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Flood Control - Elevation Certificate - 2281 N Vizcaya Way - Vizcaya Sub - 12/6/2013t; ?S. DE PARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB N 00 ,;rw+xrl Fnrxllnsururac 1'rugr�mr Important: Read the instructions on pages 1 -9. 31, 2015 Al Name auuping c.,ompany SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Policy Number. r+c. ounoung atreet Raoress (including Apt., Unit, Suite, and/or Bldg. No,) or P,O. Route and Box No Company NAIC 2281 N. Vizcaya Way " "r "CUIC State ID ZIP Code 83616 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 26 Block 1 Vizcaya Subdivision A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Detached Garage Sho A5, Latitude /Longitude: Lat, N43 °42'56.59^ Long, W1IW2918.69" Horizontal Datum ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance AT Building Diagram Number 1B A8, For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage a) Square footage of crawlspace or enclosure(s) NIA sq It a) Square footage of attached garage 1620 sq It bj Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade NIA within 1.0 foot above adjacent grade NIA c) Total net area of flood openings in A8.b NIA sq in c) Total net area of flood openings in A9.b NN }'A sq in d) Engineered flood openings? ❑ Yes ® Na d) Engineered flood openings? ❑Yes i$I No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name 83. State Eagle, City of 160003 TAda ID B4, Map /Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8 Flood B9. Base Flood Elevation(s) (Zone 0154 H October 2, 2003 Effective /Revised Date Zone(s) AO, use base flood depth) February 19, 2003 AE 2613.70 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ® F1S Profile ❑ FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Budding e'evations are based on ❑ Construction Drawings' ❑ Budding Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the building s complete C2. Elevations - Zones Al A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE). AR ARIA, ARIAE AR/Al-A30, ARIAH, ARIAO Complete Items C2 a -h below according to the bu.Iding d-agram specified in Item A7 In Puerto Rico only, enter meters Benchmark Utilized BRS 134 Vertical' Datum NAVD 88 Indicate elevation datum used for the elevations in items a) through h) below ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source Datum used for buiding elevations must be the same as that used for the BFE Check khe measurement used a) Top of bottom floor (including basement, crawlspace or enclosure floor) 2615 90 h feet ❑meters b) Tap of the next higher floor N!A ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N_A ❑ feet ❑ meters d) Attached garage (top of slab) WA. ® feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 2618.40 ® feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 261515 ® feet ❑ meters g) Highest adjacent (fnished) grade next to building (HAG) 2615 55 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs including structural support 2615.80 ® feet ❑ meters 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 1 certify that the information on this Certificate represents my best efforts to interpret the data available. t 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 Were latitude and longitude in Section A provided by a ❑ Check here if attachments licensed land surveyor? ® Yes ❑ No Certifiers Name Aaron L. Baflard Title PLS License Number 12459 Company Name KM Engineering. LLP Address 9233 1. State Street City Boise Signature c Date December 06. 2013 State ID ZIP Code 83714 Telephone 208 -639 -6939 12459 12•�e -�ol3 FEMA Form 086 -0 -33 (7112) 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 Street Address (including Apt., U r't, SAte, and or Bldg. No ) or P O Route and Bcx Wl Policy Number 2281 N Vizcaya Way City Eagle State ID ZIP C--de 83616 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Electrical panel mounted to wall inside garage �I Signature Date 12!6/2013 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 E1 -E4, use natura' grade, if available. Check the measurement used In Puerto Rico only, enter meters E1 Provide e'evation informat -on for the fol'owing 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, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG b) Top of bottom floor (including basement, crawispace, or enclosure) is _ ❑ feet ❑ meters ❑ above or ❑ below the LAG E2 For Bui'ding Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions). the next higher floor (elevation C2.b in the diagrams) of the build ng is ❑ feet ❑ meters ❑ above or ❑ below the HAG E3 Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG E4 Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ 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. . _.___ Properly 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) The local officio who is authorized by law or ordinance to admin ster the community's floodplain management ordirance can complete Sections A, 8 C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and s'gn below. Check the measurement used in Items G8-G 10, In Puerto Rico only, enter meters G1 ❑ 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 taw 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 -G10) is provided for community floodplain management purposes 7 G4. Permit Number G5. Date Permit Issued G6 Date Certificate Of CompliancelOccupancy Issued G7. This perm,{ has been issued for: ❑New Construction ❑Substantial Improvement �. �� G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum _ G9_ BFE or (in Zone AO) depth of flooding at the building site: ❑ feel ❑ meters Datum G10 Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name T Telephone T Signature` Date Comments Check here if attachments FEMA Form 086 -0 -33 (7112) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite andlor Bldg No ) or P O Route and Box No Policy Number- 2281 N. Vizcaya Way City Eagle State Id ZIP Code 83616 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View "; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Front View December 0( 2013 — -- FEMA Form 086 -0 -33 (7112) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt, Unit Suite and /or Bldg No.) or P 0 Route and Box No Policy Number. 2281 N. Vizcaya Way City Eagle State ID ZIP Code 83616 Company NAIL Number: If submitting more photographs than will tit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8, Back View December 06, 2013 FEMA Form 086 -0 -33 (7112) Replaces all previous editions.