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HomeMy WebLinkAboutBLD1990-00011 flood certification Y 4 - 4 F. I .A. MAP PANEL AND FLOOD SOURCE: 6 47 Qo o7 ZONE: iii y ACKNOV,!LEDGEMENT I verify the information provided in Section 1 is true and correct. (signature) (date) REGISTERED PROFESSIONAL : TITLE: LICENSE NUMBER: SECTION 2 j CONDITIONS OF APPROVAL 1 . The height of the Lowest floor shall. be 7 feet above grade. .,-7-,-;E_ Le9,--9A.LE ofuLetCr--, /' ,) G 4 At-t rs,( ,,-,--iiTefiEgo,i ca_.,-7/ 4"?.,)/ z._. ., '-'ssi 7 �i . J F VO;ite-i'-s- _4r ,,mot .--Cie o''-) . /0/ (a,..._,7 1----(oz-44,\J 04 I 0 _SE - 0-4( -r/o/ C3_:) 4.--1 I -5-;/0,(04---10 ACKNONLEDGEMENT 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 a Lood damage that results from reliance on this certificate. ////:: //ir ' gnatu e � (d te�ONSIBLE OFFICIAL: ,---�/1"4'( \i">,.. "Vn k 0 TITLE: 4.S.s� �'�-'"' 'l DEPARTMENT- ' ) 47:::( SECTION 3 AS-BUILT CERTIFICATION -i verify that the structure complies with the conditions of the flood area certificate. (signature) (date) BUILDING OFFICIAL: * ' ' 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 . ECTION 1 I APPLICANT: D rL- Ari- g- Lc w ADDRESS: ZG C1 1. S f Pt f""... .) TELEPHONE: (home) (business) REPRESENTATIVE (contact) : //t/(11L //4-7 T# '_1 ADDRESS: / TELEPHONE: (home) - 75'6 -- `/`{`�( (business) 7 ' J' PROPERTY DESCRIPTION GENERAL LOCATION: 1,4.1.7-- a ( /0/ 4. 4(2,17-7/ Or „&.0.StIc-..24 41.-r.S" 04.-2E.,-(_ LEGAL: / ,�, 4 r�C��;�f-1��..5 Li)4( Iden tifier ier Number: ) 2 / Ti?/C� �l`' Tax Parcel Number (from property tax statement) : 710 700 3/2 _3, Real Property Description (from property tax statement) : I STANCE FROM t��ATERL"rAY: f" (140/u. ,....C/ i / SITE S D BASE FLOOD ELEVATION ( 100 year flood Level ) : / SITE'S ELEVATION (grade Lev ) : / 7 SITE V11THIN FLOODtWAY ( oAyi 3OD 7-0007 A0A/C/ 1 EA ,- J yi,., Fl©q . OPOSAL PROPOSED USE: )0,,Residential *Mobile Home ❑ Commercial 0 Indu'trial ❑ Agricultural 0 Storage ❑ Other (identify: RpAcL F-V1.1 .a.., 14 (I ,LYE ( FLOODPPOOF i NG MEASURES: , NO Landfill 0 0 Pole, pier, or pile ❑ `r Parallel foundation walls ❑ ❑ Extended walls and basement ❑ ❑ Alternative ( identify) : 0 0