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Home My Public Portal AboutEighteenth St_3 U.S°.DEPAR1MENTOF HOMELAND SECURITY ELEVATION CERTIFICATE ... OMB No, 1660 - 0008 Federal Emergency Management Agency Expires March 31, 201; National Flood Insurance Program g Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION For Insurance Company Use; . RMA g s Name Stavros G Andris 1 Policy Al. Building Owner's A2. Building (including A p and! Street Address includin t., Unit, Suite, or Bldg No.) or P.O. Route and Box No. 1 Company NAIC Number 3 18' Street City Tybee Island State GA ZIP Code 31328 - A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) - -- - PIN # 4- 0009 -06 -002 A4. Budding Use (e g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5. Latitude /Longitude: Lat. 31 °5970.4" Long. 80 °50'55.5" 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 Number 1 A8. For a building with a crawlspace or enclosure(s): A9. For a building with en attached garage: a) Square footage of crawlspace or enclosure(s) 749 sq ft a) Square footage of attached garage 711 sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent fined openings in the attached garage enclosure(s) within 1,0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings 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 ® No d) Engineered flood openings'? ❑Yes ►:e No SECTION B - FLOOD iNSURAN CE RATE MAP (FIRM) INFORMATION .. - y y y Number a2 County Name 83. State OCit of Tybee Island 135164 l , Chatham 81. NFIP Community Name & Communit Georgia B4. Map /Panel Number B5. Suffix 86. FiRM Index 67 FIRM Panel 88. Flood 69. Base Flood Etevation(s) (Zone 13051 C /0326 F Date Effective /Revised Date Zone(s) AO, use base flood depth) 09(26 /08 09 /26 /08 VE 17 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in item B9 ❑ FIS Profile ® FIRM ❑ Community Determined 0 Other (Describe) www.SAGIS.oro B11. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 ® NAVO 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 ❑ CBRS 0 OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) - Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' 0 Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al -A30, AE, AH, 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 Local Vertical Datum 1988 Conversion /Comments N/A Check the measurement used, a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 10 ,4 ® feet 0 meters (Puerto Rico only) b) Top of the next higher floor 19.6 ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) 10.4 tee feet ❑ meters (Puerto Rico only) d) Attached garage (top of stab) 11.4 ►el feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 10 .0 0 feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 0.2 ►:t feet 0 meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 9 .8 iI feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including NIA. ❑ 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 .0 information. t certify that the information on this Certificate represents my hest efforts to interpret the data evadable. / O 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. 4 003 4,, ►t, Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a el 4 licensed and surveyor? ® Yes ❑ No 0 1 64 Certifier's Name Gregory J. Harr License Number 3080 f ,,1 � ) Title Owner Company Name Greg Harris Land Surveying, LLC Q < �' - ..... � i . .. 1 Address 110 Suffolk k Rd City Savanah anah State GA ZIP Code 31410 0 Q,Ry a% Signature Date / L 3 /2 12 Telephone 912 -429 -1833 FEMA Form 81 -31', Mar 09 See reverse side for continuation. Replaces all previous editior IMPORTANT: I _py corresponding A... . In these spaces, copy the comes onding information from Section ( 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 3 1 8T" Street 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. Comments Latitude and Longitude were derived from Garmin GPS Map 6OCSX, Type of equipment in C2e. is the HVAC unit/ heat pump. Signature Gregory J. Harries V Date 6!3/2012 1 Check here if attachments SECTION E - BUILDING ELEVATION 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 Of 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, crawlspace, or enclosure) is ❑ feet 0 meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or 0 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 ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet 0 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? 0 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 A g end E best of my knowledge. Property Owner's s or Owner's Authorized Representative's Name are correct t t h e b - Address City State ZiP Code Signature Date Telephone Comments Et Check here if attachmen 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. G1. ❑ 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 one A (without a FEMA- issued or community - issued BFE) or Zone AO. G3. ❑ The following information (Items G4 -09) is provided for community floodplain management purposes. G4. Permit Number ; G5. Date Permit issued I G6. Date Certificate Of ComptiancelOccupancy Issued - 07. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: 0 feet ❑ meters (PR) Datum 09. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum 010. Community's design flood elevation 0 feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments n Check here if attachme FEMA Form 81 -31, Mar 09 Replaces all previous editic