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IMPORTANT: _ In these spaces, copy the corresponding Information from Section A. ) For Insurance Company Use: Box City M SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. There is no permanent electricity in the Gazebo. The base flood elevation was determined using the field location of —the Gazebo which has a calculated distance of 53.42 feet from the Westerly face of the Culvert (Station 76+10 with a 100 year _ BFE of 866.5), Cross-section at station 75+60 and the calculated station of the center of the Gazebo as 75+56.58 with an interpolatedpFE of 859.8. Cross-sections are from the NorttyKona Flood Study. signature u Lisle ,January 25, 2008 ❑ Check here N attachments E: BUILDING ELEVATION For Zones AO and A (without BFE), complete Items Et -E5. If the Certificate Is Intended to support a,LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if 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 (HAG) and the lowest adjacent grade (LAG). 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) is _ _ ❑ feet ❑ meters above or below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in SecUMA Items 8 and/or 9 (see RWe 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ ❑ feet Lj meters U above or U below the HAG. E3. Attached 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 _ ❑ 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 community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certiry, 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, 8, and E for Zone A (without a FEMA4ssued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best o1 my knowledge. riv Ownef s or Owner's Authorized Representative's Name Comments SECTION G - City Date State ZIP Code Telephone The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete a and G of this Elevation Certificate. Complete the applicable item(s) 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 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 Section 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. G4. Permit Number G7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (Including basement) of the building: ❑ feel ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Title Telephone ❑ Check here if attachments ❑FRAA Pnm AL'A'I QGhnian, InfIR RpniartaA All nravintin prlitinnn