The URL can be used to link to this page

Home My Public Portal AboutFifth Av_1304 U.S. DEPARTMENT OF HOMELAND SECURITY ELE k ,TllON 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 1 For Insurance Company Use: Al. Building Owner's Name JOHN H. AND SALLY F. JETT 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 1304 FIFTH AVENUE City Tr BEE ISLAND State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) SOUTHERN PORTION OF LOT 215 & THE NORTHERN PORTION OF LOT 216, WARD 4, TYBEE ISLAND A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude /Longitude: Lat. 31.99742 Long, 80,85127 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 8 A8. For a building with e crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) 1210sq It a) Square footage of attached garage NONE sq ft b) No. or permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage criclosure(s) walls within 1.0 foot above adjacent grade 7 walls within 1.0 foot above adjacent grade N /A. c) Total i,et area of hood openings in f.8.b 577 sq in c) Total net area of flood openings in A9.b N/A sq in SECTION I3 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Nurnber 1 B2. County Name I B3. State TYBEE ISLAND, GEORGIA 135164 CHATHAM GA. B4. Map /Panel Number 135. Suffix lib. 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 6/17/86 6/17/86 AS 12 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile E FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: E NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12, is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? DYes ENo Designation Date N/A ❑ CBRS ❑ OPA SECTIO 0 - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* i:0 Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevai cns - 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/A0. Complete Items C2.a -g below according to the building diagram specitieu in item A7. Benchrnark Utilized LOCAL Vertical Datum NGVD 1929 Conversion /Comments NONE Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ 7.8 E feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 10.0 E feet ❑ meters (Puerto Rico only) c) Bottom or the lowest horizontal structural member (V Zones only) N /A._ E feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) NONE. E feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building T59 E feet ❑ meters (Puerto Rico only) (Describe type of equipment in Corments) f) Lowest adjacent (finished) grade (LAG) 7.6 E feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 8.0 E 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. / certify that the inforrnation 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. E E Cheek here if comments are provided on back of form. 0- O1S Certifier's Name BERT B. BARRETT, JR. License Number GA 2225 i., ` '' t Title PRESIDENT Company Name BERT BARRETT, JR. LAND SURVEYING, P.C. ! / I . Address 1 RUNNER ROAD City SAVANNAH State GA ZIP Code 31410 • r `,,. 1 9 . ! Signature - Date 9/10/08 Telephone 912- 897 -0661 - -- v �+ ,. (� -, W , , v • , FEMA Fo;;n 81 -31, February 20063 See reverse side for continuation, Replaces all previous editions IMPORTANT: In these spaces, copy , corresponding information from Section A. f 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 1304 FIFTH AVENUE City TYBEE ISLAND State GA ZIP Code 31328 f 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 1. THE ELEVATION SHOWN IN C2 e) ISTHE OUTSIDE HEATPUMP UNIT (CONDENSER). 2. GARMIN ETREX LEGEND GPS UNIT USED FOR LAT /LONG 3. AT THE TIM THIS HOUSE WAS BUILT THE OUTSIDE HEATPUMP UNIT WAS NOT REQUIRED TO BE ELEVATED. Signature ��• - - •' Date 9/10/08 ❑ 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 or LOMR -F request, complete Sections A, B, and C. For Items E1 -E_4, 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 N /A. ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is N /A. ❑ 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 N /A. ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is N /A. ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4, Top of platform of machinery and /or equipment servicing the building is N /A. ❑ 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 0 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 N/A Address N/A City N/A State N/ ZIP Code N/A Signature N/A Date N/A Telephone N/A Comments N/A fl Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodptain 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 08. and G9. G 1. ❑ 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 N/A N/A N/A G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: N /A. _❑ feet ❑ meters (PR) Datum N/A G9. BFE or (in Zone AO) depth of flooding at the building site: N /A. 0 feet ❑ meters (PR) Datum NIA Local Official's Name N/A Title N/A Community Name N/A Telephone N/A Signature N/A Date N/A Comments N/A f1 Check here if attachments FEMA Form 81 -31, February 2006 Replaces at nrevicus editions