8-2-006:029 - Laserfiche WebLink

Home

i DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. iC.9MBAzom 90,9A.y Juding APL, unit, Suite, end/or Bldg. No.) or state OMB No. 1860.pp08 F�cplles February 28, 2009 :ortrisurano6 Company Uae: . 'olicy Number . .ompar JINAIC Number Code 9G 7d4 Aso n/MAcs.oA/ hV G 95o2:+az A4. Bullaing Use.(e.g„ Residential, Non-Reside4al, Addition, Accessory, etc.) / D®N 7 -/.q -'— All. Latitude/t.ongitede: Lot. Long. - Horizontal Datum: NAD 1927 As. Attach at least 2 photographs the bufid'mg H the Certificate Is being used to obtain flood insurance. ❑NAD 1983 A7, Building Diagram Number A9. For a building with a crawl space or endosurs(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl agape or endosures D) No. of permanent flood ()wl space or aq R a) Square footage of attached garage endosure(s) walls within 1 0 foot above adjacent rade b). No. of permanent flood openings In the atladied garage c) Total not area of flood ) g wells within 1.0 foot above adjacent grade opeNrgs to Ab.b aq In C) Total net area of flood openings In A9.b eq in Bt. NFIP Community No 8 Community Number 82, County Name �• Hawaii Count 155166 Hawaii County State Hawaii o:. Map/Panel Number 85.8 Ba. FIRM Intlex 87. FIRM Penal B8. FlOOtl ill 1:111:11a Food Elevations) (Zone 1155166— /!S6 I G I Date Etteetive/Reviaed Dara Zone(a) AD, use ba„ flood dam) 4/02/04 9 /6 " 810 Indicate ro sauce of the Bese Flood Elevation (BFE) data or base flood depth emamd In Item Be. v p ❑ FIS Profile FIRM ❑ Community Determined ❑ Other (Describe) 011. Indicate elevation datum used for BFE In Item B9: Off NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the builtling located Ina Coastal Banter Reaouraes System (CBRS) area or Otherwise Protected Area (OpA)7 ❑yea ® No Designation Dam ❑ CBRS ❑ OPA C1. Building elevations are based on: ❑ Construction Drawings- ❑ Building Under Construction._ new Elevation Certificate will be required when construction --,I�Flniatad Construction of iha buk" Is complete, Ele C2. below cc r Zones he buil , AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/At-A30, AR/AH, AR/AD. Complete hems C2.a•g below according to the bWWhg til m apedfletl M Item A7. Benchmark UtlItzee i/ S C � S BM 9T WA,' ConversionfComments fR F vertical Datum_ Sj9,p L61rEi .,v Check the measurement used, a) Top of bottom floor pndudirg basement, crawl space, or enclosure b) Top the Poor) /v ._❑ feel ❑ meters (Puerto Rico only) of next higher floor e) Bosom of me lowest horizontal structural ural member (V Zones only) �/�._❑ . I� fee . El mstere (Puerto Rico only) ❑ d) Attached garage (top of slob) e) Lowest elevation (Describe type egWipmelnttin oCrommmennttss) t Servicing tis building ,LQ� A1.4 ❑teat -_�•�❑feet meters (Puerto Rico only) ❑ meters (Puerto Rico on ❑meters (Puerto Rico of only) .. 9 Lowest ..edjeF@nt�flnlshee)_grade .(LAG) g) Highest adjacent (fMshed) grade (HAG) _rte feet El motors (Puerto Rico only) fast ❑ meters (Puerto Rice only) i ms cermrcaeon Is to be signed and sealedba uvyor, engineer, or architect authonzed by law to certify etek Information. I oemfy that the Information on this Certificate represents my best efforts to interpret the data available. Ir understand chat any false statement maybe punishab'e by fine or/mpdsonment under 18 U.S. Code, Section 1001. xCheck here If comments are providad on back of form. T!®vA< D C• /iI cZ/yTp�1Y ¢.94 Q' hwWAY, FtMA Form 81-31, February See reverse side for continuation. No. 4968 all previous editions