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7-6-011:011 Bldg B
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4/1/2015 8:50:00 AM
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Date
2/14/2008
Type
Elevation Certificate
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IMPORTANT: In these spaces, copy the corresponding Information from Section A. I For Insurance Company Use: <br />City <br />or <br />SECTION D - <br />both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. <br />The base flood elevation was determined using the field location of the structure which has a calculated distance of <br />39 feet from the Westerly face of the Culvert (Station 76+10 with a 100 year BFE of 866.5). Using Cross-section at station 75 <br />+60 and the location of the structure we calculated an interpolated BFE of 861.8. Cross-sections are from the North Kona <br />Flood Studv. <br />Signature Date February14.2008 <br />, n M. -It na,a it Aean.A.rs <br />SECTION E= BUILDING ELEVATION IAFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) <br />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, <br />and C. For nems E1 -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. <br />E1. Provide elevation Information for the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacent <br />grade (HAG) and the lowest adjacent grade (LAG). <br />a) Top of bottom floor (Including basement, crawl space, or enclosure) Is _ _ ❑ feet ❑ meters ❑ above or® below the HAG. <br />b) Top of bottom floor (Including basement, crawl space, or enclosure) Is _ _ ❑ feet El meters ❑ above or below the LAG. <br />E2. For Building Diagrams 6-8 with permanent flood openings provided In SectIQILA Items 8 or 9 (see pjUe 8 of Instructions), the next higher floor <br />(elevation C2.b in the diagrams) of the building is _ ❑ feet LI meters U above or U below the HAG. <br />E3. Attached garage (top of slab) is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. <br />E4. Top of platform of machinery and/or equipment servicing the building Is _ ❑ feet ❑ meter ❑ above or ❑ below the HAG. <br />E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the communitys floodplain management <br />ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this Information in Section G. <br />SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION <br />The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or oommunityassued BFE) <br />or Zone AO must sign here. The Statements In Sections A, B, and E are correct to the best of my knowledge. <br />Owners or Owner's Authorized Representative's Name <br />City State ZIP Code <br />Signature Date Telephone <br />Comments <br />❑ Check here' attachments <br />SECTION G - COMMUNITY INFORMATION (OPTIONAL) <br />local official who is authorized by law or ordinance to administer the community's noodpiam management oromance can complete bi <br />G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. <br />31. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who <br />is authorized bylaw to certify elevation information. (Indicate the source and date of the elevation data In the Comments area below.) <br />32. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. <br />o3. ❑ The following information (Items G4. -G9.) is provided for community floodplain management purposes. <br />Leo <br />G5. Date Permit Issued <br />37. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement <br />38. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meter (PR) Datum <br />39. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum <br />Local Official's Name Title <br />Community Name Telephone <br />❑ Check here if attachments <br />=EMA Form 81-31, February 2006 Replaces all previous editions <br />
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