HomeMy Public PortalAboutNorthshore Dr_5Fc13 -22 -2006 14 17 FIRST CITY ENTERPRISES 811912 786 6795 P.01 /02
tki .JJI.,w —x 1-LEVA11ON CERTIF1CAT Expires May 31,1946
' '----� Fro-.1AL EMERGENCY MANAGEMENT AGEh.,Y
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use at this certificate does not provide a waiver al the flood Insurance purchase requitement. This tone is uSod only 10
Iprovide elevation information necessary to ensure compliance with applicable community tioodplaln management ordinances, to
determine the propor Insurance premium rate, and /or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMfl).
instructions tor completing this harm can be found on the following pages.
i
1
1
1
SECTION A PROPERTY INFORMATION
FOR INSURANCE COMPANY U66
t3U 1NClowI 'S ME
nn.. Uses
;TREE rADpRESS ttntluding Apt., Unit. BUee a'd'o 8 . Nv,nb OOri p.O. ROUiE AND BOX- NUMBER
ar irar rs7.to r abs G v.tc.t
crrvl 61tu r
POLICY NUMBER
COMPANY NAIG NUMOEI1
TATE
SECTION 8 FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
ProVlde the 1o1lowing from the proper FIRM (See Instructions):
ZIP CODE
1. COMMUNITY NUMBER
2, PANEL NUMBER
a suffix
1
4. DA18 Fin INOE14
7��(i/
5. MIA ZONE
! ►
6. BASE gi0c 7 ECEvATIoN
tin 15 ouaa aooliIl
7. Indicate tho elevation datum system used on the FIRM for Base Flood Elevation (BFE): UNGVD'29 [ ,JOthor (describe on back)
I8. For Zones A or V, where no BFE is provided on the FIRM. and the community has established a I3FE for this building site. indicate
the community's 10E: Li 11J.L.11eo1 NGVD (or other FIRM datum --see Section 8, item 7),
SECTION C BUILDING ELEVATION INFORMATION _
11. Using the Elevation Cerlillcate instructions, Indira a the diagram number from the diagrams found on Pages 5 and 6 that best
doscrlbes the subject building's reference level _ (p_
I 2(a). FIRM ones Al.A30, AE, AN, and A (with OK). The top of the reference level floor from the selected diagram is at an otovatton
or L 1._1... L ?.f .Lg feet NGVD (or ether FIRM datum --see Section B. Item 7).
(b). FIRM Zones VI-V30. VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
rho selected diagram, is at an elevation of L_.1 _.L1-1J.LJ feet NGVO (or other FIRM datum -see Section 0. Item 7).
(c). F1RM Zone A (without BFE). The floor used as the reference level from the selected diagram is L,1.1.t. .1 feet above C.1 or
below Li (check one) the highest grade adjacent to the building.
' (d). FIRM Zone AO. The floor used as the reference level from the selected diagram Is L .1 _L..1 feet above 11 or below [..1 (check
one) the highest grade adjacent to the building. If no (food depth number is availabio, is the building's lowest floor (reference
level) elevated In accordance with the community's ttoodplain management ordinance? [ 1 Yes [ 3 No [ 1 Unknown
11. Indicate the elevation datum system used in determining the above reference level elevations: [i-NGVD `29 [ J Other (describe
under Conirnonrs on Pago 2). (NOTE: 11 the elevation datum used in measuring (he orevatlons is different than that used On
the F(RM (sea Section B. Ibsen 7f, than convert the elevations to the dalurn syS(am usod on the HAM and show the conversion
Iequation under Comments on Page 2.)
1. Elevation reference mark used appears on FIRM: t (es (Soo Instructions on Page 4) tirRECO- (UP o UFZEISI 1P COPT
The reference level elevation is based on: L141;clual construction construction drawings project number
date
125 I O1tao3 S
• (NOTE: Use of construction drdwirtgs is only varid if the building does not yet have the reference revel floor : =' ,
case this certificate wilt only bo valid for the bulyding during the course el construction, A post-construction E : vat .n ‘cortillcato
will be required once construction is complete.) •
..'The elevation of the lowest glade immodiatoty adjacent to the building is: L L.. j_ J.1.f.. }) .6 .toot NGVD (or Ol or FIRM datum -sve
1 Section B, Item 7).
SECTION D COMMUNITY INFORMATION
•
.11 the community ot(ieia1 responsible for verifying bultding elevations specifies that the reference tevet indicated in Section C, item 1
is not the 'lowest floor' as defined In the corn unity's floodptain management ordinance. the elevation of rho building's `lowest
door' as defined by the ordinance is: 1. .1 .1..i iL._C.L 1 feet NGVD (or other FIRM datum -see Section la, Item 7).
I. Date of the start of construction or substantial improvement _ ....._ ____.__
FEMA Fora► 81.3f, MAY Q3 $tEPUCES ALL PREVIOUS EDIT10N5
FEB -22 -2006 14:17 FIRST CITY
atk
SEE REVERSE SIDE FOR CONIWUATION
98% P.01
rEB -22 -2806 14 :18
FIRST CITY ENTERPRISES
SCCTIoN E CERTIFICATION
811912 786 6795 P.02/82
tohis certification Is to be signed by a land surveyor, engineer, or architect who is authorized by stale or local law to certify elevation
formation when the elevation information for Zones A1. -A30. AE. AH, A ( with BFE),V1- V30,VE, and V (with f1FE) Is required.
mmunity officials who are authorized by local law or ordinance lo provide floadplaln management Information. may also sign the
certification. In the case of Zones AO and A (without a FEMA or community issued ®FE), a building official, a property owner. or an
twnor's representative may also sign the certification.
elerence level diagrams 8, 7 and 8 - Distinguishing Features -if the certifier is unable to certify to breakaway /non-breakaway wall,
enclosure size. location of servicing equipment, area uso, wail openings. or unfinished area Foature(s), then list the Feature(s) not
linctuded in trio Codification under Comments below. The diagram number. Section C. {tern 1, must still be entered.
I codify that tho Information in Sections 8 and C on this certificate represents my best °foils to Interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 1811.5 Cale, Section 1001.
`T. _Jactsm
suniewr
SIONATt)RE
Copies should be made of thIs
COMMENTS:.._.. ,
1_. - __
1
1
1
1
1
1
1
1
1
aN
SLAB
&tWnth V
LICENSE NUMBER (Or Aril l Seal)
ANY -225 _
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t l
Ip DA � 9
kale for: 1) community uff1CIaf, 2) Insurance egenticompan'y. and 3) building owner.
A V
ZONES ZONES
AF-Lev- .. /18.1. Al-
coo
__ 201ECO7c1,
... _.4� . No. 2555
441r1r1lurt1v4
WITN
BASINEAT
A
zONES WiE
I Waco
Et YA io.,
`ri.. we '
Jln},K`ENf
ON PLUS,
;Ail% OaCOiuMN5
A V
ZONES ZONE
53 6
The dagrarns above Illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of tho lowest horizontal structural member.
FEB -22 -2806 14:17
Page
FIRST CITY
9B
TOTAL P.82
P.02