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HomeMy WebLinkAboutEvaluation Reporti IR►D —b578 ':s:buAR e�� NT a;=�-IaR�iEL A lf?SE t� err aC�13 IV©: 1P:�;r Uru8 L'cE r if E�ai r �riry IL1�an grt ➢ear 4`ArI racy%. #,p,;'fib f at6 N'tv 20.18 Neflonal Flood Insurance Program ---- L " : CERTIFICATE ta�€.ar���E� Foliu;rr tll^u%slruct dos o3rpat�i;�'�-�; Co €I p 3gE s ofit�ticlion Ctdrtifi .ai,�€'�3,�ttractirrto�rt s tqr;1)u3r�ti17i�ttty pfci�31„'.r�)u> i.irarc :a '' 7tEcarrtp�riy,. r d(3)�i111ldlft SECTION A--PROP ERTY INFORMATION FOR lit_!SURt.R+CE cbmPA:N°tr U$E, A1;_ Builo3ity CNrlcyr'S`I�E�EI'9 Pc.:Qy IVutnber;: FRED.EPICO i. 1juEiJlS.and.p�tAftlEt LA L:_DrtEfli = A2 F..lildinq St e�t AddiEsS(rriluia tq'AA —a S Wto, anctlo Bld ido,)+.r P.O. RolJfc', tci z7x:i+lo: cori;ipany 1.G�2 S 7 TI I t�.CE11�J bftf'JE(452) J U SE lV BEAQi1' i i��std t 3345 -— - — --- - -- __ -- -- ---- —------- A3 Prcpartti Q��acriptro t(t,s�and„61oc1<i,1tEEnb�,s„ �P ) r1 fJ rr!Saer f rc32�1 t �Cri(?tt�n,ntc,) WIT .1 5 EL.f1C ' € OLIQAYOUTI AM—MA—A'ST:LlriclE. , .l.l1�:d�11=3�2.01t72��QG�' A4 86ile<i".rtg tlse,(e a,Ft�;sld�i�iial, a d� Qsld iIitia-1 Adi:ion,Aci t'lsp y.E'c;7 BESIDE a a lr":I_. _ - - -- -------- --------—----_ --- s^ I�it3ttidWJ)i9itL L, E=at -7``9ra I(J 2. N Lb . .; s}tl 12'17,,78 'lq fi uritaE D4k0¢rr U.I'JAD 1 ?T LJ hlAfl,19$t; t�S ,,ti +h at'EE�iC�'•,2 any tttg hts;O the tiuilduic�if'tttc G'ft.iGu etc i s bb" u-ed u btrta+ri'flood Itisi irail .. A7 Bl iildiitg I'Pi-t,grar� Wriiber 1 G. Ap For a-buiid;h'q With cr��clofiure s): 7 uquP.re footagaof'crawlspace.or enclosurQ,(i t sq ft': h) Hurrtber'of'rarrnane t'I-'d thin 4 feet;ibovs;adjacent grade. c) 7o ai:iiet arQa'of'floed openings in:Au) _ sri in' _ d) Er;gineerelifffood opelt inys 17.yi. No, B a .Square sq-A Ir),Nuinber.GTe3 r(tan�nt floc, opEr^gs Iri tie attacEied gataga t41th,,t.;j a f dE r..j .sot3f net':ae i;c`'f1J�+d:oPt nIn�J9:.In.A .� Stl in di Eng 00,p fiaP up} •itigs'?; SECT*116N i3 FI_0016 WSUIiIANICE RATE MAP(FORM)INFOR1 IAT-ION - - :I)1_NFIF:Lpirtrtlunity 1�13ETt?& i1rf11S1UYllt;l:1le:flta f. Ei2: v,UUntV-'hI I17�' $ ?�tF: 9IVIN,0ORPOFATEQ 1 t3L4T,: 5T 'lttCl� Flrrida ..._....... _ ._._. _____-__ ._ __-_ --------- F fVlnFitP. na, L7� Slrfiix 86' FIR101 ihi e><: 137 Flttfl€ P,�nei, P+3 F`oo .Zone(s} E3P".:Ba:;e:Ficnd Eleuatlon(s): f�urri�e: Uato EtfiPoFlvar (76nehr? ;,5r aSe= € Rrai§6.d DaI6 f i load bee--1i). 121110003g J: : A1= __ _ Blb lrii-licti a he.source'e`tlje Bass Flood Ehevatinn(b3 m 6aE a or b tse),11cod depth t:nterad iri_Iterrt .9.. [�FIS Profiie, :FI) P I [�romn u, Ity`Gatprn irted (wj b?#her„a 8111, INirate c€evtEti n 3 f31uni UFi fCai.,>FE 3�lteiYl,�39 h1C+4+L1 1g2�, [� [4AVD 193.E t_�_. ;aura:: E31L. Is the buildi cJ do ted ii cl',Q �tcal:E3�trn �'R au,�r�,ar 5p,t�rr tC, ;S) rz. .fir C)t3i<r v.r0 PrCl1;l:�t ci ,red(Ut? )< �`�`fEts [ "Idt� t?Esignatton` att?;;, [� ti,�R E`0J.. e 3 FEMA Facts.08.6 0-3-3( /115) i•orrn Psgp''pt6 C)MS Ncs. '3nf�U00.') E EAtATIQ ERTNF1G Ttw. xf to z pate.Nav rnl�er'0,ZC:I"o ...._ ...... ..... ._.......... ...... If'u91'?gR"I" Nfz iii mvv d space-w oupry the aaurrrr:ptrrty Itsg ibfotm4t3an frgt31`a'Ct'- dui. FOR II�ISI IRAtQ,E COYvti=F,k�IY"IJyE building b ree4A�ldre s tn_cluding Apt., Unit;.Suite,an'dior Bldg (vts.)'or 0;6 Routewb Box Nc. Police;Nurnb..er:. 1 t7r'd Jt;l H UCfrAN UA(VE(4l5t) .... ._...._._._._......_. _... _-._.._---—----- — Mate ZIP:Gode 'com many NA3C.13urnlier ECTIO C:. BUILDIN. EL:EVA�'IQN INFORMATION($.URVEY P EQ3,IIRED) "01 B iltiinfi-ef> vation, ar [X-1 Vons?ru,t c:s Drawings' 8uDding.Under C..cinstruction" rin died Lens ruction A new.Elvvation er"it;cate.will be requ red when conStrud•lon ufthetuildlm i&cornplete. Cf lH evd6ns , Ponies A' AX AC,AI-I,:A MA BR ),`1 :V1 r,sJ(.a�ith 8 ),:lhR';,f��iA AR AF Af2iAI A30,.�;F�AH,A;�.IA`G: tonif lets Iten s.C2.a--h E;'efo r:accordiisg to the bu",Idiiig diegrM specifiedIn It6m,Ai:in f•ue rr.W.Rldo onlyl-enter'rr€titers i ricnmark.lJti(i�pol QQ R_a V6rt cal C3a�*n r1;5a i+J VD"80 Indicate ele.vet Sri desk n_u sed f.or:the elevaticris<in•Items a .through:h)t elow." Idt;4fU l�,z ' r NA;krD i 03 [ji,Qthee;'�giuf a; baiwri use m" us t be il'ie:saii7e as thiat used for tie 817E. r Checl�thr,rriF e�urer3l rrt use, e) 0 of 6ttvm Il or.(ftlud+fig G7s rrir nt."c, wis(iac� qr t r cEa�i r ;ilraor)",_ .__ �?�`. _-------- i�f saR [❑ r�irter rx he 17 _ �;) loo oftheet ,tlor �i_ f�p3. � rrseters r)`13ettom bf1he ttnunt 16dWiltall strU6tUfal rnerrnbtir(V Zones only) i�_S 1*' �'(rstQi's N/A _..- }' ,4ftacheii jara�3ir(fi��c+f sla ) EX] foot _J nnetars P).Lowest e-levation of nischinery:.or the:buildin 1 T.7Z (Des;ribi type 4f ngUl'p1n8 3t:..and locution lnr Comments) [x-] ft+eU r mrtr r: t". I_aweMst;sadj��Prit(firn5liel),yr� Y next t '12tiil�ain� ,( fir, ), 'V>'A-."�_.___..__._.: n Pet [1`rr9etAr : Hi ho t ndI a,ent: Finishe rade;liext to building l.F IACC 'N/A.- 7G f Y raset r"s: Iruwe�t icfja6en We,at. ' t3ir:, trc, � t fiio ,-_--- _ .: ;_.____ L`feet meters: St:'LtE,tlr r°irl_ai3�!)Gr - :RE—Q.'lo Via' SURY �3f�,.1"1 GINEImR;Off ARC Hl"�1M�T R�tPltrOtC3 9., 'This 'ifi�ation.is;to fae:s gnr,d<[.nd�e�tt�d b -a leund surveyor,engine�,_crarcr+tecF autts�ri�ed by law:to certr;} ete v�tion Inf+�rnsrttof:.: [:eorfi thFr+the4 iformallio;arr ttsls C'r<tifoaf4� !!122ASLtttu� RY} P1�x�G OI S;t•J ll2ter0�F?F}I2L Cl6ta�av6#8616 l rrrl er�turttl`That arty als ' mbI6 lyor ?,rr ;m t r 1.& rsi{ mrn!rr?d>b�'pulrsi a tl i., t�lero:l #iRu�ic,anc ltsric ltu:ie in;�a char,:tl p.ca�ided by e 3r rsed land s�3"Bey r? n;Y 7UJ 6 �].Clied have if.,tt�;uhrii�nt . cbrtift s Nbhio Lnr2 5e N EEnter C E tF`+3Ca,Q.W>4 SON 5647: __-._._-_-_----_-_-------------___—___ `Title _ pRE'SII€EN I C!arnrany;Name;. Urrlil w KILL `L aUR E IN .AND f�,�PPlr4G, INC. <�) Addreay. ,�, •f .' Qltv ,,,ate ZIP Cade JENSE irF, 1-1 „/' Florida_3 !5%' - S larva I?<�t� T. .Iglphdme .._...�-------------- 0912 7/z(3'E 91 (;7?j 334w41F3`j�3 01111.4 Ar es of tlsi^Eln tatian C'.{artitii~ to arid all s33;t Et smg>pt;for(l)'dohirrt°linty of.c.(ill;( )irisiir2nGe.ageiiJe.,om�eny;'�nd(3):t+u3(ding tswnt r c: rsenW(including type of ogjA.prnan.t amid E6rati6iy,pee. {'2(e),if:#plica13Jo) _d—— ----------- Fi=M A Fprn1(?3f 0-a3.(71 R ) Repla��all r iev3oua editions. Farm Pa��.2 of;£+ .EL EVATON t 'i i�A Expiration Late Rtiovember o0,ZC 13 tMF' RTAM1 ;Ira ttz a '.gip c �, Y It c arres0isi llrarf infornwl grgm ectia n :' Cl fl`l LER 1N'f E CCF:IEP?A3'a'.IISE' Buildtno:S rEet; ddress�hdfudEnq l�pt, lJnit, u tw;;anoiGr-:131dA lJo.:}or F''O`,'ftoute.::ancE Ba�;�1a.; 'Fbiiby:Number_ 1.anr bUTH'UCEAN D-RIVE(4Ib ) €N o'dE Carrlp i.y o�fIC:1�furEE; JENaEN,BEC,CH I lad dj ?3455 -------------------------- 'SECTION ION E—,SWILDIN0 ELEVATION INFORI'v YriON(SURVE'Y NOT REQUIRED) FQR:r..ON &0'=Akb 7GPdF (.WIT0�t43UT BFE)' _ ---- _ W _ f cr tones:: rJ ani0,A iv"gthout arlPlete Ite77s.El E5. I.s t°lP(..el tETILat� nt�3,ci?cJ to su;�purt a. Cy1�1A a�LrJM1flF?,.F iegi ayt.. - cornplOe lect€Gnsk B,ard G-Porltr,ms Ei:.==4;l seutotural grade:it,-available f'$eckI e rr3Ei3Su3'e:rl�nY.usE : In PGerto Rica cnly%. i riterrfeters-.. ES.;PrbVEcle foi t11G falliytivlr3q. tid heck,ttie a�iFiropri te,;bc,xc-�t.+s�i6w v,�hc th<`(4hi)l li iat Oh is eksc rc urck,elgiti l the highest adfacerit_graJe(HAG)and the lowest adjacent.grade(LAG). a� To 'of oftc m f10 r In Iudih basement;.draievls ado,.o endosure) s — fi =ar �C.e � e b) "rgEi c f bottom floor(includEr �t?a�plrp.�rt, _. Gr sn+lspa(e or qn 1iosure)Es _-=....._ `tee# ❑E Eete. [�above:or"[j balaw the LAG: ja . oi€r Spd :l F liars f andior,9:(see� gas 1=2 of Instructions,E2.. B bi,ram S wrt? mar en f ooprovided ? r, Yh^rirsxt hEghs�r`t1�or iL€�vatEUn�l'b€h; the diagrams. oft ie lbuild rg is,, -.-- Ol feet: ❑meters n 3bov? ;- .l,slo:v the HAG. E , it d garage ttop_$.f tiled) s, [_];feet. []mytors:: []'above-or. [-]below lie HE G: E4:, Tots of plat onrr f n,.,ajdhinery andior-ec{ui.pm nt> se"�1+iny th2-.burldng i� - [_]fe t [ �rretprS J,j aacv^•:or ��telo,vth>r€€f i ;. E ZQ 1Ea.A�or,} l`nolflwd depth.number's avaii'a Tls, is'rhe tbp of•tlie botEon1-floorelevated"Mr arr-.rrclance wit`1 the cornmunity;'s_ flood iaEn maE� q r)�arit ordilal'cee Yes ,�l h(p �] flnlcn.,u%n. 'ftl�tocdl offlc rnu�t o rtifa tf^.s:3n°�rrr�atEon tn,:Sr�tEnri`C,. 1"d'I'I�M E:—F RCrPERT�:OWNER(OR 1�dP4 NER'�h�PRESENT°e?TIVE}""�EZ3TIFIC�i#I��f+l. _ _ Tlje Nr000t �e�vi;er:ar r'vairers 'bthonznd repro'sentat3ve Who'to cE�rt3, A,-F�, a3 cl E;fu'lane%: €thout.a FEMA-ssued or.; cr mrrtEniW-3 sued BI[-)Gr Zones Aft:r lust igr3 Yieie. Tllt�state,14ntv.Er1 eections�; 8 anal'E-a e rorredt to the best of nay knowtodM, --- - ... ... .f —.... _ _._._........-•------•--•-_••- P°operty awn" o*C)+�nor-s Auth' ized rF�i_��,rjtativ s i tarfle - _ --- - Adde6 " C.ity ,teto LIP- de:. �.�------------- ----• -___.__._....-----•----• •--•..._ inatui L7atr; 1 elephone iWo;nrEenta. U Ghr;Gtc:tler>r fatt3d?tEne�,ts::. FEMA riinll 05'f}=3o O'11_51 �:Re � Fori0frF3 _ G;fuik3'Noc 16$C�Ot-8 LEV ''lOWCt'KTlFi',dA E E pnatlon Cra°e..9lcvPfrf er ,20`1'u: I;MPORTAOT 111 tho"' spaces,ccapy tha oo resPand n itaft3rat�atl+�r3 frunti'SEE ti+ati A.: FC3.R ll`Jal1j'iAiVC E CGPv1F'AN(U.SE' iti'ilcimy utreetAczd e�5�fnel!.cifn ACE Unit;stun anrJler L�icEg Na,)C1( `r.F`GG7 2i1'd 13C1Y lyo; F?eEscv Number 10725 SPOTH GOERI`l DRIVE(45, ) _ .......-._....--...... .....- Gity State Zit'Code Company NAIC'Number JENSEN REACH Flo*ic!a 33455 SECTION'G- �{31 i1'� 1'i'1f ENFOR6�EATIoN ht i�'1I i dad j' - •l hE local o`ficiai wha is auihpri.ed key lave or+�r 1'r rarfeta to« ri 3i�Ater ttie remrnunfty €Iraodrlain'rn�irtacl�rrir..rt{orc€in�irrce ran co npiete Sk fons A,.R C {or F),6hd G of this:ElevMian Certifl6ate' t dm-PI61:6 lhd"60'plirat 6 it rn{0 anti SJ .'C{i6ck t!? lYIE3dSU1'b3t IE3i t : use ir,iterEis U& C;'ltl :In L'i<ertp.F;c.7 cf flj;enter in�tPic,. `rhe infonnatlo!).in.Section-C was taken-f�oni ether:documenta%n-that has heerz r :ign�d ericl':sEaled:tay a:licena ci surveyor; engine ,or art h whoitert ho Is<wtho-6�ed by IIaw:to.certif �16vatiori infdrmgt on (indicate tie: ource ands uat(�of the elevati n.i:i�ta in tlr�Corr.-nint�arta�b:air,�v.) - - n A.t,orr�fn}rntg cr:fi�ial+niijpietc it ;tfon E fare of iidind€cir..Wod fr7;?emo A:(Wdf h' t-a:CFi&.1is$Jeci+ir.cctrrr[iur Sty i��.�tied F3Fr_l or Zof ie A.' fi3: Th��f�lln:vriiry:inforniatiwri siftm t.34--G J)'is n a'i��^�l fnr cv�nt tu.nit 3ogii l fn it aq�ry ent�tfr csea. ---- ----------•-------_------._--------- ------. -----• ---------._._._....-.---------- ----- --•----------- ------- (.i4: Permit�Piue ber "Ga Date Permit Issued I.G6.. Date Certificate of i3eml�Uar3celCificul�r¢�c�}:I ssuee?. G7.; 'T..lzis-pen-nit liai een'is4-tfed.fnr, ❑New Construction Fuhstantial:lmprouernerit G ,: ilouatic:�of 600t;Icw&.st flute(irwjuciing IAOn f ii) fn t_ rn t rs of tire'bwic,n L_ c f3:=E cr(iii Z6neAW deplll of f1b'dding-4t,tFe,h.ujild,ing site: ----_-- _ _—___ L3 faeti. - m�°its t7at�irit' U.1f! Co:nritfntijr_s:clrign fin F�I�vatfe5i _ __ _ L] feet (J niefais 17afi� i5, .-.-.-..........................._....-•-------------------_. - LadW Of fici it g Nip iii x Title' --..._._.-._-------- -- - — —-- ---- --- Goir�O� urf#y hlarrjc, _ Tcalephor+~ .............. Si, .rl6tur+: - Date Crrnrnef�fs,rnciclirt type..ef rgCfijienl ar r1:1)c atui k,pf�l =2{�),if aliGffcie) - Form Page A of 6 FFM ! or:rf Cc�f••0 �:(711.51 F�epfacE�all�'r.P ,Gus edit! is. IL W LE.- �ION-c UIFICA°1"E $e00 tr i1t le', tir>tar it cpir��ii l3�trt+�. lo�emtzci 3d,< �s; IMPORTANT: Iiy tai rxp.spaces,,Opy;tlt oreespooing information from So�trt�re;A FC�R INSl1 ANc F CC>'�9Fl%PJY EJS ° _ _ .._. Building Street Address.including tipi#. Onit Suite,'a idlar LEtip (bra 3 rrr i� FZa�te acid asx I'dU;- policy hluinb r: _ -- 1Q-7.26 SOIOTH Ut--", Dr iVE i tS�;T Pity" .___ tat�i �Ir aaacl� ; j1pany NAt Number JEN8E BEACK Fit,ricia; 3�4 If"Usin.i i6 ;=1eti�,=;ikon C bbtain NFIP"Mind. ipsuranc afar ;<pt eagf ? b i ldincg pho ocirephs,.belo ink to thw :instructions tar item FEE Ident fy ali'K+fiatz;graphs ti��it'ri ds t�:iaken;"Front�liew"'arid'`Ft�nr'Ji w ,arid,it required,'Right:Side ViA�v :irid LEtt kd@.'VIcW. tErpct b c 9p s c v n s,as?i gated..in.teotio.n 1 s,f,Qubtr1t ip9 rnorp phptGyra}�kia th rt tivilLfit ari thi5,p09 :cr�a.tltts;.00ntirivation P, .............................. ----- ..--- -_- -_ _- - - e F?liata€'ne.Cap'ton'.'FRbNT-,VlL-:"-' 0210712018 F'tatc 'E'wa Cepfiari F;E,c1R'VICUV:0�.lQri2C1'ifs _- FEIUI ke places;all pre-o..,-*.ed{tiarrs,: Forrp.Pogq 5 bf.6 e 8LI-ILDIN PI"'tC9TOG PH8,:. t31�f31Jc.1s:�o gG S L °�+e7'€ ET. I"i ± ol�tlnumti,n l'ac: Expiration Cate.i4v� rt?er�0,1i777S IMPORTANT:.In YhES?spacps�,COPYAh �f?Frr3sppl�t i6y infgm-atlon f3'dm Seetip i AiFCF.IC�I�U�;�KSrOOMF'APJ4`t S[ �tre�t Ad rho(ind dih Aft, QM,Si rite:aYi. r Bldq hlo.`i r r�'i�;:F outs Intl for Ne: f�ol1 l!umbr+r 1072a SOUTH EAN DRIVE(452) ---------------•-----••-•-•-----.� --_--------_---..-..-..-•--------y - N:_._-----'---' --.-' -.--.-- City gat? zlr Cu iornpany AIAIf'.Nlnihr 1ENSEN BE 113 Florida If s�.lutrut;ing r7orF photographs .than will fit o,: tie p r�� d:^g page, a x.the addiifon f_phoibgrar*s below.. ldenflfY alI`photogr phs -vdth date tsaren 'rrant'Vir'es+ and 't eA, Vievy" an+1 reg11Fod 'Right Vievi'' anti "trffl �.ic,,.1:�F,,w' ��fGF3 F3Kil)Ilf�fal�; I yitails rr t_shoav;ltio v+7U Cl31tG.1 VJjtl:f +as rF"Abva,examples of the i1+JGd C�I7G31 ri�5.01'_�Prkt$,;�S �FiiG�t�'ti Ifl a�Ct101f l FtAlabn Photo GCne RIGHT SIDE� lr w Ct 107/2018, FIMO i'w.6' Photo:Two Cal)tion ........................................... i iVlOs rc rn OSS-U 33(7/1ai Ftarlarn� all,pr viaul edltibhs,. Form Page-f ofO