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Home My Public Portal AboutSecond Av_703 FalialAL titTERGERTUY it i I i � . No. 3087 'MOM AL. INSt . . Expires December 1, 2005 ELEVATION CERTIFICATE Imipoeaant Read the instructiore on pages 1- 7. SECTION A PROPERTY OWNER INFORMATION f Rijn noes itivuee „. - Bi►ttt NAME CATSKILL BUILDERS BULLRING STREETADDRESS (Inducing Apt , Unit, Su, armor Bldg. No.) OR P.O. ROUTE AND BOX NO WC Nuntsr 7032' AVE. ®3 QeFr - , 8 v _ CITY STATE ZIP CODE TYBEE ISLAND GA 31a?$ rnvrw..1 y LIESCRPTION (Lot and 61001C t4rrnbarsa Tax Parcel Womb Logo{ tawitaiption, Ito LOT 5IA WARD 2, TYKE ND, GA PIN 4.0005.E7 -006 BUILDING USE (e.g . _ . .. Nori-residertiaL i - - Addition. Accessory. etc. tie a CcrnmenTs wee, it neoessaiy.) t SIt NT1AL l.A'rTftl'i EILDNG UDE (OPTIONAL) HORIZCNTAL DATIM SOURCE 0 en (TypsX (° - tom .fir a - .:. O NriD 1927 0 WAD 1 0 USGS Quad Ni r CI Other SECTION r - FLOOD INSURANCE RATE AP (R) INFORMATION HI. > s NU Et ' l tirr r•vaaE B3. STATE TYREE ISLAND 135t64 CHATHAM ( I GA. ._ Ifi PAJ . *" - 85.'6 I VOA ritiEx - a. — 13Y. F' Mt "' r , __ At - - 7 F ATINsy NUMBER DATE DATE (S) acre AO, use depth of *Dadra 135164 0001 t C I OM 711W6 0/1711 Ag 12.4 810. Indicate the souc"De of the Base Flood Elevation (13FE) data Or base Ilbocl dVt11 entered in 89. 0 As Pray . 0 FIRM 0 Corre xuoty Determined 0 Other (Describe): 611, Irate the iion datum used for the BFE an 69: ► e NGVO 1029 0 NAVO 18B8 0 Other (Desont e): 812. Is the building looted in a Coat Seiner Rtmourt es Sy; (CMS) eres or A (OPA)? 0 Yes C4 No Designation Dats _- SECTION C - BUILDING Ems FATION INFO ATION mukvEyi 1 EOU - . -.. _.. _- ....�._ --- IR� Gi . Wilding devatiorts am based on 9 C-r tstrut lion t3la vdngz, 0 Batilding Under Construction* °A new Ebvatlen CerifiCate 1st be recittred when construction of the building is complete. C.2- Building Diagram Number 8 (Select the bulk rag diagram most similar to the hiAding fir which this oerti1ic e is being oornocled 'see paw 6 and 7 It no diacyam ar u ately reoreserds the tag, provide a sI Et t or photograph ) G3. Elevations - Zones A14130, AE, AN, A (wth BFE), VE, V1 -t3D_ V (vim TOE). AR, AR/A, ARMAE AWA1.3O. AR1&1-1, AR/AO Complete Items C3. -a-I beim =Weft to the diagram specified In Item C2. Staff the rtattan used If the datum is from The data.tna used for the BEE in Section B, convert the datum to that used for the BFE Show measurements and datum convey on calculation. Use the space provided or the Comments area of Section C) or Sermon G, as appropriate, to document the datum conversion. Datum _ Co wersioNCammenis Elevation referenon mark used LQ AI..,Does the elevabon reference mark used appear on the FIRM? [3 Yes Ea No L a) Top of bottom floor (including basement or enclosure) IP. ,tt.(m) a - •f o b) Top of next higher floor a. § R. (m) it M !f .. -' O c ) m of l o w e s t tiorizordal al member (V zones orlty) NIA . ft.(m) 3 a I .r. \ � r l, • d) Attached (top stab) �r . . m) + '. :, a a) Lowest elevation of machinery and/or equip n , o serves the buildi g an a Com.nente area) .11_, 4 it.(m7 . :II c, f) Lott adjacent (finished) grade (LAG) 10 . Qtt.(rrt) . ' mv 1 a ;1 o g) Highest adjacent finished} d} (HAG) 111, 01.(m) 0 4 8 (j / c, h.) No of permanent openings (flood vents) within 1 ft. above adjacent grade I . ' . ..f' o 0 Total I of all openings (flood vents) in C3.11 j IA -,sq. in (sq. cm) ._ . SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and led by a land surveyor. engineer, nr erhitect authorized by ta to certify el evation - - irfntmatsnn. I certify that the information in Sections A 6 and Gorr this certificate represents my best efforts to interpret the data evarleble. I nd ,land that any false statement may to punishable by fine o kyralsonrrrent under 18 U, S. Code, Section 1001 CERTIPteRS NAME MICHAEL .t. GARD +It R LICENSE NUMBER 2285 TITLE REGJSTERE.1.3 LAND SUHVEY913-7 COMPPAAIV NAME WORD EDWARDS, INC. ADDRESS f CITY STATE ZIP CODE _ _1 $.Canal Sly _- _ _. - 4 --- ..,�_ ._.-. - - e ��: x.1 2�= SIGNATURE ' DATE TELEPHONE - M'' 12-01-2006 1-012 - IMPORTANT: in these some, c€ r. `; , 4 corresponding Information from Section A. I Farin.rsnese ai{ai i0ss BUILDING STREET ADDRESS (inducting Apt., I. auks, t ndior BM. No.) OR F.9. ROUTE AND X j Policy Number 703 2 AVE. CiTY STATE _..._ _ ZIP CODE ( Company NATO r obey TYBEE ISLAND GA 31M SECTION ENGINE. � OR ARC Nf'rECg CERMFGCA17OM (CONTINUED) -. . Copy both sides of this Elevation Certificate for (1) �i () ag parry, and (3) building fir. ( ) Wraamunity official, 2' insurance enntfiaoraa COMMENTS Job No.0602S4 F.B. WEFR.lG -05-A PROJECT NO. 0 4FFE Note C3 a) Air conditioning unit PAD. RESIDENCE BEiNG REMODELED AS ... AS OF THIS DATE 1210112ilt} - —'— 0 Check harp if attachments - - sEcTioN ... E - RUZL MA* ELEVATION INFORMATION (SURVEY MT REWIRED) FOR ZONE AO AND ZONE ... A (WITHOUT BFEL For Zone AO and Zone A (without BFE), complete berms El through E4 if the Elevation Certificate is intendsd for use as supporting information for a LOMA or LOMMR -F, Section C most be completed. El. Building Diagram Number jSelect 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.) E.2. The tap of the bottom floor (including basement or enclosure) of the budding is ft (m) _in.(cm) 0 above or 0 below (cheer one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is fl(m) in.(c m) above the highest adjacent grade_ Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery andlor equipment servicing the building is _11.(m) __in.(arn) 0 above or 0 below (check one) the highest adjacent grade_ (Use natural grade, if available) E5. For Zone AO only lino flood depth number is available. is the top of the bottom floor elevated in accordance with the community's tlaoctoatn management ordinance? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G, SECTION F - PROPERTY OWNER OR OWNER'S REPRESENTATIVE —The GERI1P A'f1ON property owner or trainees sited representative who conoletes Std A, B. C Meins C3.h and C3J c ely), and is fortorte A taboo' a FI iiA- issued or convn n n a p i s s u e d BFE) or Zr AC) must sit h e r e , The . _ . . i n Sections A t 3 . G and Eamon/mot f o to best my famfedge. QTY O1 S 4R OWNERS AUTHORIZED REPRESEWITIES NAME ,liDi RESS STATE ZP CODE CRY SIGNATURE DATE TELEPitoNE COMMENTS SE - C O U N T Y INFO ( CAL The local offload who is authorized _. by law or ordinance to stnirtster the COrrimunity'stoodplairt management ordinance can complain Sins A, B, C (cr E), and G of this Etvation Cie. Complete the saipficable brn(s) and sign below. G1 0 The information in Section C was taken from other documentation that has been signed and dossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information (lriticate the source and date of the elevation data in the Comments area below.) 52. ❑ A commurty official completed Section Efur a budding located in Zona A (waited a FEMMasued Or c omimir ity -issui d BFE) or Zone AO. G3. ❑ Tha following irforrraation (items 04 -09) is provided for community . t n4 PEWIT 6MM F (35 IXTE PI RMtT MUM 44. LJ/'4.1 G r Y'KA Y c OF COMPLJA4tUtYrjaWiCi 07, This permit has been issued for. 0 New Construction 0 Substantial Improvement Cam, Elevation of as -built lowest floor (including basement) of the building is- ft -(m) Datum. (3 BFE or (in Zone AO) depth of flooding at the building site is. , ft.(m) Datum: — - LOCAL OF"FICiAL'S NAME TITLE tE _ -- COMMUNITY NAME TPEIO�Ic _ - -- - IGNATURE _ - NATURE COMMENTS _ _ - - - - — - - -- - 0 Cheek here if attachments