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HomeMy Public PortalAboutChatham Av_1416 NATIONAL FLOOD INSURANCE PROGRAM lEmAres Dezember 31, 2105 ELEVATION CERTIFICATE Important Read the - --- ....., vg TtGN 'omtY lJ BuILDIN t KA•tapewk..6.0.4 �'; N N I WILDING S1REETAZIPSS ii(ithlthatikt.Urrittib.altfollt. Rol OR Pa POUTEAND 8 °X NO- CITY STATE" ZIP CaDE r Y Orr - lam' t: rrAN-to eggs. datpr .3 t 31.6 PROPERTY DESCRIPTION (tot end Block Nwnbet . Tor Parcel , Legal Desededon. eta) BUILDING USE (e.g., Residential, No teal, may, eto. Wit Comments emu If necessary.) LATETUDEILONGrWDE. (OPTIONAL) ALDA SOURCE U GPS (TWO: ( ` - ft. -oar or #10 ) (___1 HAD 1927 Li MAD 1989 Li MSS Quad Map U other: SECTION S -FLOOD NA IN 4FIRM1iNFOrtMATION 81, NFIP Co suiW � � I NAME MMUNfl Y M a C OMMUN TY � lB2. COUNTY 1 S. s -ravz" 1 1 B4, m PANEL } Ho SUFFIX i ES. FiF 1 87. pat x _ . 89. BASE mom i.�VAT1O •tts} • fo,4 02,1 C. IOC, - 17-*If Puri. - t "1 -R •� ►8 V zoNes t3�t � .J El 0. Indicate the sotmce of the Base Flood Elevation (9FE) die or base flo de pth entered In RS. Li FRS Profile Z FIRM U Community Determined LI Other k Bit . indicate the elevation datum used for the BFE it BB: IA NGVD 1029 U N VO 1888 U tamer (Describe): 812. Is the building located In a Coastal Banter Remeaces Spy (t') erea or Otherwlse Protected Area (CPA)? L__) Yes 1 .0 No Designation Date: SECT ION gt ym f noa� ¢ p gg[ }��C¢� L ION C . BUILDING Iti ( of Ekr QUIRED1 Cl. A Elevate Certificate will he requi�wte n � � . on: UGon Drams (� on Finished Construction C2, Building Number' l (S the i> most safer to buB g for v► h this t is being completed - see pages 6 a�I no diagram` accurately ly represents the building, provide a sketch or photograph.) C3. Elevations — Zones A't . AE, AH, A (with tom), VE, V1430, V (with BFE). AR, ARIA, AR/AE, AR/A1- . ARIAH, ARIAO Complete Items C3.a-i below according to the builders &gram wedded In Rem C2. Sate the dauan used. Itthe datum is different from the datum used for the BFE In Section B, cenverttihe datum to that used for the BFE. Showfreld measurements end datum conversion caicul U� or the Comments area of Section 0 or Section G, as eppro�te, to dement the datum conversion. Datum "L/ 4) $ ' _1 b'id-E Elevation reference mark used Does elevation , C ;A u a. mark used appeerbn th t" Yes tasl No (la) Top of bottom floor @rduding basement or enclosure) . , *.(m) V t"I Lib) Top of next higher floor .� 1 _,_. ft-(m} w A t5 rE / ' O c) Bottom of lowest horizontal structural member (11 zones only) / .- A. _.. ft.(m) ` � k fi � ad) Attached garage (ton of t) "s — a �.tt.(m) ra * • . U e) Lost elevation of andior ar IN e r 274 • servicing the but ►gn machinery In a C onunenta eras. }; ice,. u , j g p_ _ '� C1 t) Lowest adjacent (finished) grade (LAG) r y o 0 g) Highest adjacent (wed) grade (HAG) . t() - � ��d UR .-/ IT, Q ti) No. of permanent (Rood vests }fin 1 it. above a>f ntgrade C ` l 1) Total area dell permanent openings (trod vents) In C3.h 0 sq.- in. (sq. rats) S K°Ijf e. { SECTION 0. $UflVEYOR INGSVIER OR ARCHITECT CERTIFICATION This certification Is to be signed and seamed by a land atinreyor, engineer, or architect authorised by law to certify elevation information. I certify that the inforrostion in Sections A, B, end C on Ibis certificate represents toy best efforts to Interpret the data available. l understand that any fake statement tifwv . kz punishable by ire or troprisonovint under 18 U.S. Coda, Section 1001. CERTIFItR'S NAME LICENSE NUMBER JAMS H. iI`EAT;ON fi#I 7,741 TITLE (X) r .' REGISTERED LAND SURVEYOR SURVEYING SERVICES s INC . ADDRESS CITY STATE ZIP CODE P . 0 . SOX 61649 SAVANNAB 4EORTIA - 31420 SIGNATURE DATE YELEPHONE W. ' 1-1, ,APest4. ; (91.2) 303 -0302 C norn $4 7 4 1......._- ._...+n.. ...®.e. -- RUILOING STREET ADDRESS ((winding Apt, t!' verdict Ws. No } OR P.D. RCeREANO =NO_ y 11Sri>ber• - ut � ''7' .4.Ytr�►� . t.R tfi t- 1tA�TA V4a Ud ..• , CITY ` STATE ZIP CODE read �1C C ITY ar �Y+ � is +0 4,cpia 34$x, - SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) C opy both sides of this Elevation Certificate for (t) corm ernityof#icial, (2) (neurance agent/Company, and (3) building owner. COWMEN I S j'F'it• ► S 77t 3 AAA, . IC8-4,0pt . - S P .t [�tt.6.T14+lLM cats,, ild T;4X ` *COteo, nes rag t; _rri.l. o 44.*Aks �¢vt�T` idt1 trip 4. ~rams .(sltatPM T cos,ZVt tAtC9 lw$ 49140t1L4)/ ".t I` 4 4 U Check here if attachments N SU) Y HOT R � R ZONE AO AND ZONE A SECTION f - BLifLD1�fG Ei.EifA'iiaN INFORMATION REQU�p (WITHOUT BFE ) For Zone AO and Zone A (without BFE), complete Hems El. through E4 If the Elevation Cerfnicate Is intended for Use as supporting information for a LOMA or L.OMR -F, Section C must be completed. El . Building Diagram Number (Select the bullring diagram most antler to the building for which this certificate is being completed - see pages 6 and 7. lino diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom boor (=tutting basement or enclosure) of the building is I l t ft(m) i_ 1 iln.(c m) Li above or LI below (check one) the highest adjacent grade. (Use natural grade, lam.) E3. For Ruriding Diagrams 6-3 with openings (sea page 7), the nerd higher Soarer elevated floor (elevation b) of the building is U—i kiln) ! .. (cm) above the highest adjacent grade. E4. The top of the platform of machinery andfor equipment ea/Icing the building Is I I I ft. (m)) 1 i in. (crn • • e or u below (check one) the highest adjacent grade. (Use natural grade, if available.) E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance aunty's floodplain management ordinance? U Yes Li No j__ j Unknown. The local *Wei must certify this information in Section G SECTION F - PROPERTY OWNER pm OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.fb and C3.1 only), and E for Zone A (without a Fl MA- Issued or conanunity-issued BFE) or Zone AO must sign here,. The oicitrAkiK4ti4 in Sections A, B. C, and E are correct to the best of my knowtedge. PROPERTY OWNER'S OR OWNER'S AMHORL ED REPR SeellAilve'S NAAAE ADOReSS _.. CFIY .._ ......... ._. STATE ZIP CODE SIGNATURE DATE TELEPHONE COMM ENTS (Xi ' ° i ,...,.. ssc71O�N e COMNI NflTl 411ON .., . Li Cheith� Rl"attachments (OPTIONAL) The focal official who is authorized by law or ordinance to administer the community's ty's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the ale Rem(s) wtd sign below. G4 - U The information in Section C was taken from other documentation that has been signed and embossed by -a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (indicate the source and date of the elevation data in the Comments area below.) G2. I i A community official completed Section E for a huntlinglocated In Zone A (wiitheut a FEMA- Issued or community- issued BFE) or Zone AO. G3. Li The following information (Items 04 Is provided for community floodplain management purposes. aL OA7E S . TE OF LOMPLIANCEIOCCUPANCY r4. PERMIT NUMBER 1 G5. DATE PERMIT iJStt1:D ..'. G't3. flA i:ERrl t- 1CA _...._.._..._, .. , .. G7. This permit has been issued for: iI NoW Ctnsttuction improvement GB. Elevation of as -built lowest floor fmoluding bast) of the build Is: ft (m)Datum: . __ G5. BFE or (in Zone AO) depth of flooding at the building let ft.(rn)Datum: _ site — . LOCAL OFFICIALS NAME TtTL1= COMMUNITY NAME TELEPHONE . . __ . to ..., __ SIGNATURE - COMMENTS - __. - - - TOTAL P.03