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34-2114-001-0890
/ wUN6 l FINAL 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 V 0 0510 --(NOT ACCEPTED V4MOUT FOLI2~af PROCESS,q I Permit A : 411) Address 4-o (o f,(~ & i Wo Q o rou,2 . New Construction Addition, Reconstruction or combination 1 certify that the above information represents my best effort to interpret the data required. 1 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. Deficienci s detected by such review shall be corrected by the permit h der immediately and prior to further progressive work being permitted to p.oceed. Failure to submit the elevation survey or certificate o Cailure to make said corrections required hereby shall be cause to issue a stop work o-der for the project. Name_ Phone # N~y /J -f / Date; ©0 ELEVATION CERTIFICATE This certificate is not valid if any items are altered or not completed. Subdivision Name "RAINBOW GARDENS" Lot 4 Blk 6 PB 43 Pg r_ Community Suffix Panel At Date of FIRM FIRM Zone r Base Flood 120635 J 0090 7-17-95 A-E 6.0 Ft. NGVD Using FEMA's Elevation Certificate instructions, indicate diagram found on Pages S and 6 that best describes the subject building's reference level 1 LOWEST FLOOR ELEVATION (Top Reference level) 8.34 FT. N.G.V.D. LOWEST ADJACENT G^ADE ELEVATION (7.10} 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).. 5.40 FT. N. G . V . D . A/C COMPRESSOR (Provide top elevation of supporting structure) 7.72 FT. N . G . V . D I hereby certify that: 1) The lot has been graded to prevent direct overland discharge of stortnsvater 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 of m)• knowledge and belief. Date 6-24-00 C ertifier's Nvnc Phurtc N. -3-05 362-2742 Ccrtiticr's Si_iiature Certifcatc # JOSE SENAS - T.S-0005938 PLS This form have been approved by The Federal Emergency Management Agency (FEMA) and may be use for flood insurance pur1X)sGY- Rev. Sep 21, 1994/ELEVCERT.994