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IMPORTANT: In these spaces, copy the corresponding Infonnatlon from Section A Fbf 4pfki)gp,;0lP➢13ti mak.. :,.>'` Building Street Address (including AM., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No: 14-5152 Alapal Pt Rd CIN PahoaStata HI ZIP Code 95778 �a�l!}i),rii(!l!?'��i►�bArr'� °'. r �,�,I _ SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED). _. Copy both skies of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. 00 NOT REQUIRED) FOR For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate Is Intended to supporta LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. Et. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (Including basement, uawlspace, or enclosure) Is _._ ❑ test ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspaos, or enclosure) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided In Section A items 8 and/or 9 (see ages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building Is _,— ❑ feet [I meters ❑ above or LJ below the HAG. E3: Attached garage (lop of slab) Is _. ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number Is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information In Section G. F - The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -Issued or community -Issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owners or Owner's Authorized Representative's Name, .b A&–, —Y— or and G of this Elevation Certificate. R Lein the applicable Item(s) and sign below. Code Main management ordinance can compiew s the measurement used In Items G8 and G9. G1. ❑ The Information In Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or archkect who Is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located M Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4 -G9) Is provided for community floodplaln management purposes. G4. Permit Number G5, Dale Permit Issued G8. Date Certificate Of Compliance/Occupancy Issued I� G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: _ _ ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ metem (PR) Datum _ G10. Community's design flood elevation _ _ ❑ feet ❑ meters (PR) Datum _ tocafOffiaal'sNameTlte Department of Public Works rule Community Name .ngme; ::ng MviFion has revieWed Telephone In, „r -. Date Signature111111k X1 rer,.ommo.nds - . ,anal a1.171ava1 BY Dat;. Check here If attachmenls