Transcript
FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM
O.M.B. No. 3067-0077 Expires December 31, 2005
ELEVATION CERTIFICATE lmoortant: Read the instruct ons on oal!eS 1 - 7. SECTION A - PROPERTY OWNER INFORMATION
For Insurance Company Uso:
BUILDING OWNER'S NAME
Policy Number
Tracy Carlisle Sanders & Jean Stroud Sanders
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BUIWING STREET ADDRESS (lncludi"lJ Apt., Unll, Sulle, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
North Dogwood Drive
913
STATE
CITY
Surfside Beach •
~crn=n1=ia=n=y~N11"'1"'c;-:N-;:-u,--m7be-r----l ZIP CODE
SC
29575
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 6 B Block 20 B
Lake=od
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S=e~c_t~io_n
BUILDING USE (e.g., ResldenHal, Non--resldenllal, Addition, Accessory, elc. Use a Comments area, if neOOssary.)
Residential
IATITUDE/LONGITUDE (OPTION/IL)
( #If.##'-##.##" or ##.flll#fllf')
HORIZONTAL DATUM: l_I NAO 1927 l_I NAO 1983
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SOURCE: l_I GPS (Type): 1-1 USGS Quad ;,M;;:a1=--,'lc-;l-;;0;;;11,c:c,,:----------
N/A
N/A
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SECTION B ·FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP COMMUNITY NAME & CDMMUNllY NUMBER
450111
Surfside Beach 84. MAP AND PANEL NUMBER
5051C0752
85. SUFFIX
H
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82. COUNlY NAME
86. FIRM INDEX DATE
8-23-1999
I
Horry
87. FIRM P/\NEL EFFECTIVE/REVISED DATE
BJ. ST/\TE
BB. FLOOD ZONE(S)
8-23-1999
SC
B9. B/\SE FLOOD ELEV/\TION(S) (Zone f\O, use depth of floodhig)
16'
AE
810. Indicate lhe source or U1e Base Flood Eleval1on (BFE) dala or base flood deplh enlered 1n 89. LI FIS Proflle ~FIRM l_I Community Detennined LJ Other ( D e s c r i b e ) : - - - - - - - - - - - - - 911. Indicate lhe elevallon dalum used for the BFE in 89: 12<1 NGVD 1929 LI NAVO 1988 l_I Olher ( D e s c r i b e ) : - - - - - - - - 812. ls the building located in a Coastal Barrier Resources System (CBRS) area or Oll1orwise Prolecled l\rea (OPl\)7 l_I Yes 1.29 No Designation Date: N /A SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
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-•·building elevallons are based on: LIConslruction Drawings• LJBuilding Under Conslruclion" ~IFinist1ed Conslruclion *A now Elevatfon Certificale will be required when construction or lhe building Is con1plet0. C2. Building Diagram Number _6_ (Select the building diagram most simiar lo the building for which this certificalo is being compleled. see pages 6 and 7. Ir no diagram accuralely represents the building, provide a skelch or photograph.) C3. Elevallons- Zon09 A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, /\Rill, ARlllE, /\Rll\ 1-/130, llR/Afl, llR/110 Complet~ Item• CJ.a-I below according lo lhe builcfmg diagram specified in llem C2. Slale lhe dalurn used. If Iha dalum is diJTorenl from the dalum uaed for lhe BFE in Section 8, convert lhe datum lo lhat used for the BFE. Show field measurornents and datum conversion calcufatlon. Use lhe space provided or the Commenls area of Seclion Dor Section G, as appropriale, lo document U1e dalurn conversion. Conversion/Commenls _ _ _ __,N~/'-'A-=--------Datum NGVD 29 Elevallon reference mark used 5180 B Does lhe elevalion reference mark used appear on the FIRM? l_I Yes a a) Top of botlom noor (including basement or enclosure) 10 . _§__ fl.(m) oi
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b) Top or nexl higher noor 20 . 2._ fl.(rn) "' a c) Bollom or lowest holizonlal slructural member (V zones only) N/A . _ 11.(m) a d) Atlached 11arage (lop ol slab) No Garage Slab 1O . _§__ n.(m) a e) Lowest elevalion or machinery and/or equipment servicing the building (Describe in a Commenls area.) HVAC 19 .3_ 11.(m) 0 f) Lowest adjacenl (finished) grade (LAG) 10 . _1_ fl.(m) a g) Highest adjacent (finished) grade (HAG) 10 . _2_ fl.(m) a h) No. orpennanent openings (Pood vents) wilhin 1 fl. above adjacenl grade 2 a I) Total area or all pennanenl openings (flood vents) In CJ.11 288 sq. in. (sq. cm)
November 12, 2003
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This oortfficaUon is lo be sigood and sealed by a land surveyor, engineer, or architect authorized by law lo certiry elevalion inrom1alion. I certify that the Information in Sections A, B, and Con l11is Certificate represents my best effods to interpret Ifie data availabfe. I understand t11at an fafse slaternenl n1a be unisf1able b fine or im risonn1enl under 18 U.S. Code, Section 1001 . . CERTIFIER' NAME Larry T. Beasley LICENSENUMDER SC PLS 9544 LE Land ADDRESS
Surveyor
Beasley Land S~e"yN.{n~'°rnc. CllY
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e Beach
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November
JlL_.?.Q.9.l___
See reverse side ror continuation. >:. '.
843-650- 7722 Replaces all previous edlUons
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IMPORTANT: In these spaces, copy the corresponding fnfonnaffon from Section A
For ln<;urancc .. Co111pany Use:
BUIWING STREET ADDRESS (Including Apl., Unil, Suite, and/or Bldg. No.) OR P.O. ROUTE AND ODX NO.
Policy Nurnbcr
Norl.h Dogwood Drive
9 13 CITY
s urfside
STATE
Beach.
SC
29575
ZIP CODE
Con1pany NAl~,Wi.1~-''AAQi ~; , ••• ::,,, v
ECTION D - SURVEYOR ENGINEER, OR ARCHITECT CERTIFICATION CONTINUED
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Copy both sides of this Elevation Cerlificale ror ( 1) communily orncial, (2} Insurance egenUcompany, <'Ind (3) buildintf owri~r.
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COMMENTS
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I I Chad. he"' I a tacillh~~ls SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO end Zone A (wilhoul BFE), complete Hems E1. lhrough E5. If U10 Elevation Cerlificole is lnlended for use as supporting lnfonnallon for a LOMA or LOMR-F, Section C must be completed. E1. BuHdlng Diagram Number _ _ (Select the building diagram most similar lo lhe building for which lhis cerliOcale is being completed_ see pages 6 and 7. If no diagram accurately represents Ille building, provide a sketch or photograph.) E2. The top of the bollom floor (Including basement or enclosure) of the building is L L I n. (m) l_LI In. (cm) LI above or I I below (check one) lh& hlghesl adjacent grade. (Use nalural grade, if available.) E3. For Bulldlng Diagrams 6-8 with openings (see page 7), lhe next higher Hoor or elevaled Ooor (elevalion b) of the building is LLI n. (m) LLlln. (cm) above the highest adjacent grade. Complete Hems C3.h and C3.i on Iron! of form. E4. The lop of the plalform of machinery and/or equipment servicing lhe building is L L I II. (m) LLJ in. (cm) f_I abova or LI below (check one) lhe highest adjacent grade. (Use natural grade, If available.) ES. For Zone AO only: If no flood depth number is available, Is the lop of the bollom Ooor elevated in accordance wilh lhe community's floodplain management ordinance7 I I Yes I I No I I Unknown. TI1e local official musl cerlify !his information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's aulhorized represenlallve who completes Secllons A, B, C (ll01ns C3.h and C3.i only), and E for Zono I\ (without a FEMA-lnsued or communily-issued BFE) or Zone AO tnusl sign here. T71e slate111e11ts in Sections A, 0, c. and E are coITTJcl to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS
CITY
SIGNATURE
DATE
TELEPHONE
COMMENTS
I I Check here II allachmenls SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who Is authorized by law or ordi.nance lo administer the community's floodplain management ordinance can complete Secllons A, B, C (or E). and G of this Elevation Certificate. Complete the applicable ilem(s) and sign bolow. G1. LI Tho lnlormallon in Section C was token from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by stale or local law lo certify elevation infmmalion. (Indicate the source and dale of the el&vallon data In the Comments area below.) G2. LI Acommunity official completed Section E for a building located In Zone A (without a FEM/I-Issued or community-issued BFE) or Zone AO.: G3. LI The foilo!"ng Information (Items G4-G9) is provided for communily Ooodplaln management pu~1oses. G4. PERMIT NUMBER
GS. DATE PERMIT ISSUED
G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for: L..J New Conslruclion LI Substanlial lmprovemenl GO. Elevation of as-bulll lowesl noor (including basemen!) of the building is: _ _ _ _ _ . _II. (m) Dalum: _ _ _ _ __ G9. BFE or (in Zone AO) deplh of nooding al lhe building silo is: ._ 11. (m) Dnlum:. _ _ _ _ _ __
LOCAL OFFICIAL'S NAME
TITl.E
COMMUNITY NAME
TELEPllONE
SIGNATURE
DATE
COMMENTS
I Check hem If altachrnonts
FEMA Form 81-31, January 2003
Replaces all provious edilions
