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Home My WebLink AboutE-ELEVATION CERTIFICATE - 1213 ALAMEDA STREET - WEST VINE (3)ELEVATION CERTIFICATE OMB No3067.00,-- a EepIres May 31. 1993 FEDEPALEMERGENCY MANAGEMENTAGENCY NATIONAL FLOOD INSURANCE PRCGRAM ATTENTION: Use of ;his certificate does nct rovide a waiver of the tlecd insurance curc.iase requirement. This form is used only to provide elevation information necessary :o ensure comonance with acplicable community ;locceialn management ordinances. to determine the proper insurance oremlum rate, and/or :a supocrt a recuest for a Lerter of .Mao Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATICN FC,R INSURANC2 CCMPANY USE BUIUING OWNERS NAME PCL'CYNUMBER l �- S.nE_ ACC REES ,:nc:uc,ng ACL. Unit. Suite anc!cr _!cg. Numoen CR P 0. RCUTE AND 8CX .14umeE= CCMPANY NAIC NUMBER OTHER CESCRIP-iCN iLa ana 31coc Numoers. etc.; crr s.ATE ZP CODE 1= o� _0 SECTION 8 FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the foilowing from ;he crcper FIRM (See Instructions): 1. CC MMUNITY NUMBER 2. ?.ANEL NUMBER 3. SUF=X 4 :A7E CF = RM 1NC`'( =P.M ZONE a BASE CCO =! =VATCN (In AD7.:nes, usegceom) Vv ��SI� Svo� 7. Indicate the elevation aatum system uses on the FIRM for Base Ficcd Elevations (BEE): _ NGVD '29 —;Other (describe on back) 8. For Zones A or V, where no SFE is provided on the FIRM, and the community has estaciisied a BFE for this building site,/ the community's BF':-::: 50 D ' feet NGVD (or other FIRM datum see Sec:icn S. Item 7). fi oo-}-1 / Ie SECTION C BUILDING ELEVATION INFORMATION t 1. Using the E:evation Certificate Instruc ions. incicate the diagram numcer -,rom ;he diagrams found on Pages 5 and o that best describes the subject building's reference level / 2(a). FIRM Zones Al-A30. AE, AH, and A (with 9FE). The top of the reference !evel floor from the selected diagram is at an elevation Of IS100 191 1.16" feet NGVD (or other FIRM datum -see Section B, Item 7). FIRM Zones V1-V30, VE. and V (with 6F=j. The bottom of the lowest hcrizcrtal siruc:uraJ member of the reference level from the selected diagram, is at an elevation of I ' I ! feet NGVD (or other FIRM datum -see Section B, Item 7). . FIRM Zone A (without BFE)_ The floor used as the reference level from tf e selected diagram is I ° feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. 1. FIRM Zone AO. The floor used as the reference level from the selected diagram is I I .� feet above Lr_.I or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD '29 K1 Other (describe under Comments on Page 2). (NOTE: It the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 77, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑I Yes X, No (See Instructions on Page 4) 5. The reference level elevation is based on: � actual construction [I construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level Boor in place, in which case this certificate will only be valid for the building during the course of construction. A past -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: lk)IUlcjl t� II feet NGVD (or other FIRM datum -see Section 8, Item 7). SECTION D COMMUNITY INFORMATION 1 If the community official respcnstcle for ver;ying building elevations specifies that the refererce level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's flccdplain management ordinance. the e!evation ct the building's "loves; Ilccr" as defined by the ordinance is: ' ' ! l feet NGVD (cr ether FIRM datum -see Sec;ion E. Item 7). 2. Cate of the start cf construc:Ien cr subs;an:;al improvement FEMAFo,m3731,MAY90 R=:,t�C:i= "c'/IOLSSEE --`/=;SS�;CZ_.-CRCCN.NU,;71C`t SECTION E CErRT11"lCATICN This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30, AE. AH. A (with 8F:_:::),V1—V30,VE, and V (with BFE) is required. Community officals who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued 13FE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features —If the certifier is unable to certify to breakaway/non-breakaway wall, enc.osure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not inc!uded in the cerdficaticn under Comments below. The diagram number, SecSon C, Item 1, must still be entered. I certify that the information in Sections 8 and C on this certificate represents my best eifons to interpret the data available. I unders'taandd that any false statement may be punishaole by fine or imprisonment uncer4 18 U.S. Code, Section 1001. CE.RT1QEa'S NAME UCEINSE NUMBER tcrAtfix Seal) �nuwwruu,,�r S F f2 TITLE %74-1;*i"Im C� � % -� r2f� O� � Lv ✓� AOORESS oyc�CIIT�Y SIGNATURE Copies should be made of this Certificate for: 1 I OATS STATE ZIP "— 6(,3--0/Uc3 PHONE 2) insurance agenticompany, and 3) building owner. e4�_ ON WITH ON PILES, SLAB BASEMENT PIERS. OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES PEfFAENCE PEFcAEl+CE BASE LEVEL REFEaEKE LEVEL Kk= LEVEL ELEVAncN P'� 1._ BtiSc RACO AoiAc ENT !rr REfEAENCE rLOOO REfEAENCE AO.lACENT E<_�'vATroN GMOE LEVEL ELEV A TiCN LEVEL GRACE _ -ACJACENT. The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Z nes should be measured at the bottom of the lowest horizcntal strut:ural member. Pace 2