HomeMy Public PortalAboutHorsepen Pt Dr_2 rELJCIINAL CMCICUtrw MANALitMtNI AtatIMUY 0.M. B. No 3067 -0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
ELEVATION CERTIFICATE
Important Read the instructions on pages 1- 7.
SECTION A - PROPERTY OWNER INFORMATION 1 For Insurance Company Use:
BUILDING OWNER'S NAME I Policy Number
TERRY K. AND JULIA K. TIMMONS
BUILDING STREET ADDRESS (Including Apt., Unit Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Company NAIC Number
2 HORSEPEN POINT DRIVE
CITY STATE ZIP CODE
TYBEE ISLAND GA 31328
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 1, HORSE PEN POINT SUBDIVISION, FORT WARD, TYBEE ISLAND
BUILDING USE e. ., Residential, Non - residential, Addition, Accessory, ccessory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: U GPS (Type):
( ##° - ##' - ##.##" or ##.#//###°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
' B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER 1 B2. COUNTY NAME I B3. STATE
TYBEE ISLAND, GEORGIA - 135164 CHATHAM GA.
B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S)
NUMBER B5. SUFFIX 86. FIRM INDEX DATE EH ECT1VEIREVISED DATE 138. FLOOD ZONE(S) (Zone AO, use depth of boding)
135164-0001 C 6/17/86 6/17/86 A8 14
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 the BFE in 69: 4 NGVD 1929 ❑ NAVD 1988 0 Other (Describe):
B12. 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)
Cl. Building elevations are based on: 0 Construction Drawings` ❑ Building Under Construction* ® Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number 7 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. ff no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations — Zones 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 C3. -a-i below awarding to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in
Section B, convert the 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 Seaton G, as appropriate, to document the datum eversion.
Datum NGVD 1929 Conversion/Comments NONE
Elevation reference mark used LOCAL Does the elevation reference mark used appear on the FIRM? ❑ Yes r No
o a) Top of bottom floor (including basement or endosure) 8. 03 ft.(m) V
o b) Top of next higherfloor 18.43 fL(m) .
o c) Bottom of lowest horizontal structural member (V zones only) N/A . ft.(m) N
o d) Attached garage (top of slab) NONE t(m) 1 a �\
o e) Lowest elevation of machinery and/or equipment `� CO
s the bung (Describe in a Carvnents area) 18 , 4311(m) w I
E co
o f) Lowest adacent (finished) grade (LAG) 7.5 ft.(m) z m
o g) Highest adjacent (finished) grade (HAG) 7. 9 ft(m)
o h) Na. of permanent openings (flood vents) within 1 ft above adjacent grade 5
o i) Total area of al pemonent openings (flood vents) in C3.h 2100 sq. in. (sq. an)
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.
I certify that the information in Sections A, B, and C 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.
CERTIFIERS NAME BERT B. BARRETT, JR. LICENSE NUMBER GA. 2225
TITLE PRESIDENT COMPANY NAME BERT BARRETT, JR LAND SURVEYING, P.C.
e
ADDRESS CITY STATE ZIP CODE
145 RUNNER ROAD N n n SAVANNAH GA 31410
SIGNATURE i f K. A - DATE TELEPHONE
/ I 11/10 912- 89740661
1 / v L
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
2 HORSEPEN POINT DRIVE -
CITY STATE ZIP CODE I Company NAIC Number
TYBEE ISLAND GA 31328
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
COMMENTS
THERE IS AN AREA LOCATED ON THE LOWEST FLOOR USED FOR PARKING AUTOMOBILES.
THE ELEVATION OF THE OUTSIDE HEATPUMP UNIT (CONDENSER) IS AT 15.33' NGVD 1929.
❑ Chedc here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items El through E4. if the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F,
Section C must be completed.
El. Building Diagram Number _(Select the building diagram most similar to the bilking 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 top of the bottom floor (induding basement or endosure) of the building is _ fl.(m) _in.(cm) ❑ above or ❑ below (chec( one) the highest adjacent grade. (Use
natural grade, if available).
B. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).
E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the communitjs 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, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA- issued or community-
issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge.
PROPERTY OWNERS OR OWNERS AUTHORIZED REPRESENTATIVES NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE FPHONE
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 floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation
Certificate. Complete the applicable items) and sign below,
GI . ❑ 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 state
or beat law to certify elevation information. (Inge the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or cornmunity-issued BFE) or Zone AO.
G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes.
04. PERMIT NUNEER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF CHANCY ISSUED
G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floc (including basement) of the building is: ft(m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: _. _ ft(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS