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Home My Public Portal AboutHodges St_7 FEDERAL Chet a.stM.T raFtruusszscra t aacac®w , U. M.13. NO. Jilt I -UU / I NATIONAL 8.000 ORMANCE Expires December 31, 2005 ELEVATION CERTIFICATE Important Read the moans on 1.7. SECTION A - PROPERTY OWNER INFORMATION I For Insurance Convey Usa BUILDING OWNER'S NAME I Poky Nt r MACK KITHCHENS BUILDING STREET ADDRESS (Including Apt, Unit, Sine, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Company NAIL Number 7 HODGES STREET , CITY STATE ZIP CODE TYBEE ISLAND, GA 31328 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description. etc.) WT 3-A..2, HORSE PEN HAMMOCK, FORT WARD . BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RES l.ATITUDEJLONGrrUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type)- ( ite -#ye - #1##r or ,tAW/f/e) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD MURREE RATE MAP (I II) A71ON B91.NA UNITY NAME &C rOTYNib 1 COU • NTY NAME N" I � STATE TWEE 84. MAP AND PANEL B7. FIRM PANEL ' 89. BASE FLOOD ELEVATION(S) NUMBER 95. SUFFIX 86. FIRM INDEX DATE DATE FLOOD ZONE(S) (Zone AO, we loth cflooding) 135164 0001 C 6117186 6/17186 AS 12 810. Indicate the source dthe Base Flood Elevation (BFE) data or basetbod depth erred in B9. 0 RS Put � - FIRM 0 Carrnurly Determined ❑ Other (Describe): 1311. Indicate the elevation datum used forte BFE in B9: ® NGVD 1929 0 NAVD 1986 0 Other (Des e): B12. Is the butldng bad in a Coastal Bader Resources System (CBRS) area or Otherwise Protected Ara (OPA)? 0 Yes ►'i No Designalbn Date _— SECTION C - BUILDING ELEVATION INFORMATION (ARVEY REQUIRED) Cl. elevations are based on: aConstruction Drawings" 0 Baling Under Cambodia e' Rnished Construction *A nrm Elevation Cerf ate wft ix 164 whe onsbaiion of the bulking is canplete. 02 . Buldrig O i a g a m Number 5 ( S e l e c t ihe b u t g diagram m o s t sariato the be ing for wlich this tarttricate is being completed -see pages 6 and 7. if no diagram aocuraiety,represents the bukkig, provide ask horphotograph.) C3. Ele+ rations -Zones Al-A30, AE, AH, A (MI BFE), VE, V1-V30, V (wih BFE), AR, ARIA, AWAE, AR/A1 -130, AWAH, AR/AO Com Items C3. -a-i beloNr aaordrig lots Leiden diagram speared In Item CZ Site the daunt used. tithe datum is cOferentfrom the dater used tor the BFE hi Section B, convert the datum to that teed for the BFE Show field measurements and dal an conversion calculation. Use the space provided or the Corm girls area of Section D or Section G, as appropriate, to doamentthe datum corwersion. Datum NGVD 29 Efevation referencemakused Does the aviation reference mak used appearon the RRM? 0 Yes ►� No o a) Top of bottom floor ( tgbasertentorendostae) 13. SUM ( o b ) Top of next higher floor NA. (m) GiSTER o c) Bottom of bast hodzontal structural r ai member (V sores only) NA . ft(m) I , ,��"'d * o d) Attached garage (top of slab) NA ft(m) E 11 ca E NO. 2249 ri c o e) toast elevationof=cheery aidkr 1. m / • serving the bulking (Describe in a Comments area) 13.5 ft(m) t � . I ► ` o f) Lott alac:eYUt (faetted) gale (LAG) 8.8ft t(m) m N � • . t`43 A'/ o g ) ) g (HA) 10.7ft.(m) 7� oC o h)Naafportarortaperlrgs(ibodv s)withiriRabareadtacer>tgrade0 �'' 16) 0( I) Tctai sea dal petmane tapedtgs (Rood vents) In C3 .h sq. in. (sq. an) 1 1 SECTION D - SURVEYOR, MOWER, OR ARCWTECt CERTIFICATION / This you is to be signed and sealed by a land surveyor, engineer, or architect authorized by Imo to certify elevation arfonftation. I cat* that the Worrnatt n in Sections A B, and Con this rye moments my bestetFortsfo 'demist the data available. I that any faise slate entmaybep bin by be oriMor tnnent under 18 U.S Code, Section 1001. NAME J. W hIlleytRepoids • UJt NSE NUMBER 2249 j1TLE C fSlit a K > ; ,.. P CO ANY NAME 636 F VE nrE ./ / 1 CITY STATE 31 CO1 E f GA GA 31405 SIGNI // 7 ' % / 912 f f Gf IMPORTANT: In these spaces, copy the ring Mom Won from Sec lion A. 3 For insurare calvary use BUILDING STREET ADDRESS (Inducing Apt, Uri, Sub, andYa Bldg. No.) OR P.O. MITE AND BOX NO. Poloy Number 7 HODGES STREET Cm. STATE ZIP CODE Company NAIC Windier TYBEE ISLAND, GA 31328 SECTION D - SURVEYOR, ENGM1EER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides Gillis Elevation Dedicate (I) co mudy cdtk al, (2) i>suraxe agenttompary, and (3) building owner. COMMENTS C3.e) =ANC PAD 0 Check here if attachments SECTION E = SUR-DING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WIC BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. If the Bevation Catecate is intended for use as supposing information for a LOMAorLOMB F, Section C must be completed. El. Bing Diagam Nurther_(Selectthe bailing diagram most slimier to the baking tor which this certtticale is being completed —see pages 6 and 7. If no dragra u accurately represents the bulling, provide a sketch or photograph.) E2. The top of the bottom floor (inducing basement or endosure) of the bukkng is _ ft(m) _i n.(cm) ❑ above or ❑ below (died( one) the highest alacent grade. (Use nature Bade, if wattle). E3. For Building Diagrams 6-8 with openkgs (see page 7), the next higher floor or elevated floor (elevation b) ("the bulking is _ ft(m) _in.(cm) above the highest adjacent glade. Complete kerns C3.h and C3.i on fray dfam. E4. The trip of the platform of machinery ardor magnet servicing the bulking is _ ft(m) in.(an) ❑ abate or ❑ below (check one) the highest afia ant grade. (Use natural grade, i trouble). E5. For Zane AO only. if no flood depth number is amiable, is be top of the bokom Boor elevded in a:cordence sib the anvnunky's floor in ordnance? ❑ Y e s ❑ No 0 Maven. T h e local attiaal must catty this tnbarrtation in Section G. SECTION F - QTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized rite who completes Seams A, B, C (Items C3 h and C3.i only), and E for Zane A (without a FEMA -issued oraomirtu y- issued 8FE) Zone AO must sign here 77;estdemenLs in &tikesA, a G End Eae =fact tothe best ofnybowie* PROPERTY OMER'S OR OWNERS AUTHORIZED hcr_r- rccaci4TATNE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ check here if altar rents SECTION G - COMMLRIITY MFORMATION (OPTIONAL) The local acid who'is authorized by lam or ordnance to admnRSter the Community's Scottish maegenentordnance can complebe Sections A, B, C (or E), and G al this Elevaion Certiodate, Complete the amiable krim(s) aid sign below. Gi.❑ The intonation inSec onCuwast aken homother documreriationthathasbeensignedand embossed by aldersedsuiveyorengineer ; architect who is authorized bystate or local lath car* elevaion iiururann. (Indicate the stare and date alto elevation data in the Convents area below.) GZ ❑ A community official completed Sedan E fora brig located in Zone A (about a orca vnurit - issued BFE) or Zone AO. G3. ❑ Thefolowing nfomaion (kerns G4-G9) is pialidedforcommunityloodpkie 5 _ : purposes. G4. PERM' NUMBER I G5. DATE FERMI I G6. DATE CERTIFICATE CF COVPUANCEIOCCUPANCY ISSUED G7. his pem>k has been issued for: ❑ New Corm ❑ Substage( ge( imaprovement G8. Elevation of as-bu iowestfloor (inducing basement) cthe bulling is _ it(m) Darn: (39, BFE or in Zone AO) depth of iloodng aloha iAladng srte is: ._ _ t(m) Datum: LOCAL OFRCIALS NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ check here if