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6001 SW 70 ST_GREEN ELEVATION j cIC , 6001 SW �D ST eteVoAof 4, 1ERAL EMERGENCY MANAGEMENT A! ICY O.M.B. No. 3067-0077 1 0 NATIONAL FLOOD INSURANCE PROGRA31 Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the Instructions on pages t -7. SECTION A-PROPERTY OWNER INFORMATION ror Insurance Company Use: UILGING O NE 'S NAME Pbliry IJdmhor BUILDING STREET ADDRESS(InOtiding Apt.,Unit,Suite,and/or Flldg.No.)On 1'.O.ROUTE AND BOX 110. Corripnny NAIL Number 600_l S� 70 °�T/IFE7- _ CITY STATE zw CODE PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Descripti^n,etc.) 6077 / i7li/LVGA 2S 9 Lpe_c< -&- P63 0 96 /01" BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use Comments section if necessary.) - IATRUDE/LONGITUDE(OPTIONAL) IIORIZONTAI_DATUM: SOURCE: 1_1 GPs(Type): _ ( ##"-##'-##.##' or ##.###t►#") I._)NAD 1927 1�1 NAD 1983 1_1 USGS Quad Map 1__1 Olirer:v__ SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 01 14FiP COMMUNITY NAME 8 COMMUNI TY NUMBER 82.COUNTY tJAME B3.S TATS CiT,/ of caov7,N PI "i /Zo 6 j--��iA�-rr— D4y E —� 1 L• _- R4.W AND PANEL yB5.SUFFIX 86.FIRM 114DEX B7.FIRM l'ANFL 88.FLOOD 89.BASE FLOOG ELEVATIONS) NUMBER DATE EFFECT NE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding) 120 25'C v Z7(o 27in 7.- /7-- 9PV 1 3. • 2 - 9f/ -- D 10. Indicate the soutpe of the Base Flood Elevation(BFE)data or base flood depth entered in B9. 1_1 FIS Profile &FIRM 1_1 Community Determined 1_j Other(Describe): B 11. Indicate the elevation datum used for the BFE in B9:1_�q NGVD 1929 1�1 NAVD 1988 1_-1 Other(Describe): 812. Is the building totaled in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 1__1 Yes -j '("N0 Designation Date:__ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: 1,1Construction Drawings" VIBuilding Under Construction' 1-1Finished Constniction •A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number / (Select the building diagram most slinilar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations-Zones Al-A30,AE,All,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/Al I,AR/AO Complete Reins C3a-i below according to the building diagram specified in Item C2. Stale the datum used. if the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the daturn conversion. Datum Conversion/Comments — Elevation reference mark used Does the elevation reference mark used appear on the FIRM? 1_1 Yes 1 1 fdo 0 a)Top of bottom floor(including basement or enclosure) j 2 Sa ft.(m) d 0 b)Top of next higher floor fl•(m) N ��,7 3� t_j c)Bottom of lowest horizontal structural member(V zones only) _ �t! , tl.(rrr) ' ""���,, 0 d)Attached garage(top of slab) —fl.(m) E U e)Lowest elevation of machinery and/or equipment servicing the building i -- fl(!m) Er- . `Q- �' ma ` a' * f)Lowest adjacent grade(LAG) .— fl.(►n) z ! ` O g)Highest adjacent grade(HAG) fl-(m) O h)No.of permanent openings(flood vents)within 1 fl. above adjacent grade t »• ti©�,r U 1)Total area of all permanent openings(flood vents)in C3h '1�-- -sq. n.(sq.crtr) ••••••••'• �V . _ SECTION D-SURVEYOR,FIPIGINEER,OR ARCHITECT CERTIFICATIO11 rrrurnr►rr`+r. This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify That the lnfomrafion in Sections A. B,end C on Oils certificate represents my best efforts to hrferpmf lire data available. I understand that any false statemerit Wray be punishable by title or Imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME 0C.tv E, LICENSE NUMBER - 1 ITLE COMPANY NAME V T # S A 1,2 op � -- ,C-ADDRESS ,-�. CITY STATE ADDRESS _ /G 7 ivcv i3 C.� . /H(iA-,-t r" SIGNAT URE DALE TEI.Ef IIOtJE /e0 j FEMA Form 81-31,AUG 99 SEE REVERSE SIDE FOR CONTINUA71014 REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces,copy the co •ponding'Infoiinatfon from Sec�lon A For,;Irisurart�;Comp�Use BUILDING STREET ADDRESS(Including Apl.,Un`., ��ite,and/or Bidg:No.)OR P.O.ROUTE ANp BOX'M ZIP CODE Compan)IrNAIC Number • STATE J CITY P SDUTN M ► �t`-rr SECTION D-SURVEYOR,ENGINEER,`OR ARCHITEdf'.CERTIPICATION(CONTINUED) ; Copy both sides of this Elevation Certificate for(1)community official, (2)insurasice agenUcompany,and(3)building owner. COMMENTS i _I Check here If attachments A SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items El through E4. If the Elevation Certificate is Intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number (Select the building diagram most similar to the uild or f holograph) certificate is being completed— see pages 6 and 7. If no diagram accurately represQnts the building,provide a m in cm above or Lj below E2.The top of the bottom floor(including basement or enclosure)of the building Is _I_I ( )I J_I ( ) I--I (check one)the highest adjacent grade. (see page 7),the next higher floor or elevated floor(elevation b)of the building is E3. For Building Diagrams 8-8 with openings hL lin.(cm)above the highest adjacent grade: E4. For Zone AO only: If no flood depth number is available,is the Unknown. The ocanoffic al mustcellicolh this information In ection)G. flood lain management ordinance? Yes - No . II SECTION F--PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A.B,and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here. PROPERTY OWIJER'S OR 011 WlffRTS AUTHORIZED REPRESEN TATIVE'S NAME CITY STATE ZIP CODE ADDRESS ATE TELEPHONE D SIGNATURE COMMENTS I—I Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. documentation entat on that asebe'en(s signed and embossed by a licensed surveyor, G1. LI'The information in Section C was taken from other 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 building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. I_I The following information(items G4-G9)is provided for community floodplain management purposes. G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY I G4. PtRMiT NUMBER ISSUED �=---- Substantial Improvement G7.This permit has been issued for: LJ New Construction L _I ft.(m)Datum: G8. Elevation of as-bu' t floor(including basement)of the building is: . ft(m)Datum: ' �� fh of flooding at.the building site is: G9. BFE or(in Zone a ,�t5. U> TITLE LOCAL OFFICIAL'S NF;nnE TELEP ONE OMMUNITY NAME DATE SIGNATURE COMMENTS 'I Check here if attachments REPLACES ALL PREVIOUS EDITIONS FEMA Form 81-31,AUG 99