аЯрЁБс>ўџ )+ўџџџ(џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅСq ПАbjbjt+t+ AA_Pџџџџџџ]*******>>>>8v ‚>уіЊЊРРРРРРЈЊЊЊЊЊЊ$й єЭ NЮ*РРРРРЮ|**РРЊ|||Р.*Р*РЈ>>****РЈ|’|Њ|**ЈРž S€AЪП>>юŽ–National Flood Insurance Program V-ZONE CERTIFICATE Name___________________________________________ Policy Number (Insurance Co. Use) ___________ Building Address or Other Description _________________________________________________________________________ City ____________________________________________ State _________________ Zip Code __________ SECTION I: Flood Insurance Rate Map (FIRM) Information Community Number_________ Panel Number __________ Suffix _____ Date of FIRM Index _____ FIRM Zone_____ SECTION II: Elevation Information NOTE: This Certificate does not substitute for an Elevation Certificate 1. Elevation of the Bottom of Lowest Horizontal Structural Member………………………_____feet (NGVD) 2. Base Flood Elevation (BFE)……………………………………………………………..._____ feet (NGVD) 3. Elevation of Lowest Adjacent Grade…………………………………………………….._____ feet (NGVD) 4. Approximate Depth of Anticipated Scour/Erosion used for Foundation Design…………_____ feet (NGVD) 5. Embedment Depth of Pilings or Foundation Below Lowest Adjacent Grade……………_____ feet (NGVD) SECTION III: V-Zone Certification Statement NOTE: This section must be certified by a registered engineer or architect I certify that I have developed or reviewed the structural design, plans, and specifications for construction and 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 Certification Statement NOTE: This section must be certified by a registered engineer or architect when breakaway walls exceed a design safe loading resistance of 20 pounds per square foot I certify that I have developed or reviewed the structural design, plans, and specifications for construction and 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 doe 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 Signature below certifies: ____ Section III; ____ Section IV Certifier’s Name ____________________________________________________________________________________________ Title _____________________________________________________ License Number ___________________________________ Street Address ______________________________________________________________________________________________ City ____________________________________________ State _______________________________ Zip Code ______________ Signature ________________________________________ Date ________________________ Telephone Number _____________  FILENAME \p H:\Info\FLDPLN\2000 FP Permits\v zone cert.doc May 30, 2000 !46t‡cš›%m L—˜œ : ; К   Ѕкѓ2^abopžŸЌ­АѕьщхщмевЮЦмМВщЉемеЦеЉеМЦеž˜ž’ž˜CJ CJhmH CJhnH jCJUhnH 0JCJOJQJ0J5CJOJQJ0J5CJOJQJ0J6OJQJ5CJCJ 0JOJQJ0JCJOJQJ6CJCJ0JCJ$OJQJ0J5CJ$OJQJ%!456”Јbcš›%mnЩ_С L—˜ ќњѕѕѓѓѓѓѓёѓѓыёщѓѓѓѓѓѓѕцёѕф$$dLџdLџ$!456”Јbcš›%mnЩ_С L—˜ + ; < o К   2Ѕйкѓ23Ё~юя_aopžŸ Ќ­ЎЏА§њїєёїышхтпмйї§жгїЭЪ§ХРООООООООООММММММММММО  Жџџџ Юџџџ  dўџџЦўџџџџџ\џџџЗџџџИџџџ оџџџШџџџЩџџџ9 + ; < o К   2Ѕйкѓ23Ё~юњѓюьъчюЯДЏЊЇЇЄЄЄЄЄ$$dLџ & F & F Ц) а p@ рА€P №Р!V. 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