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or HI' IGIXI7-0ii:1-11I IWCopy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. * Comments Attached are: 1) Flood elevation survey map by Imata & Associates, Inc.(8.5" x 1111) Reaardina -scrim C2.e: Water heater located in washroom in carport. SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without SFE), complete Items E1 -E8. 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 Rtoo 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, crawlepace, or enclosure) Is_ _ ❑feat ❑meters ❑above or ❑belowthe HAG. b) Top of bottom floor (Including basement, crawlspace, or enclosure) Is _ _ ❑feet []meters ❑above or ❑below the LAG. E2. For Building Diagrams 8-9 with permanent flood openings provided In SectlomA Items 8 eEWor 9 (see 2Wes 8.9 of Instructions), the next Ngher floor (elevation C2.b In the diagrams) of the building Is'' .. _ ❑ feet LJ meters L_J above or LJ below the HAG. E3. Attached garage (top of slab) Is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery angor equipment servicing the building Is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E8. Zone AO on If no flood depth number Is available, Is the top of the bottom floor elevated In accordance with the communtys floodplain management ordineihce7 Yes ❑ No ❑ Unknown. The local offical must certify, this Information in Section G. The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -Issued or community-lesued SFE) or Zone AO must sign here. The statements In Sections A, 8, and E are correct to the best of my knowledge. or owners 71 ❑ Check here If ateehmerris SECTION G - COMMUNITY INFORMATION (OPTIONAL) and G of this Elevation Certflcate. Complete the applicable Item(s) and sign below. Check the measurement used In Items G1. ❑ 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 low to certify elevation Information. (Indicate. the source and date of the elevation date In the Comments area below.) G2. ❑ A community official completed Section E for a building located In Zone A (without a FEMA -Issued or communty-Issued BFE) or Zone AO. G3. ❑ The following Information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number I G8. Date Permit Issued I G8. Date Certificate Of Compliancel0mupancy Issued 07. This permit hes been Issued kr. ❑ New Construction ❑ Subsmntal Improvement G8. Elevation of as -built lowest floor (Iricuding basement) of the building ❑ feet ❑ meters (PR) Datum G9. BFE or On Zone AO) depth of flooding at the building site ❑ feel ❑ meters (PR) Datum G10. CommuMty's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name - Telephone Signature Date Comments ❑ Check here If attachments FEMA Forth 8131, Mar 09 Replaces all previous editions .A