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Home My Public Portal AboutFirst St_602 irar A. i uu u�. ice r\C"1l,r1 udn - r ealLUr 1�1C 100QCCt7 P. 1 EDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067 - 0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION I Fa Irtsrearrce Company t BUILDiNG OWNER'S NAME 1 Policy Number kE'I -I- L. i RN......) a. G,h BUILDING STREET ADDRESS (Induc6Ni Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Company NAIC Number CITY- STATE ,...- CODE l `t t3 t,;'� Si- €c 6tA 3(37 P DESCRIPTION (Lot apid Block Numbers, Tax Parcel Number Legal Desaighion, etc.) R` 3 -s 7,-1. N . 2 t'?..„ 1 •-s Fr 1ik./ Prrs. Nza O r BUILDING USE (eg., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) ® r) — R's 1 tD tea e '--- LATrTUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE 0 GPS (Type): ( ;<f# -##' - ##.##' or ##.AW# ❑ MAD 1927 ❑ NAD 1983 El USGS Quad Map ® Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMUNITY NAME & COtMJNiTY NUMBER I 82 COUNTY NAME 63. STATE I Its -- 's i- .-0 13 S i C-4- I oa.•.. G ®c. G I F 134. MAP AND PANEL I B7. FIRM PANEL 89. BASE FLOOD ELEVATiON(S) NUMBER 85. SUFFIX I 1 3 6 . FIRM INDEX D A T E E+rtCTIVE/REVISED D A T E :1. F L O O D ZONE(S) ( L o n e AO, u s e depth of fboding) t3S60 -- Poo 1 C I G - s `7 - 84. G - 1 --84 A S I . 0 810. Indicate the source of the4e Fkwd Bevation (BFE) data or base flood depth entered in 89. ❑ FIS Profile FF(RM ❑ Community Determined ned ❑ Other( ): 811. Indicate the elevation datum used for the BFE in Ea: [v tGVD 1929 ❑ NAVD 1988 0 Other (Describe): 812. Is the butting located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Cl Yes nation Date ^ SECTION C - BUILDING ELEVATION iNFORMAATION (SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings' ❑ Bunking Under Construd ion` (rFinished Construction 'A new Elevation Certificate w l be required when nutlet of thebulcLng is complete. C2 Building Diagram Nu mbei Select the Puking diagram most similar to the buidng for which this certificate is being completed - see pates 6 and 7. If no diagram accurately represents the 'milling, provide a sketch or photograph.) C3. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR ARIA, AR/AE, ARJA1 -A30, AR/AH, AR/AO Complete Items C3. -a-i below aceordng to the bunting diagram specified in Item C2 State the datum used_ if the datum is different from the datum used forte BFE in Section B, convert the datum to that used for the BFE. Shaw field measurements and datum conversion calculation. Use the spy provided or the Comments area of Section D or Section G, as appropriate, to document the datum catversian. Datum lit, Conversion/Comments PH Ps Elevation reference mark used Dons the elevation reference mark used on the FIRM? ❑ Yes f o a) Top of bottom floor (inducing basest or enclosure) 6 ft{ m o b "Top of next higher floe V m j r o c) Bottom of lowest horizontal structural m (V zones only) fl9 / A tt(m) s �' o d) Attached garage (top of slab) AV . P' ft(m) E ° 1 _` ! o e) Lowest elevation of machinery and/or equipment w ° > V servicing the bulking (Describe in a Comments area) i Z ,e9 fL(� m L . ti 4,� � 4 o f) Lowest (finished) grade (JAG) .'� ft(�r) z / \,, ' V ° . a' ' ` ` o g) Highest adpicent (finished) grade (HAG) r( 0 . 3 ft(l0) 7 r ‹ .. ` C ' .. o h) No. d perrrtarlQrrt openings {flood vents) vritltin 1 ft above adjacent grade 0 "-; T N J o i) Total area of atl permanent openings (blood vents) in Cab O sq. in. (sq. cm) SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. certify that the information in Sections A, B, and Con this certificate represents my best efforts to interpret the data available. l understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001_ CERTIFIERS NAME H LICENSE NUMBER V //d H c E:Ner E (....1% -i ' t ° �y C� TITLE COMPANY E ADDRESS (� CITY STATE ZIP CODE ,q 1 6 ! l.3 V g. — 0 8V R c f c) S ft•.l A rsa ems! P}!-i IA. 3 vi as DATE TELEPHONE SIGNATURE 0 \a . 8 ( 1 ci z s- 3 s z 3 FEMA Form 81 -31, January 2003 See revery side for continuation. Replaces all previous editions AUG -17 -2006 16:04 19127865228 97% P.01 ' ai lu uo Ne1Lrm r editor 1 p, 1 IMPORTANT: In these spaces, copy the corresponding intonation tram bect►on i. I ror rrmra m c ry use: atIllarkG STREET ADDRESS Onchsding Ant, Un.3 , anctictEktr. Na) OR P.O. ROUTE AND SOX NO. I Policy flintier 1 t ° err( --_ "' STATE 71P CODE Company NAIC Nurrdg t �) G3FE" LA. 64 3) 32b SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/ company, and (3) bui c ng owner. • COMMENTS ( - 3 ( i !D - ®; e. N, E ®47 (� Pt) G to- ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FORZONEAO AND ZONE A W TROUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. tf the Elevation Certificate's intended for use as supporting information for a LOMA cc LOMR-F, Section C must be completed. El. Bulling Diagram Number _(Select the tubing diagram most similar to the bulking for which this certificate is being completed–see pages 6 and?. If no diagram accurately represents the building, provide a skelch or photograph ) E2 The top of the bottom floor (ndudng basement or endosu of tw `n ' _ lt(m) _in.(cm) ❑ above or [] below (check are) the highest adjacent grade. (Use natural grade, if available). E3. For Balding Diagrams 68 with openings (see page 7), th nerd ' ror elevated floor (devout on b) of the building is _ ft.(m) __in.(an) above the highest adjacent grade Complete items C3.h and C3,i on front of form. E4. The top of the platform of machinery ardlor equipment servicing the Wang is — IL(m) ¢m. (cm) fl at or ❑ below (check one) the highest adacent grade. (Use natural grade, if available). E5. For Zone AO only. If no flood depth number isavglable, isthetopofthebottomfloor elevatedinaccordance withthecom unity 'sfioodpiainmanagementordnance? ❑ Yes ❑ No ❑ Unknown. The local o€fida! must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who oompietes Sections A, B, C (hems C3.h and C3.i onty), and E for Zone A (without a FEMA -issued or community- issued BFE) or Zone AO must sign here. The shirts in Sons A B, C, and E are correct to the best of uxm erige. PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY STATE 7SP CODE CV SIGNATURE \\ DATE TFt FPHONE COMMENTS I ❑ Check here if attachments SECTION G - COMMUNf1Y INFORMATION (OPTIONAL) The local official who is auhorized by law or ordnance to administerthe community's floodplain management ordnance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign beim. Gl . Cl 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 bdorr.) G2, E] A communfy official completed Section E for a brsilding located in Zone A (without a FEMA-issued or community-issued BFE) or Zone A0. G3, E] The following information (Items G4-G9) is provided for communityfoodptain management purposes. G4. PERMIT NUrVBER rah. DA E FERMI' lSSU ED GB. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for U New Construction ❑ Substantial Improvement GB. Elevation of as -built lowest froor (nduding basement) of the biking is: . ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: ft (m) Datum: LOCAL OFFICIALS NAME A r j T1TLE COMMUNITY NAME J � TELEPHONE SIGNATURE j 4 DATE COMMENTS ❑ Check here if attachments FEMA Form 81 -31, January 2003 Replaces all previous editions AUG -17 - 2006 16 06 19127665228 97% P.