HomeMy WebLinkAbout34-1136-032-0010FINAL ELEVATION CERTIFICATE 196
This certificate shall be submitted for compliance of llc3-3f to DERM Food Plain Management Program to remove FINAL
HOLD
This cert~flcate will not be accepted if all items are not completed
==~o10ROPERII INFORMATION
(The following information to be provided by contractor, property owner or agent.)
Folio #
Address
30 - P3 G - D3o~ - Oa/~1 (NOT ACCEPTED WITHOUT FOLIO/)
21161 /1/Gv A(/</IUC PROCESS #4t q?O
/1 7(
New Construction Addition, Reconstruction or combination
I certify that the above information represents my best effort to interpret the data required. I understand that any work undertaken prior to
obtain a certificate of completion or occupancy will be at the PERMIT HOLDER'S RISK. The County will review the elevation data
submitted. Deficiencies detected by such review shall be corrected by the permit holder immediately and prior to further progressive work
being permitted to proceed. Failure to submit the elevation survey or certificate or failure to make said corrections required hereby shall be
cause to issue a stop work order for the project.
Name:
Phone I(1 ~3`J 3 ~O3)
This certificate is not valid if any items are
NATION CERTIFICATE
or not completed.
Subdivision Name WILLIAM LEHMANS DODGE SUB.
Date: I - ~ 9,2~
arcel
Lbi "A" Blk PB 127PG 14
Community #
Suffix
Panel #
Date of FIRM
FIRM Zone
Base Flood
120635
J
0080
8118192
"AE"
6 Ft. NGVD
Using FEMA's Elevation Certificate instructions, indicate diagram found on Pages 5 and 6 that best describes the subject building's reference
level 1
LOWEST FLOOR ELEVATION (Top Reference level)
9.00
FT.
N . G . V . D .
LOWEST ADJACENT GRADE ELEVATION.................
8.20
FT.
N.G.V.D.
GARAGE OR STORAGE FLOOR ELEVATION
N/A
FT.
N.G.V.D.
ELEVATION OF HIGHEST CROWN OF ROAD (Fronting Property)
8.00
FT.
N . G . V . D .
A/ C COMPRESSOR (Provide top elevation of supporting structure)
7.75
FT.
N . G . V . D .
I hereby certify that the information on this certificate is true and correct to the best of my iuiowedge and belief.
Date Februarg 25, 1998 `f;?!~
Certifier's Name : _Gar1 B. ?lbrektse
Phone (954) 763-7611 (Pri ht)
f ~
Certifier's Signature
Certificate # 4185 4 PL:
This form has been approved by The Federal Emergency Management Agency (FEMA) and may be used for flood insurance purposes-
Rev. May 31, 1995/ELEVCERT.195