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Information from ) or P.O. Route and State -SURVEYOR, 96720 Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agentloompany, and (3) building owner. (1) Type of Machinery servicing building at lowest elevation: Chest Freezers 4126/2010 SECTION E - BUILDIIM ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND For Zones AO and A (without BFE), complete Items E1 -E5. If the Cer6flcate is Intended to support a LOMA or LOMR-F request complete Sections A. B, end C. For Items EII-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. 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, kxawlspace, or enclosure) Is 0.9 Blast ❑meters ❑x above or ❑below Ore HAG. b) Top of bottom floor (Including basement, crawtspace, or enclosure) Is 1.2 Ofeet ❑meters x❑above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided In �qp.� Items 8or 9 (see s"of Instructions), the next higher floor (elevation C2.b In the diagrams) of the building Is NA. _ ❑feet U metere �J above or below the HAG. E3. Attached garage (top of slab) Is 0. 3 x❑ feet ❑ meters 0 above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0.3 x❑ feet ❑ meters[E] above or ❑ below the HAG. E5. Zone AO only: O no flood depth number is available, is the top of the bottom floor elevated In accordance with the community's floodplain management ordinance? ❑ Yee ❑ No ❑ Unknown. The local official must certify this Information In Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -Issued or community-lesued BFE) or Zone AO must sign here. The statements In Sedo>ns A, B, and E are correct to the best of my knowledge. Property Owner's or Ownees Authorized Representative's Name reqs city State ZIP Code Signature Date Telephone Comments SECTION G - I no iocai official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. C (or E), and G of this Elevation Certificate. Complete the epolicable item(s) and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The irdornation In Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architectwho 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 In Zone A (without a FEMA -Issued or community -Issued BFE) or Zone AO. G3. ❑ The following Information (items G4 -G9) Is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compltance/Oocupancy Issued 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 ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Date ❑ check here It attachments FEMA Form 81-31, Mar 09 Replaces all previous editions