HomeMy WebLinkAboutBLD1990-00367 Flood Certificate FF. I .A. MAP
PANEL AND FLOODs /SOURCE: J ,3 OO 9' ®tx.2 7
ZONE: p 1 `�
ACKNOVJLEDGEMENT
I verify the information provided in Section 1 is true and
correct.
(signature) (date)
REGISTERED PROFESSIONAL:
TITLE: LICENSE NUMBER:
SECTION 2
CONDITIONS OF APPROVAL
1 . The height of the Lowest floor shall be feet above
grade.
ACKNOLJLEDGEMENT
The degree of flood protection required by this certificate is
considered reasonable for regulatory purposes. This certificate
approval s all not create Liability on the part of Jefferson County
fo any fLo age that results from reliance on this certificate.
4 7 ! 0
nature (da e)
RES ONSIBLE OFFICIAL:
LE: 4.--L-CcIce-c DEPARTMENT:
SECTION 3
AS-BUILT CERTIFICATION
1 verify that the structure complies with the conditions of the
f Lood area certificate.
(signature) (date)
BUILDING OFFICIAL: