Laserfiche WebLink
U S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0008 <br /> Expires March 31, 2012 <br /> Federal Emergency Management Agency <br /> National Flood Insurance Program Important: Read the instructions on pages 1 -9. / 0 L f I . ( ' <br /> SECTION A - PROPERTY INFORMATION For Insurance Company Use • • • <br /> Al. Building Owner's Name DR. WILLIAM R. ALLEN,JR. Policy Number' W <br /> i ; R w .: ncluding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NA IC Number ...... .. <br /> , :Y r,.• <br /> City OCEAN CITY State MD ZIP Code 21842 <br /> A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br /> LOT 96 SOUTH HERON GULL COURT TAX MAP 116 PARCEL 6069A HERON HARBOUR SEC 3 <br /> A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL <br /> A5. Latitude/Longitude: Lat. 4K Long. 075.06722 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 <br /> A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. <br /> A7. Building Diagram Number $ <br /> A8. Fora buldmg with a crawtspace or enclosure(s): A9. For a budding with an attached garage: <br /> a) Square footage of crawispace or enelosure(s) Mg sq it a) Square footage of attached garage $ ]. sq ft <br /> b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings In the attached garage <br /> endosure(s) within 1 0 foot above adjacent grade ig within 1.0 foot above adjacent grade $ <br /> c) Total net area of flood openings in A8.b UM sq In • c) Total net area of flood openings in A9.b Mil sq in <br /> d) Engineered flood openings? ® Yes ❑ No d) Engineered flood openings? ® Yes ❑ No <br /> SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br /> f B1. NFIP Community Name 8 Community Number B2. County Name 83 . State <br /> OCEAN CITY - 245207 WORCESTER MO <br /> B4. Map►Panei Number 85. Suffix 136. FIRM Index 87. FIRM Panel B8. Flood ' 139 Base Flood Elevations) (Zone <br /> 245207 0003 F Date Effective/Revised Date Zone(s) AO, use bass flood depth) <br /> 02/04188 03104/86 A$ +6' <br /> 810. indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. <br /> ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) <br /> 811. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) <br /> B12. Is the building located ins Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No <br /> Designation Date INA ❑ CBRS ❑ OPA <br /> 1 <br /> SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br /> C1. Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Construction` ® Finished Construction <br /> `A new Elevation Certificate will be required when construction of the building is complete. <br /> C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -MO, AR/AH, AR/AO. Complete Items C2e-h <br /> below according to the building diagram specified in item A7. Use the same datum as the BFE. <br /> Benchmark Utilized 40 42B Vertical Datum 1929 NOW <br /> Conversion/Comments 1$77 Datum + 0.4 = 1929 FIRM <br /> Check the measurement used. <br /> a) Top of bottom floor ( mcluding basement, crawlspece, or enclosure floor) ¢.$ ® feet ❑ meters (Puerto Rico only) <br /> b) Top of the next higher floor ,IQ.$ IX feet ❑ meters (Puerto Rico only) <br /> c) Bottom of the lowest horizontal structural member (V Zones only) L1/9. ❑ feet ❑ meters (Puerto Rico only) <br /> d) Attached garage (top of slab) 61 ® feet ❑ meters (Puerto Rico only) <br /> e) Lowest elevation of machinery or equipment servicing the building 1.2 ® feet ❑ meters (Puerto Rico only) <br /> (Describe type of equipment and location in Comments) <br /> f) Lowest adjacent (finished) grade next to building (LAG) 14 ® feet ❑ meters (Puerto Rico only) <br /> g) Highest adjacent (finished) grade next to building (HAG) $.$ IS feet ❑ meters (Puerto Rico only) <br /> h) Lowest adjacent grade at lowest elevation of deck or stains, including $.$ ® feet ❑ meters (Puerto Rico only) <br /> structural support ' <br /> SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br /> Thls certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation <br /> information. I certify that the infon nafon on this Certificate represents my best efforts to Interpret the data available. 1 I• ,M i,Amii <br /> I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. _ w► OF R y � i <br /> ❑ Check here if comments are provided on beck of form. Ware latitude and longitude in Section A provided by a ? kk •- . 7 <br /> licensed land surveyor? ® Yes ❑ No 4 G 1 : , 1- % <br /> Certifler's Name L.E. BUNTING, JR. License Number 142 _ s fi tvh' • cis': <br /> ' • . Vp r <br /> Title LAND SURVEYOR Company Name L.E. BUNTING SURVEYS, INC. ,� 1 1'C;' Q <br /> Address 24 BROAD STREET City BERLIN State MD ZIP Code 21811 � % ,9 6 .. ' <br /> Signature � Date 07/13/09 Telephone 410.641.3313 Sm INE 0,40 <br /> V . <br />