Loading...
HomeMy Public PortalAboutChatham Av_1413 (2) U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires February 28, 2009 National Flood Insurance Program Important: Read the instructions on pages 1 -8. SECTION A - PROPERTY INFORMATION I For insurance Company Use Al. building Owner's Name Catskill Builders Policy Number A2 Building Street Address (including Apt, Unk Suite, andlor Bldg. No.) or P.o_ Route and Box No. i Company WOG Number 1413 Chatham Avenue City Tybee Island, State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 38 & a portion of lot 39, ward 8 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5. LatitudetLongitude: Lat. N 31 del 59.752 min Long_ W 80 dea 51.248 min Horizontal Datum: 0 NAD 1927 re NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A8, For a building with a crawl space or enciosure(s), provide AS. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) 213 sq ft a) Square footage of attached garage rail sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attadred garage enclosure(s) watts within 1.0 foot above adjacent grade 6 wails within 1.0 foot above adjacent grade c) Total net area of flood openings in AB.b 570 sq in c) Total net area of flood openings in A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION - B1, NFIP Community Name & Community Number I 82. County Name B3. State Tybee Island 135164 Chatham 84. Map/Panef Number B5_ Suffix B6. FIRM Index 67. FIRM Panel 88. Flood B9. Base Flood Elevation(s) (Zone 1 Date Effecth, &Revised Date Zone(s) AO, use base flood depth) 135164 0002 C 1114/72 6117186 A8 14 Fi f O. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9. ❑ FIS Profile (21 FIRM 0 Community Determined 0 Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ►5 NGVD 1929 0 NAVD 1968 ❑ Other (Describe) B12 Is the building located in a Coastal Barrier Reaouroes System (CBRS) area or Otherwise Protected Area (OPA)7 ❑Yes it No Designation Date „ 0 CBRS ❑ CPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* In Finished Ccu iruc#ion *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations –Zones A1-A30, AE, Ale, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, ARIA1 -A30, AR/All, AR/AO, Complete Items C2.a-g below according to the buidfrg diagram specified in Item A7. Benchmark Utilized total Vertical Datum NGVD 1929 Conversion(Comments Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ 9.8 0 feet 0 meters (Puerto Rico only) b) Top of the next higher floor Ma. 0 feet ❑ meters (Puerto Rica only) c) Bottom of the lowest horizontal structural member (V Zones only) nit . 0 feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) nee. :1 feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 7.0 Se feet 0 meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adiaoent (finished) grade (LAG) 7.3 ►+ feet ❑ meters (Puerto Rico only) g) Highest adjaoank (finished) grade (HAG) 7.7 ►_1 feet ❑ meters (Puerto Rico onty) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a Nand surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information on this Certiftcale represents my best efforts to interpret the data available. f understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. G Q� 0 Check here if c emments are provided on back of form. O Tg T.4, Certi ler's Name J. Whitley Reynolds License Numtet 2249 * 48 Tibia Land Surveyor Company Name J. Whitley Reynolds, Land Surveying y t ZP 11 .0. O ,' Address 636fephensl fn Avenue rte C City Savannah, State GA ZIP Code 31405 // e. Signatu / / / / � 2/13/08 Telephone 912- 352-0464 ( FEMA Forrre$1 -31, Frggruary 2006 See reverse s1rle fir rnn1tni iatinn 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. Na,) or P.O. Route and Box No Policy Number 1413 Chatham Avenue City Tybee Island State GA ZIP Code 31328 1 Company NAIC Number SECTION G - SURVEYOR, EIS It 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 C2.e) = A/C p Signature Date 2/13/08 ❑ Check here If attachments SECTI[ E - BUILDING ELEVATION INFORMATION (SURVEY NOT €SQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones A© and A (without BFE), compete Items El-E5. If the Certificate is intended to eupport a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used In Puerto Rico only, enter meters. El. Provide elevation infoinurtion for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is D feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6 -8 with permanent flood openings provided in Section A Items 8 and /or 9 (see page 8 of Instructions), the next higher floor (elevation 02,b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or 0 below the HAG. E3. Attached garage (top of slab) is 0 feet ❑ meters ❑ above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is • ❑ feet D meters ❑ above or ❑ below the HAG. E5- Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's fioodplain 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, 8, and E for Zone A (without a FEVlA- issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A. B, and E are correct to the best of my knoveledge. 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 col mmuntty's fioodpiain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items 08_ and G9. 01.0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 0 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. 0 The following information (Items G4.-G9.) is provided for community ttoodpiain management purposes. G4. Permit Number ( G5. Date Permit issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This perrmil has been issued for ❑ New Construction 0 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: _© feat ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feat 0 meters (PR) Datum Lace) Offctars Name Title Community Name Telephone Signature - - Date Comments n Check here if attachments FEMA Form 81 -31, February 2006 Replaces all previous editions -d rA/ i. ��I^ 21G eptouFaei RBI T r eES =80 Bt7 GI clad