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HomeMy Public PortalAboutRailwood Av_703 01/04/2006 13:24 9123543707 E C JOHNS CU PAGE 02/04 FEDERAL EMERGENCY MANAGEMENT AGENCY . O. IVI. b: No, 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the Instructions on nape 1.7. SECTION A. PROPERTY OWNER INFORMATION if.:4 # ,; W. '.:' • PETER BRi BIhLDiNGOWNER'SNAAAE � i "oal'Cy � 1uYi"'0r .:. T f BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No) OR P.O. ROUTE AND BOX NO. C.o psrriy) POldet)I I .: 703 RAiLW000 AVENUE • CRY STATE ZIP CODE TYBEE ISLAND, GA 31328 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 2, OFFICERS ROW, PHASE!! ' BUILDING USE (e.g -, Raddential, Non-residential, Addition, Accessory, eta Use a Comments wee, if necessary.) RES IA11 TUDFILONGITUDE (OF'11ONAL) HORIZONTAL DATUM: SOURCE: D GPS (Type): ( ##'- ##' - .#t"' or ##.#rr 0 NAB 1927 0 NAD 1883 p USGS Quad Map 0 Omer. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION . I Bl. NFIP COMMUNITY NAME & COMMUNITY NIJA+BER I B2, C NAME D .STATE 84, MAP AND PANEL . B7. FIRM PANEL 139 . BASE FLOOD ELEVATIONS) iI NUMef =R 65.SUFFIX 1 3 6 . FIRM woo( D A T E EFFECt'INEREVISFD D A T E 138, F L O O D Z C N E ( S ) O. e depth of Ilxxi ) 135/640001 G • 6017/86 6/17 :'; A8 14 B10, mate the source of the Base Flood Elevaflon (BFE) data of base flood depth entered In B9. D FiS Profile ® FIRM D Conmuruty Detem»ned 0 Other (Desctlbe): $11. Indicate the elevation datum used for the BFE In , IS] NGVD 1928 ❑ NAVD 1 :: D Other (Describe): B12. Is the baking l o c a t e d in a C o a s t a l B a r r i e r Resources S y s t e m (CBRS) area or Otherwise P r o t e c t e d Area f O P A ) 7 D Ye s ► : t No Des lli - a Date . . SECTION C • BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1, Bulling elevations are based on: D Construction Drawings* D Budding Under Construction* ' ® Finished Constnrcilon *A new ©evalon Cereficate will be required when construction of the budding is . • • ' ' . C2 Ming Diagram,■umber 1(Select the budding &gran► most similar to the budding for which this requite is being cornplebsd -see pages 6 and?. If rip c gagraii a o C U r a t e l y teproienti6 bulking, p r o v i d e a s k e t c h or p h o t o g r a p h . ) . _ . _.............. _..... . • C3. urns- -Zones Al -,430, AE, AN; A (wri(t BEE). VE, V1 V30, V (with BFE), AR, APIA, AR/AE, AR/A1,&30, AR/AH, AR/A0 Complete Items C3: - below according to building diagram spea&edin :Item C2 State the datum used. •N the datum is Brent from the datum :used'tor the i3FE in Section 8, convert the daturrrlo that used for the.BFE: Shaky field moments and ' datum conversion cab :llation. Use the space ptevkted or the Cannents rasa of Section 0 or Section G, as appropriate, to document the datum oonyamion; . Datum NGVD29 Conve sronCommerte lie on retelme mark used Does the elevation reference mark used appear on the FiRdl? ❑ Yes ► < No o a) Top elbott+ 7m floor (fnduding basement orendesure) 9 .1.ft.(m) I , - o b) Top of Head higher floor NA . ft.(m) „ Ct s 0 0) Bottom of lowest horizontal structural rneinber (V zees only) NA . _R(m) 8 ; � * Q I � o d)Attached garage (top of slab) 15. 7 f (m) E d o.. e) Lowest elevai t of ,rnachlnery. of dtor equipment W Q f setvidng the b ding (Describe in a Corr ments area) 15.7 fi(m) 1 o f) Lowest adja t (finished) grade (LAG) 15.0 ft(m) i , , 7 p � �' j ! o g) H ighest adjacent (finished) grade (HAG) 15.41L(m) �'' � ,I 6 . ' o h) No. of per ent openings (flood vents) within 1 ft. above adjacent grade Q d o i) Toth arm of all permanent openings (flood vents) in C3.h sq. In. (sq, cm) SECTION D - SURVEYOR. ENGINEER, OR ARCHITECT CERTIFICATION ,1 . This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law{ to certify elevation Itiforfllay. t certify that the information in Sections A, B; and G on this: certificate represents my best efforts to In er'pret the data available.: . I understand that anyfalse. statemeotmay be punishable by fine or. Imprisonment under 18 U.S. Cade,. Section 1. .: , T S NAME; J; WkitTLEY,REYN.L.DS_.1 •.. _, . . t!(�NSENI NUMBER TfREf�NO:SURVETOR . ; COMPANY NAME ADDRESS CITY I STATE ;!F'CODE 836 S SiVIINAVENIXVIE C ..'.,---- -) SAVANNAH GA 31405 DATE SI 2E /7 // •^ / 912 TELEPHONE 1 7 ..." Pr . /_ f �--�-" . - orm 81- 31nuery 2003 See reverse side for continuation. F:epte;,;es all previous editions 01/04/2006 13 :24 9123543707 E C JOHNS CU PAGE 03/04 IMPORTANT: In those spaces, copy the corresponding information from Section A 1. F T-Imnce t%acmnl any l :.: . BUILDING STREET ADDRESS (Including Apt, Unit, Suits, arrdior Bldg, No,) OR P,O, ROUTE AND BOX NO, Pofwy Ntllik t:' • .,m 703 RAILWOOD AVENUE I CITY STATE Z(P CODE Coil my NAIL Nuntr TY$EE ISLAND, GA 31328 SECTION D • SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentioompany, and (3) building owner. COMMENTS • Cae) -' POOL PUMP AND FILTER • 0 Check here if ett chmentS SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WiTImou r BFE) For Zone AO and Zone A (without BFE), complete Items El through E4, If the Elevation Certificate is intended for use as supporting inforrneflbn fora LOMA or LOMR -F, Section C must be completed. El . Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed -w see pages 6 and 7, If no diagram accurately resents the building, provide a sketch or photograph,) E2, The top of the bottom floor (inducting basement or enclosure) of the building is ft (m) in.(an) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3, For Building Diagrams 61 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft(m) _in.(en) above the highest adjacent grade. Complete items C3.11 and C3,i on front of form. E4. The top of the platfom of machinery and/or equipment servicing the building is _ ft(m) _in,(cm) ❑ above or ❑ below (check one) the highest adjacent grade_ (Use natural grade, It available). EC. For Zane AO on If no flood depth number is available, Is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Y e s ❑ No ❑ Unknown. The local office must certify this information in Sec on 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), and E for Zane A (without a FEMA- issued or community issued BFE) or Zone AO must sign here, The statements in Sections A, 6, C, and E ere tarred to the Est of my knowledge, PROPERTY OWNER'S OR OWNERS AUTHORILLD REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS Li Piety hens if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local ofltdal who is authorized by lawn or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. C (or E), and G of this Elevation Certificate, Compete the applicable item(s) arid sign below. 01, ❑ 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 oommunity official completed Section E for a building located in Zone A (without a FEMA Issued Of community4ssued BFE) or Zone AD. • G3, ❑ The following information (Items GI-G9) is provided for community floodpldn management purposes. G4. PERMIT NUMBER 65, DATE PERMIT ISSUED G6, DATE CERTIFICATE OF COMMLIANCEfCCCUPANCY ISSUED 07. This permit has been issued for ❑ New Construction ❑ Substantial Improvement 08, Elevation of as-built lowest floor (induding basement) of the building is: _, _fL(m) Dasm: 09. BFE or (in 20118 A0) depth of flooding at the building site is: _ ft,(m) ,,. Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS Chock here if attachments FEMA Form 81 - 31, January 2003 Replaces all previous editions