ELEVATION CERTIFICATE 0-1 50
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Important: Read Ihe instrucb3ns on ~es 1 - 7.
SECTION A - PROPERTY OWNER iNFORMATION
O.M.B. No. 3067-0077
Expires July 31,2002
BUILDING OWNER'S NAME
Premier Gateway Center at Quantum
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
1101 Gateway Boulevard
CITY STATE ZIP CODE
Boynton Beach FL 33426
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Descril:~3n, etc.)
Lols 37 and 38 and a portton of Lots 34A, 34B, 35 and 36, Quantum Park at Boynton Beach, P.I.D. Plat No. 3, PB 60, PG 29, Palm Beach Recomb
BUILDING USE (e.g., Resicienfi~, Non-residenflaJ, Addition, Accessory, etc. Use a Comm~ area, if necessa~/.)
Commercial
LATITUDE/LONGITUDE (OPTIONAL)
( ~4~° - ~ - ##.~W~' or ~#.~o)
HORIZONTAL DATUM:
D NAD 1927 r-I NAD 1983
SOURCE: [] GPS {Type):
[] USGS Quad Map
[] Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NNVlE & COMMUNFI'Y NUMBER B2. COUNTY NAME J B3. STATE
City o{ Boynt~ Beach 120196 PaYnBeach I Fiaida
NUMBER B6. RRM INDEX DATE EFFECTIVE/REVISED DATEBB. ROOD ZONE(S)
1201960004 C 09f3G~ 09/30/82 B&C
B10. Indicate the source d the Base Flood Bevation (BFE) data or base flood depth entered in B9.
[] FIS Profile [] RRM [] Community Delermined [] Other (Desc~e):
B11. Indcate the elevation datum used for the BFE in B9: [] NGVD 1929 [] NArD 1988 [] Other (Descdbe):
~sthebui~d~i~catodinac~ast~Bar~erRes~umesSystem(CBRS)ama~r~benaseP~ec~edAma(~PA~? ['"'lYes I~No Desi~naionDate
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations am based on: [] Const~ Drawings* [] Bulking Under ~* [] Finished
CZ Building Diagram Number I (Select lhe building dagram n'~st similar to lhe building for which It,is ce~c.,ate is being C~mpletsd - see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch or photograph.)
(;3. EievalJons- Zones Al-A30, AE, AH, A (with BFE), VE, Vl-V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, N:i/AH, AR/AO
Complete Items C3.-a-i below accordng to the building diagram specified in Item C2. State the datum used. It ~ datum is different from lhe datum used for the BFE in
Datum Conversion/Comments
Eievalk~referencerrarkused Doeslheeievalionreferax~emarkuesdappearontheRRM? I'lYes I~;~No
Q a) Top of bo/tom floor (inducing basement or endesure) 21. [ft.(m)
I
Q b) Top of next higher floor ~ _._E(m)
!
c) of r mber(Vzo )__ I
~ d) Attached ga'age (top of slab) m _.fi(m)
i
~ e) Lowest elevation of machinery and/or equipment "
esn~cing Ihe building (Describe in a Comments area) ~ _Jr(m)
o t) Low~a a~t (~r~sh~ grade (LAG) ~ _.~(m)
~ g) ~ghest ~lacant (~r~'~ grade (HAG) m __[(m) ,-
Q h) No. d permanent openings (it(x)d vents) wilhin 1 It. above a(~lacent grade
Q i) Total area of ail permanent openings (r~3ed vents) in C3.h sq. in. {sq. cra)
' SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIRCATION
This certification is to'be signed and sealed by a land surveyor, engineer, or architect authorized by law to certily elevation information.
I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
/ understand that any fa/se statement may be punishable by fine or imp#sonment under ~8 U.S. Code, Section ~001.
CERTIFIER'S N,~E John T. Doogan LICEI, k~E NUMBER 44~
B9. BASE FLO00 B. EVATION(S)
ADDRESS
CITY ST ATE ZiP COOE
DATE TB. EPHONE
FEMA Form 81-31, JUL O0 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
IMPORTANt': In these spaces, copy the corresponding infom~n fi'om Section A.
BUILDING STREET N3ORESS (Induding,~ot., Unit, Suite, and/a' Bldg. No.) OR P.O. ROUTE AND BOX NO.
1101 Gateway Bouleva'd
cn'Y STARE 7~p CODE
Peicy Number
Cempe~y~N~
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIRCATION (CONTINUED)
Copy bofh sides of this Flevation Cerlir~ate for (1) community official, (2) insurance agent/company, and (3) buildng owner.
COMMEt~S
[] Check here if attachments
SECTION E- BUII.BING ELEVATION INFORMATION {SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A {WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E 1 through E4. If the Bevation Certiitcate is intended for use as supporting infom',atJon for a LOMA or LOMR-F,
Section C must be completed.
El. Buildng Diagram Number_(Seisct the buildng diagram most similar to lhe building for which this ce~ficate is being completed - see pages 6 and 7. If no dagram accurately
represents the bulling, provide a sketch or photograph.)
E2. The top of the bottom floor (inducing basement or endosure) of the buil(Jng is _ fL(m) _in.(cm) [] above or [] below (check ~e) the highest adjacent grade. (Use
naturaJ grade, if available).
E3. For Builcing Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevaJon b) of the buildng is _ ft.(m) ~in.(cm) above the highest ac~acent
grade. Complete items C3.h and C3.i on front of form.
E4. For Zone AO on~. If no flood depth ru. Jmber is available, is the top of the IxXtorn Itoor etevated in actor:lance with the oommunitys ('K3odplan management ordinance?
[] Yes [] No [] Urd<nown. The IocaJ official must certify this information in Section G.
SECTION F- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The properly owner or owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4ssued or community-
issued BCE) orZone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowiedge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME
,~DDRESS CITY STATE Z~P CODE
SIGNATURE DATE 'rEdE
COMMENTS
[] Check here if attachments
SECTION G- COMMUNrFY INFORMATION (OPTIONAL)
The local officiaJ who is auth0fLzed~ by .law or_o,'d nance to administer the community's fk~x~an management ordnance can complete Sections A, B, C (or E), and G of this Beva~on
Gl. [] The information i~ Sec~on C v~as.'-~ from ofher documentation that has been signed and embossed by a licensed suweyor, engineer, or amhitect who is authorized by
state or IocaJ law to cer~fy ~,ev'~atiOn infom'~alion. (Indicate lhe source and date of the elevaiton data in the C, omrnents area below.)
G2. [] A community o .[fl~3J.: comple~f]~ SeCtion E fora builcing located in Zone A (without a FEMA-issued or community-issued BCE) or Zone AO.
G3. [] The foflowb(j info,nation (items ~-~t-Gg) is provided for community floodplain management pu _q3'~e~___
G7. This permit has been issued for. [] New Cor~nJclk:m [] Substantial Improvement
G8. Bevation of as-built lowest l'~or (includng basement) of the building is: . ._E(m) Daium:
G9. BFE or (in Zone AO) depth of Itoodng at lhe buildng site is: . _ fL(m) Datum:
LOC, N. OFF1CtN.'S NNv'IE Tn'LE
TELEPHONE
S~TURE DATE
COMMENTS
[] Check here if attachments
FEMA Form 81-31, JUL O0 REPLACES ALL PREVIOUS EDITIONS