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HomeMy Public PortalAboutBrewer's Ld_6A FEDERAL EMERGENCY MANAGEMENT AGENCY 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 r-arrial arteCompary Use BULDING OWNERS NAME I Poky Minter BRENDA WATROUS BUILDING STREET ADDRESS (Indudingg Apt, Una, Sine, and/or Bldg. No) OR P.O. ROUTE AND BOX NO. I CortiParlYNAIC Number #6A BREWERS LANDING CITY STATE ZIP CODE TYBEE ISLAND, GA 31328 PROPERTY DESCRIPTION (Lot and Bbck Numbers, Tax Parcel Number, Legal Description, etc.) LOT 8-A, BREWERS LANDING SUBDIVISION BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comment area, if necestary.) RES LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##° -or -##.U" or ##.#####°) ❑ NAD 1927 0 NAD 1983 ❑ USGS Quad Map ❑ Other SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP CONMUNITY NAVE & COMMUNITY NUtV ER CHATHAM ID COUN ( 83,, NAM: 1 STATE B4. MAP A PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATIONS) NUMBER 85. SUFFIX BE FIRM INDEX DATE EFFECTIVEIREVISED DATE FLOOD ZONE(S) (Zone AO, use depth of Roaring) 13003000120 C 5+19187 5119/87 AE 12 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile / FIRM ❑ Community Deterriined ❑ Other (Descnbe): B11. Indcate the elevaian datum used forte BFE in B9: ® NGVD 1929 0 NAVD 1988 0 Other (Describe): — B12. Is the buickng located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 131 No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Buffing elevations are based on: ❑ Constnic ion Drawings ❑ Buficing UnderConshuction* L. Finished Construction *A new Elevation Certificate will be required when construction Lion of the building is complete. C2 Bulking Diagram Number 7 (Select the bulking diagram most similar to the bulking for which this cerificae is being completed -see pages 6 and 7, If no d agram accurately represents the bulking, provide a sketch or photograph.) C3. Elevations – Zones A1A30, AE, AN, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARJAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3.-a4 below aoxndng to the building d agram specified in Item CZ 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. Shaw 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 29 Conversion/Cornments Elevation reference mark used Does the elevation reienoe mak used appear on the FIRM? ❑ Yes ► I No o a) Top of bottom floor (inducing basement orendosure) 8. 6ft(m) o b) Top of next higher floor 17.7tt(m) vs as o c) Bottom of lowest stru al member (V zones only) NA .___11.(m) 01 r o d) Attached garage (top of slab) & 6tt.(m) E ° I o e) Lowest elevation of madiiery and/or equipment Li, al * 22 9 serving the bucking(DesarbenaConinents area) • �2.1ft(m) a 2 �' . v p q • , o f) Lowest ac acent (finished) grade (LAG) 7.9 ft(m) z' m ! ©v . o g) rt ( 9 (HAG) 8.411.(m) V) � ' E ,,� al o h) No. of permanent openings (good vents) wigifn 1 It. above adjacent grad o i) Total area of ail permanent openings (flood vents) in C3.h 992 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 informatioli. I certify that the Information in Sections A, B, and Con this certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME J. WHITLEY REYNOLDS LICENSE NUMBER 2249 TITLE LAND SURVEYOR COMPANY NAME ADDRESS CITY STATE ZP CODE 636 STEPHENSONAMILIV8115E9 SAVANNAH GA 31405 SIGNATURE // /' 6/3/05 912E -rue r_L oa n• e_...._.,,_ nnnn n -- ._.r —_ _:.e_ s -_ �_�:_.._..z _ rs,__�.. _u a...._ ...ra: IMPORTANT: In these spaces, copy the c.orresponang i formalion from Section A 1 Far ComParytise: BMW STREETADDRESS (indu ngAf t., thi, Sure, omitkr Btctg. No.) OR PA ROUTE AND BOX NO. I PrCrcy+Wilber #6-A BREWERS LANDING CITY STATE 7P CODE I Company NAJCMinter TYREE ISLAND, GA 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 C3.e) =NC PAD ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F, Section C must be completed. El. Building Diagram Number_ (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 bullring, provide a sketch or photograph) E2. The top of the bottom floor (inducing basement or enclosure) of the bung is L ft(m) _kr.(an) 0 above or 0 below (check one) the highest :,, scent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ tt.(m) ,in.(cm) above the highest adjacent grade. Complete Vems C3.h and C3.i on front of form. E4. The top Otte platform of machinery andtorequipment servicing the building is ft(m) __ld.(an) 0 above or 0 below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For 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 ordnance? 0 Yes 0 No 0 Unknown. The local official must oar* this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owes authorized representative who completes Sections A, B, C (Items C3.h and C31 only), and E for Zone A (without a FENW- issued or community_ issued BFE) or Zone AC) must sign here. The statements in Sections A, 8, C, and Eare conecf to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY STATE ZIP CODE - SIGNATURE DATE TELEPHONE COMMENTS 0 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's s floodplain management ordnance can complete Sections A, B, C (or E), and G of this Bevation Certificate. Complete the applicable item(s) and sign below. G1.0 The information in Section C was taken from otherdocumnentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) GZ 0 A community unity official completed Section E fora nodding located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO. 03, 0 The following information (Items 04-G9) is provfdedfa comm unityfloodp lain management purposes. G4. PERMIT NUMBER + I G5. DATE PERMIT ISSUED 166. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for: 0 New Construction 0 Substantial knproverent GB. Elevation of as -brit lowest floor (including basement) of the bullring is: . ft(m) Datum:._ G9. BFE or (in Zone AO) depth of floocing at the building site is: _ ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS 0 Check here if attachments