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HomeMy Public PortalAboutButler Av_404_Last Resort JIB. - DEPARTMENT DE HOMELAND SEDDRiTt LL,' ;.,--vLi---',.1i-i-::;ATL ,', ft gc,. kederai Etttergetti.4 Maria Agiarici 2 ( .Natieriei Flostl lhasteriee Program • krui. R.z. ii inLiirticiier oz on pag::,.=z: I-a -,, SECTION A - PROPERTY INFORIVIATION For Insurance Compariy Use* _ k,. - ' _. . . . . . Al. Building Owner's Name 3 446 4 (:)4- '6--AZ.7"")" 1 Policy Number . . . A2. Building Str et - ddr a (including AM., LinitFitijte, annior Bidg. n.1 or POtit w2 N9,-, if i e_3T-- Comparty NA Nuittber • 4- zir 400 r Pati # -: al c.;c4...-• 3 I 2 e figo 04 ----- ' / )e 1 74 LAN 'D A.?. Pre.pert. Df„.s.arirtiggi,L,It and Block NuroPers. Tay Perm! Nunriber, L al_al Dascription, ,-, /C) r / OP P#A:"S ik " 40 4 4r g irco/yorfrirAtyfili 4410PEAci/54b ,144 M. ,, • . Building Use (e.g., Residential, Non-Residential, Add /i--- ition, Accessory, etc.) l ..5 ..4671 V # 774Z. A5. Latitude/Longitude: Lat. Long. i-inrizontai Datum: Li iNlAD 19'27 0 NAD 1983 A6. Attach at least 2 photographwf the building it the Certificate is being used to obtain flood insurance. A7. Building Diagram Number . r a building with as crawl space or ancloeuve(:,.), pri:Nide: AD. Fur z... building with an .ettatThe.d gaeage, pro'Ade. .a..) Squane footage a el epace t aridostsre(s) A),4 sq t a) S. quern: footage of attached onroge nq ft In) No. of permanent flood epeningn in the crow! apace or v b) No. of manent floor. openings in the attached garage enclosure(s) wails within 1.0 foot above adjawrit grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b ' so in c) Total net area of flood openings in A9.b so in SECTION B - FLOOD INSURANCE RATE IMF (FIRM) iNFORg..4ATI)N nil ?Imp cr..mmomily Name A CritTIMM;10V Nyynhoy ., 52., Cotmly Nome 1.17' . ■ I M. Stale ,._,- .. I 11'16 3 / .‹.! /444 d , ,... c A/ /I AA4 1 D4. Map1Pauel Number BS. Suffix ' M. FIRM Iridex 1 f37. 'FIRM Panel 1 3 Mood I se. Ease Rea: En() (Zone ; " .? r ts. Fitelbi'elkvised Dote 1 . :417. 5 ,(e'l I / : :: ,,O . , 7.eigTe flood depth■ 1 C i it? II /354 /coo / (......, '---,/ ,,t) i ;/77/ i 1 , BIC. indioate the, z;ourt a Uw.'. Eg4C Flood Etc-metier; (EFE) data dl beet-. fluez: depth eatered ili Iteirt nIg. 0 FIS Pricy 21 0 Carman:4. Dziormin.ed 0 Ciller (aeueribe indicate elevation datum used for BEE M item BG: 26 WGVD 192; - 1 NA‘i'D 1988 0 Other (Describe) 1 2. is the euiltdifig located in a Coastal Dahler Resources System C) area or Otherwise Protested Ar.i:IZ. (ORA)? 0 YeL 0 No l7, P . 0 CBPS 0 OPA .. ... ., .... . ... .. . . . E- rl - F,1R ril.r..VATIrtM nITOP.MATT:1 PF,01, F.:,... nj C.: E1aliirigiz' ,_, .....1.11.,.1:41 ■.......,:).., ,... T ...,....,,,..,r, [1. 'e-- - 5 , , ,,, ;.--.. EI, t km?. ,,,•, , ,,4 - 1,,, , ..5E , ...6',F,; , Ii`, , ,r, ! ; ;,-'--,' C '''i - t ' "'-` ':(.'2'; '-:•:• L '.k.• ..:_4,:::24.fliaLp IL .!: Ll.a.5a:11[ : - 4 , L., , ,:.-M4=' , ":a.: iffa, ', '4' a, d it/ .,,!--.. lib -7•( ,.....,....7-, — '■,, _ __ _ ....._. _ ____ _ ,, .-. , •,-. - ..,:k..ti . 1 ri , ..t., , ,-...4, 0 , _. . , i1,,,, - ,-;.; , , f.ii,..;,r11p,VE;1 ''',', , .'-,Tin,',-" ,1 ,, 7,,r ,,,. F.,,,•g.,, ,:,,7 ,I, ,, (.3: 1 _',, 3 , _ - I ,441411. ,--.. .s. ,,,... ,-, , :7F:lt ra:1P,i :,. ; .., l' ■ — --->-,, --i , ..3 ,_ - ,„ , '',;',:. 7 ..7- 7,;• ;MA: ")',E' 1' !! ,:t1 , ,.i, ....-•:-. .,‘,frov: /V , j 1P. El 7,1.F,1+:", 1,! . 1; ••P , , ' L t -, g,i, - ?..,•, - .5,,,,T, ::" ,--,,•;• Tt'll 2_ .,,--, .',..•:, ,:',,..f mnT„,;:„; ,3y; ,F,,,;:017, L.i.: "K',.• '''s: ,j,lef':•c76, Of it 6 '7.-t-f,,,,„,, T:: '- 1 7F.;•'., , ,N'' 3 Ea,: iii. C.,wiA,Thine.4', - • : t - .:A, ,;1•. St-,,,q 1 ._.,. ; 5 .,::- t ,,, . ri q 6 r-1---- -- -- 1 - - ;i' / fr.? , ,..., 3 Fl . -.. , , _ _ • ___,, , „„„ ., ,, , .,___ ..„„_, ______,,,, ___„ _ „,.„, .„ ,,_, _,., ____ . ........___, SECTION 0- 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 date available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. . , • -- • •,, .,;.,, v 0 R 0/ • . 0 Check here if comments are provided on back of form. . .Ak Cedifier'shame License Number ii- . 2 * Number/(- ,-.: ;-( i -,--:' 14.- ;; A Address -, Title /ompany Nawe i ,.--, ,,/, „, u , -,. ,--,, , , . .. el 7' er."4,'''Et) LAA if) _ c,, 4L Acc Airi.e..ik: A,u k.:.4.'f..f. 0, .... .. e. Address ., . .. - , r .-. CitY rKe;45 ../•tf ., ( t1 ZIP Code Signature r;l„, \ _ \N.N.t'i./W-c-r'-*.,""*" Date 7 , 1r _ 5 Telephonel 7 , 56 .. 4.5 7- - , - FEMA Form 81 February 2006 See reverse side for continuation. Replaces all previous editions _,_ ■iiiiirke0k 0 7 iorl *hose iamges vnny the cnrreArt,:nOing :R tmrm S A, Fni- inn.ormm Cbuipany ----:,---:-'---- 7-- - -7- ' ---.-r- - = - - - -- - ,1 , ..ir■ ^ - ,I --- P. 1 ek . t) -n t - ' - - ; . r ...* V:7 . _ ..._ ,4,-... .* -- 4 — ocie ---. ' 6;ni ;rt.* MAIO Nu OR ;HIH (-;ei.i:fiit9C7ATION (CtOS.TiNUED) .. ..-,i billh t'Adi. 0' a Eiovetian - i::.',.; - ffizt,4tit: for 1•:1 , :....r , mm•_Askie4 off:ctel, 4,2% 4- •.,;,a,:<-4,47.,:,i-r .-_:-4-.4 1,' .. - , , mb . ,ti,t. , .. 7 if 8 n c. / J D,., /v ) .i. , ,,,, „— . . 4 f , '''''' ---.., ---.,- ) 4 r) A 1 L Y ,9,1 ' - .3 - 01 it.1 f AIA- L fitio- - ,,--- -----;:-. ./1( 131 At. i 7 014 iiv1: ALL ti()Azg,/4-', ___ ,: i'L',..T.c A r : 1 /,-,.--...:/ii,.,',,,\:.( i ,,'\?' p A ::::,,.v" Ai :i.4,1Aa... Fik,,,__Pod . .--- ,,''›iraturern IN. 77,7,f, 6ste , -. t • , _ .1, _,.......___:„......._..., ,___ _........___ ‘ _ _ _ 1.___? Qbeck here if afterliiments Lk 44.1.4i Ej„..EVAT0ii iivOi=4..„14iii4A icSi,jkilEtt' f'4.0 RIECAlitilIfi0 H 1010.E At AND il.l'eNE A MATHOUT ., EFEj, oonipielii tizira L=.1-E5. if a'ia C;ekliticaie ia iniriOed io , suppoit a L3MA or LCJAAR-i: Willkielai:, ciirripiele Gection$ A, i El-E.4, A.1. fri-zwiTA Fjpidz., h - .e.ivaiMF-..• /,‘.... Itv-?.. it ILf,i,f ; PUSEL :` ovgi!,,, .(Eini.-,:‘.1 inrilota‘r...i.,:. -7,r l'aoy4:1P0 1) Tbi:: sf bi fEcic.g (includrig i.74z,, =al arteob, ztt endr.,sui,*1 . , ?.., LA ibe?. 0 ,.-11., ,,,,- 0 10 Fop of bottom floor 4;1 blsemnot, crshw!,,,bar*, o7 enziorgeb) tf. . L.1 fe! ri rnel= 0 .7! i L1'..r.13.. E. For FibObirig r_ii.lorp,m 6-fi with potmartent frie.nvl rkr.perling prrwir!cl , 7.. a,ric'er.:f 9 oii:he bial‘:iirig ';' _ . , 0 feet ij meters L i above or rI beiow Me iiikt.4 oia;abi is _ . 11 iihti:. ri biaieis Li kbove OF Li b.i55.aol HAf,;. Tr.;''; 2 'f Plirril , :i:. maf;Nr.4 Ar,4,:z .3anfkirie iho buiiding :ii . 1 Ej roaif,-1 0 .abcr.v,7, or ribdr,iw E. ::::4!:.: 5,70y; if ,-;',..: girszz ... „ac,ml,").ai fa ;, k.=, ii'e N4 (A ihe Lt:: ai.. e6r in , wii'n th,o mfrinwo:t...''s iic.'..yCkdDiain In :::!„:,• i .----7 : N:r4.., ri i t704..w..ain,. Th.s '4..a..2, c.41. cni.,;•14 C 'i'h ibioi i5% . . , ,.Cit;,..,i - i 'G. .,4, . _. ,,_____, --,- ,-- _- --- -----,----.- .---, — -- .-- 1---. ---- — '^"- J,74' r — -,- - -_ -- ---- --------------,-,-- ----------------- —_--,------,-, -- -, - - .,- - --- ... - - --- _—_- --_ - — -- -----,---- ,--. - -- .-- .....----,-..-- ----- -------- -----,________— —,_ ! 7 ,; , 'TT F.'7., ; ' i •F:H' rr;-',i ' _ H ':,' 7'1 --' :'. 'ff , .',{,.'t Ik€ ,.--,...-.:■ ,- ,;• - •t::,'-.:•, I ' .];',D 5.. ,,,,-, i l',:,; ,,::,.,,,: 7.,- oc," :, -- r . :7,7i7T ':, : 7:1P,P-7::..y=4 i.., ;=.,:ri - -, -- Alpa ',":. !".-_ ', .:ii,,, , ,,,,,,; T- - ,1, ■AA "7 `-'1 "' , t , t" r ''_ ttf - ,:i■Z .7,7 tr'; ,.. ,,., ittC'.:Mr..A : .'% , : , :j .',, A, ', 4 ;, 1:', '''; , A. = .■,.'i , ,: , .'R ',I , !..':,. - -4 ,- ,1 ft'' rA"' ' 7 :'' , ..: . . :L t7 . 7q - '1`-',": (.,..■'... I - ,.. , .:-:,( , ,,,;,. :,-.., ..:..:- ,,,- .- ' jilr-i,r ..-?.:. 1 1:- ,, cA.. , _:_iy:3,r ,,, i . .:i', -;•,',: ,., .:,,,:' :.:,, '-:1 ii,, ::-.! '.. r:. '1:■171 :■,? . ,--...::, ; , 1:: , .. - 4,1111v.".• , .: , fr.5-`5 -.-:: 2.? ';; ---, ,..;,...qr'v -e-- " ■11F, 7 t,..::, ,:: .:,IL;1 '-. 7j , ;: , 'i :o" ''' ...',;r:,9' .'IT.:-;:". , ':t■'-' "...1P',..2 );04ir.,, r" 7! 7..w !=. -...,. --.., ',,---: ___; - ,rc, , ,.., ,;,-. u : ;„, , c„ 7 , :: ,,, .i.r „N„ T,,, : ,-„. .... ';,'''''. AY3r A ' ,,i ,-, ',FAgra -, 7, ., :•• - ,,:„■,:Z;'' P. ' : ,.'',A. - 1 ,-, 7,' ',a:A, ------ - — ------------ ^------- -- ----- - ----- -.'.------------ .----------*--- • , ' ' , "1 ------ -- 1 ' F.. .--ii - ' 1 1.Z:-X - , - ;-. - J _,[r L.: .,-,1:', :- :=.,,: , '..i.•■•. ,, - , - - -,''.■,,,., '-'- - - - ' ' '' --'--.--- ' -- '-'-'.--'''. --'..'----'''- -1 --.'-'.-'..--- '-'-'--..---".'-'''-''— --v-- " - - - . "--"''' _ ., , ..,.... _ _ J .-- .--..--,-,-•-■,.., .• -- --' , : • 7 ') :,- , •.e.f.7.40'i Nat, Ti i..;.fe03c§; ti:.-:: Li , Ni/.:w , ',.7,:,,-, - ,n0ra.P.tiol - . _ .. i S. Elevation of as-built lowest floor (including basement) of the building: . li feet El meters (PR) Datum G9. SFS. or (in Zone AO) depth of flooding at the building site: • 0 feet 0 meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments • ID Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions