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Home My Public Portal AboutMoore Av_8 FEDERAL EMERGENCY MANAGEMENT AGENCY O.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 I Frx fr canes Company Use BUILDING OWNER'S NAME I Pericyfdumber PAUL WOLFF BUILDING STREET ADDRESS (Inducting Apt., Una., Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Company NAIC Number fL o,2 r A4'' CITY - STATE ZIP CODE TYBEE ISLAND GA 31328 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Damon, etc.) LOT "E' OF A SUBDISION OF LOT 6, FORT WARD BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RES LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type): ( #i°' - ##' - ##.##" or ##.#####°) ❑ NAD 1927 ❑ NAD 1983 0 USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION I ' B1. NFP COMMUNITY ISLAND 135164 NAtuE & M HOER I CHATHAM MANE I GA STATE B4. MAP AND PANEL B7. FM PANEL 89. BASE FLOOD ELEVATION(S) NUNIER B5. SUFFIX 66. FIRM INDEX DATE DATE B8. FLOOD ZONE(S) (Zone AO, use depth of wi •) 1351640001 C 6/17: °:. 6/1786 A-8 12 B10. Indicate the source of the Base Flood Elevation (BFE) data or base food depth entered in B9. ❑ FIS Prue ►, FIRM ❑ Ccrvrxinity Deternined ❑ Other (tube): B11, Incite the eletralion datum used forth BFE ar B9: l! NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): 812. Is the bilking located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date __, _ . _ SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on ❑ Construction Dravrngs* ❑ Burbling UnderConstrudion* Finished Construction `A new Elevation Certificate will be required when construction of the building is mete. C2. Budding Diagram Number 7 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, ARJAO Complete Items C3. -a4 below according to the building dagram 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. Showfletd measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD 29 Conversion/Comments Elevation reference mark used Does the elevaion reference mark used appear on the FIRM? ❑ Yes No o a) Top of bottom t (inducing basement or endosure) 8_1. ft.(m) 6� � ; o b ) T o p o f rid hig erfloor 16.4fL(m) . _ e o c) Boitom of horizontal structural (V zones only) NA . fL(m) o o �� O�r ` CR , 1 o d) Attathed garage (top of slab) 8. 1 ft.(m) w Z o e) Lowest elevation of mad and t - 7 � t .01, sung the baking (Desr a in a Comments area) N . tL(m) `' v o f) l ,vest a Trashed) d) grate (LAG) 8.1 ft(m) f '� 9 I` T J j Qv 1 o g) Highest add (finish grade (HAG) 9. 5fL(m) �' m at Li rj ' ;k�'► A 1 o h) W. d opt (hod within 1 fL above alacent grate ITL EY 0 o i) Total area of (flood vents) in C3.11432 sq. in. (sq. an) y 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. t.tt r u -itrtS NAME !Whitley Reynolds UCENSE NUMBER 2249 TITLE Land Surveyor COMPANY NAME ADDRESS CITY STATE ZIP CODE 636 STEPHNESJE, C _ Savannah, GA GA 31405 S�NA �`" `f 81113103 912 TEL 352 �lE DATE ®` 6 .- / ' - ��.- --= IMPORTMIT: In these spaces, copy the corresponding information from Section A. I ForI nsttanceCompanyUse: BUILDING STREET ADDRESS (Including Apt., Unit, Suite, andlrBldg. No.) OR P.O. ROUTE AND BOX NO. [MNoner CITY STATE ZIP CODE 1 ComparyNAICNenber SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentkonpany, and (3) building owner. COMMENTS ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQURED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and ZateA ( wtthout BFE), complete Items El hough E4. If the Elevation Certificate is amended for use as warring information fora LOMA a LOMR -F, Section C must be completed El . Building Diagram Number __petal the building diagram most similar to the building 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 enclosure) of the building is _ ft.(m) __in.(c m) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if avalat4e). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher Ilooror elevated floor (elevation b) of the building is — ft.(m) _in.(cm) above the highest adjacent grade. Complete items C3.h and C3.1 on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _,,,in.(cm) 0 above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if avalable). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's unity's floodplain management ordinance? Q Y e s ❑ Na ❑ U n k n a m e t The brat official must r 6ty this fi>famaion in Secdthn G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representafive who completes Sections A, B, C (Items C3.h and C3.L only), and E for Zone A (without a FEMA issued or community - issued BFE) or ZoneAO r ustsgn here. The statement in Sections A, B G and E are coned to the best ofmybowt edge PROPERTY OWNER'S OR OWNERS 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 ordnance to a knimiste the community's floodplan ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the app le items) and sign below. G1.0 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 local 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 bulking located in Zone A (without a FEMA issued or community - issued BFE) or Zone AO. G3. ❑ The following information (Items G4-G9) is provided for oaninur ity ffoodplan 11 C GI 1IG It purposes. G4. PERMIT NUMBER I G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPUANCE /OCCUPANCY ISSUED G7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (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 ❑ Check here if attachments