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HomeMy WebLinkAbout34-2109-019-0010FINAL ELEVATION CERTIFICATE This certificate shall be submitted for compliance of I lc3-3f to DERM Flood Plain Management Program to remove FINAL COMPLETION HOLD This certificate will not be accepted if all items are not completed PROPERTY INFORMATION (The following information to be provided by contractor, property owner or agent.) Folio # 30 -2107 - 0/ 9d 0 - 10 (NOT ACCEPTED WITHOUT FOLIOIO Address 12.c) i A6V /&7,A .5 ; PROCESS a:Cg71040-79 Permit a:`77O'Te87O 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: ,jf7i~~J.41 /,NC~ElJ Date: Phone J1 $ e1z- - 2-15 19 t1 (print) ELEVATION CERTIFICATE This certificate is not valid if any items are altered or not completed. Subdivision Name Sow .fy-1 ~4C,d, " Lot Blk PB PG Community # Suffix 11 Panel # Date of FIRM FIRM Zone Base.Flood 120635 J 80 1-17 - 9 S Lti t4A 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 LOWEST FLOOR ELEVATION (Top Reference~level) 10.00 FT. N . G . V . D . LOWEST ADJACENT GRADE ELEVATION q.s FT. N.G.V.D. GARAGE OR STORAGE FLOOR ELEVATION N ~P► FT. N . G . V . D . ELEVATION OF HIGHEST CROWN OF ROAD (Fronting Property) 9.07 FT. N . G . V . D . A/C COMPRESSOR (Provide top elevation of supporting structure) . 10. . zo, FT N . G . V . D . 1 hereby certify that the information on this certificate is true and correct to the best of my knowledge and belief. Data M MZ" Z S% 1 g Q$ K Certifier's Name : p► (Z 1/, to 1, R A I t-) (305) ( 6 b - 3S A 7 . Phone ,r (Print)''"' Certifier's Signature Certificate a 33 7 PLS \ This form has been approved by The Federal Emergency Management Agency (FEMA) and may be used for flood insurance purposcs- Rev. Jan 27, 1995/ELEVCERT.195