Transcript
0.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM
Expires December 31, 2005
ELEVATION CERTIFICATE mpo rt ant: Rea d th e I ns rue rrons on oaaes 1 7 SECTION A - PROPERTY OWNER INFORMATION
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BUILDING OWNER'S NAME Scalise Develoi;:t!!§nt,. __:i:nc~-·---·---··--.. ·---------.-- ...... BUILDING STREET ADDRESS (Including Apl., Unll, Sulle, and/or Bldg. No.) OR P .0. ROUTE AND BOX NO. 215 North Yaumn Drive STATE CITY . SC Surfside Beach
For Insurance Company Use:
Policy Nun1ber ·----~
Company NAIC Number
ZIP CODE
29575
PROPERTY DESCRIPTION (Loi and Block Numbers, Tax Parcel Number, Legal Description, etc.)
r.at
Block E
16 A
BUIWING USE
Floral Section
Residential LATITUDE/LONGITUOE (OPTIONAL) ~ .#If'-##'-##.##" or ##.~)
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HORIZONTAL DATUM: l_I NAO 1927 LI NAD 1963
SOURCE: l_I GPS (Type): = - - ; - c = - - - - - - - l_I USGS Quad Map l_I Olher - - - - - - - N/A SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
N/A
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B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER .... ,.,! .. 4'i0111
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(e.g., Reskfential, Non-residential, Addition, AccessOf)', etc. Use a Comments area, if necessary.)
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94. MAP AND PANEL
B5. SUFFIX
NUMBER "''"'51C0751
B:
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86. FIRM INDEX DATE 9-17- 2003
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B2. COUNTY NAME Horrv 87. FIRM PANEL EFFECTIVE/REVISED DATE 8-23-1999
BJ. STATE SC
86. FLOOD ZO~S)
B9. BASE FLOOD ELEVATION(S) (Zone AO, use deplh of flooding) 16' '
810. lndrcate lhe source of the Base Flood Elevation (BFE) data or base flood depth entered rn 89. LI FIS Proflle
~FIRM
LI Community Determined,
l_I Other (Describe): "C-:'-------------
811. Indicate lhe elevation datum used for the BFE in 89: ~J NGVD 1929 LJ NAVO 1988 l_I Other ( D e s c r i b e ) : - - - - - - - 812. la the building localed in a Coastal Barrier Resources System (CBRS) area or Olherwise Protected Area (OPA)? LJ Yes LJ. CLlO:J!lI
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A 7. 2 'x 1o.4 ' storage room enclosed.
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I I Check here H attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFEJ
For Zone AO and Zone A (without BFE). complete Items E 1. through E5. If the Elevation Certificate is in Iended for use as supporUng Information for a LOMA or LOMR-F, Section C must be completed. E1. Buffding 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. Tue lop of the bottom floor (including basement or enclosure) of the building is L L I fl. (m) l_LI In. (cm) LI above or l_I below (check one) the highest adjacent grade. (Use natural grade, if available.) E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is LU II. (m) LJ__Jin. (cm) above the highest adjacent grade. Complete Items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is LLJ ft. (m) L.LJ in. (cm) l_I above or LI below (check one) the highest adjacent grade. (Use natural grade, if available.) E5. For Zone _AO only: If no flood depth number is available, is the top of the bollom floor elevated in accordance ,,;th 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
Tue 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 (wtthout 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 Iliff best of my knowledge. ---------·-------PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS
SIGNATURE - - - - - - - - - · --··----------- - - - -
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CITY
STATE
DATE
TELEPHONE
ZIP CODE
COMMENTS
l_I Check here tt 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 lhe applicable item(s) and sign below. G1. LJ The Information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or archilect 'Nho is authorized by stale or local law to certify elevation infonnalion. (Indicate the soun::e and dale of the elevation data in the Comments area below.) G2. LJ A community official completed Section E for a building located in Zone A (without a FEMA-issued or communily-issued BFE) or Zone AO. G3. LJ The follo~ng lnfonnation (Items G4-G9) is provided for community floodplain management purposes. G5. DATE PERMIT ISSUED
GI. PERMIT NUMBER
G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7. This permit has bean issued for: l_I New Construction l_.I Substantial lmprove1nenl _ _ _ ._fl. (m) Datum: _ _ _ _ __ G8. Elevation of as-buill lowesl floor (including basement) of the building is: _ _ _ _ _ . ___ fl. (rn) Dalum: _ _ _ _ __ G9. BFE or (in Zone AO) depth of Hooding at lhe building site is:
LOCAL OFFICIAL'S NAME
TITLE
COMMUNITY NAME
TELEPHONE
SIGNATURE
DATE
COMMENTS -~----·---·
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I I Check here nattachments FEMA Form 81-31, January 2003
Replaces all previous editions
