HomeMy WebLinkAbout34-2113-010-0010FINAL ELEVATION CERTIFICATE
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
(The following information to be provided by contractor, property owner or agent.)
Folio # 30 - 2113 - 010 _ 0010 (NOT ACCEPTED WITHOUT FOLIO)
Address : 444 NW 165 St. Road PROCESS b: 094218989 Permit 95-111604
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 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: MILLe?- Date:
n (print)
Phone NG~ - 1 -A-y 1 04- 656(7 AtL,~ AAae::.,!~
( gnature)
ELEVATION CERTIFICATE
This certificate is not valid if any items are altered or not completed.
Subdivision Name Metes and Bounds Lot Blk pB 67 pg 35
Community
Suffix
Panel r
Date of FIRM
FIRM Zone ' Base Flood
120635
J
0080
March 2, 1994
X it 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 Service Bay Bldg 9.99
Boutique 10.60
LOWEST FLOOR ELEVATION (Top Rcferegce level) FT. N . G . V . D .
Main Office 13.55
LOWEST ADJACENT G--ADE ELEVATION
9.5
FT.
N.G.V.D.
GARAGE OR STORAGE FLOOR ELEVATION
N/A
FT
N_G.V.D.
, r
ELEVATION OFHIGHEST CROWN OF ROAC? (Fronting Pr,;operty):
:
7 86
FT.
N . G . V . D .
A/C COMPRESSOR (Provide top elevation of supporting structure)
N/A
FT .
N . G . V . D
I hereby certify that: 1) The lot has been graded to prevent direct overland discharge of storunvater onto adjacent lots and/or as
provided by County-approved grading and drainage plans, and The information on this certificate is true and correct to the hest of
knowledge and belief.
Date September 20, 1996
Phone s: (305) 252-0741
Certilicr's
icr's N:in,c J&ms E. Bezilman
c'enilieatc r; 2997 PLS
This form have been approved by The Federal Emer_Wy Management Agency (FEMA) and may be use fur hood insurance purposcs-
Rev. Sep 21, 1994/ELEVCERT.994