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HomeMy WebLinkAbout602353053 - 73 PICCINI LN - FLOODi1 U.S. DEPARTMENT OF HOMELAND SECURITY ELEI~ATION CERTIFICATE 4MB No. 1660-0008 Federal Emergency Management Agency ~ Expires February 28,, 20p9 National Flood Insurance Program Important: Read the instructions on a a ~ es 1Y-8. p9 . ~ ~: ~; ~~ ~~ ~~ . ~~~ ~~ SECTION A - PROP~R'TY INFORMATION For Insurance Company Use: A1. Building Owner's Name Policy Number A2. Bui~ing Street Address (including Apt., Unit, Suite, and/or Bld No. or P, ~~ °~ A~ g. ) 0. Route ~~nd Box No. Company NAIC Number A • 1t ,Er .~ " ~ 9 r ~ ~ ~. a g Cry. , ~ a x ,M ~ t• .~ a " `, ~ `.M _~ ~~ ~~~~~ ~ Stata . ZIP Code ~.~, V .~~ . A~. Property Description (Ldt~and ~31odc Ntrmb~ers, Tax Parcel umber, Legal C~escrip+bion, etc.... Y .. a __.__ A4. Buildin Use e. , ~~ ~ ~`~ 9 (g ,Residential, Non-Res~dentral, Addition, Accessory, etc.) ~~ +'~~, !~-~, G4 ~~ ~ ~~n~ ~ ,~ c , , =.~ A5. Latitudellongitude Lat. !!~4?, G 9,3 ~^ IV Long, 2 C~~ 4~ Horizontal Datum: [] NAD 1921 ~„ 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, A8. 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) . sq ft a) Square footage of attached garage ____-__ sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade _ c) Total net area of flood openings in AB.b ~ sq iii c) Total net area of flood openings in A9.b ~ sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name & Community Number 2. County Name B3. State C3rx,r,`t noon! JS~QC~~9 (2..35 Q ~'C~r~ r Ic.C~. Sod ~~ 84. MaplPanel Number 65. Suffix B6. FIRM Index I ~ B7, FIRM Panel B8. Flood B9. Base Flood Elevations Zon Date EffectivelRevised Date Zone(s) A0, use base flood de )th e 1 p) 810. In ~ ~ dicate the source of the Base. Flood Elevation (BFE) data or base flood depth entered in Item B9. FIS Profrle ~,F1RM ^ Community Determined ^ Other (Describe) 811. Iruiicate elevation datum used for BFE in Item 69: ,~ NGVD 1929 ^ NAVD 1988 ^ Other (Describe) -, !~ ~.~e b~.""~"g Ic t d r" u'^oastu~ ~a;a~er Resources Sygter~~ (C~~RS) area or ~itherwise ,Protected Nrea (C~NA 7 ~ ~, ~~,Yes ~~ No Designation Date CBRS OPAL ' '' ~ ' "" ' ) ^ ^ . ~.. ~ . SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1, building elevations are based on: ~ Construction Drawing~* ^ Building Under Constructionx Finished Constru i Anew Elevation Certificate will be required when construction of the building is complete. ct on C2. Elevations - zones Al A30, AE, ,AH, A (with BFE), VE, V1-V3Q, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, AR/AH, AR/A0. Com late Items C2.a- belowaccording to the, building diagram speafied ~n Item A7. p g Benchmark Utilized _-, ~4, N-,,,~,''t3'' ~ t2t2 'S Pr4e. t roc ~' r BHT a c.~ Vertical Datum ~ ~ t. z `~ ConversionlComments ~ E ~ ~ ~ o N, ,~ ~' 9 ~ ~ ~ ~ Check the measu'remen`T used: n.._~. °... a) Tap of bottom floor (inducting basement, crawl space, or ~'nclosure floor) 2 ~ feet ^ ` ~ i , , },, ~~ r~eters ~, o ~co ~`nl ~ k b) Top of the next higher floor ~ _ ~ ,.~..~,...~. .~L.~~-~-._.^ feet ^ ~ Puerto Rico only) c) 6ottam of the lowest honzontal structural member (V Zonas only) ~r a, _ .~^ feet ^ ~n~ters Puerto Rica a I ~ d) Attached garage (top of slab) ~_,~^ feet rdte~s Puerto Rica e) Lowest elevation of m i ^ --Y ach nary or equipment servicing the',building 2~ 3 ...~0 feet ^ eters (Puerto Rico only) (~e~aibe type of equipment in Comments) fl Lowest adjacent finished rode LAG _ ~~-~---~ . ( ) g ( ) ~.~[Q feet ^ eters (Puerto Rico only) ~~~~TY g) Highest adjacent (finished] grade (HAG) 'i _~_, O feet ' ett~s P ~ ~ ~~~~ ~~ _© ^ i ~:~,,. (uerto Rico onl~`~' ~)~. ~~(~pENI' SECTION D • SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ~ ~ ~ w, `,~ ~ ., V This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation -~ ~~ ~ ~ ,~ information. ! oertiiy that the information on this Car~i-cafe reprsserrts mho oast e~ors ra intsrp-sP P~~e scrota avd.a~~a. --~-----~-~=-- .'~ ~y,.r 'a.r, ~.~ r ! understand that any false statement may be punishable by, dine o>~ imprisonment under 18 U. S. Code, Section 1001. ~ ~0 ~ ~~ ~~~s~t~ ~, ~ Check. here rf comments are provided on bade ref form. ~ ~ ~,, . ~ I~, '~ ~ a, ~. , Certitier's Name ~ ~'`~ . License Number ~ ~ ~ ~ ~ , 'Title , .. , ~ ~'.r r 4 Company Name O~ ~} .Address - --- ~..__ `Taws S F w ~~ 8 3 ~ ~ ~~ ~~~,~~1~-'~ ~~- ~+ C-tY ~ State ZIP Code '~U~r 1~~ Signature Date i Telephone - EXPIPES 111?I t~EMA Form 81-31, February 2006 See reverse side for continuation. Re 'I pales all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. F Building Street Address (induding Apt., Unit, Suite, andlor' Bld . No. or Insurance Company Use; ~~ , ,.l Q ~, g ) or P.O. Route and Box No. Policy Number ~ ~ ~ I N L~ ,~~! ~ City State ZIP Code Com an. NAI ~'~ } N nl pn( p y . C Number .. ~/ G SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION CONTINUED) Copy both-sides of this Elevation Certificate for (1) community official, (2) ~nsuiance ag~ent/company,~and 3 buildin owner. () 9 . ' Comments ~ ~ ~ ~ s /~-~»~~- '~ ~s ~ ~'I' f3~ ~3 ,; ~.r~ ~~4 ~ SJ~C tvN q, N ~ ,1 G G ~ N' ~ ~ /y k, ~, .~ ~L. i4~''4 ~ ~ ~F t7~~ ,~ ~ 'o °F ~° - Et Signature . ~~''~ T' ~ ~; „? ~ -~' ~ 'C~ ~~ Date ~~ <~~ ,, ~~ ~. ~: _~ ~ C~- , SECTION"E - BUILDINr; Ei ~ ~ ..: ,~ (~ Check here if attachments -E!l~hT=Of~ INFQQ~"~"+TIGN S~t~RvE'~ iv0 f~C~EC~UIRED) FOR ZONE A0 I~N~ ZONE A (WITHOUT BFE ) For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to su ort a LOMA or and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico onl , entOeMmetersquest, complete Sections A, B, E1. Provide elevation information for the following and check the appropriate boxes to show whether y gad®(HAG) and-the lowest adjacent grade,(LAG). the elevation ~s above or below the highest adjacent a) Top of bottom floor (induding basement, crawl space, or enclosure) is __-__~. ~ ^ feet ^ meters ^ above or b).Top of bottom floor (induding basement, crawl s ace, or endasur ^ below the HAG. E2. FQr,~uildin Dia' rams 6- p e) is ----• --- ^ feet ^ meters ^ above or ^ below the IAG. 9 9 8 with permanent flood openings provided in Secti n Items 8 andlor 9 (see a e 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _,____r_ , __-__ ^ feet meters above r ^ o below the HAG. E3. Af#a~hed garage (top of slab] is -_.____, _____ ^ feet ^ meters ^ above or ^ below the HAG. E4, Top of pla~orm of machinery andlor equipment servicing the building. is ~. ____ ^ feet ^ meters ^ above or ^ below the HAG. E5. Zone AO only: If na flood depth number is available, is the top of the bottom floor elevated in accordance with the communit 's.floo ordinance? ^ Yes ^ No Y dplam management ^ Unknown. The local officlal must certify this information in Section G. -~-- ~ - SECTION F • PROPERTY OWNER (OR`OWrVER'S REPRESENTATIVE) CERTIFICATION The prop~riy owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without aFEMA-issued or or Zone A0-must sign here. The statements in Sections A, B, and E are correct so the best of my knowledge. commurnty-issued BFE) property Owner's or Owner's Authorized Representative's Name '~" _~_TA~r n.t . ~~ ~ ~ s r~,,.l Address City State ZIP Code .~.~• C), a l '7 ~u N Signature r ~~ Sr+. ~ 8 ~, C~ .. ~atp - VICa11Ui~" ~..... Comments 3., ^ Check here if attachment ~~ ~ ~ : ~ S'~CTION G • COMMUNITY INFORMATION (O,PTIONAL) -The local offidal who is authorized by law or ordinance to administer the community's floodplain management ordinance can coin late Secti n and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. o s A, 6, C (or E), G1. ^ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surve or en in is authorized. bylaw to certify elevation information. (Indicate the source and date of the elevation da y ~ gear, or architect who . to in the Comments area below.) G2. ^ A community official completed Section E for a buildin located in g Zane A (without aFEMA-issued orcommunity-issued BFE) or Zane A0. G3. ~ The fallowing information (Items G4.-G9.~ is provided for communit fl y oodplain management purposes. G4. Permit:Number 09- II G5. Date Pe it lssu` d G6. Date ~, ~ ~, ~ ~ ~~~ .. e ~ ate f Compliancei0ccupancy Issued G7. This permit f #a ed for: New Construction Substantial Im roveme ~ ~ ^ , p nt G8. Ele~~ttgn of as-built lowest floor (induding basement) of the building: Z~ "~ • ~ ,~ feet ^ meters (PR) Datum G9. BFE ort Zone AO) depth. of flooding at the building site: ~~ . 2 ~ feet ^ meters PR D a : ( ) atom Local Offq~l's Name ~ ~ ~ ~ ~ ~ ~ ~~ , . ~ ~ ~- ~ Title ~ , ~I ., Commurli Nam Telephone n o r~~ ~ -~, 3~ ~ Si alto ~ ------- ; ,~.~, 9 ~ ~~ ~~ ~ Date s ,... Commen ~ "~ ~. . ~~~ ', ~~ - . "' f.,~ - t k , . , ~..~,.,,~,,.•,..r ; ~ _ . ^ he h r if achments F~MI~ ~~~ t8~~-~1,~~~'Feb~ruary 2006 ~~~ ~ ~~~~~~~'~~~'~~~~: ~ >~~ - ~ Replaces all previous editions .,; ,..: