5805 and 5806 Fleet Landing Boulevard ELEVATION 07.17.2007 F
.S.DEPARTMENT OF HOMELAND SECURITY ELEVA11014, CERT L IIF C TE OMB No. 1660-0008 •C,
ederal Emergency Management Agency Expires February 28,2009
Fatima'Flood Insurance Program Important: Read the instructions on pages 1-8.
SECTION A-PROPERTY INFORMATION -----7;;;;;;rance Company Use: u
Al. Building Owner'Name • Zi:- .
_. Policy Number 2%
i
i pt I vr`-r: iN : C cr ► . FC,:AAo r..r/®BA 4IP CAA,0:,]S
A2. Building Street Address(including Aa,Unit,Suite,and/or Bldg.No.)or P.O.Route and ox No. Company NAIC Number
S-&(ss-0.1J s-ba6 oA,' J/ee- 4,1,4i•d6 3L JI3
State ,2 ZIP Cod322_33 a 3 3
City A iL i4.� i.c- 13%-Ac N
A3. Prop rty Descri tion(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
P VA t- \ 6 C- Lcu r 5 II ( Z ,D
/ :L/, S;c 3/_l
. /A�enc .j 5 4.L wee ' 6rn...r
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc5.) fiC uS; Cl '?a 1 a i
A5. Latitude/Longitude:Lat. iv 3O`- 2) - ZZ� Long., f4 ( - 24 - 35" Horizontal Datum: ❑NAD 1927 [4 NAD 1983
A6. Attach at least 2 photographs i f the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number
A8. For a building with a crawl space or enclosure(s),provide: AS. For a building with an attached garage,provide:
a) Square footage of crawl space or enclosure(s) 0 sq ft a) Square footage of attached garage I/I$ sq ft
b) No.of permanent flood openings in the crawl space orb) No.of permanent flood openings in the attached garage
enclosure(s)walls within 1.0 foot above adjacent grade O walls within 1.0 foot above adjacent grade 40
c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b C7 sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County NameB3.State
r20 011 .-1Anc:.K Sop., Lt ; ()e b L[Un- / I FiU , d c7
B?.Map/Panel Number 65.Suffix 66.FIRM Index B7. FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
Date Effective/Revised Date Zone(s) AO,use base flood depth)
12O01"1 0Z4 2 6 -- /95'5/95'549-/5 15°A) A F 8
10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89.
❑FIS Profile W FIRM ❑Community Determined ❑Other(Describe)
11. Indicate elevation datum used for BFE in Item B9: g NGVD 1929 ❑NAVD 1988 ❑Other(Describe)
12. Is the building located in a Coastal Barrier Resources.System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes X No
Designation Date ❑CBRS ❑OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
1. Building elevations are based on: ❑Construction Drawings* ❑ Building Under Construction* 5'Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,ARAE,AR/A1-A30.AR/AH,AR/AO. Complete Items C2.a-g
below according to the building diagram specified in Item A7.
Benchmark Utilized Gres NU, /S c Vertical Datum A/6 U 0 15 Z7
Conversion/Comments
Check the measurement used.
a) Top of bottom floor(including basement,crawl space,or enclosure floor) (0 - ®feet Cl meters(Puerto Rico only)
b) Top of the next higher floor N_ .A.❑feet ❑meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) Al .4 ❑feet ❑meters(Puerto Rico only)
d) Attached garage(top of slab) /V .40 ®feet ❑meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building JO K feet ❑meters(Puerto Rico only)
(Describe type of equipment in Comments)
f) Lowest adjacent(finished)grade(LAG) qI .3vEl feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade(HAG) ! .std jj feet ❑meters (Puerto Rico only)
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 certify that the information on this Certificate 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. Code, Section 1001.
❑Check here if comments are provided on back of form.
Certifiers Name 1p ,3,, K' I.-./ /� /� C-� License Number
TitleC Company Name r
LAtio .Sldri/el,p/ FibrAO SUrl 050'4 S
g21
Address City State l ZIP Code
i6 4,35' Ara LV, -/A Nso.., ii, ./k fL .�24
Signaturee4,),......____
Date T lephone 3 70
_ 49
EMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use:
Building iStreset Addressuding Apt.,Uni,,,Suite anter Bldg,No or P.O.Route and Bo No. ( Policy Number
5 cOn � 61� Oki t' 19 vel Lac- eS IJP
City
State L�r r c2 ZIP Code
2 3 Company NAIC Number
T
Lat C ' • f&�.
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION ION (CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner.
Comments nic �' c) • C" e f'U�` t
Signature Date
❑ Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,
and C. For Items El-E4,use natural grade,if available. Check the measurement used. in Puerto Rico only,enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawl space,or enclosure)is _❑feet ❑ meters ❑above or ❑below the HAG.
b)Top of bottom floor(including basement,crawl space,or enclosure)is ._❑feet ❑meters ❑above or ❑below the LAG.
E2. For Building Diagrams 6-8 with permanent flood openings provided in Sectio A Items 8 and/or 9(see age 8 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is .—❑feet Li meters ❑above or U below the HAG.
E3. Attached garage(top of slab)is El feet❑meters E above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is . ❑feet ❑meters ❑above or El below the HAG.
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes ❑ No ❑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,and E for Zone A(without a FEMA-Issued or community-issued BFE)
or Zone AO must sign here. The statements in Sections A,B,and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑Check here if attachments
SECTION G COMMUNITY INFORMATION(OPTIONAL) m
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
and G of this Elevation Certificate. Complete the applicable Item(s)and sign below. Check the measurement used In Items Ge. and G9.
Gl. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3. ❑ The following information(Items G4.-G9.)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7.This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8.Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR) Datum
G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet El meters(PR) Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
❑Check here if attachments
FEMA Form 81-31, February 2006 Replaces all previous editions