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FINAL ELEVATION CERTIFICATE
This certificate shall be submitted to DLIZM - Flood Plain Management Program before obtaining a CERTIFICATE OF COMPLETION OR
OCCUPANCY.
Will not be accepted if all items arc not completed
PROPERTY INFORMATION
(The following information to be provided by contractor, property owner or agent.)
Folio # 3 0 (NOT ACCEPTED WITHOUT FOLIO)
Address 17777 N.W. 2 Avenue PROCESS Permit
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 p,oceed. 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: Date:
(print)
Phone #
(signature)
ELEVATION CERTIFICATE
This certificate is not valid if any items are altered or not completed.
Subdivision Name
Lot Blk PB Pg
Community #
Suffix
Panel #
Date of FIRM
FIRM Zone
Base Flood
120635
J
0080
03/02/94
"Xt1
N/A Ft. NGVD
Using FEMA's Elevation Certificate instructions, indicate diagram found on Paocs 5 and 6 that best describes the subject building's reference
level
LOWEST FLOOR ELEVATION (Top Reference level) 8.90 FT. N . G . V . D .
LOWEST ADJACENT G::ADE ELEVATION 8.09 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) . . 8.93 FT. - N . G . V . D .
A/C COMPRESSOR (Provide top elevation of sti sporting structure) N/A FT . N . G . V . D
I hereby certify that: 1) The lot has been graded to prevent direct overland discharge of storrll-water onto adjacent lots and/or as
provided by County-approved grading and drainage plans, and 2) The information on this certificate is true and correct to the hest 01 mS
knowledge and belief. -
Date 07/31/96 _
'rrtifn•r's N:nnc hcimas- Brownell -
Phunc a: -(305) 446-3511--
ccr,iricr•s ~.itiir~
t'enitic:itc 2891
PLS
i This form have been approved by The Fcdc..ral lintcrgcncy Mvlagcnlcnt Agency (FEMA) and may be use for flood insurance purposes-
Rev, Sep 21, 1994/ELEVCERT.994