HomeMy WebLinkAbout34-2117-002-1360FINAL ELEVATION CERTIFICATE
This certificate shall be submitted to DERM - flood Plain Management Program before obtaining- a CERTIFICATE OF COMPLE"
OCCUPANCY.
Will not be accepted if all items are not completed
PROPERTY INFORMATION
Folio # .
Address
V/
(The following information to be provided by contractor, property owner or agent.)
30 - I I - Ll U - 1 -~(0 (NOT ACCEPTED WITHOUT FOLIO//) n
• 4 261 ~,l ltd { 5 to S-', PROCESS #:C 9D'~ `-1 10 Permit 17- 119 3 9a
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.oeeed. 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
(print)
Phone # ELEVAT ON ERTIFICATE
This certificate is not valid if any items are altered or not om leted.
Subdivision Name Oeuel/Ark R~G-S
If
Lot Blk PB +4 Pg 9 2
1
(Community #
ix
Suf
f
Panel #
Date of FIRM
FIRM Zone
Base Flood
120635
•
-
.1
0e) ?C)
:5 -:2 -J+
u)/1 N
W,)k- Ft. NGVD
Using FEMA's Elevation Certificate instructions, indicate diagram found on Pages 5 and 6 that best describes the subject bu'Id'ng's reference
level ~~jQS~YI
c. e). [[[!ll~~~
LOWEST RbeeaR ELEVATION (Top Reference level) FT. N . G . V . D .
LOWEST ADJACENT GP.ADE ELEVATION
$,t "I_'
FT.
N.G.V.D.
GARAGE OR STORAGE FLOOR ELEVATION
16.
FT.
N.G.V.D.
ELEVATION OF HIGHEST CROWN OF ROAD (Fronting Property)..
FT.
N. G. V. D.
A/C COMPRESSOR (Provide top elevation of supporting structure)
Q .''r
FT.
N . G . V . D
I lwreby cef14y that: I) The lot has been graded to p-lizent direell everlowd d;.-scl-rge nf,~fnrxnwafer onto ad s
The information on this certificate is true and correct to the br,t ut illy
knowkudgc and belief. JOSE E. FUXA, P.L.S.
7555 S.W. 30th. ST.
Date MIAMI, FLORIDA 33155
2&t-TZ4o .
("Colficr
i h: nn l avc hecri approved t,c l he Fcd<nal Einrr^rncy Mara,,cmcnt A,_cncy (FEMA) and may he use. for flood insvranee purposrs
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