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Home My Public Portal AboutAlley Three_3 U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE 4 OMB No 1660 -0008 [ Federal Emergency Management Agency Expires February 28. 2009 1! National Flood Insurance Program Important: Read the instructions on pages 1 -8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al_ Building Owner's Nana Policy Number T C-3 'c - F LZe PrGal DEt/ c'1...t19d` s s 4,.G A2. Building Street Address (including Apt, Unit, Suite, andlor Bldg. No.) dr P.O. Route and Box No. . Company NAiG Number 3 Rt -t_v -f Ne. . City - slate ZIP Code 3 (3 2 t� ! •t4 T$ A3. Property Deacription (Lot and Block Numbprs, Tax Parcel Number, Legal Description, etc a__ P. p ca...- I-v.z. p 6. I= , ®� l 3 W Ariz_ O eO 1, "-1 Z Isl.-p.-7.4..0 A4. Building Use (e.g., Residential. Non - Residential, Addition, Accessory etca R t 0 e i Ps L A5. Latitude/Longitude: tat N31°59,101' Long_ 'W 4 0 51. 2d' Horizontal Datum: ❑ NAD 1927 �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 4 AS. 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 enclosure(s) .7 7 sq ft a) Square footage of attached garage S sq it b) No. of permanent flood openings in the crawl space or b) No_ of permanent flood openings in the attaoarage enclosures) walls within 1.0 foot above adjacent grade - wails within 1.0 foot above adjacent grade c) Total net area of flood openings in AB.b 4 51 2. sq in c) Total net area of flood openings in A9.b ;:1. sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Commun Name & Community Number B2. County Name B3. State 7 Qom" 1 51..A o t 3 S t (o4 G 13 a IAN.N.- GE+"scaG I Pt B4. Map/Panel Number 85. Suffix 136. FIRM Index 87. FIRM Panel 88. Ftood B9. Base Flood Elevations) (Zone Date EffecfivelRevised Date Zone(s) AO, use base flood depth) (351 - 043oZ. C 6- 1`7-'b( Co - 1 - 1-8ta -its 14.0 B10. indicate the source of the ase Flood Elevation (BFE) data or base flood depth entered in Item 89. 0 FIS Profile [IRM ❑ Community Determined [❑ Other (Describe) 511. Indicate elevation datum used for BFE in Item 89: [1 NGVD 1929 ❑ NAVD 1988 " ❑ Other ( Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? [( Yes ><� 1 o Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: a Construction Drawings ❑ Braiding tinder Construction' [ mished Construction *A new Elevation Certificate wilt be requirediwhen construction of the building is complete. C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V7 V30, V (with BFE), AR, ARIA, AR/AE, AR/A1 A30, ARiAH, AR/AO. Complete Items C2.a -g below according to the building diagram specified in item A7_ Benchmark Utilized L C CDr L.. Vertical Datum /44 V et ) Conversion/Comments N( Ps Check the measurement used. a) Top of bottom floor (including basement, crawl space, or endosure floor) R . b t Meet ❑ meters (Puerto Rico only) b) Top of the next higher floor / - 7 . lif<et 0 meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N 111 0 feet meters (Puerto Rico only) d) Attached garage (top of slab) s • feet Q meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building _. EKet Q meters (Puerto Rico only) (Describe type of equipment in Comments) �s f) Lowest adjacent (finished) grade (LAG) e Erreet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 0 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 taw to certify elevation information. I certify that the information on this Certificate represents my best efforts fo interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. °-. x Ik Check here if comments are provided on back of form. + s, 4 45 �=. "t: ' J Certifie lame License Number p Z L.-.1.' (X : ' k` ' � `‘ NE k N t IQ i- +ii ' i -r H I. ." l * C • \ , • Title Company Name Ir f,.,l?rrs. J� 474.V v E`t9'ti. 3 •. � D 1 , City State ZIP Code ti. i �o C A / f Address . ATE. , z 5 �•� ay �-i � a rA E ck- 3V 419 1` � L Date c Telephone Signature �„°. �+-✓ - � . ] ' ° ®� t °2 �.5 3 SZ. ry r FEMA Form 81 -31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: 13uildisStrwt Address (inctuding Apt., Unit. Suie. I3 te, andtor 1dg_ Nu) or P.O. Route and Box No. Policy Number LA, +=TY Ai , City .,— State ZIP Code Company ilASC Number / 61e - -1-scf-J")c) G , ets Vet si, _ SECTION 0 SURVEYOR, ENGINEER, - OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner_ Comme e (7.44-4 E iSg • fi - 47 o P 0 s P._ r p 6 4,12., fi %rail = - 1 ( A 8 @,j)-t. 5 CR 4 3 foSV-` 13S7 Signature Date .--- • . — e Er here if attactunents SECTION E - BUILDING ELEVATION (SURVEY NOT REQURED) FOR ZONE AO AND ZONE A (WITHOUT BM) For Zones AO and A (rakhout BFE), complete Items El-ES. lf the Cerblcate is intended to sport a LOMA or LOMR-F request, complete SecTIons A. 8, and O For Items El-E4, use natural grade, ff avallable. Cheek the measurement uSecL In Puerto Rico ordy. enter meters. Et Provide elevation information forthefoil and check the appropriate boxes to straw whelherthe elevation Is above or below the highest acTjacent grade (HAG) and the lowest aliment (Fade (LAG). a) Top of bottom floor (including basement. crawl space, n is • . feet 0 meters 0 above or 0 below the HAG. h) Top °Monona Soor (incluchng basement. crawl Li feet 0 meters El above or 0 below the LAG. E2 For Building Diagrams 6-13 smith permarientilood r rr- in - teems 8 andfor 9 (see woe of Instructions), the need higher floor (elevation C2.b in the diagrams) of the building is • feet 1N ifttuts 0 above or t _I below the HAG. Atladred garage (top of slab) is 0 0 0 abotre or 0 below the HAG. E4. Top of platform et snadidnety andforequipment servicing the buffifing is — 0 feet 0 meters 0 above or 0 below the HAG. ES. Zone AO only: If nollood depth number's avaffiztrie, is 6ietop of tbe bottom floor elevated in accordance with the communkys Iloodplain management onfinance? 0 Yes 0 No 0 Unknown. The local official nnist certify MIS — Informadon In Section G. SECTION F - PROPERTY OWNER (OR OWNER% REPRESENTATIVE) CERTIFICATION Tice property owner or owners" ed repteserdative who compietes Sections A, B. and Efor Zone A (widerd a CEIVIA-Issued or cormnunity.issued EWE) or Zone AO 'rust sign hem The abatements in Sechonsi 4, B end E sire conect to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address i\st City State ZIP Code Signature Date Telephone • Couvueiltb 0 Check here if attachments SECTION -oomunrnriNFORNIATion (opnoNAL) The local officialwho is authorized bylaw-won:finance to admirdsterthe COMmunitlelloodplain management onlinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the appficable fiem(s) and sign below_ Check the measurement used in Items 68. and G9. GI. o The information in Section C was taken from other documentation that has teen signed and sealed by a ficensed surveyor. engineer, or archlect who is authorized by law to certify elevation infomudion. (Ineficale the sorsce and *de of the elevation data iothe Continents area below.) G2. 0 A commundy official completed Secfion E for a bulldog located in Zone A (ielhout a FEMA-Issued or conturiumly-issaned BFE) orZoneA�. G3. 0 The fedloviin' g information Mews GC-GEL) is provided for cominunitylloodplain management purposes. 64. Permit Number 65. Date Permit Issued 66. Date Certificate Of CompiancefOccupancy Issued GT This permit has been issued for. 0 New Construction El Substantial Improvement 68. Serration of as-but lowest floor (including basement) &the builffing: 0 *et 0 meters (PR) Datum G9. BFE or fin Zone AO) depth °flooding at the building sae: 0 feet 0 meters (PR) Datum Local Official's Name ( 1\1 1 Title Commurvity Name Telephone Signature Date Comments Check hem if attachments _ ----- ---------------- Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt, Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Policy Number 3 ALLEY NO. 3 City TYBEE ISLAND State GA ZIP Code 31328 CompanyNAlCNumber If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. FRONT VIEW 5-4 -07 it Ii A r \*-^ -: ' � IT Jl oI ijI . ! ,, �[u � � � 1 111 111 ,F Illiri 'lull ` _ 1 - a4 t 1 i • 4 ► ., IIIIII i - i%, ., i ff , REAR VIEW 5 -4 -07 _- - -- ,...-.....-_---- - r, 3 ,¢ .:,,_„,,1 ... ._ ___\„: ____:,.______:______ .,.......__ _ : 111 i :3, ::: -, _____:_________-- ai 64. _ _ _ _ __....._ __ _Ai,/,., *it . .____. _ _ - - _ ___ --_-_- _-_T-_---._. - .-r%:g ■ Y . ... ,. - ,. { 1 9.:r .F' t ' -L �a ' r Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt, Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Policy Number 3 ALLEY NO. 3 City TYBEE ISLAND State GA ZIP Code 31328 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View "; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. FRONT VIEW 5-4 -07 1 ii , \ 4 III its 14, _ � I E: �i�� fi.�l'`� x is t '. ! _lit 1 :Kf REAR VIEW 5-4 -07 b _ _ _ ; M.J. - 6 ' ! r ---- ---- _-___ im j . s - ....�e,� v . , A