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FEDERAL EMERGENCY MANA /, /�^�'�
NATIONAL FLOOD INSURAI Post -its Fax Note r 7671 Date 31l61�"F�INages► Z
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ELEVATION CER c oJDepr, ro.
Important: Read the instructio I Phone 4 Phone#
SECTION A • PROPERTY ON ll Fax # [Fax*
BUILDING OWNER'S NAME I
M B & B PROPERTIES, LLC
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, andfor Bldg, No.) OR P.O.,_....,v,- -. - 1,- - umpuny - rv,.,cf,larnnerT - - 1 — —
1006 HIGHWAY 80
CITY STATE ZIP CODE
TYBEE ISLAND GA 31328
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc)
PT. OF LOTS 7, 8, 17 & 18, BLOCK 14, GARDEN WARD
BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
NON -RES
— LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE lG GPS (Type):
( ##° -##' - ##.#if" or ##,## #`) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
61. NFP COMMUNTY NAME &COMMUNITY NUMBER B2. COUNTY NAME I B3. STATE
CI-tATHAM 139030 CHATHAM GA
B4• MAP AND PANEL B7, FIRM PANEL B3. BASE FLOOD ELEVATIONS)
NUMBER 85. SUFFIX 66.F IRM INDEX DATE EFFECTIVE/REVISED DATE 88. FLOOD ZONE(S) (ZoreAO, use depth of flooding)
1300300120 0 5119187 5/19187 AE 12
B10. Indcate the source of the Base Flood Elevation (B =E) data or base flood depth entered in 89.
0 FIS Profile ® ARM ❑ Community Determined ❑ Other (Describe):
B11. Indicatethe elevation datum used for the BFE in B9:121 NGVD 1929 ❑ NAVD 1288 ❑ Other (Describe):
812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ® No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings' ❑ Bulking Under Construction* ►.I Finished Construction
`A new Elevation Certificate will b✓ required when constructs n of the building is complete,
C2. Building Diagram Number 8 (Select he bulding diagram most sirn9ar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch or photograph.)
03. Elevatons — Zones Al A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARrAE, ARIA1A30, ARtAH, AR/AO
Complete Items C3,-al below according to the building diagram specified in Item C2 State the datum used. lithe datum is different from the datum used for the BFE in
Section B, convertthe datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion,
Datum NGVD 29 ConversionfComments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
o a) Top of bottom foor (induding basement or erdosure) 8. 9 ft(m) -- 0 P C4'
o b) Top of next higher lour 12.6 ft.(m) 4 uu
. V - , a �S T ES.
o c) Bottom of'owest horizontal structure memaer (V zones only) NA _ft.(m) N o V Q • o d) Attached garage (top of slab) N. _ft(m) uS -,
o e) '_avast elevation o' machinery andlor equ icment w m I sevidng the building (Describe in a Comments area) 12.6 ft-(m) e 9,G `4 o f) Lowest adjacent (finished) grade (LAG) 7.7 ft.(m) �` F � ,/ i
o g) Highest adjacent (finished) grade (HAG) 8. 9 ft.(m) ° 1 LE /
iD
o 7) No, of pernanent openings (flood vents) within 1 ft above adjacent grade 9 ; -
o i) Total area of all per, nanent openings (flood vents) in C3.h 2385 sq. in. (so. an)
SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is tc be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. r
1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available,
1 understand that any false statement may be punishable by fine or imprisonment under 18 tJ, S. Code, Section 1001.
CERTIFIER'S NAME J. WHITLEY REYNOLDS LICENSE NUMBER 2249
TITLE LAND SURVEYOg„ COMPANY NAME
ADDRESS / -N / J SAVANNAH GA 31405
Y STATE ZIP CODE
636 STEPH SON A L� lTE C/ SAVANNAH GA 31405
51GNATUI(E / 7__ _____-----________ DATE TELEPHONE
3,16105 912-352-0464 7 /
FEMA Forr 81 - 31, Jaryc(ar),..2'6.b3 ✓ See reverse side for continuation. Replaces all previous editions
MAR - 1666 -2a85 1 33 28 912 352 7787 95% P.01
rear 1 b U5 U1 1 b J wniLI r<e_mn❑las sic arc f(U' P
IMPORTANT: I n these spaces, copy the corresponding Information from Section A. I .for insurance Company Use:
BUILDING STREET ADDRESS (Induding Apt. lint Suite, and/or Bing. No.) OR P.O. ROUTE AND BOX NO. I PoVcy Number
1006 HIGHWAY 80
CITY STATE ZIP CODE Company NA1C Number
SAVANNAH, GA 31328 , Nu
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) oanmunity offdal, (2) insurance ageeni<'company, and (3) buildng owner.
COMMENTS
C3.e) =A/C PAD
E Check here if atlachments
SECTION E • BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA cr LOMR -F,
Section C must be completed.
El. . Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately
represents the building, provide a sketch or photograph.)
E2, The to of the bottom floor (inducing basement or enclosure) cf the building is _ ft,(m) _in (cm) 0 above or 0 below (check one) the highest ad grade. (Use
natural grade, if available).
E3. For Build ng Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(crn) above the highest adjacent
grade. Complete items C311 and C3.1 on front of foram.
E4. The ton of the platform of machinery and,Ior equipment servicing the building is _ ft.(m) __in (cm) 0 above or 0 below (check one) the highest adjacent grade. (Use
natural grade, if available).
E5, For Zone AO only: If no flood dept) number is available, is the top of the bottom floor elevated in accordance with the community's floodp'ain management ordinance?
❑ Yes 0 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 owners authorized representative who competes Sections A, B C (Items C3.h and 03i only), and E for Zone A (without a FEMA issued or community-
issued BFE) or Zone AO must sign t>ere. The statements in Sections A B, C, end E are correctto the best of my knowledge.
PROPERTY OWNER'S OR OWNERS AUTHORED REPRESENTATIVES NAME
ADDRESS CITY STATE ZlP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized oy law or ordnance to administer the crxntrwrity's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Etevaticn
Certificate. Complete the applicable item(s) and sign below,
01.0 The information in Section C was taken from other documentation that has oeen signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
or local 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 a community- issued BFE) or Zone A0,
G3, 0 The following Information (Items G4-G9) is provided for community floodplair management purposes.
04. PERMIT NUMBER G5. DATE PERMIT ISS'JHJ G8. DATE CERTIFICATE OF COM UANCEOCCUPANCY ISSUED
G7, This permit has been issued fen. 0 New Construction 0 Substantial Improvement
G8, Elevator of as -butt; lowest floor ( nduding basement) cf the building is: __ _ft•(rr) Datum:
09, BFE or (h Zone AO) depth of flooding at the building site is . _ ft(m) Datum: _
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
❑ Check here if attachments
FEMA Form 81 - 31, January 2003 Replaces ail previous editions
MlR -16 -2005 13:25 912 352 7787 95'r. P.01