HomeMy Public PortalAboutBay St_1014 I CMtKI,tNL T IMIHNHIJCINtNI HbCNGI O.M.B. No 3067 -0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
ELEVATION CERTIFICATE
Important Read the instructions on pages 1.7.
SECTION A - PROPERTY OWNER INFORMATION I For Insurance Company Use:
BUILDING OWNER'S NAME I Policy Number
BILL AUSTIN
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Company NAIC Number
1014 BAY STREET
CITY STATE ZIP CODE
TYBEE ISLAND GA 31328
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 1 OF A SUBDIVISION OF BLOCK 6, BAY WARD, TYBEE ISLAND
BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):
( *V -4#' - 44.t4" or ##.114#tfit ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER BZ COUNTY NAME B3. STATE
TYBEE ISLAND, GEORGIA - 135164 CHATHAM GA.
B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S)
NUMBER 65. SUFFIX B6. FIRM INDEX DATE EFFECTIVE/REVISED DATE B8. FLOOD ZONE(S) (Zone AO, use depth of flooding)
1351644)001 C 6/17/86 6/17/86 A8 13
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
312. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date N/A
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
01. 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. Building Diagram Number 6 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations — Zones Al A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1A30, AR/AH, AR/AO
Complete Items C3. -a-i below according to the building diagram specified in Item C2. State the datum used. if the datum is different from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum NGVD 1929 Conversion/Comments NONE
Elevation reference mark used LOCAL Does the elevation reference mark used appear on the FIRM? ❑ Yes No
o a) Top of bottom floor (including basement or enclosure) 8. 75 ft.(m) s
o b) Top of next higher floor 18.35 ft.(m) n `
o c) Bottom of lowest horizontal structural member (V zones only) N/A . ft.(m) N C \
If
/
o d) Attached garage (top of slab) NONE. ft.(m) a /
o e) Lowest elevation of machinery and/or equipment w `° 7
6 `t
servicing the building (Describe in a Comments area) 18.35 ft.(m)
o f) Lowest adjacent (finished) grade (LAG) 8.3 ft.(m) z m N
o g) Highest adjacent (finished) grade (HAG) 8. 7 ft.(m) 0 ‘,..,\ i �
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 3 p
a i) Total area of all permanent openings (flood vents) in C3.h 432 sq. in. (sq. cm)
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.
I certify That the information in Sections A, B, and C 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.
CERTIFIER'S NAME BERT B. BARRETT, JR. LICENSE NUMBER GA. 2225
TITLE PRESIDENT COMPANY NAME BERT BARRE I I , JR. LAND SURVEYING, P.C.
. \
NNER ROAD ADDRESS / ) , n \ �, SAVANNAH GA TE 314 00DE
145 RUNNER
SIGNATURE -4 DATE TELEPHONE
4/18/06 912 -897-0661