HomeMy WebLinkAbout7-2-010:004 Beach Hse RestaurantU.S. DEPARTMENTOF HOMELAMSECUlIM
fedon"Emarpenby Managemarq Agency
National Food Iasurerice Program
Apt.
As. Wake Use
J (04. , �
NOM2l
AS. Attach q Poof LW
A7 BuildingDiagram Number
the bu
A0. For a building with a vawcpaca
Or enc
a) Spusre footage of taewlepace or or
b) Na of Permanent food apenbps In
errbsva(s) within 1.0 foot above a
C) - Total net ams of food openlnps in) _.
d) Engineered flood opemrgs9 (3._yes E3 No — so In
ELEVATION CERTIFICATE
aortent Read the inaKx t m 40npapi;1=8.
Of P.O. Roufe and Box
Addrdon, Accessory, elle.) L
Horeonal Datum: ❑NAD 1527 x 11114D 1983
e Certificate is being used to obtain flood Insurance.
Iel ,_ sqft
Mspaoe or
grade —
dAB No.1650.a0D8
"Expma Mertlb3l, 2072
AS. For a building with an a0adbd Campo:
a) SquareDwtapa o1 aaaded gambit
. D) No.o/ permtrrant load opeMga In fte ataded mage
within f.0 fool above adjacent prays
C) Tobal net area of food openings in AgL _ N (n
d) Engineered flood apenDgs? .a Yes -0 No
w. roat nnoea BlettiuelRevaas Dow Be. Flood BS. Bra Floyd tee) R
,ffim . B7. FIRM Pend
etuo2rzoa 411611489. q�e) �ebA08 �)
B10 IMdab the source of Ow esce flood Elevator (WE) data or boss food O
❑ fIS Press FIRM depth entered a tiem Be.BB
-In Community GVI)I Determined ❑ Otlar (Desdipe)__
812. Intlicea ebvatlon datum trbad for SFE ✓n Item BS: NGVD 1928
872. I � yn a C OSM Bonier Rasouncoc System (❑CBCBRS a� a Protected pNAVDION lea c�A) ) —❑ vita ®No
❑ DPA
•SECTION C - BUILDING ELEVATION INFORMATION (8URVEY REpUBiED .
Cf, Building elevations are based at: )
'A tree EavationCerOacels vats De requb� when en Drewmys� ❑ Building UrderConst ucapn• Finished Conafrldbn
C2; amtkilra.-tont Al -A30, AE. AH, A (with 8FE MMMMOon of the building is aomplela.
below almtd��e_g� asrr�;r-, tskdldhg . AH, A (a 1 V3o. V (with SFE). AR, AR/A. ARlAE; APJA1,0.90. AWAH. AR/AO.'Cprgdete lOsms{x,g,h
9,nom an k lldb> o lou- dice PadlOd M lam A7. Use the same datum as the BFE.
CmwnbMCommems__ �� SVD 1929
a) Top of bottom floor (maudirg base -ant Casa Chea the measurement used.
b) Top of it* nyd higher door space; or enclosure Poor) _$, fa0 1z let ❑ meare (Puero Rion o*) ..
C) Bottarl of the lowest horlmrral abac0aal member (V Zones only) --- El1B0t ❑ mater (Puerto Rob c*)
d) Attached garage (top of slab) ❑ set ❑ meters (Puerile Roo oily)
e) LONG elevation ofa�� � rri� bre building _�a.�2 0last 0 last p im � � M
(Dead®e type of In Comments) (Puerto Rico say)
0 Lowest adjaderit (ruggr ad) grade and to btdldi g (LAG) .
e) adjacent (fi rwrwd) grade next to bWaag (NAG) '1'� Mae, ❑ meters (PumtoRko o M
Ill Lowest ad)aeant grade at 16eid elevation of dock or aloustairs, g —�Wool ❑ r*t" (moo Roo
dual a
Q loot ❑ Mears (Puerto Rico orgy)
SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
Thk cen.I. n is o De signed and sealed by a land surveyor, engineer, or architect 'ZRC ted law to
information. I ca" drat Information on this Candidate represents my bear erode to interpret me data cOrdfY &,%int ealevabon
Xunderstand that any false watemem may tb Punishable by fine or impnaonmem under i8 U S. Cods,
Cheek here It comments are provlded on b" of form. Vvere Istflude and I Swoon 1001' ❑
onpflude In'Section A provided by a
ecensed turd surveyor? ❑ Yes 00 No
3 O. gu .ai<•
Certlfier's Name - {A'
�. 4cense Numher ..
-I
• FEMA Form 1 - r
,Mar D9 See reverse side for continuation.
and C—FFoor Nho
Items Et -E,. e naluN ro harms £t -ES. Ile. COOCAN 6Intended to support a LOMA or LOMci
R -F request, mplata Sections A, B,
grade, t available. Check the measurement used. In Puerto Rlto only, enter meters.
Ep. Provide elwation trdorma6on for the followanp and check the appropriate bores 10 snow whether the elevation isabove o below the hlgtteat adjaaeM
trade (K4,G) and the lowest adjacent grade (LAG).
b) Top ofbbotom orn a o (�u�9 n4 aewlapao9, or enclosure) Is __ _ ❑ feet ❑ motors ❑ above or p below me HAG.
E2. For Building Diagrams"with (NckWtnt baaemenl ,d o p min or entloed Is _ _ ❑ feet ❑ meters ❑ above or ❑ below On LAG.
(elevation C2.b lo Permeant tang i operongs provided in Section A nems 8 and/or 9 (see apes B-9 of lnhtrultigs), the red fiphar floor
diayems) of the building te E3 *81 ❑ meteB ❑ above or Lj below the HAG.
E8. Atadgarage fop of tertd/w apu_ j] feat m m 0 above or [3 below the HAG.
E0. Top of rM plelform of machateryslab) a�13tmem seMclnp ae building Is must __ _ ❑teat ❑meters [3 above m.❑ below she NAG.
E8. Zone AO Dray: N es flood depth Iaallbaf ten. The le, u the top of the botlon floor elevated in accordance with the ODrhYrh
orotharcoe7 13 yes [3 No ❑. Unknown. The local off" must 1bodPlaln marlagereM
ceNN this infomnaaon in Section G.
The property owner owners sutlha' lbpntaeld9tye whocompetes Semon A. B, and E For Zone A (without a fEMAassim
ed OrmrMmty.Imnd BFE)
OF Zone AO roue signn Mere. The edlmanlo in Sactons A, B and E are correct ro tee best of my krr Vooa.
Address
'city State ZIPCbds
• fiignabee Date .: Telephone
Cammw a
SM 13 of las Elevation CerlNeate. Complete the o —-......._. 'i F w,.„a,u'y 0. Pete mansgsmert ordinance can WRO teSOdk-r s A, S. ITC(or E)
aPD1IYable itertt(s) and sign below. Check the measurement used in Items Go and G9.
Gt. ❑ The Information in Section C was taken from other documentation flet has been al and sealed by a licensed surveyor, engineer, or arctmct who
Is authorized by law to MIJIFY elevation Information. (Indicate the source and date of the elevation data in the Comments area below.)
'G2. ❑ A community omclat completed Bactlon E for a buildup located in Zone A (without a FEMA -issued or community4la ued SFE) or Zone AO.
G3. ❑ . The following information fatems G449) I$ Provided for community, floodplain management
tip. Porrrtlt Number G8. Date Pormt Issuetl purposes.
ce
fCm len
opntye mO
GT. This pens- nes been usual; for ❑ New Construction ❑ Substantial I
nhprovemem
,GB. Elevation of as-0ura lowest flow (nctudkp basement) o the bulling: _ _ ❑ feet ❑ meters (PR) Datum
G9. SFE w (in Zone AO) depth of flooding at be briding one: ❑ feet ❑miters (PR) Datum
G10. Community's design flood elevation
❑ feet C meters (PR) Datum
Local Olflctal's Norte -
Tide
Community No TMeGftoce
r ...._
Check here It ahachmell
Replaces all previous editions