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Home My Public Portal AboutLEWIS AV_104-EC.pdfU.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: 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, (2) insurance agent/company, and (3) building owner. SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: 104 Lewis, LLC A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 104 Lewis Avenue City State ZIP Code City of Tybee Island Georgia 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Unnumbered Triangular Lot North of Lot 68 Camp Creek Hammock, Ward No. 1, Tybee Island A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. N 32°00'48.1" Long. W 80°50'46.1" 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. A7. Building Diagram Number 6 A8. For a building with a crawispace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1859.00 sq ft b) Number of permanent flood openings in the crawispace or enclosure(s) within 1.0 foot above adjacent grade 7 c) Total net area of flood openings in A8.b 2224.00 sq in d) Engineered flood openings? ❑ Yes M 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 ❑x No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 131. NFIP Community Name & Community Number B2. County Name 63. State City of 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 CO213 G 08-16-2018 08-16-2018 AE 9.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes x0 No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Gate: 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: 104 Lewis Avenue city State ZIP Code Company NAIL Number City of Tybee Island Georgia 31328 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* M 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, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO, Complete Stems 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: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below: ❑ NGVD 1929 Z 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) 7.2 ® feet ❑ meters b) Top of the next higher floor 9:3 ' ® feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A [ feet ❑ meters d) Attached garage (top of slab) N/A feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 11.9 ❑ ❑ meters feet x (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7.3 ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 7.9 ® feet E] meters h) Lowest adjacent grade at lowest elevation of deck or stairs; including 6.8 ® feet ❑ meters structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification into 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. t 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? Z Yes ❑ No Check here if attachments. Certifier's Name License Number James M. Keaton, GA PLS 002743 . - Title Land SurveyortBT " Company Name W 2743 Mark Keaton DBA Chatham Surveying Services Address 120 Saint Andrews Way SU m city State ZIP code ' Savannah Georgia 31410 Si nature Date Telephone �- Ext. 0 04-27-2021 (912)507-8200 VWQ�4�4 N/A Co all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. ommet ts (including type of equipment and location; per C2(e},-ifapplccabie} This house is constructed on partial support perimeter walls and piers with perimeter skirting enclosing the crawl space. Item A8a is the area of the enclosed crawl space, inclusive of the porch, Items A8b & R8c are openings in perimeter skirting. item C2a is an unfinished crawl space. Item C2b is the lowest habitable floor. Item C2e is exterior HVAC on a platform at the rear of the house. item 2h is the lowest adjacent grade at the steps of the deck porch at the left side of the house. Latitude and Longitude were established with satellite imagery. FEMA Form 086-0-33 (12/19) Replaces all previous editions; Form Page 2 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: 104 Lewis Avenue City State ZIP Code Company NAIC Number City of Tybee Island Georgia 31328 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, B,and C. For items E1—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 ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ 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 ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ 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 the community's floodplain management ordinance? ❑ Yes ❑ No ❑ 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 -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 of 6 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: 104 Lewis Avenue City State ZIP Code Company NAIC Number City of 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. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page 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: 104 Lewis Avenue City State ZIP Code Company NAIL Number City of 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. "3 "\�tdxxF �L^ksiy "•q o. t � s t i Photo Three '. Photo Three Caption Rear View Photo Taken 04-2-20121 Clear Photo Three l gefi � n M+n y a. Y r 4 u: r � 7 t• n t a li 1f • . r , g e „ . d p Photo Farr Photo Four Caption Right side View Photo Taken 1-2021 Clear Prato Four FEMA Form 086-03-33 (12/19) Replaces all previous editions. Form Page 6 of 6