HomeMy WebLinkAbout10598 Creston DrELEVATION CERTIFICATEOMB No. 1660-0008 Expiration Date: November 30, 2018IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USEFEMA Form 086-0-33 (7/15) Replaces all previous editions.StateZIP CodeCityBuilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.Company NAIC NumberPolicy Number:SECTION E – BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)For Zones AO and A (without BFE), complete Items E1–E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1–E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). b) Top of bottom floor (including basement, crawlspace, or enclosure) isa) Top of bottom floor (including basement, crawlspace, or enclosure) isfeetmetersabove orbelow the HAG.metersfeetbelow the LAG.above orSECTION F – PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATIONE2. For Building Diagrams 6–9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1–2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building isfeetmetersabove orbelow the HAG.feetmetersabove orbelow the HAG.E3. Attached garage (top of slab) isE4. Top of platform of machinery and/or equipment servicing the building isfeetmetersabove orbelow the HAG.E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?YesUnknown.NoThe local official must certify this information in Section G.The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.Property Owner or Owner's Authorized Representative's NameAddressCityStateZIP CodeTelephoneCommentsDateSignatureCheck here if attachments.Form Page 3 of 6
ELEVATION CERTIFICATEOMB No. 1660-0008 Expiration Date: November 30, 2018IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USEFEMA Form 086-0-33 (7/15) Replaces all previous editions.ZIP CodeStateCityCompany NAIC NumberPolicy Number:Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.SECTION G – COMMUNITY INFORMATION (OPTIONAL)The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8–G10. In Puerto Rico only, enter meters.G1.The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)G2.A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO.G3.The following information (Items G4–G10) is provided for community floodplain management purposes.G4. Permit NumberG5. Date Permit IssuedG6. Date Certificate of Compliance/Occupancy IssuedG7. This permit has been issued for:New ConstructionSubstantial ImprovementG8. Elevation of as-built lowest floor (including basement) of the building:feetmetersDatumG9. BFE or (in Zone AO) depth of flooding at the building site:feetmetersDatumG10. Community's design flood elevation:feetmetersDatumComments (including type of equipment and location, per C2(e), if applicable)Local Official's NameTitleTelephoneCommunity NameDateCheck here if attachments.SignatureForm Page 4 of 6
ELEVATION CERTIFICATEOMB No. 1660-0008 Expiration Date: November 30, 2018IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USEFEMA Form 086-0-33 (7/15) Replaces all previous editions.BUILDING PHOTOGRAPHS See Instructions for Item A6.Policy Number:Company NAIC NumberZIP CodeStateCityBuilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.Form Page 5 of 6Photo OnePhoto One CaptionPhoto TwoPhoto Two Caption
ELEVATION CERTIFICATEOMB No. 1660-0008 Expiration Date: November 30, 2018IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USEFEMA Form 086-0-33 (7/15) Replaces all previous editions.BUILDING PHOTOGRAPHS Continuation PageBuilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.Policy Number:Company NAIC NumberZIP CodeStateCityIf submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.Form Page 6 of 6Photo ThreePhoto Three CaptionPhoto FourPhoto Four Caption