The URL can be used to link to this page

200 BAYSIDE DR � , ,�� s a �6 ��--�-�.°�,�� O 16 J � �-�- �>.� ¢� ��;�,'„!;y°,��"'�; ��- �' �� " � '� , FEDERAL Efi�ERGENCY MANAGEMENT AGENCY O.M.B. No. 3057-0077 � _ NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ' � ELEVATION CERTIFIC�4TE � Important:_ Read the instructions on pa es 1 -7. SECTION A-PROPERTY OWNER INFORMATION °Forinsu�ance Company Use .. BUILDING OWNER'S NAME � � n � L I� Policy Number : �� ) !^C d D n)o�/A BUILDING STREET ADDRE Qncluding Ap` Unit Suit andlor,Bldg. No. OR P.O. ROUTE AND BOX NO. Company NAIC Number : Od A` S 1 1 I CITY STATE ZIP CODE �C�� w aT�� ,J �L��- Co �o�z�D� PROPERTY DESCRIPT{ON(Lot and OCK�rU �rs,Tax Parcel Number,Legal Description,etc.) Lo T' � ., . �L�r:� 1 " ts�f�- l� o� �A��D� 5v�, z)�"9' '� �,-��3c. �s; �7-58 BUILDIN S�°(e.g.,Residential,Non-residential,Addition,Accessory,ecc. use c;omments secuon iT riecessary.) ��s r tJ��JT�A �-- � LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: L�GPS(Type): ( ##°_##'_####" or #######°) . I_� NAD 1927 �_�NAD 1983 L�USGS Quad Map �_�Other: I SECTION B -FLOOD INSURANCE RATE MAP(FIRM) INFORMATION � B1. NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUN�'Y NAME � B3.STATE - ��/ o F �c. �,— s c� � ,�� 5 �0 2,.DA B4.MAP AND PANEL 65.SUFFIX B6.FIRM INDEX B7.FIRM PANEL �i 68.FLOOD 69.BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE Z NE(&) (Zone AO,use depth of flooding) So c�- � � � � �� —>s ►� Z i � �'� . I�l B10. Indicate the source of the Base Flood Elevation ( FE)data or base flood depth entered in B9. I—I FIS Profile �FIRM �_� Community Determined �_� Other(Describe): B11. Indicate the elevation datum used for the BFE in 69: �NGVD 1929 �_� NAVD 1988 i I_I Other(Describe): B12. Is the building located in a Coastai Barrier Resources System (CBRS)area or Otherwise Protected Area(OPA)? � Yes (,.,.��No Designation Date: SECTION C-BUILDING ELEVATION INFORMATION (SUR;VEY REQUtRED) C1. Buiiding elevations are based on: �_�Construction Drawings* �_�Building Under Construction' �pFinished Construction 'A new Elevation Certificate will be required when construction of the buiiding is complete. � C2. Building Diagram Number,��(Select the builaing diagram most similar to the buiiding Ifor which this certificate is being completed-see pages 6 and 7. If no diagra�n accurately represents the building, provide a sketch or photograph.) C3. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO Compiete Items C3a-i below according to the building diagram specified in Item C2. State 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. Shdw field measurements and datum conversion calculation. Use the space provided or the Commen s �e�of Section D or Section G, as appropriate,to document the datum conversion. Datum��nyD )q2`l Conversion/C`o1m ents � Elevation reference mark used: �v Does the elevation reference mark used appear on the FIRM? �_�Yes No ❑ a)Top of bottom floor(including basement or enclosure) , oo .S ft.(m) � 0 b)Top of next higher floor _ I ft.(m) a ❑ c) Bottom of lowest horizontal structural member(V zones only) ft.(m) o 0 ❑ d)Attached garage(top of slab) -] , Z� .�ft.(m) �� ❑ e) Lowest elevation of machinery and/or equipment (� . W� v� � �v servicing the building �� C"V�+� ' � •D �ft.(m) �; \ V� D fl Lowest adjacent grade(LAG) (.., S .�T ft.(m) z'� � / � 1 ❑ g) Highest adjacent grade(HAG) ��,��/�'R��'��- !o > 9 .�T ft.(m) � �,�/ �� ❑ h) No. of permanent openings (flood vents)within 1 ft. above adjacent Qrade� � ' � � �r \ ❑ i)Total area of all permanent openings(flood vents)in C3h_�33� q.in. �q. cm) SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT GERTIFICATION Y This certification is to be signed and sealed by a land surveyor,engineer, or architect authorized by law fo certify elevation information. I certify that the informafion in Sections A, 8, and C on fhis certificate represents my best efforts to inferpref the data available. I understand that any false sfatement may be punishable by frne or imprisonmenf under 18 U.S. Code, Section 1001. CERTIFIER'S NAME J�� J LICEN5E NUMBER �C� �S6 Sz, TITLE /l��5/ n ��T_ COMPANY NAME ,/��/ }� �U K.. J �sTA�(5 s�2Y��iJL, ��c . ADDRESS � 0 � � r L�/Yl 0 5 � �� C�TMT �J S � g ATE Q D ZIP CODE�,j`� 7 SIGNATURE DATE � TELEPHONE - lZ J� � , 7Z�- 9s�� .s-S� FEMA Form 81-31,AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPGRT�NT: In these spaces, copy the corresponding informatinn from Section A. For Insurance Company Use: ' B�ILUING STREET ADD ESS(I.ncluding Apt., Unit,Suite, and/or Bldg. No.)OR P.O. ROUTE AND BOX NO. Policy Number � . �c� A s��'- , v� CITY STATE ZIP CODE Company NAIC Number � �.J c� � �C.o 2 i l�� 33 7�7:� , _ SECTION D-SURVEYOR, ENGINEER, O °'ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company, and (3)buiiding owner. COMMENTS - I—I Check here if attachments 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 E1 through E4. If the Elevation Ce�tificafe is intended for use as supporfing information for a LOMA or LOMR-F, Secfion C must be completed. E1. Building Diagram Number (Select the building diagram most similar to the buiiding for which this certificate is being completed– see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(including basement or enclosure)of the building is �`�_�ft.(m) I_I—I�n.(cm) �_� above or �_� below (check one)the highest adjacent grade. - - E3. For Building Diagrams 6-8 with openings(see page..7),.the next higher floor or..elevated floor(elevation.b)of the building is I—I_I ft-�m) �_�_�in.(cm)above the highest adjacent grade. E4. For Zone AO only: If no flood depth number is avaitable, is the top of the bottom floor elevated in accordance with the community's floodplain management ocdinance? �_�Yes- �_� No �_� Unkrio.wn. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR ONVNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who compietes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here. PROPERTY OWNER'S 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 i#em(s)and sign below. G1. �_�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 below.) G2. �_�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. �_�The following information (Items G4-G9)is provided for community floodpfain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issu�d for: �_� New Construction �� Substantial Improvement G8. Elevation of as-bui�t lowest floor(including basement)of the building is: " _ft.(m)Datum: G9. BFE or(in Zone AO}d�pth of flooding at the building site is _ft.(m)Datum: LOCAL OFFIClAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS I—I Check here if attachments FEMA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS IM bRTANT: In these spaces, copy the corresponding information from Section A. For insurance Company Use: BUILDING STREET ADD ESS(Including Apt., Unit,Suite, andJor Bldg. No.)OR P.O. ROUTE AND BOX NO. Policy Number - bC� fa SI t� � �/� CITY STATE � ZIP CODE Company NAIC Number � �.J� � ��02�l��- 3 7��. SECTION D-SURVEYOR, ENGINEER, O�'ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company, and (3)building owner. COMMENTS �_� Check here if attachments 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 E1 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 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.) E2.The top of the bottom floor(including basement or enclosure)of the building is ��_I ft•�m) I—I—Iin.(cm) �_� above or �_� below (check one)the highest adjacent grade. - - E3. For Building Diagrams 6-8 with openings (see page-7),the next higher floor or.elevated floor(elevation b)of the building is I_I_I ft•�m) I—I_lin.(cm)above the highest adjacent grade. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodpiain management ordinance? �_�Yes �_� No �_� Unknown. The local 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. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE 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. Complete the a�?piicable item(s)and sign below. G1. �_�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 locai law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. �_�A community official completed Section E for a buiiding located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. �_�The following informaticn (Items G4-G9)is provided for community floodplain management purposes. G4.PEr�MIT NUMBER — G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit Faas been issu�d fcr: �_� New Construction �_� Substantial Improvement G8. Elevation of as-b�i�t lowest floor(inciuding basement)of the building is: - _ft.(m)Datum: G9. BFE or(in Zone AO)��pth of flooding at the building site is: _ft.(m)Datum: LOCAL OFFIC;AL`S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS I—I Check here if attachments FEMA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS __ �' ;�.�R.,'+ --...�.- ' ' -t.._, ; - - ,!.. - � , i ' FEDERAL EMERGENCY MAtJAGEMENT AGENCY O.M.B. No. 3057-0077 - NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 � ELEVe4TION CERTIFICATE Important:_ Re�d the instructions on pa es 1 -7. SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME ��, , � � ^ �b� O�OvA Policy Number h' BUILDING STREET ADDRE�,S(I�nc`/din`g�A;'��Suit a�d/or,`Bldg. No. OR P.O. ROUTE AND BOX N0. Company NAIC Number Z�d �'� ' CITY STATE ZIP CODE �C�� 1�2. w ATt� �J �L�� Co . �o2�D� PROPERTY DESCRIPT�ON(Lot and OCK�rJ �rs,Tax Parcel Number, Legal Description,etc.) - Lo T' � " �L�L� t " ��► �- /a oF� �A�S�D� �v� �.��' '' ��-�c. �s. �7-58 BUILDIN SE(e.g.,Residential, Non-residential,Addiuon,Accessory,etc. use c;omments seaion ir riecessary.) ��5 I ��TI A �-- LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: �_�GPS(Type): ( ##°_##,_�###" or ##.#####°) ' �_�NAD 1927 �_� NAD 1983 �_�USGS Quad Map �_�Other: SECTION B -FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUN�[l'NAME 63.STATE � oF C� �- 5 Go � *��'-�-'� S �o2rD� 64. MAP AND PANEL B5.SUFFIX B6.FIRM INDEX B7. FIRM PANEL B8.FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE Z NE(S) (Zone AO,use depth of flooding) to" 7 � fo C�U '��8 � '�'1 z �� L • � � B10. Indicate the source of the Base Flood Elevation ( FE) data or base flood depth entered in B9. �_� FIS Profile ��FIRM �_� Community Determined �_� Other(Describe): B11. Indicate the elevation datum used for the BFE in B9: �NGVD 1929 �_� NAVD 1988 �_� Other(Describe):_ B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? � Yes L.J,No Designation Date: SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: �_�Construction Drawings'' �_�Building Under Construction' ��inished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number$(Select the building diagram most similar 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 A1-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 C3a-i below according to the building diagram specified in item C2. State 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 Commen s �ea of Section D or Section G, as appropriate, to document the datum conversion. Datum�J�trD IRZ`i Conversion/Com ents . Elevation reference mark used: Does the elevation reference mark used appear on the FIRM? �_)Yes No ❑ a)Top of bottom floor(including basement or enclosure) , oo .�ft.(m) � , ❑ b)Top of next higher floor _ft.(m) � �, �� '�^ ❑ c) Bottom of lowest horizontal structural member(V zones only) —� _ft.(m) y� `�` '�� 00 ❑ d)Attached garage (top of slab) � , Z'�'1 .�ft.(m) E g ,�, . ` ` O e) Lowest elevation of machinery and/or equipment w� ;�� r�� ` ,�� servicing the building �/� �14� � � •O �ft.(m) � ' � ` K• .~ � � _ - Em ' � S � �.1 " ❑ fl Lowest adjacent grade (LAG) / (�, S .�r ft.(m) z� �:5 , - : ❑ g) Highest adjacent grade(HAG) ��..�U'I�R�G(��– � . �I . .FT ft.(m) �� °, � � `t`-^ . , •, , ❑ h) No. of permanent openings (flood vents)within 1 ft. above adjacent arade � � `'`y;:'t�, '�\ "'"' �; .'F� ',' J ❑ i)Total area of all permanent openings(flood vents) in C3h_Z33C� q. in. q. cm) °^=;�' ` .�°�^ SECTION D-SURVEYOR, ENGlNEER, 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. 1 cerfify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data avai/ab/e. 1 understand fhat any false statement may be punishable by frne orimprisonmenf under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER J�� L�J L� �J16✓�Z TITLE /��5/ ��_ COMPANY NAME �/`�/ }' K- � � �T��rs s�2,��y,�� . ADDRESS l O ' ( L��O � � '<^ � CITYT � ` � ! S�TATE Q D ZIP CODE��`� G/`T v SIGNATURE DATE/� l� D..Z TELEPHONE 7Z7- /3_)� ¢S'�� . FEMA Form 81-31,AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS Z,-�J9-9 z° � , S7ti.�,�r��+..ir»)' �'� ss-��n'� // ✓ Q.�q6 O- �a.Ot°o�-��' � `y P�s�� a-o� . y ,