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HomeMy Public PortalAboutSOLOMON AV_73.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 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: DEBBIE H. & MICHAEL L. GALLOVITCH Policy Number: A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: 73 SOLOMAN AVENUE Company NAIC Number. ZIP Code: 31328 City: TYBEE ISLAND State: GA A3. Property Description (e.g., Lot and Block Numbers or Legal Description) and/or Tax Parcel Number: LOTS 1 & 2 BLOCK 15, BAY WARD, TYBEE ISLAND 4-0020-03-001 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.): RESIDENTIAL A5. Latitude/Longitude: Lat. 32° 01' 16.42" Long. 080° 50' 59.72" Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983 0 WGS 84 (see Form pages 7 and 8). Q Yes Q No ® N/A above adjacent grade: sq. ft. A6. Attach at least two and when possible four dear photographs (one for each side) of the building A7. Building Diagram Number: 5 A8. For a building with a crawlspace or endosure(s): a) Square footage of crawlspace or endosure(s): 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 endosure(s) within 1.0 foot Non -engineered flood openings: Engineered flood openings: d) Total net open area of non -engineered flood openings in A8.c: 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): sq• ft. 0 Yes 0 No ® N/A grade: sq. ft. A9. For a building with an attached garage: a) Square footage of attached garage: 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: Engineered Rood openings: d) Total net open area of non -engineered flood openings in A9.c: sq. in. e) Total rated area of engineered flood openings in A9.c (attach documentation - see Instructions): 1) Surf, of AR d and A9.e rated area if applicabie - see 1.!ksbuc"$k'ns?: sq.. ft. SECTION 8- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bi.a. NFIP Community Name: CITY OF TYBEE ISLAND 81.b. NFIP Community Identification Number: 135164 82. County Name:CHATHAM B3. State: GA 84. Map/Panef No.: 13051C 0213 85. Suffix: G Be. FIRM Index Date: 08 /16/2018 87. FIRM Panel Effective/Revised Date: 08/16/2018 88. Flood Zone(s): AE B9. Base Flood Elevation(s) (BFE) (Zone AO, use Base Flood Depth): 9.0 8 W. Indicate the source of the BFE data or Base Flood Depth entered In /tern 89: 1 FIS FIRM Q Community Determined 0 Other: B11, Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 0 NAVD 1988 ❑ Other/Source: 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Designation Date: Q CBRS 0 OPA Area (OPA)? ❑ Yes ►Z1 No No B13. Is the building located seaward of the Limit of Moderate Wave Action (LiMWA)? ■ Yes ►1 OMB Control No. 1650-0008 Expiration Date: 06/30/2026 .200s13 c - 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.: 73 SOLOMAN AVENUE FOR INSURANCE COMPANY USE Policy Number: City: TYBEE ISLAND State: GA ZIP Code: 31328 Company NAIC Number: SECTION C— BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* 0 Building Under Construction* *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations —Zones Al 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: GPS ESTABLISHED Vertical Datum: 1988 ►.1 Finished Construction ARI"A1—A30, ARIAH, ARIAO, Rico only, enter meters. Indicate elevation datum ❑ NGVD 1929 ►=il used for the elevations NAVD 1988 in items a) through h) below. 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): 15.90 ❑ Check ► i Yes 0 No the measurement used: feet ❑ meters b) Top of the next higher floor (see Instructions): ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (see Instructions): ❑ feet ❑ meters d) Attached garage (top of slab): 6.70 ►it 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): 12.70 ►1 feet ❑ meters f) Lowest Adjacent Grade (LAG) next to building: ❑ Natural ® Finished 5.30 feet 0 meters g) Highest Adjacent Grade (HAG) next to building: Natural )+ Finished 6.20 ® feet 0 meters h) Finished LAG at lowest elevation of attached deck or stairs, including structural support: 5.30 ►.1 feet ❑ 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 1 authorized by state law to certify elevation to interpret the data available. I understand that any 1001. Yes ❑ No GA. RLS NO. 2235 di Certifi'er's Name: MICHAEL J. GARDN€R Li�use Number: Title: LAND SURVEYOR .. I0 e f Company Name: MICHAEL J. GARDNER LAND SURVEYOR " Address: 120 VARNEDOE AV U j 1 City: GARDEN CITY State. GA ZIP Code: 31 Signature: Date: 07/26/2023 `�, . , -* Telephone: (912) 661 0479 Ext.: Email: .ghunts c@iigmail.com Copy all pages of this Elev n Certificate and all attachments for (1) community official, (2) insurance agenticompany, 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): C2(a): Finish Floor Elevation of Residential Area is Elevation 15.9'. C2(e): Elevation of Air Conditioner Pedestal is 12.7', at Left Side of Residence. C2(d): Elevation of Concrete (Parking Area) Slab under Residence is Elevation 6.7'. NOTE: Sokkia GRX3 Kinetic Unit Used in Conjunction With Local Network for Determination of Elevations Based on 1988 Datum. FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10122) 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.: 73 SOLOMAN AVENUE 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 ARJAO, AND ZONE A (WITHOUT BFE) For Zones AO, AR/AO, and A (without BFE), complete Items E1 —E5. For Items E1 —E4, use natural grade, if available. If the Certificate is intended to support a Letter of Map Change request, complete Sections A, B, and C. Check the measurement used. In Puerto Rico only, enter meters. Budding measurements are based on: 1 Construction Drawings* {] Building Under Construction* Finished 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 boxes to show whether the ■ above or ❑ below the HAG. 0 above or ❑ below the LAG. 9 (see pages 1-2 of Instructions), the ❑ above or 0 below the HAG. 0 above or ❑ below the HAG. 0 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: 0 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 0 No ❑ Unknown The local official must SECTION F — PROPERTY OWNER (OR OWNER'S AUTHORIZED REPRESENTATIVE) CERTIFICATION The property owner orowner's authorized representative wfio completes Sections A, 8, and E ibrZorre A (without 8FEJ or Zone AO must sign here. The statements in Sections A, 8, and E are correct to the best of my knowledge ❑ Check here if attachments and describe in the Comments area. Property Owner or Owner's Authorized Representative Name: Address: City: State: ZIP Code: Sjoatwe. Vie: 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 (induding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: 73 SOLOMAN AVENUE 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, C, C, E, G, or H of this Elevation Certificate. Complete the applicable item(s) and sign below when: G1. D 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,13, E and H. G4. ❑ 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. M 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. 0 feet ❑ meters Datum: G10.a. BFE (or depth in Zone AO) of flooding at the building site: 0 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 0 meters Datum: G11. Variance issued? j] Yes No "Eyes. attach documentation and describe in the Comments area. The local official who provides information in Section G must sign here. I have completed the information in Section G and certify that it is correct to the best of my knowledge. If applicable, fI have also provided speciffc corrections in the Comments area of this section. Local Official's Name: SGtu,+J ,f1 Title: NFIP Community Name: Telephone: Ext.: EmaT: Address: City: Signature: �` ' t �— Date: Comments (including type of equipment and location, per C2.e; description of any attachments; and corrections to specific information in Sections A, B, 0, E, or H): State: ZIP Code: FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10122) 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.: 73 SOLOMAN AVENUE 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 fioodptain management official may complete Section H for ail flood zones to determine the building's first floor height for insurance purposes. Sections A, B, and I must also be completed. Enter heights to the nearest tenth of a foot (nearest tenth of a meter in Puerto Rico). Reference the Foundation Type Diagrams (at the end of Section H Instructions) and the appropriate Building Diagrams at the end of Section I Instructions) to complete this section. H1. Provide the height of the top of the floor (as indicated in Foundation Type Diagrams) above the Lowest Adjacent Grade (LAG): a) For Building Diagrams 1A, 18, 3, and 5-9. Top of bottom 10.60 ►A feet 0 meters ► above the LAG floor (include above -grade floors only for buildings with subgrade crawlspaces or endosure floors) is: b) For Building Diagrams 2A, 2B, 4, and 6-9. Top of next 0 feet 0 meters ■ above the LAG to or above the floor indicated by the Building Diagram? higher floor (i.e., the floor above basement, crawlspace, or enclosure floor) is: HZ 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 ► 2 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 connect 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. 0 Check here if attachments are provided (induding required photos) and describe each attachment in the Comments area. Property Owner or Owner's Authorized Representative Name: MICHAEL JIM GARDNER LAND SURVEYOR Address: 120 VARNEDOE AVENUE City:: GARDEN CITY Scams GA ZIP Code. 31408 Signature: Date: 07/26/2023 Telephone: (912) 661-0479 Ext.: Email; rrtjghunts©gmail.com 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.: 73 SOLOMAN AVENUE 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 Two Caption: REAR VIEW 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.: 73 SOLOMAN AVENUE City: TYBEE ISLAND State: GA ZIP Code: 31328 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: Insert the third and fourth photographs below. Identify all photographs with the date taken and "Front View," "Rear View," "Right Side View," or "Left Side View." 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 Three Photo Three Caption: LEFT VIEW Photo Four Caption: RIGHT VIEW Clear Photo Three Clear Photo Four FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page 8 of 19 FEMA check list Building Permit Number C20 055), Applicant's Name:C...a.\,\ R C..k Owner's Name: Site Address, Tax#, Parcel#: Address: Telephone: S is t 7 — % 5 Telephone: 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 peuuit 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? es;or No fYe?or No V'es or No Yes or No Yes or No Yes or No Yes or No Yes or No Yes or No Reviewer's Name: Date reviewed: Local Administrator's Signature: -- Date: c -' City of Tybee Island 403 Butler Avenue-P.O. Box 2749 Tybee Island, Ga. 31328-2749