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Home My Public Portal AboutChatham Av_1705 - DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 - 0008 Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1 -9. SECTION A - PROPERTY INFORMATION I For Insurance Company Use: Al. Building Owner's Name ASA B. DAVIS I Policy Number A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. I Company NAIC Number 1705 CHATHAM AVENUE City TYBEE ISLAND State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) NORTHEASTERLY PORTIONS OF LOTS 1 & 2, WARD 6, TYBEE ISLAND A4. Building Use (e.g., Residential, No, - - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude /Longitude: Lat. 31.99105 Long. 80.85177 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of this building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 5 A8. For a building with a crawlspace c enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace er enclosure(s) N/A sq ft a) Square footage of attached garage no_ sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openinc s in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes IZI No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 131. NFIP Community Name & Community Number B2. County Name B3. State TYBEE ISLAND, GEORGIA - 1351164 CHAHTHAM GA. 8,4. Map /Panel Number B5. Sufl:c 86. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 13051 CO326 F Date Effective /Revised Date Zone(s) AO, use base flood depth) 9/26/08 9/26/08 AE 13 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile L. FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for 13FE in Item B9: ❑ NGVD 1929 e: NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date N/A ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be r equired when construction of the building is complete. C2. Elevations - Zones Al -A30, AE, At , A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AO. Complete Items C2.a -h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized LOCALVertica: Datum NAVD88 Conversion /Comments NONE Check the measurement used. a) Top of bottom floor (including I - nsement, crawlspace, or enclosure floor) 10.00 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 10.87 ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N /A. ® feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) NONE. ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building SEE COMMENTS E feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grarie next to building (LAG) 7.3 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 7.8 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 7.3 ® feet ❑ meters (Puerto Rico only) structural support 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 informaticl on this Certificate represents my best efforts to interpret the data available. - . I understand that any false statement r r y be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. st° 0 R ® Check here if comments are provichad on back of form. Were latitude and longitude in Section A provided by a ' . t3 ' _ licensed land surveyor? ® Yes ❑ No y Certifier's Name BERT B. BARRETT, JR. `� L icense Number GA. 2225 „�, � ��f �� • � a, � Title OWNER/PRESIDENT Company Name BERT BARRETT, JR. LAND SURVEYING, PC. 12113. ' Address 145 NER ROAD City SAVANNAH State GA ZIP Code 31410 'V ► Q7 .` Signature Date 5/27/10 Telephone 912 - 897 -0661 - a FEMA Form 81 - 3fi, Mar 09/ \ See reverse side for continuation. Replaces al prev" i" s editions WARNING: Due to the possibili. / t hat changes may have been done to this residence after this elevation certificate was signed and dated by the surveyor, it is recommended tnrr: c aution be taken in using this elevation certificate by anyone other than the person indicated in section A1. IMPORTANT: In these spaces', ,:nappy the corresponding information from Section A. 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 1705 CHATHAM AVENUE City TYBEE ISLAND State GA ZIP Code 31328 I Company NAIC Number SECTION ID - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) • Copy both sides of this Elevation Certili:zte for (1) community official, (2) insurance agent/company, and (3) building owner. Comments 1. MAGELLAN MERIDIAr1 GOLD GPS UNIT USED TO OBTAIN LAT /LONG 2. THE LO EST ELEVATION OF Md.i - 11NERY SERVICING THIS BUILDING WITHIN THE FOUNDATION WALLS IS AT 19.9' + /- NAVD 1988. 3. THE ELE OF THE OUT cIEATPUMP UNIT (CONDENSER) IS AT 13.92 NAVD 1988. Signa, "' 3 Date 5/27/10 ❑ Check here if attachments SECTION E - BUILDING ELE IiatiTION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), c .n n;. fete Items El -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items El -E4, use natural •;;pale, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information fa the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adj.iorrrt grade (LAG). a) Top of bottom floor (including : asement, crawlspace, or enclosure) is N /A. ® feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including ,asement, crawlspace, or enclosure) is N /A. ® feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6 -9 with permanent flood openings provided in Section A Items 8 and /or 9 (see pages 8 -9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is N /A. ® feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is WA. i4. ® feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery andI,or equipment servicing the building is N /A. ® feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: if no flood depth n uinber is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No 0 Unknown. The local official must certify this information in Section G. SECTICIK �i� • PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authori. od representative who completes Sections A, B, and E for Zone A (without a FEMA - issued or community - Issued BFE) or Zone AO must sign here. The stater cots in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorizers Representative's Name N/A Address N/A City N/A State GA ZIP Code N/A Signature N/A Date N/A Telephone N/A Comments N/A f 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. Com rfela the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C v. s taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify ele■ation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official complete Section E for a building located in Zone A (without a FEMA- issued or community - issued BFE) or Zone AO. G3. ❑ The following information (Item i; G4-G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance /Occupancy Issued N/A , NaA N/A G7. This permit has been issued for: f,� New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (in ';liuding basement) of the building: N /A. ® feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flood • J at the building site: N /A. ® feet ❑ meters (PR) Datum G10. Community's design flood elevatior N/A ® feet ❑ meters (PR) Datum Local Official's Name N/A Title NIA Community Name N/A Telephone N/A Signature N/A Date N/A Comments N/A fl Check here if attachments FEMA Form 81 -31, Mar 09 Replaces all previous editions 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 Asa Davis I Policy Number A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 1705 Chatham Avenue I City Tybee Island, State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Portions of lots 1 & 2, ward no. 6 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) residential A5. Latitude /Longitude: Lat. N 31 deq 59.4570 min Long. W 80 deq 51.1070 min Horizontal Datum: ❑ NAD 1927 ►Z 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 5 A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) n/a sq ft a) Square footage of attached garage n/a sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b 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 B2. County Name B3. State Tybee Island 135164 Chatham GA B4. Map /Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9 Base Flood Elevation(s) (Zone Date Effective /Revised Date Zone(s) AO, use base flood depth) 135164 0002 C 1/14/72 6/17/86 A8 14 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ►7,1 FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ► 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 ►ZI No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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. Elevations -Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR /A, AR /AE, AR /A1 -A30, AR /AH, AR/A0. Complete Items C2.a -g below according to the building diagram specified in Item A7. Benchmark Utilized local Vertical Datum NGVD 1929 Conversion /Comments Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ 10.8 feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 11.4 ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) n /a. feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) n /a. 0 feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 11.4 0 feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) 8.1 ►7 feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 8.6 ei feet ❑ meters (Puerto Rico only) 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 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. �' y G j� 0 Check here if comments are provided on back of form. ' ' 61.9 TFi / � � � * , Certifier's Name J. Whitley Reynolds License Number 2249 ? l No 2249 Title Land Surveyor Company Name J. Whitley Reynolds, Land Surveying ® , 4 Address7S C City Savannah, State GA ZIP Code 31405 R, .fir" Signatdre Date 7/25/08 Telephone 912 - 352 - 0464'. ��i/ ofoff IMPORTANT: In these spaces, copy the corresponding information from Section A. I For Insurance Company Use: 1 Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. I Policy Number 1705 Chatham Avenue City Tybee Island, State GA ZIP Code 31328 I Company NAIC Number 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. . /2 Comments Sigyfature // // Date 7/25/08 �� / ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For2ones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support 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. E1. Provide elevation information 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 ❑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 C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and /or equipment servicing the building is ❑ feet ❑ 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 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, 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, 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 rl 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. Check the measurement used in Items G8. and G9. 01. ❑ 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. ❑ 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: _❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments 7 Check here if attachments