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HomeMy Public PortalAboutEleventh St_5 NOV- 29 -201i 07:038 FROM 6516975 T0: 9647021 51106/2x04 09:03 9123543707 P.2 E.C.JOHNSCUSTOMHOMES PAGE 02 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. N0.3087 -0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important Read the instructions on papas 1.7. SECTION A • PROPERTY OWNER INFORMATION 11 biVrf idl r!0.*** Ip BUILDINOoWNER'S j Clj�b,'ji'. 6 t: • ;i' E. C. JOHNS ,* r tike ;d: t : , BUILDING STREET ADDRESS (Including Apt, Unit. Suits, aunCror Bldg. No.) OR P.O. ROUTE AND BOX NO. C df 5 ELEVENTH STREET �: a T,... - :. t. ; , Isis - :. : CITY STATE ZIP CODE _ TYt3EE ISLAND GA 31328 PROPERTY OESCRIPnoN (Lot and Stock Numbers, Tex Parcel Number, Love OasaipUon, eta) LOT $ & PT. LOT 4 OF A SUBDIVISION OF LOT 67, WARD NO. 3 BUILDING USE (e.g,, Residential, Non•reeldentsd, Addltlet, Accessory. etc. Uaa a Comments sea. it ne ssay) Rt=S ,_ LATITUDEILONGrTUDE (OPTIONAL) HORIZONTAL DATUM: $Ou CE; u t (Type): ( W • of • Wie r or rs►. 0 HAD 1 027 ❑ NAD 1 ge3 0 USGS Quad Map 0 Other. SECTION a • FLOOD INSURANCE RATE MAP (FIRM' INFORMATION ` B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER N. COUNTY NAAE. 83. STATE I NE6E ISLAND 135164 CHATHAM I GA X 84. MAPAt D PANEL. Br. FIRM PANEL 99. EASE FL.00D ELEVATIONS) NUMBS I 1115. SUFFIX I : FIRM 8/1111111 INDEX DATE EFFECTIVEIRE ( DIPLOOD ZONE(S) (ZoneA0, vie depth dloodirtyi 810. Indicate the source of he Base Flood Elevation (BFE) detect base flood dePlh entered in E9. 0 FIS Profle ® FIRM [] Community Determined 0 Other (DeeonDe): r- B11. irtdtate the elevation datum used for the BRE in 09, ® PIuvD 1929 ❑ NAVD 1988 0 Other (De3atbey 812, Is Uta bolding located In a Coastal Bailer Resourod System (CRS) eras or Otherwise Protected Area (CPA)? 0 Yea © No Deelcri itioi Date , SECTION C • BUILDING ELEVATION INFORMATION (SURVEY REQtftRED) C1. &Ming elevaluns we based on: 0 CAnstnudon Draauinge 0 Boiling Under Construction' Ell Finished Coretunlion 'A new Elevation Certitete wI be required when mnsIndon of bu0dre Is cordate. C2. Bulcing Olagraam Number ¢ (Sdad the building dagrartt most similar to thiatwldng for Mild) this certificate is being completed - see pages 6 and 7. If no t9agra n aoctratety represents the building, provide a sloetdl or photograph.) C3 Elevations - Zones Al AA30, AE, AH, A Nth 8FE), VE, V1 -V34, V (wilt BFE), AR AR/A, AR/AE, AR/A14.30, ARIAH, AR/AO Complete Items C3. bebw aozwing to the bulking diagram spaded In Nem C2. State he detain used. litho datum is dtterant from the datum used for the BFE In secton 13, convert the datum to that used forth* 8PE. Show Add measurements and datum ocntelsion orklatiOn. Uao the space pleaded or he Canmenls area d SeciSon 0 or Sesi on G. es epproprlaate,10 document Os datum conversion. Datum N202 22 CanvelslaVCanmenta Elevation IrJfererlpa marts used Dona the elevation reference mark used appear on the FM'? 0 Yes (g No o a) Top dbottom floor (inducting beeeitnarrltaenclosure) 14• �hMn) 1 t, 0 R g o b) Top of meld higher floor L �• lit(m) (m) 0 . ∎s i e / ` e, o c) Bottom of lowest torieonlal structural member (V wee may) S6,..- ft.(m) Q� F e v ,•! o d) Attached garage (top of dab) N9 _Um) 3 * � � - 1 : o e) lawesl.elemtion of. m achinery endcor equipment s. °' 2 ' e, ' eervidtg the bolding (Casaba in a Comments tares) 1a• 1n(m) If. ,� 4. v 0 0 lowest adjacent (finished) grade (LAG) ]1.iZA.(m) ' ' URV`P X 4 0 o I) Highest acllalent (f n(shed) grade (HAG) 12. 3 R(m) �TIL LrY A t j o h) No. of permanent open (flood vents) wit* 1 ft above alidjacent grade Q o i) Total area of all permanent operdngs (1Wod vents) in Cab sq. in. (eq. om) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION • This certification is to be signed and seeded by a land surveyor, engineer, or architect authorized by law to certify elevation Information. 1 certify that the information In Sections A, g and Con this certificate represents my best efforts to Interpret the date available. 1 understand that any false steternern mey be punlshebie by tine or lmensonmenf under 13 U.S. Code, Section 1001. . CERTIFIBI'S N ME J. Whitley Reynolds UCENSE MASER 2249 TITLE Land Surveyor COMPANY Name ADDRESS CITY STATE ZIP CODE &Xi 9TEPHENANityENUE,..SpiTE C Savannah, GA GA 31405 SIGNATII /��/, .0''.. � � 12- 352-0484 FEMA Form / -31, January 2003 see reverse aide for continuation. Replace§ alt previove •ditione NOV -29-20 1 07:04A FROM: 6516975 T0: 9647021 P.3 U1+U0 / GUU4 V7: VJ 71 LJ9 4JIVI t. V�JUr'IIVJ�UJ i:Ji "IrIUr +ICJ r"Hl7C VJ i£ In the spy, copy the cort pis lnp information from $ ctlon A y i' + l MAD?*STReETAI (In re Apt, Urdl Sub, Mdor6•v,No.)ORP,O. ROUTE MC BOX NO. r 'N 5EL€VENTH STREET COY STATE ZIP CODE ({ r ' ;`!" !'� °'' TYDEE ISLAND GA 31328 y : u. :.; t:. „ t; SECTION D - SUS ENGINEER, OR ARCHRECT CERRIFICATION (CONTINUED) Copy tot sides of thls Elevation Certlkate for (1)comrnuNty Adel, (2) insurance agenVcampany, and (3) t ng owner. COMMENTS C3re) AC PAD Check here It attadlmerrts SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zorus AO and Zone A (Mitrtou t3FE), =piste Usrra Et through E4, It vie Etrrvation Cetttttcate is lined for use an supporting idormaton for a LOMA a LCMR•F, Section 0 must be oorrpletad, El Butting DI::e' .•m Number _(Select the bolding diagram most sinter to the bolding for which gds certificate is being completed - see pages 6 end 7. If no diagram ay:wifely represents the buildIrrg, poide a sketch or photograph.) E2. The lop o1 am bottom floor (Including basement or enclosure) of the building Is ^ ft.(m) _In.(om) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natoraf grade, ti available). E3. For Building DIcgrems 68 wen operitgs (see page 7), the red higher floor or evated floor (elevation b) of the bung is _11.(m) _in.(cm) above the r>igneet adjacent grade. Complete Items C3,h and C31 on front d form. E4. The top of the ptatlorm of machinery snd'or equipment servicing the bugcing I3 _ ft,(m) .jn.(mr) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural p .1., A available), E5. pa Zane AO on I I ro 8oad I :pal number Is amiable, p the top of the bottom floor elevated in accordance weft) pie corrununttys floodplaln management ordi name? Yes ❑ No Q Unknown, The boat official must certify this information to Section G. SECTION F • PROPERTY OWNER (OR OYVNER'S REPRESENTATIVE) CERTIFICATION Thor proper o a r or a+ era authorized reprecartetIveMo completes S+oticns A, B, C (liems C3.h and C31 only), and E for Zone A (without a FEMA•Iesued or community- Issued BF E) o r Tone AO trust sign ham The deity orris hi Sections A 8 C , and E are Correct to the beat Of my knoufedgs PROPERTY OWNER'S OR OVVNER'S AUTHORED REPRESENTATIVE'S NAME ADDREgg CITY STATE DP CODE SIGNATURE DATE TELEPHONE COMMENTS [3 Check here If attachments $CT ION G • COMMUNITY INFORMATION (OPTIONAL) The local official vino Is auaiodzed by law or of inartce sd'dnister the wamunttys foodpidn menegemeru ordnance can oumplete Sections q B, C (or E), and 0 of this Ele: aeon Certlt cafe. Con>ple,e the epOcab a Items) end sign below. Gt, ❑ The Information in Section C was taken front other documentation that has been signed and embossed by a licensed prrveyor, engineer, or erchbact who Is aut o zed by state or hod law ft) car* elevatIon Information. (Indicate the source and date of the elevator d : r: In the Comment arse below,) G2. Q A community official completed Seaton E for a bldk9ng located In Zone A (vttrart a FEW-Issued or community-Issued BE ) or Zone AO. G3 ❑ The touching Information (Items G4°G9) Is proV45d fa oorrvtamity 4100drAin managerned MAIM GA. PEPNMTN uNEER 4 05. CATE PERMIT ISSUED Ge DATE CERTIFICATE OF GOMPLANCE100CUPANCY ISSUED G7 This permit has bean issued tor: ❑ New Construction 0 Subedentier Improvement 08, E evetion d a -bulit lowest floor (including basement) of the building It _ _n Delon, ,... G9 BIrE Of (In Zone AO) depth of flood rg at >he building site b: ft(nn) Datum: LOCAL OFF'ICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS • Check here if attachments FEMA Form Et -31, January 2003 Rapleceo all prrvuoue odltions