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In these spaces, copy the City Hilo StateHI ZIP Code '.98720: ,CorrtFerry NAINumber r r - .N A NJ, SECTION D - SURVEYOR ENGINEER. OR ARCHITECT CERTIFICATION (CONTINUED) ' both aides of this Elevation Certificate for (1) community official: (2) Insurance agentfoompalry. and (3) bulkl ft owner. . menta:' 1) Structure referred to hereon Is situated entirely within the AE Hood zone. 2) Local (Hilo) Tidal Datum Is taken as Identical to NGVD29 on Howafi Island. 3) Equipment semMM the building as referenced In item 02. e) Is Electric Meter Box on bulMing face. E - BUILDING ELEVATION INFOR For Zones AO and A (without BFO, complete Items El -E5. If the CartNicate Is Intended to support a LOMA or LOMR-F request, complete Sections A, B. and C. For hems E7 -E4, use'natural grade, If available. Check the measurement used. In Puerto Ria 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 (WAG) and the lowest adjacent grade (LAO). a) Top of bottom floor (Including basement, crawl space, or enclosure) Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) to ❑ feet ❑ meters ❑ above or ❑ below the LA0. E2. For Building Diagrams 6.8 with permanent flood openings provided In Section A hems 8 andfor 9.(see 8 of Instructions), the next hlgher floor - (elevation C2b In the diagrams) of the bWMhq Is _ _ ❑ feet ❑ maters ❑ above or U below the NAG. E3. Attached garage (top of slab) Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery andfor 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 ammunWe floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must car* 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, B, and E for Zone A (without a FEMA -issued or cemmunity4esued BFE) or Zone AO must sign here. The statements in Sections A S, and E are correct to the beat of my knowfedge. Property Owner's or Owner's Authorized Representative's Name City Side ZIP Code Signature Date Telephone or and G of this Elevation Certificate: lana to administer the eommunitys floodplain management ordinance an complete & applicable item(s) and sign below. Check the measurement used M Items 08. and 09. G1. ❑ The Information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or amlihect who Is authorized by low 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 cemmun"Lied BFE) or Zone AO. G3. ❑ The following Information (items G4.G9.)Is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of ComoOanoe/Oocuoanev Issued 07. This permit has been Issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-bula lowest floor (including basement) of the building: _ _ j] feet ❑ meters (PR) Datum Gil. BFE or (in Zone AO) depth kf&p*ao ~ePubnc fir._ ❑ feet ❑ meters (PR) Datum Local Offidars Name - Title "", •"„” JQ recommends '"`' Signature U cloes not recommend Date menta ey_fiY�h ��-1�c �owc—o FEMA Form 81-31, February 2005 Replaces all previous