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the correaMill 9 Informs Suite, andlor Bldg. No.) or P.O. State OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agentloompany, and (3) building owner. Comments House is in the AE and X zones A copy of the house plan sheet C-3 is attached Lowest Electrical Equipment water heater/washer/dryer on main level of the house at 18.15 Ft. Sign Date July 19 2011 ❑✓ Check here tattachments I SECTION E • BUILDING ELE TION NFORMATION (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 El -E4, use natural grade, if available. Check the measurement used. In Puerto Rloo only, enter meters. El. 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, crawlspece, or enclosure) Is_ _ ❑feel ❑meters ❑above or ®below the HAG. b) Top of bottom floor (Including basement, crawispace, or enclosure) Is _. _ []root❑meters ❑above or below the LAG. E2. For Building Diagrams 8.9 with permanent flood openings provided in Sectgyl Items B gpQfor 9 (see pales 8.9 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the bullding Is _ ❑ feet LJ metere LJ above or L j below the HAG. E3. Attached garage (top of slab) is _ ❑ feet ❑ meters ❑ 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 community's floodplaln management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this Irdormation 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 BFE) or Zone AO must sign here. The statements In Sections A, S, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name as 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 (or E), and G of this Elevation Certificate. Complete the applicable Items) and elan below. Check the measurement used In Items G8 and G9. 01. ❑ 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. G8. Date Certificate G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (Including basement) of the bullding ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum h^ bapro A..eAt 90 Local official's Name Engineering Division has roy� tine Community Name the Elevation Certificate and Telephone me— signature _ efelginen a Date Comments final 81-31, Mer U9 I+,P_m, A8 — br-P,al.awa ofS rrrovt eel I" lieu of real d. tteplaces 811 previous editions