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Home My Public Portal AboutNINTH TER_15.pdfU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program OMB Control No. 1660-0008 Expiration Date: 08/3012026 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 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: JMS BUILDER -TALLAHASSEE, LLC Policy Number: A2. Building Street Address (induding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: 15 9TH TERRACE Company NAIC Number: ZIP Code: 31328 City: TYBEE ISLAND State: GA A3. Property Description (e.g., Lot and Black Numbers or Legal Description) and/or Tax Parcel Number: LOT 17 OF A RESUBDIVISION OF BEACH LOT 56, WARD 3 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.): RESIDENTIAL A5. Latitude/Longitude: Lat. N 32° 00' 0612" Long. W 80° 50'42.06" Horizontal Datum: 0 NAD 1927 Rio NAD 1983 0 WGS 84 (see Form pages 7 and 8). A6. Attach at feast two and when possible four clear photographs (one for each side) of the building A7. Building Diagram Number: IA A8. For a building with a crawlspace or endosure(s): a) Square footage of crawlspace or enclosure(s): 0.00 sq. ft. b) Is there at least one permanent flood opening on two different sides of each enclosed area? c) Enter number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot Non -engineered flood openings: 0 Engineered flood openings: ■ Yes • No 0.4 N/A above adjacent grade: 0.00 sq. ft. d) Total net open area of non -engineered flood openings in A8.c: 0.00 sq. in. e) Total rated area of engineered flood openings in A8.c (attach documentation - see Instructions): f) Sum of A8.d and A8.e rated area (if applicable - see Instructions): 0.00 sq. ft. A9. For a building with an attached garage: a) Square footage of attached garage: 0.00 sq. ft. b) Is there at least one permanent flood opening on two different sides of the attached garage? c) Enter number of permanent flood openings in the attached garage within 1.0 foot above adjacent Non -engineered flood openings: 0 Engineered flood openings: 0 ■ Yes ❑ No ►1 N/A grade: 0.00 sq. ft. d) Total net open area of non -engineered flood openings in A9.c: 0.00 sq. in. e) Total rated area of engineered flood openings in A9.c (attach documentation - see Instructions): f) Sum of A9.d and A9.e rated area (if applicable - see Instructions): 0.00 sq. ft. SECTION E - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1.a. NFIP Community Name: TYBEE ISLAND B1.b. NFIP Community Identification Number: 135164 B2. County Name:CHATHAM B3. State: GA B4. Map/Panel No.: 13051CO213 B5. Suffix: CO 86. FIRM Index Date: 08/16/2018 B7. FIRM Panel Effective/Revised Date: 08/16/2018 B8. Flood Zone(s): AE & X B9. Base Flood Elevation(s) (BFE) (Zone AO, use Base Flood Depth): 9 ' B10. Indicate the source of the BFE data or Base Flood Depth entered in Item 89: 0 FIS 0 FIRM ❑ Community Determined ❑ Other: B11. Indicate elevation datum used for BFE in Item 89: 0 NGVD 1929 ►1 NAVD 1988 0 Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Designation Date: 0 CBRS ❑ OPA Area (OPA)? 0 Yes ❑ No No B13. Is the building located seaward of the Limit of Moderate Wave Action (LiMWA)? ■ Yes ►j FEMA Form FF-206-FY-22-152 (formerly 086.0-33) (10/22) Page 2 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: 15 9TH TERRACE FOR INSURANCE COMPANY USE Policy Number. City: TYBEE ISLAND State: GA ZIP Code: 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, AO, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, A99. Complete Items C2.a-h below according to the Building Diagram specified in Item A7. In Puerto Benchmark Utilized: LOCAL Vertical Datum: NAVD 1988 C. Rico Finished Construction AR/A1-A30, 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: Datum used for building elevations must be the same as that used for the BFE. Conversion factor used? If Yes, describe the source of the conversion factor in the Section D Comments area. a) Top of bottom floor (including basement, crawlspace, or endosure floor): 11.40 ■ Check ►,4 Yes the feet ►,1 measurement 0 No used: meters b) Top of the next higher floor (see Instructions): 12.10 ►C4 feet 0 meters c) Bottom of the lowest horizontal structural member (see Instructions): ❑ feet ■ meters d) Attached garage (top of slab): ■ feet ■ meters e) Lowest elevation of Machinery and Equipment (M&E) servicing the building (describe type of M&E and location in Section D Comments area): 12.20 Z feet ❑ meters f) Lowest Adjacent Grade (LAG) next to building: ❑ Natural ►2 Finished 11.00 ►1 feet 0 meters g) Highest Adjacent Grade (HAG) next to building: II Natural 0 Finished 11.30 ►i4 feet • meters h) Finished LAG at lowest elevation of attached deck or stairs, including structural support: 11.00 ►1 feet ❑ meters SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by state law to certify elevation information. I mill)? 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 ❑ No ❑ Check here if attachments and describe in the Comments area. Certifier's Name: VINCENT HELMLY License Number: 1882 Title: LAND SURVEYOR - Company Name: VINCENT HELMLY :4) } .... •. Address: 129 A BURTON ROAD - City: SAVANNAH State: GA ZIP Code: 31405 `2C. k2 . \a G Date: 07/26/2023 Telephone: (912) 429-9395 Ext.: Emmelmlyv@aol.com Place Seal Here Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including source of conversion factor in C2; type of equipment and location per C2.e; and description of any attachments): C 2 (e) = HOT WATER HEATER FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page 3 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: 15 9TH TERRACE FOR INSURANCE COMPANY USE Policy Number: City: TYBEE ISLAND State: GA ZIP Code: 31328 Company NAIC Number: SECTION E — BUILDING MEASUREMENT INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO, ZONE AR/AO, AND ZONE A (WITHOUT BFE) For Zones AO, AR/AO, and A (without BFE), complete Items E1 —E5. For Items E1 —E4, use natural intended to support a Letter of Map Change request, complete Sections A, B, and C. Check the measurement enter meters. grade, if available. If the Certificate is used. In Puerto Rico only, ❑ Finished Construction boxes to show whether the ❑ above or ❑ below the HAG. ❑ above or ❑ below the LAG. 9 (see pages 1-2 of Instructions), the 0 above or 0 below the HAG. 0 above or ❑ below the HAG. Building measurements are based on: ❑ Construction Drawings* Building Under Construction* *A new Elevation Certificate will be required when construction of the building is complete. El. Provide measurements (C.2.a in applicable Building Diagram) for the following and check the appropriate measurement is above or below the natural HAG and the LAG. a) Top of bottom floor (including basement, crawlspace, or enclosure) is: • feet ❑ meters 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 next higher floor (C2.b in applicable Building Diagram) of the building is: I♦ feet ❑ meters E3. Attached garage (top of stab) is: 0 feet ❑ meters E4. Top of platform of machinery and/or equipment servicing the building is: 0 feet ❑ 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 SECTION F — PROPERTY OWNER (OR OWNER'S AUTHORIZED REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without BFE) or Zone AO must sign here. The statements in Sections A, 8, and E are conect to the best of my knowledge D Check here if attachments and describe in the Comments area. Property Owner or Owner's Authorized Representative Name: Address: City: State: ZIP Code: Signature: Date: Telephone: Ext.: Email: Comments: FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page 4 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: 15 9TH TERRACE City: TYBEE ISLAND State: GA ZIP Code: 31328 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: SECTION G — COMMUNITY INFORMATION (RECOMMENDED FOR COMMUNITY OFFICIAL COMPLETION) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Section A, B, C, E, G, or H of this Elevation Certificate. Complete the applicable item(s) and sign below when: 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 state law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.a. 0 A local official completed Section E for a building located in Zone A (without a BFE), Zone AO, or Zone AR/AO, or when item E5 is completed for a building located in Zone AO. G2.b. 0 A local official completed Section H for insurance purposes. G3. 0 In the Comments area of Section G, the local official describes specific corrections to the information in Sections A, B, E and H. G4. 0 The following information (Items G5 -GI 1) is provided for community floodplain management purposes. G5. Permit Number: G6. Date Permit issued: G7. Date Certificate of Compliance/Occupancy Issued: G8. This permit has been issued for: New Construction 0 Substantial Improvement G9.a. Elevation of as -built lowest floor (induding basement) of the building: ❑ feet ❑ meters Datum: G9.b. Elevation of bottom of as -built lowest horizontal structural member: ❑ feet ❑ meters Datum: G10.a. BFE (or depth in Zone AO) of flooding at the building site: ❑ feet ❑ meters Datum: G10.b. Community's minimum elevation (or depth in Zone AO) requirement for the lowest floor or lowest horizontal structural member. 0 feet ❑ meters Datum: G11. Variance issued? ❑ Yes ❑ No If yes, attach documentation and describe in the Comments area. The local official who provides information in Section G must sign here. l have completed the information in Section G and certify that it is correct to the best of my knowledge. If applicable, l have also provided specific corrections in the Comments area of this section. Local Official's Name: L1 �'t r ; > Title: NFIP Community Name: Telephone: Ext.: Email: Address: City: State: ZIP Code: Signature: Date: ,- Comments (includtwg type of equipment and location, per C2.e; description of any attachments; and corrections to specific information in Sections A, B, D, E, or H): FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page 5 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: 15 9TH TERRACE FOR INSURANCE COMPANY USE Policy Number: City: TYBEE ISLAND State: GA ZIP Code: 31328 Company NAIL Number. SECTION H — BUILDING'S FIRST FLOOR HEIGHT INFORMATION FOR ALL ZONES (SURVEY NOT REQUIRED) (FOR INSURANCE PURPOSES ONLY) The property owner, owner's authorized representative, or local floodplain management official may to determine the building's first floor height for insurance purposes. Sections A, B, and I must also be nearest tenth of a foot (nearest tenth of a meter in Puerto Rico). Reference the Foundation Type Instructions) and the appropriate Building Diagrams (at the end of Section 1 Instructions) to complete H1. Provide the height of the top of the floor (as indicated in Foundation Type Diagrams) above the a) For Building Diagrams 1A, 1 B, 3, and 5-9. Top of bottom ❑ feet ❑ complete Section H for all flood zones completed. Enter heights to the Diagrams (at the end of Section H this section. Lowest Adjacent Grade (LAG): meters ❑ above the LAG meters ❑ above the LAG to or above the floor indicated by the Building Diagram? floor (include above -grade floors only for buildings with subgrade crawlspaces or enclosure floors) is: b) For Building Diagrams 2A, 2B, 4, and 6-9. Top of next ❑ feet ❑ higher floor (i.e., the floor above basement, crawlspace, or enclosure floor) is: H2. Is ail Machinery and Equipment servicing the building (as listed in Item H2 instructions) elevated H2 arrow (shown in the Foundation Type Diagrams at end of Section H instructions) for the appropriate ■ Yes I♦ No SECTION I — PROPERTY OWNER (OR OWNER'S AUTHORIZED REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and H must sign here. The statements in Sections A, B, and H are correct to the best of my knowledge. Note: If the local floodplain management official completed Section H, they should indicate in Item G2.b and sign Section G. ❑ Check here if attachments are provided (including required photos) and describe each attachment in the Comments area. Property Owner or Owner's Authorized Representative Name: Address: City: State: ZIP Code: Signature: Date: Telephone: Ext.: Email: Comments: FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page 6 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 BUILDING PHOTOGRAPHS See Instructions for Item A6. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: 15 9TH TERRACE City: TYBEE ISLAND State: GA ZIP Code: 31328 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: Instructions. Insert below at least two and when possible four photographs showing each side of the building (for example, may only be able to take front and back pictures of townhouses/rowhouses). Identify all photographs with the date taken and "Front View," "Rear View," "Right Side View," or "Left Side View." Photographs must show the foundation. When flood openings are present, include at least one close-up photograph of representative flood openings or vents, as indicated in Sections A8 and A9. Photo One Photo One Caption: 07/26/2023 Clear Photo One Photo Two Photo Two Caption: 07/26/2023 Clear Photo Two FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page 7 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 BUILDING PHOTOGRAPHS Continuation Page Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: 15 9TH TERRACE FOR INSURANCE COMPANY USE Policy Number. City: TYBEE ISLAND State: GA ZIP Code: 31328 Company NAIL Number. Insert the third and fourth photographs below. Identify all photographs with the date taken and "Front Yew," or "Left Side View." When flood openings are present, include at least one dose -up photograph vents, as indicated in Sections A8 and A9. View," "Rear View," "Right Side of representative flood openings or Photo Three Photo Three Caption: Clear Photo Three Photo Four Photo Four Caption: Clear Photo Four FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page 8 of 19 Building Permit Number FEMA check list Applicant's Name: CmtveY Site Address, Tax#, Parcel#: Telephone: `L( -3 3 3 3 I. Owner's Name: Z---.4.50 Address: /5 )_c)U eJ Telephone: 7/ 7_ 0/0 _ 603 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? or No Yes o No2) es>or No 2260 or No es� or No (fs' 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 6r Date: