HomeMy WebLinkAbout34-2117-001-0110FINAL ELEVATION CERTIFICATE
This certificate shalt be submitted for compliance of l lc3-3f to DERIbi Flood Plain Management Program to remove FINAL COMPLETION
HOLD
This certificate _will not be accepted if all items are not completed
PROPERTY INFORMATION
CM,c following information to be provided by contractor, property owner or agent.)
Folio # 30 - Z, j Q/10 (NOT ACCEPTED WITHOUT FOLIO#)
Address 3 ? PROCESS a: 15107 0 9q Permit 6 -D (0724
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 proceed. 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.
.'7 i /
Name: ~~'(~lLQ✓Cf ~i ~bt°t'I»Q» j~J
Phone. # 743- 63 53 J
(signature)
ELEVATION CERTIFICATE
This certificate is not valid if any items are altered or not completed.
Date: / 14 -l 6
Tract A
Subdivision Name BRANDSMART USA Lot Blk PB 146 pG 32
Community i
Suffix
Panel iO
Date of FIRM.
FIRM Zone
Base Flood
12063'5,
J
0080
3-2-94
X
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
LOWEST FLOOR ELEVATION (Top Reference level)
7.77 FT. N. G. V. D.
LOWEST ADJACENT GRADE ELEVATION
7.6 FT. N.G.V.D.
GARAGE OR STORAGE FLOOR ELEVATION Main, Floor....
11.81 FT. N . G . V : D .
ELEVATION OF HIGHEST CROWN OF ROAD` (Fronting Property)..
8.61 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 the information on this certificate is true and correct to the best of my knowledge and belief.
Date September 19, 1996 SCHWEBKE-SHISKIN
& ASST-ATES, ^IN'C:'
Certifier's Name : Robert C. Mulder
, Assistan' Vice PrePiden
Phone 4: 305-652-7010
- r~
Certifier's Signature
Certificate 2756
FLs..
This form has'been approved by The Federal Emergency Management Agency (FEMA) and may be used for flood insurance purposes-
Rev. May 18, 1995/ELEVCERT.195