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Home My Public Portal AboutSIXTH AV_1411.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 DENNIS B. LOWE Policy Number: A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1411 6TH 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.) LOT 302 A WARD 4 TYBEE ISLAND A4. Building Use (e.g., A5. Latitude/Longitude: A6. Attach at least A7. Building Diagram A8. For a building 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. N 31 ° 59' 45. 1 " Long. W 80 ° 51 ' 12 RESIDENTIAL .2 " Horizontal Datum: insurance. above ❑ NAD 1927 adjacent grade grade 0 x NAD 1983 2 2 photographs Number with a crawlspace of crawlspace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? of the building if the 6 Certificate is being used to obtain flood 344.45 sq ft or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b or enclosure(s) 400.00 sq in within 1.0 foot foot above adjacent in 0.00 sq ft x Yes ❑ No garage: garage openings in the attached garage within 1.0 in A9.b 0.00 sq ❑ Yes x No SECTION 6 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION _ 61. NFIP Community Name & Community Number TYBEE ISLAND 135164 82. 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) AE 89. Base Flood E evation(s) (Zone AO, use Base Flood Depth) 10.0 B10. Indicate the source of the Base Flood Elevation ❑x FIRM 0 Community Determined datum used for BFE in Item B9: located in a Coastal Barrier Resources ❑ (BFE) data or base flood ❑ Other/Source: ❑ NGVD 1929 System (CBRS) CBRS ❑ OPA depth entered in Item 89: • FIS Profile B11. Indicate elevation B12. Is the building Designation Date: x❑ NAVD 1988 ❑ Other/Source: area or Otherwise Protected Area (OPA)? ❑ Yes x No C------ " 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 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. 1411 6TH AVENUE Policy Number: City State ZIP Code TYBEE ISLAND Georgia 31328 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. 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 Al A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, Benchmark Utilized: LOCAL Vertical Datum: NAVD 1988 x Finished Construction A30, AR/AH, AR/AO. enter meters. Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 x NAVD 1988 ❑ Other/Source: 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) 7.2 the measurement used. x feet ❑ meters Q feet ❑ meters b) Top of the next higher floor 16.4 c) Bottom of the lowest horizontal structural member (V Zones only) N/A x feet ❑ meters d) Attached garage (top of slab) N/A x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 14.7 (Describe type of equipment and location in Comments) ❑ x feet meters f) Lowest adjacent (finished) grade next to building (LAG) 6.7 p feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6.9 p feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 7.2 x 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 I certify that the information on this Certificate represents my best efforts to interpret the data available. statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. law to certify elevation information. I understand that any false ❑ Check here if attachments. Were latitude and longitude in Section A provided by a licensed land surveyor? x Yes ■ No Certifler's Name License Number VINCENT HELMLY 1882 ` ''' s _ + ` t �' , �( o ' ``yy o Title LAND SURVEYOR • i . # 0. (1.1:2 '• Se� t.. Company Name VINCENT HELMLY Address 129 A BURTON ROAD City State ZIP Code SAVANNAH Georgia 31405 Signature Date Telephone Ext. (3 may \ Q 11-30-2021 (912) 429-9395 Copy all pages of this Elevation Certificate and all attacc ents 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) = AIR CONDITION UNIT PLATFORM ENGINEERED FLOOD OPENINGS ARE SMART VENT MODEL #1540-570 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. 1411 6TH 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 El —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. b) Top of bottom floor (including basement, crawlspace, or enclosure) is • feet ❑ meters • above or ❑ below the LAG. 9 (see pages 1-2 of Instructions), 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 ❑ above or • below the HAG. ❑ above or 0 below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ■ meters ■ above or 0 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 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. 1411 6TH 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 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: ❑ GB. 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. FOR INSURANCE COMPANY USE Building Street Address (including Apt •, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1411 6TH 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. 1. ,may Photo One 1 1111 Photo One Caption FRONT: 11/30/2021 Clear Photo One , 1' atl - II?" v yam/`/ 1 r r. Photo lwo t S ) . Photo Two Caption BACK: 11130/2021 Clear Photo Two 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.Q. Route and Box No. 1411 6TH 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 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. Photo Three Photo Three Photo Three Caption Clear Photo Three Photo Four Photo Four Photo Four Caption Clear Photo Four FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6 SMART VENT Foundation Flood Vents INSULATED SERIES This series of vents is ideal for areas requiring flood venting protection but no natural air ventilation. The flood door contains a 2" insulated core that has an R -value of 8.34 and the vent frame is lined with felt weather stripping, helping to keep the enclosure as insulated from the elements as possible. IDEAL FOR: • Garages • Full height enclosures (e.g. walkouts) • Conditioned crawlspaces • Storage facilities • Metal buildings • Foyers OFlood Vent 1540-520 QStacker 1540-521 Stacker Models are twice as efficient as a single unit and are a great solution for large amounts of square footage, and in situations where there is not enough wall space to fit in single units. Q Wood Wall 1540-570 Wood Wall Models are designed to fit between studs spaced at 16" on center. Pre -drilled slots in the four corners on the vent flange make for an easy installation. For more information on Flood Protection Solutions, contact: Smart Vent 430 Andbro Drive, Unit 1 • Pitman, NJ 08071 Website: www.smartvent.com Tel: (877) 441-8368 Email.. to' nartvent.co.m Prctured rn powder coat paint gray SMART VENT Foundation Flood Vents MODEL NUMBER FLOOD COVERAGE VENT SIZE ROUGH OPENING STANDARD FINISH POWDER COAT WHITE POWDER COAT PAINT OPTIONS: ❑n®■ Custom colors also available. 1540-520 1540-521 1540-570 200 sq. ft. 16"w x 8"H x 3"D 16 1 in x 8 a in 400 sq. ft. 16"w x 16"H x 3"D 16 a in x 16 s in 200 sq. ft. 14-3- vx8 z`xx3"D 14 in x84 in EBTo view other sizing options see Multi -frames For more information on Flood Protection Solutions, contact: &mart Vent 430 Andbro Drive, Unit 1 • Pitman, NJ 08071 Website: www.smartverrt.com tel: (877) 441-8368 Email infak martvent.com c1 Building Permit Number o21 00 l Applicant's Name: v n v s ` Owner's Name: Site Address, Tax#, Parcel#: Telephone: c?/ —L(/ —3 333 Address: /Lk/ / 64k Telephone: 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 BFE or flood proofed? H. Development in Zones A, AE, Al -A30 and AH: 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? B. Base flood elevation andlor floodway data not available or AO Zones: 1. The lowest floor is at least one (1) foot above the highest adjacent grade? 2. The development meets the setback requirements of the ordinance? 3. If 2 above was "no", has a No -Rise Certification been submitted? 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 Cl 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.O. Box 2749 Tybee Island, Ga. 31328-2749 b YES or NO S or b or NO CO,3 Or 4Y 1411 NO g or NO or NO OR NO YES or NO YES or NO YES or NO YES or NO YES or NO YES or NO YES or NO YES or NO YES or NO