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Home My Public Portal AboutBILLFISH LN_5.pdfU.S. DEPARTMENT OF HOMELAND SECURITY OMBControi No 1550-0008 Expiration Date 06:30I202e~ 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 Owners Name: Joannes and Debbie Koenekoop A2. Building Street Address (including Apt., Unit. Suite. and/or Bldg. No.) or P.O. Route and Box No: 5 Bill Fish Lane City: Tybee Island Policy Number: Company NAIC Number: State: GA ZIP Code: 31328 A3. Property Description (e.g., Lot and Block Numbers or Legal Description) and/or Tax Parcel Number: Lot E. Jones Cottages Sub PIN 40006 11019 A4. Building Use (e.g.. Residential. Non -Residential. Addition, Accessory, etc.): New Residential AS. Latitude/Longitude Lat. N 32.000726 Long. W-80.648886 Horizontal Datum: E NAD 192? 1 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: 6 A8. For a building with a crawlspace or enclosure(s) a) Square footage of crawlspace or enclosure(s): 122.00 sq. ft. b) Is there at least one permanent flood opening on two different sides of each enclosed area? E Yes ❑ No 1: 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 2 Engineered flood openings: 0 d) Total net open area of non -engineered flood openings in A8.c: 488.00 sq. in. e) Total rated area of engineered flood openings in A8.c (attach documentation -- see Instructions): 0 00 sq. ft. f) Sum of A8.d and A8.e rated area (if applicable - see Instructions): 488.00 sq. ft. A9 For a building with an attached garage: a) Square footage of attached garage: 0.0'0 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 0.00 sq. in. d) Total net open area of non -engineered flood openings in A9.c• 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: City Of Tybee Island B1.b. NFIP Community Identification Number. 135164 82. County Name:Chatham B3. State. GA B4. Map/Panel No.. 13051CO213 85. Suffix. G 86. FIRM Index Date: 08/16/2018 87. 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), 9.0 B10. Indicate the source of the BFE data or Base Flood Depth entered in Item B9: 0 FIS ® FIRM ❑ Community Determined [] Other: 1311. Indicate elevation datum used for BFE in Item 69: E NGVD 1929 ►:j NAVD 1988 ❑ Other/Source: 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ?( N Designation Date: j CBRS OPA 1313. Is the building located seaward of the Limit of Moderate Wave Action (LiMWA)? ❑ "yes E3 No FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page 2 of 19 ELEVATIONCERTIFICATE 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.' 5 B+II Fish Lane 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: BM EL. 6.10 according by Construction Drawings' 0 Building Under Construction* Z Finished Construction when construction of the building is complete. AO, A (with BFE), VE, V1 —V30, V (with BFE), AR, AR/A, AR/AE. AR/A1—A30, AR/AH, AR/AO, to the Building Diagram specified in Item A7. In Puerto Rico only, enter meters. Brewer Land Survey Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. Q NGVD 1929 ® NAVD 1988 fl 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, crawispace, or enclosure floor). 5.90 ■' Check I`/, Yes the feet Z measurement • No used - meters b) Top of the next higher floor (see Instructions): 14.80 ig feet Ei meters c) Bottom of the lowest horizontal structural member (see Instructions): 13.40 ® feet • meters d) Attached garage (top of slab): ■ feet O 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): 10.60 EZ feet j meters f) Lowest Adjacent Grade (LAG) next to budding. Natural '}C Finished 5.50 4 feet El meters g) Highest Adjacent Grade (HAG) next to building 1 J Natural J Finished 5.90 N feet Q meters h) Finished LAG at lowest elevation of attached deck or stairs. including structural support: 5.90 ►�4 feet J] meters SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized information. I certify that the information on this Certificate represents my best efforts to interpret false statement may he punishable by fine or impnsonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes • Check here if attachments and describe in the Comments area. ►'I by state law to certify elevation the data available. I understand that any No Certifier's Name: William C. Griffin License Number: 8713 GA Title: P.E. Company Name: Skidaway Island Engineering. Inc. Address: P.O. Box 15195 / City' Savannah State: GA ZIP Code: 31416 /7 C., / Signature: Date: 01/10/2024 J/71D/202 Telephone: (912) 507-2787 Ext. Email. skidawayeng3@bellsouth.net Place Seal Here Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenticompany and 13) building owner. Comments (including source of conversion factor in C2: type of equipment and location per C2.e: and description of any attachments): 02(e). HVAC equipment outside on elevated platform. Attachment is photo of flood vent. FEMA Form FF-206-FY-22-152 (formerly 085-0-33) (10/22) Page 3 of 19 ELEVATION CERTIFICATE •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.: 5 Biil Fish Lane FOR INSURANCE COMPANY USE _, Policy Number: City Tybee Island State: GA ZIP Code. 31328 Company NAIL Number. SECTION E — BUILDING MEASUREMENT INFORMATION (SURVEY FOR ZONE AO, ZONE AR/AO, AND ZONE A (WITHOUT NOT REQUIRED) 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. Building measurements are based on: T 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. 0 feet ([ meters grade. if available. If the Cerlificate is used. In Puerto Rico only. ❑ Finished Construction boxes to show whether the above or • below the HAG. h) Top of bottom floor (including basement, crawlspace. or enclosure) is: 1] feet D meters ❑ above or ❑ below the LAG. 9 (see pages 1-2 of Instructions). the ❑ above or ❑ below the HAG. 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 • above or E below the HAG E4. Top of platform of machinery and/or equipment servicing the building is. • feet ❑ meters III 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 MI 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 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-O-33) (10122i 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.: 5 Bill Fish Lane FOR INSURANCE COMPANY USE Policy Number Company NAIC Number. City: Tybee Island State GA ZIP Code: 31328 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 Section A, B, 0, E, G. or H of this Elevation Certificate. Complete the applicable items) and sign below G1. ❑ The information in Section C was taken from other documentation that has been signed engineer, or architect who is authorized by state law to certify elevation information. (Indicate 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 E5 is completed for a building located in Zone AO. G2.b. 0 A local official completed Section H for insurance purposes. ordinance can complete when: and seated by a licensed surveyor. the source and date of the AO, or Zone AR/AO, or when item information in Sections A, B. E and H. purposes. G3. In the Comments area of Section 0, the local official describes specific corrections to the 04. • The following information (Items G5 —G11) is provided for community floodplain management G5. Permit Number: G6. Date Permit Issued G7. Date Certificate of Compliance/Occupancy Issued. ❑ meters Datum G8. This permit has been issued for: N New Construction 0 Substantial Improvement 09.a. Elevation of as -built lowest floor (including basement) of the building. [] feet 09.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: area. in Section G and certify that it is area of this section. 011. Variance issued? • Yes ❑ No If yes, attach documentation and describe in the Comments The local official who provides information in Section G must sign here. I have completed the information correct to the best of my knowledge. If applicable. I have also provided specific corrections in the Comments 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, andfor Bldg. No.) or P.O. Route and Box No.: 5 Bill Fish Lane 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, owners 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 lnstructions) to 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 Q complete Section H for all flood zones completed. Enter heights to the Diagrams (at the end of Section H complete this section. Lowest Adjacent Grade (LAG): meters • above the LAG 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 meters 7 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: H2. Is all Machinery and Equipment servicing the building las listed in Item H2 instructions) elevated H2 arrow (shown in the Foundation Type Diagrams at end of Section H instructions) for the appropriate 0 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 rn Sections A, 8, 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. E 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) (10/221 Page 6 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 BUILDING PHOTOGRAPHS See Instructions for Item A6. Buildhg Street Address ('including Apt., Unit, Suite, and/or Bldg. No) or P.O. Route and Box No.: 5 Bill Fish Lane 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 bade pictures of townhousesfowhouses). Identify all photographs with the date taken and "Front View," 'Rear Yew," "Right Side View," or "Left Side View." Photographs must show the foundation. When Rood openings are present, include at least one dose -up photograph of representative flood openings or vents, as indicated in Sections AB and A9. Clear Photo One Gear Photo Two FEMA Form FF-206-FY-22-15.2 (fotmady 086.0-33) (10/22) Page 7 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW T INSTRUCTIONS PHOTOGRAPHS N PAGES 9.19 BUILDING Continuation Page FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No.: 5 Bill Fish Lane City: T bee Island State. GA ZIP Code: 3132__ — 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 openi ngs s are present, include al least one dose-uP photograph of representative flood openings or vents, as indicated in Sections A8and A9, EIlluh;a iithI Policy Number. Company NAIC Number: FEMA Form FF-206-FY-22-152 (formerly 080-0-33) (10f22) Clear Photo Three Page 6 of 19 Photo Four 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.: 5 Bill Fish Lane 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 Yew," "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. 1 I EnJGLOSuIZc FLoaP tJEt4T (2) Photo Four Caption: Clear Photo Four FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page tlof 19