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HomeMy Public PortalAboutALGER AV_8.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 Al. Building Owner's Name: MICHAEL LUCAS A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: 8 ALGER AVENUE OMB Control No. 1660-0008 Expiration Date: 06/30/2026 x,020137 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 4 OF A RESUBDIVISION OF BLOCK 16 BAY WARD A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.): A5. Latitude/Longitude: Lat. N32 ° 01' 13.98" Long. W 80 °50'54.72" Horizontal Datum: ❑ NAD 1927 ® NAD 1983 ❑ 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: 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s): 911.21 sq. ft. b) Is there at least one permanent flood opening on two different sides of each enclosed area? Z Yes ❑ No ❑ N/A c) Enter number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade: Non -engineered flood openings: 0 Engineered flood openings: 5 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): 1,000.00 sq. ft. f) Sum of A8.d and A8.e rated area (if applicable - see Instructions): 1,000.00 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? ❑ Yes ❑ No ® 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 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 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) (BFE) (Zone AO, use Base Flood Depth): 10 B10. Indicate the source of the BFE data or Base Flood Depth entered in Item B9: ❑ FIS Z FIRM ❑ Community Determined ❑ Other: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date: 0 CBRS 0 OPA B13. Is the building located seaward of the Limit of Moderate Wave Action (LiMWA)? 0 Yes ® No 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.: 8 ALGER AVENUE City: TYBEE ISLAND State: GA ZIP Code: 31328 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building 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, AO, A (with BFE), VE, V1 —V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO, A99. Complete Items C2.a—h below according to the Building Diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: LOCAL Vertical Datum: NAVD 1988 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? ❑ Yes No If Yes, describe the source of the conversion factor in the Section D Comments area. Check the measurement used: a) Top of bottom floor (including basement, crawlspace, or enclosure floor): 6.30 // feet ❑ meters b) Top of the next higher floor (see Instructions): 15.59 .1 feet ❑ 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 E feet ❑ meters f) Lowest Adjacent Grade (LAG) next to building: r] Natural ►1 Finished 5.60 ® feet ❑ meters g) Highest Adjacent Grade (HAG) next to building: ❑ Natural ►1 Finished 6.10 ® feet ❑ meters h) Finished LAG at lowest elevation of attached deck or stairs, including structural support: 6.30 ® 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 state 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? ® Yes ❑ No 0 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 Address: 129 A BURTON City: SAVANNAH State: GA ZIP Code: 31405 4 4 4_, •.. �,,,; Signature: v '' \\ Date: 12/14/2023 f ...3+^0 Place Seal Here Telephone: (912) 429-9395 Ext.: Emait 4 elmlyv@aol.com 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) = AIR CONDITION UNIT PLATFORM 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.: FOR INSURANCE COMPANY USE 8 ALGER AVENUE Policy Number: City: TYBEE ISLAND State: GA ZIP Code: 31328 NAIL Number: Company 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 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. Building measurements are based on: ❑ 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 boxes to show whether the measurement is above or below the natural HAG and the LAG. a) Top of bottom floor (including basement, crawlspace, or enclosure) is: ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is: ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (C2.b in applicable Building Diagram) of the building is: ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is: ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is: ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown The local official must certify this information in Section G. 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, B, 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: 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.: 8 ALGER 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, 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. ❑ 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. ❑ A local official completed Section H for insurance purposes. G3. ❑ 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 —G11) 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 (including 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: ❑ 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, I have also provided specific corrections in the Comments area of this section. Local Official's Name: Title: NFIP Community Name: Telephone: Ext.: Email: Address: City: State: ZIP Code: Signature: Date: 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.: 8 ALGER 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 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 I 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, 1B, 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 ❑ 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.: 8 ALGER 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 One Caption: FRONT 12/14/2023 Clear Photo One Photo Two Photo Two Caption: BACK 12/14/2023 Clear Photo Two FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page7of19 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.: 8 ALGER AVENUE 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 ESiCC EVALUATION SERVICE ORESEARCHLASS �- }� � 1CC-ES Evaluation Report Reissued 02/2019 699-0543 f www.icc-es.org This report is subject to renewal 02/2021. ICC-ES 1 (800) 423-6587 1 (562 ) Most Widely Accepted and Trusted DIVISION: 0'8 00 00 --OPENINGS SECTION: 08 95 43--VENTS/FOUNDATION FLOOD VENTS REPORT HOLDER: SMART VENT PRODUCTS, INC. EVALUATION SUBJECT: SMART VENT° AUTOMATIC FOUNDATION FLOOD VENTS: MO DELS #154©-520; #1540-521;; #1540-510; #1540-511 #1540-573; #14Cr574; #1540-524; #1540-514 FLOOD VENT SEALING KIT #1540-526 icc ta cc ICC - LISTED "2014 Recipient of Prestigious Western States Seismic Policy Council (WSSPC) Award in Excellence" ICC-ES Evaluation Reports are not to be construed as representing o the sub'ectthetics or of the reporny other t or a recttributes not ommendation for specifically addressed, nor are they to be construed as an endorsement of implied, as to any finding or other matter in this There is no warranty by ICC Evaluation Service, LLC, express P report, or as to any product covered by the report. Copyright c 2019 ICC Evaluation Service, LLC. All rights reserved. A Subsidiary of Most Widely Accepted ,and Trusted ICC-ES Evaluation Report ESR-2074 Reissued February 2019 This report is subject to renewal February 2021. www.icc-es.arq 1 (800) 423-6687 1 (662) 6199-8643 DIVISION: 08 00 00 —OPENINGS Section: 08 93 43---Vents/Foundation Flood Vents REPORT HOLDER: SMART VENT PRODUCTS, INC. EVALUATION SUBJECT: SMART VENT° AUTOMATIC FOUNDATION FLOOD VENT „• LS #1540-520; #1540-521; #1540-510; #1540- 511 +-570 #1540-574; #1540-524; #1540-514 FLOOD t SEALING KiT#1540-525 CO EVALUATION SCOPE Compliance with the following codes: • 2018, 2015, 2012, 2009 and 2006 International Building Codee (IBC) • 2018, 2015, 2012, 2009 and 2006 International Residential Code° (IRC) • 2018 International Energy Conservation Codee (IECC) ■ 2013 Abu Dhabi International Building Code (ADIBC)t tThe ADIBC is based on the 2009 IBC. 2009 IBC code sections referenced in this report are the same sections in the ADIBC. Properties evaluated: ■ Physical operation a Water flow 2.0 USES The Smart Vent° units are engineered mechanically operated flood vents (FVs) employed to equalize hydrostatic pressure on walls of enclosures subject to rising or falling flood waters. Certain models also allow natural ventilation. 3.0 DESCRIPTION 3.1 General: When subjected to rising water, the Smart Vent' FVs internal floats are activated, then pivot open to allow flow in either direction to equalize water level and hydrostatic pressure from one side of the foundation to the other. The FV pivoting door is normally held in the closed position by a buoyant release device. VVhen subjected to rising water, the buoyant release device causes the unit to unlatch, allowing the door to rotate out of the way and allow flow. The water level stabilizes, equalizing the lateral forces. A Subsidiary of the international Code Council° Each unit is fabricated from stainless steel. Smart Vent° Automatic Foundation Flood Vents are available in various models and sizes as described in Table 1. The SmartVENTe Stacking Model *1540-511 and FloodVENT° Stacking Model #1540-521 units each contain two vertically arranged openings per unit. 3.2 Engineered Opening: The FVs comply with the design principle noted in Section 2.7.2.2 and Section 2.7.3 of ASCE/SEI 24-14 [Section 2.6.2.2 of ASCE/SEI 24-05 (2012, 2009, 2006 IBC and RCM for a maximum rate of rise and fall of 5.0 feet per hour (0.423 mmis). in order to comply with the engineered opening requirement of ASCE/SEI 24, Smart Vent FVs must be installed in accordance with Section 4.0. 3.3 Ventilation: The SmartVENT° Model #1540-510 and SmartVENT° Overhead Door Model #1540-514 both have screen covers with lid -inch -by -1/a -inch (6.35 by 6.35 mm) openings, yielding 51 square inches (32 903 mm2) of net free area to supply natural ventilation. The SmartVENTe Stacking Model #1540-511 consists of two Model *1540-510 units in one assembly, and provides 102 square inches (65 806 mm2) of net free area to supply natural ventilation. Other FVs recognized in this report do not offer natural ventilation. 3.4 Flood Vent Sealing Kit: The Flood Vent Sealing Kit Model #1540-526 is used with SmartVENTe Model #1540-520. It Is a Homasote 440 Sound Barrier° (ESP -1374) insert with 21 — 2 -inch -by -2 - inch (51 mm x 51 mm) squares cut in it. See Figure 4. 4.0 DESIGN AND INSTALLATION 4.1 SmartVENTe and FloodVENT°: SmartVENTe and FloodVENTe are designed to be installed into walls or overhead doors of existing or new construction from the exterior side. Installation of the vents must be in accordance with the manufacturers instructions, the applicable code and this report. Installation clips allow mounting in masonry and concrete walls of any thickness. in order to comply with the engineered opening design principle noted in Section 2.7.2.2 and "7 3 of ASCE/SEI 24-14 (Section 2.6.22 of ASCE/SEI 24-05 (2012. 2000, 2006 IBC and IRC)). the Smart Vent° FVs must be installed as follows: s With a minimum of two openings on different sides of each enclosed area. ■ Wlth a minimum of one FV for every 200 square ICC-ES Evaluation Reports are not to be constnted as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its Lae. There is no warranty by ICC Evaluation Service. LLC, express or implied, as to any finding or other matter in this report, or as to any product covered by the report. Copyright C 2019 iCC Evaluation Service, LLC. M rights reserved. Page 1 of 5 ESR-2074 1 Most widely Accepted and Trusted �� Page 2 of 5 feet (18.6 m2) of enclosed area, SmartVENT4' Stacking Model #1540-511 and FloodVEN'l Stacking Model *1540-521 must be installed 400 square feetfh a minimum for every (37.2m2) of enclosed area. B Below the base flood elevation. B With the bottom of the FV located a maximum of 12 inches (305.4 mm) above the higher of the final grade or floor and finished exterior grade immediately under each opening. 4.2 Flood Vent Sealing Kit The Flood Vent Sealing Kit Model 1540-526 is used in conjunction with FlaodVENT® Model #1540-520. When installed and tested in accordance with ASTM E283, the FV and Flood Vent Sealing Kit assembly have an air leakage rate of less than 0.2 cubic feet per minute per lineal foot (18.56 1/min per lineal meter) at a pressure differential of 1 pound per square foot (50 Pa) based on 12.58 lineal feet (3.8 lineal meters) contained by the Flood Vent Sealing Kit. 5.0 CONDITIONS OF USE The Smart Vent® FVs described in this report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: 5.1 The Smart Vent° FVs must be installed in accordance with this report, the applicable code and the manufacturer's installation instructions. In the event of a conflict, the instructions in this report g h For SI: 1 inch = 25.4 mm; 1 square foot = m �xceot that the 6.2 The Smart Vent° FVs must not be used in the place of "breakaway walls" in coastal high hazard areas, but are permitted for use in conjunction with breakaway walls in other areas. 6.0 EVIDENCE SUBMITTED 6.1 Data in accordance with the ICC-ES Acceptance Criteria for Mechanically Operated Flood Vents (AC364), dated August 2015 (editorially revised October 2017). 6.2 Test report on air infiltration in accordance with ASTM E283. 7.0 IDENTIFICATION 7.1 The Smart VENT models and the Flood Vent Sealing Kit recognized in this report must be identified by a label bearing the manufacturer's name (Smartvent Products, Inc.), the model number, and the evaluation report number (ESR-2074). 7.2 The report holder's contact information is the following: SMART VENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 (877) 441-8368 www•srnartvent.cvm info many€ .corn TABLE 1 —MODEL SIZES FIGURE 1 —SMART VENT: MODEL 1540-510 Building Permit Number FEMA check list i 3 7 Applicant's Name m Site Address, Tax#, Parcel#: Telephone: q/ 3c21 _ 7c LI Owner's Name: f‘ 'Jae- Address: J A\c--)er- Telephone: q/ ._ 7c7.-0,2_ - 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: Date reviewed: Local Administrator's Signature: City of Tybee Island 403 Butler Avenue-P.O. Box 2749 Tybee Island, Ga. 31328-2749 Yes or ,No Yes ok.,io t, Yep, or No or No 014 or No Si. or No ° or No Yes or No Yes or No Date: No \ �- k -tor cccr5 0v\ C Y-ovw\ c i€ € ( Firefox about:blank 111 Doc ID: 034455250001 Type AGRE Recorded: 05/26/2023 at 12:15:09 PM Fee Amt: $25.00 Page 1 of 1 Chatham, Ga. Clerk Superior Court Tammie Mosley Clerk Superior Court BK3101 PG445 111111 111111111111 in 11111 11 11111 ri Cross reference to Book Page CITY OF TYBEE ISLAND COMMUNITY DEVELOPMENT NON -CONVERSION AGREEMENT FOR CERTAIN STRUCTURES IN THE FLOODPLAIN Application has been made for a permit from the City of Tybee Island, Georgia. Permit #: 3 a p l 31- Property Owner: Jt i e I1cc r c A 5 Address: gA L --Li EQ AVM_ PIN: t.!poaC OP/ Legal: io T o l a , 5,, 4 .� Cyr Q).Cc K l lu 681L CV E t rS 1, Base Flood Elevation at the site is feet (NGVD) In accordance with the Flood Damage Prevention Ordinance of the City of Tybee Island, Georgia, the Property Owner agrees to the following: 1. That the enclosed area below the Base Flood Elevation shall be used solely for parking of vehicles, limited storage, or access to the building, and will never be used for human habitation without first becoming fully compliant with the Flood Damage Prevention Ordinance in effect at the time of conversion. 2. That all interior walls, ceilings, and floors below the Base Flood Elevation shall be unfinished or constructed of flood -resistant materials. 3. That mechanical, electrical, or plumbing devices shall not be installed below the Base Flood Elevation. 4. That the walls of the enclosed area below the Base Flood Elevation shall be equipped with at least two vents which permit the automatic entry and exit of floodwater with total openings of at least one square inch for every square foot of enclosed area below flood level. The vents shall be on at least two different walls, and the bottoms of the vents shall be no more than one foot above grade. If located in a V -zone, breakaway walls are required. 5. That the requested structure may be subject to increased premium rates for flood insurance available from the National Flood Insurance Program due to its location in a Special Flood Hazard Area. 6. That any variatioyjtt constyuction beyond what is permitted shall constitute a violation and be iatabJe as such. Signature of Property Owner STATE OF GEORGIA ) COUNTY OF CHATHAM ) 'bed to and sworn before me this day of /6.54 57 Notary $gblic My commission expires: c/2--(((-2-("1 Signature of Property Owner 20zn Winless Signature Note: A Nonconversion Agreement must be used whenever an enclosed structure or portion of a structure is built or substantially improved within the 100 year Floodplain below the Base Flood Elevation. A Nonconversion Agreement must satisfy all of the above conditions and requires proper recordation in the land records of Chatham Coup v4 1 &AEA %lo (4OT44 e. -.11,41434 s ' BL��o i 1 i AY ' �•.. ®b. 24, :� �ey� Nivik* COUVP..M ,i!'r 1 of 1 4/17/2023, 1:40 PM