HomeMy WebLinkAboutV Zone Design CertificateV ZONE DESIGN CERTIFICATE
Name 01ImJ S Policy Number (insurance Co. Use) _
Building Address or Other Description
Permit No31/ City _
State F:L- Zip Code
SECTION I: Flood Insurance Rate Map (FIRM) Information
Community No. _ Panel No. Suffix FIRM Date FIRM Zone(s)
SECTION II: Elevation Information Used for Design
[NOTE: This section documents elevations used in the design - it does not substitute for an Elevation Certificate.]
1. Elevation of the Bottom of Lowest Horizontal Structural Member ............................:.. �;_ _feet (NAVD88)
2. Base Flood Elevation(BFE)................................................................... ..... Afeet (NAVD88)
3. Elevation of Lowest Adjacent Grade..........................................................2:.4':....:Meet (NAVD88)
Approximate Depth of Anticipated Scour/Erosion used for Foundation Design .............. .:J- feet (NAVD88)
5. Embedment Depth of Pilings or Foundation Below'Lowest Adjacent Grade.........::.'.::. _ 1.o feet (NAVD88)
SECTION III:-V Zone Design Certification Statement
(NOTE. This section must be certified by a registered engineer or architect.]
I certify that: (1)1 have developed or reviewed the structural design, plans, and specifications for construction and (2) that the
design and methods of construction to be used are .in 'accordance with accepted standards of practice for meeting the
following provisions:
• The bottom of the lowest horizontal structural member of the lowest floor (excluding piles and columns) is elevated
to or above the BFE; and
• The pile and column foundation and. structure. attached thereto is anchored to resist flotation, collapse, and. lateral
movement due to the effects of the wind and. water loads acting simultaneously on all building components. Water
loading values used are those associated with.the base flood. Wind loading values used are those required by the
applicable State or local building code. The potential for scour and erosion at the foundation has been anticipated for
conditions associated with the base flood, including wave action.
SECTION IV: Breakaway Wall Design Certification Statement
[NOTE. This section must also be certified by a registered engineer or architect
when breakaway walls exceed a design safe loading resistance of 20pounds per square foot.]
I certify that '(1) 1 have developed or reviewed the structural design, plans, and specifications for construction and (2) that the
design and methods of construction to be used for the breakaway walls are in accordance with accepted standards of
practice for meeting the following provisions:
• Breakaway wall collapse shall result from a water load less than that which would occur during the base,flood;- and
• The elevated portion of the building and supporting foundation system shall not be subject to collapse, displacement,
or other structural damage due to the effects of wind and water loads acting simultaneously on - all building
components (wind and water loading values to be used are defined in Section III).
SECTION V: Certification and Seal
This certification is to be signed and sealed by a registered professional engineer or architect authorized by law to certify
structural designs. I certify the V Zone Design Certification Statement in Section 111 and the Breakaway Wall D n
Certification Statement in Section IV (if applicable). �ra���,
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Certifier's Name License Number
Title Company Name
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Address % City State ZIP
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Signature Date Telephone
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