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2-5-026:033
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Last modified
6/17/2014 9:14:56 AM
Creation date
4/14/2014 1:31:38 PM
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Document Description
Date
6/27/1995
Type
Elevation Certificate
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10 P <br />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 ordinanceAo_provideJloodplain 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 Feature(s) not <br />included in the certification under Comments below. The diagram number, Section.C, Item 1, must still be entered. <br />t 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, $ection 1001. <br />P4,- ur;=) i9q/-c, <br />CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) <br />TITLE v COMPANY NAME <br />90 4;,--) o 4 vc, 96 i <br />ADDRESS - % CITY STATE ZIP <br />91-2-7 s Bv8 - y31 2i6 Y <br />SIGNATUR DATt PHONE <br />Copie should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner. <br />COMMENTS: <br />ON _ . WITH _—_ <br />_ ON PILES, <br />SLAB BASEMENT <br />PIERS, OR COLUMNS <br />A v A <br />A v <br />ZONES ZONES ZONES <br />ZONES ZONES <br />REFERENCE <br />REFERENCE BASE <br />LEVEL FLOOD <br />LEVEL <br />REFEAENCE <br />LEVEL <br />ELEVATION <br />400 91 <br />r`y; •:; <br />BASE <br />,. <br />BASE - "� ADJACENT ;:•; `�ti REFERENCE <br />.. r.. GRADE ' �' 1 LEVEL <br />ELEVATION REFERENCE ADJACENT <br />FLOOD <br />ELEVATION <br />LEVEL GRADE <br />^t <br />gin\ r <br />- _.. .__._ <br />:'7; ::'; ••i`.`•: i.?::•i`:._ <br />:�:f•:.. r::i ::7r.:;': .: ..�..t�,f1" <br />"lis ADJACENT'". <br />GRADE <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 all V Zones should be measured at the bottom of the lowest horizontal structural member. <br />_ .. Page 2 _-- - <br />
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