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Home My Public Portal AboutTeresa Ln_9 o.M.g. No. 3067.0077 ELEVATION CERTIFICATE t:xpirei May 31,19b6 FEDERAL EMEFIGENCY MANAGEMENT AGENCY • NATIONAL PLoOt INSUfANCE pflOGRAM ATTENTION: Use of this certificate does hot provide a Waiver of the hood insurance purchase regUiretenl. This form is Used only to provide elevation information necessary to ensure cornpiiance With applicable community tioodplain Management ordinances, to determine the proper insurance premium rate, and /or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMIT). instruction9 for completing this folio will be foUnd bh 016 following pagee. SECTION A PROPERTY INFORMATION ion thsunANcE COMPANY USE BUILDING OWNER'S NAME - POLICY NUMBER ,STREET ADDRESS (Including Apl., Unit, Suite and/or bldg. Nurnber) 00 P.O. 1 ANI7 BOX NUMBER COMPANY NAIL NUMBER vi Fr s ft L A Nc- OTHER DESCRIPTION (Lot and Block Nurnberg, etc.) CiTY STATE ZIP CODE r E ) 5 L. A .J ) t A . 3 1 ' 2 i '2 f SECTION 13 FLOOD INSURANCE RATE MAP (FIRM) INFORMATION • Provide the following horn the proper FinM (See inslrUctiotns): I. COMMUNirr NUMB 2. PANEL NUMBER ATE 9. SUFFiX 4. B Or hi INDEX 5. OW ZONE 5. BASE FlC>On ELEvktIQ N i 1 co a I c C4 ) 17 V 1 (In AO Zor) s, I' - depth) 7, Indicate the elevation datum system used on the FIRM for Base Flood BleVations (BEE): IGVI7'29 L Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FifRM, and the cbMrritihIty has established a BFE to this building site, Indicate the community's BFE: .I 1 1 LLi .Li feet NGVD (or other k$IRM datum - see Section B, Item 7), SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, Indicate the diagram Mather from the diagrams IoUnd on Page§ 5 and 6 that best describes the subject building's fetal level r5 2(a). FIRM Zones Al - A30, AE, AN, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of LLLJ.J.LJ feet NGVD (or other FIRM datum -see Section B, Item 7). (b). FIRM Zones V1 -V30, VE; and V (With BFE), The bottom of the lowest horizontal structural mernber of the reference level from the selected diagram, is at an elevation of 1 I I I 1 1 11 ■1A feet NGVD (or other FIRM datum - see Section 6, Item 7). - (c). FIRM Zone A (without 6FE). The floor Used as the reference level from the selected diagram Is LIJ.L_ I feel above L. I or below Lill (check one) the highest grade adjacent to the building, (d). FIRM Zone AO. The floor used as the reference level from the selected diagram Is l I I.Li feet above ❑ or below El (check one) the highest grade adjacent to the building. If no Hood depth number Is available, k the bullding's lowest floor (reference level) elevated in accordance with the community's Iloodplaln management ordinance? L) Yes 0 No LJ Unknown 3. Indicate the elevation datum system used In determining the above reference level elevations: 141GVID '29 Ll Other (describe under Comments on Page 2). (NOTE: If the elevation dalurn Used in measuring the elevations is different than that used on the FIRM (see Section S, Item 7), then convert the eleVations to the dalurn system Used ad the FIRM and show the conversion equation under Continents on Pape 2.) 4. Elevation reference mark used appears on FIRM: 0 Yes IAN() (See Instructions on Page 4) 5. The reference level elevation is based on: Qactual construction El construction drawings (NOTE: Use of construction drawings is only valid If the building does hot yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of consfrUctiorr, A post - construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is:1 1 I 1 17t .teat NOVO (or other FIRM datum -see Section t3, Rem 7). SECTION D COMMUNITY INrOFIMATION 1. iI the community official responsible for verifying building elevation§ specifies that the referehce level Indicated In Section C, Item 1 is not the "lowest floor" as defined in the cornrnUnity's floodplain Management ordinance, the elevation of the building's "ioWest floor" as defined by the ordinance is: [ 1 .1 1 1 l ,L.l feet NGVD (or other FIRM datum -see Section 13, Item 7). 2. Date of the start of construction or substantial improvement - . rEMA form 81.31, MAY 93 REPLACES ALL PREVIOUS EbinoNs SEE REVERSE SIDE roR CONTINUATION SECTION l= ,CEFITit`1CATION This certification Is to be signed by a Land surveyor, engineer, or architebf Who Is authorized by state or local law to certify elevation information when the elevation Information for Zones A1-A3o, AE, AN, A (with 8FE),V1— V30,VE, and V (with I3FE) is requited. Community officials who are authorized by local law or ordinance to ptoV1 o ftoodplafn management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or coMmUttity issued BFE), a blinding official, a properly owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 9 - Distinguishing Features —It the certifier is unable to certify to breakaway /non- breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Features) not Included In the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. 1 certify that the information in Sections 8 and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by lime or imprisonment under 18 U.S. Code, Section 1001. Bert B. Barrett, Sr. Ga. #1239 CERTIFIE8'S NAME LICENSE NUMBER (et Affix Seal) .-_.1Z_._ L. _S S. ._.- _.._ Barrett Land Surveying, Inc. t 111.E COMPANY NAME P. 0. Box 10091 Savannah, Ga. 31412 AUbr1E � � CITY - - -- SLATE - - - - -- - ZIP w1.a, _ /// 1 -912- 897 - 5460 — — SI IATURE AT ptHoNE Copies should be made of Oils Certificate for: 1) community official, 2) InsUrance agent /company, and 3) building owner. COMMENTS :._ __ ----_----__.__-- ON WITH ON PILES, SLAB DASEMENt PIENS, on COLUMNS A V A A 1kr ZONES ZONES ZONES ZONES ZONES I r 1'u (1EFEREr10E ( nEFEDENCF y((( '11 BASE LEVEL inEFEDENCE LEVEL I 1 klo Tt LEVEL ELEVAT1ON r ASE • ADJACENt � REFERENCE 1 1 rloob ADJACENt ELEVATION GRADE �F • LEVEL ELEVATION CE - t.,l �t f REFEREN LEVEL GRAbE t J •• ADJACEtIt The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations tor all A Zones should be Measured at the top of the rblerence level floor. Elevations tor all V Zones should be measured at the bottoms of the IoWest horizontal structural member,