Fillable Floodplain Development Application City of Norfolk Section I. (City of Norfolk, VA)

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Floodplain Development Application City of Norfolk Section I. (City of Norfolk, VA)

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U.S.A. forms for City of Norfolk, VA

BROWSE CITY OF NORFOLK, VA (VA) FORMS

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Floodplain Development Application
City of Norfolk
Page 1 of 4
Office Use Only
Application Number ___________
Section I. Applicant and Project Information
A. General Information
1. No work may begin within a floodplain designated as X (Shaded), AE, AH, Coastal A,
and VE until a floodplain development permit is issued.
2. The development may not be used or occupied until it has been approved by the
Floodplain Administrator for compliance with the floodplain regulations.
3. By signing and submitting this application, the Applicant certifies that all statements
contained in Section I, II, and any additional documents submitted with the
application are true and accurate.
4. The permit may be revoked and a stop work order may be issued if any false
information is provided in this application.
B. Owner/Applicant Information
Property Owner
Applicant/Contractor
Contractor License Number
Mailing Address
Telephone Number
E-mail Address
C. Project Information
Project Name
Address
GPIN(s) (If address is not
available)
Project Cost
1. Structural Development
(Please check all that apply)
o Residential
o Non-Residential
o Elevated
o Floodproofed
o Mixed Use
o Manufactured Home
2. Type of Structural Activity
o New Structure
o Addition
o Alteration to Existing Structure
o Substantial Improvement
Floodplain Development Application
City of Norfolk
Page 2 of 4
Office Use Only
Application Number ___________
3. Other Development Activities
Additional permits are required from the Departments of Public Works and/or Utilities.
o Grading/Fill
o Drainage Improvements
o Roadway or Bridge Construction
o Water or Sewer Improvements
D. Signature
I certify that to the best of my knowledge the information contained in this application is true
and accurate. I understand that all development within the floodplain is required to be
constructed to meet the requirements of the Zoning Ordinance and the VAUSBC.
__________________________ ______________________________ _______________
Print Sign Date
II. Documentation
Construction Documents for building permits
Elevation Certificate
Existing (for additions and renovations)
Based on proposed construction (for new construction and substantial
improvements)
Physical Survey (for additions and renovations)
Minor Site Plan addressing new construction, grading, fill and erosion and sediment
control (new construction and substantial improvements)
Approved Site Plan (if required)
Floodproofing Certificate for nonresidential construction (if required)
Coastal Zone Design Certificate if within Coastal A or VE zones
Floodplain Development Application
City of Norfolk
Page 3 of 4
Office Use Only
Application Number ___________
Section III: Permit Review (To be completed by city staff)
Flood Information All elevations based on NAVD ‘88
1. FIRM map panel and date _______________________________________________
2. The proposed development is located within the: __________________ flood zone(s)
3. Base Flood Elevation (NAVD ’88) ___________________________________________
4. Is the proposed development located within the X (Shaded), AE, AH, Coastal A, or VE
zones? YES NO If NO, floodplain development permit is not required
5. The project is a substantial improvement or renovation? YES NO
X (Shaded)/0.2% Chance of Flooding zone (New construction only)
Finished floor of development is required to be 36 inches above the highest adjacent grade.
1. Highest adjacent grade (see minor site plan) ___________________
2. Proposed finished floor of structure (see minor site plan) __________________
AE and AH zones
3 feet of freeboard is required for all construction
1. Elevation Certificate attached? Proposed Existing Condition
2. Site Plan/Survey attached? Minor Major NO
3. Design Flood Elevation (BFE + Freeboard) _____________________
4. Proposed finished floor _____________________
5. Elevation of mechanical equipment _____________________
6. Improvements are 20 feet setback from Mean High Water? YES NO
7. Crawl Space is below grade on all sides? YES NO
If yes, plans must be revised (not permitted)
8. Flood Venting
a. Size of Crawl Space (square feet) _____________________
b. Number of flood vents _____________________
c. Capacity of flood vents (square inches) _____________________
d. Type/Model number(s) of engineered flood vents _____________________
e. Engineer design documents submitted? YES NO
Engineering design documents are required for engineered flood vents
9. Elevation of attached garage _____________________
a. Plumbing or mechanical within garage? YES NO
Plumbing and mechanical required to be elevated above DFE
b. Size of attached garage (square feet) _____________________
c. Number of flood vents (if below DFE) _____________________
d. Capacity of flood vents (square inches) _____________________
e. Type/Model number(s) of engineered flood vents _____________________
f. Engineer design documents submitted? YES NO
Engineering design documents are required for engineered flood vents
10. Is the structure floodproofed (non-residential only) YES NO
Floodplain Development Application
City of Norfolk
Page 4 of 4
Office Use Only
Application Number ___________
a. Floodproofing certificate submitted? YES NO
Floodproofing certificate required if this type of construction is proposed
VE and Coastal A Zones
3 Feet of freeboard required for all construction
(measured to bottom of lowest horizontal member of structure)
1. Elevation Certificate attached? Proposed Existing Condition
2. Site Plan/Survey attached? Minor Major NO
3. Coastal Zone Design Certificate attached? YES NO
4. Design Flood Elevation (BFE + Freeboard) _____________________
5. Proposed elevation lowest horizontal member of structure _____________________
6. Elevation of mechanical equipment _____________________
7. Improvements are 20 feet setback from Mean High Water? YES NO
8. Breakaway walls? YES NO
If yes, plans must be revised (not permitted)
9. Structural Fill? YES NO
If yes, plans must be revised (not permitted)
Accessory Structures
3 feet of freeboard required for all construction
1. Flood zone at location of accessory structure ____________________
2. Design Flood Elevation (BFE + Freeboard) _____________________
3. Site Plan/Survey attached? Minor Major NO
VE or Coastal A
1. Coastal Zone Design Certificate attached? YES NO
2. Design Flood Elevation (BFE + Freeboard) _____________________
3. Proposed elevation lowest horizontal member of structure _____________________
4. Elevation of plumbing /mechanical equipment _____________________
5. Breakaway walls? YES NO
If yes, plans must be revised (not permitted)
6. Structural Fill? YES NO
If yes, plans must be revised (not permitted)
AE or AH
1. Proposed floor elevation of structure _____________________
2. Elevation of mechanical equipment _____________________
3. Flood resistant construction to DFE? (required) YES NO
4. Flood Venting (if below BFE)
a. Size of enclosed space (square feet) _____________________
b. Number of flood vents _____________________
c. Capacity of flood vents (square inches) _____________________
d. Type/Model number(s) of engineered flood vents _____________________
e. Engineer design documents submitted? YES NO
Engineering design documents are required for engineered flood vents
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Floodplain Development Application City of Norfolk Section I. (City of Norfolk, VA)

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Completed 4 August 2020

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