HomeMy WebLinkAboutENERGY EFFICIENCY CODEOP`n ne r
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Florida Deparimerii Of CommuflilV Al fairs ReSldertliai PedoimarlCe IVlelhod A
a
Rroject
OLAIVNtL,
Name: MORADI RESIDENCE
Builder Name: Mel-Ry Construction
,IiStfbet: Lot 32 Holiday Out
Permit Office: St Lucie County
BY
City, State, Zip: Jensen Beach, FI ,
Permit Number: St. Lucie County
Owner: Moradi Residence
Jurisdiction: 611000
1pasign Location: FL, ST_LUC:E_CO_INTL
n
1. New construction or existing New From Plans)
9. Wall Types(2323.1 sqft.)
Insulation. Area
2. Single family or multiple family Single-family
a. Concrete Block - Int Insul, Exterior
P. .2 954.00 f'.'
b. Concrete Block - Ext Insul. Exterior
R=4.0 881.10 ft'
3. Number of units.. if multiple family 1
c. Fame -'Wood, Exterior
R=13.0 488.00 ft'
4. Number of Bedrooms 2
d. N/A
R= ft'
5. Is this a worst rase? No
10. Ceiling Types (998.0 sqft.)
Insulation Area
6. Conditioned floor area (ft') 1784
a. Under Attic (Vented)
R=38.0 998.00 ft,
b. NIA
R= ft'
7. Windows(287.3 sqft.) Description Area
o WA
R= P,
a. U-Factor. Sgl, default 287.28 fP
SHGC: Tinted. default
11. Ducts
b. U-Factor: NIA
a. Sup: Attic Ret: Attic AH: Garage Sup. R= 6, 350 ft'
SHGC:
12. Cooling systems
c. U-Factor: NIA ft,
,a. Central Unit
Cap: 36.8 kBtu/hr
SHGC:
SEER: 16.8
d. U-Factor: NIA ft'
13. Heating systems
SHGC:
a. Electric Heat Pump
Cap: 36.8 kBtu/hr
a. U-Factor: WA ft'
HSPF: 9.2
SHGC:
14. Hot water systems
8. Floor Types (998.0 sgft.) Insulation Area
a. Electric
Ca p 40allons
a. Slab -On -Grads Edge Insulation R=0.0 786.00 ft,
EF: 0.95
b. Raised Floor R=19.0 212.60 ft,
b. Conservation features
c. WA R= ft,
None
15. Credits
CF. Pstat
Total As -Built Modified Loads: 33.95
Glass/Floor Area: 0.161
PAS ;e
Total Baseline Loads: 40.22
as
I hereby certify that the plans and specifications covered by
Review of the plans and
tlE S74),
this calculation are in com is with t e Florida
specifications covered by this
OF
"' -'10
Code.
calculation indicates compliance
�^r+ .,,,
with the Florida Energy Code.
PREPARED _
Before construction is completed
0
DATE: Q 2
this building will be inspected for
O a
compliance with Section 553.908
;,,hereby certify that this building, as designed, is in compliance
Florida Statutes.
�S
,` uith the Florida Energy Code.
�Op WE
PWNER/AGENT, V
BUILDING OFFICIAL:
r/iTE:
DATE:
FILE C OP�
5/31/2011 10:46 AM EnergyGauge® USA - FlaRes2008 Page 1 of 6
PROJECT
Title:
MORADI RESIDENCE
Bedrooms: 2
Actress Type:
Street Address
Building Type:
FLAsBuilf
Conditioned Area: 1784
Lot #
Owner:
Moradi Residence
Total Stories: 2
Block/SubDivision:
• #of Units:
1
Worst Case: No
PlatBook:
Builder Name:
Mel-Ry Construction
Rotate Angle: 0
Street:
Lot 32 Holiday Out
Permit Office:
St Lucie County
Cross Ventilation: No
County:
St. Lucie
Jurisdiction:
611000
Whole House Fan: No
City, State, Zip:
Jensen Beach ,
Family Type:
Single-family
FI ,
New/Existing:
New (From Plans)
Comment:
CLIMATE
/
IECC Design Temp Int Design Temp Heating Design Daily Temp
V Design Location
TMY Site Zone 97.5 %
2.5 % Winter Summer Degree Days Moisture Range
FL, ST_LUCIE_CO_INTL FL_ST_LUCIE_CO_INTL 2 39
90 75
70 722
58 Medium
FLOORS
#
Floor Type
Perimeter Perimeter R-Value Area
Joist R-Value
Tile Wood Carpet
1
Slab -On -Grade Edge Insulatio
180.5 ft 0
786 ft2
0 0 1
2
Raised Floor
212 ft2
19
0 0 1
ROOF
/
Roof Gable
Roof Solar
Deck
V #
Type Materials Area Area
Color Absor.
Tested Insul.
Pitch
1
Gable or Shed
Metal 1040112 146 ft2 Unfinishe 0.5
N 0
16.3 deg
ATTIC
/
V
#
Type
Ventilation Vent Ratio (1 in)
Area
RBS IRCC
1
Full attic
Vented 300
998 ft2
N N
CEILING
#
Ceiling Type
R-Value
Area
Framing Frac
Truss Type
1
Under Attic (Vented)
38
998 112
0.1
Wood
WALLS
. /
�( #
Ornt Adjacent To
Wall Type
Cavity
R-Value Area
Sheathing
R-Value
Framing Solar
Fraction Absor.
1
N Exterior
Frame -Wood
13 32 ft2
0
0.25 0.8
2
N Exterior
Concrete Block - Ext Insul
4 440 ft2
0
0 0.8
3
N Exterior
Frame - Wood
13 168 ft2
0
0 0.8
4
NE Exterior
Concrete Block - Ext Insul
4 113.1 ft2 0
0 0.8
5
E Exterior
Frame - Wood
13 24 ft2
0
0.25 0.8
6
E Exterior
Concrete Block - Ext Insul
4 328 ft2
0
0 0.8
7
E Exterior
Frame - Wood
13 40 ft2
0
0 0.8
5/31/2011 10:46 AM EnergyGauge® USA - FlaRes2008 Page 2 of 6
GARAGE
#
Floor Area
Ceiling Area
Exposed Wall Perimeter
Avg. Wall Height
Exposed Wall Insulation
1
226.84 ftz
226.84 W
29 it
8 ft
13
COOLING SYSTEM
#
System Type
Subtype
Efficiency
Capacity
Air Flow SHR
Ducts
1
Central Unit
None
SEER: 16.8
36.8 kBtu/hr
cfm 0.75
sys#1
HEATING SYSTEM
#
System Type
Subtype
Efficiency
Capacity
Ducts
1
Electric Heat Pump
None
HSPF: 9.2
36.8 kBtu/hr
sys#1
HOT WATER SYSTEM
#
System Type
EF Cap
Use SeWnt
Conservation
1
Electric
0.95 40 gal 50 gal 120 deg
None
SOLAR HOT WATER SYSTEM
FSEC
Carl # Company Name
Collector Storage
System Model # Collector Model # Area Volume FEF
None None
ftz
DUCTS
V
#
---- Supply ---
Location R-Value
--- Return ---
Area Location Area Leakage Type
Air
Handler CFM 25
Percent
Leakage QN
RLF
1
Attic 6
350 ftz Attic
150 ft. Default Leakage
Garage (Default)
(Default)
TEMPERATURES
Programablrre Thermostat: Y XX��
an Feb
CoollI
Veov
nting [ Jan lxl Feb l
[ Ceiling Fans:
Apr May Jun Jul
Ma l Apr l May € Jun lxl Jul
A
Sep
rr
l Aug [ Sep
[`XxJ] rr
lnl Oct [ Nov
Dec
[[
l Dec
5/31/2011 10:46 AM EnergyGauge® USA - FlaRes2008 Page 4 of 6
i
r
FORM 1100A-08
Code Compliance Checklist
Residential Whole Building Performance Method A - Details
` ADDRESS: Lot 32 Holiday Out PERMIT #:
Jensen Beach. FI.
INFILTRATION REDUCTION COMPLIANCE CHECKLIST
E
COMPONENTS
SECTION
REQUIREMENTS FOR EACH PRAC CE?
CHECK
Exterior Windows & Doors
N1106.AB.1.1
Maximum:.3 cfm/s .ft. window area; .5 cfm/s .ft. door area.
Exterior & Adjacent Walls
N1106.AB.1.2
Caulk, gasket, weatherstrip or seal between: windows/doors &
frames, surrounding wall; foundation & wall sole or sill plate; joints
between exterior wall panels at corners; utility penetrations;
between wall panels & top/bottom plates; between walls and floor.
EXCEPTION: Frame walls where a continuous infiltration barrier is
installed that extends from, and is sealed to, the foundation to the
top plate.
Floors
N1106.AB.1.2
Penetrations/openings > 1/8" sealed unless backed by truss or
joint members.
EXCEPTION: Frame floors where a continuous infiltration barrier
is installed that is sealed to the perimeter, penetrations and seams.
Ceilings
N1106.AB.1.2
Between walls & ceilings; penetrations of ceiling plane to top floor;
around shafts, chases, soffits, chimneys, cabinets sealed to
continuous air barrier; gaps in gyp board & top plate; attic access.
EXCEPTION: Frame ceilings where a continuous infiltration barrier
is installed that is sealed at the perimeter, at penetrations and
seams.
Recessed Lighting Fixtures
N1106.AB.1.2
Type IC rated with no penetrations, sealed; or Type IC or non -IC
rated, installed inside a sealed box with 1/2" clearance & 3" from
insulation; or Type IC with < 2.0 cfm from conditioned space,
tested.
Multi-sto Houses
N1106.AB.1.2
Air barrier on erimeter of floor cavi between floors.
Additional Infiltration reqts
NI106.AB.1.3
Exhaust fans vented to outdoors, dampers; combustion space
heaters comply with NFPA, have combustion air.
OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.)
COMPONENTS
SECTION
REQUIREMENTS
CHECK
Water Heaters
N1112.AB.3
Comply with efficiency requirements in Table N1112.ABC.3
Switch or clearly marked circuit breaker (electric) or cutoff (gas)
must be provided. External or built-in heat trap required.
Swimming Pools & Spas
Nl 112.AB.2.3
Spas & heated pools must have covers (except solar heated).
Non-commercial pools must have a pump timer. Gas spa & pool
heaters must have a minimum thermal efficiency of 78%.
Heat pump pool heaters shall have a minimum COP of 4.0.
Shower heads
N1112.AB.2.4
Water flow must be restricted to no more than 2.5 gallons per
minute at 80 PSIG.
Air Distribution Systems
N1110.AB
All ducts, fittings, mechanical equipment and plenum chambers
shall be mechanically attached, sealed, insulated and installed in
accordance with the criteria of Section N1110.AB.
Ducts in unconditioned attics: R-6 min. insulation.
HVAC Controls
N1107.AB.2
Separate readily accessible manual or automatic thermostat for
each system.
Insulation
N1104.AB.1
Ceilings -Min. R-19. Common walls -frame R-11 or CBS R-3 both
N1102.13.1.1
sides. Common ceiling & floors R-11.
5/31/2011 10:46 AM EnergyGaugeO USA - FlaRes2008 Page 6 of 6
I
ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
. ESTIMATED ENERGY PERFORMANCE INDEX* = 8
The lower the EnergyPerformance Index, the more efficient the home.
1. New construction or existing
2. Single family or multiple family
3. Number of units, if multiple family
4. Number of Bedrooms
5. Is this a worst case?
6. Conditioned floor area (ft'
7. Windows"
Description
a.
U-Factor:
Sgl, default
SHGC:
Tinted, default
b.
U-Factor:
N/A
SHGC:
c.
U-Factor:
N/A
SHGC:
d.
U-Factor:
N/A
SHGC:
e.
U-Factor:
WA
SHGC:
Lot 32 Holiday Out, Jensen Beach, FI,
n
fffi'f �, 7
j i't �MY
r� iSlr
New (From Plans)
9. Wall Types
Insulation
Area
Single-family
a. Concrete Block - Int Insul, Exterior
R=4.2
954.00 ft2
b. Concrete Block - Ext Insul, Exterior
R=4.0
881.10 ft2
1
c. Frame - Wood, Exterior
R=13.0
488.00 ft2
2
d. WA
R=
ft2
No
10. Ceiling Types
Insulation
Area
1784
a. Under Attic (Vented)
R=38.0
998.00 ft2
b. N/A
R=
ft2
Area
c. WA
R=
ft2
287.28 ft%
11. Ducts
ft2
a. Sup: Attic Ret: Attic AH: Garage Sup. R= 6, 350 ft2
12. Cooling systems
ft2
a. Central Unit
Cap:
36.8 kBtu/hr
SEER: 16.8
ft2
IF
8. Floor Types
Insulation Area
a. Slab -On -Grade Edge Insulation
R=0.0 786.00 ft2
b. Raised Floor
R=19.0 212.00 ft2
c. WA
R= ft2
13. Heating systems
a. Electric Heat Pump
14. Hot water systems
a. Electric
b. Conservation features
None
15. Credits
I certify that this home has complied with the Florida Energy Efficiency Code for Building
Construction through the above energy saving features which will be installed (or exceeded)
in this home before final inspection. Otherwise, a new EPL Display Card will be completed
based on installed Code compliant features.
`
Builder Signature: �j�//( _ //�Z :% ' Date:
Address of New Home: /67a.3- S c�qj�,,e4w 7S f2 City/FL Zip:
R57 crT/ �-4
Cap: 36.8 kBtu/hr
HSPF: 9.2
Cap: 40 gallons.
EF: 0.95
CF, Pstat
'Note: The home's estimated Energy Performance Index is only available through the EnergyGauge USA -
FlaRes2008 computer program. This is not a Building Energy Rating. If your Index is below 100, your home
may qualify for incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at
(321) 638-1492 or see the Energy Gauge web site at energygauge.com for information and a list of certified
Raters. For information about Florida's Energy Efficiency Code for Building Construction, contact the
Department of Community Affairs at (850) 487-1824.
"Label required by Section 13-104.4.5 of the Florida Building Code, Building, or Section B2.1.1 of Appendix G
of the Florida Building Code, Residential, if not DEFAULT.
EnergyGauge® USA - FlaRes2008
Pro ect Summar Job:
-{� wri9 htsoft• � y Date: May 26,2011
Enure House By:
Mel-Ry Construction
-'Project Information
For: • .•Residence
Lot 32 HolidayOut, Notes:
FILE
t OPY
Design Information
Weather: Fort Pierce, FL, US
Winter Design Conditions
Outside rib
Inside db
Design TD
Heating Summary
Summer Design Conditions
42 `F Outside db
68 OF Inside rib
26 OF Design TD
Daily range
Relative humidity
Moisture difference
Structure
0
Btuh
Ducts
0
Btuh
Central vent (0 cfm)
0
Btuh
Humidification
0
Btuh
Piping
0
Btuh
Equipment load
0
Btuh
Infiltration
Method
Simplified
Construction quality
Average
Fireplaces
0
Heating
Cooling
Area (ft2) 0
1785
Volume (W) 0
14276
Air changes/hour 0.61
0.20
Equiv. AVF (cfm) 0
48
Heating Equipment Summary
Make Trans
Trade XL161 WEATHERTRON
Model 4TWX6036C1
ARI ref no. 3187913
Efficiency
9.2 HSPF
Heating input
Heating output 33200
Btuh @ 47OF
Temperature rise
0
OF
Actual air flow
0
cfm
Air flow factor
0
cfm/Btuh
Static pressure
0
in H2O
Space thermostat
90 `F
75 cF
15 cF
L
50 %
61 gr/lb
Sensible Cooling Equipment Load Sizing
Structure
21256
Btuh
Ducts
8212
Btuh
Central vent (0 cfm)
0
Btuh
Blower
1707
Btuh
Use manufacturer's data
n
Rate/swing multipplier
0.95
Equipment sensible load
29616
Btuh
Latent Cooling Equipment Load Sizing
Structure
2788
Btuh
Ducts
2627
Btuh
Central vent (0 cfm)
0
Btuh
Equipment latent load
5415
Btuh
Equipment total load
35031
Btuh
Req. total capacity at 0.75 SHR
3.3
ton
Cooling Equipment Summary
Make Trane
Trade XL161 WEATHERTRON
Cond 4TWX6036C1
Coil 4TEE3D05B1
ARI ref no. 3187913
Efficiency 12.0 EER, 16.8
SEER
Sensible cooling
27600
Btuh
Latent cooling
9200
Btuh
Total cooling
36800
Btuh
Actual air flow
1227
cfm
Air flow factor
0.042
cfm/Btuh
Static pressure
0
in H2O
Load sensible heat ratio
0.85
Roldyllalie values have been manually overridden
Printout certified by ACCA to meet all requirements of Manual J 8th Ed.
wrmohttsofC RlghtSuite® Universal 7.1.25 RSU05570 2011-May-31 10:12:44
C:\Users\WaM.Tesktop\Manual J\MORADI RESIDENCE.rup Calc . MJ8 Orientation - E Page 1
1 - wrightsoft, Right-J®Worksheet Job:
Entire House Date: May 26,2011
Mel-Ry Construction By:
t
2
3
4
5
Room name
Exposedwall
Calim height
Rawnl4mensiors
Room area
ldlet 2
9.6 it
8.0 ft cool only
1.0 x 24.0 it
24.0 fl'
bath 2
6.2 it
8.0 it cool wily
1.0 x 86.5 it
86.5 10
TY
Construction
number
U-value
(BtuWftl-n
Or
HTM
(BtuWftg
Area (fly
or perimeter (it)
Load
(Btuh)
Area
or perimeter (it)
Load
(Btuh)
Heal
Cool
Gross
N/P/S
Heat
Cad
Gross
N/P/S
Heat
Cool
6
1 1
W
W
�C
IN
tM
�---G
W
il------DD
12C-0sw--'
134-0acs
1A-hlw
Fan wall, r-13 cavi
13A-4acs
1A-h1w
'12C-0svi_
13A-4ocs
1A-h1w
11P0
Fran wall;. F13 cav i
12C-�w
12C-0sw
13A4ocs -
1A-hlw
93A-4dcs'
'1A h1w
1A-hlwd'.
13A-0ovd
1A hlwtl
11P0 _
Frm waif r-l3 bw if
13A-0ocs
'.16C.38m1
22A-tot
0.091
0.143
0.900
O.D94
0.143
0.900
0.091
0.143
0.900
0.290
0.094
0.091
' '0.091
0.143
0.900
'0.143.
0.900
0.900
0.143
0.900
0.290
-0.094
0.143
0.026
0.989
nr
n
n
n
ne
re
a
a
a
a
a.
s
` s.
s
s
sw
sw
sw,:
w
w
w
w.:
nw
-
-
0.00
O.OD
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00.
0.00
` 0.00
0.00
_ 000
0.00
0.00
0.00
0.00
0.00
0.00
-0.00
0.00
0.00
0.00
_ 2.18
255
24.40
2.25
2-55
49.12
218
255
63.47
8.41
225
2.18
!_ 218
2.55
2.6.55
255
49.48
49.48
2.55
63.47
8.41
2.25
255
1.11
0.00
0
0
0
0
45
3
0
32
0
0
10
0
-_0
0
0
. 0
0
_0
0
0
_ 0
0.
0
24
.8
-..0
0
0
0
42
_ 0
0
32
0
0
` 0
0
0
0
0
0
0
0
0
0
0
0..
_ 0
24
3
0
0
0
- 0
0
0
1 0
0
0
0
.. 0
0
_ 0
0
0
.. - .- - 0
0
0
0
0
0
0
0
- -` 0
0
0
0
- 0
0.
107
162
0-
81
0
0
0
0
_. 0::-_
0
0
.. _. 0
0
- 0
- 0
0
0
_ .0-
0
27
0
0
16
3_
0
34
0
0_
0
0
0
...0
0
0
0
0
. 0
0
0
0
0
0
0.-
0
87
8,--
, - _ 0__
13
0
0
34
0
0
0
0
0
'- 0
0
-' _ 0.
0
0
-._ 0
:- 0
0.
0
0
0
_ 0
0
- 87
1
0
0
0
0
0
0
;� 0,
0
0
0
0.
0
:'0..
0
0
-- .. -. 0
0
0
b
0
0
._. ... 0
0
- .. 0
0
- _0
32
81
9
86
0
' 0
0
0
0
0
0
_0
0
0 ,
0
0
0
0
0
-" AW
0
- 96
0
W -
W
W: -
t
I-C
IN
I~---0G
W
G
F
6
c) AED excursion
-16
-13
Envelope loss/gain
0
360
0
282
12
a) Infiltration
b) Room ventilation
0
0
26
0
0
0
17
0
13
Internal gains: Occupants @ 230
Appliances/other
0
0
0
0
0
0
Subtotal (lines 610 13)
0
396
0
299
14
15
Less external load
Loss transfer
Redistribution
Subtotal
Duct loads
0%
39%
0
0
0
0
0
D
0
0
386
149
OY
39%
0
0
0
0
0
0
0
0
99
115
Total room load
Air required (cfm)
0
0
536
22
0
0
41
17
Printout certified by ACCA to meet all requirements of Manual J 8th Ed
-e}a- wrignrsosc Right -Suites Universal 7.1.25 RSUD6570 2011-May-31 10:12:44
/�^ `C:\Users\Wanda\Desktop\Manual J\MORADIRESIDENCE.mp Calc=MJB Odenlatlon-E Page5
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVAT7 M CERTIFICATE
.v, 31, 2D72,
• Federal Emergency ManagemamtAgenry
National Flood insumgce Program Impofla'nt Read the Ynstruaons on pages 1-9.
SECTION A - PROPERTY INFORMATION )•r ..+.,..: xr��= -,.��
Al. Buida;g iawumes Name # _..arr.;;rna=
A2. Bolding aheet Address frdu n9 Aptg�Und. Sufie; and/or Bldg. Np) or P:O_. Rmnte and Box..
-J joi25 SOU Ti-1yC-w.o .�i p2i✓l, i�o, Z.5'7.: --
city State ZIP Code
A3. Property Description (Lot and Biod; Numbers, Tax Pa�cel Number, Legal Vesaipgan, ezc.)
o- 3 P ocis L t>"{ i-1oL (�A
A4- Suldsg Use (e.g., Residential, No.�Residential, Addition, Accessory, etc) II F..- e i f, ii \t it i A
pc=. Lab:g�',&Lgmfi•de: i � Long.
Hoilcontal Datum: n NAD 1927 LJNAD 1985
A6. Attach at least2 photographs of the braiding ifjheCert>€eafe kbeing used to obtain flood instance. -
AT Building Diagram Number -
'A8- For a building with a crawlspam or endosure(s): AS. For a budding with an attached garage:
a) Square footage of crawisoace of enclosure(s) O sa 3 a) Square footage of attached garage 'L� so it
b) No: of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage
enclosure(s) within 1.0 fbot above adjacent grade 0 vahin 1.0 fogt above adjacent grade �
c) Total nil area of road openings in Ao.b ep sq in e) Tr,��I _',clang af'^.rod ope.upgs m b ZQ�r� sq na
SECTION 9 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
L-Li C_ i E 1 y FL_
Date EfleLOve/Revised Date Zone{s) Aga use base flgoddepth)
Mitt 03i3 i r 1 e,/3d/ct�)I SI19 fGt j i 9•a
B10- Indicate the sourca of the Bass Flood Elevation (BFE) data or base flood depth entered in Item 89.
E]fiS Profile 5FIRM Communitj�De/temrined ❑Other (Desonbe)-
B11. Indicate elevation datum used for BFE in Item 89: [J NGVD 1829 ❑ NAVD 1988 ( Other (Describe)
B12- Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise, Protected Area (OPA)2 E Yes - No
Designation Date Ll CERS OPA
C1. &wading ejeva+ions are.basod o!n: ,_, CensLnwbgn D•av�ngs' I Budding Under C atruchon EJ Finished Covistruchon
•A how Elevation Certificate will be required when construction of the building is complete.
C2. Elevations -Zones Ai-A40, AF-AH, A (wiM.Brc). VE, Vi-V3M V (w8h BFE), AR, ARIA, ARLAE, ARIAl-AS0, ARtAH, AMO. Camplete Items C2.a-h
below aoxrdirg to the bmldeng dagramspmcWed in RemA7. Use the same.dahunas Ere BFE
Benchmark UffQ:sd Vertfral73absm �1 • (� , I 2
conversion/Comments;
the measurement used.
a)
ttCheck
Too of bottom logr (including basement, cavlspace. or enclosure Scar) �-feet
meters (Puerto Rice only)
Rio
b)
Tap of the nexihigherfoor
—9, - _4'
_ casters (.Puerto only)
c)
Bottom of the lowest horizontal structural member (V Zones MAI
&a A Meet
is 'feet
met. (poerte f?.. wily)
Rice only)
d)
Attached garage (too of slab)
. t.
et
meters (Puerto
I-1 meters (PuorRg Rix gnWl
e)
Lowest ele: ation of macbi er; or equipment sprviortg file building
�_.
(Describe type of equipment and location in Comments)
,,, ��/
s 0 i�v-i�fastt
❑ rriefrss (Puerto Rico only)
t)
Lowest adjacent (finished) grade nerd to building (LAG)
.
�_ +�+
L-7 mefixs (Pueltu Rico 0*)
g)
h)
Highest adjacent (fmfshed) Bade next to bulling (HAG)
Lowest adjacent grade at lowest elevation .of deck= stars, inxhsding
feet
meters.(Feartq Rim, only)
structural support
SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or arcnneaaurwmeo Dy rawm lxnury ew„ae...,
Information. i cerrfythat the k1bacrabbn on this Cer6Lpfe mpresentsmybeste8orts to ulterprefthe data available.
understand that anyialse statement maybe punishable byrine erfmprisamnent under :8 LLS. Coda, Section 1Ld7_ �1
UCheck here if comments are provided on back of form. Were laflude and longitude in Section Apmvfded by a
'lcansediandsurveyor? clye ONC
!s I,SZ of
PLACE
SEAL
R tS Zt�/ZoLI i
i
i. PL_S *`IH59
Replaces all previous editions
Form 81-31, Mar 09
reverse side for continuation.
Copy both sides of this: Elevation Certificate, for (1). community official; (2). insurances agent/company, and (3) buudmg owner.
Comments t
SF('TMN F - Mill raiMC- Ft FVATION INFORMATION (SURVEY NOT RD QUIRED) FORZONE AO AND ZONE A (WITHOUT 8FE)
For Zones AO and A (withoutBFE), complete Items E7-E5. if the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B-
and C. For Items Ef-E4, use natural grade; if avalable. Ctaeckthe.meas cement used. ki Puerto Rico a*, enter math
E7. Provide elevation informatfdn iorBae following ant cheuklhe appropirate boxesto showwhether8ae aievation is above or belowUae lidghast ad)acerd
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, cmwlspaca. or enclosure) is ❑feet ❑meters ❑above or . ❑below the'HAG.
b) Top of bottom floor (mcfuding basement, cmv.4spacs, or enclosure) is _ _ Deet []meters. ❑above or Obelow the LAG.
E2. For Building Diagrams 8-9 with permanent flood openings provided in Section Alt_rns 8 and/or 9 (see pgges 8-9 of tnsfmctions), the ne�dhigberfloor
(elevation C2_b in the diagrams) of +.he building is _❑ fPet LJ mebus [] above or Ll below8ie HAG.
E3. Attached garage (top of stab) is _[] feet[] meter' []drove or Ej below HAG.
E4. Top of platform of machinery and/or equipment servicing the building is . _ [].feet ❑ meters ❑above car ❑ below the HAG.
ES- Zone AO only: h(no flood depth number is avaflable, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? i i yes- l ii No t. i unknown. The iocai official must certify, this information in Section G.
The property owner or owner's authorized r_presentative who completesSectionsA, B. and E forZene A(nsFi(auta FEMA-issued orccrmnunity-rsued.BFE)
or Zone AOmustsignham. The stolen=n7s in 5acEorssAj$arx7Earacrrtrectio 3hebesfo7mgimca`7edge.
Property Owner's or Owners Authorized Kepresemawes Fame
Address City - State ZIP Code
Signature Date Telephone ...
Consrm: rS
❑ Checkhere !f.d chments
SECTION G-COMMUNITY INFORMATION (OPT80MAL)
The local official who is authorized bylaw or ordnance to administerfhe communfiy's floodplainmanagement ordnance can complete Sections A, 8, C (or E),
and G of this Elevation Certificate. Complete the applicable fl"dnis) and sign balm- Check the measurement used in it•✓= G8andG9_
G1. i[] The Sao.,-r vm-tal e..± i_ oher down' --*en ti•=r teas be=_n weed a=d a+eel by a S�ea�d s�m:;sr. — ---r: e•�*,3.;rohar}ro
santhoaed bylawbcedtiy eieva2ronainforrr>ation. ondncatetbe sonrceand date of the elevation data sytheCemmentsama below)
G2- ❑ A community official completed Section E fora building located in Zone A{without a FEMA-issued or cdmmunibpfssued BFE) or Zone AO.
, G3. LJ The following information (Items G4-G9) is provided for mmimnrity floodplain managgementpurposes.
C-4. Permit Number
Perrm2 issued
G7. This permitbis been issued for_ O N wConstruclon ❑ Substata6al kaprdvement
G8. Elevation of as -bull lowest floor (including basament) of the building
G9. BFE or (in Zone AO) depth of flooding at the building site
G10. Community's design flood elevation
Local Of ckifs Nam _ Title
Community Name Telephone
Signature Date
❑ feet ❑ meters (PR)
Q feet ❑ meters (PR)
❑ feet ❑ meters(PR)
❑ Checkhaze ff stz-ch sn-�
FEMA Form 81 31, Mar 09 Raplacas an previom ed'ili'orni-