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HomeMy Public PortalAboutChatham Av_1714 US. DEPARTMENT OF HOMELAND SECURITY ELEV ATOON 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 i Policy Number STEPHEN REMLER CONSTRUCTION A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. i Company NAIC Number 1714 CHATHAM AVENUE City State ZIP Code TYBEE GA 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 20B, WARD 5, TYBEE ISLAND (SUBDIVISION MAP BOOK 34S, PAGE 92) A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 31.9902 °N Long. 080.8513°W Horizontal Datum: ❑NAD 1927 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number6 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) *130 sq ft a) Square footage of attached garage N/A sq ft b) No. of permanentflood 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 2 walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b *133 sq in c) Total net area of flood openings in A9.b 0 sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 1 82. County Name B3. State TYBEE ISLAND 135164 CHATHAM I GA B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood 89. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 0002 C 06/17/1986 06/17 /1986 A8 14' 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9. ❑FIS Profile Cl. FIRM ['Community Determined ❑Other (Describe) 811. Indicate elevation datum used for BFE in Item B9: ►�1 NGVD 1929 ❑NAVD 1988 Daher (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? DYes R1 No Designation Date ❑ CBRS ❑OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. Building elevations are based on: ['Construction Drawings* ['Building Under Construction* )Z Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. 02. Elevations -Zones Al -A30, AE, AH, A (with BEE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AO. Complete Items 02.a-g below according to the building diagram specified in Item A7. Benchmark Utilized T3M Vertical DatumNGVD 29 Conversion/Comments VERTCON Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) 7.8 /4 feet ['meters (Puerto Rico only) b) Top of the next higher floor 17.9 k.. 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 ❑feet ['meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building *16.3 feet ❑meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) 7.2 ►rl feet Dmeters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 7.5 ►,l 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. 1 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. _ - -- .. - R ►o Check here if comments are provided on back of form. e � Y/ sir . 4` ; 4' QA r Certifi Name License Number G + r,- A. Joseph Hale, Jr. GA RLS# 2886 r NO. 2886 t Title Company Name � ' Registered Land Surveyor Kem- Coleman & Co. ! 7.0 . . F ', / Address City State ZIP Code 0 ,. v S j ; ' 6 Mall Court Savannah GA 31406 Signature ( Date Telephone �� � A. ���6y. e. 01/31/08 912-354 -8400 -M FEMA Form 81 -31, February 2006 See reverse side for continuation. Replaces all previous editions 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. No.) or P.O. Route and Box No. I Policy Number 1714 CHATHAM AVENUE City State ZIP Code I Company NAIC Number TYBEE GA 31328 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. Comments THE BENCH MARK USED FOR THIS CERTIFICATE WAS ESTABLISHED BY GPS AND THE HEIGHT CONVERTED USING VERTCON 2.0. THE SQUARE FOOTAGE OF THE ENCLOSURE (STAIRWAY /CLOSET) IN SECTION A8.a IS APPROXIMATE. THE AREA IN SECTION AB.c IS APPROXIMATE. THE ELEVATION IN SECTION C2.e IS FOR THE TOP OF PLATFORM FOR THE AIR - CONDITIONING UNIT. Signature G J , Date a , � 01/31/08 ►t Check here if attachments SE$TI l E - BUILDING ELEVJON INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones 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. El. 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 buikling is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters 0 above or ❑ 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 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 FlCheck 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 09. GI. ❑ 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 1 G5. Date Permit Issued 06. 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 09. 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 flCheck here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions