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Home My Public Portal AboutSeventh Av_1317 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 For Insurance Company Use: BUILDING OWNER'S NAME Policy Number SALLY REED BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 1317 SEVENTH AVENUE CITY STATE ZIP CODE TYBEE ISLAND, GA 31328 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Paroel Number, Legal Description, etc.) LOT 329 & PT. OF LOT 330, WARD NO.4 BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RES. LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##° - - tt#.#!f" or ##.###c) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Omer: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NAP ISLAND 135164 COMMUNITY NAME & COMMUNITY NUMBER ( CHATHAM 2. COUNTY NAIVE STATE GA B4. MAP AND PANEL B7. FIRM PANEL Be. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX 136. FIRM INDEX DATE F_FFECTIVFJREVISED DATE : c. FLOOD ZONE(S) (Zone AO, use depth of flooding) 1351640002 C 6,17186 611786 A8 13 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile CI FIRM ❑ Community Determined 0 Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Cow 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: 0 Construction Drawings* 0 Building Under Construction* ► Finished Construction *A new Elevation Certificate will be required when constru ction of the bullring is complete. C2. Building Diagram Number 5 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no dagrarn 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, AR/A, AR/AE, AR/Al -A30, AR/AH, AR/AO Complete item C3. -a-i below according to the building diagram 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. Showfie d measurements and datum conversion catcudation. 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 elevation reference marls used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (inducing basement or endosure) 17. 8 ft(m) o b) Top of next higher floor NA . _ft.(m) o c) Bottom of west horizontal structural l member (V zones only) NA , ft.(m) 3 o o d) Attached garage (top of slth) NA. R(m) w o e) Lowest elevation of machinery and/or equipment �` 9 the bung (Describe in a Comments area) 17.81t(m) o f) Lowest adjacent (finished) grade (LAG) 8.1 ft(m) z ' `s o g) Highest (finished) grade (HAG) 8. 7 ft.(m) $ i I t Ot� o h) No. of perm i anent openings (flood vents) within 1 it above adjacent grade 0 . ) 0 t o i) Total area of all permanent openings (flood vents) in C3.h _sq. in. (sq. am) 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 10 01. CERTIFIER'S NAME J. WHITLEY REYNOLDS LICENSE NUMBER 2249 TITLE LAND SURVEYOR COMPANY NAME ADDRESS CITY STATE ZIP CODE 636 STEPHEAVENL ® SAVANNAH GA 31405 SIGNAT170" DATE lO/1IK)6 TELEPHONE FEMA Form -31, January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section k I For Insurance Company Use: BUILDING STREET ADDRESS (Including Apt, Unit, Sulfa, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Poky Number 1317 SEVENTH AVENUE - CITY STATE ZIP CODE I Company NAIC Number TYBEE ISLAND, GA 31328 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS C3.e) = A/C PAD ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT IBFE) For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a 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 - see pages 6 and 7. If no diagram accurately represents the bulking, provide a sketch or photograph.) E2. The top of the bottom floe (indudng basement or enclosure) of the building is _ ft(m) _in.(am) ❑ above or 0 below (chock ore) the highest adjacent grade. (Use natural grate, if available), E3. For Budding Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cn) adore the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servidng the building is _ f .(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). 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 floodplain management ordinance? ❑ Yes 0 No 0 Unknown. The local acid 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, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA-issued or community - issued BFE) or Zone AO must sign her The statement in Sectbns A, B C, and Eare cared to the best of myk owledga PROPERTY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local (Ada who is authorized by law or ordnnance to administer the community's floodplain management mina= e can complete Sections A, B, C (or E), and G of this Elevaion Certificate. Complete the applicable itern(s) and sign below. 01.0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or ardhited who is authorized by state or local law to certify elevation n infom iatian. (Indicate the source and date of the elevation data in the Comments area below.) G2.0 A community official completed Section E for 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 community flocciplan .1 purposes. G4. PERMIT NUMBER G5. DATE PERMT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued fa: ❑ New Conn 0 Substantial Improvement G8. Elevation of alt lowest floor (inducting basement) of the building is — _ft(m) Daum: G9. BFE or (in Zane AO) depth of flooding at the building site is: _. t(m) Daum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions