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IMPORTANT: in these spaces, copy the corresponding Information from Section A. I For insurance Company Use: 9 HOONANI PLACE City HIL SState H D - SURVEYOR, ENGINEER, OR Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments THE LOWEST MACHINERY OR EQUIPMENT SERVICING THE BUILDING IS A WATER HEATER LOCATED WITHIN THE ATTACHED GARAGE. ELEVATION IS 109.89 FT. AO AND ZONE A For Zones AO and A (without BFE), complete Items Et -E5. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B, end C. For Items E1 -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. E1. 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, crawlspace, or enclosure) Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, 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 ❑ meters []above or d below the HAG. E3. Attached garage (top 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 Informatlon in Section G. F - PROPERTY 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 SFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Owner's or Owner's Authorized State LIF coos Signature Date Telephone or nd G of this Elevation Certificate. SECTION G - COMMUNITY rrdinance to administer the community's floodplain management ordinance can complete S the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. t1. ❑ The Information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation Information. (Indicate the source and date of the elevation date in the Comments area below.) i2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -Issued or community -Issued BFE) or Zone AO. c3. ❑ The following Information (Items G4 -G9) Is provided for community floodplain management purposes. G4. Permit Number Date Certificate Of Compliance/Occupancy 17. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement ;8. Elevation of as -built lowest floor (including basement) of the building: _ _ ❑ feet ❑ meters (PR) Datum 1. SFE or (in Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ meters (PR) Datum_ ;10. Community's design flood TWIY& pa rfinent of Public Works-- ❑ feet ❑ meters (PR) Datum _ Local Official's Name Enyine.efingDivision has reviewedTitle Community Name k pl f1E11fi661i��1i1� Telephone recommendsends Date Fnrm 81-31 Agar 09 Check here if attachments Replaces all previous editions