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In these 4269-AWAPUHI ST City HILO State H SECTION D - the lforrnation from Section A. or P.O. Route and Box No. ER, OR ARCHITECT CERT For Insurance Company Use: dopy both aides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments THE EQUIPMENT CONSIST OF WATER HEATER,WASHER,DRYER,AND KITCHEN APPLAINCES SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFEI For Zones AO and A (without BFE), complete Items Et -E5. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items Et -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. Et. Provide elevation information 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). e) Top of bottom floor (Including basement, crawl space, or enclosure) is — _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (setpage 8 of Instructions), the next higher floor _ (elevation C2.b In the diagrams) of the building is _ ❑ feet F_] meters [Iabove or U below the HAG. E3. Attached garage (top of slab) is — _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. 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 community's 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 community -Issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. -Property Owners or Owner's Authorized Representative's Name uty State ZIP Code Signature Date Telephone ❑ Chectt here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONALI w �y iaw w, u,anPop 1weumrniarer me community s mooepiam management oromance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable ftem(s) and sign below. Check the measurement used In Items G8. and Gg. Gi. ❑ The Information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data 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 information (Items G4. -G9.) is provided for community floodplain management purposes. G5. Date G6. Date Certificate G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: _ _ -❑ feet ❑ meters (PR) Datum G9. BFE or (In Zone AO) depth of flooding at the building she: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Telephone Signature 4Fmments Issued ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions