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Home My Public Portal AboutFifteenth St_3 T0'd %SE, Lt3LG C, C, PO ._." — ____ __ FEDERAL EMERGENCY MANAGEMENT AGENCY 0, M.B. No 3067 -0077 D I NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important; Read the instructions on pages 1.7. SECTION A- PROPERTY OWNERINFORMATION I Fcr Insurance Company Use: BUILDING OWNER'S NAME I Policy Number BRASS RAiL VILLAS, LLC BUILDING STREET ADDRESS (including Apt., Unit, Suite, and /or Bldg. No.) OR P O. ROUTE AND BOX NO. I Company NAIC Number #3 FfFTEENTH STREET CITY STATE ZIP CODE TYSEE ISLAND, GA 31328 • PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) BUILDING 200. BRASS RAIL VILLAS CONDOMINIUM BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc Use a Comments area, if necessary.) RES LATITUDEJLONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE ❑ GPS (Type): ( ## ° - ##' #r't,##" or ##.#k#°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. — • SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMUNITY NAME & COMMUNITY NUMBER ' B2. COUNTY NAME B3. STATE TYBEE ISLAND 135164 CHATHAM GA 84, MAP AND PANEL 87, FIRM PANEL I B9. BASE FLOOD ELEVATION(S) NUMBER 95, SUFFIX 86. FIRM INDEX DATE ti- I- ECTIVE 88. FLOOD ZONE(S) REVISED DATE (Zone AO, use depth of flooding) 1351640002 C 6/1786 6117 /86 A8 14 910. Indicate the source of the Base Flood Elevation (BFE) data or base foal depth entered in B9. ❑ FIS Profl'e ® FIRM ❑ Community Determined ❑ Otner (Describe): BS 1. Indicate the elevation datum used for the BFE in BO: E NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe;: B12. Is the building located in a Coastal Ranier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. Building elevations are based on: ❑ Construction Drawings" ❑ Building UnderConstruc;ion* ® Finished Constniction *A new Elevation Certificate will be required when construction of the building is complete. C2. Buildng Diagram Number 5 (Select the budding diagram most similar to 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 A1-A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, ARJAE, AR/A1-A30, AR/AH, AR/AO Complete items C3 -a4 glow accordng 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 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 Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (including basement or enclosure) 19. 8 ft.(m) ' a o b) Top of next higher floor NA . _ft,(m) � C ,s. , c;, , .- o c) Bottom of lowest horizontal structural member (V zones only) NA . _ft.(m) 41 • o d) Attached garage (top of slab) NA. _ft.(m) * 2249 o e) Lowest elevation of machinery and/or equipment - ° ; ', — servicing the building (Describe in a Comments area) 19 .8 ft.jm) E @ � P 0� v `, o f) Lowest adjacent (finished) grade (LAG) 11 , 0 ft.(m) \F SU . ' �O o g) Highest adjacent (finished) grade (HAG) 15. 5 fl,(m) ti. ;; .E1 R : 1 C U �'�":..c...c ... o h) No of permanent openings (flood vents) within 1 ft. above adjacent grade() o i) Total area of all permanent openings (float vents) in 03.h sq, in. (sq, cm) / ° ' 6 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/ I certify that the information in Sections A, 8, and Con this certificate represents my best efforts to interpret the data available, f understand that any false statement may be punishable by fine or imprisonment under 1811S. Code, Section 1001. CERTIFIER'S NAME J. \NHIT_EY REYNOLDS LICENSE NUMBER 2249 TITLE LAND SURVEYOR COMPANY NAME ADDRESS STEPH ON AN , aJITE C / �� SAVANNAH GA TE 3140 ODE 6 6 SIGHT /Y / / .r� DATE T1HONE / / x"4/21/05 912- 352 -0464 ( /l / FEMA For 81 -31, Janua/81 re reverse side for continuation. Replaces all previous editions 1 LBLL 2gE 21S spjouRaa Rat1.iy(i r eBSr90 SD BO unC Z13 • d %SG LtiLL C .nL CPC. IMPORTANT: In these spaces, copy the cc ronding information from Section A. I For Insurance Company Use BUILDING STREET ADDRESS (Including Apt, Unit, Suite, Bldg. Na) OR P.O. ROUTE AND BOX NO. I Policy \krmber #3 FIFTEENTH STREET CRY STATE 21P CODE I Company NAIL Number TYBEE ISLAND, GA 31328 SECTION D • SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sties of this Elevation Ce'tficate for (1) community official, (2) insurance agent/company, and (3) building owner, COMMENT'S C3,e) = ANC PAD ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FORZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LON R-F, Section C must 'be completed. El. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. if no dagrarn accurately raaesents the building, provide a sketch or photograph.) E2. The top of the bottom floor (induding basement or enclosure) of the bf (ding is ft.(m) _m.(cm) ❑ above or ❑ below (check one) the highest adjacent grade, (Use natural grade, it available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the buildng is _ ft.(m) __in.(cm) above the highest adjacent grade. Complete items C3.h and C3.t on front of form, E4. The top of the platform of machinery and/or equipment sen/icing the building is _ ft.(m) _ in.(cm) [] above or ❑ below (check one) the highest adjacent grade. (Use natural grace, if available). E5. For Zone A0 cnly: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain managemer t ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECT ION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner'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 community- issued BFE) or Zone AO must sign here. The statements in Sections A, B. C, and E are correct to the best of my knowledge. PROPERTY OWNERS OR OWNERS AUTHORIZED REPRESENTATIVE'S NAME • ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G • COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's lloodplain management ordinance can complete Sections A, B, C (or E), and G of this Etevalon Certificate. Complete the applicable items) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engreer, or arcntect who is authorized by state crlocal law to certify elevation information. (Indicate the some and date of the elevation data in the Comments a ea below.) G2. ❑ A commJni official completed Section E for a building loca d In Zone A (without a FEMA- issued or community- issued BFE) or Zone AO. G3. ❑ ''he following information (Items G4 -G9) is provided for community floodpidn menege_ment purposes. G4, PERMIT NUMBER 05. DATE PERMIT ISSUED 06. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement 08. Elevation of as -built lowest floor (including basement) of the buildrng is: — .,ft.(m) Datum: G9. BFE or (in Zone A0) depth cf flooding at the building site is: _ft.(m) Datum: LOCAL OFFICIAL'S NAME TfLE COMMUNITY NAME TELEPHONE SIGNATJRE DATE COMMENTS ❑ Check here If attachments rEMA Farm 81 - 31, January 2003 Replaces all previous editions z - d LBLL ass aT8 spTouRa? Rat3tyf1 C e8S:90 SO 80 unr