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Home My Public Portal AboutButler Av_1308 FEDERAL EMEROENCY MANAGEMENT AGEt13CY O.M.B, No, 30-0077 NATIONAL FLppp INSURANCE PROGRAM � 87 Erplrr� perember 31, 200 ELEVATION CERTIFICATE j ' Imrortont: Read the klclruatlono on pngoo t - 7 5 ECT1ON A- PRQeERTY O'WN INFORMATtONl C400101y,1.1xs' BUILDING OWNER'S NAME j po►►F bar j?I /.n/�► r d AA 4R 1 •• BUILDING STRE6TADDRESS (MekidiegApt„ Lint, So1k, arrdler Ride. No.) OR P.O. ROUTE ANO 60X No, j p' 3erii,F XIC Nurfthelr — TAtg ZIP CODE �-.1. .•5%...^-#. 1 t) 0SS -.1..•5%...^-#. _ c i f ®vR ratt). a/3?.., PROPERTY D CRiPT (Lot end Noel( Numbers, Tax Parcel Leo Number, Le DescrlpWon, etc.) e.'f 4 . . iAle sr f�I or 4 r $1 . J4'11,4 ci 7 ), Is.p Asa - A. - BOLDING USE te.p., Resident Non- reoitlentlat. Malan, Aeaalrory. etc. Lice Comments area ii necessary,) LAtITUOEPt. CNGITUOE (OPTIONAL) HORIZONTAL DATUM: SOUR CE: L GPS (Tyr.): (Bfl Ne - *#.1'/# sr #4.0104140') (_,_I NAD 1827 L( NAO 1983 u liSGS I:Arad Map )_i Mar: • _ i t91YGTION H - FLOOD IH URANCE R ATR MAP (FIRM) ll1FORMAT ON I Di. NPIP Go eeuvi Y MAN N a COMMUNITY NUMBUa 82. COUNTY NAME 9 E L,. I n' O r 33' S LiX.er./r? �35 /6 V I CV � .1.401 j (� �'pi 2Cwt" • Fig, M4PgN NE L EIS. B ,FIgM INL7EX 55r, FI RM�w 6L E till, WOO B9. 86$E PL000 ELEVATION(;i N vMO� t D AT E t? rR VIbED DATE 1 ZO NES 113 (0 Z at0- 11 -4to O� -/ 7- 1 S 1 i .d Bi 0. indloate the source of the Base Flood Elevation (EiFE) data or baba llood depth cnlerctt In BR. 1 PIS Prone A<l Fti:trt 1_( CornrnuP Pty Determined LJ Other (i e.ectSbe) ,• __. „ , On, 1, Indicate the ■tevntton datum trod far the FOE In E1.9: 161 Novo 1929 L( NAVo It ( Ot)i (oescribel _ _____ .. 1312. is the building iocvtvd In a Coastal Barrier Resources system (CERB) area or Othese/Me Protected Area (OPA)? (`( Ye, 12.14 No C eelgn ;tlon Oats; j _ SECTION C . BUILDING) eLL VATION INFORMATION (SURVEY REQUIRED) C 1. 8uilding elevellons are bacr:d on: }JconatnJthon Drawings' L„18uHdlnp Under Constriction' �Finlshe1 Cortslrvrtien _A new Elevations Certificate vh11 be required when conairuc lon of the WAIN 4 eornpletk, C2. Building Diagram Number .L _„ (select the building diagram moat Aimttarto the wadrn9 for'whicfi Nit car1411ct :c Is being completed • say pages 8 Arid 7. It no diagram eccur1l11iy represents the bvfldlnp, provide a sketch or photograph.) C3. Eievallon% - Zonae M 430, AE, AI-I, A (with 13FE), VE, V1 V30, V (with BFE), AR, AR 1A.)11R /AE. AR /A1-An, ARIAH, AR/A0 Contilete Iltm9 C3,8•I below eccordlog to the butldincl diagram 9peefiied in Born C2. Stag the ds ?um used. If the datum is different fro the datum used for the EWE in Suction B. convert the datum to that used for the EWE. Shbw field meetstmtn - tnts end datum cenvers coleuhalioq Ur* the spice provided or the Commer+ti area of secitnet D OT Sodom Q as tabprvprlele, to docvi+ ant Mt) dOlurn tOrlJr3 DalumJ_`J_ 1 q' Converalo►1/Cornmenta � 07 L 1 - FrRVatton rererr_nca mark anal Drum the • en r.rernnce mdrtc !JOIN eoaear on the FIRM? 1_t Yrto' (71a) Top of bottom floor rnchAing besemenl or enclosure) 1 3 . ,Z.,_ n,(m) r . - Cab) Top of Host higher floor M - I ` - — R•(M) °i �O R G Q c) 8otlom of lowest horizon* slrtretural mgm NI R ber (V ionaa pniy) A _ MI C,15TE "(1 Dd) Aitoched gers90 (top of slab) p.., - .-__ 1.(m) I I Vie, AF . Q9) Lowest elevation of machinery and/or equipment ) w 11 • . 5 Kim) .. No, 4 743 11 seMcing the building (Descrl a in a Comments area.) - ❑ I) Lowed adiaccnt (finishd) grade (LAG) t ° • 1 1. m ) . _ _ / ❑ g) HIghesl adjacent (finished) grade (HAG) I tt•�m) p Q h) No. of permanent opertIngs 1i'iood Orlin 1 it. above ariarent Q 7 Tow aria of et permenont apeningi (Rood vent+) In 0,9.11 CDI sq. M. (sq. errt) � :E., S' . E4 - a t 2 • aECTiON D- EURVETDR, ENGINEER, ORARC /11'n ' C `"''—'" This cer1111cellon iS to be signed and seated by e land surveyor, engineer, er architect iuTherized by Taw to oertiry elevnnon to /ermetion. t certify that th. inform *tlon In Sachets A, PI, "Intl Con fhb' arrjMcste rrpi•eaenk my beet t items to interpret the c available, t undaratend that orgy Toke ctatiment may ay pprn►shable byline or lmprtaeninrrI unapt Td U.S. Code, 9eetlon 1ne1. CERTiFIER'S NAME LICtcNSE NumBER JAmess jai, Xeaco'rt, PLS Georgia 142743 TrTLE COMPANY NA,Ntt= i Land .Surve'or Chatham Surveyintl Set:vS,c+ts, Lrtc. ADORES'S CITY STATE ZIP COL P.O. Box 616 9 Savannah I Georgia 31420 - SiGNATURE i DATE .; TELEPHONE 1-�• / - fi r ^'� e , .2-$ ;kno 1912- 303 -0332 Ce A en_►+ 19. , -,».,.,.,. Inns aus.' nrCI reoge Crr,e r;nD r- nnmmn,Arnsi 1 Ivrt•n, .ns. „ , nn..,.....,. -- .. -.. —, ../IJ ♦V GY L.INI .`er. .��.4��..� . ., L ,. a �wlaa�ueta;ne trAFI tititan lrortl 9 cllath A. m CI CompenY Use: , eU1LDNI S7 zerAmees (letdudiny Apt.. Un Solo, andhy Bldg. No.) OR P,0. ROUTE ANO SOX NO. pabltay;NU►lebet. /3 aure.ePs 4v EMU& CITY STATE ZiP CODE `C;pfr R9'NAiC Nurit5rr Tea r ., 4-......; n r�R.o+r1e�i A. ..31/ . ,� iL lli,;W SECTION D - SURVEYOR, ENQj{$EER. ORARCHITECT CERTIFICATION (CONTINUED) copy both sides of this Etevatian Certificate for (1) communfty 01114111, (2) Ineutanea agent/company, and (1) building owner. COMMENTS /�rOA' S K. 02 - Z 3 -. QS _.�_ _�!'�� / ./ r' I_I C 'leek here If attachm„ntc SECTic/N E - out LO INO ELEVATION INFORMATION [SURVEY NOT R,Equfri6) FOR ZONE AC AND ZOidE A (WITHOUT BFE) For Zone AO And Zonn A (without ape), complete nonce Bl. through E4, U the Elevation Certificate Is intended for on es supporting informauon fore LOMA or LOMR -F, leciten C must bo completed. E1. Building program Number (Select the bu1)drng diagram moist almilar to the bulldMg for which this Certileste is boring completed see pages a and 7. If no d aAr M eecur'ate(y represents the bupoing, provide a sketch or phatogruph.) 5,2. The top or the bottom floor (tndudtng basement or enclosure) of the building b 1. 1 I Mtn) 1...1..._Fn above or :) below (check one) the highest adjacent grade, (Use natural grade, If available.) E3. For Building DIsprnrns tt-8 with openrngo (tee page 7), Um next higher I1 d floor (elevation b) of the building le 1_,...11 Ti.(m) L1_11tt.(cm) elbove the highest adlecent grade. Ed. The top of the platform of machinery and/or eq411-ent 1ng the b41. i `• • i d. (ml L,L_I In. (err) 1.. j above or i_I below (c?ttex Ono) the higbcol adjacent grade. (Use natural grade, if available.) ES. For Zone AO only, If no flood depth number la iva)tab)e, Is the top at the bottom floor elevated in occordenc,-, with The temmuntty tioodptain management ordinance? )__i Yee V No L__1 Unknown. Tht 1oCa1 onitde) imr_.i cert}fy this Infermelion In Section G SECT1t7N P - PROPERTY OWNER {DKr OWNER'B RetcPREStf'sNTA11VV) CERTiFICATIOTo The property owner or Owner; authorized representatives/nocanpleles Sttc11on8A. B. C (Items GSA and C3.1 oily), and E for Zone A (without a FEMA- issued or communfy-lsaued BFE) bt Zone AO Must etfign here. The statements In Sections A, E. C. and E are correct to the be51 of my knewtedge, ___. __ PROPERTY OWNER'S OR OWNEfS AUTHOR REPR N TA'fIVW'S NAM11E ADDRESS C(T( STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS )J Check here if ;tie cheneni SECTION G- COMMUNITY iNFORMATTONOPTIONAL) ,.. The local official who is authorized by law or ordinance to edmtnteler the con,mvnity's ftoodpleren management ordinance can complete Sections A. B. C for E). and G or this Elevation CortIttcate. Complete the applicable)lern(a) nnd,lgn below. G1.1_1 The infOrmalion WI Section C was taken from other doettmantation that flat been Signed and embossed If/ a licensed surveyor, engineer, or architect who in authorised by state or iorat haute evilly elsvatlon laromee ten, (lndtcgie the source and date of the elevation dale in the Comments area below.) G7 Li A community elicit! completed Section E for o twtldtna located in Zone A (without o rEMMiswed or cornmunhy-tstuod BFE) or Zone AO. G3.1 I The fetlow)ng lnformatlon (Items 94 - t39) is prrnfded for community fioodpt�ln management purposes. I G4. PERMIT NUMBER I GS. DATE PERMIT 1SSUl:D 1 G5, LATE CEh1T1FteAi t:. of COM'LIANCEJOCCUPANC ISSUED G7, This permit hoe been Issuer! for Li New Conetrveiion U Substantial Improvement C38. Elevation of oa -built lowsat floor (Including baeemenq el the boding is: — n.(mloatum: _ _ GS. FIFE or (in Zona A0) depth of mooing et the building ahe u: r , - h.(m)Dottrm: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE _ SIGNATURE DATE • I t�`r_ GoMMENT. - `---- -' TOTAL P.O: