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Home My Public Portal AboutMILLER AV_1406 Received Fax Se. 11 2007 1:38PM Fax Station : Bonnie 'Gaster -. 1 Sep 11 07 12:17p J Whitlej Re 912 352 7787 p. U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE 1 OMB No. 1660-0008 Federal Emergency Management Agency Expires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1 -8. SECTION A - PROPERTY INFORMATION I For insurance Company Use: Al. Building Owner's Name The Cottage Company 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 1406 Miller Avenue . City Tybee Island, State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Descrption. etc.) Lot Lot 153, ward no, 4 _ _ _ A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) residential A5, Latitude/Longitude: Lat. N 31 dea 59 min 45 sec Long. W 80 dap 51 min 04 sec Horizontal Datum: 0 NAD 1927 ►' NAD 1963 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 7 A8. Fora building with a crawl space or enclosure(s), provide A9. For a buiding with an attached garage, provide: a) Square footage of crawl space or enclosure(s) 339 sq it a) Square footage of attached garage sq tt b) No. of permanent flood openings in the crawl space or b) No of permanentflood openings in the attached garage endosure(s) wails within 1.0 foot above adjacent grade 7, wafts within 1.0 foot above adjacent grade c) Total net area of flood openings in AB.b &V se in c) Total net area of fly openings in A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name a community Nwnber B2. County Name 83. State l Tybee Island 135164 I Chatham I GA 64. Map/Panel Number 85, Suffix 86. FIRM Index 87. FIRM Panel BB. Flood 59. Base Flood Elevations) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 135164 0002 C 6/17/86 6/17/86 AB 13 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in item 89. El FIS Profile e FIRM 0 Community Determined 0 Other (Describe) 611. Indicate elevation datum used for BFE in Item 89: in NGVD 1929 0 NAVD 1988 0 Other (Describe) 812, Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Aree (OPA)? OYes ETA No Designation Date 01 CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* tee 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, APJA, AR/AE, AR/A1 -A30, AR/AH. AR/AO. Complete Items C2.a -g below according to the building diagram specified in Item AT. Benchmark Utilized jgggj Vertical Datum NGVD 1929 Conversion/Comments Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ 7.7 II feet 0 meters (Puerto Rico only) b) Top of the next higher floor 17.Q •_ feet 0 meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) eel ® feet 0 meters (Puerto Rico only) d) Attached garage (top of slab) 7.7 to feet 0 meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 151 :0 feet 0 meters (Puerto Rico only) (Describe type of equipment in Comments) t) Lowest adjacent (finished) grade (LAG) ¢.2 _+ feet 0 meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 7.Q :I feat 0 meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by taw to certify elevation information. [certify that the infonnation 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 U.S. Code, Section 1001. G>OR.G.4 :1 Check here it comments are provided on back of form. .y Certifier's Name J. Whitley Reynolds License Number 2249 * 4' � * NO. 2249 m Title Land Surveyor /� Company Name J. Whitley Reynolds, Land Surveying � � ,:q Q 6 S Address 63 heeoay mit CC City Savannah, State GA ZIP Code 31405 e 7 4 , � p Si natu Date 9/7/07 Telephone 912 - 352 -0464 GG►aA c.....la4 41 C..M........ ennc Got. ravorsa Rid frlr ermfintintit n Replaces all previous edition > Received Fax ; Seu 11 2007 1:38PM Fax Station =: Bonnie Gaster 2 Sep 11 07 12:17p J Whitley Re 912 352 7787 p.2 IMPORTANT: In these spaces, copy the corresponding information from Section A. 1 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 1406 Miller Avenue 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) communry official, (2) insurance agent/company, and (3) building owner. Comments C2.e) = NC pad Garage is encos I ' Signature // /, (/ Date 9/7107 /( f ❑ Check here if attachments S'$CTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMIt -F request, complete Sections A, B, and C. For items E1-E4, use natural grade, if available. Check the measurement used. in Puerto Rlco only, entermeters. E1. 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, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the iAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and /or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E 3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. 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 (wfthout a FEMA- issued or community- issued BFE) or Zone AO must sign here. The statements in Sections ns A, 8, 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 rl Check here if attachmen_ s SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the cerxnun$ys floodptain 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 G8. and 69. 61, ❑ 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.) G2. ❑ 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 floodplaln management purposes. G4. Permit Number I G5. Date Permit Issued I 66. Date Certtflcate Of Compllance/Occupancy Issued G7. This permit has been Issued for: ❑ New Construction ❑ Substantial improvement i G8. Elevation of as -built lowest floor (including basement) of the building: .0 feet ❑ meters (PR) Datum 69, BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date ' Comments n Check here if attachmr nts W IAA Fnrm 81 -11 Fe hnictry 2006 Replaces all previous editi ins