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In these spaces, copy the corresponding Information from Section A. For Insurance Company Use: 1P Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number i ,;+{ i i 51 Mamalahoa Highway c State ZIP Code Company NAIC Number ^' la HI 96743 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. --..........- C2e is Electric Hot Water Tank in carport _1.-31-2011 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items Et -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, crawlspam, 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 openingstprovided In Sectigo A Items 8 and/or 9 (seepages 8-9 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the. building is _ [].feet u meters [:]above or Li below the HAG. - E3. Attached garage (top of slab) is _ [:]feet E] meters El 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 dommunRys Floodplain management" ordinance? ❑ Yes ❑ No ❑ Unknown. The local official 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 -Issued BFE) or Zone AO must sign here. The stafements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name • Address City State ZIP Code Signature Date - Telephone Comments - - - -' ❑ Check here if attachments _ - SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's Floodplain management ordinance can complete Sections A, B. C (a E) and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check 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 architect 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 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. 134. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy 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 ❑ feel ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name� � vrt.rart�r+n :7 p 'ublfc Works Title Community Name E5,tt; has ievisweZI Telephone FEMA Form 81-31, Mar 0.9 D Replaces all previous editions GIG