HomeMy Public PortalAboutJones Av_1006 U.S. DEPARTMENT OF HOMELAND sEcURrrY ELEVATION CERTIFICATE I 0MB No. 1660.0008
Federal Emergency Management Agency Expires March 31, 2012
National Flood Program important: Read th0 Instroolions on pages 1-$.
SECTION A - PROPERTY INFORMATION I'Forktsurance Company Use:
Al. B ding Owner's Name racy tkutibar -
J '! DI tit . 4.1 l ni tv a `tt
A2. Belding Sired A . Unt, Sege. andtor Bldg. No) or P-0. hoots and Box No. 0 lyt Aber
1 80 Co J o hl•6+ 5 317k. C"
citi (r C ;jl_ Pr.-►o stab Get) ea t P► 1 2 . .8
A3. Property Description (Lot and Block Numbers, Teo arcel Number, Legal Detxdptio , etc.)
_____10.0 1" x "', G kJ dc-f>
A4. Building Use (e-g., Residential, Non-Residential. 'Addition, Accessory, etc a t2 F t, 0 .��"w1 Pe
AB. • tat N 'x. C) C) r Wei "Long. W Am- ® sa . 819 ' Horizontal Datum: 0 NAD 1927 arNAD 1983
AS. Attach at least 2 ph of the bugdtrig Me Certificate is being used to obtain good Insurance.
Al. Building Diagram Number
All Fore building with a crawispace or s) A9. Fora building wets all attached garage:
a) Square footage of crawispace or enclosure(s) 6 sq It a) Square footage of istrzched gsmge ® se fl
b) No. of permanent flood openings la the rxawispace or b) No. of permanent flood openings in the attachtfarage
endosure(s) within 1.0 foot above adjacent grade g within 1.0 foot above adjacent grade
c) Total net area of flood openings_ldig.b J 0643 sq rn c) Total net area of good openings in AE Lb - Cr - sq in
a) Engineered flood openings? es p NO d) Engineered good openings? ❑ Yes r1io
SECTION B 1 FLOOD INSURANCE RATE MAP (FIRM) INFORMATION •
B1. NAP Community Name & Community ty Number 82. City B3. State
Tv (E "sr -�•.s . I 3�'"i ( 1 6 4 Ads ,,., G ea R a r R
94 MaplPanel Number 85. sic A 136. FIRM Weir I37. FIRM Panel Big. Flood I B Fl
9. Base Flood Elemabort(s) (Zone
1'1. o"t..9 Ei'L�3I r- I `"�-' 1 r a $ 1 °i -Z,4,- f $) 1 ® depth)
810. Indicate the source of the Flood Elevation (BFE) data or base flood depth entered in Item B9.
p MS Progie Comnux ty ❑ )
sit Indicate elevation datum used for BFE in Item Blt ❑ NOVD 1929 Mat/01M ❑otter giesrifinel
B12. Is the building located In a Coastal Banter Resdirces System (MRS) area or Otherwise Protected Area (OPA)? 0 Yes &go
Designation Date 0 CBS ❑ °PA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based oft: 0 Construdion Drawings ❑ Building Under agitated Construction
*A new Masten Certificate wilt be required whor construction of the bang is complete.
02. Elevations -Zones A1• A30. AE, Ali. A (with BFE), VE, V1430. V (with 8FE), AR, AR/A. ARIAS. AR/A1 -A30, ARIAH, AR/AO. Complete items C2.a -h
below according to the building diagram spar fled'hs Item Al. Use the same datum as the BFE.
Benchmark Utilized ir.. e. G pct.. vertical Datum IN l',i ACS L, e 4.
Conversion/Comments ar1. Pr .
- " . _ the measurement used.
a) Top of bottom floor (Including a T `Oe, or enclosure goof) 1 0 feet B meters Rico only) .
b) Top of the next highest/oar .
c) Bottom of the lowest horizontal structural member (V zones only) .j 1 feet ❑ (Puerto Rico only)
d) Attached garage (top of slab) _ fit ❑ met (Puerto Rico only)
e) Lowest elevation of machinery or equlpmengse vldng the t 0 meters (Puede Rico only)
type of eq ahui location i comments)
f Lowest adjacent (fihished) grade next to bum (l.AG) -r . 4 i r - > 0 meters (Presto Rico only)
g) Highest adjacent (finished) grade next to bu jding (HAG) .__.___.Iie-• O is 0 meters (Puerto Rico only)
h) Lowest adjacent grade el lowest of deck or slabs, 'i . x -. 0 frh ss (Puerto Rico only)
structural support
SECTION D . SURVEYOR, ENGINEER, OR AR T CERTIFICATION
This certification is to be signed and sealed by a land surveyor, , or architect authorized by low to cmtfy elevation _�
Information. I certify that the infonnabon on this my best efforts to Interpret the data amiable. = GO N t !
t un • = - , d that any false statement may punishable by a orhnpnsonmentumder 18 U S Code, ion 1001. d mo r e e. - 1 :
L > heck here if comments are provided on back of form. Were latitude anti longitude In .; A vided by a t 4 _ d '
licensed tand surveyor? u Y es UN t t' p@+ ,2 1;
i Name license Number e -
E b.h 1e� I C
t i Eve' com Narrua . f r l- 1 { Z ,r .,. f l
i o ..J t,1 OR. t y V 7sr.i cNrta"7 14 E L. rs. t-.'y T e a s u sot "
a ° .) It 8 u re h ^a N R �r w> ` ✓ got v h r h rn �l C t state � F, . ZiP C Od9 . y 7 \AX-
signature j t: \ t " ? A �Telapt r 12.l a) Z5-° 3 Z �_
FEMA Form 81-31. Mar 09 ' ( ") See reverse side for continuation. Replaces all previous editors
IMPORTANT: In these spaces, copy the corresponding information from Section A. 1 For insurance Company Use
i3utiding (Ada Apt.. _Sss�e ^ Sidg No) P.O. Route and Box No. Policy Number
)0 0� JJ oe�C "NYC
1 �1
-Nee 5 l .Pewee e bra- G i N. l �.81 Company two Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHI tic y CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certticate for (1) conunwdtyr ottlaal. (2) insurance agent/ company, and (3) balding owner.
Comments G ( ) pa.'!. G abN)ts a1 +► r two ► PLP•ra'lb C1„ %
signature I J t.. Jr \ \ 1 Date 4� _ RA _
\ L"S {track here ltattachments
SECTION E - BUILDS ELEVATION INFORNA.T.(ON'(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (W fl4OUT BFE)
For Zones AO and A (without BPS). complete hems El-E5. tithe Certificate is intended to support a LOMA er LOAAR F request, complete Sections A, B,
and C. For Items 51-64. use natural grade. If available. Chess the measurement used. In Puerto Rico only, enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG). ❑fit Greeters move
a) Top of bottomAOOr(Incledirg vaent, or the HAG.
b) Top of bottom floor (including basement, • : _ • ' i ❑ feet ❑meters Dabove or below the LAG.
in 52. For Building Diagrams 8.9 r permanent flood • ! * • Its 8 and/or 9 (see goes 0-9 of irnsiuciloes), the nod /sighed/oar
(elevation C2b in the diagrams) of the bidding Is ■ that meters ❑ above or U below the HAG.
53. Attached garage (top of slab) is ❑ -. Omelets ❑ above or ❑ below the HAG.
54. Top of platform of machinery and/or eqtdpmant senvic ig the bulling is 0 feet 0 meters ❑ above or ❑ below the HAG.
ES Zone AO only: if no flood depth munber Is available, is the top ofd bottom floor elevated in accordance with the comnuusity's tioodptain management
ordinance? ❑ Yes ❑ No ❑ Unknown. The loci *acid must certify Ids Information k Seclon G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) ti..:.tr.rg..ATION
The property owner or owner's authorized representative who completes Sections A, B. and Efor Zone A (without a FEMA -iced orconrnnunity-issUed BM)
or Zone AO must sign here. The statements In Sections A, B. and Ewe caned to the best army k non thdp&
Property Owner's or Owner's Authorized P , ; „ :, Name
Address T✓ 1 Ctly State ZIP Code
Signature \ 1 L 1 ' Date Telephone
Comments
0 C eckbemif
S ECTION G - COMIMMBY INFORMATION (OPTIONAL)
The local Medal who Is authorized by tarn erase to ad the community's ltaodplaka rat aldMaace can complete Sections A. B. C (or E).
and G otitis Elevation Cedinnete. Compiele the applicable items) and sign below. Check the measurement used In items G38 and G9.
Gl. ❑ The information in Secure Civet t lrentlnm other deuvrpepaBant a has been signed and sealed bj s licensed simmer, engineer, or arc hitects/he
is authorized bylaw to certify elevidl n Worm on. (bdrele theaasoe and data eftrs dmmlion detain the Comments area beton.)
G2. 0 A community 0111 041 mmpieted Section E fora bulking leveled is Zone A (withot*a EEMIAisamed or commanity4ssusd tPq or Zane AO.
G3. ❑ The fotbedeg inimmNan (tens G4 -69) is madded foreorrsrradly tloadplein , a,u ,,. w, peptises.
I Lam,. Permit Number 1 G6. Date Permit Issued 1 Go. Dale C rMasls Of CraiOlmemiOccupanty issued
G7. This permit has been issued fir: 0 New Construction 0 Substantial Improvement
Ge. Elevation ores - bust lowest Sow basement) ratite buidng ❑ toast 0 meters (PR) Datum
69. EWE or (in Zone AO) depth of /boding noire lot -trig site ❑ feet 0 meters (PR) Datum
610. Community's design flood elevation ❑ feet 0 meters (PR) Datum
Local OioistsName Tile
Community Name f ``, I Telephone
Signature Este
Comments
L7 Check here it attachments
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FEMA Form 81 -31, Mar 09 Replaces all previous editions