HomeMy WebLinkAboutElevation Certificate Packet A (Fillable) 2016
A Zone Packet
DEPARTMENT OF PUBLIC WORKS
COUNTY OF HAWAI‘I
Notice regarding ELEVATION CERTIFICATE (FEMA Form 086-0-33)
The ELEVATION CERTIFICATE shall be certified (with signature and seal) twice:
1. Construction Drawings (Section C1 of Form) to provide the proposed elevation at the building permit
approval stage.
2. Finish Construction (Section C1 of Form) to verify the actual as-built elevation.
Upon request for Final Inspection of a structure with an ELEVATION CERTIFICATE, the applicant shall
submit a certified ELEVATION CERTIFICATE (Finished Construction) to the Engineering Division (Hilo:
961-8327 or Kona: 327-3530) for further processing with the Building Division.
Note Section B item B11. of the ELEVATION CERTIFICATE.
Technically, NGVD 1929 (National Geodetic Vertical Datum 1929) does not exist for the State of
Hawai‘i. The current vertical datums in Hawai‘i are Local Tide Datum (LTD), which is based on tidal
observations for each island. Add “LTD,” as shown above.
Note: Section C item C2.e) and Section D Comments of the ELEVATION CERTIFICATE.
Section C2. E) must be completed by including the elevation of the Water Heater, Washer and/or
Dryer, AC Unit, Electrical Panel, etc. -Whichever is lowest. In Section D Comments, include a
description of the Section C2. e) related equipment type and location.
Building above the minimum base flood elevation may reduce your flood insurance premium (if required by
your mortgage company). Consult with your insurance agent.
Attachments: Special Flood Hazard Area Certification Form
Elevation Certificate (2 copies)
Elevation Notation of Building Permit Plans
You can check either box, as follows:
NGVD 1929 -OROther/Source: LTD .
SPECIAL FLOOD HAZARD AREA CERTIFICATION
ZONE A, AE, AH or AO
CHAPTER 27 – FLOODPLAIN MANAGEMENT
HAWAI‘I COUNTY CODE
Project Description
Address
City State of Hawai‘i Zip Code
Community No. Panel No. Suffix Date of FIRM FIRM Zone Base Flood Elevation
(in Zone AO or AH, include depth)
155166
To the best available technical knowledge and information, the proposed project, plans and specifications:
1. comply with the standards and requirements of the Hawai‘i County Code, Chapter 27, Floodplain Management;
2. are designed and constructed to not adversely affect the flooding of surrounding properties;
3. are designed and constructed to resist hazard forces.
Project plans and specifications include:
1. certification of building plans by a structural engineer or architect;
2. the location of flood hazard boundaries as determined from the latest FEMA Flood Insurance Rate Map (FIRM);
3. the certified lowest reference flood elevation;
4. the base flood elevations, velocity and other data from the latest FEMA FIRM/Flood Study and/or other studies;
5. existing and proposed elevations of the property grade;
6. existing and proposed structures, utilities and improvements.
This certification is conditioned upon the actual construction of the project being in strict accordance with the plans and
specifications as stamped and signed by me.
Affix Seal Below
Signature (Structural Engineer
Or Architect)
Name (print or type)
Title
Company
Address
Date
County of Hawai‘i is an Equal Opportunity Provider and Employer