Laserfiche WebLink
<br />SECTION E CERTIFICATION <br /> <br />This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation <br />information when the elevation information for Zones A1-A30, AE, AH, A (with BFE),V1-V30,VE, and V (with BFE) is required. <br />Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the <br />certification. In the case of Zones AO and A (without a FEMA or community issued BFE). a building official, a property owner, or an <br />owner's representative may also sign the certification. <br /> <br />Reference level diagrams 6, 7 and 8 - Distinguishing Features-If the certifier is unable to certify to breakaway/non-breakaway wall, <br />enclosure size, location of servicing equipment. area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not <br />included in the certification under Comments below, The diagram number, Section C, Item 1, must still be entered. <br /> <br />I certify that the information in Sections Band C on this certificate represents my best efforts to interpret the data available, <br />I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code. Section 1001. <br /> <br />Maurice W. Beall <br />CERTIFIER'S NAME <br />Professional Land Surveyor <br />TITLE <br /> <br />F'lrl PT.~ lt4?Rl <br />LICENSE NUMBER (or Affix Seal) <br /> <br />Simmons & Rprlll, Tnr <br />COMPANY NAME <br /> <br />P.O. Box 1297 <br />ADDRESS <br /> <br />Dade City <br /> <br />F'lor;r'l('l <br /> <br />-3.3.526-..".12-9 7 <br />STATE <br /> <br />CITY <br /> <br />ZIP <br /> <br />SIGNATURE <br /> <br />mVJ~ <br /> <br />Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. <br /> <br />Ortohpr ::>0, 1 qq? <br />DATE <br /> <br />(-9-0-4-~.6-J-=-0-0-4-8 <br />PHONE <br /> <br />COMMENTS: <br /> <br />ON <br />SLAB <br /> <br />WITH <br />BASEMENT <br /> <br />ON PilES. <br />PIERS, OR COLUMNS <br /> <br />A <br />ZONES <br /> <br />V <br />ZONES <br /> <br /> <br />A <br />ZONES <br /> <br />V <br />ZONES <br /> <br /> <br /> <br /> <br />BASE <br />FLOOD <br />~ <br /> <br /> <br />The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. <br />Elevations for all A Zones should be measured at the top of the reference level floor. <br />Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. <br /> <br />Page 2 <br />