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Home My WebLink About2-1-021:057 ResidentialU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program IL ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. P.KASHI A•PROPERTY A4. Building Use (e.g., Residential, NoM2esidernlel, Addition, Accessory; etc.) - Kr_7 t DMZ As. Lamude/Longilude:Let. 19.73Z8 Long, _Uaa 04o 1 A8. Attach at bast 2 photographs of the building If the Certificate Is being used to obtain flood Ineurance. A7. Building Diagram Number 7 OMB No. 1660-0008 {r� Excirea February Horizontal Datum: rComyeny'use:, rr dG:;Number �: 1627 bfNAD 1983 A8. For a building with a crawl space or enclosure(s), provide: A9. Fora building whh an attached gerege, provide: e) Square footage of crawl space or enclosures) aq fl a) Square footage of attached garage aq II b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings In are attached garage enclosure(s) walls within 1.0 foot above adjacent grade walla within 1.0 foot above adjacent grade c) Total net area of flood openings In A9.b aq In 0) Total net area of flood openings In A9.b aq In SECTION B • FLOOD INSURANCE RATE MAP (FIRM) INFORMATION St. NFIP Community Name 8 Comm uniy Number B2. County Name 83. Slate Hawaii Count 155166 Hawaii County Hawaii 84. Map/Panel Number Bit. SuNxBit. FIRM Index 87. FIRM Panel Bit. Flood Be. Base Flood Elevation(s) (Zone o �B5 G Date 4/02/04 Effective/Revised Date 9 11(0 / 8 8 Zone(s) AO, use base flood depth) ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building I 5 feet ❑ meters (Puerto Rico only) F_ IA -0 btu. Indicate the source of me 8850 Flood Elevation (BFE) data or base flood depth entered In item SO. ❑ FIS Profile FIRM ❑ Community Determined ❑ Omer (Describe) all. Indicate elevation datum used for BFE In Item B9: ® NGVD 1829 ❑ NAVD 1988 ❑ Omer (Describe) . B12. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑ Yes ® No Designation Date ❑ CBRS ❑ OPA . SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings- ❑ Building Under Construction" ;,Finished Construction 'A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations -Zones At -A30, AE, AH, A (with SIZE), VE, V1430, V (with SFE), AR, AR/A, ARAE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified In Item A7. Benchmark Utilized S H 1 P SPIKE- SET (3H F41LO E(.lG Vertical Datum 10 • i33 r ConverslonlComments - 1) Lowest adjacent (finished) grade (LAG) 12.-!J_® feet ❑ meters (Puerto Rio only) g) Highest adjacent (finished) grade (HAG) 14.„ -P feel ❑ meters (Puerto Rio only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elel Information. I certify that the information on this Certificate represents my best efforts to interpret the date available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ❑ Check here 11 comments are provided on back of form. n\GIME t; FEMA) Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions Check iia measurement used. e) Top of bottom floor (Including basement, crawl space, or enclosure 100r) 1-7 ®feet ❑ meters (Puerto Rim only) b) Top of the next higher floor WA. feel ❑ meters (Puerto Rico only) C) Bottom of the lowest horizontal structural member (V Zones only) CA A, ._❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) t l A fast ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building I 5 feet ❑ meters (Puerto Rico only) (Describe type of equipment In Comments) 1) Lowest adjacent (finished) grade (LAG) 12.-!J_® feet ❑ meters (Puerto Rio only) g) Highest adjacent (finished) grade (HAG) 14.„ -P feel ❑ meters (Puerto Rio only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elel Information. I certify that the information on this Certificate represents my best efforts to interpret the date available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ❑ Check here 11 comments are provided on back of form. n\GIME t; FEMA) Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding Information from Section A. i For Insurance Company Use: City a or ARCHITECT WCopy both sides o1 this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. - Comments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A IWITNOUIT IRFet For Zones AO and A (without SFE), complete Items Et -E5. If the Certificate is intended to supporta LOMA or LOMR-F request, complete Sections A, B, and C. For Items EI -E4, use natural grade, If available. Check the measurement used. In Puerto Rice 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 adjacerd grade (HAG) and the lowest atljacenl grade (LAG), a) Top of bottom floor (Including basement, crawl space, or enclosure) Is❑ feet ❑ meters ❑above or ® below gra HAG. b) Top of bottom floor (Including basement crawl space, or enclosure) Is _. _ ❑ feet ❑ meters El above or below the LAG. E2. For Building Diagrams " with permanent flood openings provided In SecligiL4 Items B find/or 9 (sea Me a of Instructions); the next higher floor (elevation C2.b In the diagrams) of the building Is . _ ❑ feet Lj meters [j above or („j below the HAG. E3. Attached garage (top of slab) is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform o1 machinery andlor equipment servicing the building Is _ ❑ feel ❑ 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 acco,dance with the communitys 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 owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA4seued or community4asued SFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledne. or 0. lit Name SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who Is authorized by law 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 Items) and sign below. Check the measurement used in Items G8. and G9. G1. The Information In Section C was taken from other documentation that has been signed and bested 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 ollwlal completed Section E for a building located in Zone A (without a FEMA -Issued or community-lasued BFE) or Zone AO. G3. ❑ The following information (Items G4. -G9.) is provided lot community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G8. Date Certificate Of Compliance/Occupancy Issued 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 site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone J Signature Date ❑ Ch h r If men s FEMA Form 81.31, February 2006 Replaces all previous editions