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HomeMy Public PortalAboutPulaski St_121 9 6` `' OMB 3067-0077 `` , FEDERAL EMERGENCY MANAGEMENT AGENCY Expires: June 1984 ( NATIONAL FLOOD INSURANCE PROGRAM � ..4 -; ELEVATION T I I A This form is to be used for: 1) New /Emergency Program construction in Special Flood Hazard Areas; 2) Pre -FIRM construction after September 30, 1982; 3) Post -FIRM construction; and, 4) Other buildings rated as Post -FIRM rules. A- 9573 -91 BUILDING OWNER'S ADDRESS NAME B. DEIRDRE BURFORD & A. CROWE 121 PULASKI STREET PROPERTY LOCATION (Lot and Block numbers and address if available) ' LOT 4, BLOCK. 34, FORT SCREVEN WARD, TOWN OF TYBEE ISLAND, 5TH GITID, CHATHAM COUNTY, GEORCUi I 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 imprisonment under 18 U,S. code, Section 1001, SECTION I ELIGIBILITY CERTIFICATION (Completed by Local Community Permit Official or a Registered Professional Engineer, Architect, or Surveyor) • COMMUNITY NO PANEL NO. SUFFIX DATE OF FIRM FIRM ZONE GATE OF CONSTR. BASE FLOOD ELEV. BUILDING IS (In AO Zone, use depth) ❑ New /Emergency 135164 111:11:11 C 17 JUN 86 A8 14' ❑ Pre -FIRM Reg 0 Post -FIRM Reg. YES NO It is intended that the building described above will be constructed in compliance with the community's flood plain ❑ ❑ ordinance. The certifier may rely on community records. The lowest floor (including basement) will be at an elevation of ft, NGVD, Failure to construct the building at this elevation may place the building in violation of the community's flood plain management ordinance. • YES NO The building described above has been constructed in compliance with the community's flood plain management ❑ ❑ ordinance based on elevation data and visual inspection or other reasonable means. If NO is checked, attach copy of variance issued by the community. YES NO The mobile home located at the address described above has been tied down (anchored) in compliance with the ❑ ❑ community's flood plain management ordinance, or in compliance with the NFIP Specifications. MOBILE HOME MAKE MODEL YR. OF MANUFACTURE SERIAL NO. DIMENSIONS X (Community Permit Official or Registered Professional Engineer, Architect, or Surveyor) NAME Joseph J.•Stuckey, Jr. ADDRESS 10500 Abercorn St, Unit N TITLE l and, Surveyor . (NCITX Savannah STATE GA zip 31419 SIGNATURE \ - ' /J 1tI_ F k - I - 24... (1ATP 10/23/91 PHONE (912) 925 - 810180 SECTION II ELE)/AT ON CER1IFICAT bN (Certified by a Local Community Permit Official or a Registered Professional Engineer. / ) Architect, or Surveyor.) `/ FIRM ZONE Al- 30: certify that the building at the property location described above has the lowest floor (including basement) at an elevation of 1 d - M feet, NGVD (mean sea level) and the average grade at the building site is at an elevation of feet, NGVD. Lowest Floor Elevation = 14.05' FIRM ZONES V, V1 -V30: I certify that the building at the property location described above has the bottom of the lowest floor beam at an elevation of feet, NGVD (mean sea level), and the average grade at the building site is at an elevation of feet, NGVD. FIRM ZONES A, A99, AN and EMERGENCY PROGRAM: I certify that the building at the property location described above has the lowest floor elevation of feet, NGVD. The elevation of the highest adjacent grade next to the building is feet, NGVD. FIRM ZONE AO: I certify that the building at the property location described above has the lowest floor elevation of feet, NGVD. The elevation of the highest adjacent grade next to the building is feet, NGVD. SECTION III FLOODPROOFING CERTIFICATION (Certification by a Registered Professional Engineer or Architect) I certify to the best of my knowledge, information, and belief, that the building is designed so that the building is watertight, with walls substantially impermeable to the passage of water and structural components having the capability) of resisting hydrostatic and hydrodynamic loads and effects of buoyancy that would be caused by the flood depths, pressures velocities, impact and uplift forces associated with the base flood. YES ❑ NO ❑ In the event of flooding, will this degree of floodproofing be achieved with human intervention? (Human intervention means that water will enter the building when floods up to the base flood level oc- cur unless measures are taken prior to the flood to prevent entry of water (e.g., bolting metal shields over doors and windowsl. I Architect, or Surveyor) COMMUNITY NO PANEL NO. SUFFIX OATE OF FIRM FIRM ZONE DATE OF.CONSTR. BASE FLOOD ELEV. BUILDING IS (In AO Zone. use depth) ❑ New /Emergency ❑ Pre -FIRM Reg. 135164 0001 C 17 JUN 86 A8 14' ❑ Post -FIRM Reg, YES NO It is intended that the building described above will be constructed in compliance with the community's flood plain ❑ ❑ ordinance. The certifier may rely on community records. The lowest floor (including basement) will be at an elevation of It, NGVD. Failure to construct the building at this elevation may place the building in violation of the community's flood plain management ordinance. YES NO The building described above has been constructed in compliance with the community's flood plain management ❑ ❑ ordinance based on elevation data and visual inspection or other reasonable means. If NO is checked, attach copy of variance issued by the community. YES NO The mobile home located at the address described above has been tied down (anchored) in compliance with the ❑ ❑ community's flood plain management ordinance, or in compliance with the NFIP Specifications, MOBILE HOME MAKE MODEL YR. OF MANUFACTURE - SERIAL NO. DIMENSIONS 'X (Community Permit Official or Registered Professional Engineer, Architect, or Surveyor) NAME Joseph J. Stuckey, Jr. ADDRESS 10500 Abercorn St, Unit N TITLE land Surveyor - (\CITX Sawnnah STATE GA z 31419 SIGNATURE \\\ A. i- L9 , Ill \ \ / i4 I'-- - \` ..----- DATF 111/23/91 PHONE (91 2) 925 - 8080 SECTION I1 EL E AT`ON CER�'IFICATIbN (Certified by a Local Community Permit Official or a Registered Professional Engineer, I / / Architect, or Surveyor.) U FIRM ZONE Al- 30: certify that the building at the property location described above has the lowest floor (including basement) at an elevation of 1 d -1'15' feet, NGVD (mean sea level) and the average grade at the building site is at an elevation of feet, NGVD. Lowest Floor Elevation = 14.05' • FIRM ZONES V, V1 -V30: I certify that the building at the property location described above has the bottom of the lowest floor beam at an elevation of feet, NGVD (mean sea level), and the average grade at the building site is at an elevation cI feet, NGVD, FIRM ZONES A, A99, AH and EMERGENCY PROGRAM: I certify that the building at the property location described above has the lowest floor elevation of feet, NGVD, The elevation of the highest adjacent grade next to the building is feet, NGVD. FIRM ZONE AO: I certify that the building at the property location described above has the lowest floor elevation of feet, NGVD. The elevation of the highest adjacent grade 'next to the_building is feet, NGVD. SECTION III FLOODPROOFING CERTIFICATION (Certification by a Registered Professional Engineer or Architect) I certify to the best of my knowledge, information, and belief, that the building is designed so that the building is watertight, with walls substantially impermeable to the passage of water and structural components having the capability of resisting hydrostatic and hydrodynamic loads and effects of buoyancy that would be caused by the flood depths, pressures velocities, impact and uplift forces associated with the base flood. YES ❑ NO ❑ In the event of flooding, will this degree of floodproofing be achieved with human intervention? (Human intervention means that water will enter the building when floods up to the base flood level oc- • cur unless measures are taken prior to the flood to prevent entry of water (e.g., bolting metal shields over doors and windows). YES ❑ NO ❑ Will the building be occupied as a residence? 11 the answer to both questions is YES, the floodproofing cannot be credited for rating purposes and the actual lowest boor must be completed and certified instead. Complete both the elevation and floodproofing certificates. FIRM ZONES A, Al -A30, V1 -V30, AO and AH: Certified Floodproofed Elevation is feet, (NGVD). THIS CERTIFICATION IS FOR t ECTION II ❑ BOTH SECTIONS 11 AND III (Check One) CERTIFIER'S NAME COMPANY NAME LICENSE NO. (or Affix Seal) Joseph J. Stuckpy. Jr. Starkey I ;end Rurvpyina 1RF,1 LE ADDRESS ZIP - nd Survek n 10500 Abercorn St., Unit N 31419 GNA'(URE n Q n / 1 D �E�.! CITY STATE PHONE ',/ ll)t/ V/t /, t ®( r;i /91 Savannah r. _. ThF insur f a ce ag •4tt hould attach tote original copy of the completed form to the flood insurance policy application. ) he sec. nd opy should be supplied to the policyholder and the third copy retained by the agent INSURANCE AGENTS MAY ORDER THIS FORM FEMA F rm B 1, SEP 83 REPLACES FEMA FORM 81-31, APR 82, WHICH IS OBSOLETE