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HomeMy WebLinkAbout34-2112-023-0081FINAL ELEVATION CERTIFICATE t_ This certificate shall be submitted to DERM_- Flood Plain Management Program before obtaining a CERTIFICATE OF COMPLETION OR OCCUPANCY. Will not be accepted if all items are not completed PROPERTY INFORMATION ~l~lllll+~~l (The following information to be provided by contractor, property owner or agent.) Folio # 3 0 - 2I ~2 - - ©0 V (NOT ACCEPTED WITHOUT FOLIO) Address 2CD 161 1 KA (A il,,A PROCESS #:C C ; WII 1'7i' Permit %-'Ie!°'YZ 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,cceed. 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: (print) Date: 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 Dat o FIRM FIRM Zone Base Flood 120635 Z ~~t Ft. NGVD Jl~ 1,4 - Using FEMA's Elevation Certificate instructions, indicate diagram found on'Pages 5 and 6 that best describes the subject building's reference level r LOWEST FLOOR ELEVATION (Top Reference level) 12, ~j "FT. N . G . V . D . LOWEST ADJACENT G:.ADE ELEVATION FT. N.G.V.D.- GARAGE OR STORPGF FLOOR FLEVATION (011 FT. 11. G. V. D. ELEVATION OF HiGHL T C c,..: 1 R' ..D . (Fronting Property) f FT . N . G . V . D . -7 A/C COMPRESSOR (Provide top elevation of supporting structure) FT. N . G . V . D I hereby certify that: 1) The lot has been graded top event irect overland discharge of storutw'iter onto adjacent lots and/or as - lli sa ~t, W ISlau 1 ,111! „ i,g provided by County-approved gracing and drainage plans and'2) The information on this certificate is true and correct to the best of my. knowledge and belief.! ~i ~ I I~~gi i I I. I Date Cent ter s ame &A~J w/ ~ . t ° ~EI~II' IIy ilI19~I~~II,i ail Phone d€I11111~lHfl Ii # (Print) _ tre Certifier's Si-nature Certificate W PLS This form have been approved by The Federal Emergency Management Agency (FEMA) and may be use for flood insurar ce p r~ioses Rev. Sep 21, 1994/ELLVCERT.994