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40 <br />CA <br />liazard 1Niiigation Grant Prograln Sheller Projects Qtlly Bencfit Cost Data Collection Morin <br />A. Project 111farmatton <br />Complete <br />A separate %vorkshect is required for cacti structure J . yes no <br />Photographs of all elements of the building to be retrofitted , yes J Ito <br />Engineer's certification for level orproteetion proposed yes J no <br />Attach completed LRDivf Table and Survey Checklist J yes ____ no <br />B. Building Data <br />Select Building Type (Before Mitigation) <br />Lightly Engineered <br />Fully Engineered J <br />Building Site (Miles Inland) 5.5 <br />Number of Stories above Grade 1 <br />Construction Date 1986 <br />Historic Building Controls <br />Disaster Number FEMA -1300 -DR -FL <br />C. Building Size and use <br />Describe the normal day-to-day function of the facility: Public Education <br />Total floor area 65.714 (sf) <br />Area occupied by owner or PubliclNon-profit Agencies 65.714 (sf) <br />For the following. enter the square <br />feet for the applicable <br />Building <br />Existing (SF) <br />0 <br />4600 <br />Area to be used <br />Proposed (SF) <br />24.500 <br />4600 <br />24'500_ <br />Critical Facility <br />Host Shelter <br />Hurricane Evacuation Shelter (HES) <br />0 <br />Primary Host Shelter <br />0 <br />24.600 <br />Recovery Shelter <br />4600 <br />_ 4600 <br />Refuge <br />0 <br />24.500 <br />' Risk Shelter <br />0 <br />— — NIA <br />24.500 <br />—NIA <br />Secondary Host Shelter <br />Other (attach explanation) <br />D. Building Value <br />Building Replacement Value1 millircn <br />Page 14 of 15 <br />