HomeMy Public PortalAboutNINTH TER_13.pdfU.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19
Copy ail pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
SECTION A - PROPERTY INFORMATION
Al. Building Owner's Name: JMDS PROPERTIES, LLC
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
13 9TH TERRACE
OMB Control No. 1660-0008
Expiration Date: 06/30/2026
ca -o!75
FOR INSURANCE COMPANY USE
Policy Number
Company NAIC Number:
City: TYBEE ISLAND State: GA ZIP Code: 31328
A3. Property Description (e.g., Lot and Block Numbers or Legal Description) and/or Tax Parcel Number:
LOT 16 OF A RESUBDIVISION OF BEACH
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.):
A5. Latitude/Longitude: Lat. N32 ° 00' 06.48" Long, W 80 °30'41.28" Horizontal Datum: ❑ NAD 1927 i4 NAD 1983 0 WGS 84
A6. Attach at least two and when possible four clear photographs (one for each side) of the building (see Form pages 7 and 8).
A7. Building Diagram Number: 1A
A8. For a building with a crawlspace or endosure(s):
a) Square footage of crawlspace or endosure(s): 0.00 sq. ft.
b) Is there at least one permanent flood opening on two different sides of each enclosed area? ❑ Yes ❑ No N/A
c) Enter number of permanent flood openings in the crawlspace or endosure(s) within 1.0 foot above adjacent grade:
Non -engineered flood openings: 0 Engineered flood openings: 0
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.
0.00 sq. ft.
b) Is there at least one permanent flood opening on two different sides of the attached garage? 0 Yes ❑ No ►1 N/A
c) Enter number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade:
Non -engineered flood openings: 0 Engineered flood openings: 0
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): 0.00 sq. ft.
f) Sum of A9.d and A9.e rated area (if applicable - see Instructions): 0.00 sq. ft.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
BI.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
Be. FIRM Index Date: 08/16/2018 B7. FIRM Panel Effective/Revised Date: 08/16/2018
B8. Flood Zone(s): AE & X
B5. Suffix: CO
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 B9:
0 FIS ►1 FIRM ❑ Community Determined 0 Other:
B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 1 / NAVD 1988 0 Other/Source:
S12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ❑ No
Designation Date: 0 CBRS ❑ OPA
B13. Is the building located seaward of the Limit of Moderate Wave Action (LiMWA)? ❑ Yes No
FEMA Fomi 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 (induding Apt., Unit, Suite, and/or Bldg. No) or P.O. Route and Box No.:
13 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:
*A new Elevation Certificate will be required
C2. Elevations - Zones A1 -A30, AE, AH,
A99. Complete Items C2.a-h below
Benchmark Utilized: LOCAL
•
according
Construction Drawings* ❑ Building Under Construction*
when construction of the building is complete.
AO, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE,
to the Building Diagram specified in Item A7. In Puerto
Vertical Datum: NAVD 1988
►.'i
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.
0 NGVD 1929 ❑ NAVD 1988 0 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 enclosure floor): 11.40
❑
Check
►r1
Yes
the
feet
►Z2
measurement
0
No
used:
meters
b) Top of the next higher floor (see Instructions): 12.10
/}1
feet
■
meters
c) Bottom of the lowest horizontal structural member (see Instructions):
0
feet
■
meters
d) Attached garage (top of slab):
0
feet ❑ meters
e) Lowest elevation of Machinery and Equipment (M&E) servicing the building
(describe type of M&E and location in Section 0 Comments area): 12.20
►t.
feet ❑ meters
f) Lowest Adjacent Grade (LAG) next to building:
•
Natural
I
Finished 11.20
►I
feet ❑ meters
g) Highest Adjacent Grade (HAG) next to building: ❑ Natural
►
Finished 11.30
►i
feet 0 meters
h) Finished LAG at lowest elevation of attached deck or stairs, including structural
support: ❑ feet 0 meters
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect
information. 1 certify that the information on this Certificate represents my best efforts
false statement may be punishable by fine or imprisonment under 18 U.S. Code,
Were latitude and longitude in Section A provided by a licensed land surveyor?
0 Check here if attachments and describe in the Comments area.
Section
r/
authorized by state law to certify elevation
to interpret the data available. I understand that any
1001.
Yes 0 No
Certifiers Name: VINCENT HELMLY License Number 1882
.e,• e•.;,,,,w'
Title: LAND SURVEYOR
( '
Company Name: VINCENT HELMLY
f/. It'
Address: 129 A BURTON U
i•� I
City: G State: GA ZIP Code: 31405
\ �2 ..3, -12
!
Signature: ` Date: 07/26/2023
'^:::4-1.:,3',":7:0 �'
Telephone: (912) 429-9395 Ext.: mail: helmlyv@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 (induding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
13 9TH TERRACE
FOR INSURANCE COMPANY USE
Policy Number
City: TYBEE ISLAND State: GA ZIP Code: 31328
Company NAIL Number:
SECTION E — BUILDING MEASUREMENT INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO, ZONE ARIAO, AND ZONE A (WITHOUT BFE)
For Zones AO, AR/AO, and A (without BFE), complete Items E1 —E5. For Items El —E4, use natural
intended to support a Letter of Map Change request, complete Sections A, B, and C. Check the measurement
enter meters.
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
grade, if available. If the Certificate is
used. In Puerto Rico only,
❑ Finished Construction
boxes to show whether the
❑ above or 0 below the HAG.
❑ above or 0 below the LAG.
9 (see pages 1-2 of Instructions), the
0 above or 0 below the HAG.
0 above or 0 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
next higher floor (C2.b in applicable
Building Diagram) 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
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
sign here. The statements in Sections A, B, and E are correct to the best of my knowledge
A (without BFE) or Zone AO must
• 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 4of19
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19
Building Street Address (induding Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No.:
13 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 05—G11) is provided for community floodplain management purposes.
05. Permit Number: G6. Date Permit Issued:
G7. Date Certificate of Compliance/Occupancy Issued:
G8. This permit has been issued for: N New Construction ❑ Substantial Improvement
G9.a. Elevation of as -built lowest floor (including basement) of the
building: 0 feet 0 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: ❑ feet ❑ meters Datum:
011. 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. / have completed the information in Section G and certify that it is
correct to the best of my knowledge. If applicable, ! have also provided specific corrections in the Comments area of this section.
Local Official's Name: Oz, r Title:
NFIP Community Name:
Telephone: Ext.: Email:
Address:
City:
Signature:
Date:
State: ZIP Code:
2-3
Comments (including 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.:
13 9TH TERRACE
FOR INSURANCE COMPANY USE
Policy Number.
City: TYBEE ISLAND State: GA ZIP Code: 31328
Company NAIC 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 ► 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 all 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 NI 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 am 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 (induding required photos) and describe each attachment in the Comments area.
Property Owner or Owners 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 (induding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
13 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: FRONT 07/26/2023
Photo Two
Clear Photo One
Photo Two Caption: BACK 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.:
13 9TH TERRACE
FOR INSURANCE COMPANY USE
Policy Number.
City: TYBEE ISLAND State:
GA ZIP Code: 31328
Company NAIC Number:
Insert the third and fourth photographs below. Identify all photographs with the date taken and "Front
View," or "Left Side View." When flood openings are present, include at least one close-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