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HomeMy Public PortalAboutCenter PL_18 From:WARDLAW CONSTRUCTION 912 925 9922 02/11/2003 12:27 #282 P.002/003 • FEDERAL EMERGENCY MANAGEMENTAGENCY ' 4 No. ;nR f t f , • NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 I ELEVATION CERTIFICATE Important: Read the Instructions on papas 1 - 7. SECTION A - PROPERTY OWNER INFORMATION rtgOt**9.00WAisTii.4,Mt BUILDING OWNER'S NAME i_Rdi>,-;.»tb ' = X74 ;4y Wardlaw Construction , ;r > : t —e- A he,,e e-•, :e _ €i'. ; it e t'e W,G� x z - m' ' 4 x f ri r ' t . . BUILDING STREET ADDRESS (including Apt , Unit, Suite and/or Bldg. No.) OR P.Q. ROUTE AND BOX NO, t 'CnRtf lCt�tum6ar z �� . °�� #18 Center Piece .._..ar� . ,a, a . o ,._: F.. .-._.;:.,.�:i • 'F, l-� +.-r.. :. =.._, W CITY STATE ZIP CODE Tybee Island GA 31328 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 7A of a minor subdivision of Lot 7, rea bdivlsion of Lots 35 and 38, 2" Ward BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use Comments section if necessary.) residential LATITUDE/LONGiTUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): (#* - Wktf - ##. or ##A14#4 0 NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION i B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER I 82. COUNTY NAME B3. STATE i Tybee Island 135184 I Chatham County I GEORGIA B4. MAP AND PANEL B5. SUFFIX I B6. FIRM INDEX 87. FiRM PANEL 88. FLOOD 89. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REViSED DATE ZONE(S) {Zone AO, use depth of flooding) 0001 C ' 8117188 8!17!98 A8 15 810. indicate the source of the Base Ficod Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile 5 FiRM ❑ Community Determined ❑ Other (Describe): B11. indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building faceted in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 0 No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings" I Building Under Construction" 0 Finished Construction 'A new Elevation Certificate will be required when construction of the building Is complete. C2. Building Diagram Number 7 (Sefect 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 Ai A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/A0 Complete Items C3a -f 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 calculaticn. 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/Comments NONE Elevation reference mark used TBM Does the elevation reference mark used appear on the FIRM? ❑ Yes ►'4 No o a) Top of bottom floor (including basement or enclosure) g2. 9 ft(rn) f .. o b) Top of next higher floor )y/&. -_--f' (m) O R o c) Bottom of lowest horizontal structural member (V zones only) N/A , ft.(m) ,- `�i ` o d) Attached garage (top of slab) 11 0.(M) A. V t s. o e) Lowest elevation of machinery and/or equipment �' 0 s as , S . servicing the building ta. _ft ( m) r , N - -- 1 ,1 3tY•4 i , o f) Lowest adjacent grade (LAG) 12 . aft. (rn) z t ` ? 1 t , 1 ' : o g) Highest adjacent grade (HAG) n. rt.(rri) P \ \ ,t 1 :; ' �' o h) No of permanent openings (flood vents) within 1 ft. above adjacent grade 12 \'..e,.-- ° /.4 o 1) Total area of ail permanent openings (flood vents) in C3h 4,284 sq. ln_ (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 JOE A HALE, JR. LICENSE NUMBER GA RLS #2886 TITLERegistered Land Surveyor COMPANY NAME Kern - Coleman & Company ADDRESS CITY STATE ZIP CODE P 0 Rm.. 1S *I70 _ .� syai Snnmh (:A 11418 SIGNATURE DATE TELEPHONE FEMA Form 81 AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS << iT,:wARui_nrr CONSTRUCTION 912 925 9922 02111/2003 12:28 4282 P.003/003 IMPORTANT :"In these spaces, copy the corresponding information from Section A BUILDING STREET ADDRESS ( including Apt, Unit, Suite, and/or Bidg. No.) OR P.O. RO /TEAND BOX NO. #18 Center Place"��� CITY STATE ZIP CODE T 31328 €�oxs= pna3rt ii 1 a as bee Isfand 1!i Kf act _ y GA `;il.: �``:�:;:.:__'= `ri•�...�4_ SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) oommunity official, (2) irsura ce agent/company, and (3) building owner. COMMENTS 0 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 fora LOMA or LOAM -E, Section C must be completed El. Building Diagram Number _ the building diagram most similar to the Cuiiding 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 r ft.(m) in.(cm) 0 above or 0 betow (check one) the highest adjacent grade. E3. For Buildirg Diagrams 6 -8 with openings (see page 7), the next higher floor cr elevated floor (elevation b) of the building is ft.(m) in.(cm) above the highest adjacent grade. E4. For Zone AO only: U no food depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G. SECTION F • PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sectors A, B, and E for Zone A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S 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 floodplain management ordinance can complete Sections A, B, C (or E), and G of thls Elevation Certificate. Complete the applicab -Je item(s) and sign below, 01. 0 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.) 02. EA comrnityi official completed Section E for a building located in Zore A (without a FEMA- issued or community- Issued BFE) or Zone AO. ' __ -- G3. 0 The following information (Items G4 -G9) Is provided for community tloodpitn management purposes. 04, PERMIT NUMBER G5. DATE PERMIT ISSUED l e. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY gSSUED G7. This permit has been Issued for. 0 New Construction 0 Substantial Improvement G8. Elevation of as -built loWeeit 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 Fl Check here If attachments FEMA Form 81 -31, AUG 99 REPLACES ALL PREVIOUS EDITIONS