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Home My Public Portal AboutJONES AV_812-EC.pdfU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2022 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 Catskill Builders Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 812 Jones Ave. Company NAIC Number: City State ZIP Code Tybee Island Georgia 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 73-B, Ward 2, City Of Tybee Island PIN 40005 23009A A4. Building Use (e.g., A5. Latitude/Longitude: A6. Attach at least A7. Building Diagram A8. For a building a) Square footage b) Number of permanent c) Total net area d) Engineered A9. For a building with a) Square footage b) Number of permanent c) Total net area d) Engineered Residential, Non -Residential, Addition, Accessory, etc.) Lat. N 32.00335 Long. W -80.84708 New Residential Horizontal Datum: insurance. above ❑ NAD 1927 adjacent grade grade N/A x NAD 1983 10 2 photographs Number with a crawlspace of crawlspace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? of the building if the 6 Certificate is being used to obtain flood 1241.00 sq ft or enclosure(s): or enclosures) openings in the crawlspace in A8.b or enclosure(s) 5120.00 sq in within 1.0 foot foot above adjacent in N/A sq ft ❑ Yes x No garage: garage openings in the attached garage within 1.0 in A9.b N/A sq ❑ Yes x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number City Of Tybee Island 135164 B2. County Name Chatham B3. State Georgia B4. Map/Panel Number 13051CO213 B5. Suffix G B6. FIRM Index Date 08-16-2018 B7. FIRM Panel Effective/ Revised Date 08-16-2018 B8. Flood Zone(s) AE 89. Base Flood E evation(s) (Zone AO, use Base Flood Depth) 9.0 B10. Indicate the source ❑ FIS Profile B11. Indicate elevation B12. Is the building Designation Date: of the Base Flood Elevation ❑ Community Determined for BFE in Item B9: Coastal Barrier Resources ❑ (BFE) data ❑ NGVD System CBRS or base flood ❑ Other/Source: depth entered in Item B9: x FIRM datum used located in a ❑ Other/Source: Protected 1929 x NAVD 1988 (CBRS) area or Otherwise ❑ OPA Area (OPA)? ❑ Yes x No FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 1 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. 812 Jones Ave. Policy Number: City State ZIP Code Tybee Island Georgia 31328 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones A1 —A30, AE, AH, A (with BFE), VE, V1 —V30, V (with BFE), AR, AR/A, AR/AE, Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Benchmark Utilized: BM El. 7.36 Site Plan by Brewer Vertical Datum: NAVD 1988 x Finished Construction AR/A1—A30, AR/AH, AR/AO. Rico only, enter meters. Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 x NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) Check the measurement used. 7.5 x feet ❑ meters b) Top of the next higher floor 16.6 x 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 (Describe type of equipment and location in Comments) 15.3 feet x ❑ meters f) Lowest adjacent (finished) grade next to budding (LAG) 7.0 x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 7.4 ❑ feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N/A ❑ feet ❑ 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 I certify that the information on this Certificate represents my best efforts to interpret the data available. statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. law to certify elevation information. I understand that any false ❑ Check here if attachments. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes x No Certifiers Name License Number William C. Griffin 8713 GA mi;,-c /O/u /z- Z Title P.E. Company Name Skidaway Island Engineering, Inc. Address P.O. Box 15195 City State ZIP Code Savannah Georgia 31416 Signature / A 10-e Telephone Ext. • 10-26-2022 (912) 507-2787 Copy all pages of this Elevation Certificate an 1 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) C2(e). HVAC equipment outside on elevated platform. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE 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. 812 Jones Ave. Policy Number: City State ZIP Code Tybee Island Georgia 31328 Company NAIC Number 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 complete Sections A, B,and C. For Items E1 —E4, use natural grade, if available. Check the measurement enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters LOMA or LOMR-F request, used. In Puerto Rico only, the elevation is above or below ❑ above or ❑ below the HAG. ❑ above or ❑ below the LAG. 9 (see pages 1-2 of Instructions), ❑ above or ❑ below the HAG. ❑ above or ❑ below the HAG. ❑ above or ❑ below the HAG. with the community's certify this information in Section G. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters E3. Attached garage (top of slab) is ❑ feet ❑ meters E4. Top of platform of machinery and/or equipment servicing the budding is ❑ feet ❑ meters E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners 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 El Check here if attachments. OMB No. 1660-0008 Expiration Date: November 30, 2022 FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE 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. 812 Jones Ave. Policy Number: City State ZIP Code Tybee Island Georgia 31328 Company NAIC Number SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance Sections A, B, C (or E), and G of this Elevation used in Items G8 —G10. In Puerto Rico only, enter to administer the community's floodplain management ordinance can complete Certificate. Complete the applicable item(s) and sign below. Check the measurement meters. from other documentation that has been signed and sealed by a licensed surveyor, by law to certify elevation information. (Indicate the source and date of the elevation E for a building located in Zone A (without a FEMA-issued or community -issued BFE) is provided for community floodplain management purposes. G1. • The information in Section C was taken engineer, or architect who is authorized data in the Comments area below.) G2 ❑ A community official completed Section or Zone A0. G3. ❑ The following information (Items G4 —G10) G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ G8. Elevation of as -built lowest floor (including of the building: G9. BFE or (in Zone AO) depth of flooding at the G10. Community's design flood elevation: ❑ feet ❑ feet ❑ feet ❑ meters Datum New Construction 1 Substantial Improvement basement) building site: ❑ meters Datum ❑ 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. OMB No. 1660-0008 Expiration Date: November 30, 2022 FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE See Instructions for Item A6. OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 812 Jones Ave. FOR INSURANCE COMPANY USE Policy Number: City Tybee Island State ZIP Code Georgia 31328 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. 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. If submitting more photographs than will fit on this page, use the Continuation Page. PIJLJUli 1111 111 Clear Photo One Clear Photo Two Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page 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. 812 Jones Ave. Policy Number: City State ZIP Code Tybee Island Georgia 31328 Company NAIC Number • If submitting more photographs than will fit on the preceding page, affix the additional photographs below. with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side photographs must show the foundation with representative examples of the flood openings or vents, as indicated Identify all photographs View." When applicable, in Section A8. as RR .. ■Rr.aRw aa.aai" w....ran .w lry.rR.ana.a �Rrwa:rurR r rr Rraaw. �■a:�riiiiaiiuliim. .r ■RfiAR r.r.w !R■ sRR RRRr.wrlwR.wWWWW ,•awO�•� !! .111;r1f1111:. ■w■w.rl�AV IRM tRIrr'.■ iEr W mw w�wR/Rw +� li YwaRRR. ! w .waRgliSIE ■sww■w�■ two ■i,,.e■.■ R .■aRrwiR. ■■ r Rrr zz�sP■ Re 9Rr ■�i�■C■■y%•• ••II R[#'RS: . ..*WNW es . R�$■ - z. rRR •Ile y�iRWwiisR4 pp- ; ■Rer l�.RRRR!01■■`wiW -l e, �0i`£ .• t ` ... FLOOD VENT 0 0 ) ,. - __ .1 - r- -., - -+row' - ~ t Clear Photo Three Photo Four Photo Four Caption Clear Photo Four FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6 FEMA check list Building Permit Number c2c 3 2 3G Applicant's Name: a*S � Site Address, Tax#, Parcel#: Telephone: PC)V\-f;' Address: U \ ,s Ave,. Owner's Name: Telephone: ,25--3 - 73d3 I. All development — Base Flood Elevation Data Provided: A. The as -built elevation certificate from a registered land surveyor or Professional engineer has been submitted? B. The lowest floor elevation is at or above the required lowest floor elevation? C. Electrical, heating, ventilation, plumbing, air conditioning equipment (including Duct work) and other service facilities are located above BFE or flood proofed? II. Development in Zone AE: A. Solid foundation perimeter walls located below BFE: 1. There are at least two (2) openings? 2. Square footage of enclosed area subject to flooding 3. Square inches of venting required 4. Square inches per opening (multiply 1 by w) 5*i 2 5. Number of required vents (3 above divided by 4 above) .3 6. Foundation contains the minimum number of vents? je or No 7. The bottom of each opening is no higher than one (1) foot above grade? ' e or No 8. Any cover on openings will permit the automatic flow of floodwaters in both directions? e or No Yes or No III. Development in Zones V, VE and V! -V30, VO (Coastal High Hazard Areas). A. Development location complies with all coastal setback requirements? B. Structure is securely anchored to pilings or columns and certification by a Registered, professional architect or engineer has been submitted? es or No Yes or No Yes or No Reviewer's Name: Date reviewed: Local Administrator's Signature: City of Tybee Island 403 Butler Avenue-P.O. Box 2749 Tybee Island, Ga. 31328-2749 Date: CI' 2_/,....2z