Transcript
FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM
0.M.B. No. 3067-0077 Expires December 31, 2005
ELEVATION CERTIFICATE lmoortant: Read the instructions on oaaes 1 - 7. SECTION A· PROPERTY OWNER INFORMATION BUILDINGOWNER'S NAME Sca.lise Developneht, Inc. BUILDING STREET ADDRESS (lncludiJl_ Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 113 17Th Avenue Nor CITY STATE Surfside Beach. SC
For Insurance Company Use: Policy Number Company NAIC Number
ZIP CODE 29575
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 8-A Block 27-B Lakewood Extention Section, Bella Vista I I BUILDING USE {e.g., Residential, N()f'rresidentlal, Addition, Accessory, etc. Use a Comments area, If necessary.) Residential I.ATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: l_I GPS (Type): ( #If' - #If • ##.#If' or ## .#1111##') LI NAD 1927 l_I NAD 1983 LI USGS Cluad "M"'ap::-;-1'""l-;O:;;the_,_r- - - - - - N/A N/A SECTION B ·FLOOD INSURANCE RATE MAP (FiRM) INFORMATION 81. NFIP COMMUNITY NAME & COMMUNITY NUMBER Surfside Beach 450111
B4. MAP AND PANEL
B5. SUFFIX
I B2. COUNTY NAME
I BJ. STATE
Horry
B6. FIRM INDEX DATE 9-17-2003
B7. FIRM PANEL 88. FLOOD EFFECTIVE/REVISED DATE ZONE(S) H R-?1-1999 AE B10. lndlcale lhe source of lhe Base Flood Elevallon (BFE) data or base flood deplh enlered m 89. NUMBER 5051C0752
LI FIS Profile
~I FIRM
LI Communily Determined
SC
89. BASE FLOOD ELEVATION(S) (Zone AO, use depth of flooding) 16'
LI other ( D e s c r i b e ) : - - - - - - - - - - - - - -
811. lndicale lhe elevalion dalum used for lhe BFE in 69: ~ NGVD 1929 LI NAVO 1988 l_I Olher ( D e s c r i b e ) : - - - - - - - 812. Is lhe building localed in a Coastal Barrier Resources Syslem (CBRS) area or Olherwlse Prolecled Area (OPA)? r_r Yes ~ No Designation Date:
N/A SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevalions am based on: LJCOnslruction Drawings• LIBuilding Under Cons!ruclion• l~JFinished Construction •A new Elevation Certificate 1Nill be required when construction of the building is complete. ' C2. Building Diagram Number _5_ (Selecl lhe building diagram most similar lo lhe building for which !his certificale is being compleled - see pages 6 and 7. If no diagram accurately represenls the building, provide a sketch or pholograph.) C3. Elevations-Zones A1-A30, AE, AH, A (wilh BFE), VE, V1-V30, V (wilh BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO Compfele Hems C3.a~ below according lo !he building diagram specified in Item C2. Slale the datum used. If !he dalum is dilferenl from the datum used for the BFE in Section B, convert the dalum to lhal used for lhe BFE. Show field measuremenls and dalum conversion calculation. Use the space provided or the Comments area of Section 0 or Section G, as appropriate, lo document the datum conversion.
Dalum NGVD29' Conversion/Commenls=~--'N=/A'-'------------------------ Elevallon reference mark used Monument 581 0 Does Iha elevalion reference mark used appear on lhe FIRM? LI Yes [.29 No Cl a) Top of bottom floor (including basemen! or enclosure) 21 . ft.(m) ~ Cl b) Top of nexl higher floor 31 . l_ ft.(m) "' Cl c) Bollom of lowesl horizonlal slruc!ural member (V zones only) N /A . _ ft.(m) Cl d) Attached garage (lop of slab) NO Garage SLAB 12 . .3_ ft.(m) Cl e) Lowe~! elevalion of machinery and/or equipmenl 21 . l_ ft.(m) servicing lhe building (Describe in a Commenls area.) HVAC Cl f) Lowesl adjacenl (finished) grade (LAG) 12 . _1_ ft.(m) Cl g) Hlghesl adjacenl (finished) grade {HAG) 12 . L ft.(m) CJ h) No, of permanenl openings (flood vents) within 1 ft. above adjacenl grade 0 Cl I) Total area of all permanenl openings {flood venls) in C3.h 0 sq. in. (sq. cm)
L
SECTION D - SURVEYOR, ENGINEER, 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. I cett/fy that the infonnafion in Sections A, 8, and Con this certiftcate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Coda, SecUon 1001. CERTIFIER'S NAME · LICENSE NUMBER . Larry T. Beasley scpr.s 9544 STATE DAE See
Jul
22
arse side for continuation.
2004
SC TELEPHONE
ZIP CODE
29588
843-650-7722 Replaces all previous editions
IMPORTANT: In these spacee, copy the corresponding inforrnation from Section A. For Insurance Company Use: BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 113 17Tb Aizen1re North CITY STATE ZIP CODEi
Surfside Beach
SC
29575
'
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (!:Qt!:tlN
Copy bolh sides of lhls Elevation Certificale for (1) community official, (2) insurance agenUcompany, ~bu· COMMENTS
the =ncrete slab is used for parking, no stora e roan or enclosure on slab.
ID GARAGE,
not enclosed
I I Check here Wattachments SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO 8nd Zone A (without BFE), complete Items E1. through E5. If the Elevation Certificate is intended for use as supporting fnformaUon for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _ _ (Select lhe building diagram most similar to the building for which lhis certificate is being completed see·pages 6 and 7. If no diagram accuralely represents lhe building, provide a sketch or photograph.) E2. The lopof lhe bottom floor (Including basement or enclosure) of the building is LLI ft. (m) LLI in. (cm) LI above or l_I below (check one) lhe highest adjacent grade. (Use nalural grade, if available.) E3. For Building Diagrams 6-8 wilh openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is LLJ ft. (m) LLJin. (cm) above the highest adjacent grade. Complete Items C3h and C3.i on front of form. E4. The top of the plaitorm of machinery and/or equipment servicing the building is LU ft. (m) LU in. (cm) LI above or LI below (check one) lhe highest adjacent grade. (Use natural grade, if available.) E5. For Zona AO only: If no flood depth number is available, Is the lop of lhe bottom floor elevated in accordance with the community's floodplain management ordinance? I I Yes I I No I I 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, C (Items C3.h and C3.i only). and E for Zone A (wllhoul a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to Illa best of my knowtedf/9. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS
CITY
STATE
SIGNATURE
DATE
TELEPHONE
ZIP CODE
COMMENTS I
n
I Check here atlachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official vdlo 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 ilem(s) and sign below. G1. U The infonnalion in Section was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or archilect who is authorized by state or local law lo certify elevation information. (Indicate the source and dale of the elevation data in lhe Comments area below.) G2. LJ A community official completed Section E for a building located in Zone A (without a FE MA-Issued or communily-issued BFE) or Zcihe AO. G3. U The following Information (Items G4-G9) is provided for community floodplain management purposes.
c
G4. PERMIT NUMBER
GS. DATE PERMIT ISSUED
G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for: L.J New Construction LI Substantial Improvement GS. Elavalion of as-built lowest floor (including basement) of the building is: _ _ _ _ _ ._ft. (m) Datum:. _ _ _ _ __ G9. BFE or (in Zone AO) depth of flooding at lhe building site is: . _fl. (m) Datum · . _------
LOCAL OFFICIAL'S NAME
TITLE
COMMUNITY NAME
TELEPHONE
SIGNATURE
DATE
COMMENTS --~-----~--------------
I
FEMA Form 81-31, January 2003
I Check here If attachments
Replaces all previous editions
