Loading...
HomeMy Public PortalAboutSolomon Av_72 L LS, DEPARTMENT OF HOMELAND SEI . tY ELEVATION CERTIFICATE OMB N. 1660 - 0008 eoerei Emergency Management Ag ency Expires February 28,2009 National Flood Insurance Program important: Read the instructions on pages 1 SECTION A - PROPERTY INFOR TiON For Insurance Company Use: Al. Building Owner's Name Joseph Powers 1 Policy Number A2. Building Street Address (including Apt., Unit, Suite, endtor Bldg. No.) or P.O. Route and Box No. Company NAIC Number 72 Solomon Avenue City Tybee Island, Stale GA ZIP Code 31329 A3. Properly Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 11, Marshwlnds Subdivision A4. Building Use (e.g,, Residential, Non - Residential, Addition, Accessory, etc.) residential A6. Latitude/Longitude: Lal N 32 deo 01.245_0 min Long. W 80 deg 51,0030 min Horizontal Datum: 0 NAD 1927 t2? 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 All For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosute(s) 518 sq It o) Square footage of attached garage sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enoiosure(s) walls within 1.0 toot above adjacent grade g watts within 1.0 toot above adjacent grade c) Total net area of flood openings in A8.b ata sq in c) Total net area of flood openings in A9.b _ sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number y Name B2. County 03. State Tybee Island 135164 i Chatham I GA 84. Map/Panal Number 85. Suffix 86. FIRM Index ' B7. FiRM Panel 88. Flood B9. Base Flood Etevation(s) (Zone Date Effective/Revlsed Dale Zane(s) AO, use base flood depth) 135164 0213 F 9/26108 9/26/08 AE 11 810. Indicate the source of the Base Flood Elevation (BFE) data or base Rood depth entered in Item B9. ❑ FIS Profile 011 FIRM ❑ Communly Determined 0 Other (Describe) B11. Indicate elevation datum used for BFE 6r item 89: 0 NGVD 1929 !:< NAVD 1988 ❑ Other (Describe) 812. is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? DYes 7.4No o Designation Date ❑ CBRS D OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) CI, Building elevations are based on: 0 Construction Drawings° 0 Building Under Construction' r Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones Ai -A30, AE AH, A (with BFE), VE, V1 -V30, V (wlh BFE), AR, ARIA, AR/AE, ARIAI -A30, AR/A1 AR /AO. Complete Items C2.a -g below according to the building diagram specified in Item A7, Benchmark Utilized local Vertical Datum NAV( 1988 Conversion/Comments Check the measurement used s) Top of bottom floor (including basement, crawl space, or enclosure floor) §.1 Iii feet 0 meters (Puerto Rico only) b) To of the next higher floor j.4 I+ feet ❑ meters (Puerto Rica only) c) Bottom of the lowest horizontal structural member (V Zones only) tI4 feet ® meters (Puerto Rico only) d) Attached garage (top of slab) ale r2 feet C) meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 12.1 CI feet meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) 4.6 ® feat ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 5.1 IF feet ❑ meters (Puerto Rico only) 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. 1 certify that the information on this Certificate represents mybest efforts fo interpret the date available. 1 understand that any false statement may be punishable by tine or imprisonment under 18 U.S. Code, Section 1801 tik o R 11 Check here if comments are provided on back of tome / / A _ to Certifier's Name J. Whaley Reynolds License Number 2249 1 ( 1`k ,; 9 q ' � !!!O i• Ti Land Survey6r / Company Name J. Whitley Reynolds, Land Surveying �S t y Address 63)3'Sleeph>insprfA # e., S "/C - Crrty Savannah, Slate GA ZiP Code 31405 Ur b S Si nat / / / / / - Date November 20 2008 Telephone 912 352 - 0464 ir , aid LBLL 25C 2(6 spiauRaN ReIq ?yt+i r 2 98rB0 BO 02 noJ 6 3 a a 4 eU' ? " Al '? .: lA- 10:Eeq.S L', , +�> t + a arg e. 4 J1p'a k eoe„ IMPORTANT: in these spaces, y the corresponding information from Section A. .( For Insurance Company Use: Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Boa No Policy Number 72 Solomon Avenue City Tybee island, State GA ZIP Code 31328 1 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) commumtty official, (2) insurance agent/company, and (3) building owner. Comments C2.e) = A/C pad Vents are Smart V r nd. Speclfi ions stale each vent can provide for 200 square feet of enclosure. SignaIw'e Date 11/20/08 • �j 0 Check here if attachments SECT) E - BUILDING ELEVATION INFORMATION) (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zo es 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, B, 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 following and check the appropriate bones to show whether the elevation G above of below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, of enclosure) is ❑ feat ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom Roar (including basement, crawl space, or enclosure) Is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2, For Building Diagrams 6 -8 with permanent flood openings provided in Section A items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is [] feet ❑ meters ❑ above or ❑ below the HAG. E3. Anached garage (top of slab) Is ❑ feet ❑ meters ❑ above or : below the HAG. E4. Top of: platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the communrly's floodplain management ordinance? 0 Yes ❑ 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 owners authorized representative who completes Sections A, D, and E for Zone A (without a FEMA - issued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, 8, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Nance Address City State ZIP Code Signature Date Telephone Comments 0 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's Aoadplain management ordinance can complete Sections A, 8, C (or E), and 0 of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items Gti. and G9. GI. ❑ The information in Section C was taken from other documentation that has been signed and seated by a licensed surveyor, engineer, or architect who is authorized by taw 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 a community- issued 8FE) or Zone AO. G3. ❑ The following information ( Items G4. -G9.) is provided for community tleodptain management purposes. G4. Permit Number 05. Date Permk Issued I G6. Dale Certificate Of Comptiance/Occupancy Issued G7. This permit hes'been issued for: ❑ New Construction ❑ Substantial Improvement GB. Elevation of as -;wilt fewest floor (Including basement) of the building: - ❑ feel 0 meters (PR) Datum G9. BFE or (in Zone A0) depth of flooding at the building site: 0 feet ❑ meters (PR) Datum , Local Official's Name Title Community Name Telephone Signature Dale Comments .r, Check here 11 attachments I'd LBLL z S 216 SptouRe>t ReT4t4r9 C e9£ :80 80 02 ADM t a �.. . aa• 3uCytt_uuu , ©ji: f'S q.4.0;011,.,i tE ' oti a p a ssn;