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HomeMy Public PortalAboutCEDARWOOD DR_115-EC.pdfU. S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program OMB No. 1660-0008 Expiration Date: November 30, 2022 ELEVATION CERTIFICATE ,22_0096 Impo rtant: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance age nt/company, and (3) building owner. SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE A l. Building Owner's Name Susan Schaberg Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No .) or P.O Route and Box No. 115 Cedarwood Drive Company NA IC Number: City State ZIP Code Tybee Island Georgia 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal De scription, etc.) Lot 3 of a Recombination of block 15, portions of blocks 14 & 28, Fort Screven Ward, and unopened Baywood R/W, Tybee Island A 4. Building Use (e.g., A5. Latitude/Longitude: A 6. A ttach 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° 01'08.3" Long. W 80°50'40.3" Residential Horizontal Datum: insurance. above ❑ NAD 1927 adjacent grade grade 0 x NAD 1983 6 2 photographs Number with a crawlspace of crawlspace floo d 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 816.00 sq ft or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b or enclosure(s) 2085.00 sq in within 1.0 foot foot above adjacent in 0.00 sq ft ❑ Yes x No garage: garage openings in the attached garage within 1.0 in A9. b 0.00 sq ❑ Yes x No SECTION B - FLOOD INSURA NCE RATE MAP (FIRM) INFOR MATION 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 B9. Base Flood E evation(s) (Zone A O, use Base Flood Depth) 9. 0 1310. 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 or base flood ❑ Other/Source: depth entered in Item B9: p FIRM datum used located in a ❑ Other/Source: Protected • NGVD 1929 p NAVD 1988 System (CBRS) area or Otherwise CBRS ❑ OPA Area (OPA)? ❑ Yes x No FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE IMPORTANT: In the se spaces , co py the co rre spondin g informa tion from Section A. FO R INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No. ) or P. O. Route and Box No. 115 Cedarwood Drive Policy Number: City State ZIP Code Tybee Island Georgia 31328 Company NAIC Number SECTIO N C — BUILDING ELEVATION INFORM ATION (SURVEY REQUIRED) Rico Finished Construction AR/AH, AR/AO, enter meters. C1. Building elevations are based on: ■ Constructio n Drawin gs* • Building Under Con struction* p *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 budding diagram specified in Item A7. In Puerto Benchmark Utilized: eGPS VRS Network Vertical Datum: NAVD 1988 AR/A1—A30, only, Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 ❑x NAVD 1988 • Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 8.3 El measurement used. feet ❑ meters feet meters b) Top of the next higher floor 17.7 ® c) Bottom of the lowest horizontal structural member (V Zones only) 16.4 x feet • meters feet ❑ meters d) Attached garage (top of slab) N/A 0 e) Lowest elevation of machinery or equipment servicing the building 5 0. x ❑ (Describe type of equipment and location in Comments) 1 feet ■meters feet ❑ meters feet 0 meters feet meters ❑ f) Lowest adjacent (finished) grade next to building (LAG) 7.4 ❑x g) Highest adjacent (finished) grade next to building (HAG) 8. 0 ❑x h) Lowest adjacent grade at lowest e levation of deck or stairs, inc luding structural support 8. 0 ❑ x 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 info rm ation on this Certificate represen ts my best efforts to interpret the data available. statement may be pun ishable by fine or imprison ment un der 18 U.S. Code, Section 1001. law to certify I understand elevation information. that any false here if attachments. Were latitude and longitude in Section A provided by a licensed land surveyor? © Yes 0 No El Check Certifier's Name License Number James M Keaton, GA PLS 002743 *I f'y sp R s ossT P 2743 .... j, �ti0 SU p= IFS Title Land Surveyor Company Name Mark Keaton DBA Chatham Surveying Services A ddress 120 Saint Andrews Way M • KE�� City State ZIP Co de Savannah Georgia 31410 Signature Date Telephone Ext. •• =••••••••• :2 02-09-2023 (912) 507-8200 N/A Cop all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/compa ny, and (3) building owner. Commen ts (including type of equipmen t and location, per C2(e), if applicable) This house is constructed on piers with concrete parking and storage under the habitable floor, enclosed with spaced vertical lathing. Item A 8a is the ground floor enclosure. Items A8b & A8c are space s between the lathing in panels enclosing the ground floor with only open area below the BFE considered. Item C2a is the ground floor slab. Item C2b is the habitable floor. Item C2c is the bottom of the lowest support beam. C2e is 2 water heaters on a platform in the ground floor enclosure. The exterior HVAC equipment is on a wooden platform at the left rear corner of the house at elevation 13.5. Item C2h is the lowest adjacent grade at the porch steps at the front left comer of the house. Latitude and Longitude established with satellite imagery. OMB No. 1660-0008 Expiration Date: November 30, 2022 FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE IMPORTANT: In these spaces, copy the co rrespo nding info rmatio n fro m Sectio n A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 115 Cedarwood Drive 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 ZO NE A (WITHO UT BFE) For Zones AO and A (without BFE), complete Items E1 —E5. If the Certificate is intended to support a complete Sections A, ,and C. For Items E1 —E4, use natural grade, if ava ila ble. Check the measure men t enter mete rs. El. Provide elevation info rmation for the following and check the appropriate boxes to show whether the highest adjacent grade (HA G) 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), 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 • above or • below the HAG. ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is • feet ❑ meters E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet IN meters • above or ■ below the HAG. with the community's certify this information in Section G. 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 SECTIO N 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 he re if attachments. OMB No. 1660-0008 Expiration Date: November 30, 2022 FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form P age 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the correspondin g information from Sectio n A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 115 Cedarwood Drive 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 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 use d 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 architec t who is authorized by law to certify elevation information. (Indicate the source and date of the e levation 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 Pe rmit Issued G6. Date Certificate of Compliance/Occupancy Issued ❑ feet ❑ feet G7. This permit has been issued for: • New Construction ❑ Substantial Improvement 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: basement) • meters Datum building site: ❑ meters Datum meters Datum • feet 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 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS See Instructions for Item A6. OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT; in these spaces, copy the corresponding information from Sectio n A. FOR INSURA NCE COM PA NY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P. O. Route and Box No. 115 Cedarwood Drive Policy Number: City State ZIP Code Tybee Island 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 indica ted in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. { N s .. j� ,., �!�. P r -. ' �, ' ygyypy•"^--, /y ! • %_ o ff ' se '� _, •. ._ Y i • Vi e. .- _ M„tee''• -:12 yeti • - a _ - �._ lii_l Photo One Photo One Caption Front Vie w Photo Taken 02-08-2023 Clear Photo O ne It 74' I, '?. f S i .. Y. 1•'�, , -' - _—•--. � .- —^ • _ Illl ~ -. ' mt. . Oil ,..• 1 Photo Two Photo Two Caption Left Side View Photo Taken 02-08-2023 Clear Photo Two FEMA Form 086-0-33 (12/19) Replace s all pre vious editions. Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660-0008 Expiration Date: November 30, 2022 IM PORTANT: 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. 115 Cedarwood Drive Policy Number: City Sta te ZIP Code Tybee Island Geo rgia 31328 Company NAIC Number 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. Y, 4 IC•Y'. `. .r ' , i��'. • y 1. ,. -� lY":' < ti 4 F f T , IF % sL ._ ilt. , k /I Pi IIIIIfIp -�- i- - _ i •, !� t a. Photo Y - ti .Ste. '� ‘ir- Vi,. Fi { - is , -., •i *;.. `9 41 1 ; ' a . i —' 0 illy f u } ! pA s 1 1d \ ,.. i. '• ti Three Photo Three Caption Rear View Photo Taken 02-08-2023 Clea r Photo Three g mss' s 4 � 1 _.. j+i III } -II� 11111 I ii j ^s J} '1 _;.1. 1 Ali i I �li� 11 �� Photo IIr j1I _ 11 _-_4{ �SII' -� _1I[ .' 11!! -I� I Il Four - gr >t ✓ Y.s +.. t •- _. _ _.l . - _Y _ { ai hill 1! Ill l 1 l I { !114 All 1#I'ti Photo Four Caption Right Side View Photo Taken 02-08-2023 Clear Photo Four FEMA Form 086-0-33 (12/19) Re places all previous editions. Form Page 6 of 6 FEMA check list Building Permit Nu mber 00 'I& Applicant's N ame: SCA"CL6eir5 Own er's Name: h, 1 Site Address, Tax#, Parcel#: Address: /15— i.ticroA, Telephone: Telephone: I. All dev elopment — Base Flood Elevation D ata Prov ided: A. The as -built elevation certificate from a registered land surveyor or __ Professional engineer has been submitted? LYer No B. The lowest floor eleva tion is at or abov e the required lowest floor elevation ? Ves or) C. Electrical, heating, ven tilation, plumbing, air conditioning equipment (including Duct work) and other serv ice facilities are loca ted above BFE or floo d proofed? . Lslior No II. Dev elopment in Zone AE: A. Solid foundation perimeter walls lo cated below BFE: 1. There are at least two (2) openings? +' es or No - 3. Square inches of v enting required 72. Square footage of enclosed. area subject to flooding f 6 4. Squ are inches per openin g (multiply 1 by w) 3 N 7 5. Number of required vents (3 abov e divided by 4 above) 3 6. Founda tion contains the minimum number of vents? e or No 7. The bottom of ea ch opening is no higher than one (1) foot abov e grade? Vii or No 8. Any cover on openin gs will permit the automatic flow of floodwaters in both directions? or No IH. Development in Zones V, VE and V! -V30, VO (Coasta l High Hazard A reas). A. Dev elopment location complies with all coastal setback requirements? B. Structure is securely ancho red to pilings or columns and certification by a Registered, profession al architect or engineer has been submitted? Yes or No Yes or No Reviewer's Name: D ate reviewed: Local Administrator's Signature: City of Tybee Island 403 Butler A venue-P. O. Box 2749 Tybee Island, Ga. 31328-2749 Date: