HomeMy WebLinkAbout34-2111-011-1660FINAL ELEVATION CERTIFICATE
This certificate shall be submitted for compliance of l1c3-3f to DERM Flood Plain Management Program to remove FINAL COMI L TI
HOLD
This certificate will not be accepted if all items are not completed Z4k~ 10
PROPERTY INFORMATION _-_____===='r~ _
(The following information to be provided by contractor, property owner or agent.)
Folio # 30 ? (NOT ACCEPTED WITHOUT FOLIO)
Address i¢?o Acl.W.!73ie0TtRz. iyl,4M/,FL• PROCESS#: 0-~11/2gOtIPermit 4 She
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 tc
obtain a certificate of completion or occupancy will be at the PERMIT HOLDER'S RISK. The County will review the elevation dat
submitted. Deficiencies detected by such review shall be corrected by the permit holder immediately and.priorto further progressive worl
being permitted to proceed. Failure to submit the elevation survey or certificate or failure to make said corfzctions qti ••ed hereby shall b,
cause to issue a stop work order for the project
Name /`~/Gt1EL E~jPI~l051L-- ate 3 2 r - $ F ° K _ =
254• - 7 (print)
1106
Phone # ~S 1'-
44
signatu F~ - r'
ELE TI CERTIFICA
This certificate is not valid if any items are altered or not mpleted.
Subdivision Name '2C07-T Ld.KFE ~y LO.2 ; Lot 23 Blk Ca I PB Co6 PG
Community #
Suffix
Panel #
Date of FIRM
FIRM Zone
Base Flood
120635
eo
3 _94-
11,41A- Ft. NGVD
14~ d li i
J
Using FEMA's Elevation Certificate instructions, indicate diagram found on Pages 5 and 6 that best describes the subject building's ,referenc
level
l
LOWEST FLOOR ELEVATION (Top Reference level)
8. Z
FT. ~
N. G . V . b .
-
FT
D
N
V
LOWEST ADJACENT GRADE ELEVATION
7. 'ix-,
.
.
. G.
.
GARAGE OR STORAGE FLOOR ELEVATION
/
FT.
N . G
V . D .
.I, M
~i
ELEVATION OF HIGHEST CROWN OF ROAD (Fronting Property)
12
FT..
N . G V . D .
IVI 'i f I'!
A/C COMPRESSOR (Provide top elevation of supporting structure) t L1.4-- FT. N G . V . D .
I hereby certify that the information on this certificate is true and correct to the best of my knowledge and belief.
Date-2"?- C7
,I r-;
Certifier's Name
Phone '2_54- 1,8 7
Certifier's
nature y~i ~'T =
Si
g
`
a
I
Certificate # 5 ( O 1 PLC
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