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Home My WebLink About8-2-006:029i DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. iC.9MBAzom 90,9A.y Juding APL, unit, Suite, end/or Bldg. No.) or state OMB No. 1860.pp08 F�cplles February 28, 2009 :ortrisurano6 Company Uae: . 'olicy Number . .ompar JINAIC Number Code 9G 7d4 Aso n/MAcs.oA/ hV G 95o2:+az A4. Bullaing Use.(e.g„ Residential, Non-Reside4al, Addition, Accessory, etc.) / D®N 7 -/.q -'— All. Latitude/t.ongitede: Lot. Long. - Horizontal Datum: NAD 1927 As. Attach at least 2 photographs the bufid'mg H the Certificate Is being used to obtain flood insurance. ❑NAD 1983 A7, Building Diagram Number A9. For a building with a crawl space or endosurs(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl agape or endosures D) No. of permanent flood ()wl space or aq R a) Square footage of attached garage endosure(s) walls within 1 0 foot above adjacent rade b). No. of permanent flood openings In the atladied garage c) Total not area of flood ) g wells within 1.0 foot above adjacent grade opeNrgs to Ab.b aq In C) Total net area of flood openings In A9.b eq in Bt. NFIP Community No 8 Community Number 82, County Name �• Hawaii Count 155166 Hawaii County State Hawaii o:. Map/Panel Number 85.8 Ba. FIRM Intlex 87. FIRM Penal B8. FlOOtl ill 1:111:11a Food Elevations) (Zone 1155166— /!S6 I G I Date Etteetive/Reviaed Dara Zone(a) AD, use ba„ flood dam) 4/02/04 9 /6 " 810 Indicate ro sauce of the Bese Flood Elevation (BFE) data or base flood depth emamd In Item Be. v p ❑ FIS Profile FIRM ❑ Community Determined ❑ Other (Describe) 011. Indicate elevation datum used for BFE In Item B9: Off NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the builtling located Ina Coastal Banter Reaouraes System (CBRS) area or Otherwise Protected Area (OpA)7 ❑yea ® No Designation Dam ❑ CBRS ❑ OPA C1. Building elevations are based on: ❑ Construction Drawings- ❑ Building Under Construction._ new Elevation Certificate will be required when construction --,I�Flniatad Construction of iha buk" Is complete, Ele C2. below cc r Zones he buil , AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/At-A30, AR/AH, AR/AD. Complete hems C2.a•g below according to the bWWhg til m apedfletl M Item A7. Benchmark UtlItzee i/ S C � S BM 9T WA,' ConversionfComments fR F vertical Datum_ Sj9,p L61rEi .,v Check the measurement used, a) Top of bottom floor pndudirg basement, crawl space, or enclosure b) Top the Poor) /v ._❑ feel ❑ meters (Puerto Rico only) of next higher floor e) Bosom of me lowest horizontal structural ural member (V Zones only) �/�._❑ . I� fee . El mstere (Puerto Rico only) ❑ d) Attached garage (top of slob) e) Lowest elevation (Describe type egWipmelnttin oCrommmennttss) t Servicing tis building ,LQ� A1.4 ❑teat -_�•�❑feet meters (Puerto Rico only) ❑ meters (Puerto Rico on ❑meters (Puerto Rico of only) .. 9 Lowest ..edjeF@nt�flnlshee)_grade .(LAG) g) Highest adjacent (fMshed) grade (HAG) _rte feet El motors (Puerto Rico only) fast ❑ meters (Puerto Rice only) i ms cermrcaeon Is to be signed and sealedba uvyor, engineer, or architect authonzed by law to certify etek Information. I oemfy that the Information on this Certificate represents my best efforts to interpret the data available. Ir understand chat any false statement maybe punishab'e by fine or/mpdsonment under 18 U.S. Code, Section 1001. xCheck here If comments are providad on back of form. T!®vA< D C• /iI cZ/yTp�1Y ¢.94 Q' hwWAY, FtMA Form 81-31, February See reverse side for continuation. No. 4968 all previous editions In these spaces, copy the corresponding Information from Section A. I For SECTION D -SURVEYOR, ENGINEER, OR Copy both sides o1 this Elevation Certillcate for (1) community official, (2) Insurance agenticompany, and (3) building owner. f'RA�w� Ht5 XPONA.tCAAS00 wifl//YBA4`YAaIE7Aw- wrga Mess!Sntz66,v- brc I IUN t - rsuaorNO bt-evATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFEI For Zones AO and A (without SFE), complete Items E1 -EB. If the Certificate Is Intended to support a LOMA or LOMR-F request complete Sections A. B. and C. For hens E7 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation Information ler the following and check the appropriate loxes to show whether the elevation is above or below Ore highest adjacent grade (FLOG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement crawl space, or enclosure) Is _ _ ❑ feel ❑ meters❑above or ® below the WIG. b) Top of bottom floor (Including basement crawl space, or enclosure) b _ _ ❑ feet ❑ meters ❑above or below this LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided In Sectl4D.A Items s qr4lor 9 (sees 8 of InsWw clions), the next higher floor (elevation C2b in the diagrams) of the building is _ ❑ feet (-J meters above or Ubelow the NAG. . E3. Attatlsd garage (top of slab) is _ C]feet ❑ melere ❑ above or ❑ below the NAG. E4. Top of platform of machinery and/or equipment servicing the building Is _ ❑ fast ❑ meters ❑ above or ❑ below the HAG. ES. 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 M 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 era correct to the frost of my knowledge. Property Owners or Owner's Authorized Representative's Name state ur tzce Signature Date Telephone Comments ❑ Check here If enechmenta SECTION G -COMMUNITY INFORMATION (OPTIONAL) and G of this Elevation Certificate. Complete the applicable Item(s) andsign below. Check the measurement used in Items Gil. and G9. G1. ❑ The Information In Section C was taken from other documentation that hes been signed and sealed by a licensed surveyor, engineer, or architect who Is authorized by law to certify elevation information (Indicate the source and dale 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 cwnmunilyassued BFE) or Zone AO. G3. ❑ The. following Information (Items G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number G3.. Date Permit Issued Gil. Date Certificate Of Compsance/Oocupanry Issued G7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement Gil. Elevation of as -built lowest floor (including basement) of the building: []feet ❑ metere (PR) Datum G9. BFE or (in Zone AO) depthflo at build g sip: E] feet ❑ meters (PR) Datum Ve°��pammeni oPublic Workzr—'— Loca101fiOal'sName Engineering Vowslon has review nue Telephone Signature I n' does riot recClTlmared Date 81 all