HomeMy Public PortalAboutFourth St_403-B rH'Jc ,.,1
EMENGENCY MANAGEMENT AGENCY
0.M.8.fYo, 3�}d7 X77
PipERAL NATIONAL FLOOD INSURANCE PROGRAM Expires Juty 31, 7042
ELEVATION CERTIFICATE -- 1
•oticant: Read the instructions on •a,eae 1 -7.
S /ON A-PROPERTY OWNER 1NJOfMA'TIONt t-nr Ir,s:rranco Company Use:
Bea':674 4YtNER S ra Policy Nolo.,
Ath, n Se dnar
it;iLDihrci s1 TAUVi2ESS(lriciud ny APT,APT, 1,&,ite, nn ceA iog Na)OR P�ip,12QU1E ANC pox No Can
_a�3 E faunr.Street ______ _, 1/03-e3 t-otA?g7-id r perry NAIC t4umt�er
Cir-t fiTA'('E 2111,CQDC
T St IiSdnc1 CA 31328
PaOPER rYDEECR1 (iON((Lot and�bo1 Nurt--° ,,7A4 Perot'Number,Lrpai Deserifti�n,4E/ _ -
:_c t 130.8 pr a aocomt?ir,ation of L , 1 0 a-t31 ;':nd 1 T bee 1 i •:.I.
EAAL,C040 U5a?(4,$„RlM44;144l.kPA-+'fi0+ r►t4i#. . _ .• ;f10-. women*.sec tine nett Sstay.) -
Ref.d+srdre4 _
.A11TU (e;
DE/LONTUDE(OPTIONAL) N=t4DRIZQNTAL DATUM: SOURCE: ❑L PS(Tyt)e)
irk'-se-*saw or :Mfr Nerier`) £ Ari 1927 0 MAO 1989 O u51,18 Qumo M,* .0 Otrs.r:
SEQTi ON' -f 0a M A MA NCE NA_TE_MAP_tftRARIte ORMAT4O i
r-
° N F COMM.4T NAME CO MUNITY M' SER B.T.C)UtTY NAVE --W —. _W E�� , -. . —_— Y,
, 135164 Ch ea orgie t
x'54.MAP AND PANti, ; as SUPIX I 85:,;'1914,1 INDEX 97 PRIM PANEL- ea.FLOOD -...r SO. BASE PLt C1 evo.no f's') 7
NOMOER ryAre EFFECTIVE1 gVISEC CAS ZONE(., r (Zone AO, use depth offloodin4) I
i cos 3 C Si t.20. 99S _ _ 17,99e5 Ate _ _ i2 _w J
610. lnercate:41e solloa of the t�8se Frond E s ior'r(NF!)data or blase itrod nth coffered.ii?59.
0 1"^':S Protle N FIRM El onintunity Determined C+Other(De6arib e):
511. indiotate the eletrertir n datum used for tha FE in Set I NOVO 1925 Q NAVC) 1988 Q Other(Describer);
512. Is the U ir'�$la•acted in a Cnastai Barrier Resources System CB S)area ar Otherwise Protected Area( .' 7 in . -,: in Na
O4slgr;a;ioit Cate •
SECTION C 'i1ti.0 UUG ELQiVAT1V4 tA1FORJAATIOM VVI '..1 ..,4 b)
Cl.6uedeng ele artiona tem bated.art I, . , 4,. t?ri ewittg4s" j]Buifditlg Under '• Finished C.on.st on i
"A crerav E ovation Crnrfit ate wilt be requi ,, when cranatruction of the Guitding is compete.
C._. Bulidimi Diagram Number (Select the • g diagram must'9irrutac io trip bcuidiry bar which cartifiiCatt is being . -saw
?azc, s 6 and 7 if no diarriim accorratety t. serest are a edits$,provide a;loch de peultagr • .
,.:a. :.4ttvaaGns-Zcnae Ia;-A30,AE,AR,A( BFE),VE. V'f•V30,V(with SPE),AR,ARIA,AWAE,AA/Al-0;30,AR/A1-1,AR/AC
C(7 pItte hunt Casa-i beaow accoratiny to' a Building diagram spi'ultte0 in stern C2.State the datum used, it the dett,m is different from
t"rt1 WWI;11$9.1 for he E in Sac ion B, Nell the Ch turn i that used$or the rE,thavv'fletd measurements[acrd datum C4nvaigiJn
ca34Cutatioi. Use the 5.paoe prdxvi({ed(Jr t Comments area of Section,D or Section C3 es appropriate,td tibrOoment the datum Corwsr lon
Datum ConvervidniCommentb
eievatton reference m used _Doe , eieryattit+ri reference Yrrart:read*weer.On'the f$ M? 13'tire 1I No
'� a)Top of bottom floor(intluding basert nt orencloeure) 0.40 11.(m)
_i o)Top of next higher floor 19,34 ft,(m) vt
'.J cl Feot+.pm of lot.rrset rioriatoeat,Ql 41234014 N eiie trei,•Yer{t,'..aO+<ee onty) 'Pate t ,., ", s • Y' ,-,
2) d)Attssabsetd garage(tcp Of stab) ! rdyt=1 t:`,Lowrest'eievation of machinery arid/�er equipment ' i iills‘
seriectrio the bu"iidang n!s i 1 . ''
1 teweet ac(svarr>t grader(LAG) 7.9 f4.(rit) x -,* , �
u g)tiIgnet1 edit/item grade(RAG) y 9 1 ti,(m) ? \� ; ;w°L4,,s,.�?%:
�1 a)hto of permanent ofiiirhrgs(Rood ts)oothitl 1 p_ &ova adjacent ,..,..4 `'"i ysy7�ri'
i..,I i>Tot*area of,ail pemaraeia4 openings versa)in C3h sq.In (sc.ere) � -
SECTION D, 9URY�7 R,ENCilltitEII F ARCtII't FT-6—AR
;bite orlfinelic*r,is 10
be 5rirweI maid a fend�,engineer,t7rart,Ntew.d au►lyor(tett tier lima 15 terttfy vereor +rifor+rrettYon
CerrFry&I`rett the Information in Se t orfs A. 8, d C Dar this certit7care rtpresvelzs my bast e7orts to Interpret the dere available.
, pnoei.tan'J rapt ti rarer?s;shcrntrnt m eEaipunishabte by fine or Iropnzont nt erica le ti S. code, Section 1O0t.
CPrrti iE u NAME IstfOhaiai E.Moore ! i.tCEt+iS!_r nti f-U2 F .t a 71
PCOMPANY ----
:1tt,F ra4tdrnt NAME Lard 5�ncyin -
ADDRESS I. yTAS E F'MOUE
ee
�,; tea li¢10_.__..
TELEPHONE— _____-„
~ ,mA Form 61-31,AU3 5 j $EE REVERSE 1.0e FOR CONTINUATION REPLACES ALL PR LOL.1$EDIT/04,4
--- -_.-I2` I ,'.'^. .tg,.4 Ti iii. _. Fi-4i1`1
1
1MPORT.ART: 03 thew..s c ,.cop • . '•'•D.:.intaarraa Ad,&gcn i A. . r'`o+'itssreecie CarrpauyUse:•
al.i tit 7ET A6"lift 5(Ireluding Apt., t,Suite,entltar bldg. ,}•,c ,1k,RC/LITE MO SOX HO. Pole.of Somber
4D3-B Fourth St. V
^I71 STA7E Z1PCOc .-Cosiipmy+ 4S6seber'
-Tyt:ee weld. N Ott 31320
�..--- - -
SSCTION D-aru tYONf,ENGINEER,Oil ARCHITECT GEt�ITIF;CC,A'TIOI (GPNTINiJ1Ef;?)
CAWS'bosh aides of this tiSeva tion Cartiftcal';i or(1)ocirmriiunily Odbc:ai,(2)arrsuJ'ance agenticomp�31'ly.6Lr1d(3)bwloang garner.
--_ .-,.._.._ ._, _.._.--..._..,.r ......,rte.,.,
CQk1M�l'T$
--- --- , --___,--------....,.._-_ .. ,..w...-_■•..-....�...... ---..-,.-
_ p Ch*Ck t,ere if 3rttashrnenta
__ - - MFi.Yili1 W
s ecrieit+t e-61.40u44 E EvATios. FoRis44Ti!•$1J$tVEY SOT REQUIRED•FOR ZONE AO ARID ZOME A(WITi4OUT SEE)
or Zone AO end Zone A(withd,at EF E), -. • -•: tXaahis El thcou r EA. if fps Elevation.CertNfca('e Its intended r t we ee supPorltig
.niormatror,for a LOMA Ui LDMR-F, uBC i' .,!i must be oornpiated.
r.1 B:atic ing Magragr Number__,(Selett the m tT1cvt dInti>ar to the hiking k t which this coliScene is 17+bk'ig oornipleeed-se*
pages a yrnci 7. if no dii aca • ',.risipreserite the builling,'acetic*u altar/tab or photograph.)
E2 Tie top ar the i;;ott..m floor(indludirtg bit`-, ant or enc106wry)01 the building is ft.(m)_in(cm)0 yvov+a or �; below(ohsoK pane„
the highest adleoent grads
Et For i idading'Diagrteti≪8 with.op:ciirs-" (tee page 7),'ttre next timer'floor or elevated toor(elevation b)of the bilking is
. ft.(n)_.in.(crrr)ebove the highest scam grade.
`c4 For Zane AO Only f no flood depth rltrt.' r is available is the top 01 the bottom IkOor elevated in s ioco'cis,nae with the Ct rnent.nity's
. •-al man •, , t ordinance'? 11'; - So - Unkngv i the tom(offesel . •- : ties irtiltltrlsartevra to$votora G .
SEC't'1ON F-PR -ERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
1ne pro erry,rwnsr or uwner'S authorized presentative who completes Sections A.B.and E for Zone A(witrtvµt a FEMA-issusd Or
commurr tt-)ssteed t'FE)or Zone AO mutt ' 'tar's
r:a;DsEsTY r wNER's OR,;)VNERSALIT •"'ZED RE.PR5aENTArive'S NAME __�.
lc -^ _'. . - 1#Y STATE ZIP L obE
_
_
SIGNATUh - PATE � .-_. _ itili:'H —
_. - - — --
Chick here if s attttchrrfent- ---t
. • 'r a QTY INFORMATION(0,1401iAL)
_
Thy INtlf atticiet who is authorized bylaw••..rdinance to administer the correnuhitys flaodplain management ordins'rnoe can campiele
Sealeni A,e,C(or E,,end 01 of this Elevation Certificate. Ca mpiete the st?plicabse item(*)a+id Sign b(N.•,w
G 1.t]The information In Sec-lion C was ,USA other documentation that as been*ivied endxseeed Nay a licensed sunieyor.
c)tpineer.or artl;ite l who iv motto A by state or fool Paw to certify eievetton information, Macau*the source and date of tree
elevation eta in the Corr nente a bebw.)
t'.?2 1,0 A oommui*y otticial oornpirsted 1 r a bt�iidir ;t locatad in Zone A(wdUJ st a FELSA•.issued or t:DYnnsu1,y-issued BF f")or
Zone AO
:;3 J The following information(items G4 $)+e provided for opmmunity iloodpiirir merregement purposes.
• -.+rS 5-tgan J {t:.._...........—7a"5. Arr 1 D .._..,._,..__ ; 66, b i Et.ewc+F k4'roirrompumicEmwpmeCY
G7.ThiS pa has been Issued foc ® w o! Constru t on J Substentiai Imusrovernent �^
panne
Gti E,evexioc of ass-built losAtest t slot((Loud baaetessot)of the building is: fL(m) Omar:
GS.BFE or(err Zone AO)depth of Hooding the building.Site is_ .-_-- - kW)) Datum:
'_.'JCAI C.;FFh:,t41_•5 NAME .,�. --- --.__. 1111 -.._..__.. .._r — — ._.,_. .-
ni4ASa1H?`'r +MI'„,, -----.__._,. __.-_____- w.. --- .�tK34E __.,.r...,...u.__.._._,.....---__.-__
. COMMENTS
-_
_--__- - (Check hs r if attachments
r E,MA Fowl$t 37,al lei 99 -, -- kEPL cEsALLLPREVIOUS ELhTnctidlS
1
•