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�ADD14ESS NOT FOUND <br />City Stere 71P Code arr)rGum <br />KAILUAKONA NI 95710 n{y+�a„rk ,.,•r' mr,>-e Sr i <br />— SECTION D - SURVEYOR. ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) <br />Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. <br />Comments AIR CONDITIONER COMPRESSOR 18 LOWEST EQUIPMENT <br />7.7-2011 <br />For Zones AO and A (without SFE), complete Items E7 -E5. If Bre Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B. <br />and C. For Items Ell -E4, use natural grade, 8 available. Check the measurement used. In Puerto Rico only, enter meters. <br />Et. Provide elevation Inion Mon for the following and check the appropriate boxes to show Whether the elevation Is abrnre or below the highest adjacent <br />grade (HAG) and the lowest adjacent grade (LAG). <br />a) Top of bottom floor (Including basement, wawlspace, or enclosure) Is _ _ []feet ❑meters ❑above wbelow the HAG. <br />b) Top of bottom flow gnduding basement, cravdepaoe, w enclosure) is _ _ ❑feet ❑meters ❑above or ®below the LAG. <br />E2. For Building Diagrams 6-9 with permanent flood openings provided in Sedi4M Items 8w 9 (see R@9es 8-9 of Instructions), the next higher floor <br />(elevation C2.b In the diagrams) of the building is _ ❑feet U meters LJ above or U below the HAG. . <br />E3. Ansc ed garage (top of slab) Is . _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. <br />E4. Top of platform of machinery and/or equipment servicing the building Is _ ❑ feet ❑ ureters ❑ above or ❑ below the HAG. <br />E5. Zone AO on If no flood depth number Is available, is the top of the bottom floorelevated in accordance with the communhys floodplain management <br />odinance7 0 Yes ❑ No ❑ Unknown. The local official must certify this Information In Section G. <br />The property owner or owners authorized representative who completes Sections A. B, and E for Zone A (without a FEMA4sskred or con munityaesued BFE) <br />or Zone AO must sign here. 7th defenonta /n Sections A, B, and E ars coned to the beat of my knosfedge. <br />or Owners <br />1110 IVYO, v,,,Na, �,ry w ruurv. rv.• r� ..... r. r. �... �..� . .......-.-. _._ ____. ___...-- - <br />and G of this Elevation Certificate. Complete this 8pp9csbls ftem(s) and sign below. Check the rreasuremecd used In Items GB end 69. <br />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 <br />is audxmzed by law to certify elevation Information. (Indicate the source and deft of the elevation data in the Comments area below.) <br />G2. ❑ A community official completed Section E for a bulldog bcated In Zone A (without a FEMAasaued or communityaaskred BFE) of Zone AO. <br />G3. ❑ The following information (Items G4 -G9) Is provided for community floodplain management purposes. <br />G4. Permit Number G5. Date Permit Issued G5. Date Certificate Of Compliance/Occupancy issued <br />G7. This permit has been Issued for.' ❑ New Construction ❑ Substantial Improvement <br />G8. Elevation of as -built lowest floor (including basement) of thh Building ❑ feet ❑ meters (PR) Datum <br />G9. BFE or (in Zone AO) depth of flooding at the building she ❑ feet ❑ meters (PR) Datum <br />G10. Community's design flbbl;ei rSIP Of NUI ❑ feet ❑ meters (PR) Datum <br />®a" alfa W'fti(' --'— <br />Local Official's Name •" ct`,i. TBIe <br />the EleynPinr� � 'e• - - <br />rc.•ccmnt.nd <br />81-31, Mar 09MEW Replaces all previous <br />