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HomeMy WebLinkAboutFlorida State Grant Application for Senior Center (2) Q . ~ .~ Building Division MenD To: Greg Bishop From: David Alamina Cb CC: File Date: September 15, 2005 Re: Fire Stations 24 and 26, Senior Center and Civic Center Structural Design Records Search I searched our records on the above buildings and found the following: 1. Fire Station 24 located at 102 Moss Road, Winter Springs FI. 32708 Built 1974 and Addition built 1990, record indicates it to be lightly engineered. 2. Fire Station 26 located at 850 Northern Way Winter Springs, FI 32708 Built1994, record indicates that the building is fully engineered. 3. Senior Center located at 400 South Edgemon Avenue Winter Springs, FL. 32708 Built in 1990, record indicates that the building is fully engineered. 4. Civic Center located at 400 Edgemon Avenue, Winter Springs, FL 32708 I could not find a record or plans on this building and therefore assume that it was lightly engineered. 1 . . 1 " ~ . \ , ~ . . fF,,",rd.lIllmdlne y,mA . ;01'lCEOFACCErI~: . . "E.~ENCEg(JBMI~ ~ EVlDEN~ SUBMfi"l'ED 1lND1lllJ'REVlOUS APYROVAL ll9ll-ons.Ol DRAWINGS: '. i. J)<awin&S poepared by J{noZO'IiCb &. AssOciateS, )nc. filled '0.063' A\UJDinUID SlonD PanOl' DJaVliDl No. 96-538; dated 09/1)3J91. ~ 03J25I98. shtelS 1 tbtO\1&h 6 of 6. aiped "and sealed by V. J. J{noZO.;ch. P.ll. B. . TESTS: ...... '. ; , 1. ' '.fest IqlOIl <in: 1) ~ StatiC Air ~ teStwadIDlo ~ PA 202-94 , 2) LarrP}dIss& bnpact T~ pet PA 201-94. and , 3) CyClic Loadinl Wind J'IeSSIllC Test. pet PA 203-94 of aluIDiOUJD almD! panels. ~bY C()JlSllllCliOll Testinl ~.... RepO<l No. '}6-041. dated 07n1l91. aiped and sealed by O\riatophor 0.. TysOD. P.ll. . . 1. Teal tep<*l on: 1 }Uilifonn Static Air }'re$SUIC teSt}.oadi1ll. pet P A 2OZ-94' 2) LatrP},lissi1o tropact Teat. Per P A 201-94. and 3) c,c1ie J..oadial Wind J'IeSSIllC Test. pet l' A 203-94 of a1Um\DUIIl-paIlOls.~ by ~on Teatinl ~RepO<l' J:lo. !11-03~ ,dated 07 n 1/'1'1. slped and seal~ bj Cbri!lop\>or o. 'l)SOll. P A , .' . ' ~ c. ' CAUJULA.TlONS: ,." '. ,1. . ~ OJIalysIs and delaiIs; 0.063' AhJminllDl S\ODI1 p-u, dated , , , 08Iff/61. pe&CS 1 th10UrP 41. ~ by J{noZO.;ch and AssOci- )nc.. sI&JlC'l . ~ sealed by V J.-KnezCvich. P.B. D. ldaterial ~1C8tion: 1. MI11 Cedlfied JnspOCliOD Rcp<l<l102A.003 u. dated 09/08195 fo< A\UJDiniuD . . hUoy SOS2--B32 by Same<". ,. ' 1. Certified 'feDsile Tea\llopOIl No. crL _. issued by Ce>;Iified Testing . ~ dated 11/08196 for AhJminllDl sample CJC-96-041. tested per ASTM J!ll-92. Biped and'sealed by RaJIlCSh}'alel. P.ll. . ' 3. . . Certified Tensile Tea\llopOIl No. tn.!l532C. issuedDy ~ Testing J..a\JOfaIl>riea dal..r07f)31'J1 fo< A1uJninllDl sample crc-9'1-032.1ealed per .. .... .AS".fM J!ll-92. si&JlOdand~ by RaJIlCSh patel. p.ll. .' · ... 0 ," -_.~''''.' .' "e".... . 3. tyroENCE SUBMfrl'EllUro1lll }'REVlO'ilS j;tYROVAL ,oo:.oni':M !. . DRAWINGS ,1. Non~. 2. A. -~ ... - -.,' ... ,'-' ,..., '. B. 1fS1'S 1. None. ~lJ-;1/1, 11 /~ - . Bc:lPI1 A.}bbI', ..,. E- o hod1Kl eoDtrOlBPJDiaer NOA No 03--1~1"01 ExpIration Date: .~ AppIO-.al))ate: 01J0sn004 \.- 'B-Z III '----~ . "'-'- III III III III III III ** ACCORDION ** . ii !!iii!i!!l!!i ii ii ii!!iiiiii 5 ii!!iiiiii 5 5 ' ii ~I III III Wall Mounting Installation '" III III @ III III IMX'5.5. 5. U. 5. WI 7/16 X 118 WIG tMJ)N fJUSHlNG em ~ III III III III III III III . I I I I I I .J t , I I . L : (5EE5~ I fDf MIN. : 5EPHYJfOt~ fJ'TO 1 GlASS t.F ElO511NG . WiNDOW OR 5.6.0. ~ ~/Zt: / G ~/ ... /.. rOU~Ef) CON!RErE L-- . Uf~ CONtn'.tE ClOC~ /- WAlL fEQUir,fO WUElENJltoS" ~ (SEE SOfEOOlEJ IIf III III III III III III III Iff III III .... e~ o~f;: lQl:o . .~ ~~ ~ III III III 114 135.5- 5.. Ll5. W/1116 47/0 ilRlG N\1.DN eu5fING (rtr. 6OfTOU) III Iff '--. l!!i!iii 5 ~ 35 : _ 5 ~ 5 5 - iii!!ii!iii!! III Accordion systems are the most economical type of security and storm shutters. When open, accor- dion shutters fold compactly to the sides, allow- ing full use of natural light and entrance areas. When locked they are a strong protection against theft, unwanted entry and the elements. ROLLlNGSHIELD'" ACCORDION SHUITERS are constructed to deliv- er safe and reliable . weather control, storm protection and security. Many high-rise commu- nities are installing Rollingshield Accordion Shutters, even in high risk areas such as coastal zones. Coastal communities in Florida and around the country have enforced new and more stringent building guidelines. Rollingshield has met and surpassed all newly imposed require- ments for building and installation of shutters. ~ Jrf'if HI 1m,. J _ _ _. ._~- 1ItP.......~.lfti! 10. ~. IMPACT RESISTANT. PERFORMANCE -ONE ACCORDION SYSTEM The Rollingshield'" Performance One Accordion System is designed for single family residences, low-rise, mid-rise and hi-rise structures. Designed with a S-inch blade, every system comes with standard support pins on both top and bottom. The Performance One is extremely reliable and is equipped with standard locking rods and keyed push-lock mechanism. J . ..- L ~ .. 600 series 500 series Equipped With Manual Override 8mm square shaft 500 GO series 600 GO series 810016100 GO 5401540 GO Voltage and Frequency 115V-60Hz 115V-60Hz Torque (Nm) 100 40 Amps 3.5 2.3 Output Speed 12 rpm 14 rpm Limit Switch Max. Turns 26 32 Theoretical Lift Cap. 700lbs 3501bs Tubular Diameter 55mm 45mm Tubular Length 634mm1773( GO) 570mm/640(GC The strongest protection against hurricane force winds, flying debris, windstorms, vandalism and unwanted entry. . ROlllNGSHIELD ROlLDOWNS offer the maxi- mum protection against hurricane force winds, fly- ing debris, unwanted entry, noise, heat, sun and snow. There are various slat styles and colors to choose from that accommodate to virtually any application. The beauty of ROlllNGSHIELDTM ROllSHUTTERS is that they are designed to complement the existing structure and not detract from its architectural beau- ty. Rollingshield engineers have designed a new series of impact resistant rollshutter systems with your choice of slat sizes including: 40mm, 50mm and 60mm. You can choose the slat size that's right for your application and you can trust that they measure up to the test. All systems have met Miami-Dade County and Florida Building Code Product Approval requirements. '. PVC . these slats are best choice for durabiUty, privacy and security. They offer quiet opet!ltion while stil offering good weather control and security. PVC slats are available in 55mm. Foam Filled . these slats are the best choice for insulation and noise reduction, while ~ offering the strength needed tof good storm pl{Jtection. Foam filled slats are ~aiIabIe in 42mm or 55mm. Elltrudecl Aluminum . this material offers the greatest strength cAirabiIity. It is the Ide8I choice for sIomI protection. ExIruded aAmirun slats are avalabIe in 4()nm, 5()nm or 00nm. Rolldown Systems The beauty of Rollingshield™ rollshutters is that they are designed to complement the existing structure and not detract from its architectural beauty. 2 1 .c. (/) ~ 'I:: Cl. ~ .c. (/) ~ (IJ E Q) ~ 000 000 ~ ~ ~ (.) 'I:: ~ as "C T""" T""" or- "C ~ ~ ~ (IJ (ij 8 g 8 ::l 0 0 6 ~ l!) 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S ~ ... i ~ ~ ~ s i s~ C/) C/) C/) (J) 1111 J J J J Ii t ~ i t i j j j f::ff ~ m ~i ~ ~ iIt ... ~ :... S 8 C/) 1 III J m 8: o C/) " I ~ i f ~ ~ C/) ~ i: J ... .... 0'1 ~ s C/) " !. III " o 3 ~ f::f ~ :.., .... --oJ II i J if (, I iIt ... :... ~ 8 --oJ Iii Miscellaneous Property Coverages , FMIT #0648 October 1, 2004 - October 1, 2005 Business Income Lac # Bldg # 001 001 Limit $250,000 Extra Expense Lac # Bldg # 001 001 All locations are covered under Coverage Extension 5g. Valuable Papers Loc # Bldg # 001 001 All locations are covered under Coverage Extension 5c. Accounts Receivable Lac # .. Blcjg# 001 001 All locations are covered under Coverage Extension 5f. Bond Type Honesty Blanket Bond Crime/Bond Bond Limit $50,000 Coinsurance 100% Limit $250,000 Limit $100,000 Limit $100,000 Deductible Amount $0 Money & Securities (Theft, Disappearance & Destruction) Inside: Outside: Limit $10,000 $10,000 FMIT MPC 1002 Deductible Amount None None Page 1 of 1 09/09/2004 FLORIDA MUNICIPAL INSURANCE TRUST PROPERTY, ALLIED LINES AND CRIME DECLARATIONS I. DESIGNATED MEMBER: City of Winter Springs Agreement No.: FMIT #0648 i. Government Description Municipality III. COVERAGE PERIOD From October 1, 2004 the Designated Member to October 1, 2005 12:01 A.M. Standard Time at the address of Premium Blanket: BasIs Deductibleffvpe Limit Net Premium $58,582 $1,000 $18,687,980 Included $1,000 $2,546,260 Included Agreed Amount Replacement Cost Yes No Per Extension Included Agreed Amount $250,000 Included Per Extension $0 Included Actual Cash Per Schedule $1,051,674 Included -. -.-.- . . .:'lal.u.e. _. - . Yes Included Per Extension $250 Included Per Extension $0 Incl uded $0 Per Schedule Included $0 Per Schedule Included Per Schedule Included IV. Property and Allied Coverages Real Property Personal Property Coinsurance: Valuation Basis: Blanket: Inflation Guard: Time Element Business Income Coinsurance: Extra Expense Inland Marine Valuation Basis: Valuable Papers Accounts Receivable Crime Money & Securities - Loss Inside - Loss Outside Bond Honesty Blanket Bond V. This Agreement includes these endorsements and schedules: See Schedule C VI. ESTIMATED ANNUAL PREMIUM Normal Premium Incentive Credit Net Premium Florida Municipal Insurance Trust (FMIT) $66,445 $7,863 $58,582 Florida League of Cities Sponsored Insurance Programs Since 1977 THIS DECLARATIONS AND THE SUPPLEMENTAL DECLARATIONS, TOGETHER WITH THE COMMON CONDITIONS, COVERAGE FORM(S) AND ENDORSEMENTS COMPLETE THE ABOVE NUMBERED AGREEMENT. FMIT PROP DEC 1004 Original Page 1 of 2 ~O/~5/2004 I- ..... 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'es.1! 1! OJ: ... I i!!J! 8 11._ , ! .5< j ii " iil!~IlE ill"u.g ~It~i .!fil".!! f=~~!lQ. .. 1ft i! ~,..: &1: .... - t:if c )( w 2 o N )( W Z o N ~-==- J.fJ.#I0At - x ~ -~ Wind Retrofit Worksheet. HMGP only Shelter Retrofit Project Only WIND RETROFIT PROJECTS ONL Y Benefit Cost Data Collection Form (Continued) D. Building Value Building Replacement Value: $265.173.00 E. Building Contents Contents Description: Kitchen appliance. offfice furniture. folding tables and chairs. electronic equipment computers Total Value of Contents: $59.000.00 F. Value of Public Non-Profit Services E:ustin Pro sed Description of Services Provided Number of Persons Served by Facility or Ca aci 50 50 G. Mitigation Project Data Project Description: Installation of storm shutters Project Useful Life (Years): 25 Mitigation Project Costs: 9.921.25 Base Year of Costs: 2005 Annual Maintenance Costs ($/year): 100.00 Notes and Additional Information: Attach any continuations or additional Items to this page (Form No. HMGPIFMA-001. EfI10130104) Wind Retrofit Worksheet - HMGP only WIND RETROFIT PROJECTS ONL Y I J. Temporary Relocation Costs I (1) Relocation Time Due to Project (months) (2) Rental Cost During Occupant Relocation ($/month) (3) Other Relocation Costs ($/month) Attach any continuations or additional items to this page (Form No. HMGPIFMA-OOl, EtII0I30104) Wind Retrofit Worksheet - HMGP only WIND RETROFIT PROJECTS ONt Y" Please fill out this worksheet completely. A separate worksheet is required for each structure to be wind retrofitted. r8I Attach photographs (two copies) of each side of the building to be retrofitted. r8I Provide evidence that the shutter system complies with the Dade County Specifications. The best evidence of this is a certificate issued by the Dade County Building Department stating that the proposed shutter products have been tested, approved, and comply with the Dade County Specifications. Non-certified shutters or products cannot be used. Fill out the table below. NOTE: All shaded line items are re uired to I A. Project Information I B. Building Data (1) Select Building Type o Non-Engineered Wood - Wood buildings do not receive specific engineering attention. Examples include single and multi-mmily residences, some one- or two- story apartment units, and some small commercial buildings. o Non-Engineered Masonry - These masonry buildings do not receive specific engineering attention. Examples include single and multi-mmily residences, some one- or two- story apartment units, and some small commercial buildings. o Manufactured BuUdlng - These buildings are typically light metal structures or manumctured housing units (e.g., mobile homes). Manumctured buildings are produced in large numbers of identical or similar units. ~ Lightly Engineered - These buildings may combine masonry with steel framing, open-web steeijoists, wood framing, and wood rafters. Some parts of the building receive engineering attention while others do not. Examples include motels, commercial, and light industrial buildings. o Fully Engineered - Usually these buildings are designed for a specific site and thus receive specific, individualized design attention from professional architects and engineers. Examples include high-rise office and hotel buildings, hospitals, and most public buildings. o Other - These buildings do not fit into any ofthe descriptions listed above. (5) Historic Building Controls (6) Disaster Number Attach any continuations or additional items to this page (Form No. HMGP/FMA-OOl, Eft 10/30/04) Recoverv Shelter Refuge Risk Shelter Secondary Host Shelter Other (attach explanation) Wind Retrofit Worksheet - HMGP only Shelter Retrofit Project Only D. Building Value Building Replacement Value: 5 265.173.00 E. Building Contents WIND RETROFrr PROJECTS ONLY Benefit Cost Data Collection Form (Continued) Contents Description: Kitchen appliance. offfice furniture. folding tables and chairs. electronic equit>ment. computers Total Value of Contents: 559.000.00 F. Value of Public Non-Profit Services Description of Services Provided Number of Persons Served by Facility or Ca aci G. Mitigation Project Data Existin Operates as a meeting place for senior residents of the City of Winter Springs. Daily lunches are served, residents meet and play brid e and other ames. 150 Pro osed Operates as a meeting place for senior residents of the City of Winter Springs. Daily lunches are served, residents meet and play bridge and other ames. 150 425.00 425.00 Project Description: Installation of storm shutters and I!enerator. Project Useful Life (Years): 25 Mitigation Project Costs: 529.150.29 Base Year of Costs: 2005 Annual Maintenance Costs ($/year): 100.00 Notes and Additional Information: 26 Page 26 of 27 Attach any continuations or additional Items to this page (Fonn No. HMGPIFMA-OO I, Eft: 10/30104) II I. Mitigation Project Data II I J. Temporary Relocation Costs I (1) Relocation Time Due to Project (months) (2) Rental Cost During Occupant Relocation ($/month) (3) Other Relocation Costs ($/month) --- -- -- -- -~ ---- - - - -- -------------~----- ~--~~~ Wind Retrofit Worksheet - HMGP only WIND RETROFIT PROJECTS ONLY 24 Page 24 of 27 Attach any continuations or additional Items to this page (Form No. HMGPlFMA-OOl, Eff.l0I30104) Wind Retrofit Worksheet - HMGP only WIND RETROFIT PROJECTS ONLY Please fill out this worksheet completely. A separate worksheet is required for each structure to be wind retrofitted. 181 Attach photographs ( two copies) of each side of the building to be retrofitted. 181 Provide evidence that the shutter system complies with the Dade County Specifications. The best evidence of this is a certificate issued by the Dade County Building Department stating that the proposed shutter products have been tested, approved, and comply with the Dade County Specifications. Non-certified shutters or products cannot be used. Fill out the table below. NOTE: All shaded line items are re uired to I A. Project Information J B. Building Data (1) Select Building Type o Non-Engineered Wood - Wood buildings do !.lOt receive specific engineering attention. Examples include single and multi-family residences, some one- or two- story apartment units, and some small commercial buildings. o Non-Engineered Masonry - These masomy buildings do not receive specific engineering attention. Examples include single and multi-family residences, some one- or two- story apartment units, and some small commercial buildings. o Manufactured BuDding - These buildings are typically light _1 structures or manufactured housing units (e.g., mobile homes). Manufactured buildings are produced in large numbers of identical or similar units. 181 Lightly Engineered - These buildings may combine masomy with steel framing, open-web steel joists, wood framing, and wood rafters. Some parts of the building receive engineering attention while others do not Examples include motels, commercial, and light industrial buildings. o FuDy Engineered - Usually these buildings are designed for a specific site and thus receive specific, individualized design attention from professional architects and engineers. Examples include high-rise office and hotel buildings, hospitals, and most public buildings. o Other - These buildings do not fit into any of the descriptions listed above. 22 Page 22 of 27 Attach any continuations or additional Items to this page (FOIUl No. HMGPIFMA-OOI, Eft: 101301(4) Sub-Total from previous page $ Description Explanation of costs Total Costs Estimate costs for all applicable items (e.g., 12 Items @$40 each) New Construction Sub- flooring $ Wall and Roof Framing and Shell Construction $ Exterior Doors and Windows, Insulation $ Hurricane ClipslTies $ PorcheslDecks (if pre-existing) $ Stairs and Railings $ Plumbing Rough-in (for supply and drain, waste and vent) $ Electrical Rough-in (main circuit panel, junction boxes and outlets) $ Installation of ductwork for, ventilation, and air conditioning $ Final Clean-up $ Systems Extensions (for elevated buildings only not for new construction) Electrical Service $ PlumbinglWater Service $ Sewer/Septic System $ HV AC and Ductwork; Elevating Mechanical Equipment $ Additional Insulation $ Roof and Foundation Drainage Systems $ Soil StabilizationlRetaining Walls $ Landscape ReplacementlRestoration (for landscaping disturbed by construction) Evaluated on a case-by-case basis $ Displacement Costs Moving Costs $ Temporary Storage Costs $ Temporary living Facilities Costs $ Other Eligible Costs (list additional costs to be determined by the Department for eligibility under the HMGPIFMA programs) Other(s): _ $ Total Eligible Project Costs $ 20 Page 20 of 27 Attach any continuations or additional Items to this page (FonnNo. HMGPIFMA-OOI, E1t:IOI301(4) Elevation Worksheet continued Elevation Projects Only E. Elevation Cost Information Use the Elevation Cost Worksheet below to develop a detailed cost estimate, which must include all project costs. Any project costs that do not clearly fall under the specified categories should be submitted to the Department for review and determination of funding eligtbility under the HMGP and the FMA program. For straight elevation the structure must be retrofitted to the wind load requirements (Le. storm shutters, hU"U:ane clips, etc.). Complete pages 20-22 of the Wind Retrofit Worksheet. Description Explanation of costs Total Costs Estimate costs for all applicable Items (e.g., 12 items@$40 each) PermittinglRecordinglLegal Fees Demolition Pennit $ Building Pennit(s) $ Plumbing, Electrical, Mechanical Permits $ Recording Fees $ Legal Fees $ Planning and Design Surveying and Site Layout $ Elevation Certificate(s) $ Engineering Design for Elevated Structure $ Site Preparation Structural Demolition $ Lot Clearing $ Debris Removal and Disposal $ ExcavationIFiII for Grading $ Retrofitting/Elevation of an Existing Structure Concrete & Block Work; Masonry Work $ Drilling & Installation of Piers, Columns, or Piles $ Beams and Columns $ Embedment and Sealant $ Foundation Walls $ Structural Steel Work $ Bracing and Anchoring $ UftinglJackinglElevating $ Elevation Cost Worksheet 18 . Page 18 of 27 Attach any continuations or addltlonalltems to this page (Form No. HMGPIFMA.()() I, Eft 10130104) Elevation Worksheet continued Elevation Projects Only 12. Elevation Infonnation Total Square Footage of Principal Structure (heated and cooled areas only): _ Lowest (Finished) Floor Elevation of Principal Structure (above sea level): _ Proposed Elevation Height (above sea level) minimum of2 feet of free board above BFE is required: Feet Inches Proposed Foundation Type for Elevated Structure: o Columns o Pilings o Other: _ C. Required information for elevation projects located in a V-zone or numbered A-zone: 1. What is the elevation of the lowest livable floor of the building? _ (A copy of the surveyor or engineer's Elevation CertifICate for the building is required) 2. What is the Base Flood Elevation (BFE) at the building site? _ 3. What is the local code requirement regarding elevation? _ ( e.g., BFE + 1.0', etc. provide a copy of the applicable local code language/section) 4. From the FEMA Flood Insurance Study (FIS), which includes the project site, fill out the appropriate table below: *Please Note: FISs can be ordered from the Map Service Center at 1-800-358-9616. For more infonnation about FISs, contact your local agencies or visit the FIS site on the FEMA Web-page at htto:/Iwww.fema.l!ovIMSC/fis.htm Iflocated in a Riverine Flood Zone (numbered A-zone or AE zone) fill in the followin2 table: Flood Frequency Peak Discharge (CFS) Flood Depth 10-year 50-year 100-year 500-year Iflocated in a Coastal Flood Zone (V-zone or A-zone subject to storm sur2e) fill in the followin2 table: Flood Frequency Flood Depth 10-year 50-year 100- year 500-year 16 Page 16 of 27 Attach any continuations or additional Items to this page (Form No. HMGPIFMA-OOI, E1t:l0I30AM) Property Acquisition Worksheet continued Acquisition Projects Only E. Acquisition Cost Worksheet Please fill out a separate Acquisition Cost Worksheetfor each property to be acquired (If your project involves the acquisition of Project Cost Infonnation Costs Owner's Full Name: - NA Spouse's Full Name (if applicable): _ NA Mailing Address: NA City, State, ZIP: NA Property Address: NA Tax Parcel Identification Number: NA Year Built: NA Square footage of the building (heated and cooled areas only): NA Pre-Disaster Fair Market Value** (Identify Source: ----1 $' Estimated Cost of Demolition $ Estimated Appraisal Costs $ Property Survey Costs $ Closing Costs (usually handled by a title company) $ Relocation Assistance $ Other $ Total Cost to Acquire Property $ several properties, you may wish to develop a single spreadsheet that lists each property. The spreadsheet should contain all of the information fields in the Acquisition Cost Worksheet below). **Please note: The community may determine the pre-disaster fair market value by using either the local tax assessed value (plus a percentage to approximate market value) or a State Certified Property Appraisr's estimate. In either case, the market value must be based on pre-disaster conditions. Also, if a local tax assessed value is used, a letter from the Local Property Appraiser must accompany the application. 14 Page 14 of 27 Attach any continuations or additional Items to this page (Form No. HMGPlFMA-OOl, EtII0I30104) Property Acquisition Worksheet Acquisition Projects Only A. Prepare a separate worksheet for each individual orooertv to be acquired. Please note: Participation in an acquisition project must be voluntary on the part of the property owner. D Include at a minimum four (4) color photographs showing a front view, a side view, and a back view of each structure to be aCQuired. Attach photographs to the worksheet for that property B. Site Information: 1. Owner's Name: Social Security Number: _ (needed for duplication of benefits (DaB) determination) Spouse's name (if applicable): _ Spouse's Social Security Number: _ (needed for duplication of benefits (DaB) determination) 2. Street Address (including city, state and zip code) or PhysicallLegal Location: 3. If the structure is located in a Special Flood Hazard Area (SFHA) and was substantially damaged (i.e., greater than 50%) you must obtain a Substantial Damage CertifICate signed by the Local Building Official (preferably using FEMA' s Residential Substantial Damage Estimator (RSDE) software). Please Note: The data for numbers 4,5, and 6 of this part of the application and all of Section D are not required if the structure is located in the SFHA and a Substantial Damage CertifICate is attached. 4. Base Flood Elevation of Property: _ 5. Lowest (Finished) Floor Elevation of Principal Structure: _ 7. Post Mitigation Property Use: 6. Depth of water in the structure _ inches, for _ day(s) and level of event causing flooding _ year flood. (10,25,50,100,500) C. Structure Information I. Attach a copy of the local government Tax Assessor's record for the subject property; and, if available, a tax map. 2. Building Type: (check one) o I-storyw/o basement 0 2-storyw/o basement 0 Split-level wlo basement o I-story with basement 0 2-story with basement 0 Mobile Home o Split level with basement o Other: _ 3. Building Use: (check all that apply) o Primary Residence 0 Rental Property o Public Building 0 House ofW orship o Secondary Residence o Multi-Family o Commercial Property o Other: _ 4. Construction Type: o Wood Frame o Concrete Block o Brick o Other: _ 12 Page 12 of 27 Attach any continuations or additional Items to this page (Fonn No. HMGP/FMA-OOI, Eft:I0/30104) HMGPIFMA ENVIRONMENTAL REVIEW Information and Documentation Requirements by Project Type Retrofits to Existing Facilities/Structures Elevations Acquisitions with Demolition v" Dates of Construction v" Concurrence from State Historic Preservation Officer if structure is 50 years or older or if work to be done is outside the existing footprint. Drainage Improvements v" Engineering plans/drawings v" Permit or Exemption letter to address any modifications to water bodies and wetlands o Department of Environmental Protection o Water Management District o U.S. Army Corps of Engineers v" Letter from State Historic Preservation Office addressing archeological impacts. v" Concurrence from U.S. Fish and Wildlife addressing any impacts to wilqlife, particularly endangered and threatened species and their habitats. v" If the project is in coastal area, attach a letter from the National Marine Fisheries Service addressing impacts to marine resources. v" Concurrence from Natural Resource Conservation Service if project is located outside city limits and may impact prime or unique farmland. Note: This is a general guideline for most projects. However, there will be exceptions. Consult with environmental staff on project types not listed. 10 Page 10 of 27 Attach any continuations or additional Items to this page (Form No. HMGPIFMA-OOI, Elf 10130104 Section IV. Environmental Review; Alternative Actions, continued 2. Other Feasible Alternative Discuss a feasible alternative to the proposed project. This could be an entirely different mitigation method or a significant modification to the design of the current proposed project. Complete all of parts a-e (below) and include engineering details (if applicable). a. Project Description for the Alternative Describe, in detail, the alternative project. Also, explain how the alternative project will solve the problem(s) and/or provide protection from the hazard(s). The installation of roll up storm shutters can be replaced with accordian style shutters. For reason of astectics and ease of operation, the roll up shutters were chosen. The closing of the accordian shutters is made more difficult by the hedge in front of the windows. The accordian shutters afford the same level of protection as the rollup shutters. Due to the locations of the pantel glass ing the door frames, these must be replaced with the impact glass of the entire door frame reconstructed with additional block installed and new metal storm doors purchased. b. Project Location of the Alternative (describe briefly) C21 Attach a map or diagram showing the alternative site in relation to the proposed project site C21 Photographs (2 copies) of alternative site Same location c. Scope of Work for Alternative Project The scope of work for this project includes the installation of accordian style hurrincane shutten along with the replacement of glass in specified sidelight windows with impact resistant glass. 8 Attach any continuations or additional Items to this page (Form No. HMGPIFMA-001, Eft: 10130/04) Page 8 of 27 D. Funding Sources (round figures to the nearest dollar) The maximum FEMA sharefor HMGP/FMAprojects is 75%. The other 25% can be made up of State and Local funds as well as in-kind services. Moreover, the FMA program requires that the maximum in-kind match be no more than 12.5% of the total project costs. HMGPIFMA funds may be packaged with other Federal funds, but other Federal funds (except for Federal funds which lose their Federal identity at the State level - such as CDBG, ARS, HOME) may not be used for the State or Local match. Estimated FEMA Share $29.303.65 75% of Total (maximum of 75%) Non-Federal Share Estimated Local Share $9.767.89 25% of Total (Cash) $Q Q% ofTotal (In-kind.) $Q Q% of Total (Global Match..) Other Agency Share $Q Q% of Total (Identify Other Non-Federal Agency and availability date: None) Total Funding sources/rom above $39.071.54 100Total % (should equal 100%) Other Non-FEMA Federal Funds $None (Do not include in total) (Identify Other Federal Agency: None) *ldentify proposed eligtble activities directly related to project to be considered for In-kind services. (Note on Page 4 Section B) **Separate project application must be submitted for each Global Match project. E. Project Milestones/Schedule of Work Ust the major milestones in this project by providing an estimated time-line for the critical activities not to exceed a period 00 years for performance. (e.g. Designing, Engineering, Permitting, etc.) Milestone Number of Davs to Complete [Ex., Demolition of 6 structures and removal of debris 14 days] Installation of storm Shutters 30 days Installation of generator 15 days Inspections 90 days Close out 90 days 6 Attach any continuations or additional Items to this page (Fonn No. HMGPIFMA-OO 1. Eff. 10130/04) Page 6 of 27 C. City or County Map with Project Site and Photographs 1:8:1 Attach a copy of a city or county scale map (large enough to show the entire project area) with the project site and structures marked on the map. 1:8:1 Attach a USGS 1:24,000 TOPO map with project site clearly marked on the map. o For acquisition or elevation projects, include copy of Parcel Map (Tax Map, Property Identification Map, etc.) showing each property to be acquired. The map should include the Tax ill numbers for each parcel, if possible. 1:8:1 Attach photographs (at a minimum 2 photographs) for each project site per application. The photographs should be representative of the project area, including any relevant streams, creeks, rivers, etc. and drainage areas, which affect the project site or will be affected by the project. For each structure, please include the following angles: front, back and both sides. Section III. Budget/Costs In this section, provide details of all the estimated costs of the project. As this information is used for the Benefit-Cost Analysis, reasonable cost estimates are essential. Since project administrative costs are calculated on a sliding scale, do not include them in the budget. Also, do not include contingency costs in the budget. A. Materials Cost er Unit B. Labor (Include equipment costs -- please indicate all "soft" or in-kind matches) D 'r R R t C t escrzo, ton ours ae os :Shutter Installatlon Included m above cost t.:!enerator nstaUanon labor mCluded m above cost c. Fees Paid Include any other costs associated with the project. Descriotion of Task Hours Rate Cost None 4 Attach any continuations or additional Items to this page (Form No. HMGPIFMA-OOI, Eft: 10130104) Page 4 of 27 STA TE OF FLORIDA. JOINT HAZARD MITIGATION GRANT PROGRAM &' FLOOD MITIGATION ASSISTANCE APPLICATION , , 11, Point of Contact OMs. ~Mr. OMrs. First Name: Grel!orv Last Name: Bishoo Title: Caoital Proiects Coordinator Street Address: 1126 East State Road 434 City: Winter Sorinsr:s State: Florida Zip Code: 32708 Telephone:407-327-5984 Fax: 4073276695 Email Address (if available ):2bishoola2wintersorin2stl.orl! 12. Application Prepared by: OMs. l8IMr. DMrs. First Name: Gresr:orv Last: Bishoo Title: Caoital Proiects Coordinator Telephone: 4073275884 Fax: 4073276695 13. Authorized Applicant Agent (proof of authorization authority required) OMs. ~Mr. OMrs. First Name: John Last Name: Bush Title: City Mavor Telephone: 4073275957 Fax: 4073271800 Street Address: 1126 East State Road 434 C~ty: Wi~ter ~tate. Flori Zip Code: 32708 10/24/05 Slgnature.:-.. ~.f. Date: 14. All proposed proj ts &hould~ included in the county's Local Mitigation Strategy (IMS). Attach is a letter ofenqi)!sem~~tfbr the project from the county's Local Mitigation Strategy Coordinator. ~ Yes 0 No Section I. Project Description A. Hazards to be Mitigated I Level of Protection 1. Select the type of hazards the proposed project will mitigate: o Flood ~ Wind 0 Storm surge 0 Other (list): _ 2. Identify the type of proposed project: o Elevation and retrofitting of residential or non-residential structure o Acquisition and relocation 0 Acquisition and demolition 18I Wind retrofit 0 Minor drainage project that reduces localized flooding o Other (please explain) _ 3. List the total number of persons that will be protected by the proposed project: 25 4. Fill in the level of protection and the magnitude of event the proposed project will mitigate. (e.g. 23 structures protected against the lOO-year (1 %) flood) _ structure(s) protected against the _ -year Flood (10,25,50,100, or 500 year) 1 structure(s) protected against 110 mile per hour (mph) winds 5. Engineered projects only (e,g. Drainage Improvements), include (attach to this page) ALL engineering calculations and design plans used to determine the above level of protection. 6. Project will provide protection against the hazard(s) above for 25 years (Le., what is the useful life of the project) B. Project Description, Scope of Work, and Protection Provided (Must be Completed in Detail) Describe, in detail, the existing problem, the proposed project, and the scope of work. Explain how the proposed project will solve the problem( s) and provide the level( s) of protection described in Part A. Also, if available, attach a vendor's estimate and/or a contractor's bid for the scope of work. Please ensure that each proposed project is mitigation and not maintenance. Description of the existing problems- The Winter Springs Senior Center and Civic Center, located in Sunshine Park. are concrete block and mortar buildings with aluminum metal roofing. There are no provision for protection of the windows in the Senior Center or Civic Center both which are planned to be used as shelters for city employees before, during and after emergencies. The tacilites currently do not have any source of back up power. 2 Attach any continuations or additional Items to this page (Form No. HMGPIFMA-OOI, Eft: 10/30/04) Page 2 of 27