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Home My Public Portal AboutSixteenth St_15 FEB -0E -2006 15:06 CSSI 1-.0e /uz, FEDERAL EMERGENCY MANAGEMENT AGENCY I0,M.B. No. 3067 - 0077 NATIONAL FLOOD INSURANCE PROGRAM EXp ires December 31, 2005 ELEVATION CERTIFICATE Important Read the inetructione on pages 1 - 7. SECTION A - PROPSKI Y UWN1wR , .1- 'i.r &, „ON - ` ' ' i timpanv Use: • 8 /4 O�E(� A�,V iJ11'1t 1 BUILDING S STRE! ADDRESS (Inducing' h - ll t.. Unit, Sale, anlor Bida. No.) OR P.O. LUTE AND BOX NO. ' s ue- r l d rg , .:F:. >, :,.. ' /5 /0 . CiTY STATE ±11° CODE S. 45.-Nte.J/•4.r0A kL Co& OIL to a A. ,.3i faze PROPERTY DESCRIPTION (Lot and Block Numbers, Tex Parcel Number, Legal Description, etc.) Gar 33 -1T3 ttit/elsw N um efdt W "TY8de t 5L.ae..4 r] BUILDING USE (e.g., Residential, Non - residential, Addition, Aooessory, etc. Use Commends ere a If neceasery.) rtes. t rag wl -rixs..rr, ' LATITUDEJLONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: L( GPS (Type): ( 1!# °- tfilr - #!#.fi#" or # .> ') -I NAD 1927 U NAD 1983 L USGS Quad Map LI Other: SECTION 8 • el-000 INSURANCE RAM MAP (i-tNW INFUHMAT ON ;31 /r + . I4FlP COMMUNITY NAME & COMMUNITY NUMBER 52. COUNTY NAME r .. STATE l.+ r' OP IVatee ,• J4) i �J I CO - 1c 7,4 1a.,,,N, raE i7Ia Co 1 4S. 54. MAP 'AND PANEL ' 55. SUFFIX MC f-IFtM INUIaeX B7, FIRM PANEL Be. FLOQP B8 ELEVATION (3) BASE FLOOD ELEVATIOS) NUMBER DATE EFFECTivE/REVISED DATE ! ZO NES istegol bOoz G 0e. - f1 - V 0G Lei -862 I AS 13 510, Indicate the source of the Base Flood Elevation (BFE) data or beee flood depth entered in 89. 1J FIS Profile II FIRM L Community Determined LJ Other (Describe): B11. indicate the elevation datum used for the BFE In B9: tel NOVO 1929 LJ NAVD 1988 LI Other (Describe): 512. is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? LJ Yes kgi Na Designation Date: SECTION 0 • BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. Building elevations are based on L_iConstnuetlon Drawings* LJBuiiding Under Construction` {}finished Construction *A new Elevation Certificate will be required when construction of the bu11d1ng is complete. C2. Building Diagram Number (Select the building diagram moat&milerto 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.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, Vi -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, Are/AH, AR/AO Complete Items C3.a -1 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 EP . Show field measurements and datum conversion ralculaLi m Use the soackerovtded or the Comments area ("Section D or S G, as appropriate, to document the datum Conversion. Datum MOND l9Z`i Conversion/Comments 40 Elevation reference mark used Does the elevation reference mark used appear on the F - , 1.....„.._ Yes NQ cia) Top of bottom floor (Including basement or enclosure) q ft. (m) 1 �' 1 (jb) Top of next higher floor I . 7 . ft.(m) ce � ? / e G\STE a c) Bottom of lowest torfaontel structural member (V zones only) ut - *D• 8.(m) 0. TEA 'i r. a Attaohed garage (top of slab) 4 _ . 51t.(m) I 3 * t41,1743 Cie) Low elevation of machinery and /or equipment , 1 . JP machinery _ )1 servicing the building (Describe In a Comments area.) 1 to . it.(m) a f) Lowest adjacent (finished) grade (LAG) 1 . R,(m) v4. k b [fi g) Highest adjacent (Tinished) grad `! •(rn) e (HAG} ? SU 4 13 h) No. of parmarwnt openings (flood vents) withln 1 ft, above adjacent grade 4 a n ,,,,,./ , a i) TWA area of all permanent openings (toed vents) in 03.h Q eq. in. (sq. cm M , .,F T , :, ...d SW: L'IUN D •SURVEYOR, ENGINEER, ORARCwIED'r DER'r1PICATION This certification to to be signed and sealed by et Fond eurvey or, 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 1001. CERTIFIER'S NAME LICENSE NUMBER JAXES M EA N. KTON p�y CA# 2743 TiTLE REGISTERED LAND SURVEYOR (, Cp P�6TSEI \TEYING SERVICES, INC. i ADDRESS CITY STATE ZIP CIXIE 7'. 0. 330x 61649 SAVANNAH GEORGIA 31420 ;9 NATURE DATE TELEPHONE N....... 12h.,5 0 •ev bl d7. ZOO (91.2) 303 -0302 ` ►A Form 81 -31, January 2003 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS ED1TICNs - r - Y stet 71' sue a t.t i) G _ __ __ ra. 3`y. Far► .:: SOON S U R V E Y O R , WEE, O R A R C H I T E C T G T I A I At f,. •" Copy both eider& of this EI vatien Certificate for (1) community Oftldatt, (2) tneurat ce sg a+tfec er aqr, eyed (3) building otwndrr, l �� 1V'1 S' "+'�, i S 114� rs. Pk* #i d+►ik. sot 71+E " , a .�I 1 .r.,�� 3 i s a * . I . w � W . in,: go .iWl..ti.� 0 /� ttJa/t t.7 Lair • in N � VEt wt:►t 1Rw t.at u AU to intended ft ass atI N t ltl i'Vine-kiwi sKC� ` x ' ' ' d I. Qu �ttMc t h r one end Zane - cOraplate it 1. rough E4, If the Izfev an srt s ppo supporting infairestion for LOMA or LQMR - F, SMon C must be completed. - El . Bud DI rate Number _ (aels:t the bustling diagram most tallier to the building tor wlveb this ot+rlificeta is feints completed — see pads 6 and 7. tt ne diagram aoauratety moments tie bulgy, pros tt *ketch gmp % ) E2. The top of the bottom floor (including t a�sement or enatoeure of ties binding is !. 1 ) fttm) l fit. {Cmm 1 ..... i above or ,,,,_j below (check one) the highest adjacent Beads. (else natural grade, if alvelieble.) E3. For Building Diagrams 84 v 4 h 3p atings teed PIP 7), qte malt higher floor or *leveled floor (elevation b) boding is ntnw) L. IJin.(c n) above the highest adjacent grade, The top of the *don of monkery !try and/or equipment servicing the building It L_..L. J ft. tin) I . in. (orre if-Of ..i below Ohm* one) the highest adjacent grade. (Use natural grade, if available.) ES. For Zune AO on f r.o flood depth number is available, is east* of the bottom floor elevated in accordance with the community's Ilaodpiein managernere ordinance? LJ Yea L_j No L J Unimcrwn. The local Oldie mtret oewt$y this information in Section G sat: rain in - PitLisomm. t t usrri at tuft uteete ens ► , 'I * �, w,�, ,� t it Timis ON • r 9te properly Ostrow or owners Zeo representative veto completes Wooten; tm.f end! i4.171 Crays, end L for :Car?os A (without a FEM-i sued or community -lesued BR) or Zone AO must eiprt here, The gatemen* In SOOtiOne A, 8, C, and E aro oorre t io the kn PROPERTY arm OWNE O R OWNER'S AUTHORIZED REPRESEWATIVE1 NAME ADDRESS cITY StAllk ° °-- $ CODE s aNATUFE – DATE TELEPHONE i �.. — TELEP 1 °.. COMMENTS a..- Li Chi here it etleChments 8 E t tOri t't - cutifigtini sE liekuitstei >frNri tui r ruitit , The ioofti official who Is authorized by law or ordinance o minister the community's run management ordinance can cmt late r�srw ty' fiaadpi ' 9 Fi Sedlons A, b, C (or E), arid 0 of title Elevation Cute. Complete the applicsois i (s) end sign below. G i . , Trie information in Sewn 0 was taken from tether documentation that hes been signed and embossed by a tcsnsed surveyor, engineer, or architect t..vnio is elAnorieaci by state or local taw to certify eievatien intarrnation. (Indite the ersurce and date of the elevation data in the comments area below) G2, L__I Acominunity official completed Semen E fora building loaded in Zone A (without a cued or community- lae.led t' Fie) Of Zone AO. 03. Li Thin following information (items G4-Ge) le provided for community Qaodpieln managemene purposes, 104: PERVO NUMBER I tea. DAM PERMIT' ISSUED Cie. t3Att Vox! 0•1UA1 :++F G Mtat.IANt *10Ccu ANCY ED G7. This permit has been Issued for LA New COns#ruefron L Subetenbel improvement CB. Elevation of ee built lowest floor (including W ) ofthe building hr. ,,_ tf.(rvt)iatonn: G9. PE or (in Zone AO) depth of Hooding *it the bull ins site is: ft,(r r)C aturro: • LOCAL OFFiCiAL'S NAME TITLE COMMUNITY NAME TEL • SIGNATURE OA, OOMMENTS 4 • • 11 Check her if attachments FEMA REPLACES ALL PREVIOUS 1Tf0Na Form bi" t o .1anur 2G4i T� P,07