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E_�] <br />40 <br />Hazard Mitigation Grant Program Shelter Projects Only Ifeneflt Post Data Colleefinn Fot•m <br />A. Project. Information <br />Complete <br />A separate worksheet is required for each structure ✓ yes 130 <br />Photographs of all elements of the building to be retrofitted yes J no <br />Engineer's certification for level of proicc[ion proposed yes ✓ na <br />Attach completed LRDM `facile and Survey Checklist ✓ yes no <br />B, Building Data <br />Select Building Type (Before Mitigation) <br />Lightly Engineered <br />Fully Engineered <br />Building Site (Miles Inland) 4.5 <br />Number of Stories above Grade 1 <br />Construction Date 1993 <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 133,364_ (so <br />Area occupied by owner or PubIIc/Non-profit Agencies 133 _ <br />`64 (sf) <br />For the following, enter the square <br />feet for the applicable <br />Building <br />Existing (SF) <br />Area to be used <br />Proposed (SF) <br />Critical Facility <br />Host Shelter <br />Hurricane Evacuation Shelter (HES) <br />- 0 <br />- - 17,420 <br />-- 0 <br />13,600 <br />17,420 <br />13,600 <br />Primary Host Shelter <br />0 <br />17,420 <br />13,600 <br />Recovery Shelter <br />17,420 <br />— Refuge <br />0 <br />13,600 <br />- <br />- -- -- Risk Shelter <br />0 <br />13,600 <br />Secondary Host Shelter <br />Other (attach explanation) <br />NIA <br />NIA <br />D. Building Value <br />Building Replacement Value $1 million <br />Page 14 of 15 <br />