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Home My Public Portal AboutSolomon Av_1230-B_20130621 US.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No.1660-0008 FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program Important:Read the instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Ai. Building Owner's Name Billy Ray Policy Number: A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number. 1230-B Solomon Avenue City Tybee Island State GA ZIP Code 31328 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 4-B of a subdivision of lots 4,5,6 and aportion of Solomon Ave.,Garden Ward A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential A5, Latitude/Longitude:Let.N 32 deg 01.2350 min Long.W 80 deg 51.5180 min 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 6 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 182 sq ft a) Square footage of attached garage n/a sq ft b) Number of perrnanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade 4 within 1.0 foot above adjacent grade n e c) Total net area of flood openings in A8.b 414 sq in c) Total net area of flood openings in A9.b n/a sq in d) Engineered flood openings? ❑ Yes n No d) Engineered flood openings? ❑ Yes ® No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2,County Name 33.State Tybee Island 135164 Chatham GA 84.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood 89.Base Flood Elevation(s)(Zone 13051CO213F F 9/26/08 Effective/Revised Date Zone(s) AO,use base flood depth) 9/26/08 AE 13 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 89: ❑NGVD 1929 El NAVD 1988 ❑ Other/Source: 812. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ❑ No Designation Date:_ ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Construction* ® Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,Vi V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO.Complete Items G2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. Benchmark Utilized:. Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. ❑NGVD 1929 iE NAVD 1988 0 Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a)Top of bottom floor(including basement,crawlspace.or enclosure floor) 7.0 El feet ❑meters b)Top of the next higher floor 16.8 ®feet ❑meters c)Bottom of the lowest horizontal structural member(V Zones only) rile. ®feet ❑meters d)Attached garage(top of slab) n/a. 0 feet ❑meters e)Lowest elevation of machinery or equipment servicing the building 15.6 ®feet ❑meters (Describe type of equipment and location in Comments) t) Lowest adjacent(finished)grade next to building(LAG) 5.4 ®feet ❑meters g)Highest adjacent(finished)grade next to building(HAG) 6.7 0 feet ❑meters h)Lowest adjacent grade at lowest elevation of deck or stairs,including structural support 5.4 ®feet ❑meters 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 on this Certificate represents my best efforts to interpret the data available, I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. .FOR G ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a 0 ZO'TER.4,r ❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No CS.' M Certifier's Name J.Whitley Reynolds License Number 2249 a _f . r7 .c114().Title land Surveyor Company Name .c114(). O Address so Avenue ,CV Savannah State GA ZIP Code 31405 pp4� • • �w Sig,- re /��` Date 6/21/13 Telephone 912-352-0464 i1I '1;5 FE • orm 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE,page 2 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 1230-B Solomon Avenue City Tybee Island State GA ZIP Code 31328 Company NAIL Number: SECTION D-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. Comments C2.e)=A/C pad � �O i� Signatu / Date 6/21/13 SECTION 'BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) _ i For Zones A and A(without BFE),complete Items El-E5.tithe Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C.For I s E1-E4,use natural grade,if available.Check the measurement used.In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawispace,or enclosure)is^ ❑feet ❑meters❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is__ ❑feet ❑meters❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is _ 0 feet ❑meters ❑above or❑below the HAG. E3. Attached garage(tap of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. 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 owner's authorized representative who completes Sections A,B,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,and E am correct to the best of my knowledge. Property Owner's or Owner's 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 floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8-010.In Puerto Rico only,enter meters. G1.0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) 02.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. 03.❑ The following information(Items G4-G10)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. 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 building: ❑feet ❑meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: __ ❑feet ❑meters Datum GI0.Community's design flood elevation: ❑feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments. FEMA Form 086-0-33(7/12) Replaces all previous editions. ELEVATION CERTIFICATE,page 3 Building Photographs See Instructions for Item A6. IMPORTANT:In these spaces, copy.the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unt,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number. 1230-B Solomon Avenue City Tybee Island State GA ZIP Code 31328 Company NAIC Number. If using the Elevation Certificate to obtain NFIP Rood insurance,affix at least 2 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 Veiny and"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.If submitting more photographs than will fit on this page,use the Continuation Page_ Front View June 21,2013 _,�. � t ;, °` N .k q r ,- _ •un*�:%t.+•a t*., exs.�+st,Y+ty4.-`g'At' `'.Ny. F� •` '+F e. ± T j dill Ill[ ��'Is iF ma = �x„ ,, t`If' III _.,,.fry ;# G�yg i li - / - y 4 . „,.. ,.. I ....: , „ .; ,,,. •.„ ,, Si 4 r t • -k' r1N `,? c Mfr r -»y � - 'rte'• s.•w.+,.vs , -.e. ^Y a4 y`� ly Tamar ¢ m_'„' ate"""' `Y 93.jt" � .--:, "--�C.i,. .t'= ,v k'+' a ...: 1 FEMA form 086-0-33(7/12) Replaces all previous editions. ELEVATION CERTIFICATE,page 4 Building Photographs Continuation Page IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number. 1230-B Solomon Avewnue City Tybee Island State GA ZIP Code 31328 Company NAIC Number. If submitting more photographs than will fit on the preceding page,affix the additional photographs below.Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section AS. Rear View June 21,2013 ~ �+ '*• 1111 . u�u�q�yyyyy"""rrt"rte►. 'i`.t. - 'r ""'s. '111, 1111 it . ti..�' _..... .. ._. ... - ! M.d x; i * .4,y f z .. '. S w 41,-..*::* zj 6Rs . t4v ' 1W , .T� r.t 1, fP. 4` Vim .."A?z 14. at ,. • 1 FEMA Form 086-0-33(7/12) Replaces all previous editions.