HomeMy WebLinkAbout34-1136-058-0010FINAL ELEVATION CERTIFICATE
This certificate shall be submitted for compliance of 11c3-3f to DERM Flood Plain Management Program to remove FINAL COMPLETION
HOLD
This ceiftflcate will not be accepted f all items are not completed
PROPERTY INFORMATION
(The following information to be provided by contractor, property owner or agent.)
Folio # 3 0 - Oe f 0 (NOT ACCEPTED WITHOUT FOLIO//)
Address 1W 7:!5- o A ;,e PROCESS LC'~~,7034 1 Permit ll: C y7 - » 9~ 6G
X 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 #
===ELEVATION CERTIFICATE
This certificate is not valid if any items are altered or not completed.
Subdivision Name Ives Dairy Crossings Lot Blk A pB 149 PG 14
Community #
Suffix
Panel #
Date of FIRM
FIRM Zone
Base Flood
120635
J
0080
3/2/94
X
N/A 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
Retail "A' Building
LOWEST FLOOR ELEVATION (Top Reference level) 14.73 FT. N. G. V. D.
LOWEST ADJACENT GRADE ELEVATION 12.9 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) ` 12.99 FT. N . G . V . D .
A/C COMPRESSOR (Provide top elevation of supporting structure) 'N/A FT . N. G. V. 1D.
I hereby certify that the information on this certificate is "true and correct to the best of my knowledgie and belief.
January 22, 1998 Trost, Buckley, Schuh & Jernigan, Inc.
Date y r l tlm
By : Roberto Nranteco, 11
n, PLS
Certifier's Na
305 592-7275 °
Phone ~I'~H
(Print'
Certifiers Signature
,loo
Certificate k 4431 PLS
This form has been approved by The Federal Emergency Management Agency (FEMA) and may be used for flood insur'anch purposes
Rev. May 18, 1995/ELEVCERT.195