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7-8-012:051
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Last modified
11/16/2015 12:32:12 PM
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Date
7/19/2011
Type
Elevation Certificate
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Our Proj# 07743.92 <br />J.8, DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE <br />-ederal Emergency Management Agency <br />vational Flood Insurance Program Important: Read the Instructions on pages 1-9. <br />SECTION A - PROPERTY INFORMATION <br />Building Owners Name Georae 8r Sharon Handois <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No <br />OMB No. 1660-0008 <br />Expires March 31, 2012 <br />City Kailua Kona "ire Hawaii "r" v 96740 <br />A4. Building Use (e.g., Residential, Non-Resldentlal, Addition, Accessory, etc.)me8luenUal <br />A5. Latitude/Longitude: Let. N 19.56284 Long, W 155-96501 Horizontal Datum: EJ NAD 1927 ❑v NAD 1983 <br />A8. Attach at least 2 photographs of the building If the Certificate IS being used to obtain flood Insurance. <br />AT Building Diagram Number 7 <br />AS. For a building with a crewlspace or enclosure(s): A8. For a building with an attached garage: <br />a) Square footage of crewlspace or endosum(s) 1.022 sq It e) Square footage of attached garage n/a sq ft <br />b) No. of permanent flood openings in the crawlspaoe or0 b) No. of permanent flood openings In the attached garage <br />enclosure(s) withln 1.0 foot above adjacent grade within 1.0 foot above adjacent grade <br />c) Total net area of flood openings in A8.b _0 aq In c) Total not area of flood openings In As'b sq In <br />d) Engineered flood openings? ❑Yes ❑ No d) Engineered flood openings? ❑ Yea UNo <br />SECTION B • FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />81. NFIP Community Name 8 Community Number <br />82. County Name <br />B3. State <br />HAWAII 155166 <br />Hawaii CountyState <br />of Hawaii <br />B4. Map/Penel Number <br />85. Suffix <br />66. FIRM Index <br />87. FIRM Panel <br />B8. Flood <br />89. Base Flood Elevaflon(s) (Zone <br />1 <br />Data <br />1 <br />Effedive/Revised Date <br />Zone(s) <br />A0, use base flood depth) . <br />155166 0929 <br />C <br />04/02/2004 <br />09/14/1988 <br />AE/ X <br />14 <br />B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9. <br />❑FIS Profile [Z]FIRM ❑Community Determined ❑Other(Describe)r-'7,, <br />B11. Indicate elevation datum used or BFE In Item B9: ❑✓ NGVO 1929 ❑ ❑O <br />NAVO 1988 ther (Describe) <br />Is the building located In a Coastal Barrier Resources System (C) area or Otherwise Protected Area (OPA)? E] Yes Q No <br />Designation Date �CBRS ❑ORA <br />C1. Building elevations are based on: ❑Construction Drawings' QBullding Under Construction' W I Finished Construction <br />'A new Elevation Certificate will be required when construction of the building Is complete. <br />C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARAE, ARIA1-A30, ARIAH, AR/AO. Complete Items C2.a-h <br />below according to the building diagram specified In Item AT Use the same datum as the BFE. <br />Benchmark utilized Ka(lua Pier Vertical Datum (NGVD 1929) <br />Conversion/Comments Pl^"^`'^ns ranvertFiri to MR1 and nin alnngAt" r)ri_ my 4n?ha prnjgnt city <br />Check the measurement used. <br />a) Top of bottom floor (including basement, crawlspaoe, or enclosure floor) 9.06 v feet 8maters (Puerto Rico only) <br />b) Top of the next higher floor 18.15 feet meters (Puerto Rloo only) <br />c) Bottom of the lowest horizontal structural member (V Zones only) 16.30 LZIfeet ❑ meters (Puerto Rico only) <br />d) Attached garage (top of slab) Ta V feet ❑ meters (Puerto Rico only) <br />e) Lowest elevation of machinery or equipment servicing the building 18.15 .11 feet ❑ meters (Puerto Rico only) <br />(Describe type of equipment and location In Comments) <br />f) Lowest adjacent (finished) grade next to building (LAG)8.70 feet ❑ meters (Puerto Rico only) <br />g) Highest adjacent (finished) grade next to building (HAG) 17.93 feet ❑meters (Puerto Rico only) <br />h) Lowest adjacent grade at lowest elevation of deck or stairs, Including 17.90 feet ❑ meters (Puerto Rico only) <br />structural support <br />SECTION D • SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />This car iflcatlon Is to be signed and sealed by a land surveyor, engineer, or arch//... authorized by law to tardy elevation <br />Information. I certify that the Information on this Certificate represents my best efforts to Interpret the date available. -\ <br />I understand that any false statement maybe punishable by fine or Imprisonment under 18 U.S. Cade, Section 1001.Q LICENSED <br />0 Check here If comments are provided on back of form. Were latitude and longitude In Section A^prrovlded by a PROFFS&ON <br />licensed land surveyor? []Yes 115 No <br />s <br />Certlfler's Name License Number * <br />Chrystal T. Yamasaki LS -4331 <br />Itle m nyN <br />Licensed Professional Land I oUr�ieeyorame Wes Thomas Associates <br />ddreas Crry State 21P Code <br />� 75-571}9 Ka�� Street Kailu�rKona Hawaii 96740 ,,, <br />%k July 19, 2011 <br />FEE�rm 81-31, Mar 09 \ / See reverse side for <br />
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