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i <br />f <br />40 <br />flazard Mitigation Grant Program Shelter Projects Only Benefit Cost i)ata C'ollecilon Form <br />A. Project Information <br />Complete <br />A separate worksheet is required for each structure J yes_ no <br />Photographs of ail elements of the building to be retrofitted yes J no <br />Engineer's certification far level of protection proposed yes ,I na <br />Attach completed LRDM Table and Survey Checklist ✓ yes _ Iter <br />B. Bultding Data <br />Select Building Type (Before Mitigation) <br />Lightly Engineered <br />Fully Engineered we <br />Building Site (Mlles Inland) 7 <br />Number of 'Stories alcove Grade 1 <br />Construction Date 1975 <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 121.557 (sf) <br />Area occupied by owner or FubliclNon-profit Agencies 121.557_ _Of) <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 />0 <br />17.100 <br />Host Shelter <br />14,280 <br />14,280 <br />Hurricane Evacuation Shelter (HES) <br />0 <br />17,100 <br />Primary host Shelter <br />0 <br />17,100 <br />Recovery Shelter <br />14,280 <br />14,280 <br />Refuge <br />0 <br />17,100 <br />Risk Shelter <br />0 <br />17,100 <br />Secondary Host Shelter <br />NIA <br />NIA <br />Other (attach explanation) <br />D. wilding Value <br />Building Replacement Value $9 million <br />Page 14 of 15 <br />