. For Items EI—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 ox s to show whether the elevation is above or below the highest adjacent ...rade (HA) and the lowest adjacent grade (LAG), a) Top of bottom floor (including basement, crawispace, or enclosure) is 0 feet 0 meters 0 above or below the HAG. b) Top of bottom floor (including basement, crawlspaoe, or enclosure) is feet 0 meters EJ above or below the LAG. 2. For Building Diagramswith permanent flood openings rovided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.bin the diagrams) of to building is 0 feet EJ meters above or below the" A. E. Attached garage (top of slab) i feet rooters El aboveor EJ below the` HAG. 4. Top of platform of machinery and/or equipment servicing the building is feet meters above or below the HAG, E5. Zone AD 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 o Unknown. The local official must certify this information in Section G. SECTIONP (OR OWNER'$ 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 F) or Zone AO 'must sign here. The statements in Sections A, B, and E are correct to the est of my knowledge. Property ner or Owner's Authorized Representative's Name Address city State ZIP Code Signature Date Telephone Comments Check here if attachments, FEMA Form 055-W3 (1 1) Replaces all previous editions. Form Page 3 of OMB No, 660 ELEVATION CERTIFICATE l Date: Expiration -08 ovember 30, 2022 IMPORTANT: In these spaces, copy the corresponding Information from eo on A. FOR INSURANCE COMPANY U uildin Street Address (includingpt., Unit, Suite, and/or Id ) or nut an s PolicyNumber: 153 LEWIS City State ZIP Code Company Ai Number TYBEEISLAND Georgia31328 SECTION — COMMUNITYINFORMATION (OPTIONAL) The local official who is authorized by law or ordinance' to administer the community's floodplain management ordinance n complete Sections A, B, C (or ), and G of this Elevation Certificate. Complete the applicable item(s) and sign beloCheck the measurement used In Items 0. In Puerto Rico only, eater meters. 1. The information in Section C wastaken from ether documentation that has been signed and sealed by d licensed surveyor, engineer, or architect who is authorized by law to'certify elevation information. (indicate the source andt of the elevation data in the Comments area below.) 2,community official completed Section E fora building located in Zone A (without aFEMA-Issued or community -issued BFE) or Zone AO. 3. The following information (items 1) is provided for community floodplain management purposes. -4 Permit —Number G5. Date Permit Issued 6, ateifi to o Complianoe/Occupancy issued 7. This permit has been issued for: Now Construction Substantial improvement . Elevation of as -built lowest floor (including basement) of the bili feet eta turn . BFE or (in Zone AC) depth of flooding at the building site: feet eters Datum 10. Community's design flood elevation: El feetEl meters Datum Local vial's Name Title Community dame Telephone Signature ate Comments (including type of equipment and location, per 2(e), if applicable) Check er if! ao ets. —j Form Page 4 of 6 FEMA Form 086-0-33 (12/19) Replaces all previous editions. BUILDINO PHOTOGRAPHS OMB NO. 1660-0008 ELENATION CERTIFICATE See Instructions for Item A6. Ey*ir.-44-r -*-ateUwer-t4er 3A. 2*22 FEMA Fora 086-0-33 (12/19) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB . 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the correspondinginformation from fi A INSURANCE COMPANY USE Building Street Address (including Apt., Unit, it , and/or Bldg. o.) or P.O. out and `No. Policy Number: 153 LEWIS V city State ZIP Cods 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 Vlo"; and, if required, "Pi t 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 A3: Photo .i re Photo Ursa Photo Three Caption Clear Photo Three Photo Frtrt.ti" Photo Four Photo Four Caption Clear Photo Four FEMA Form 086-0-33 (12t19) is s all previous 'editions. Form Page 6 of 6 Site Address, Tax#, P FENIA check list Owner's Name: Fmrl, Telephone: Telephone: I. All development — Base Flood ElevationData Provided: A. The as -built elevation certificate from a registered land surveyor or Professional engineer has been submitted?ts- r o B. The lowest floor elevation is at or above the required lowest floor elevation? r No C. Electrical, heating, ventilation, plumbing, air conditioning equipment (including Duct work) and other service facilities are located above BFE or flood proofed? (& or o 11. Development in Zone A. Solid foundation perimeter walls located below BFE: 1. There are at least two (2) openings? Yes or No 2. Square footage of enclosed area subject to flooding 3. Square inches of venting required 4. Square inches per opening (multiply l by w) 5. Number of required vents (3 above divided by 4 above) 6. Foundation contains the minimum number of vents? Yes or No 7. The bottom of each opening is no higher than one (1) foot above grade? Yes or No 8. Any cover on openings will permit the automatic flow of floodwaters i both directions? Yes or No • Development in Zones V, VE a rA (Coastal i r 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's Name: Date reviewed: Local Administrator'sSignature:A�V�ate: City eeIsland 403 , Butler Avenue-P.O. Box 27 Yee Island, Ga.31328-2749