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2-1-021:056
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Last modified
6/17/2014 8:33:28 AM
Creation date
4/14/2014 1:16:32 PM
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Document Description
Date
3/7/1996
Type
Elevation Certificate
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SECTION E CERTIFICATION <br />This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation <br />information when the elevation information for Zones Al -A30, AE, AH, A (with BFE),V1—V30,VE,.and V (with BFE) is required. <br />Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the <br />certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an <br />owner's representative may also sign the certification. <br />Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, <br />enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Features) not <br />included in the certification under Comments below. The diagram number, Section C, Item 1, must stiil,be entered. <br />I certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. <br />i understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. <br />CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) <br />ROBERT T. SHIRAI LS -5985 <br />TITLE COMPANY NAME <br />PRESIDENT/LAND SURVEIOR ISLAND SURVEY, INC. <br />ADDRESS CITY STATE ZIP <br />P.O,,- OX 4215 HILO HAWAII 96720 <br />Copies should be made of this Certificate for: 1) community official, 2) insurance agenticompany, and 3) building owner. <br />COMMENTS: <br />ON WITH ON PILES, <br />SLAB BASEMENT PIERS, OR COLUMNS <br />A v A <br />ZONES ZONES _Ktj ZONES <br />BASE <br />FLOOD <br />BASEADJACerr <br />FLOOD <br />•:::y ':;:: <br />ELEVATION REFERENCE ADJACENT GRADE <br />LEVEL GRADE <br />--A-- - V- <br />The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. <br />Elevations for all A Zones should be measured at the top of the reference level floor. <br />Elevations for ali V Zones should be measured at the bottom of the lowest horizontal structural member. <br />Page 2 <br />
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