733 BAY ESPLANADE . ��'j�Z�,ta��- U�S�
U.S.DEPARTMENT OF HOMELANO SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
Federal Emer enc Management Agency Exqifes FebruaN 28.2009
9. Y
National Flood Insurance Program Important: Read the instructions on pages 1-8.
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
A1. Building Owne s Name �� Policy Number
,s- �SPc•��,so� �.•w.o .av.r,f �s.s•✓ o�//Garr.�
A2. Building Street Addr (including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. oute and Box No. Company NAIC Number
f^ !��✓�Od
��ty State ZIP Code
�,d ,¢�vx d.te✓� ��ioA 337G
�3. Prop�q�v Description(Lot and BI Numbers,Tax Parcel Number,Legal Description,etc.)
� Lors � 2 � 3 �c.ocx 'JG �J.a..'sa��9Y.�'v�so�visie�-� �9 r,b�ea.�/�¢ ��cas 3z-3,1�
'S4n.l� r�-l'__�.
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) �Cf3�0a+✓T/A�G �%S� ��/l SS�LGb �3��d020
A5. Latitude/Longitude:Lat. Long. Horizontal Datum: ❑NAD 1927 ❑ NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number�
A8. For a building with a crawl space or enclosure(s),provid Lrw.�.«�y'' A9. For a building with an attached garage.provide: c�
a) Square footage of crawl space or enclosure(s) �a� sq ft a) Square footage of attached garage '�9/ sq ft .�>OG
b) No.of permanent flood openings in the crawl space or � b) No.of permanent flood openings in the attached garage
enclosure(s)walls within 1.0 foot above adjacent grade �'� walls within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in AS.b � sq in c) Total net area of flood openings in A9.b �- sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Co m nity Name&Community Number B2.C�u�ty Name 63.State
C'.ry �.4�,�✓.��.�. /Z.�o9G �.�/ u�..r Lo,��w�
B4.Ma /Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel 88.Flood B9.Base Flood Elevation(s)(Zone
Daj� Effec' e/ vised Date Zone(s) AO,use base flood depth)
Z/d G O/r�L � S i?!� � 3 D !� . n
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑FIS Profile �RM ❑Community Determined ❑Other(Describe)
B11. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 ,�'IVAVD 1988 ❑Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? � Yes �-No
Designation Date �CBRS �OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REDUIRED)
C1. Building elevations are based on: ❑Construction Drawings' �uilding Under Conshuction' ❑ Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones A7-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.ag
below according to the buildin iagram specified in I m A7.-�-� �l
Benchmark Utitized C� C�cA�La�M�rbw. �✓�.1..°�3 Vertical Datum L�t z•G� /����1
Conversion/Comments �� �-----� �
Check the measurement used.
;�,: ��"`
a) Top of bottom floor(including basement,crawl space,or enGosure floor) ��L`_ffeet ❑meters(Puerto RicoitS�l�,� ` !:��1
b) Top of the next higher floor ��O �t ❑meters(Puerto Rico{pnly� 4 Z �;,
c) Bottom of the lowest horizontal structural member(V Zones only) �._Q feet ❑meters(PueRo Rico�oply�> �
d) Attached garage(top of slab) �'..'L eet ❑meters(PueRo Rico;pnlyJ_ � � �`;�'i���t
e) Lowest elevation of machinery or equipment servicing the buiiding _Q feet �meters(Puerto Rico�bnlyj�' �
(Describe type of equipment in Comments) 'i:: ": N � �°
i ` � ���.y_,
f) Lowest adjacent(finished)grade(LAG) _'� ,.l fe ❑meters(Puerto Riw IC��QIy); �
g) Highest adjacent(finished)grade(HAG) .S._ feet �meters(Puerto Rico.pitl�'� i��'.
'"l"' : ... __ .T_�
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION +� j�.=_ _-:._..
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation -ry -- �
information. I ceRify that the information on this Certificate represents my best elfoRS to interpret the data availab/e. .M �-'�=`�,i�
1 understand that any(alse statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. _ '�';��L`��!,*�,���1;
.�'����, �"'' p�y000poo + �,, .'I�
❑Check here if comments are provided on back of form. �=�0����C.A �^°°os ,. '
� •„'
Certifier's Name ��Q��l�� /l "��G����� License Numbers�� � +� °��� ,.^,1� ".J . l
J !J -- ° `
,
Titl (� �Company Name �!` � ���`
�'i'6.f�OwlAL � J U/t(ldYa/L ;'
Address City /� State ZIP Code � ;+ '�� °° �' -
4LZ.S� �u�/' Lt/O GGa'.¢'Zt,c.�ll�- �7� �i� 4'•.
Signature Date � �� Telepho 7� � y 1,-,:;' '�s..•�
'�.✓'�O�`.' / � ,���
ot-oo/ 7�¢ 74-7C .".
FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance Company Use:
@uilding Street, ss(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Policy Number
- . 33 ,SI��..o�,.�„Oor
City � State ZIP Code Company NAIC Number '
Gtl.�,it�✓,,�Th'�c, nw/ .�i�v�J 3.�76
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)building owner.
Comments �/ArC✓ r,.l+Gd �.�G4r/L Sa►tv' �S � � o�Oo�D-�f /'1�'DL �i��f' �O�'�'�
/�/v'J►.ft�fAGi�G �/Z� /i✓ �/ d /U'!.� L�O.W'6 O/!'�io..r,L v /9 .�o't.�+v0 vP'O�LJ
� d �t,Ao7L S T7Z�Jc�o•"�
Signature Date �
�¢ ❑ Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,compiete Sections A,B,
and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑ meters ❑above or ❑ below the HAG.
b)Top of bottom floor(including basement,crawl space,or enclosure)is . ❑feet ❑meters ❑above or ❑ below the LAG.
E2. For Building Diagrams 6-8 with permanent flood openings provided in SectiqII.�°�Items 8 and/or 9(see a e 8 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is ._❑feet LJ meters ❑above or �below the HAG.
E3. Attached garage(top of slab)is . �feet Q meters ❑above or � below the HAG.
E4. Top of piatform of machinery and/or equipment servicing the building is _Q feet �meters �above or �below the HAG.
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes ❑ No ❑Unknown. The iocal official 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 completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here. The statements in Sections A,B,and E are correct to the best of my knowledge.
Property Owners or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑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. Complete the applicable item(s)and sign below. Check the measurement used in Items G8.and G9.
G1. � The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is authorized by law to certity elevation infotmation. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community o�cial completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3. ❑ The following information(Items G4.-G9.)is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7.This permit has been issued for: ❑ New Construction ❑Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR) Datum
G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR) Datum
Locai O�cial's Name Title �"s r '„ � _ �� ` ; �
��E 3'^;� 6 �-. � � : �, � �C. � �' �
Community Name Telephone f ;,!i�-------��--T °�r "'•"°"°�� � ,'.
; ,�
Signature Date �' k� 1� ��� � � '���� y� ?; ��
Comments �''� ._...�-.--�,5 �
e,,,..,...,._..:.,_�...,�.._. _
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�; ,.� s.,- �c f�' -t ,_y
❑Check here if attachments
FEMA Form 81-31, February 2006 Replaces all previous editions
Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address(including Apt.,Unit,Suite,and/or Bidg. No.)or P.O. Route and Box No. Poiicy Number
�.33 ,' G''"s���,��'
C�ry State ZIP Code �PanyNAlCNumber
�',yiru/,y.T-c»�, r_,�/ saio.9 �37��
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front VievW' and "Rear Viewl'; and, if required, "Right
Side View" �n� "� Pft Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
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Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number
7.3-3 �tJ� Si��'����'
City State ZIP Code �Pany NA1C Nurnber
�GC�/Z�i??� .r i✓ Gvl.Li •0�9 li
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right
Side View" and "Left Si�e View." If submitting more photographs than will fit on this page, use the Continuation Page,
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