7-2-010:004 Beach Tree Restaurant Renovation

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IMPORTANT: In these spaces, Copy the corresponding Information from Section A. Building Street Address (incmamg Apt., Unit, lune, and/or t$109. No.) or 72-100 Kaupulehu Drive, Suite 1 Beach Tree Restaurant Renovation CIN Kellua-Kona Stele HI ZIP Code 98745 1,123n i7A le] 7114:Ri T44-;7WplJ Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agenticompany, and (3) building owner. Comments Elevation listed in C2.e is for Electrical Room. . 141.1 For Zones AO and A (without BFE), complete Items E1 -E5. lithe Cedi icate is intended to support a LOMA or LOMR-F request, complete Sections A, B. end C. For hems E7 -E4, use natural grade, I available. Check the measurement used. In Puerto Rico only, ender meters. E1. Provide elevation bdormation 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). s\ T..,...r 1 item see, nnN„Aj. hem,rwl rruWannna w nnlna„ro11. r -I 1 s li ,nabr. 1-I aHm,a ... rl Iu1— 61 uen b) Top of bottom floor (Including basement, crawlspece, or enclosure) Is _ _ ❑ fest ❑ meters ❑ above or ❑ below the LAG. F3. For Building Diagrams 8-9 with permanent flood openings provided In Section A Items 8 and/or 9 (see pages 8.9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ _ ❑ feet ❑ maters ❑ above or p below the HAG. E3. Attached garage (top of slab) is _ _ ❑ teat ❑ meters ❑ above or ❑ below the HAG. Es. 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 communWa floodplain management ordinance? ❑ Yes ❑ 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 FEMA -Issued or communWi4ssued BFE) or Zone AO must sign here. The statements /n Sections A, B. and E ars correct to Me best of my knowledge. Property Owner's or Owner's Authorized Representative's Name 'llmness - City State ZIP Code Signalise Date Telephone Comments ❑Cheek here H ettadhment SECTION O - COMMUNITY INFORMATION (OPTIONAL) The local official who Is authorized by low or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(@) and sign below. Check the measurement used In Items GB and G8. G1. ❑ The Information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, arlgheer, or architect who Is authorized by law to certify elevation Information. (Indicate the source and data of the elevation date 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 informaflon (Items G4 -G9) Is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G8. Date Certificate Of CompllenodOccupancy Issued G7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor pnciuding basement) of the building: _ _ ❑ feet ❑ meters (PR) Datum _ 09. BFE or (In Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ meters (PR) Datum _ G10. Community's design flood elevation _ _ ❑ feel ❑ meters (PR) Datum _ T,11n Ben^rfmant p{ PuMlfr Wnr4r Loral Official's Name Engineering Division has reviewed Title Community Name the Elevation Certificate and Telephone natureHit Date does not recommend menta final approval ❑ Check here if attachment �0 FFMA Fnrm R1 -A1 Mar CIA 'Tr Reolaaes all Drevious edition