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Home My Public Portal AboutFifth Av_1506-A U.S.'DEPAR7MENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0008 Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1 -9. • SECTION A - PROPERTY INFORMATION I For Insurance Company Use: I Al . Building Owner's Name BB &T Bank 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 I 1506 -A 5th Ave. City Tybee Island State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 233 -A, Subdivision of Lots 233,234, & Part of Lot 235, Ward 4, Tybee Island, PIN:4- 0008 -11 -018 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5. Latitude /Longitude: Lat. 31 °59'40.63" Long. 80 °51'08.82" Horizontal Datum: ❑ NAD 1927 E 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 6 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 198 sq ft a) Square footage of attached garage 954 sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade 2 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 380 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes E No d) Engineered flood openings? 9 0 Yes No 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 Georgia 1 B4. Map /Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone ' 13051 CO326 F Date Effective /Revised Date Zone(s) AO, use base flood depth) 9/26/08 9/26/08 AE 12.0 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: ❑ NGVD 1929 E1 NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes E No Designation Date _ ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* Finished Construction *A new Elevation Certificate will be required when construction of the buiiding 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 NAVD88 Conversion /Comments N/A Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 7.2 E feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 16.2 E feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N/A. E feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 7.2 E feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 16.0 feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 6.7 E feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 7.0 .1 feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 7.0 E feet ❑ meters (Puerto Rico only) I structural support I A n1O � SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION 1'f,, v" k 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 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. Were latitude and longitude in Section A provided by a licensed land surveyor? CO Yes ❑ No �{. PIA- Certifier's Name Dale E. Yawn License Number Georgia RLS No. 2$1J' _'i` M Title OwQer Company Name Yawn Land Surveys, LLC \ ' 1 Address l \ 4 sland Cree Lan City Savannah State GA ZIP Code 31410 4 A 0 S .1 C Y. - Signature latApt, /1, Date 12/28/09 Telephone 912 - 897 -6307, FEMA Form 81 -31, January 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 1506 -A 5th Ave. City Tybee Island State GA ZIP Code 31328 I Company NAIC Number - SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of thPVIevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Structur is levated on piers ith parking beneath. Ground floor is surrounded with slatted boards that have 1" openings. Bottom of elevator pit is elevation 6.5 Signature v ' ` Date 12/28/09 ` ❑ Check here if attachments SECTION E - BUILDING EL TI N 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, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is a feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6 -9 with permanent flood openings provided in Se Itej 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 ❑ eter II bove or ❑ below the HAG. E3. Attached garage (top of slab) is _ _ ❑ feet ❑ meters ❑ above or II b tow 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, 13, and E are correct to the best of my knowled . Property Owner's or Owner's Authorized Representative's Name Address City \ j, / / jstae ZIP Code Signature Date / j, Telephone Comments _ ! f Check 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 G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed su eyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comm nts area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA- issued or com nit -is ed FE) 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 mop c 1cupancy 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 _ G9. BFE or On Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum _ G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Title • Community Name Telephone Signature Date • Comments I Check here if attachments FEMA Form 81 -31, Mar 09 Replaces all previous editions