HomeMy Public PortalAboutOcean View Ct_18 NATIONAL P1.000 INSURANCE PROGRAM i
Expires December 31, 200! i
ELEVATION CERTIFICATE
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ifficortsnt: Restil the inetruotions on oesiel•2
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SECTION A • PROPERTY OWNER INFORMATION I For "emu Oprrpsy Lbw I
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BUILDNIS.OWNERS NAiWi, i Policy Number .
H(:4044 j 1/0 1LEA/ 7-. I
BUIL, 8 ADDRESS (t , se , a Apt-, lintt, ShiS andior_tlio.) OR P.O. ROUTE AND BOX NO _il Company NAIC Number
m
Dire -i f-VTE ji.TP-CODE
/ > '7: - 5; LAN 0 LI-A. 1'5 1 3. .A09
erivr f DESCRIPTION ar4d iNisnhers, Tax Pero! , etc.) <--i / 1.1
1-or - 47.- -- s u t iP ir ce g cn .1 0/1//Siat,/ cogr_s)...12.EA vvARL
BULDING USE (e.g., Residential. Norresiderrittsifiddltion, Accasecti, est Use a Comments area, It neoessary.)
' 4..i- A"
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: - —
SOURCE: 0 GPS (Type):,_
( 00, - W • tria,W or OSA WOW) 0 NAD 1927 0 NAD 1953 0 USGS Quad Kp 0 Olken
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SECTION 8 - FLOOD Mt/RANCE RATE MAP (FIRM) INFORMATION
DI. hires„000,1suNITYVAIE a CCOMMITY MAMBA A I 132=
NV NM& . 1 11.57
i . „ .. ..i. {
L zze.. - .1 --- - food /3S74 i CL4/A r/f m A j _ crA
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. IMP MC PANEL i 137, FPA4 PAAEL I T RIXOELTA'WT
i filiNIBER I El E.. .
... 1 E„EcT,.....„,TE ,, . ...
, ,,,„...... !
- I..., , LL Z C ' Li -,(5'6. 1 77
1
RIO. indicate the source d the Ease Flood Beaky) (FE) daie Of bees.' depth entered in 59.
0 FIS Profit 0 F 0 Corm* DeSerrinbti 0 Other (De):
911. ints the elevation it urn used kx the EWE n 59:0 NGVD 1929 0 NAVD 1988 0 Other (Describe):
B12. is the puking located in a Coastal Barrier Pzsouttes System (0BRS) west cr 05winvise Protected Area (OP)? CJ Yes 0 No Desitination
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SECTION C • BUILD/NG ELEVATION INFORMATION (SURVEY REWIRED)
C1. Buking elens are based co 0 Ccrstrudicn DRAW 0 Balm Under Consbuctice Ila Fretted Conskuolico
"A now :: : : ; • - A l,,,:-• , . - • • • • , • , when ocoetruction di the building is a:Invitee, e i x
,..41:6, . je
C2. Building Dagram vt ..• . • - - the :y• i (
■ &van most *liar bo te ns which this certtfcate is bang convicted - see pages 6 ald 7. tf. no dagra
the b n
acosaMY rePrimerts ulb% Proride a We t or oholojaph.) L.:;. I
C3 Et. means - Zones M -A30, AE AH, A (with BFE), VE, V1-V3D, V (with BEE), AR, ARIA, ARIAE, AR/AI-A30, AR/Al-I, AR/AO
Carr** Items C3.-a-i Wow according to the hiking diagrarn speed in ftern 02 State the datum used if the datum is ciffarece from Ines cn1 used for the BFE in
Section 8, (=weft the datum to that used tar the BFE. Show !laid measurements alo datum calves calculation. Use ha space provtelso or the Comments area ce
S D co Spqn G, as sprikope, to (locum* the daurn corrierstn.
o 0 ,..4181,1114Pliire.
Elevation *woos mark used/KID= the elevation reference mark used spear on the FIRM? 0 Yee a tic
OP a) Top citottorn fox (induct% bleernent or tetticease) 3.....0 li(m) * 1 C8 i "Ott 1
0 b) Top et ma ir d We floor /3--. LAO •
) • ' . .
) s niter C) S t t- Mo. 1582 70 *-
IP otto of bidet ho s
rizontia trixterat ster (V zones only) W21..itilr) a * g 1.
N. 0 Atichoti gave (tcp ci tab) "/ <2. 1 W
Ow e) LOIN* sievati:in et rnactinety ardor soiaxnent E t '6. 11° 141, 304 , )' 4*• 1-
servicing the isaiiirc (Describe 0 a C.arrrowits area) 6 6 Oft(m)
0. II . ke . s
f) Lowest adagent (Waned) 9rIlbe (1-AG) .3 11(m) /P I Cr. ip•
0 g) Itheri Owe (iirished) grade (MG) arn) 0 '
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ih. ti) No. ci permanert coonive (trod vents)vtithin 1ft. above - • , - , - grade el
•••••••••■•■0•PP
i t ' ' 1 ) Tait area ct al psiminent cpsnings (food veto in C3.h I Z - , .. it (sq. ern)
8ECT10 ei 0 • SURVEYOR, ENGINEER, OR ARCHrrECT CERTIFICATION
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This certification is to be signed and sealed by a lind surveyor', engines's, or architect authoringi by law to certgy elevation inforrnaalon .
l certify that the informabon in Sections A, 8, end Con this certificate "presents my best eons to interpret the data amiable.
I understand Met eny hese ststsmani reify be punishable by fine or imprisonment under 18 U.S. Code, Section 1001
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C WAVA"2 • ( .) , A/Tilitkci
UCENSE NUMBER/ 6-EZ
TITLE .-r . COMPAttf. NAVE_ -- ,,, -%
i ThE6 /5 ERE 0 ZA(VD 3' 1 4 R I ) 6 ro/ 4cia&Rr C _ 11 /4/4kcio RE-
ADDRESS -7 o . STATE 23P COX
B x 09 C - T - )6 (.c.Z
c 7C4,
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L \A 0 -EZ--05 TELEPHONE
C li 7V.: - 440 5
FEW. Posen 81-31, January 2003 See reverse side Soon contirtusson. Replaces eta previous editions
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SECTION ION D • fiV N� Oil EC CERTIFICATION (. O
bet Lice
Copy t� of ho Eie l� Car� is (1) r ems, (2) narrate , and (3) bulking . f
5 • f�. �P ®'� s ,� > s js ` %� °er' > 5 CIrri 4-11 {, .5 Ac<ci
01 -ck x;111 - 'ei' 5 ied
� p i7' 4 6 C \ 0 ( + g &
! /V /, 67( 4 .6 q.t . ;o� C� Z r' <7� i El, (, ' t Check here if atedhronh
SECTION E • BULD4NG ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A f ver OUT E)
:r Zone AO and Zone A (OW WE), arm Et E4. t te Elesion Caricate ia ireencied to u e as supporting allansion bra LOMA cr LOOARF ,
den C mat be artrpfeleal.
Wiry Diagram Stunts _(Select the bulking dam srre 1,r b the belay br *tee hale ' ffi Ong oarlike -- tit, pages 6 and 7, b
repaint* tet burg, Malde Seitet a pftii f,.)
The top of the Wean Ica tam or d il+s baking is ._. 4 (m) _ it (an) 0 abosi or 0 beiow (check rte) the (Use
For asking Dleprans Pr8 rata openings (rude pope 7), the red Ngter toot or edaveliki lax (alevalion b) of tie Outing is ft(m) ____in.(on) strove the hest allacent
grade Con** lama C3.11 end C3i or► bonl of forn
the fop d he plated d nuchinery ardor equipment vaing the butting le _ 'L(m) _Nan) 0 above a 0 be (check one) the highest edema grate. (Use
nave grade, if ).
For Zane AO or a no fix, deepen reinter is avateble, is t* rip of the boacvn ear eievaled in erayttare wth the Mty's trotter rnenagemert
Yee Unknown, The t dot ILA catty tes inbretion to Salon G.
SECTION F • PROPERTY OWNER (9R OIWNEWS REPRESENTATIVE) CERTIFICATION
4 amity owlet a owns+ar's authorized reptesentive VotiOalVetill Sections AS, C (Sinn C3i at C3,1 orty), and E for Zone A (*about a F or tnunity-
ved 8FE) or Zone AO rue algn here, The stakentrole in C, add we awed b bast dtry kraeledge
OWNERS OR OWNERS AUTHORIZED FtEPRESENTAT'I1JES NAME
CITY STATE DP CODE
MATURE DATE TELEPHONE
S
Chad here if altatinrients
SECTION 6 - COMMUNTry INFORMATION (OPTIONAL)
l Of Add who is matortzed by law or ordnatnce b tirriritier te co 1!n reity'a# tin compiete Swears A 8, C (or E), and G of this EJevOion
Mee. Carlakeee the **a* ilanO and sign baba.
The into'mLon h Section C woo ion kern ogler dastrerition that hats been signed end embossed by a , or architect who is authorized by else
or toe* ION b ow* elevation inlonsilal. (kadecala the 110.02 at+d dale ct the seesaw data In the arse be m.)
1 A oornrrxally official complied Section E for a bulking Wed h Zone A *tout a FEMA or oodanunkyisid WE) or Zone AO.
The limas tarn ton (ide ) its pn>rlded for comrrunty floc" rampant moons
G5. DATE Fear Sae 1 Ot, ATE COTTFICATE CF COMPuANCEMCUPANCY
1
a plains been laud for Q New ® Sitetatial Improm,*ft
melon d was loose>3 t d the taking is: —_ _&(m) Daum
E or (in Zone AO) dept) d toting al the build% see tee tv(m) Dix):
Al, 'S NOR Tr5(,F
MUMTY MANE TELES-0*
ATUFEE 047E
1eN(TS
here ti aisolvnents
crm 81 -31, January 2003 Replaces m!i previous ®dtttons