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the Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agenUcompany, and (3) building owner. Comments Lowest Electrical Equipment On Demand Water heater under house at 14.30 Ft For Zones AO and A (without BFE), complete Rome Et -E6. If the Cortiflcate Is Intended to support a LOMA or LOMR-F request, complete Sections A, B. end C. For Items E7{4, 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 (LAO). a) Top of bottom floor (Including basement, crawispece, or enclosure) Is — _ ❑het ❑meters ❑above or below the HAG. b) Top of bottom floor (Including basement, crawispace, or enclosure) Is _ _ ❑teat ❑meters []above or below the LAG. E2. For Building Diagrams 6.9 with permanent flood openings providedO Stt tf Items 8 golor 9 (am Instructions), 8-9 of Insctions), the next higher floor (elevation C2.b In the diagrams) of the building Is feet LJ meters u above or U 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 _ ❑ foot ❑ metere ❑ above or ❑ below the HAG. E8. Zone AO only._ If no food depth number Is available, Is the top of the bottom floor elevated in accordance with the oommunwe floodplain management ordinance? U 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, 8, and E for Zone A (without a FEMA -issued or community -Issued SIFE) or Zone AO must sign here. The statements In Sections A, B, and E are comot to the best of my knowledge. or dress City State ZIP Code Signature Date Telephone [Z' anti G of this Elevation Certificate. Complete the applicable Rem(e) and sign below. Check the measurement used In Rema 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 M the Comments area below.) G2. ❑ A community official completed Section E for a building located In Zone A (without a FEMAdssued or community -Issued BFE) or Zone A0. G3. ❑ The following Information (Items G4 -G9) Is provided for community floodplain management purposes. G7. This permit has leen Issued for: ❑ Now 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 ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Ofgclal's Name Title Community Name Telephone o�ynaww Date ❑ h 4 here H etia hmente FEMA Form 8131, Mar 09 Replaces all previous editions