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HomeMy Public PortalAboutCenter St_3 t' tUtttALtiVitttOtt+ll.Y MANAtiklYitblI AtikNGY O.M.B. No. 3067 -0077 VATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE i Important Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION 1 For insurance Colt pany Use: BUILDING OWNER'S NAME j Policy Number ROBERT M. CHU - - - - -- - - - -- - - - BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Company NAIC Number 3 CEN TER STREET CITY STATE ZiP CODE TYBEE ISLAND GA 31328 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 3-A OF A RECOMBINATION OF LOTS 2 & 3 OF A SUBDIVISION OF BEACH LOTS 31 -34, WARD 2, TYBEE ISLAND BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, it necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##' # #' - 11#.11#° or ##- ##### ") ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 131. NFIP COMMUNITY NAME & COMMUNITY NUMBER ` 82. COUNTY NAME E B3. STATE TYBEE ISLAND, GEORGIA - 134164 t CHATHAM GA. 134. MAP AND PANEL 67. FiR,M PANEL B9, BASE FLOOD ELEVATION(S) , NUMBER B5. SUFFIX 86. FIRM INDEX DATE EFFECT1VE/REVISED DATE 88. FLOOD ZONE(S) (Zone AO, use depth of flooding) 135164-0001 C 6/17/86 6/17106 V9 17 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ HS Profile ® 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 located in a Coastal Barrier Resociiek , System (CI3RS) area or Otherwise Protected Area (OPA)? ❑ Yes rii No Designal on Date SECTION C - BUILDING ELEVATION INFORMATION {SURVEY REQUIRED) C1. Building elevations are based on: I] Construction Drawings* ❑ Building Under Construction* NI Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2- Building Diagram Number 7 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram acx urately represents the building, provide a sketch or photograph.) C3. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, AR/AE, AR/A1 A30, AR/AH, ARIAO Con Oele Heins 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 0 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) 12. 4411.(m) i V u b) Top of next higher floor 22.00 ft.(m) ��. `� • o c) Bottom of lowest horizontal structural member (V zones only) 20.00 ft.(m) N m ± ----- o d) Attached garage (top of slab) 12. 44 (1.(m) E a `' J o e) Lowest elevation of mad rinery and/or equipment W servicing the building (Describe in a Comments area) 22.00 ft.(m) b 3 o f) Lowest adjacent (finished) grade (LAG) 11.6 ft.(m) Z c.,1 o g) Highest adjacent (finished) grade (HAG) 11. 7 ft.(m) va) 0 \ o h) No. of permanent openings (flood vents) within 1 it. above adjacent grade 4 o i)'Total area of all permanent openings (flood vents) in C3.h 1652 sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a and surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on Phis certificate represents my best efforts to interpret the data available. ! understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. - - - - - - - - -- -- - - -- ---- - - - - -- ------------------ CERTfFiER'S NAME BERT B. BARRETT, JR. LICENSE NUMBER GA. 2225 TITLE PRESIDENT COMPANY NAME BERT BARRETT, JR. LAND SURVEYING, P.C. ADDRESS CITY STATE ZIP CODE 145 RUNNER ROAD SAVANNAH GA 31411) SIGNATURE — ` DATE TELEPHONE - - \- 6/17/06 912- 897 -0(',F1 ___ _ ( ' Iii --- L