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HomeMy Public PortalAboutGen George Marshall Blvd_115 FROM : A HENDRIX SALES FAX NO. : Au 02 2002 De:23AM P2 I- bi-/hi -SAL tMtfilIUCNL.Y N1HNAUtlYIE 1 /th L ey Y ( O.M -B. No. .3057t0 NATIONAL FLOOD INSURANCE PROGRAM I Expires July 31, 2002 j ELEVATION CERTIFICATE Important Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION 1 For Insurance Company Use; BUILDING ' /4444C—h, WNER'S NAMI" Poiiey Number / /CA c, ' I . BUILDING STREET lj,5DRESS (Including Apt., Unit, Suite. and/or Bldg. No.) OR P.Q ROU c AND BOX C. I Company NAIC Mercer I1 , j erT o � ' 00r O, !nos 5 -a L�.1 crri PROPE. Tr DESCRIP 1 N t an .. Num. -r 4—r , P arcs; N ' . r, Lege' . on etc) BLI Bit "�" , esidenbal, Non re9i.e ∎al. Add;ton,Ac. ...ssory, a= Use a . , men;s a - . . necessary - ) LATTTUbE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM. SOURCE: ! 1 GPS (type)'_ ( #e ` or #11, 1#n CJ NAD 1927 _j MAD 183 _j USGS Quad Map ;J Other. - SECTION B - FLOOD Bt. N INSURANCERATEMAP (FIRM) INFORMATION A�� NAME C4 f hr JN Uh4 B2. C N � +:_,Q,4 /J`� Ad i 8 6 .- A 3. STATE i Bit. MAP AND PANEL fib. S ! Its ex 87. FIRM PANEL p E8. FL t.)QD 69. EASE FLOQC ELEVATION(S) ! /477 y! 4 c.�u (r 1 � f yATE / / 6 , C! EFFECT �/ ATE Z (Zane AO Ise si:oth o` flooding) S1 C. Indite the solace of the se Flood Elevation (9 data or base flood depth entered in B9. /l Cf � i j FIS Profile I FIRM jj Community De arrmned 1 1 Other (Describe): 911. Indiimte the e:evation datum used for the BFE in 99: i/j NGV) 1929 L NAVE) 1988 1_1 Other (Describe): 312. is the building located in a Coastal Barrier Resouri:es System (CBRS) area or Otherwise Protected Area (OPA)? j_j Yes j -j' 'Designation Date: SECTION C - BUILDING ELEVATION fNFORI�ATION (SURVEY REQUIRED) C1_ Build:no elevations are based on: L IConstructJon Drawings' I iu ,ding Under Ccnstructi�n` ;JFinished Construction 'A Hew Ete,ration Certificate will be required when construction.. of the building is complete. 02. Building Diagram. Nt.mber 7 (Seiectthe builoir:g diagram most similar to the buileing for which This cera%cate is being cryrnpleted - see pages 6 and 7. If no diagram accurately reoresetrs the building. provide a sketch or photograph.) 33. Elevations —Zones A1-A30, AE, AH, A (with BFE), V_. V1-V30 V (with BFE), AR, ARIA, ARIAE, ARJA11 A30, AR/AH, AR/AC Complete Items ;,3.a -i below according to the building diagram spec:fief in item C2_ State the datum used. if the datum is different from the datum used for the B in Section B. Convert the datum to t used for the BFE. Show field measurements and datum comre -sion calculation. Use the space provided or the Comments area of Section D or Section G, as appre ovate, to document the ca_;rrn conversion Daum A611424; 1 Conversion /Comments Elevation reference mark used Does tt•e e`evatic reference m rK used appear or the F RM? I j Yes L.r.filo ❑ a) Top of bottom floor (inoiuding basement or erc.osure) 1 - ft.( -fm ` .- ❑ b) Too of ner higher floor 1"7 . Z ft.(e+r � 0' � G 0 R ❑ c) Bottom o' lowest Horizontal structural member (V zones envy) ee ft.(m) b ' �+ a `, i ❑ d) Attached garage (top of slap) 7 - ft( ° ; ' ∎4 ; . - cq F © �► �; Q e) Lowest elevation of machinery and /or equipment, # " 4- \ servicing the building (Describe in a Comments area,) . ft.(P1'; -F„, , No ..4 i i ' ❑ f) Lowest adjacent (finished) grade (LAG) 6_ . _ ft.i ) z 5 rr c ❑ g) Highest ad a ant (finished) grade (HAG) "7 • ?:, f;.( \ ' 4 0 4y � q� . � la h tic. of ermanent openings 'food vents with n 1 ft. above adjacent jade y sU . - . , � � P t ) f 9 _ j y , J 'e a CI i' Total area of all permanent openings (flood vents) in C3.h sq. in. (sq. cm; -. TLE'( �l SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ` This certificat;bn is to be signed and sealed by a land s rveyor, engineer. or architect authorized by :aw to certify elevation inforMafton. 1 certify nett* in€ rrnation in Sections A, B, end C or this certificate represents my best effcrfs to interpret the data available. I understand that any ta'se statement may be t:m:ishab;e by fine or imprisonment finder 18 U.S. Cede, Section 100f. _ CERTIFtER'S NAME UGENSE NUMBER zr..� a TITLE COMPANY NI„ ME I AC SS /7G:J5 , > 40,5_ c �7T Ill . $T ZJP CODEa/ / dO4 ill SIGNATURE /j ! / ( / DA-1E 7 /7 6 4,...4 0e) 7-1 FPHONE .? 0 _ 5 r =MA rm S>, 4ti L� fi .11 ti PTft� C1=F T):1/Ci?CP Air7F FC P ?'.rZN'TINI is-'iltu RFD: Ar: =S el 1 PRKVICI: t t+l']iT CNS 1