The URL can be used to link to this page

Home My Public Portal AboutTenth St_5 0y f `ly /'Lbb3 1'L: 45 y12 �5 J { {40 KERN COLEMAN CO F'AUE 02/ 03 FEDERAL EMERGENCY MANAGEMENT AGENCY 04 �' ELEVATION CERTIFICATE Expire NATIONAL FLOOD INSURANCE PROGRAM No. 3067 -0077 Expires December 31, 2005 Important Road the instructions on pages 1 -7. SECTION A • PROPERTY OWNER INFORMATION I For?ttsraTiceCompary.lJsg BUILDING OWNER'S NAME Po BEN CK 31 31 IV C - rg� 'Poky Nurit3i '' , ; . BUILDING STREET ADDRESS (Inducting Apt., Unit, Suite, end/or Bldg. No.) OR P.O. ROUTE AND BOX NO. - O. CoMpany NAIL Nuii * Eior ', #5 TENTH STREET CITY STATE ZIP CODE TYBEE ISLAND GA 31328 PROPERTY DESCRIPTION (Lot and fslodc Numbers, Tax Parte: Number, Legal description, etc,) LOT 5 & A PORTION LOT 4, RESU3DMSION OF BEACH LOTS 61 & 62, AN EXTENSION OF WARD 3, SAVANNAH BEACH, TAX PARCEL NUMBER 4-0006 -15-005 BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc Use a Comments area, if necessary.) RESIDENTIAL LATtTUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: L1 GPS (Type): ' ( ##° -##' -#tfitr or ##.##AW) LI. NAD 1927 0 NAD 1983 0 USGS Quad Map 0 Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMUNITY NAME & COMMUNITY NUMBER 52 COUNTY NAIVE B3. STATE KE tSLAND 135164 CHATHAM COUNTY GEORGIA 1 1 TY 84, MAP AND PANEL 87. FIRM PANEL ' 89. BAST; FLOOD La-EVATION(S) NUMBER B5. SUFFIX 86, FIRM INDEX DATE EFFECTIVE/REVISEDDATE N. FLOODZONE(S) (Zone AO, �depthofflooang) I 0002 C 6 -1786 6-17 -86 AB 13&14 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. 0 FIS Profite ® FIRM 0 Community Determined Ca Other (Describe); 811. Incficate the elevation datum used for the BFE in B9: 0 NGVD 1929 0 NAVD 1988 0 Other (Describe); B12, Is the building boated in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ►Z1 No Designation DateN/A SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* ►Z Finished Construction A new Elevation Certificate will be required when construction of the bung is complete, C2. Building Diagram Number 1(Select the bulk ng diagram most simliar to the building for which this certificate is bang completed - see pages 6 and 7. lino cagram aoc urately represents the buikfing, provide a sketch or photograph.) C3. FDevatfons - Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/A0 Complete Items C3.-a- below according to the building diagram specified In Rem C2 State the datum used. if the datum is different from the datum used for the BFE in Sermon 13, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation, 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 N/A Elevation reference mark used TBM Does the elevation reference mark used appear on the FIRM? 0 yes IT No o a) Top of bottom floor (including basement or endosure) 10, 5 ft(m) TO cu #60 Ft 4 f o b) Top of next higher floor NA . _ft.(m) o c) ( V ) NA , _ft.(m) I 9 40 l a d) Attached garage (top of slab) 9 4 ft.(m) 'P o e) Lowest elevation of machinery ardor equipment w `° servicing the butid<ng (Describe in a Comments area) NA , _ft.(m) 4 ,, ;, o f) Lowest adjacent (finished) grade (LAG) 8 , 8 tt(m) z r� o g) Highest adjacent (finished) grade (HAG) 9. 3 it(m) ti o h) No, of permanent openings (flood vents) within 1 ft. above adjacent grade NA �' o i) Total area dal permanent openings (flood vents) in C3 h NA sq. in. (sq. cm) V SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ' This certification is to be signed and sealed by a and surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information In Sections A, 8, and C on this certificate represents my best efforts to interpret the data available, 1 understand that any false statement may be punishable by ffne or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Joseph A. Hale, Jr. UCENSE NUMB GA RI.S# 2886 TITLERegisterect Land Surveyor COMPANY NAME Kern - Coleman & Co. LC. ADDRESS CITY STATE ZIP CODE 7 Mall Court , Savannah GA 31406 SIGNATURE \ ' . — " � \ DATE _ Ti FPWTh1 - ( ` < \) 9 -29-03 (912)354 -8400 FEMA Form 81 January 2003 See reverse side for continuation. Replaces all previous editions 09/29/2003 12:45 9123537740 KERN COLEMAN CO rat ns7na IMPORTANT: In these spaces, copy the cor ending information from Section A. F& n is,ranee Cornpdiy Use: •. `: `. �. B h iNG STREET ADDRESS (Including Apt, tint Suite, a, s B. No.) OR P.O. ROUTE AND BOX NO. Numhat 45 TENTH STREET ; • :1 Ct1Y STATE ZIP COOE I ConipariyNAlCf+iber• •' :'`c Tr BEE ISLAND GA 31328 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) ' Copy both sides of this Elevation Ceititicate for (1) community official, (2) insurance agent/company, and (3) bulking owner. COMMENTS ❑ Check here if attachme it& SECTION E • BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), cortilete Items El through E4. if the Elevation Certificate is Intended for use as supporting information fora LOMA or LOMR -E, Section C must be completed. E1, Building Diagram Number WA (Select the butic,ting diagram most similar to the building for which this serf fir•afe is being completed -y see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the Xtom boor (including basement or enclosure) of the building is _ tt(m) _in.(cm) ❑ above or below (check one) the highest adjacent grade, (Use natural g 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 ^ ft (m) _in, (cm) above the highest adent grade. Complete items C3.h and C3.i on front of form. EA. The top of the platform of machinery and/or equipment servicing the buikl'ing is _ ft(m) _in (cm) ❑ above or below (check are) the highest ad)jacent 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 ❑ 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 armer'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 nunity- lssued BFE) or Zone AO must sign her The statemenfs in Sections A, B C, and E are correct to the best of my knowledge PROPERTY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVES NAME WA ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TFIFPHONE COMMENTS CIJ Chen here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The bra! official who is authorized by law or ordnance to administer the community's floodplaln management ordinance can complete Semis A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. Q The information in Section C was taken from other documentation that has been sign :. and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation Information. (lndcate the source and date of the elevation data in the Comments area below,) 02. ❑ A corn nunity official completed Section E for a buikfing located in Zone A (without a FEMA- issued or community - issued BFE) or Zone AO. G3. ❑ The following information (Items 04-09) is provided for community floodplain management purposes. G4. PERMT NUMBER G5. PATE PERMIT ISSUED ' GE. DATE CERTIFICATE OF COfvPt ANCE/DCCUPANCY ISSUED N/A G7, This permit has been issued for 0 New Canstnaction ❑ Substantial Improvement 08.Elevation of as-built lowest floor (including basement) of the building ng is _jt•(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: ft,(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS D Check here if attachments =EMA Form 81 -31, January 2003 Replaces all previous editions