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Home My Public Portal AboutSIXTH AV_1306.pdfU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. OMB No. 1660-0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION For Insure tice:.Company Use: Policy Number Al. Building Owner's Name PAUL GILKER A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1306 SIXTH AVENUE 'Company NAIC Nur City TYBEE ISLAND State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 277, WARD 4, TYBEE ISLAND A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory A5. Latitude/Longitude: Lat. 31.99748 Long. 80.85209 A6. Attach at least 2 photographs of the building if the Certificate is being A7. Building Diagram Number A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 162 sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade NONE c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? 0 Yes ® No , etc.) RESIDENTIAL Horizontal Datum: 0 NAD 1927 El NAD 1983 used to obtain flood insurance. A9. For a building with an attached garage: a) Square footage of attached garage N[A sq ft b) No. 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 TYBEE ISLAND, GEORGIA - 135164 62. County Name CHAHTHAM B3. State GA. 84. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 13051C0326 F Date Effective/Revised Date Zone(s) AO, use base flood depth) 9/26/08 9/26/08 AE 12 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) 811. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ® NAVD 1988 0 Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes Designation Date N/A ❑ CBRS ❑ OPA No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. Building elevations are based on: ❑ Construction Drawings' 0 Building Under Construction` ® 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. Use the same datum as the BFE. Benchmark Utilized LOCALVertical Datum NAVD88 Conversion/Comments NONE a) b) c) d) e) 1) 9) h) Check the measurement used. Top of bottom floor (including basement, crawlspace, or enclosure floor) 7.14 ® feet Top of the next higher floor Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) Highest adjacent (finished) grade next to building (HAG) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 16.14 ® feet NIA. ® feet NONE. ® feet SEE.COMMENTS ¢.4 6.7 ¢•¢ ® feet ® feet ® feet ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) 0 meters (Puerto Rico only) ❑ meters (Puerto Rico only) ® feet 0 meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) 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. 1 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. Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes 0 No Certifiers Name BERT B. BARRETT, JR. License Number GA. 2225 Title OWNER/PRESIDENT Company Name BERT BARRETT, JR. LAND SURVEYING, PC. Address 145 NE.Re ra City SAVANNAH Signature FEMA Form 81-31, Mar 09 State GA ZIP Code 31410 Date 2/28/12 Telephone 912-897-0661 See reverse side for continuation. Replaces all previous editions Building Photographs See instructions for Item AEI_ Building Street Address (including Apt., Unit, Suite, and/ Brig. No.) or P.0, Route and Box No 1:306 SIXTH AVENUE City TYBEE ISLAND State GA ZIP Code 31328 eompan 1-ne Gompar rnher AIC Nu If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item AEi. Identify all photographs with: date takers; "Front View and "Rear View"; -and, if required, "Right Side View' and "Left Side View.' If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. RIGHT SIDE VIEW FRONT VIEW 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. 1306 SIXTH AVENUE For InsOrano° Company Use: PolicyNumber City TYBEE ISLAND State GA ZIP Code 31328 Compatty-NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments 1. PROMARK 3 GPS UNIT USED TO OBTAIN LAT/LONG 2. THE LOWEST ELEVATION OF MACHINERY SERVICING THIS BUILDING WITHIN THE FOUNDATION WALLS IS AT 9.67' NAVD 1988. 3. THE ELEVATION OF THE OUTSIDE HEATPUMP UNIT (CONDENSER) IS AT 6.5' NAVD 1988. 4. AT THE T THIS H(}(JSE WAS BUILT THE OUTSIDE HEATPUMP UNIT WAS NOT REQUIRED TO BE ELEVATED. Signature Date 2/28/12 ❑ Check here if attachments SECTION E - BUILDING > VATION 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. El. 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 N/A. ® feet ❑ meters ❑ above or 0 below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is N/A. ® feet ❑ meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is N/A. ® feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is N/A. ® feet ❑ meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is N/A. ® 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 0 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's or Owner's Authorized Representative's Name N/A Address N/A City N/A State GA ZIP Code N/A Signature N/A Date N/A Telephone N/A Comments N/A ❑ Check here if attachments 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 and G9. G1. 0 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. 0 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. 0 The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number N/A G5. Date Permit Issued N/A G6. Date Certificate Of Compliance/Occupancy Issued N/A G7. This permit has been issued for: ❑ New Construction 0 Substantial G8. Elevation of as -built lowest floor (including basement) of the building: N/A. G9. BFE or (in Zone AO) depth of flooding at the building site: N/A. 010. Community's design flood elevation N/A Improvement ® feet ❑ meters (PR) Datum ® feet ❑ meters (PR) Datum 0 feet 0 meters (PR) Datum Local Official's Name N/A Title N/A Community Name N/A Telephone N/A Signature N/A Date N/A Comments N/A ❑ Check here if attachments FEMA Form 81-31, Mar09 Replaces all previous editions