Loading...
HomeMy Public PortalAboutAtlantic Av_26 Sep 19 2011 9:46AM HP LASERJET FAX 912- 897 - 3468 p•2 1 r Q.': / i 5 �' ‘ U.S, DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No.1680-0008 Federal Emergency Management Agency Expires February 28, 2008 National Flood Insurance Program important: Read the instructions on pages 1 -8. . ' SECTION A - PROPERTY INFORMATION I For insurance Company Use: A1. Building Owner's Name I Policy Number PELICAN'S LANDING CONDOMINIUMS A2. Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O, Route and Box No. I Company NAIC Number 28 ATLANTIC AVENUE UNITS ff 101 THROUGH *105 (FORMERLY ATLANTIC SHORE CONDOMINIUMS) . City TYBEE ISLAND State GA ZtP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Descrip@on, etc.) LOTS 1 -7 IN A SUBDIVISION OF BEACH LOT 94, TYBEE ISLAND, TAX PARCELS 4- 0008 -03 -185 THROUGH 4-0008. 03-489 A4. Building Use (e.g., Residential, Non. eskiential, Addition, Accessory, ate.) RESIDENTigt, . A. LatAude/Longfude; Lai N 31-.59 -34.9 Long. W 08050 -56.2 Horizontal Datum: ❑ NAD 1927 + NAD 1983 Re. Attach at least 2 photographs a/ the uilding if the Certiftoete is being used to obtain flood Insurance. A7. Building Dlagra n Number 6 A8. For a building with a craw space or enclosure(s), provide; A9. For a building with an attached garage, provide: . • a) Square footage of crawl space or enclosure(s) JJUA sq ft a) Square footage of attached garage NIA _ sq ft b) No. of permanent Rood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(e) wails within 1.0 foot above adjeoent grade NtA walls within 1.0 foot above adjacent grade NIA 0) Total net area of stood openings In As.b NIA sq to c) Total net area of flood openings In A9.b NIA' sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION . 131. NFiP Community Narne & Community Number 1111. my Name 93. State TYBEE ISLAND, 135164 0001-0092 CHATHAM (GEORGIA I 94, Map/Panel Number III 95. Suffix 96. FIRM Index B7. FIRM Farrel 99, Flood 69. base Flood Elevation(s) (Zone I I Date Effective/Revised Date . Zone(s) 1 AO, use bese flood depth) I I 135164 0002 k r C 09(17/1086 0611 7tt9 A8 I 14,0 B10. Indicate the source of the Base Flood Elevallon (BFE) date or base flood depth entered in item 99. O FIS Profile r= FIRM OCommunity Determined DOther (Describe) B11. Indicate elevation datum used for BFE In Item 99: ei NOVD 1929 QNAVD 1988 ' (]Other (Describe) B12, is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Arne (OPA)7 ❑Yes S No Designation Date ma KS OOPA • SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based ort OConstruction Drawings` °Building Under Construction' >Zi Finished Construction `A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations - Zones At •A30, AE, AH, A (with BFE), VE, Vt - V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/Ali, AR/AO, Complete ttems C2.a -g !-slay according to the building diagram specified In ItemA7, . Benchmark Utilized .0_0 .,_f-58 . - Vertical Datum 1929•• Conversion/Garments Check the m used. • a) Top of bottom floor (including basement, crawl space, or enclosure floor) 15.2 i5 feet meters (Puerto Rico only) b) Top of Ilia next higherffoor 23.8 feet ❑ ;.-t meters (Puerto Rico only) c) Bottom of the lowest horizontal strudural member (V Zones only) PYA []feet ❑ meters (Puerto Rico only) d) Attached garage (top of stab) 15.2 feet 0 meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the betiding N/A Ofeet ❑ meters (Puerto Rico only) (Describe type of equipment In Comments) f) Lowest adjacent (finished) grade (LAG) 15.0 CI feet f] meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 192 e feet [, meters (Puerto Rico only) SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION Ttsfe certification le to be signed and sealed by a land surveyor, engineer, or waked authorized by law to certify elevaeon information. i certify that the Irdetmetion on this Certificate represents my best efforts to mterplvt the Me avanahla. 1 understand that a:ly false statement maybe punishable by tine orlrrprisonmerrt wider 78 U.S. Coda, Section 100f. t1 ) t� r . .+: • O Check here if comments are provided on bards of form. r ` , i� I Certifter's Nome License Number i - y , •. • MICHAEL J. GARDNER (A. R.L.S. # 2285 ■ . Title Company Name WARD t�yYARDS � LAND SURVEYOR 11 Address / PO - State ZIP Code \ \4. 1 --∎-• ""` . ., 1 C . SUITE OLER 1 - GEORGIA 31322 ;} . - Signature c.1 , / Date Telephone 11- � l� 01/14/2008 912-339-0028 , / .t .4 FEMA Form 81-31, Sabruifli 2008 See reverse side for continuation. Reniacaa all rxevinue pdilirmo Sep 19 2011 9:46AM HP LASERJET FAX 912 897 3468 p•3 IMPORTANT: In these spaces, copy the corresponding information from Section A. ( For Mamma= Company Use: Building Street Address (including Apt., Unit, Suite, andfor Bldg. No.) or P.O. Route and Box No. 1 Policy Number ' 26 ATLANTIC AVENUE • TYREE ISLAND GEORGEA ZIP Code Company hI410 Number • SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (OONTINUED) • . Copy both aides of this Elevation Certificate for (1) community ot11dei, (2) insuramoe agent/company, and 3) building owner, • Comments C 2 (e) AIR CONDITIONER UNITS ARE ON ROOF OF BUILDING NOTE: ELEVATION CERTIFICATE REVfiEO TO SHWV NEW NAME AND ADDRESS OF CO 4OOMIN[UMS. PROJECT NQ. D70012 F8- 535,PG 9 , ✓ - �/i . . • Signature • ✓✓ "// - e' " _ Date 01114!2009 . 0 Check here If attachments SECTION E- BB,U'i LDII ' ELEVATIONiNFORMATION'( BURVEYNOTREQUIRED )FOR,ZONEAOAND For Zones AO and A (without BFE), complete Items el-E5. If ttle Certificate Is intended to support a LOMA or L OMR-F request, complete Sections A, S. anti C. For Items El -E4, use natural grade, If avaltabfe. Check the measurement used. In Puerto Rion only, enter meters. El. Provide elevation information for the following and check the epprapprlate boxes to showwhe4her the elevation is above or treiow' the highest adjacent ' grads (HAG) and the lowest adjacent grade (LAG). - a) Top of bottom Hoar encludlnp basement, crawl apace, or enclosure) is f1 feat ❑ meters i❑ above or ❑ below the HAG. h) Top of bottom floor (Including basement, crawl space, or enclosure) is fl feet Omelets 0 above or Q below the UkG. E2. For Banding Diagrams 8-8 with permanent floop.openings in Section A Items 6 andlor 9 (see pa ee 8 of instructions), the next. Maher floor (elevation C2.b, In the (tagraims) of Me building . Q feat 0 meters []above or 0 below the HAG. E3. Attached garage (top of slab) Is (] feet ❑ meters Cl above or ❑ below the HAG. • • . " E4, Top of platform of machinery and/or equipment servicing the bul ding Is • ❑ feet in metiers ❑ above or 0 below the HAG. ES. Zone AO only: If no flood depth number to available, is the #op of the bottom floor elevated in ac ordanoe with the community's fioodptat'n management Ordinance? i Yee ice© Unknown. The rocud official MI MI oere ry this IMormation in Section 0, SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, 8, and E for Zone A (without a FEMA-Issued or o m►nun ity- Issued BFE) or Zone AO must sign here. The statements In Sections A,13, end E are eared to the best or my knowledge. Pdoporly Owner's or Owner's Authorized Representelive's Neese . • Address City Stale ZIP Code • • Signature , , . . _ Date Telephone • Comments . riChetestegt1.ifittectenenta SE G :COMMUNITY INFORMATION (OPTIONAL) ' The local offictet who f8 authorized by taw or ordinance to administer the community's floodptaln manragement ordinance can complete Sections A, 8, C (or E), • and G of tltls Elevation Certificate. Complete the applicable Items) and sign below. Check the measurement used In Items G9. and 69. G1. ❑ The information in Section C was taken from other documentation that has been signed end sealed by a Hcene.ed surveyor, engineer, or architect who Is authorized by law to certify elevation Information. (Indicate the source and date ofthe elevation date In the Comments area below.) 62. t] A community official completed Section E for a buttding located in Zone A (without a FEMA•issued or community- Issued EWE) or Zone AO. G3. ❑ The following information (items G4.-G9.) is provided for community floodpialn management purposes. . 1 G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy issued • G7. This permit has been iseved for ONew Construction ❑Substantial Improvement 08. Etevellon of as -bullt toweM floor (Including basement) of the building: . [)feet ()meters (PR) UUaturn 09. BFE or (la Zone AO) depth of ffooding'a1 the building site: ' rifeel 0 rnetere'(PR) 0 Datum . Lor a! Title • � Cistnuiti kt4efffe'S(' , •\'. Telephone ,'/ /r:'' i l ,'1 , Signature • 1 '1 1 Data •s • it Z • i r i.., J1,' r J ►,a f i (•' V.:•,-1.1-,...1 L�f�y • . - f7(Itteck her>R If ra schmentq FEMA Form 81-31, February 2006 ' ' • ' ' • Replaces all prevlous editions Sep 19 2011 9:47F1M HP LASERJET FAX 912-897 - 3468 p• Building Photographs See instructions for Rem A6. i For Insurance Company Ilse: Building Street Address (Including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I Policy Number 28A1IANTIC AVENUE City State ZIP Code i cvni3enyNAICNumber TYBEE ISLAND GA 31328 If using the Elevation Certificate to obtain NF'IP flood insurance, affix at least two building photographs below according to the instructions for Item AS. identify ail photographs with: date taken; "Front View" and 'Rear View"; and, if required, "Right Side View" and "Left Side View.' If submitting more photographs than will fit on this page, use the Continuation Page, following. NOTE: PHOTOGRAPHS TAKEN ON JANUARY 14, 2008. I lt. , T - -- .11 i 4 1 I Ili y J lilili _ i s : : : I 1 Il i ( t lit • � .. 1 - .,: . 1 i .. ; . x-. ..Mil 111 1 :Yt 1 ' - _ l 1s r> , .1'.1 1 !,1 . t 011wr i. . 4, 1 , d Front Wow ' : .i. .:' At: i !' _ ' I. - \I .' ??. / 10 . p.,,,....„.,. , T 1 , ( j. : ! .i i 1,..7.;:,:zis;,..„.,:,....,... , Rear 1:1 • It5O ( ; 1 ' 1 '-'1.1 1 :It 1 i I i l i\ i \\\ ' , 7,4 . . ,- *::.:., i. i r ijft' 1 1 11 i i r a Right Side View Left Side View U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0008 Expires February 28, 2009 Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1 -8. SECTION A - PROPERTY INFORMATION ! For Insurance Company Use: Al. Building Owner's Name I Policy Number ROCKER DEVELOPMENT, LLC A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. { l Company NAIC Number (p -kr t o . - l - , < A v City TYBEE ISLAND State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 1 -7 IN A SUBDIVISION OF BEACH LOT 94, TYBEE ISLAND, A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude /Longitude: Lat. N 31 -59 -34.9 Long. W 080 -50 -56.2 Horizontal Datum: ❑ NAD 1927 ■ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 6 A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade N/A walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b NIA sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 1 B2. County Name B3. State i TYBEE ISLAND, 135164 0001 -0002 CHATHAM GEORGIA , B4. Map /Panel Number B5. Suffix B6. FIRM Index 137. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective /Revised Date Zone(s) AO, use base flood depth) 135164 0002 C 06/17/1986 06/17/1986 A8 14.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile FIRM ['Community Determined ['Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ► "1 NGVD 1929 ❑NAVD 1988 ❑Other (Describe) 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes No Designation Date rICBRS ❑OPA 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 Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AO. Complete Items C2.a -g below according to the building diagram specified in Item A7. Benchmark Utilized USGS E -56 Vertical Datum 1929 Conversion /Comments Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) 15.2lfeet 0 meters (Puerto Rico only) b) Top of the next higher floor 23.6 ►1 feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 15.2 r feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building N/A ❑feet 0 meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) 15.0 is feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 16.2 lifeet Eil meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION , This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information on this Certificate represents my best efforts to interpret the data available. "% 1 ` � 1 �, >'r� / understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. I� rr CI Check here if comments are provided on back of form. � ¢ i i Certifier's Name ( * • 2285 License Numbe MICHAEL J. GARDNER GA. R.L.S. # 2285 9y c // /9J4 Title Company Name LAND SURVEYOR --, WARD EDWARDS ',,0 ®St,1T + f Address / ty State ZIP Code t 138 CANAL STREET. SUItE 304 Al l � FOULER GEORGIA 31322 j, � `�� may Signature O / // Date Telephone `{ 'N""' "".. nL/ `� 01 /14/2008 912- 330 -0026 1 IMPORTANT: In these spaces, copy the corresponding information from Section A. I For Insurance Company Use: Building Street Address (including Apt.; Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. I Policy Number 1506 BUTLER AVENUE City State ZIP Code I Company NAIC Number TYBEE ISLAND GEORGIA 31328 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments C 2 (e) AIR CONDITIONER UNITS ARE ON ROOF OF BUILDING PROJECT NO. 070012 FB- 53 59 Signature ���� '`--' /- /� ( Date 01/14/2008 ❑ Check here if attachments 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 E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is fl feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is fl feet ❑meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6 -8 with permanent flood openings provided in Section A Items 8 and /or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) 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 El 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 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's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments —.. flCheck here if attachments 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. and G9. G1. 0 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. -G9.) 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: :New Construction ❑Substantial Improvement JI G8. Elevation of as -built lowest floor (including basement) of the building: ❑feet ❑meters (PR) ❑Datum G9. BFE or (in Zone AO) depth of flooding at the building site: Ilfeet ❑ meters (PR) ❑ Datum Local Official's Name Title Community Name Telephone Signature Date Comments I (Check here if attachments Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 1506 BUTLER AVENUE City State ZIP Code ' CompanyNAlCNumber TYBEE ISLAND GA 31328 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page, following. NOTE: PHOTOGRAPHS TAKEN ON JANUARY 14, 2008. lNlpl 11 " �� — . i I i Si . ''' 181111 N ►I t' 11 .„1.44.1 ', I l'—'11 , • m, E>k 4 e -' ^ � T i i; ., Front View Rear , iiiii�iti\ a: . L. �� 4. I Y d . 1\'' i y 0 �T n.i I ( J x. " ' Ii li 1, I #1 Right Side View Left Side View