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HomeMy Public PortalAboutJONES AV_107-EC.pdfU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 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 JONES TYBEE LLC Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 107 JONES AVENUE Company NAIC Number: City State ZIP Code TYBEE ISLAND GEORGIA 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) CHATHAM COUNTY PIN 40003 13022 / LOT 92 WARD 1 SAVANNAH BEACH TYBEE ISLAND A4. Building Use (e.g., A5. Latitude/Longitude: A6. Attach at least A7. Building Diagram A8. For a building with 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. N32 ° 00 ' 44.63 " Long W 8 0 ° 50 ' 37.19 RESIDENTIAL "Horizontal Datum: insurance. above ❑ NAD 1927 adjacent grade grade N/A Mx NAD 1983 N/A 2 photographs of the building if the Number 5 Certificate is being used to obtain flood N/A sq ft a crawlspace of crawlspace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b or enclosure(s) N/A sq in within 1.0 foot foot above adjacent in N/A sq ft 1:3 Yes El No garage: garage openings in the attached garage within 1.0 in A9.b N/A sq ■ Yes © No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number CITY OF TYBEE ISLAND 135164 82. County Name CHATHAM B3. State GEORGIA B4. Map/Panel Number 13051 C 0214 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 Elevation(s) (Zone AO, use Base Flood Depth) 9.0 B10. Indicate the source ❑ FIS Profile B11. Indicate elevation B12, Is the building Designation of the Base Flood Elevation EX FIRM • Community Determined datum used for BFE in Item B9: located in a Coastal Barrier Resources Date: N/A Zi (BFE) data or base flood ❑ Other/Source: ❑ NGVD 1929 System (CBRS) CBRS • OPA depth entered in Item B9: N/A © NAVD 1988 ❑ Other/Source: area or Otherwise Protected N/A Area (OPA)? ■ Yes © No FEMA Form 086=0=33{1-2/19) 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. 107 JONES AVENUE Policy Number: City State ZIP Code TYBEE ISLAND GEORGIA 31328 Company NAIC Number SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) AR/A1-A30, Rico C1. Building elevations are based on: • Construction Drawings* 0Building 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, Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Benchmark Utilized: VRS NETWORK SOLUTION Vertical Datum: NAVD 88 AR/AH, AR/AO. only, enter meters. Indicate elevation datum used for the elevations in items a) through h) below. • NGVD 1929 © NAVD 1988 ❑ Other/Source: N/A Datum used for building elevations must be the same as that used for the BFE. Check a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 20. 06 the measurement used. © feet ❑ meters b) Top of the next higher floor N/A In 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 14.4 (Describe type of equipment and location in Comments) © feet meters ❑ f) Lowest adjacent (finished) grade next to building (LAG) 9.3 © feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 10.4 © feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 10.4 feet meters 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 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. Were latitude and longitude in Section A provided by a licensed land surveyor? lYes ❑ No Check here if attachments. Certifier's Name License Number GEORGE M. FERREIRA GRLS #2607 w• * *- ' ''i' AL � Her • 'F"•, • , v 4 m.��� * 145 � Title ORG/ GEORGIA LAND SURVEYOR Company Name 's ? MITR GIS/GPS/SURVEY Address 374 EAST RIDGE DRIVE City State ZIP Code SAVANNAH GEORGIA 31406 Signature Date Telephone Ext �� 06/07/2023 912-657-3091 Copy all pages o his�Elevation Certificate and 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) ITEM A5 = GPS-NAD83 ITEM C2 = TRIMBLE GPS-VRS NETWORK SOLUTION ITEM C2e= HVAC OUTDOOR COMPRESSOR UNIT (RAISED 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. 107 JONES AVENUE 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, 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. crawlspace, or enclosure) is N/A © feet ■ meters b) Top of bottom floor (including basement, crawlspace, or enclosure) is N/A © 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 N/A IN feet ❑ meters E3. Attached garage (top of slab) is N/A © feet ❑ meters E4. Top of platform of machinery and/or equipment servicing the building is N/A Ex 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 ❑X 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 N/A Address City State ZIP Code N/A N/A N/A Signature Date Telephone N/A N/A N/A Comments ■ 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 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. 107 JONES AVENUE 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 G1. ❑ The information in Section C was taken engineer, or architect who is authorized data in the Comments area below.) 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. G2. ■ A community official completed Section or Zone AO. 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: New Construction ❑ Substantial Improvement basement) ❑ feet ❑ feet ❑ feet ❑ meters Datum building site: ❑ meters Datum IN 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. FOR INSURANCE COMPANY USE Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 107 JONES AVENUE 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. 6. .. . _f .T v , a \\\ rr..6.a...:5 -t- - - - n\ 1 10.1 s tit' 7 " I - + � .^. 6t • ,. p r� ' ate '� e ,'4 : 1 1' t- ,_ FRONT VIEW REAR VIEW �1 "� �f �r .a'i ,l a t Y1.• y .. `.-Z, \ice II 1 `Z • q• • i „T ri . tp >SO' 3_ T, t`.j 1$ ` �7 2' [it)7-'4 ,., .. .. iii ,' xy 1 Iiiii0 l:J iv 4r 20 3, ' ,• k t 0 50' 3/.13,, t. 2 140' 44.6211 r �.. I". 11r I EEE; i • , 1 LEFT SIDE VIEW RIGHT SIDE VIEW FEMA Form 086-0-33 (12/19) Replaces all previous editions. 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. 107 JONES AVENUE 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. Identify all photographs with: date taken; "Front View" and "Rear Viev1'; 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. !PI pr'_ ___ __ '. 517 _. - ) 1 . I )4_ 4rxi2R , psi. . JA wT` -.Ted-:-" ti • . fir{ , 1 C2E - OUTDOOR HVAC (RAISED PLATFORM) ADDITIONAL PHOTOS NO EXISTING VENTS/OPENING VENTING NO EXISTING VENTS/OPENING A8B-D ENGINEERED VENT (YES) (NO) X MODEL NUMBER: N/A VENT LOCATION: STRUCTURE ( ) GARAGE ( ) A8B-D ENGINEERED VENT (YES) (NO) X MODEL NUMBER: N/A VENT LOCATION: STRUCTURE ( ) GARAGE ( ) FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6 Building Permit Number FEMA check list �ao27L 79 Applicant's Name: (' k '5 Kovya \ -Parcel#: Owner's Name: / 1 Site Address, Tax#, Address: /tj 7 1h s v� Telephone: Telephone: 3L . ,2 (s- ' is-' gq s 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. 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? 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: Local Administrator's Signature: City of Tybee Island 403 Butler Avenue-P.O. Box 2749 Tybee Island, Ga. 31328-2749 Date reviewed: Yep or No ryes )or No 1'es)or No Yes or No Yes or No Yes or No Yes or No Yes or No Yes or No Date: r3 L3