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HomeMy WebLinkAbout980100317 - 81 CANAL LN - FLOOD (0003)~~t~~IC~1~~ ~~ ~ ~ 2~0~ U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management agency ~~,f~S~~1~TY D CD Exgires February 28. 2009 National Flood Insurance Program Important: Read the instru <1V r 0 AR SH +o 1, t.. SECTION A -PROPERTY INFORMATION For Insurance Company Use: Al • Building ner's ame Policy Number ~ ~. Q,pw ~- t, L.A~ E No ~ A $ ZO A2. Building Street Address (induding Apt., Unit, Suite, and or Bldg. No.) or P.O. Route and Box No. Company NAIC Number .._ ~ SS~.SSC~~' S ~A,R..Cl:e. tV~aS, ~ C-l.bo- 3a L. -~ 317 = -. n~ n A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) ~$S t A~JJ-f L A,1.,. A5. LatitudefLongftude: lat. ~s47. C.? ~~Y '~ Long. 1 rim 2, • '~ 3 7 ~!~! • 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 Z A8. For a building with a crawl space or endosure(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) 1 2 ~ Osq 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 ~3 ~ ~ walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b SZ ~_ sq in c) Total net area of flood openings in A9.b sq in SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 4 F ~ ~ ~ 82. County Name 63. State rC. 1 2. ArV i 5 oI !(o 2.S ~~FF ~R S~~f ~,lA B4 Ma JPa l N m . p ne u ber 65. Suffix 66. FIRM Index B7. FIRM Panel 68. Flood B9. Base Flood Elevation(s) (Zone Q 'S'8004 7"' ~ Z~"x 13 Dapte Q ~ ~ 9~~Z Effective/Revised Date OIda Zone(s) AO, use base flood depth) ' Q,~ :_a:~.....,.---~--- -~. , - -• -- N Ala. l t. Cyd '~~G+1 - --~ °-- ~a~~ ~~~„~, crcvauun ford aa[a or oase no0d depth entered in Item 69. ^ FIS Profile (~ FIRM [] Community Determined ^ Other (Describe) B11. Indicate elevation datum used for BFE in Item 69: ~ 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 ®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 Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram speclfied in Item A7. Bendlmark Utilized V 5 C •i. Ga`3 I2 - I S 2~'S 6 ~' Vertical Datum N U ~ Q l 92.9 ConversioNComments Check the measurement used. a) Top of bottom floor (induding basement, crawl space, or enclosure floor) ~~.~~ fee ^ meters (Puerto Rico only) b) Top of the next higher floor „~,~. ~ ®feet - ~ - c) Bottom of the lowest horizontal structural member N Zones only) ,^ feetmeters (Puerto Rico. only) d) Attadied garage (top of slab) ^ feet ^ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building ,~~.Q Q feet ' ^ meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) Z .~ , ft® feet ^ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 2.9 . .~Q feet ^ meters (Puerto Rico only) SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This oertificati0n is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation - information. l certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by fine or imprisonment under 18 U. S. Code, Section 1001. j,,D C, yl, ,~S,O04 WAS~Jr O~ ^ Chedt here if comments are provided on bade of form. ~~~ _ ~C~ ,~ ~QR~mt,D C. ~.loO1p WA- L.S ~3°jl1 Q ,. License Number ~ x v R„V d y o ~„ ~ l?Q ~S >t Q 6t ~e i ~ ~ Title Company Name ~... ~,~ ~r, ~~2~ Sv iiV~,dl~v<- -~- ~t G ~ 4'~r23911 ~S~ ,~~ Address, City Stale ZIP Code SrU j t•~~ 2t S;; ~r sCpv~~,v tz.p. (~oR.r' iev.,,,R sB~+A tile, 9 G8 - Signature Date Telephone C' ~~ 3 ,24~~8 vo- 38S S'9G 4 ~~ , FEMA Form 81-31, February 2006 See reverse side for continuation. __ , ,,,,,~ 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 C qt.,. E City State ~h ~ NNor+r ZIP Code Company NAIC Number ~.. o e a .~ .,. SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION Copy both sides of this Elevation Certificate for (t) community officlai, (2) insurance agent/company, and (3) building owner. °a ,~ 1 ~aw~c (+yyK~'~Pi( l... W[9->~ Date _ __ SECTION E BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE* - For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items 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, crawl space, or enclosure) is _ ^ feet ^ meters ^ above or ^ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is . _ ^ feet ^ meters ^ above or ^ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see a e 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is . ~ ^ feet ^ meters ^ above or ~ below the HAG. E3. Attadted garage (top of slab) is [] feet ^ meters ^ above or ^ below the HAG. E4. Top of ptattorm of machinery and/or equipment servidng the building is T ^ 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 are 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 ^ Check here if attachments SECTION G -COMMUNITY INFORMATION (OPTIONAL) The local otfidal 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 ofthis Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and Gg. G1.~' 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 suthorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ^ A oommunity offlclal completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone A0. G3. ^ The following information (Items G4: Gg.) is provided for community floodplain management purposes. G4. Permit -~mber G5. Date Permit 1 sued,• G6. D ertificat Of Cg~npliancelpccupancy Issued ~3t~Do7- DoORSI ~/~s/(1 ~7 ~ ~ ,~, G~ G7. This permit has been issued for: ~ New Construction ^ Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building: rr~ 3 Q feet ^ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ~. ® ~ feet ^ meters (PR) Datum Local Offlclal's Name ~ Title r-~ Community Name ~ ~ e Telephone Signature Date Comments ^ h ck h re if tta hments rr=rvw r-vrm a r-s~, reoruary zVV6 Replaces all previous editions ~_ M~~ ~ 4 2~D~ U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Qt~fi'iB~t17~~~11Y D CD Exoires February 28, 2009 National Flood Insurance Program Important: Read the instru _~,~1V f O ~qR SN,ra !, ~. SECTION A -PROPERTY INFORMATION For Insurance Company Use: rvncy rvumoer Qarv w w L A,~t E- rto ~ A g ZO A2. Building Street Address (including Apt., Unit, Suite, and or Bldg. NoJ or P.O. Route and Box No. Company NAIC Number A ~ ~ SS Ess c~ _ _ R` 5 ~AfL Q w!': t,. ~g g 923 C~ - t t~ a 31 V -F iii 7 A3 Property Descnptron (lot and Blodc Numbers, Tax Parcel Number, Legal Oescnptwn, etc.) t+aTS t~ wt1 ~~t,.K, ~ Pr...~~~ c~ F C~a.~IM$tC C~+rv~e~ /~~n~wr. ntm, tt A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) t'4~1s ~ Qj~,IJ"I<' «1.. A5. Latitude/Longitude: Lat. ~t47. G. "i Z 4 Lon ~„~,( 1 ~?.. • °.f~ 9 • ~ 3 '7 •~ 8 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 2.' 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) 1~ ~ Osq 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 wfthin 1.0 foot above adjacent grade ~3 3 `L,~ walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b S2 ~_ sq in c) Total net area of flood openings in A9.b sq in SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION rs~. nrrr community Name & Community Number ~ s ~ P B2. County Name ' 63. State 4 a ~ ~aR. co. ~>v s o~ ~ ~ 2S 1+~F F ~R sn•~ ~.~,l~a 84 Map/P l N _ ^ . ane umber B5. Suffix B6. FIRM Index B7. FIRM Panel 68. Flood 69. Base Flood Elevation(s) (Zone S$OOSi ~» t 24S' t3 Date ~ / 9 /ri 1Z Effeclive/Revised Date ,et e, Zone(s) tt AO, use base flood depth) ~ a , N , y ~,~. nw~wutc use source orrne rsase riood Elevation (BFE) data or base flood depth entered in Item 89. ^ FIS Profile ~ FIRM ^ Community Determined ^ Other (Describe) B11. Indicate elevation datum used for BFE in Item 69: ~ NGVD 1929 ^ NAVD 1988 ^ Other {Describe) 612. Is the buflding located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date ^CBRS ^ OPA ^ Yes ®No SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C7. Building elevations are based on: Q Construction Drawings' ^ Building Under Construction` ~ Finished Construction A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items. C2.a-g below according to the building diagram speclfied in Item A7. Bendunark Utilized V S C •rE- Ca-S R +/ S /ZES E7' vertical Datum h/ t~ V D l ~ ~,,'' . 9 ConversioNComments Check the measurement used a) Top of bottom floor (including basement, crawl space, or enclosure floor} _.,~~...0 ~ fee ^ meters (Puerto Rico only) b) Top of the next higher floor ~ J~. ( ®feet .• :~e.Ri~.~y ~. c) .Bottom of the lowest horizontal structural member N Zones only) „ _,^ feet . , ^ meters (Puerto Rico. only} d) Attaclted garage (top of slab) ^ feet ^ meters (Puerto Rico only} e) Lowest elevation of machinery or equipment servidng the building (Describe type of equipment in Comments) ~~ _.O ^X feel ' ^ meters (Puerto Rico only) f) lowest adjacent (fmished) grade (LAG) Z .4 • f. ®feet ^ meters (Puerto Rico only) g) Highest adjacent (finished} grade (HAG) 2 9 . .,e Q feet ^ 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 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 maybe punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ~~ C• tY ^ Check hererf comments are provided on back of form. ~~ O~ wAS~rrI,O~ ~IZ oc.D C. ~.~Jcpp WA- L»S 23°Jt t ti ~~ Ce fiats Name License Number ~ O T~~ Company Name ~O r O ~rlocs}~ SvR,V~Y~•v4. --L na C 6' 23911 ~ J Address, ~ Cc+VL.rt,V (2CQ ~nR„T- (n State ZIP Code sl ~ I I'F:R~~ 2~ Sa fir s wnr s ~E ~..p "~le» 9 G 8 _ ~io Signature C . ~ Date 3 Telephone Z4~o8 vo• 3~S S'9` ~. ~~ FEMA Form 811, February 2006 See reverse side for continuation. __ , , , ,nne ,~ IMPORTANT: in these Building Street Address (inc ai CAN City C3R ~ NNoN the corresponding inforrrtation from Section A. Unit, Suite, and/or Btdg. No.) or State SECTION D -SURVEYOR, and Box ZIP Code 8 3zo OR ARCHITECT CERTIFICATION I Forlnsurance Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Number Use: s - V SECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items 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 (induding basement, crawl space, or endosure) is _ ^ feet ^ meters ^ above or ^ below the HAG. b) Top of bottom floor (induding basement, crawl space, or endosure) is . _ ^ feet ^ meters ^ above or ^ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Sedio~,A Items 8 and/or 9 (see a e 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is . _ ^ feet LJ meters ^ above or ~ below the HAG. E3. Attached garage (top of slab) is ^ feet ^ meters ^ above or ^ below the HAG. E4. Top of platform of machinery and/or equipment servidng 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. ~ ~~ WNER (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 A© must sign here. The statements in Sections A, 8, and E are 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. and Gg. G1.~' The information in Section C was taken from other documentation that has been signed and seated 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.) G2. ^ A community ofbcia! completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone A0. G3. ^ The following information (Items G4: Gg.) is provided for community floodplain management purposes. G4. Permit mbar ~t..Do7- ooogy G5. Date Permit ( sue s~®7 y G6. D ~ s ~C~pliance/pccupancy Issued ,, G ~~ • ~...a ~,wuu~ nas peen ~ssuea Tor: I A New construction U Substantial Improvement ,-~/ ~ ) G8. Elevation of as-built lowest floor (in)d''u'ding basement) of the building: es~ 3 Q !!y feet ^ meters (PR) Datum Gg. BFE w pn Zone AO) depth of flooding at the building site: l~ / ® ~ feet ^ meters (PR) Datum Local Offidal's Name ~ Title Community Name ~ ~ ~ e Telephone Signature Date Comments ^ h ck h re if tta hments FEMA Form 81-31, February 2006 Replaces all previous editions