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Home My Public Portal AboutButler Av_104-B 09/07/2005 09:44 9123519633 SKIDAWAY ISL E':" i; ( 'A' 0 i FEDERAL EMERGENCY MANAGEMENT AG Y 1 01; A.: : > 1 NATIONAL FLOOD INSURANCE PROD ° , : E oir -_ em ' e r0 ELEVATION CERTIFICAT 1 • I -. ' Important: Read the Instructions on ps • • * -= SECTION A - PROPERTY OWNER INFORMATi • MIMI 1 +d'll I : wim BUILDING IUIL,DINO REST ADDRESS (Including Apt., Unit, Suite, and/or Bleg. No,) OR P.O. ROUTE AND 80 �+ � i I 111 /,/ QQ q 1 y d CITY T -rte c I A STATE ,r I' } O - i _a 1 Wit ., . °. PFDP' Rt � Y: r oESGR s 4t� fa PtION (Lot and Block Numbers, Tax Parcel Number, Legal Demolition, etc.) y@ L. o T S ,2 i 3 or 5 v130 , Q F J fAc.br Lr�1 14. % a, a II L6' BUILDING USE (e.g.. Residential. Non - residential, Addltion, Accessory, etc. Use a Comments we if - ) ; ! j, • ` y t. LATITUDE/LONGITUDE (OPTIONAL) _ - HORIZONTAL DATUM SOURCE: GPS (T - -• ' 1 I I i #tt" - #tf' < tt#,u#" or Niit,N ktta9r) I_1 NAO 1921 I —I MAD 1983 1_I (Type). _ - _ 1 -1 USGS }load ni L_I Ot 1 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATI :. i` ` B t NF1P COMMUNITY NAME & COMMUNITY NUMBER 82. COUNTY NAME �i I .7, FIRM PANEL E(S) M. B.- ;..nE • 1 ' l34 MAP meER lnNEt B5 SUFFIX . B6. F INDEX EFFECTIV R Vf ED DATE . F E s B Z• ' I pt 1 _ /.. 3..1./.2 4 _ C 1 Sit / ° 4/./ SC, ,, 510. Indicate the source of the Base Flood Elevation (BFE) data or beae 1toad depth entered in j i 1I FIS Profile I FIRM ) Community Determined. J I Other (Desert • i �' 81 1. Indicate the elevation datum used for the SFE in 89: 1 Y i NGVO 1929 1_, J NAVD 1988 1 ,;0t or ( .scribe) Z ___ I B12, Is the building located in a Coastal Barrier Resources System (CBRSj area or Otherwise ' .iec r -d • -a (IDP • (Yid oj; i Designation Date:____ SECTION C - BUiLDING ELEVATION INFORMATION (SUR ))„ 1111. ME • C1. Building elevations are based on: /_/Construction Drawings' 1 !Building Under C. i ct pn' 9K, - - . 0 >n •n 'A new Elevation Certificate will be required when construction of the building is complete. I` ! C2. Building Diagram Number (p (Select the building diagram moat similar to the building f. ich to , •rtlica - ; :rig • tl I ' < ee Rages 6 and 1. It no diagram accurately represents the building, provide a sketch or photo • ph ; i ii C3. Elevations • Zones A1-A30, AE, AH, A (with BFI=), VE, V1 =V30, V (with BFE), AR, AR /A, A t E AR/ A� R p r Complete Items 03.e -i below according to the building diagram specified in Item C2. State ,,d4 en d.l,'it t i i.. it r the datum used for the BFE in Section 8. convert the datum to that used for the BFE. Shp . me err$ent lure' c•- -to :ti calculation. Use the space provided or the Comments area of Section 0 or Section G, as : .opriate > dEu = d4 on er- -'•n. Datum NG.UO 1219 ConversionfCOmments i'ik p4 E , Elevation reference mark used_y ektiCA _ G,(7joL Does the elevation reference ma - tad s.. -r on' t : • 1.11 No 1 a) Top of bottom floor (including basement or enclosure) /(,?. 3 ) J b) Top o f next higher floor 20 r ) , , ' J c) Bottom of lowest horizontal struclural member (V zones only) (. 1_ - -) I A 1 d) Attached garage (top of slab) N/A . _ ) 1 e) Lowest elevation of machinery and /or equipment a � . servicing the building (Describe in a Comments area.) U, l j l i / ; J f) Lowest adjacent (firushed) grade (LAG) — / . {I t ) z f — v 1 g) Highest adjacent (finisned) grade (HAG) .t}• '_ - f ,. ) D • 1 h) No, cif permanent openings (flood vents) within 1 ft. above adjaoertt grade •p i` I i j ,J .) Total area of all permanent openings (flood vents) to C3.h ,„1? sq. in. (sq. cm) I., i I { 1 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CE izEmi : agg, • This certification is to be signed and sealed by a and surveyor, engineer, or architect authoriz by l w ti erfify el:: inf I certify that the information in Sections A, B, and 0 on this certificate represents my best effort (o Warp . - the date ,b /e: i understand th any tetsa sietement maybe eunishebte by fine or imprisonment under 16 U. - ! ode, - - ions 1007. CERTIFIERS NAME LICENSE „ J _. . . I 4 PL �. G lIFP,a k .. TITLE -- P. E [7� NAME /� A 1 _. ADDRESS _s /DTLA y rs t-dp C 0"/l r . . �r 4- N p o $07c. I as irrrYYY STATE ii+ De', SIGNATURE�... DATE Q EUEt' FEMA Form 81-31, January 2003 See reverse aide tor oontinuetion. I Repl - - 'II piinil. ttt.f 5 1 a i l 11 i 09/07/2005 09:44 9123519633 5KiLPWP'Y 1bL t H 1 ; :, � � t I IMPORTANT: In these spaces, copy the corresponding information from Section A. Tain ' ., '3:e{di:fk ' . BUILDING STREET ADDRESS (including Apt., Unk, SOM. end/or:$klg, -NO.) OR P,6. ACUTE AND BOX . I bi Lk) CITY TV SATE g Cl$ =r. Ili ;3 tS(.r1 d a 3 ; `i SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFIG ± • lE gm gm Copy both sides of (hts Elevation Certificate for (1) community official, insurance agentico -., • b .1 ;_ I • COMMENTS _ V ... m. l _ . -- . .,... _ - a C P • y w L G.2�! F /lei a f ✓f ' G� ?' I � I s • 0.91.1.??.. Pi F. r _ Er•� CL oS fQ to awl /DE.'S ,,,, , IE : • a ; SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) f= R % 0 ..• = Ma, 3 ;-` For Zone AO and Zone A (without $FE), complete items El, through E5. If the Elevation Certific 1, - fltit - . =d r u='= ' 11 ' tntorrnation fora LOMA or LOMB -F, Section C must be completed, t El. Building Diagram Number ,, (Setae!, the building diagram most similar to the building for h this ifi to _ • o t1• t ' see pages 6 and 7. If no diagram accurately represents the building, provide a skefoh or ph. _Oh `. ; ! ; ' E2. The top of the bottom floor (including basement or enclosure) of the building is IiI ft. (m) _ l ; )L . .r { I i _,,,,-,- (check one) the highest adjacent grade. (Use natural grade, if available.) s - E3. For Building openings see page ' r h a kon i. r g D! 2g rams 6-8 with •f tile b 5 it pe nin 9 ( p g 7 }, the nex t higher floor o elevated floor 1 Y E 1 ^i_1 h. (m) I__1„..,lin. (cm) above the highest adjacent grade. Complete Items C3.h and C ftjnt orM. . { E4. The to of the platform of machinery and /or equipment servicing the building is (__1 ft. (m) j- _ I;ir+. - ) rr . (_ 1.4 ( * ; (check one) the highest adjacent grade, (Use natural grade if available,) 1 I; ; •! E5. For Zone AO only, If no flood depth number is' available, is the top of the bottom floor elevate a •••r• 'cel th . rrtlnit ; 'I tiooctptain management ordinance? 1 1 Yes 1 I No I ( Unknown. The local oMetal mus I ti for ti- =ca r k' SECTION F • PROPERTY OWNER (OR OWNER'S REPRESENTATIV; Mai The properly owner or owner's authorized representative who completes Sections A, 13, C (Items : h and ' -.1 only), 'or a • ' (without a FEMA - issued or community - issued BFE) or Zone AO must sign here. The statements ±• edict" • • , Si C. re i the best of mY knowledge - - .. - _ ._ . PROPER'r'`/ OWNER'S OR OWNER AUTH S ORIZED REPRESENTATIVE'S NAME ;' ADDRESS CITY P SIGNATURE - _ ^---- -..__. _.... DATE il I ii COMMENTS ..__,_.._.,. _. _.,,.,.._..r... ....._.._ _ 3... p or e i -t -nts`' i SECTION G - COMMUNITY INFORMATION (OPTION - IMIS ' ini . The local official who is authorized by law or ordinance to administer the community's floodptatn ma ;rerr ant '•inf lice . ;mPi + =(e Sections A, 8, C (Or E), and G of this Elevation Certificate, Complete the applicable Ram(s) and sig - low. ;, GI. 1,....J The information in Section C was taken from other documentation that has been signed an boss: •y a. tic - ^4 , 0 , engineer. Or arch!tecl who is authorited by slate Or focal law to certify elevation informatio (rat= - t Ur* i 2tRt',t ; ! i elevation data in the Comments area below.) ' , C32 I.__i A community ottciei completed Section E for a building lor.ated in Zone A (without a FEMA _ued m(ynit 8 , ) zone A0. ( Ili li r G3, 1,.._( wn _( The fotlong information (Items G4 -G9) is provided for community fioodplain management .. •ores E -: 11 . G4 PERMIT NUMBER __ - I G5. OAT!_ PERMIT ISSUED G8, DATE CERTiFI ',ANo P t t C 1 _ I r v ISSU£15 t ` �G7 This permit has been issued for: (I New Construction (,I Substantial Improvement ` - I GO. Elevation of as built lowest 11onf (inclu(iing basement) of the building is: (m) Dat 1 G9. BFE or (in Zone AO) depth of flooding at the building site is: (m) Dat LOCAL OFFICIAL'S NAME TITLE --- t COMMUNITY NAME TELEPHONE i I t' .. b SIGNATURE DATE , i COMMENTS _ I -._—� .3-:_c. 1 ttttti. FE MA Form 81-31, January 2003 places - tou- e• : I 1 l it I1I ` i1 . I