HomeMy WebLinkAboutBLD1985-00035 Flood Certificate
A
ACKNOWLEDGEMENT
I verify the information provided in Section I is true and correct.
(sig a un to un t re) (date)
REGISTERED PROFESSIONAL:
TITLE: LICENSE NUMBER:
No% ^iF'~'G~'A _•C~N~-R~''rpr/"~ .S~PP~./~rD B,Y .~9gZ (!••~ AR/~~/ Co~tPl tlF L`NFINFEQ
SECTION II
CONDITIONS OF APPROVAL:
t. The height~of the first habitable floor shall be
above grade.
3~
feet
ACKNOWLEDGEMENT
The degree of flood protection required by this certificate is considered
reasonable for regulatory purposes. This certificate approval shall noi- create
liability on the part of Jefferson, County for any flood damage that results
from reliance on this certificate.
/~r,,,.~cQ /•~~
(signature)
7 /yr~r4cr/ 19PS
(date)
RESPONSIBLE OFF I C I AL: /N I T~ ~ PRC'J' 1 --
TiTLE• ~Js'.toc..p r~ ic.9~NEa DEPARTMENT: ~°~~~'~~"F ~ ~°~~~~"~~"