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HomeMy Public PortalAboutSecond Av_1110 U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0008 Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1 -9. SECTION A - PROPERTY INFORMATION I For Insurance Company Use Al. Building Owner's Name ROBERT W. GANNON 1 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 1110 SECOND AVENUE City TYBEE ISLAND State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 28-B, WARD 3, TYBEE ISLAND A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude /Longitude: Lat. 31,99898 Long. 80.84772 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 5 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes Or No d) Engineered flood openings'? ❑ Yes ® No • SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number I B2. County Name I B3. State TYBEE ISLAND, GEORGIA - 135164 CHAHTHAM GA. B4 Map/Panel Number 135. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9 Base Flood Elevation(s) (Zone 13051CO326 F Date Effective /Revised Date Zone(s) AO, use base flood depth) 9/26/08 9/26/08 AE 11 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89. ❑ FIS Profile FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 ak NAVD 1988 ❑ Other (Describe) 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 0 No Designation Date N/A ❑ CBRS ❑ OPA • SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction" ►. 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, AR/A, AR/AE, ARIAI -A30, AR/AH, AR/AO. Complete Items C2.a -h below according to the building diagram specified In Item A7, Use the same datum as the BFE. Benchmark Utilized LOCALVertical Datum NAVD88 Conversion/Comments NONE Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 17.81 O. feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 28.39 2 feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N /A._ ® feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) NONE._ ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building SEE.COMMENTS ® feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7.9 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 8.5 Cti feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 7.9 .5 feet ❑ meters (Puerto Rico only) structural support , , 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. l 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. r` 0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a / x ,. -� Za. " •,. e licensed land surveyor? C1 Yes ❑ No f „ .c 4 8, 7- �. a '' Certifier's Name BERT B. BARRETT, JR. License Number GA. 2225 \\[ t, Title OWNER/PRESIDENT Company Name BERT BARRETT, JR. LAND SURVEYING, PC. t v , ��' Address 145 RUNNER�OAD ,_ City SAVANNAH State GA ZIP Code 31410 s • .' � : F Signature e Date 12/17/09 Telephone 912- 897 -0661 3 . . FEMA Fora 8 ; Mar'i39 ' .i See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding Information from Section A. Fri Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Po Number 1110 SECOND AVENUE City TYBEE ISLAND State GA ZIP Code 31328 Cerny NAM Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATiON (CONTINUED) Copy both sites of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) budding oar. Comments 1. MAGELLAN MERIDIAN GOLD GPS UNIT USED TO OBTAIN LAT/LONG 2. THE LOWEST ELEVATION OF MACHINERY SERVICING THIS BUILDING WITHIN THE FOUNDATION WALLS IS AT 1220' NAVD88. THIS MACHINERY IS A HEATPUMP UNIT (CONDENSER) LOCATED UNDER THE ELEVATED FLOOR. 3. TH. • A, 4T WATER.kIEATER AND A.0 UNIT LOCATED ON THE TOP FLOOR AT AN ELEVATION OF 28.39' NAVD88. , `\ S Date 12/17/09 � ❑ Check here if attachments SECTION E - BUILDINBr 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 LOMR -F request, complete Sections A, 8, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El . Provide elevation information for the follawing 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, crawispace, or enclosure) is tom. 0 feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawtspaoe, or enclosure) Is N/A. 0 feet ❑ meters ❑ above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is N/A. ►_ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is NIA. 0 feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the budding is IS A. 0. feet ❑ m eters ❑ above or ❑ below the HAG. E5. Zone AO only: If no firmd depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes 0 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 (without a FEMA -issued or community-issued BFE) co Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my loseetedge. • Property Owner's or Owner's Authorized Representative's Name N/A Address N/A City N/A State GA ZIP Code N/A Signature N/A Date N/A Telephone N/A Comments NIA rl Ctesck here tf attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's ft plain management ordinance can complete Sections A, 8, 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 G9. 01. ❑ 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 AO. 03. ❑ The following information (Items G4-G9) is provided for community fdoodpiain management purposes. ' G4. Permit Number 05. Date Permit Issued l G6. Date Certificate Of Compliance/Occupancy Issued N/A N/A I N/A G7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: jE@. 0 feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: jel/A. 0 feet ❑ meters (PR) Datum 010. Community's design flood elevation N/A 0 feet ❑ maters (PR) Datum Local Official's Name N/A Tate WA Community Name N/A Telephone N/A Signature N/A Date N/A Comments N/A fl C here If attachments FEMA Forth 81-31, Mar 09 Replaces all previous editions