HomeMy WebLinkAbout34-2110-001-0320y . `",~A~L ELEVATION CERTIFICATE
ate chap be submitted to DERN4 - flood Plain Management Prograin in order to remove a FINAL COMPLETION IIOLD
Will not be •,ccepted if all items are not completed
PROPERTY INFORMATION
(The (following information be provided by contractor, property owner or agent.)
Folio # : 30 (NOT ACCEPTED WITHOUT FOLIO#)
Address _gQ Nw 183rd STREET PROCESS Permit I~Y~ao~'77_
Nc%v Construction Addition, Reconstruction or combination
I certify that the above informatiol) represents my best e4ort to interpret the data required. I understand that any work undertaken prior to
obtain a cenifiaac of completion pr 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 proceed. Failure to submit the elevatic n survey or certificate or failure to make said corrections required hereby shall be
cause to issue ai stop work order for the proiecl.
~ L
- ---r - _ Dace:
)
Phone # dp
/ ( ~r,aturej
ELEVATION CERTIFICATE
This certificate is not vali(1 if any iteu,s are altered or not completed.
Subdivision Name Lvt Blk PB Pg
Communit%
120635
ySuffi.
J
Panel
0080.1
Date of FIRM FIRM Zone ; Base Flood
1
3-2-94 M II X Ft. NGVD
Using FEMA's Eie.vatiun Certificate 'instructions, indicate diagram found on Pages S. dnd 6 that best describes the subject building's reference
level
LOWEST FLOOR ELEVATION .......e(Top Reference level)
11 , 2 9
FT.
N . G . V . D .
LOWEST ADJACENT GRAPE ELEVATION.................
10.20
FT.
N.G.V.D.
GARAGE OR STORAGE F1'OOR ELEVATION
n/a
FT.
N.G.V.D.
ELEVATION OF HIGHES~ CROWN OF ROAD .$(FruntmrProperly)
8.26
FT.
N.G.V.D.
A/C COMPRESSOR (P ovide to elevation of su
top pporting .ctruciure)
n/a
FT.
N . G . V . D
I hereby certify that: 1) 'The lot has been substantially graded to prevent direct overland discharge of stortnw
at.er on
to adjacent lots or as
provided by County-approved grading and drainage pl:uts, and 2) The information on this certificate is
true and correct to the best of
my
i ,
knowledge and belief,
Date 11-22-96
!~'~'c. r.~'.r:•., 'KPIDO F. PAEZ
Phone
I J"
P t)
Signature
Certifici:tc # : 3284 PLS
This form has been approved by The Flederal Emergency Management Agency (FEMA) and may be use 6or flood insurance purposes-
Rev. Dec 2, 1994/ELL.`JCERT.994
- I _