HomeMy WebLinkAbout34-2117-002-1140FINAL ELEVATION CERTIFICATE
This certificate shall be submiaod for eomptiancc of IIc3-3f to DERM Flood Plain Management Program to remove FILIAL CONVI-ETION
HOLD
71tis cert{Tcate will not be accepted {/'all items are not completed
PROPERTY INFORMATION
(The following information to be provided by contractor, property owner or agent.)
(NOT ACCEPTED vVl1 lIOUT FoLIOh)
Folio # 3o
Address /S' 7o N V/ Lj 7 PROCESS a 7 %D~ Per nett J!: _
'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 corrocted 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.
Name: j ~cr-,e a .
. t
Phonc I
- ELEVATION CE4TIFICATE
This certificate Is not valid if. any items are altered or not comp[
Subdivision Name Lot 8 Blk S PB44 PG ~z
d
l
Community ,
Suffix
Panel #
Date of FIRM
FIRM Zone
oo
Base F
635
J
00 90
7- 1 + - 9 50*
X
N/A Ft. NGVD
120
Using FEMA's Elevation Cutifrcate instructions, indicate diagram found on Pages 5 and 6 that best descnbm the subject building's reference
Icvd-~-
LOWEST FLOOR ELEVATION (Top Reference lavd)
47-78
FT.
N . G . V . D .
LOWEST ADJACENT GRADE ELEVATION
8.6
FT.
N.G.V.D.
GARAGE OR STORAGE FLOOR ELEVATION
8.911
FT.
N.G.V.D.
ELEVATION OF HIGHEST CROWN OF ROAD Fronting Property)
8.6 0
FT •
N . G . V . D .
A/C COMPRESSOR (Provide top elevation of supporting structure)
117
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 l0-ZG-9~ .bruG.VeZ
Cutifier's Name 06
Phone 4r: (30T) Z 3T-1 SSD (mot)
Catifices Signature .
Certificate, a 417 PLS
This form has bear approved by The Federal Bmergcncy Management Agency (F'EMA) and may be used for flood insuranoc Purposes-
Rev. May 18, 1995tELEVCERT.195
MAP IMl/15ED : k1A?-G4 Z, /99*