HomeMy WebLinkAbout941700309 - 51 COREY LN - FLOOD
JEFFERSON COUNTY
FLOOD AREA CERTIFICATE
Federal Emergency l!'lanagement Agency
National Flood Insurance Program
DIRECTIONS
The responsible official shall complete those portions of
Section 1 where necessary information is available in the county
records. In the absence of sufficient data, a registered
professional engineer,- architect, or surveyor shall complete this
section. Section 2 shall be completed by the responsible official.
Section 3 shall be completed by the building official.
SECT I~JN 1 I
APPLICANT : ---~--«f'~-~Y `/
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TELEPHONE: (home)
(business)
':EPRESENTAT 1 VE ( contact) : ~/`~~ cQ/~ ~ ~~(,~,~ ~ C~'.P~/nJ
ADDRESS:
TELEPHONE : ( home ) 79'(~ -- y ~o~-( ( business )
PROPERTY DESCF2IPTICN
GENERAL LOCATION:
LEGAL:
Identifier Number:
Tax Parcel Number (from p operty tax statement): 0 ~j0~'
Real Property Descr' -~~(frof~y. groper~ty ax scat ent
/`
~~ ~
SITE' S D I STANCE FP.OM t^JATER6'~AY
~ BASE FLOOD ELEVATION (100 year flood Level)
! ~/
SITE'S ELEVATICN (grade Level): 1~
S I TE U91 TH 1 N FLOOD6NAY : ~~
P;~OPOSAL
PROPOSED USE:~I-?esidentiaL ^ PY7obile Home ^ Commercial ^ Industrial
^ Agricultural ^ Storage ^ Other (identify:
FLOODPROOF 1 NG P:IEASURES
Landf i L L
Pole, pier, or pile
Parallel foundation walls
Extended walls and basement
Alternative (identify):
YES N0
^ ^
^ ^
^ ^
^ ^
^ ^
PANEL AND FLOOD SOURCE:
ZONE:
F, I .A. G'fAP
ACKNOI"~LEDGEh1ENT
I verify the information provided- in Section 1 is true and
correct .
s~gna-cure
[:EGISTERED PROFESSIONAL:
TITLE:
caate
LICENSE NUMBER:
SECTION 2 I
CONDITIONS OF APPP.OVAL
1. The height of the Lowest floor shall be ~ feet above
grade.
'~ ~/ ~C
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ACKNOI"1LEDGEIIIENT
The degree of f Lood protection required by this cer-I:if ica-te is
considered reasonable for regulatory purposes. This certificate
approval shaLldama erthat resuLtstfrom reliance on thisece~tifocate.
r any f g
- '7 / r
ignature da e
R PONS I ELE CFF I C I AL : ~ l !iY-r~ ~ r`5c?~~
E : R SSOCG! ~ DEPAF:T~:IENT : ~ .~ N- ~ ~ Q
SECTION 3
AS-BUILT CERTIFICATION
,~ verify that the structure comp L i es wi tl~ the cond it.i ons of the
flood area certificate.
date
s ~gna-cure ~ -
~~
EUILDING OFFICIAL: