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2-2-039:047
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Last modified
6/17/2014 8:36:47 AM
Creation date
4/14/2014 1:17:40 PM
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Document Description
Date
11/20/1996
Type
Elevation Certificate
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E CERTIFICATION <br />lis certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation <br />'ormation when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with SFE) is required. <br />unity officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the <br />.tion. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an <br />v s representative may also sign the certification. <br />aference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, <br />)closure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not <br />eluded in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. <br />;ertify that the information in Sections t3 and C on this certificate represents my best efforts to interpret the data available. <br />mderstand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. <br />:RTIFIER'S NAME LICENSE NUMBER (or Affix Seal) <br />ROBERT T. SHIRAI LS -5985 <br />TLE COMPANY NAME <br />PRESIDENT/OWNER ISLAND SURVEY, INC. <br />]DRESS CITY STATE ZIP <br />P.O. BR. 4215 KILO HI 96720 <br />GNATURE DATE PHONE <br />=— 11/20/96 (808)9359105 <br />opies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. <br />�OMMENTS: <br />ON WITH ON PILES, { <br />SLAB BASEMENT PIERS, OR COLUMNS 1 <br />A v <br />ZONES ZONES <br />ELEVATION <br />ADJACENT <br />GRADE <br />ADJACENT <br />GRADE <br />A <br />ZONES <br />BASE <br />FLOOD <br />LEVEL <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 />_levations for all V Zones should be measured at the bottom of the lowest horizontal structural member. <br />Page 2 <br />
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