Transcript
Fl:'pERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM
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O.M.B. No. 3067-0077 Expires July 31, 2002
ELEVATION CERTIFICATE
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, EX'I'FNDED "
lmoortant: Read the instructions on oaaes 1 - 7. SECTION A - PROPERTY OWNER INFORMATION
For lnsu1ance Company Use;
I BUILDING OWNER'S NAME Policy Nurnber Scalise Develoi:ment, Inc. BUILDING STREET ADDRESS (Including Apl., Unil, Sulle, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Cornpany NAIC Nu1nber _North Dogwood Drive 25 _._ .. STATE CITY ZIP CODE SC Surfside Beach, 29575 --------~-------~-c~~~~~-=-~--------------PROPERTY DESCRIPTION (Loi and Block Numbers, Tax Parcel Number, Legal Descripl'lon, elc.) 'Lot 20 A Block G Floral Section Bella Vista
BUILDING USE (e.g., Resldential, Non-residential, Additiof'\, Accessory, etc. Use Comments section if necessary.)
Residential LATITUDE/LONGITUDE (OPTIONAL) ( ##'.fl#' -11#.11#" or 11#.1#1###') N/A
HORIZONTAL DATUM: \_\NAO 1927 \_I NAO 1983 N/A
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SOURCE: l_I GPS (Type):_-:-:---:---c---------l_i USGS Quad Map l_l.Olher: _ _ _ _ _ __
SECTION B ·FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER Surfside Beach 450111 84, MAP AND PANEL
B5. SUFFIX
NUMBER 45051C0751
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I B2. COUNTY NAME.
BS. FIRM INDEX DATE 8-23-1999
Ho=y B7. FIRM PANEL EFFECTIVE/REVISED DATE 8-23-1999
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B3. STATE
BB. FLOOD
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SC
89. BASE FLOOD ELEVATION(~ (Zone AO, use depth of flooding)
ZONE(S) 16' AE B10. Indicate the source or the Base Flood Elevation (BFE) data or base nood depth entered in 89. l_I FIS Profile 12'1 FIRM J_I Community Determined l_I other (Describe): _ _ _ _ _ _ _ _ _ _ _ _ __ : 1:!11. Indicate the elevation datum used for the BFE in 89: J_!g NGVD 1929 l_J NAVO 1988 l_I Other (Describe): _ _ _ _ _ _ _ __ j 1312. ts the building localed in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? l_I Yes J_!g No ' Designation Dale: N /A
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SECTION C ·BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. 13ulldlng elevations are based on: l_IConslruction Drawings° !_!Building Under Construction' LzJrinished Construction 'A new Elevation Certificate will be required when construction of the building is complete. · C2. Building Diagram Number _5_ (Select the building diagram most similar lo the building for which this cerlilicale is being completed. see pages 6 and 7. II no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones A 1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR//\E. /\R//\ 1-A30, /\R/All, AR/AO Complete Items C3a-I below according to the building diagram specified in Item C2. Slate the datum used. If lhe datum is different from the datum used for the BFE in Section B, convert the datum lo that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section Dor Section G, as appropriate, lo document lhe dalum conversion. Datum NGVD 29 Conversion/Comments N/A --'-"---"-----------------------~ Elevation reference mark used 5140 Does the elevation reference mark used appear on the FIRM? l_I Yes t<._J No 0 a) Top of bottom noor (including basement or enclosure) 19 . ..§_ ft.(m) " • 0 b) Top of next higher floor 30 . _1_ fl.(m) "'
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c) Bollom of lowest horizontal structural member (V zones only) Slab
0 d) Attached garage (lop of slab) 0 e) Lowest elevation or machinery and/or equipment 0 O O O
N/A
/ ;J.: 7 0
w°~ E"_ 00"':;~"·.
· _ fl.(rn) 10 . __()__ ft.(rn) ~
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•.Jj~'€ji"
servicing the building -----'1-"--9 . .1_ ft.(m) E;;; I) Lowest adjacent grade (LAG) _ _ _ __,_·:z9 . .A._ ft.(m) {I_ .il> Larry, ' • Beasley g)Hlghesladjacenlgrade(HAG) _ _ _ _ 10 ._1_fl.(m) [l!"' S.C. Pl..S 9541 h) No. of permanent openings (Oood vents) within 1 ft. above adjacent grade NIA ~ December 16, 2002 I) Total area or all permanent openings (Oood vents) In C3h N/A sq. in. (sq. cm) SECTION D ·SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification Is lo be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. ,_ 'rlify that the lnfonnalion in Secfions A, B, and Con lflis certificate repmsenls my best efforts lo inte1pmf lite dafa available. 1 · , ..• 1dersland I/Jal any false statement may be pun is/table by line or imprisonment under 18 U. S. __G_~ci.".,_::;ectio~.!_OO 1'-····· CERTIFIER'S NAME LICENSE NUMBER Larry Beasley s.c:....!'Ic.5_25_'1_~--·---, COMRANY NAME TITLE Land Surveyor Beasley Land Surveying, lnc. ADDRESS CITY ··-----sTi\Tt""--···--zircoiJE ___ -----7 SIGNATURE .?.'cJ 5 BB
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~-70~rtle ~filch,____ ~
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IMPORTANT: In these spaces, copy the corresponding lnronnatlon from Section A.
For tnsuranr:e Co1npany Use:
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO_
Policy Nun1her
25
CITY
North Dogwood Drive
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STATE
Surfside Beach
SC
Cornpany N/\IC Nuniber
29575
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SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (COl'{J;tNue9 •• ,,,
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 E 1 through E3. If the Elevation Certmcate is intended for use as suppooting Information for a LOMA or LOMR-F. Section C must be completed. 1:1. Building Diagram Number _ _ (Select the building diagram most similar to !he building for which !his certificate is being completed _ see pages 6 and 7. II no diagram accurately represents !he building, provide a sketch or pho!ograpl1.) E2. The top of the bottom floor (including basemen! or enclosure) of the building is l_l_I ft.(m) l_J_lin.(crn) !_I above or l_I below (check one) the highest adjacent grade. 1:3. For Zone AO only: If no flood depth number is available, is the lop of the botlom floor elevated in accordance with the cornrmmity'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 aulhorized representative who completes Sections A, B. and E ror Zone A (without a FEMA-issued or community-Issued BFE) or Zone AO must sign here.
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PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS
CITY
SIGNATURE
DATE
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I Check here if attachments · SECTION G - COMMUNITY INFORMA TJON (OPTIONAL)
The local official who is authorized by law or ordinance to adrninister the community's noodplain 1nanage1nent ordinance can cornplete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. l_I The information In Section C 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 infonnalion. (l11(f1cale the source and dale of the elevation data In the Comments area below.) G2. LI A community official completed Section E for a building located in Zone A (williout a FEMA-issued or community-issued BFE) or Zone AO. G3. LI The following information (Items G4-G9) is provided for community floodplain management purposes.
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G4.PERMITNUMBER
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G7. This permit has been issued for:
~~~~rEcERfificll=-~coMrLiilficE1oc~~fillNcv
G5. DATEPERMir1ssuED
!_I New Construction
!_I Substantial Improvement
G8. Elevation of as-built lowest floor (including basement) of the building is:
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______ . ___ ft.(m) Dalum: ______ . _ ft.(m) Dalurn: _ _ _ _ __
G9. aFE or (In Zone AO) depth of flooding at the building site is: LOCAL OFFICIAL'S NAME
TITLE
COMMUNITY NAME
TELEPHONE
SIGNATURE
DATE
COMMENTS . ·------
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