HomeMy Public PortalAboutEighteenth Ln_4_Unit A U.S OEPARTM .NT OF Ht3rvuri.ANO SEC ;URrry E LEVATION CERTIFICATE CIMS No. 1s; c-o `_1
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F eaera+ Exninaz Feabruary 26. 200
Emergency Ma an egement Agency a____,...,_.
Natioreaei Flood Insure/10e Program important: Reid instructor* on pages 1-8..
-,7.w,� $EC7". A - PItO � TY O Rt ►T ON .... a=or lne s nee C :T„ure: • A 1. $;+kd� lr} t:)1aMna1'4 idea / A D R 9 A / J e , e `--' /,G 77 NtJn!�pr
_......_._,.._.._ � Lei i L` /' +,.[ I .✓y
A2 Bu ltelx�t st let Address- p Apt., Unit, 5 i :and , No.) or P.Q. n Route( and fib; No. tVAZ *MAW
//3 i--� 4,6),74- i , _ \n: _ J _ ( _ � Ps _- -..
Cit i Y Blab ZIP Cogs
A3 Property p,gogptiar► (i.ot and Block . 7 : PuaN )
A4. Rui dreg Use (e,g., Resktentat NonAtisidertttaai, Addition, Ae oesaory, etc..) _ l
A5. !mil ospidrde: Lit. ______ _.._ Long. _ µorfaton.A1 Datum; [J NAD 1927 t„i NAD 1983
ASS. Attach et teat 2 photograp of the bars ding if the Ce t es* la NO used tD : Wn food ants+ e
A7 titritckrap piagrfm Number
A6. For a building with a tee* space or eraoi eurs(s.), provide: A. For a building with an attached garage provide:
s i Sets a footsie of crawl space or one an:n(s) 060 se ft al So footage of attached panay .._ e _ so ft
b) No. of permanent boost boost openings in tMa come spice or z t+) No of permanent Sam, openings b the sttac
enclosure(a) *eats within 1.0 fool ebove adamant grade *dills wit m 1.0 foot above saleaent grsds AJ
c) Tested net area of flood openings in A8.b ,,. Z pin c:) Total net area of flood openings kr AB.t, eq in
sec—nom S FLOW MMURIdi6 IRATE NAP (f f rT) T4 1�3 «... ". ......._ ,
(' NIP. E11. Corr�rnu me & Community unity f� umber , M. County Nine 1I83 StaMt
1 1 ? Y', 4 1.5404N6 '��
6 i r .t I �'' ._..
84. Mumble i 85 bunts ; be FIRM Wax 87. FIRM t M. Mood - 7 - 89. Save ffuorl t1avttion(s) (Z aps
Date t 1 AO as baba Rood ctspth)
810 inotoitt the Matt* o�ftly5+ aaae F1004 Elevation (8FE) date or fuse flood depth enured h flem Bii.
0 HS Proffe Flue t 0 Comenvnity Determined 0 ome, ( +the!)
at t Indira* elevation datum ueeed for SSE in Item 99: E ' laGVO 1.20 0 NAVD ilea 0 Other (Deacrntrs.) ________ -
Bl i It; the buiktirrg located In a>a Cowie) Barrier Rieour ea System ( ) area Pe:limted Area (OPA)? 0 Yes F'iido
Caaigresrtkon Data _ Gilts OPA
SECS C - M UILC Hilt ELLVATOON INVOR> TION (SURVEY REQUIRED)
. , o d . g reev Drawings' 0 l . .
Cl Building aievationa eta based on • 0 ti;.oret9rtxtlon tinder Cdraebarc�ra" �in tateead Coramtructian
'A new Elevation Certificate wR he required when oonsfrtw en of the building is otim lace.
C2 Elevatiosaa - Zones A I A30, AE, F.H. A (with SPE) VE, V1-Vlti, V halal SPE), AR, ARIA. ARIAE:, AP /A.1 -AV al /ArI, A I4Q. Complete !tr na C2.61,-p
below »oaording to the Wailing d ram scooted in Item Al r ,
Benchmsr► Utilized j/ I ? 4 1✓
_ 6_s,! _ ___,__,_...,._.,, Datum _ r! _ _._.,._.____.__._.._.__.__,.. _....___._ __
C heck tree reearsureme, t used. -
sr Top of bottom floor (including ba leirrern r:!>swi epaca, or indoerare floor) t teat D meters (Puerto Moo onIy)
b; Top of the next higher boor . r art
tact wean/ ',Puerto Riot, tys •
c) Bottom of the iowvesi horizontal structural member (V Zones od*y) . ri . . .« . r„ feet (Puerto Rloo only
d) Atteensa garage (top of slab) . ♦ _ t',;) 9 teat 0 meters ,Puerto Rita only)
e) Lowest elevation of machinery or equipment aarvfcingthe building d __ feret 0 mstert (Puerto Rico ortfyi
4f (Describe type at equipment in Comments) $¢ a ryi rin ik Pr 1'.5.
1) lowest *t7)aoent Wished) wade (t (LAG) y rr era {Puerto Rico onP'y)
1: Higareeat tflrdafmac) prade (MMAG) • . _ msMre (Puerto Rs)) only)
SECTION D - SURVEYOR, Ett1011?III, OR A�licf�trc�r CERTIFICATION
Than cation uq tc be sprawl and asaled by a tend surveyor, MtgfnMr, oe ercldh':t su trued by low to eerdfp elaye t - -
eniprrnabon. I .ortity INV the rntrrrhallon iui this CarlekottO recIOSINSO Mar boat atibrfir ro APnerprnr time daxfR ev — __ —
I undstatard that any Woo statement may be punisdkr9bfe by fine or irnpreeaon nor / it r rebr '(S t!: S y� Section 100'. '
0CA item if comment* provided on ton r C�'T4e�� ' ,, gas q ''
1 ..� "� ,
� .. ___.___ , • c'�. ... -?' _ ., - ° � \
ea Name t.ioerras Number i • -6. . • • t
Addr+nas g �� Cr -z- fit' 41' 7 w S iMe � / ZIP Code ' . A. � ? 0 . . )1 `.- ,e) .
Signature --1.2-- Lm T a ^. a 1 • ("W&Ive,
FEMA Form 81 - _ Febnury 2006 ._...-- ..�.._..._.__._.__. See revers
everse aidefor oonti usti
nor --...- v ' Replaces art p revious e!9it)ons
IMPORTANT In those opoces, copy the cornwponotrs, infortnoSon troo.'1Siotion A. 1 , 1 4 64*********IIInskf*''' . .'..•
Suliding Street Addreitsdittinek, Unit, Sidle, erd/or Bide. NO.) or P.D. Reuter end lace Ne. . '.' -: 44 ,,P0Will* . . • ' '.
4-7 A - - YIP .31 Clle - 1 ' ''." . '
Za a.'
' eminil • , : -. , -:•. '.: - '"". -. • ,;
...IMIV•15YEI1.141.1.101MMPLOINOMIN . .„ ■ . , . . . . . . . I,
SECTION D - SURVEYOR, ENGINEER, OR ARCNITECT CERTIFICATNIN4 (CONTINUED)
c....opy boil see of this Payne:In (oheir:toe for el ) weir offics4) 1 ManediddinpanY. and ( bulicliflre owner. ..._._
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Cornmer I e : loos, c
.../
...
— §Zoitailttrr6 tSe.. \ . N A
N i i i A i b . . . . . . D W , -01
E,...1 it attachments
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SECTION E • SUILDING ELEVA,TiON INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BrE) . .
For Zones AO and A 'without &FE), corneas* hems E1-E8. if the CerWiciate *Inlencted to supeon a LOMA or LOMR-F request, comets Sections A, B.
and C_ For items El-4, use neturei grade, If avellebte Check the steriteurement used. in Puerto Rico only, enter meters.
El Prilnocle elevation Information for the following and a...0, the aeileeerleite boxes to show whether the Monition is above or below the Melee adjacent
oracle (HAG) and the lowest adjacent grade (LAC).
a) Top of bottom floor (treeiudiner basement_ wow( et eace, or enciosure)*____ , , H fare a meters 8 above or below the HAG.
bj Top of bottom floor (including basement, creed awe, or ensiestre) is , feat meters above or below the LAG'
E2 . For Bulktmg Diagrams 6-8 with permanent flood cpenings prcerided.kt Secligo41. llama 8 entlior 9 ass sego A of inetructions), the nest higher itooc
(elevation C2.b In the dimwit) of the butidteg is . . U ilett i_j meter* Li above or LJ below the HAG
E3 Attached garage (top of slab) Or . --- _- __ f fee milers 0 above or CI below the HAG.
E4 Top of pietform of mactinery and/Or eceeprriertt servicing the begat leg is . _ 0 feet C) reseerr 0 above or 0 below the HAG
ES. Zone AC) only: It no flood depth number is available, Is the top of the bottom tocesievsleci in accordance with the community's toodplein monerment
ordinance? 0 Yes 0 No 0 Unknown_ The loose of,oltii must oatify this internietion in Section G.
4ECTIO44 F - PROPERTY OW NER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The Property owner or owner's authorized recermenteave who compreem Section* A, B, end E Tor Zone A (without e FE/AA-lowed or conneeeiy.iseuee gee)
or Zone AO must sign here. The Pielsewrsortrim Soctiona A, B. and t E a A r otorract to the beet of my knowledge.
Property Owner's or Owner's Authorized Rain; eleisbves Name ---
Addreu
City State 21P Code
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Signature ..---------------------- Deis ---------- Firlephone ----------
Comments
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SECTION G - COMININM INFORMIAT/ON (OPTIONAL) . ..
_ . .. ... .
Tice *kid official who w authorized by law or ordinance to administer the isoninsuelty's floodpia in nisnegernent anemone* can comets% - Sectors A, Et, C (or E),
end G of this Elevation Certificate. Comp** the appiktabre item(*) and sign below Cheek the measurement used in Items Oft. end @9
G•1 0 The information in Section C was Woe from other ducurnseletion that has been signed and meted by a licensed surveyor, engineer. or architect who
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is etnikeeee by Lew to certify elevation irtformetion Ondlealm the 'macs and deft of the elevation date in the Comments area below.)
C32. 0 A community °Moat connieted Section E for a building located in Zone A (without a FEMA-issaed or corienueity-issued EWE) or Zone t,C
Gs, 0 The following information (Items 04.-69.) Is orowcied for carrwrivrety Souderton management purpose..
Gt. Permit iii;;1;7 ------ 7saciiessied
Ge. Date Certificate Of Cornotlence/Oceupency itsurse
G7 This perme hes bee;rt Issued For 0 New Conseuctice 0 Substantial, revereent
(8. Elevation of as-built lowest floor (including besserneel) of the beading: . 0 feet 0 mean' (PR) Didum
09. BEE or (In Zone AO) depth of flooding at the building Ms: . —. 0 feet 0 melee (PR Dawn_
Locel 01ficief's Nem;
Community Maine
ivnit1,7e -------- Date
El Check note tfigiscbrosnin
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FEMA Forrnti i-31, February 2006 Replaces all previous editions