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rI's slate ZIP Code N%py both sides of this Elevation Certificate for (1) community ofildal, (2) Insurance agentloompany, and (3) building owner. Comments ��—-----�-,_ ..— -- •-- — — --- The Photos of the exterior of the residence are attached e Lowest ElectricalEquipment Is the Water Heater located on the First Floor. ��. ,,..,. • ov,wmw 9&=VAnvry INrVKmAIJUN (OLIKVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without SFE), complete Items El -E8. If Bre Certificate Is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items Et -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation Infonnetlon for the following and check the appropriate boxes to show whether 69 elevation Is above or below Bre highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crowlspece, or enclosure) Is—. _ ❑feel ❑maters above or ®below th HA6. b) Top of bottom Boor (Including basement, cmwlspaoe, or enclosure) Is _. _ [3061[:]motorsabove or below the LAG. F2. For Building Diagrams 6-9 with permanent flood openings provided In Secik;MA Iteme 9 UnWor 9 (am gggee 8.9 of InsW Wons), the next higher floor (elevation C2.b in the diagrams) of the building to _ ❑ feet U miners LJ above or U below 8o HAG. E3. Attached garage (lop of slab) to . _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building Is _ ❑ feet ❑ metere ❑ above or ❑ below the HAG. E8. Zone AO only: If no flood depth number Is available, Is the top of the bottom floor elevated In accordance with the community's floodplaln management ordinance? I] Yes ❑ No ❑ Unknown. The local official must pertly this Informetlon In Section 6. SECTION F • PROPERTY OWNER IOR OWNER'R REPRESFNTATIVFe neonerreTrnu The property owner or owner's sutlhorized representative who completes Sections A, B, and E for Zane A (without a FEMA4eeued or tbnununity4esued BFE) or Zone AO must sign here. The statements In SecBona A, B, and E are correct to the beat of my knowledge. Property Owner's or Owner's Authorized Remeeentativda Nano Comments and G of this Elevation Certificate. Kern(s) and sign below. Check the measurement used In Items 08 end Gil. G1. ❑ The Information In Section C was taken from other documentation that two been signed and sealed by a licensed surveyor, engineer, or architect who Is authorized by law to certify elevation Information. (Indicate the source and data of the elevation data In the Comments area below.) 62. ❑ A community official completed Section E for a building located In Zone A (wilhoul a FEMA-Iseued or oommunlly-Issued SFE) or Zone AO. G3. ❑ The following information (items G4-09) Is provided for community floodplain management purposes. . G7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement 68. Elevation of as-buill lowest floor (Including basement) of the building ❑ feet ❑ maters (PR) Datum G9. BFE or (In Zone AO) depth of flooding at the building elle ❑ feet ❑ meters (PR) Datum Gto. Community's desigihaodkolidelanent of Public Works ❑ feet ❑ metere(PR) Datum G^ , ^^ laq W ^•t^n hoc reviawad Local Official's Name ,L _ , _-.. _ -I Title Signature ivAr-Fa °EMA Form 81-31, Mar 09 Replaces all previous editions