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Home My Public Portal AboutMeddin Dr_29 U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0008 Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1 -9. SECTION A - PROPERTY INFORMATION I For Insurance Company Use: Al . Building Owner's Name PAUL GATTI I Policy Number A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. I Company NAIC Number 29 MEDDIN DRIVE City TYBEE ISLAND State GA ZIP Code 31328 A3, Property Uescnption (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 1, BLOCK 17 FORT SCREVEN WARD, TYBEE ISLAND, SAVANNAH, GA, TAX PARCEL NO. 4 -0002 -10 -001 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude /Longitude: Lat. 32 -01 -15 Long. 080 -50-42 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State CITY OF TYBEE ISLAND 135164 CHATHAM GEORGIA B4. Map /Panel Number B5. Suffix 136. FIRM Index B7. FIRM Panel B8. FF-lood B9. Base Flood Elevation(s) (Zone 13051C 0213 F Date Effective /Revised Date Zone(s) AO, use base flood depth) 09/26/2008 09/26/2008 AE 12.0' 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. 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 C2.a -h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized LOCAL BENCHMARK Vertical Datum 1988 NAVD Conversion /Comments LOCAL BENCHMARK BASED ON 1988 NAVD DATUM Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 13.2 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 23.2 ❑ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N /A.. ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) N /A. ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 12.8 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 12.5 ►Z4 feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 12.7 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 12.6 ® feet ❑ meters (Puerto Rico only) structural support 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. / certify that the information on this Certificate represents my best efforts to interpret the data available. . -,.. "' ,: I understand that any false statement may be punishable by fine or imprisonrnent under 18 U.S. Code, Section 1001. /7 * " ra "' Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a w "�, t ; licensed land surveyor? ® Yes ❑ No ,-�'" ` •` r `• ,+ ® Certifier's Name MICHAEL JIM GARDNER License Number GA. RLS # 2285 / I 1 .,�, * Title LAND SURVEYOR /j Company Name MICHAEL J. GARDNER, LAND SURVEYOR t E '4. 1/ # 5 0/ 1, Address 120 VARNEDOE A�f�IJE E J City ARDEN CITY State GA ZIP Code 31408 1 r� & f Signature // Date 11/05/2009 Telephone 912 - 661 -0479 CELL \s,10 " / d % FEMA Form 81 -31, Mar 0 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. J 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 29 MEDDIN DRIVE City TYBEE ISLAND State GA ZiP Code 31328 I Company NAIC Number 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 C2 (e) ELEVATION OF TOP OF AIR CONDITIONER PAD IS 12.8'. AIR CONDITIONER PAD AT RIGHT SIDE OF RESIDENCE. NOTE: THIS PROPERTY AND RESIDENCE IS LOCATED IN ZONE AE WITH A BASE FLOOD ELEVATION OF 12.0'. PROJECT NO. PGATTI, EC -11 -0 200, (01) FB -A -09, GARDNER IMLER PG. 20. Signature Date 11/05/2009 ►�1 Check here if attachments SECTION E - BUILISNG t1EVAttOA INFORMATION 1SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without (E), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6 -9 with permanent flood openings provided in Section A Items 8 and /or 9 (see pages 8 -9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG, EA. Top of platform of machinery and /or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's 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, 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, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZiP Code Signature Date Telephone 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 item(s) and sign below. Check the measurement used in Items 08 and G9. 01. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) 02. ❑ A community official completed Section E for a building located in Zone A (without a FEMA - issued or community- issued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes, G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance /Occupancy Issued 07. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement 08. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum 09. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum 010. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments Fl Check here if attachments FEMA Form 81 -31, Mar 09 Replaces all previous editions