HomeMy WebLinkAbout2-2-001:027 and 2-2-002:035 O.M.B.NO. 3067-0077
r FEDERAL EMERGENCY MANAGEMENT AGENCY Expires May 31, 1996
NATIONAL FLOOD INSURANCE PROGRAM
FLOODPROOFING CERTIFICATE
FOR NON-RESIDENTIAL STRUCTURES
ne floodproofing of non-residential buildings may be permitted as an alternative to elevating to or above the Base Flood Elevation;
however,a Iloodprooling design certification is required. This form is to be used for that certification. Floodproofing of a residential
building does not alter a community's floodplain management elevation requirements or effect the insurance rating unless the
community has been issued an exception by FEMA to allow floodproofed residential basements. The permitting of a floodproofed
residential basement requires a separate certification specifying that the design complies with the local floodplain management
ordinance.
FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER
County of Hawaii
STREET ADDRESS(Including Apt..Unit.Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
1241 Hilo Bayfront Highway '11`t- Z-2—kV ) : 027
OTHER DESCRIPTION(Lot and Block Numbers,etc.) .k 2.--2-002- 1 3 5
CITY STATE ZIP CODE
Hilo Hawaii 96720
SECTION I FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
Provide the following from the proper FIRM: •
COMMUNITY NUMBER PANEL NUMBER SUFFIX DATE OF FIRM INDEX FIRM ZONE BASE FLOOD ELEVATION
(in AO Zones,use depth)
155166 0880 C 9/16/88 VE 28
SECTION II FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect)
Floodproofing Design Elevation Information: rem V4F-14NCC, Ai?i''LLGATIocJ QAZO Az-ii- I( ta'g
Building is floodproofed to an elevation of 1 1 I 111E3 J.I J feet NGVD. (Elevation datum used must be the same as that
on the FIRM.)
Height of floodproofing on the building above the lowest adjacent grade is 1210 1.15t1 feet.
(NOTE:for insurance rating purposes, the building's floodproofed design elevation must be at least one foot above the
Base Flood Elevation to receive rating credit. If the building is floodproofed only to the Base Flood Elevation, then the
building's insurance rating will result in a higher premium.)
SECTION III CERTIFICATION (By a Registered Professional Engineer or Architect)
Non-Residential Floodproofed Construction Certification:
I certify that based upon development and/or review of structural design, specifications, and plans for construction that
the design and methods of construction are in accordance with accepted standards of practice for meeting the following _
provisions:
The structure,together with attendant utilities and sanitary facilities, is watertight to the floodproofed design
elevation indicated above,with walls that are substantially impermeable to the passage of water. .
All structural components are capable of resisting hydrostatic and hydrodynamic flood forces,including the
effects of buoyancy, and anticipated debris impact forces.
i certify that the information on this certificate represents my best efforts to interpret the data available. /understand that
any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME LICENSE NUMBER(or Affix Seal)
— — R-1AI1 1: kAJ(ktl k6A, 414. AZ-6746,
TITLE
COMPANY NAME
AgatfecT bec'A—Y V4.1(r4wA-D cGU
Anr)RESS
3( AtOgo ST . . CITY STZIP
(I` �
SIGNATURE - - -� — -- — ------- AT ( -1 j]
fJ1 C.V
�� - .t:�� DATE Z sill
"( csO UJONE _600
Copies should be m/de of t is Certificate for: 1)community official,2) insurance agent/company,and 3)building owner.
i•MA L...... ol.zr ,, ,v n,) DM•/-rr CrITV1..1 rr ...v i' i.n.,,r-u,r',nee,r.-r rnn nnino IC/O1%