7-5-005:012 Garage - Laserfiche WebLink

Home

In these apaces, copy the corresponding Information from Section A. idress (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. MAIAU ST. UNIT B104 For I SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) _y both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. I SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE1 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, and C. For Mems EI -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 _ _ ❑ fast ❑ meters ❑ above or ❑ below the WIG. b) Top of bottom floor (including basement, crawlepace, or enclosure) Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 8-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is _.— ❑ feet ❑ meters ❑ above or ❑ below the WIG. E4. Top of platform of machinery and/or equipment servicing the building Is —_ ❑ feet ❑ meters ❑ above or ❑ below the WIG. E5. Zone AO only: H no flood depth number Is available, is the top of the bottom floor elevated in accordance with the cemmunky's floodplain management ordinance? ❑ Yes ❑ 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 -issued SFE) or Zone AO must sign here. The statements In Sections A, B, and E are correct to the best of my krow*lge. Property Owner's or AijQress City State ZIP Code Comments uake ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) and G of this Elevation Certificate. Complete the applicable hems) and sign below. Check the measurement used In Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that hes 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. 37. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement 38. Elevation of as -built lowest floor (Including basement) of the building: — _ ❑ feet ❑ meters (PR) Datum _ 39. BFE or (in Zone AO) depth of flooding at the building she: _ _ ❑ feet ❑ meters (PR) Datum _ 310. Community's design Ved e6vaatitioonrfinent of Public WOrks ❑ feet ❑ meters (PR) Datum _ UMISI'6 Name --mun nos reviewed Ime Community Name 11he Elevation Ge lificow and Telephone recommends Signature El dop'1 of recommend Date *ants Date 'I k r, _ ❑ Check here ff attachments 'EMA Form 81-31, Mar 09 Replaces all previous editions