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or City _ _ State I — SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) IlWy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Lowest Electrical is an nutlet in the floor of the garage. July 30, 2007 SECTION E - BUILDING ELEVATION-WFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFEI 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 Ell -E4, use natural grade, H 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 (FLOG) and the lowest adjacent grade (LAG). rrr'''111 a) Top of bottom floor (Including basement, crawl space, or enclosure) Is _ _ !=r feet ❑molars above or ❑below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosureb _ u feet 1-1 motors above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided Seedg9.� Items 8 or 9 (see e 8 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the building is feet LJ meters LJ above or u below tit HAG. E3. Attached garage (top of slob) 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 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 floodplain management ordinance? ❑ Yee ❑ 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, B. and E for Zone A (without a FEMA4saued or community -Issued BFE) or Zone AO must sign here. The statements /n Sedlons A, B. and E are correct to the best of my Imow/edoe. State Signature Date Telephone Comments ❑ Check here K ettaehmema 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 Si and G of this Elevation Certificate. 'Complete the applicable Rem(s) and sign below.' Check the measurement used In Items G8. and G9. Gt. ❑ 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 Seddon 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. GS. Date G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-0uilt lowest floor (including basement) slotfethe building: ❑ feet ❑ metere (PR) Datum G9. BFE or (in Zone AO) dept d i7@ mat kttertTldOT Yiif111C H/Orkd— ❑ fee ❑ meters (PR) Datum Community Name not FEMA Form 81-31, February 2006 previous