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UALf I WAIKOLOASIate HI ZIP Code 96738 Copy bath skies of this Elevation Certificate for (1) community ofiitla1, (2) Insurance agenVeomparry, and (3) building owner. Comments LOWEST ELECTRICAL EQUIPMENT IS A ELECTRICAL JUNCTION BOX OUTSIDE AT THE SOUTHEAST CORNER OF THE BUILDING FOR POWER TO THE FREEZER. For Zones AO and A (without SFE), complete Rema Et -E5. Ifthe Cedlflae0a Is Intended to support a LOMA or LOMB -F request, complete Sections A, 8, end C. For Items EL -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation Information forthe following and check Bre appropriate bozss 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 cravdspeoe, or enclosure) Is _ _ ❑feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (Including basement, craw lspece, or enclosure) Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 6 and/or 9 (see pages 6-9 of Instructions), the nerd higher floor (elevation C2.b In the diagrams) of the building Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Anached 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 _ _ ❑ feel ❑ meters ❑ above or ❑ below the NAG. E5. Zone AO only. If no flood depth number is available, Is the top of the bottom floor elevated In accordance with the communflys floodplain management ordinance? ❑ Yee ❑ No ❑ Unknown. The local official must ceift this information In Section G. The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -Issued or eommunayassued BFE) or Zone AO must algn here. The statements M Section A, A and E are coned to the bodof my ftwilledge. Property Owners or Owrkera Authorized Representative's Name Address City State ZIP Code Comments and G of this Elevation Certificate. Complete the applicable bem(s) and sign below. Check the measurement used In Items GB and G9. G1. ❑ The intormation In Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who Ia authorized by law to certify elevation Information. (Indicate bre source and date of the elevation date in the Comments area below.) G2. ❑ A community official completed Section E for a buildup located in Zone A (without a FEMA -Issued or oommundy4saued SFE) or Zone AO. G3. ❑ The following Information (Items G4 -G9) Is provided for community floodplain management purposes. G4. Permit Number G5. Date Pemut Issued G6. Date Cer88cete Of Compllarae/Ooeupancy Issued 07. This permit has been Issued for. ❑ New Construction ❑ Substantial Improvement 08. Elevation of as -buil lowest floor (Including basement) of the building: —_ ❑ feet ❑ meters (PR) Datum _ G9. SFE or (in Zone AO) depth of flooding at the building she: _ _ ❑ feet ❑ meters (PR) Datum _ G10. Community's design flood elevation _ _ ❑ feet ❑ meters (PR) Datum _ Local Official's Name Title .• c FEMA Form 81-31, Mar 09 Replaces all previous editions