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IMPORTANT: In these spaces, copy the corresponding Information from Section A. i For Insurance Company Use: City a or ARCHITECT WCopy both sides o1 this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. - Comments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A IWITNOUIT IRFet For Zones AO and A (without SFE), complete Items Et -E5. If the Certificate is intended to supporta LOMA or LOMR-F request, complete Sections A, B, and C. For Items EI -E4, use natural grade, If available. Check the measurement used. In Puerto Rice only, enter meters. Et. Provide elevation information for the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacerd grade (HAG) and the lowest atljacenl grade (LAG), a) Top of bottom floor (Including basement, crawl space, or enclosure) Is❑ feet ❑ meters ❑above or ® below gra HAG. b) Top of bottom floor (Including basement crawl space, or enclosure) Is _. _ ❑ feet ❑ meters El above or below the LAG. E2. For Building Diagrams " with permanent flood openings provided In SecligiL4 Items B find/or 9 (sea Me a of Instructions); the next higher floor (elevation C2.b In the diagrams) of the building Is . _ ❑ feet Lj meters [j above or („j below the HAG. E3. Attached garage (top of slab) is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform o1 machinery andlor equipment servicing the building Is _ ❑ feel ❑ 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 acco,dance with the communitys floodplain management ordinance? ❑ 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 owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA4seued or community4asued SFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledne. or 0. lit Name 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 sign below. Check the measurement used in Items G8. and G9. G1. The Information In Section C was taken from other documentation that has been signed and bested 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 ollwlal completed Section E for a building located in Zone A (without a FEMA -Issued or community-lasued BFE) or Zone AO. G3. ❑ The following information (Items G4. -G9.) is provided lot community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G8. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been Issued for: ❑ New 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 Local Official's Name Title Community Name Telephone J Signature Date ❑ Ch h r If men s FEMA Form 81.31, February 2006 Replaces all previous editions