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HomeMy WebLinkAboutBLD1988-00357 Flood Certificate • • JEFFERSON COUNTY FLOOD AREA CERTIFICATE Federal Emergency Management 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 . SECTION 1 APPL I CANT: i `'��l 6(}1 Ac ..0 ADDRESS: R© _ k (3 Z Cs�r-�N ) tC)� Ct 0 TELEPHONE: (home) 669-�?a-7_ S35c (business) REPRESENTATIVE (contact) : ADDRESS: TELEPHONE: (home) (business) PROPERTY DESCRIPTION GENERAL LOCATION: �� JA- ,,c ( _�Q �r S y � • • LEGAL: / /J Identifier Number: /�! I `/ •4e4%, - Tax Parcel Number (from property tax statement) : �// 42 6 3,4. Real Property Description (from property tax statement) : SITE'S DISTANCE FROM WATERWAY: 35 7 EASE FLOOD ELEVATION ( 100 year flood level ) : 14 1, 4 SITE'S ELEVATION (grade level ) : ± / S, S . SITE V`JITHIN FLOODWAY: PROPOSAL PROPOSED USE: ❑ ResidentialSMobiLe Home 0 Commercial ❑ Industrial ❑ Agricultural ❑ Storage 0 Other (identify: FLOODPROOFING MEASURES: YES NO Landfill 0 ❑ Pole, pier, or pile ❑ ❑ .'�. Parallel ' foundation walls 0 0 Extended walls and basement ❑ 0 Alternative ( identify): 0 0 411 • F. I .A. MAP PANEL AND FLOOD SOURCE: / 2 7 ZONE: /6 2— _ ACKNOI^JLEDGEMENT I verify the information provided in Section 1 is true and correct. 4— Ceogati"-•'l / &, , signature) (date) REGISTERED PROFESSIONAL: TITLE: LICENSE NUMBER: SECTION 2 CONDITIONS OF APPROVAL 1 . The height of the Lowest fLoor shaLL be feet above grade. / ? 74e/ , ACKNOI"1LEDGEMENT The degree of flood protection required by this certificate is considered reasonable for regulatory purposes. This certificate approval shall not create Liability on the part of Jefferson County for an ood damage th suits from reliance on this certificate. Af/er, a3A cP/,', 441, RESPONSIBLE OFFICIAL: �ok7"//D �1s�17 TITLE: / C n DEPARTMENT: R/e:-0071,., % - 13w• >47 SECTION 3 ; 1 AS-BUILT CERTIFICATION I verify that the structure complies with the conditions of the f Lood area certificate. (signature) (date) BUILDING OFFICIAL: