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HomeMy WebLinkAbout166 Beachcomber Ln U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE I OMB No. 1660 -0008 Expires February 28. 2009 I Fed.rai Emergency Management Agency 'National Flood Insurance Program Important Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name James Mudgett Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 166 Beachcomber Lane City Ocean City State MD ZIP Code21842 A3. Property Description (Lot and Blodc Numbers, Tax Parcel Number, Legal Description, etc.) Montego Bay Mobile Home Park, Lot 1028 , Section 3, A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. Long. Horizontal Datum: ® NAD 1927 ❑ NAD 1983 A6. Attach at bast 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number AS. Fora building with a crawl space or endosure(s), provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosures) jsq ft a) Square footage of attached garage I sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) waft within 1.0 foot above adjacent grade ]Q walls within 1.0 foot above adjacent grade f c) Total net area of flood openings in A8.b 2240 aq in c) Total net area of flood openings in A9.b NIA sq in 1 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 131. NFIP Community Name & Community Number 82. County Name 83. State 245207 0003 Ocean City Worcester MD 64. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 245207 0003 F 2/4/88 3/4/86 A-8 6 B10. Indicate the source of the Base Flood Elevation (BFE) data or base food depth entered in item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the budding 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. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction `A new Elevation Certificate will be required when construction of the budding is complete. C2. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a -g below according to the building diagram specified In Item A7. Benchmark Utilized RM10Verticcai Datum NGVD Conversion /Comments None • Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ 2.2 (81 feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 9.§ ❑ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) 1Y49 ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) y.9 ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the budding 9.Q ® feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) ¢.11 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 11.12 ® 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 • infonnation. 1 certify that the inlbnnation on this Certificate represents my best ellb.ts 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. �l i fel 7 ® Check here if comments are provided on bads of form. I l ► a • '• F' Certifiers s Name Douglas Lamer Number PLS 10897 Title Company Name . f Address 10144 Greenbrier Drive City Berlin D ZI@, ,2) L ; . • Signature _ -- -- Bats 5/11/07 Telephone 410-641-4040 r: : A Form 81 -31, February 2005 See reverse side for continuation. Replaces all previous editions • s ces, copy the corresponding information worn om.w�• • • .. Policy Number IMPORTANT: In these Ice Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Building S � - - Address (inducting Apt., Company NAIC Number 166 Beachcom Lane City Ocean City StateMDZIP Code 21842 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION d( (CO � �NUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, ner. Comments C2e = Air Conditioner 6 Flood Vents ©100 = 600 =1440 2 Screened Crawl 2 Flood Vents on Shed Q 100 = 2000 a Total Date 5111/07 Check hero if attachments Signature THOU? BFE) ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND Z ONE A (WI SECTION E - 13UILNNG dons A, B, is intended to support a LOMA or LOMR-F request, complete For Zones AO and A (without BFE), comp Sections E1-E5. ff the Certificate � used. fn erto Rioo oy, enbr meters. boxes to show e rto Rico o ly, en is above or below the highest adjacent check the appropriate and C. For e e a anon i use a tionf rth f if wing and nd e Pu n E1. Provide elevation information for the following grade (HAG) and the lowest adjacent grade (LAG). �, or enclosure) is ❑feet ❑meters ❑ above or ❑ below the HAG. a) Top of bottom floor (inducting basement crawl spa or enclosure) is ❑feet ❑maters ❑above or ❑ below the LAG. b) Top id of bottom floor (6 6-8 with g basement, flood space, ed in Section A Items 8 and/or 9 (see page 8 of fnstrudions), the next higher floor rent flood openings provided above or ❑ below the HAG. with a meters ❑ E2. For Building Diagrams 6.8 P� ❑feet ❑ (elevation C2.b in the diagrams) of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage (top of slab) is — 0 ❑meters ❑above or ❑ below the HAG. of machinery and/or equipment servicing the building is s floodplain management E4. Zone of platform only: number is available, is the top of the bottom floor elevated in accordance with the community' E5. Zone AO only: If no flood depth ordinance? 0 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 owners authorized representative who completes Sections A, B, and E for Zone A (without a FEIiAP►-issued or community- issued BFE) n here. 77* statements in Sections A B, end E we correct to the best of my knowledge. or Zone AO must sign Party Owners or Owners Authorized Rep resentative's Name Set p ZIP Code21811 Do • las Loewer CitySerlin Address 10144 Greenbrier Drive Tone 410.64104 Date 5/11/07 Signature Comments • 019151• SECTION G - COMMUNITY INFORMATION (OPTIONAL) lnsnkx can complete Sections A, B, C (or E) floodplain management The local o is El who n Certificate. rhors by law or the ordinance to administer the community's liable item(s) and sign below. Check the measurement used in Items G8. and 09. and G of this Elevation on in ti Complete the applicable lion that has been signed and sealed by a licensed surveyor, engineer, or arch w is a thorized by i s Section C was taken from other n document+ nts area below.) 01. O law to certify elevation information. (indicate the source and date of the elevation data in the Comore is c by G2. ❑ A community official comP1eted Section E for a building located in Zone A (without a FENIA- issued or community-issued BFE) or Zone AO. 33. ❑ The following information (Items G4. -G9.) is provided for community floodplain management purposes. liiiiiii G6. Date Certificate Of Compile • Occupancy Issued G5. Date Permit Issued — / • Substantial Improvement New Construction ❑ .13 feet ❑ (PR) Datum G7. This permit has been issued for. ❑ nt of the budding: G8. Elevation of as-built lowest floor (inducting basement) ❑ feet ❑ meters (PR) Datum 39. BFE or (in Zone AO) depth of flooding at the building site: Title Local Offciars Name Telephone Community Name Date Signature Comments 0 c'hedc hero if attet Replaces all previous e =I✓A Form ?1 31, Febw9 1 2 05 Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P. 0. Box No. Policy Number 166 Beachcomber Lane City State Zip Code Company NAIC Number Ocean City Maryland 21842 If using the Elevation Certificate to obtain NFIP flood Insurance, affix at least two 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". If submitting more photographs than will fit on this page, use the Continuation Page, following. Rear View May 11, 2007 10001,4 It , Front View May 11, 2007 r A, ; j h15 -..: ' - 05 11 2007