HomeMy Public PortalAboutByers St_102 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067 -0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002
ELEVATION CERTIFICATE -
Important: Read the instructions on pages 1.7.
SECTION A - PROPERTY OWNER INFORMATION ! For Insurance Company Use:
BUILDING OWNER'S NAME I Policy Number
Demery Bishop
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. ] Company NAIC Number
102 Byers Street I
CITY STATE ZIP CODE
City of Tybee Island Ga 31328
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 2 of a Subdivision of Lot 1, Block 8, Garden Ward,
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):
( /I# - ##' - ##.##" or ##.###t#i # ° ) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
61, NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME 63. STATE
City of Tybee Island Chatham Georgia
64. MAP AND PANEL B5. SUFFIX B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S)
NUMBER B6. FIRM INDEX DATE EFFECTIVE/REVISED DATE B8. FLOOD ZONE(S) (Zone AO, use depth of flooding)
130030 -0120 C 9/20/95 5/19/87 VE 14.0
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile /.t FIRM ❑ Community Determined 0 Other (Describe):
B11, Indicate the elevation datum used for the BFE in 69: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the building located in a Coastal Berner Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 1 No Designation Date
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 5 (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/A1 -A30, 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 8, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area
Section D or Section G, as appropriate, to document the datum conversion.
Datum NGVD29 Conversion /Comments it ?
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes R/ No r
❑ a) Top of bottom floor (including basement or enclosure) 17. 2 ft.(m) 6
4 � 0 .
❑ b) Top of next higher floor N/A . _ft.(m)
❑ c) Bottom of lowest horizontal structural member (V zones only) 15.9 ft.(m) y °' '`
❑ d) Attached garage (top of slab) 8. 5 ft.(m) -
❑ e) Lowest elevation of machinery and/or equipment — - `° O. ?:+ 3$
servicing the building (Describe in a Comments area) 14.6 ft.(m) ; 1° .. k
❑ f) Lowest adjacent (finished) grade (LAG) 7.7ft.(m) m n "o ` F
❑ g) Highest adjacent (finished) grade (HAG) 8. 4 ft.(m)
❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 0 0
❑ i) Total area of all permanent openings (flood vents) in C3.h N/A 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.
1 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 1 001.
CERTIFIER'S NAME Dale E. Yawn LICENSE NUMBER Georgia RLS No.2510
TTFLE COMPANY NAME Yawn Land Surveys, LLC
ADDRESS CITY STATE ZIP CODE
24 Island Creek Lark. \ / r Savannah Ga. 31410 TELEPHONE
SIGNATURE 4 0, r M05 912-897-6307
k EC r NE
► `. a- I - 05.
U \
FEMA Form 81 -31, JUL 00 \ I SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
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
102 Byers Street
CITY STATE ZIP CODE Company NAIC Number
City of Tybee 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
Structure raised on pelts, no enclosures below
This property is in the Tybee city limits, butappears on the FIRM of Unincorporated Chatham County
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. lithe 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 tc th uilding for which this certificate is being completed –see pages 6 and 7. If no diagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or endosure) f bull lin ' — ft.(m) _ in.(cm) ❑ above or ❑ below (chec( one) the highest adjacent grade. (Use
natural grade, if available).
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher ti4or or elevated floor (elevation b) of the building is ft.(m) _in.(cm) above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4. 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 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, C (Items C3.h and C3.i only), 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, C, and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATIVE'S NAME
In
ADDRESS I 1 CITY STATE ZIP CODE
SIGNATURE ® e DATE TELEPHONE
COMMENTS
❑ Check 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.
G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authored by
state or local law to certify elevation information, (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community offidal 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
G8. Elevation of as -built lowest floor (including basement) of the building is: _. _ft.(m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: f rt . _ ft.(m) Datum:
LOCAL OFFICIAL'S NAME „ . y I j , TITLE
COMMUNITY NAME �� - L TELEPHONE
SIGNATURE DATE
COMMENTS
❑ Check here if attachments
FEMA Form 81 -31, JUL 00 REPLACES ALL PREVIOUS EDITIONS
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. 3067 -0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December31, 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 Policy Number
DEMERY BISHOP
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
102 BYERS ST
CITY STATE ZIP CODE
TYBEE ISLAND GA 31328
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 2 OF A SUBDIVISION OF LOT 1, BLOCK 8, GARDEN WARD
BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type) :
( ## - ##' - ##.##" or ##.##fk# #) ❑ NAD 1927
❑ NAD1983 ❑ USGS Quad Map ['Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE
135164 CHATHAM GA
B4. MAP AND PANEL NUMBER B5. SUFFIX B6. FIRM INDEX DATE B7. FIRM PANEL B8. FLOOD ZONE(S) B9. BASE FLOOD ELEVATION(S)
EFFECTIVE/REVISED DATE (Zone AO, use depth of flooding)
1300300120 C 9/20/1995 5/19/1987 VE 14
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile p FIRM ❑ Community Determined ❑ Other (Describe)
B11. Indicate the elevation datum used for the BFE in B9: p NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes p No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* 0 Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number 5 (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 - Zone A1 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 C3a -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 NGVD29 Conversion /Comments NONE
Elevation reference mark used NONE . Does the elevation reference mark used appear on the FIRM? ❑ Yes p No
I l a) Top of bottom floor (including basement or enclosure) 17.2 ft. (m) License Number, Embossed Seal
▪ b) Top of next higher floor N/A ft. (m) Signature, and Date
• c) Bottom of lowest horizontal structural member (V zones only) 15.9 ft. (m)
lI d) Attach garage (top of slab) 8.5 ft. (m)
O e) Lowest elevation of machinery and/or equipment servicing the building 14.6 ft. (m)
(Describe in a Comments area)
O f) Lowest adjacent (finished) grade (LAG) 7.7 ft. (m)
O g) Highest adjacent (finished) grade (HAG) 8.4 ft. (m)
O h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 0
• i) Total area of all permanent openings (flood vents) in C3h N/A 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.
CERTIFIERS NAME LICENSE NUMBER
DALE E. YAWN 2510
TITLE COMPANY NAME
REGISTERED LAND SURVEYOR YAWN LAND SURVEYS LLC
ADDRESS CITY STATE ZIP CODE
24 ISLAND CREEK LN SAVANNAH GA 31410
SIGNATURE DATE TELEPHONE
11/7/2005 (912) 897 -6307
FEMA Form 81 - 31, January 2003 See reverse side for continuaton. Replaces all previous editions
IMPORTANT: In these spaces, cony 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
102 BYERS ST
CITY STATE ZIP CODE Company NAIC Number
TYBEE ISLAND GA 31328
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of the elevation Certificate for(1) community offficial, (2) insurance agent/company, and (3) building owner.
COMMENTS
STRUCTURE RAISED ON PEIRS, NO ENCLOSURES BELOW. THIS PROPERTY IS IN THE TYBEE CITY LIMITS, BUT APPEARS ON
THE FIRM OF UNINCORPORATED CHATHAM COUNTY
❑ 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 building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the building is I I ft.(m) I I in.(cm) ❑ above or
❑ below the highest adjacent 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
I I ft.(m) 1 1 in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form.
E4. The top of the platform of machinery and/or equipment servicing the building is I I f t . ( m ) I I in.(cm) ❑ above or
Dbelow 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 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 Section A, B, C (Items C3.h and C3.i only), and E for Zone A
(without FEMA- issued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, 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
❑ Check 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.
01. ❑ The information in Section C was taken from other documentation 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.)
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
G8. Elevation of as -built lowest floor (including basement) of the building is: ft.(m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: ft.(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
❑ Check here if attachments
FEMA Form 81 - 31, January 2003 Replaces all previous editions