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Home My Public Portal AboutFirst St_717 O.M.a. NO. 1067.0077 ELEVATION CERTIFICATE ExpiresMrry 31, 4 FEOERAL EMERGENCY MANAGEMENT AGENCY NATIONAL. FLOOD INSURANCE PROGRAM ATTENTION: Use of lilts certificate does not provide a waiver of the flood Insurance purchase requirement. This form is used only to provide elevation Information necessary to ensure compliance with applicable community tioodptaln management ordinances, to determine the proper insurance prein}Um rate, and/or to support a request tor a Letter of Map Amendment or Revision (LOMA or WW1) Instructions for completing this form can be found on the following pages. SECTION A PROPER r Y INFORMATION roe If st /MANCE COMPANY USE eUILUINV o rren S rir1ME POLIC NUMFEf - _ J ay Pte, ...4 4 12-5 y k, �__ p pi r g � ) i EA I l r S Y S ThEF f AUPITE 55 tlnrludb+ � 1 , llni1, Suite andror tied Number Om P U mUt1TE AND BOX - NUMBER � COMPANY 'MC NIIMr�n 01)rEn UESCrIIP!ION 101 Land Black Nunrbrrs, elc.1 F a ro ml e p LQT S & 4S it s izT to A 6L- -D ell Y SIAT 5 21P CODE TY 8 t k . 1 s L •/ P, C E o)26 (>,4 3 1 ' SECTION 9 FLOOD INSURANCE RATE MAP (FIRM) INFOnMAT rrovfrin 1Ir, tr,llrntiinq hums 11re plupei r ifiM (See Instructions): — — a r. uMtiaarN11 Y NUM b / taEn ? rr,nit NUMOE 1 sw'rrx d UA1E Ur PrfM iNNUE fi X 5 Prim 20NE 6 LIME it n�an [LrVA1 ■' I 1 3 J 1 4- O 0 Q J C. b 61 e A e on AA0 Zanns. EI. rlrplli) 1 "L' 7, indicate the elevation datum system used on the FIRM tor Base Flood Elevations (BFE), kINGVI7 '29 L .l Outer (describe on bank) 8, For Zones A or V, where no BFE Is provided on the FIRM, and the community has established a BFE for This building silo. Indicate the community's BFE; I 1 1. 1..I.i 1 tee NGVO (w other FIRM datum - see Section B, Hem 7), SECTION C BUILDING ELEVATION INFORMATION i . Using the Elevation Certificate hrs( r uctions, indicatg the diagram number from the diagrams tound on Paget 5 and 6 It+at best describes the subject building's reference level _ P... . 2(e) FIRM Zones A i -A30, AE, Ali, and A (with BFE). The top of the reference levet floor from the selected diagram) is al an elevation of I I 1. I /i61,I feet NOVI) (or other FIRM datum -see Section 8, item 7). (b) FIRM Zones V t •V30, VE; and V (witty BFE). The bottom ai the lowest horizontal structural member of the refer once level from the selected (flagrant, is at an elevation of L.L -LI... 1.J ,Li feet t4t3VD (or other FIRM datum -see Sector) t3, Item 7). (c). FIRM Zone A (without BFE). t he floor used as the reference level horn the selected diagram Is 1 1 1.1 1 tent above 1 ' or below I 1 (check one) the highest gl ade adjacent to the building. (d). limo Zone AO. 1l he Moor used as the reference level from the selected diagram is I L. .1.1. I feet above I 1 or below I 1 (check one) the highest grade adjacent to the building. If no flood depth number Is available, Is lire building's lowest Itoor (tele!ence level) elevated In accordance with tile community's floodplain management ordinance? l 1 Yes 1-1 No I 1 Unknown 3 Indicate lire elevation datum system used In determining the above reference level elevations: Pi NOVD'29 1 1 0111er (describe under Comments on Page 2). (NOTE. if the elevation daturrt used (n rneasuring the efevallor)s is different that! that used on tire Fii7M /see Section 13, item 7], then convert the elevations to the datum system used on the FIRM and slow the conversion equatiorn wider Continents on Pape 2,) 4. Elevation reference mark used appears on FARM LI Yes IATNo (See instructions on Page 4) 5. The reference level elevation is based en: VI actual construction II constrUction drawings (NOTE: Use of construction drawings is only vatic? if the building does riot ye( have he reference level floor in place, to which case this certificate Wit only be valid for The building during the course of conslrtietiort. A post-construction Elevation Cerirticale wilt be required once construction is complete.) /► 6. The elevation of the lowest grade Irnmadiately adjacent to the building is. L . 1 _1 171,1A .feel NGVO (01 other FtrlM datum see Section 8, Item 7) SECTION 1) COMMUNITY INFORMATION I . II the community official responsible for verifying building elevations specifies the( the reference level Indicated In Section C, !tern r is not the 'lowest floor" as defined in the community's floodptaln management ordinance, the elevation of the building's "lowest floor' as defined by Elie ordinance Is: L_LLI...LI ,L1 lest NGVD (or other FIRM datum -see Section B, here 7). 2. Ogle of the start of construction, or substantial Improvement . Ft-MA r,,,,., 531-3 , MAY 93 REPLACES tall PREVIOUS E0111C-15 SEE REVERSE 510E MO CUNIINUA1l(fN t-r.,r —vim —yo .1'J P-'L onr•r'e IL. L• LdrJC1 Juriey `J1L tsyi 01,31 P .02 SECTION E CERTIFICATION This certification Is to be signed by a land surveyor, engineer, or architect who is authorized by slate or local law to certify elevation Information when the elevation information for Zones Al -A30, AE, AH, A (with BFE),V1- V30.VE, and V (witty SFE) Is required. Community officials who are authorized by local law or ordinance to provide floodplain management Information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BEE), a building official, a property owner, or an owner's representative may also sign the certification. Reference tevet diagrams 6, 7 and 9 - Distinguishing Features -It the certifier is unable to certify to breakaway /non- breakaway wall, enclosure size, location of servicing equipment, area use, watt openings, or unfinished area Feature(s), then Ilst the Featurets) not Included to lire certification under Comments below. The diagram number, Section C, Item 1, must slid be entered. f certify that he udoimatlon in Sections E9 and G on this certificate represents my best efforts lo interpret the data available. 1 understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001 Bert R. Barrett, Sr. Ga. #1239 CERI1rFEn S NAME LICENSE NUMBER ICU Alliz Seel) R, L. S. _ Barr. ett_Land.- _ Sur.v-e_yng, Inc. 111E COMPANY NAME P. 0. Box 10091 Savannah, Ga. 31912 AOOnE CtTY �tf/ Q S1ATE 71P ! - -- 1 -912 89 _ _ SIGNATURE IJAI E PfiONE Copies should be made of this Certlllcate for 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS: —__ —. - -. ON WITH ON PILES, SLAB BASEMENT PIERS, OA COLUMNS A v A A v 7n1IFS ZONES .4 ZONES ZONES ZONES nfrEA WE nFrEnENrK ." ____ LEVEL nFr FnENf.K EA ±£ EYES L,tvEl I KlQ lY EIE YAtWN ` - - '^ms s - i EASE � ' ADJACENE t�' AE F MACE is rI MD r ,yj1Y ELEVAnou REFERENC Ar ADJENt GM "' 3,4 LEVEL -I ELEYAt�UH LEVEL GRADE r r 1 he diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for ail A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. •