HomeMy Public PortalAboutMeddin Dr_11 NCO-02 13:35 From: JC' ` 'c � """,'
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067.0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200E
ELEVATION CERTIFICATE
important Read the instructions on pages 1.7.
SECTION A - PROPERTY OWNER INFORMATION I For Insurance Company Uso
BUILDING OWNER'S NAME Policy Number
MAURICE K FITZGIBBON
- BUILDING STREET ADDRESS (Including Apt., Unit, Suite, andlor Bldg. No) OR P.U. ROUTE AND BOX NO Company NAIC Number
11 MEDDIN DRIVE _ ,
CITY STATE ZIP CODE
TYBEE ISLAND GA 31328
-- PROPERTY DESCRIPTION (Lot and Blocic Numbers, Tax Parcel Number, Legal Description, etc.)
LOT$ 19 $ 20, BLOCK 27. FORT SCREVEN WARD, TYBEE ISLAND, GEORGIA
BUILDING USE (e,g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if neoess8ry.)
_RESIDENTIAL
LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURGE D GPS (Tye):_ - - --
( #I't - tl#' 40.0' or #tt.i ) D NAD 1927 0 NAD 1983 D USGS Quad Map D Other:
SECTION B • FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
r 61 NFIP COMMUNITY NAME 8 CCNAMUNITY NUMBER B2, COUNTY NAME B3. STATE
TYBEE ISLAND, GEORGIA- 1351154 , CHATHAM GA.
GA.
B4. MAP AND PANEL BT, FRRM PANEL B9 SASE FLOOD ELEVATION(S)
NUMBER 85, SUFFIX B6. FIRM INDEX DATE EFFECTIVEIREVtSEO GATE 68. FL= ZONE(S) (Zone AO, use (tact o tboditlg)
135164 -0001 C 6117)86 6!17!06 A8 12
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 139. J
❑ FIS Profile FIRM D Canmunity Determined D Other (Describe). -_
B11. Indicate the elevation datum used for the BFE in B9: ►,� NGVD 1929 D NAVD 1988 0 Other (Describe): _
612. Is the building located in a Coastai Barrier Resources System (CERS) area or Otherwise Protected Area (OPA)? 0 Yes 0 No tisicinatic>rn Date NIA
SECTION C • BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
•
C1. Budding elevations are tom! on D Construction Drawings` 0 Building limier Constnidion° ►I1 Finished Construction
'A new Elevation Certifiic ato will be required when consVUCfln of the building is complete.
C2. Building Diagram Number 8 (Select the building diagram nest similar to the building for which this oatiticae is prune canpleted - see pages 6 and 7. It no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR(AH, ARIAD
Complete Items 03.-a-1 below according to the building dagram spy in Item C2. State the datum used. If the datum is difterent from the datum used for the BFE in
Section 6, evert the datum to that used for the BFE. Show fed rneasurerronts and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to doc u e nt the datum conversion,
Damn NGVD 1929 ConversioNCornmerts NONE
Elevation rye Wrack used S ___ Does the elevation rye mak used appear an the FIRM? D Yes 0 No '..9 - .
U a) Top of bottom hoar (axe basement or encinsue) 10. 8 fi{rn) 1- Q ....`s.., 0 b) Top dried higher Door 13.1Qf (m) t
G c) Bottom of taw�nst horizontal structural m N zones may) NIA . __11,(m) o a
U d) Attached garacle (top of slab) NONE _ft.(m) F l ` \`
O e) Lowest elevators of rnadtinery andror eqtlpmet "u m -
i VI
smiting the build (Describe in a Comments acrra R 13.1 m ° ' Iii N
0 f) Lowest of t (finished) grade (LAG) 10.6 1t.(m) z ,$
L g) Highest adjacent (finished) grade (NAG) 111.0 fi(m) � '
U h) No. of permanent openings (flood vents) within 1 fL above adjacent grade 1 t+
0) Tatai area of all pent orient c er gs (flood vents) in 03.h 11066 sq, in. (sq. an)
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.
( certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret rho date available.
i understand that any false statement maybe punishable byfine or imprisonment under 18 U.S. Codo, Section 1001.
CERTIFIERS NAME BERT B. BARRETT, JR. LICENSE NUMBER GA. 2225
TITLE PRESIDENT COMPANY NAME BERT BARRETT, JR. LAND SURVEYING, P.C. ~~
A
ADDRESS CITY STATE ZIP CODE
145 RUNNER ROAD SAVANNAH GA 31410
SIGNATURE i`t DATE TF_L.EPHONE
fria , , � L c ) 111 912-897-0661
FENA Form 61.31. Jarty 2003 ` See re *se side for corth- uat on Reolar.Ps all nr.vi,,... —.+:•. - --