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HomeMy Public PortalAboutInlet Av_1700 Jul 01 1J;j LI1:56p J Whitler Re nolds 812 362 7787 p. 2 R c EBy. . cDERAL EMERGENCY MANAGEMENT AGENCY � / - p 3 ;' NATIONAL FLOOD INSURANCE PROGRAM M.B. NC. 3067 c07 "r' '� )�. - Expires December 31, 2005 © ELEVATION CERTIFICATE Important: Read the instructions on pages 1.7. SECTION A PROPERTY OWNER INFORMATION I For lnsurarrwCom;:+any! se: SUILDWNG OWNER'S NAME Policy Number GAIL LAMB BUILDING STREET ADDRESS (Including Apt , Unit, Sutc. ardor Bldg, No.) OR P.O. ROUTE AND BOX NC. I Company NAIC Number 1700 1NLET AVENUE CITY STATE ZrP CODE TYBEE ISLAND GA 31328 PROPERTY DESCRIPTION (Lot and Brock Numbers, Tax Parrot Number, Legal Description, eta) LOT 25, WARD NO 25, TYBEE ISLAND BUILDING USE (e.g., Residential, Non- resldental. Addition, Accessory, etc. Use a Comments area, it necessary,) 4 — RES LATITUDFJLONGIT1. DE (OPTIONAL) NGRIZONIAL DATUM: SOURCE. - Q r fl t ppa >: — ( $$#° - #A' - 14.##" or ## tl`) 0 NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION I 131. N F CDMMUNITY NAME 3 COMMUNITI' NUMBER / E2. AUNTY NAME ( - 63. STATE TYBEE ISLAND 135164 I CHATHAM GA 94. MAP AND PANEL B7. FIRM PANEL 99, BAST FLOOD ELE1 ATON(S) NUM EP. 65. SUFFIX B6. FIRM1NDEXDATE EFFECTIVEREVISEDDATE B8.F_CODZCNE(S', j (Zone AO, use oaplhoffoolirg) 136164 0002 C 611718E 6:17/86 A8 I 14 910. indicate the source of the Base Flood Elevation (BFE) data or base ase flood dept entered in 89, CI FS Profile E FIRIJ ❑ (immunity Dete:rrined ❑ Other (Desaihe): 911 'rdicate the &ovation datum used for•the BFE h B9 NGVD 1929 ❑ NAVC' 1933 ❑ Other (Describe). _ 812 is the bwldirc !cited in a Coastal Eerier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes No 2ssignation Date SECTION C • BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. Buildng elevations are based on 0 Construction Drawings* 0 Building UngerCon,7ild;cn' ® Firashed Constrdttiol *A. new Elevation Certificate will be requi'ed when construction of the building is complete. C2 Evidng Diagram Number 6 (Select the betiding diag most similar to the bulking for •which this ceitil ate s being cornpieted - sae pages 6 and T. if re diagram accurately re`nese 1 s the building, provide a sketch or photograph.) C3 Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, vi.V33, V with BFE), AR, ARIA, ARTAE, Al Al - r30, ,1R/AR, AR/A0 Complete Items C3 - a; below ace rdirrg to the building dacram spit lad In Item 02, State the datum uses. It the datum is different torn the datum usa for the BFE in Se L ion 9, convert the datum to that used for the BEE. Sho,v field measurements and datum conversion calculation. Use the soave cad ate Corn! T arts area ct Section D cr Section G as appropriate, 10 dcoinent the datum coaiveksion Datum NGVD 23 Ccoversion/Oornments Elevauor: referena mark used __Does the elevation refaren nark used appear on the FARM? 0 Yes © No o a) Top of bottom floor (inducing basement or 6r dosuie) 8 8 it or) 044s,, o b) Top of next higher loor 18.3ft (m) m / �,\5t o c) Bottom of lowest horizontal r e l structural, (V zones only) NA . ___ft gym) O ti o d) Attached garage (top ofslab NA, —ft.(m) Q o e) Lower; elevation of machinery and/or equipment y G 1,10, 2.2 servicing the building (Describe in a Comments area) 15. (1.(m) P I w A :(5 o t1 Lowest adjacent (finished) grade (LAG) 7.8 ft.rrlj - ,r � � ' • io o g) Highest adjacent (finished) grade tHAGi 11. 3ft (m) 1 . ¢ E I Q� F 0' o h) No of per openings ;flood vents) within 1 ft. above adjacent grade NA _ _ } Total area of all permanent openings (flood vents) in 03.h so. in. (sq, ant r SECTION D • SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is 10 be signed and sealed by a and surveyor, engineer, or architect authorized by law to crify elevation Ink rmation. I certify that the information in Sections A, 8, and C on this certificate represents my best eibrrs to interpret the data avertable 1 understand ttret any false statement iia;y be punishable by fins or imprisonment urea+ 18 U S. Code, Section 1 b CERTIFIEP.'S NAME J. Whitley Reynolds LICENSE R''UVBE` .. 224.63 — — TITLE Land Surve Y cr - COMPANY f r ti NAME — — — — ___. - --- -__ - -- CITY STATE ZIPGODE 336 STE -HNE N AVENUE, SUAC _ Savannah, GA ,A 31405 JE AT — TELEPHONE TELEPHONr - -- �li° -- d12 -352•( t — -- — G'' FEMA Ferry, 81 -3 January 2003 See reverse side for continuation Replaces all previous editions IMPORTANT: In these spaces, copy the corn unding information from Section A. I For ur surance CornFdny Ust. • • BUILDING STREET ADDRESS (Inaudin3 Apt, Unit Suite, and /or BHg. Na) OR P.C. ROUTE AND BOX NO. I Poky Number 170D INLET AVENUE CITY STATE Z'P CODE { Company N.410 Nu.nxr TYREE ISLAND GA 31328 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for ('.) community official, (2) insurance agent/company, and (3) building owner, `- COMMENTS C3.e) =AC'C PAD - -- ---- ,__ --- —__ Ell Check here if attachments SECTION E • BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) • For Zone AC and Zone A (without BFE), complete Items El through E4 if the Elevation Certificate is intended for Ise as supporting information fora LOMA or :2MR -F, Section C roust be co m,etel. Ei Building Diagram Number _(Select the building cagram most similar to the building for which this cer;l8cate is being completes -.see pages 6 and 7. if no diagram axurately represents the building, provide a sketch or photograph./ E2 The top of the bottom floor (including basement or mdosure) of the building Is — ftdm) _in (cm) (] above or ❑ b3'ow (che k one) IN highest ad' :a:ent grade,. Use natural grade, if available) E3. For Building Diagrams 6-8 with openings (see page,), the next higher flocs or elevated foot (elevation b) of the but ding is — ft.(m) _in.(an) above the highest adjacent grade. Carne'ete items C3,h a C3.i on front of form. E4. The top of the plaltorm of machinery andfor equipment serviong the btikd'ng is ft,';m) __ in.(cm) [] above or E blow (check one) the Highest adjaort grade. t'Jse natural grade, if available). E5. For Zone AO only: If no Hood depth number is available, is the tcp of the bottom flxr elevated in accordance with the .:ommunity's 600dpian management ordinance? ❑ Yes ❑ No ❑ Unknown. The kcal 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), ano E tor Zone A !without a FEMA- issued or comrnuruty- issued BFE) or Zone AO must sign hers The statements in Sections A B, C, end E are coned to the best or my Knowledge. PROPERTY OWNERS OR OWNER'S ALITHORiZED REPRESENTATIVES NAME ACDRESS — - CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE —_ — — COMMENTS - -- Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local offiaal who is authorized by law or ordinance to administer the c ornm'.inity's 800dp'ain management ordinance can complete Sectors A, 5, C (cr E), and G cf this Elevation Certificate. Complete the applicable ite<'rtts) and sign below. G1.0 The information in Sector. C was taken `.torn other daximentatien that has on signed and embossed by a licensed surveyor, engineer, or arch :dot wno rs aufhcrizec by stele, or local law to certify elevation information . (Indicate the sour? and date of the elevation data in the Comments area below ) 02. ❑ A community offica completed Section E for a building located in Zone A (without a FEMA issued or community-issued BFE) on Zone AO. G3, ❑ The foiowing information (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER j G5, CATE HERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANICE/OCCUPANCY ISSUED ) 37. This permit has been issued for: ❑ New Construction ❑ Substantial improvement 08. Elevation o1 as•butt lowest floor (including basement) of the bufoing is: ft.(m) Datum: • 39. BFE or in 7one AO) depth of flooding at the building site is: _ _ ft. ;m) Da ;um: -- — LO CAL OFFICIAiLS NAME - -Y -- TITLE - - - - -- -- _._. ^ - - - COMMUNITY NAME TELEPHONE SIGNATURE DATE — CQMMEPlTS Li Check here if attachments FEMA Form 81 -31, Janus 2003 Replaces all previous editions