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Home My Public Portal AboutJONES AV_1511.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. Budding Owner's Name Catskill Builders, Inc. Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1511 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 100 Ward 4 Tybee Savannah Beach A4, Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) New Residential A5. Latitude/Longitude: Lat. N 31.99368 Long. W -80.85112 Horizontal Datum: [] NAD 1927 0 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 5 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? rj Yes 0 No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? 0 Yes ® No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number City Of Tybee Island 135164 52. County Name Chatham B3. State Georgia B4. Map/Panel Number 13051C0326 65. Suffix G B6. FIRM Index Date 08-16-2018 B7. FIRM Panel Effective/ Revised Date 08-16-2018 B8. Flood Zone(s) RE B9. Base Flood E evation(s) (Zone AO, use Base Flood Depth) 9.0 B10, Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: FIS Profile Q FIRM Community Determined ❑ Other/Source: B11 Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 [xJ NAVD 1988 0 Other/Source: 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes xx No Designation Date: CBRS OPA \ w/ 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 Info nation from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No. 1511 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* Gxs, Finished 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, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: BM El. 8,12 site plan by RLS Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® 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) N/A ❑ feet ❑ meters b) Top of the next higher floor 16.5 E feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A 0 feet ❑ meters d) Attached garage (top of slab) N/A ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 16.0 x feet meters (Describe type of equipment and location in Comments) ❑ f) Lowest adjacent (finished) grade next to building (LAG) 6.9 0 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 72 E 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 law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I 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? ❑ Yes 0No ❑ Check here if attachments. Certifier's Name License Number William C. Griffin 8713 GA htf L' I k .2//a/2.1, Title P.E. Company Name Skidaway Island Engineering, Inc. Address P.O. Box 15195 City State ZIP Code Savannah Georgia 31416 Signature Date (9 12 Ext.. 02-10-2022 (9121) 507-507-2787 Copy all pages of this Elevation Certificate all 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. Lower area is enclosed on three sides with open vertical lattice panels and is at elevation 7.3 feet. 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. 1511 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. El. 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 building is ❑ feet ❑ meters E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance iloodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must 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. 1511 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 taw 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: ❑ 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: New Construction ❑ Substantial Improvement basement) ❑ feet ❑ feet ❑ feet ❑ meters Datum 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. 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 Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1511 Jones Ave FOR INSURANCE COMPANY USE 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 indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Clear Photo One Clear Photo Two Replaces all previous editions. Form Page 5 of 6 FEMA Form 086-0-33 (1211 J) uilding Permit Number ') OG 5.3 Applicant's Name: 0 GA � � (` Owner's Name: I Site Address, Tax#, Parcel#: Address: /S7f ayr /\ , Telephone: Telephone: 02s--3 - 730 - I. All development — Base Flood Elevation Data Provided: A. The as -built elevation certification 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 BFh or flood proofed? 11. Development in Zones A, AE, Al -A30 and APE: 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 I by w) 5. Number of required vents (3 above divided by 4 above) 6. Foundation contains the minimum number of vents? 7. The bottom of each opening is no higher than one (1) foot above grade? 8. Any cover on openings will permit the automatic flow of floodwaters In both directions? �-� "' > or NO YES or NO YES or NO YES or NO YES OR NO B. Base flood elevation and/or floodway data not available or AO Zones: 1. The lowest floor is at least one (1) foot above the highest adjacent grade? YES or NO 2. The development meets the setback requirements of the ordinance? YES or NO 3. If 2 above was "no", has a No -Rise Certification been submitted? YES or NO Reviewer's Name: Date reviewed: B. Floodway data is provided. 1. Did this development encroach in the floodway? 2. Do the actual field conditions meet the proposed actions and technical date requirements? 3. If 01 was "yes", has a No -Rise Certification been submitted? Reviewer's Name: Date reviewed 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? Reviewer's Name: Date reviewed: C. Walls permitted below the base flood elevation consist of decorative lattice work or, Where permitted, are breakaway and have been certified by a registered, professional Architect or Engineer? Reviewer's Name: Date reviewed Local Administrator's Signature: City of Tybee Island 403 Butler Avenue - P.Q. Box 2749 Tybee Island, Ga. 31328-2749 Date: YES or NO YES or NO YES or NO YES or NO YES or NO YES or NO