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Home My Public Portal AboutFifth Av_1508-A (2) U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION 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 I For Insurance Company Use: Al . bunging owner's Name I Policy Number COASTAL LANDMARK CONSTRUCTION LLC A2. Building Street Address (Including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. I Company NAIC Number 1508 -A FIFTH AVE City State ZIP Code TYBEE ISLAND GA 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 234, UNIT A OF A RECOMBINATION OF LOTS 233, 234, AND A PORTION OF LOT 235, WARD 4, TYBEE ISLAND A4. Building Use (e.g., Residential, Non - residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude /Longitude: Lat. 31' 59" 39.09' Long. 80° 51" 08.88' Horizontal Datum: ❑ NAD 1927 ® NAD1983 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 crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) 340 sq ft a) Square footage of attached garage 2332 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 4 walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 518 sq in c) Total net area of flood openings in A9.b N/A sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State 135164 TYBEE ISLAND 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) AO, use base flood depth) 0002 C 6/17/1986 6/17/1986 A8 13 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate the elevation datum used for BFE in B9: ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes x❑ 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 building is complete. C2. Elevations - Zone A1-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 -g below according to the building diagram specified in Item A7. Benchmark Utilized LOCAL Vertical Datum NGVD29 Conversion /Comments N/A Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) 8.0 ❑x feet ❑ meters (Puerto Rico only) b) Top of next higher floor 17.1 ® feet ❑ meters (Puerto Rico only) c) Bottom of lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters (Puerto Rico only) d) Attach garage (top of slab) 8.0 ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 16.8 ❑x feet ❑ meters (Puerto Rico only) (Describe type of equiptment in Comments) f) Lowest adjacent (finished) grade (LAG) 6.8 ❑x feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 7.2 ® 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. 1 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. Certifier's Name License Number DALE E. YAWN 2510 PLACE Title Company Name SEAL. YAWN LAND SURVEYS, LLC HERE Address UIty State ZIP Code 24 ISLAND CREEK LANE SAVANNAH GA 31413 -1405 Signature Date Telephone 1/3/2008 (912) 897 -6307 FEMA Form 81 -31, February 2006 See reverse side for continuaton. 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 1508 - A FIFTH AVE City State ZIP Code I Company NAIC Number TYBEE ISLAND GA 31328 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of the elevation Certificate for (1) community offficial, (2) insurance agent/company, and (3) building owner. Comments STRUCTURE IS ELEVTED ABOVE AN OPEN GARAGE BELOW WITH TWO ENCLOSED STAIRWEELS. THE GARAGE AREAS ARE ENCLOSED BY SLATTED LATTICEWORK. VENTS ARE IN ENCLOSED STAIRWELLS. Signature Date 1/3/2008 ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and Zone A (without BFE), complete items El - 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 ❑ 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. The top of the 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 Section A, B, and E for Zone A (without 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) The local official who is authorized by law or ordinance to administer the community's tloodplain 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. G1.0 The information in Section C was taken from other documentation that has been signed and embossed 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.) G2.0 A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO. G3.0 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 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 (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum: Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81 -31, January 2006 Replaces all previous editions