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HomeMy Public PortalAboutEleventh Pl_2_Unit B U.S. DEPARTMENT OF HOMELAND SECURITY C L C V H I 'WIN V C R I i r i M I C Federal Emergency Management Agency Expires February 28. 2009 I National Fiood Insw'ance 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 DAVID SOVCHEN A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. I Company NAIC Number 2 -B 11TH PLACE City State ZIP Code TYBEE ISLAND GA 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 9, TYBEE STRAITS, WARD 3 (PLAT RECORD BOOK 9 -P, PAGE 1). A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude /Longitude: Lat. 31.9982 °N Long. 080.8451 °W Horizontal Datum: DNAD 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 Numberl 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) *1,174 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 0 walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 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 B2. County Name B3. State CITY OF 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) A0, use base flood depth) 13051CO326 F 09/26/2008 09/26/2008 VE 15' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑FIS Profile ®FIRM Community Determined ❑Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑NGVD 1929 ®NAVD 1988 DOther (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ['Yes ►1 No Designation Date ❑ CBRS DOPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. 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/AI -A30, AR/AH, AR/AO. Complete Items C2.a -g below according to the building diagram specified in Item A7. Benchmark Utilized TBM Vertical DatumNAVD 88 Conversion /Comments N/A Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) *10.6 Zfeet Dmeters (Puerto Rico only) b) Top of the next higher floor 20.6 Zfeet ['meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) SEE NOTES Zfeet Dmeters (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 "13.4 Zfeet Dmeters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) 10.0 Zfeet ['meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 10.6 Zfeet ['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. • ® Check here if comments are provided on back of form. a • Certifier's Name License Number d �' Joseph A. Hale, Jr. GA RLS# 2886 , Title Company Name NO. 2886 Registered Land Surveyor Kern - Coleman & Co. tZ /8 0£3 ' Address City State ZIP Code ' ' <.g4, 1G,,O 1` 6 Mall Court _ Savannah 31406 ,® , ,, t S UR Si / Date Telephone m�^ Signature 1 12/18/2008 912 -354 -8400 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 2 -B 11TH PLACE City State ZIP Code I Company NAIC Number TYBEE ISLAND GA 31328 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. Comments THE BENCH MARK USED WAS ESTABLISHED USING GPS MEASUREMENTS (NAVD 88). THE SQUARE FOOTAGE OF THE ENCLOSURE /GARAGE IN SECTION A8.a IS APPROXIMATE, AND IS JUST FOR UNIT 2B PORTION OF THE BUILDING. THE ELEVATION IN SECTION C2.a IS FOR THE ENCLOSURE /GARAGE FLOOR. SECTION C2.e: ELEVATION OF UNDERSIDE OF GROUND LEVEL CONCRETE FLOOR SLAB COULD NOT BE MEASURED. THE GARAGE DOOR HEADER IS AT ELEVATION 17.5', THE UNDERSIDE OF THE NEXT HIGHER FLOOR IS AT AN APPROXIMATE ELEVATION OF 19.7' AS MEASURED ON THE BOTTOM OF THE EXTERIOR DECK. THE ELEVATION IN SECTION C2.e IS FOR THE TOP OF PLATFORMS FOR THE AIR - CONDITIONING UNITS. THE INTERIOR OF THE HOUSE COULD NOT BE ACCESSED, SURVEYOR WAS UNABLE TO INSPECT FOR INTERIOR EQUIPMENT SERVICING THE BUILDING OR TO MEASURE ADDITIONAL INTERIOR ELEVATIONS. Signature Date G / /) n c_ j(.t�� 12/18/2008 Check here if attachments SECfrIOpf E - BUILDING ELEVATI '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 El 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 ❑Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) he 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), :nd G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. 31. ❑ 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.) 32. ❑ A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone A0. 33. ❑ 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 37. This permit has been issued for ❑ New Construction ❑ Substantial Improvement 38. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum 39. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone = EMA Form 81 - 31, February 2006 Replaces all previous editions