HomeMy Public PortalAboutCenter St_7FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
fern octant: Read the instructions on penes 1.7. _
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SECTION A • PROPERTY OWNER INFORMATION !�
d. M. B. No. 3067 -0077
Expires December 31, 2005
BUILDING OtArNER'S NAME
RYAN BUILDERS OF SAVANNAH
BUILDING STREET ADDRESS (Including Apt, nit, Suite. endior Bldg. Nc.) OR PO. ROUTE AND BOX NO.
7 CENTER STREET
CITY STATE
TYBEE ISLAND, (3A
PROPERTY DESCRIPTION (Lot and Block Numbers. Tax Parcel Number, Legai Description, etc.,
LOT 2-A OF A SUBDIVISION OF BEACH LOTS 31 -34, WARD 2
BUILDING USE (e.g.. Residential, Non - residential, Addition, Accessory, etc. Use a Connects area, if necessary.)
RES
LAT�{ITUDEJLONGITUDE (OPTIONAL) HORIZONTAL DATUM:
( #'I!° - tiff - ##.##" or #f*.fkfilffie) ❑ NAD 1927 ❑ NAD 1983
For Insurance Company Use:
Policy Number
Company NAIL Number
ZiP CODE
31328
SOURCE: [j GPS (Type).
i
❑ USGS Quad Map ❑ Other
SECTION B • FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
91. NE' P COM,UUN TY NAME & COMIUNIN NUtvEER 79-2. COUNTY DAME — T 3. STATE
TYBEE ISLAND 135164 CHATN,AM GA
rB4. MAP ANC PANEL
NUMBER
135164 C001
97.FlRtotPANEL j B3 BASE FLOODELEVATIONS)-1
85. SUFF)( 96. FIRM INDEX DATE EFFECTIVE/REV18ED DATE + B8, FLOOD ZONE(S) ( 2one AD, use depth of locoing)
C &17!85 ; EJf'/55 �_ A8 15
910 indicate the scalm of tea Base Fbc e Bevaaon (BFE) data or lease flood depth e,,tered in 3.
❑ FIS Profile ® FIRM 0 Community Determined ❑ Other (Descrbe):
1311. Indicate the elevation datum used 'or the BFE'n : ig'i NGVD 19229 ❑ NAND 1988 :I Other (Describe)
912. is the building located in a Coastal Barrier fiesourc es System iCBRSj area cr Othervnse Protected Area (CPA)? ❑ Yes ®No Designelicit Cafe
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are b&sed on: 0 Construction Drawings" ❑ Eullci ig Under Constr cficr' ® Finished Cprstrudron
'A new Elevation Certificate vAll be required when construction cf the building is complete.
C2. Building Diagram Number i (Select the butdug diagram most simsartc the building for who-c' his delicate Is being wmpleted -see pages 6 and 7. If no dram
accurately repents the bui!cinq, provide a sketch or photograph.)
C3. eva ions —Zones .A1 -A30, AE. Ali, A (wit BFE), \'E, V1 -V3C, \r Nth &FE), AR, ARJA AR/AE, AR/A1 -A30, ARiAH, AR/AO
Complete liens C3.-o below according to the bLilcng diagram specified in Item CZ State the datum used, If the datum is different from the datum used for the BFE in
Section 9, convert the datum to that used for tie BEE. Shots fled measuramenZ and datum conversion calculaton, Use the space provided or the Comments area of
Section D cr Section G, as appropriate, to document the datum cceversion.
Datum NGVD 2t CCoverSArJComments
DDevaton reference mark used Does the elevation reference mark used appear on the ARM? ❑ Yes El No
o a) Top of bottom floor (inducing basement or enclosure) 12, ifldn) rs
o b) Top ofrext higher floor 222.2film)
o c) Bottom of'owwest Horizontal structural member (v zones orliyj NA. _it.(n,) 2 a
o d) Attached garage (top of slab) 12. Vt. (m) 0 a
o e) Lowest elevation of necninery and,'cr equsmen; w ,a
servicing the build% (Describe in a Comments area) 16.1 fr.(m) E p
o f ) Lowest adjarert (finiehed) g r a d e (LAG) 1 1 .4 ft.(m) i .7oi
o of highest adjacent (finished) grade (HAG) 1'.. 7 ft.(rr) fl
o h) No. of permanent wings (food vents) within 1 ft above adjacent grade 2
o i) Tota area cf all permaiert openings (flood vents) in C3.h. 711 sq. in. sq. cm)
SECTION D • SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to to signed and sealed by a land surveyor, engineer, or arc,iitect authorized by law to certify elevation inforrnatio
1 certify that the information In Sections A 5, a'x C this certificate rep; esents my besi efforts to interpret the dete ava'iabfe.
I understand that any false statement may be psnishable by fins or imprisonment under 18 J.S. Cods, Section 1001.
CERTIFIER'SNAME J.'h't -i' LEYREYNO_DS UCENSE NUMBER 2249
TITLE LAND SURVEYOR
COMPANY NAME
ADDRESS
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636 STE '{wore PrArAdfr
FEMA F• 81 -3 r ,a) Hoary .•�
CITY STATE
SAVANNAH GA
ZIP CODE
31405
DATE TELEFHCNE
5/3106 912 - 352 -0464
See reverse side for continuation. Replaces all previous editions
A AA. .. ... .., ,, ., n In r_ . •
IMPORTANT: In these spaces, copy the corr
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nding information from Section A.
BUILDING STREET ADDRESS ADDRESSOnductk Apt, Unit, Suite and/or B g. lac.) OR P.O. RO'D'E AND BOX NO.
7 CENTER STREET
crrY
TYRE ISLAND,
ForLnsurance Company Use:
Policy Number
STATE
GA
ZIP CODE
3132d
CompanyNAICNumber
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION {CONTINUED
Copy both sides of this Elevation Certificate for (1) rornrrunity official, (2) insurance went /company, and (3) buiding owner.
COMMENTS
C3.e = WATER HEATER
0 Check here if attar';; inents
SECTION E • BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone A0 and Zone A (without Br), complete Items El through E4. If the Elevator Certificate is intended for use as supporting tnformaticn fora _OMA or LOUR -F,
Section 0 must be completed.
El. 6uf oing Diagram Number _ (Saiect the &aiding dagram most similar to the bur' c r a• which this cettifi a• to is being completed — see pages B and 7. If no diagram accurately
represents tha building, provide a sketch orpretograph )
E2. The top cf the bottom floor tincuding basemert or enclosure) of the building is _ ft.(m) _in.(crn) 0 above or 0 below iche:k one) the highest adacentgrace. (Use
naturd grade, if availatf e).
E3. For Budding Diagrams 6-E with openings (see page ), the next higher Moor or elevated floor (e'.evatien b) of the b.*ing Is _ f:.(rr,) _e; fcm) above the nlghest adjacent
grads Complete Pems C3.11 and C3.i on front of form f
F4. The top of the platform o` machinery and /or eouipntrnt servicing the building is _1.(m) „Inf,c n) 0 above ar 0 below (cited ore) the highest adjacent grade. (Use
nature! grade, 'f available).
E5. For Z:xte AD only: if no flood depth number is available, is the top of the bottom floor elevated in accxr lance with the community's foodplan maragemer t ordinance?
0 Yes 0 No 0 Lrknown. The krcat officio, roust verify the inforrndian in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized rea'esentaaiive who completes Sectims A, 8, 0 {items C3.11 and Ca.i onth), and E for Zone A (without a = EMA -rssl eu or wrimunity-
issueo BFE) or Zara AO must sign hre. The statements it Sections A, B C. erxl E are correct to the ttsf of my /v;owtc -dgs,
PROPERTY OWNER'S. OR OWNERS AUTHORIZED REFRESEJTATIVES NAME
ADDRESS CITY STATE ZI, CODE
SIGNATURE
COMMENTS
DATE
TELEPHONE
Check here if attecYment
SECTION G • COMMUNITY INFORMATION (OPTIONAL)
The boat official vwfio s authorzed by late or ordinance to minister the community's toceplah management ordnance err complete Section A 6, C (or E), and G of this Eevaion
Certificate. Compete he applcable iterr(s) and s[ar tkabw,
GI. 0 The irtormton in Sec'ion C was taken from other docurrentation that has beer signed and embossed by a licetski surveyor, engineer, or arditect who is authorized by state
or local law to certify elevation h r& maton. ',Indicate the source and date of the elevation data in the Comments area odow )
G2.0 A. community official completed Section E fora bonding /staled in Zone A (without a MA- issued crcommunity-issued BFE) or Zane A0.
03.0 Tre follcvAng artnrmatian (Items G4-06) is provoe0 for community foadp1ain management purposes.
T G4. PERJvirr NUMBER
Gf. DATE PERfr11T SLED I` GE. DATE CERT1FICA.TE CF COMPL!ANCEIOCCUPANC1' ISSUED
I
G7 This permit has been issued for. 0 New Construction 0 Substantia' improvement
08. Elevation of as -bull lowest aocr (inckaing ba ernanfj of :he builcfng s: _,d•(rn) Catum:
G9. TE cr(in Zane AO) depth o` lloocfng at the buikding site is: tt (rn; Datum:
LOCAL CFFICIAL'S NAME TITLE
COMMUNITY NAME
SIGNATURE
COMMENTS
TELEPHONE
GATE
Check here if attachments
FEMA Form 81 -31, January 2003 Replaces all previous editions