HomeMy Public PortalAboutTHIRTEENTH ST_405-EC.pdfDEPARTMENT OF HOMELANDSECURITY
No. 1 -
Federal Emergency ManagementAgency [62piration ate® November 30, 2022
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, () insurance gen mpan , and () building owner.
SECTION A — PROPERTY INFOR A ION FOR INSURANCE OMPA E
Al. Building is Name Policy Number:
DIVERSIFIED FSI
. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
o o. Co pang N t Number:
405 1STREET
CityStatZIPCode
TY I Georgia 31328
3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, -etc.)
LOT 1 4
4: Building Use (e.., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. N 31 ° 591 50.5 ®' Long. W 80 ° 51 ' 00 . 1 „ Horizontal Datum: [] NAD 1927 MAD 1983
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):
) Square footage of crawlspace or enclosure(s) 151.00 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 2
c) Total net area of flood openings in A8.b 400.00 sq in
Engineered flood openings? Z Yes o
Ag. For a building with an attached garage:
) Square footage of attached garage 0.00 sq it
) Number of permanent flood openings in the attached arae within 1.0 foot above adjacent rade 0
c) Total net area of flood openings inA9. 0.00 sq in
) Engineered flood openings? Yes x No
SECTION— FLOOD INSURANCE RATE(I INFORMATION
1. NFIP CommunityMame & Community Number B2. County Name B3. State
TYBEE ISLAND 1 1 CHATHAM Georgia
4. Map/Panel 95. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s)
Number Gate Effective/ Zone(s) (Zone AO, use Base Flood Depth)
Revised ate
13051CO326 G 08-16-2018 08-16-2018 AE 9.0
10. Indicate the source of the Base FloodElevation () data or base flood depth entered in Item 0
FIS Profile FIRM EJ Community Determined Other/Source:
11. Indicate elevation datum used for BFE in Item 139: [] NGVD 1929.ac NAVD 1 Other/Sour
1 2. Is the building located in a Coastal Barrier Resources System (C S) area or Otherwise Protected Are ( A)? [:] Yes Z No
Designation ate: C P
FEMA Form 086-0- (12/19)
Replaces all previous editions.
Form Pae 1 of
OMB No. 1660-0008
ELEVATION CERTIFICATE ira on Cates November 30, 2022
IMPORTANT: In these spaces, ' coy the correspondingInformation from Section A. FOR INSURANCE COMPANY USE
Builing -Street Address (including ., Unit, Suite, and/or Bldg. ) or P.O. Routeand Box No. Policy Number:
405 13TH STREET
city State ZIP Code Company NAIC Number
TYBEE ISLAND Georgia 31328 1
BUILDING L (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A (MTHOUT 8FE)
For Zones AO and A(without SFE), `complete Its , 1. If the Certificate is intended to support a LC or L4 - request,
complete ions A, ,and C. For Items" EI—E4, use natural l grad , if available. Check the measurement used. In Puerto Rico only,
enter meters.
1. Provide elevation information for the following and check the approptate boxes to show whether the elevation is above or below
the highest adjacent g (HAG) and the lowest adjacent grade (LAG).
) Top of bottom floor (including basement,
crawlspace, or enclosure) is El feet '0 meters 0 above or EJ below the HAG.
) Top of bottom floor (including basement,
crawlspace, or enclosure) is feet meters above or below the LAG.
. For Building Diagrams 9 withpermanent 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;uilin is 0 feet El meters El above or the H
3. Attached garage (top of slab) i feet eters above or below the HAG.
. Top of platform of machinery and/or equipment
servicing the building is El feet El meters 0 above or below the HAG.
5. Zone AO only: if no flood depth number is available, is the top of the bottom floor elevated in accordance with the communitys
floodplain management ordinance? lies EJ No Unknown. The local official must certify this infor abon in Section G.
CTI — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or ownees authorized representative who completes Sections A,anfor Zone A (without FEMA -Issued or
community -issued BFE) or Zone C must sign here. The statements in Sections A, , and E are correct to the best of my knowledge.
Property Owner or Ownees AuthorizedRepresentative's :me
Address city state ZIP Code
Signature ate Telephone
Comments
El Check here if attachments.
FEMA Form 088-0-33(12/19) Replaces all previous editions. Form Page 3`of
««+!
a
,.,« «*,<
FENIA check list
Applicant's Name: Owner's Name:
Site Address, Tax#, Parcel,#: f Address:
Telephone: Telephone:
. All development - Base Flood ElevationDataProvided:
A. The as -built elevation certificate from a registered land surveyor or
Professional engineer has been submitted? e o
B. The lowest floor elevation is at or above the required lowest floor elevation? Yes or
C. Electrical, heating, ventilation, plumbing, air conditioning equipment (including
Duct work) and other service facilities are located above BFE or flood proofed? es r No
IL Development in Zone AE:
A. Solid foundation perimeter walls located below BFE:
1. There are at least two (2) openings? es r No
2. Square footage of enclosed area subject to flooding 1.
3. Square inches of venting required
4. Square inches per opening (multiply 1 by w)
5. Number of required vents (3 above divided by 4 above)
6. Foundation contains the minimum number of vents? or No
7. The bottom of each opening is no higher than one (1) foot above grade? Por No
8. Any cover on openings will permit the automatic flow of floodwaters in
both directions? s or o
111. Development in Zones V, VE and V! -V30, V(Coastal High HazardAreas).
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's Signature: to 4
City y ee Island
3 Butler Avenue-P.O. Box7
Yee Island, Ga. 31328-2749