HomeMy Public PortalAboutELEVATION CERTIFICATE INSTRUCTIONS.pdf/ iII ''-
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Public reporting burden for the Elevation Certificate is estimated to average 3.5 hours per response. Burden means the
time, effort, or financial resources expended by persons to generate, maintain, retain, disclose, or provide information to
the Federal Emergency Management Agency (FEMA). You are not required to respond to the collection of information
unless a valid OMB control number is displayed in the Lipper right corner of the form. You may send comments regarding
the accuracy of the burden estimate and any Suggestions for reducing the burden to: U.S. Department of Homeland
Security, Federal Emergency Management Agency, Mitigation Division, 500 C Street SW, Washington DC 20472,
Paperwork Reduction Project (1660-0008), NOTE: Do not send your completed form to this address. To obtain or
retain benefits Linder the National Flood Insurance Program (NFIP), you must respond to this collection of information.
PURPOSE OF THE ELEVATION CERTIFICATE
The Elevation Certificate is an important administrative too] of the National Flood Insurance Program (NF IP). It is to be
used to provide elevation information necessary to ensure compliance With C01111111.1flity floodplain management
ordinances, to determine the proper insurance premium rate, and to support a request for a I..,etter of Map Amendment
(LOMA) or Letter of Map Revision based oil fill (LOMR-F).
The Elevation Certificate is required in order to properly rate post-FIRM buildings, which are buildings Constructed after
publication of tile Flood Insurance Rate Map (I"IRM), located in flood insurance Zones AI -A30, AE, Al I. A (with BFE),
VE, VI-V30, V (with BFE), AR, ARJA, AR/AE, AR/Al-A30, AR /Ali, and AR/AO. The Elevation Certificate is not
required for pre -FIRM buildings unless the building is being rated Linder the optional post -FIRM flood insurance rules.
As part of the agreement ror making flood insurance available in a community, the NFIP requires the community to adopt
a floodplain management ordinance that specifies rninirnurn requirements for reducing flood losses. One such requirement
is for the C0111111LIllitV to obtain the elevation of the lowest floor (including basement) of all new and substantially
improved buildings, and maintain a record of such information. The Elevation Certificate provides a way for a
C01111111.11lity to document compliance with the community's floodplain management ordinance.
Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F
from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove tile Federal mandate for a
lending institution to require the purchase of flood insurance. I-lowever, the lending institution has the option of requiring
flood insurance even if a LOMA/LOMR-F has been issued by FEMA. The Elevation Certificate may be used to support a
LOMA or LOMB -F request. Lowest floor and lowest adjacent grade elevations certified by a surveyor or engineer will be
required if the certificate is used to support a LOMA or LOMB -F request. A LOMA or LOMR-F request must be
submitted with either a completed FEMA MT-EZ or MT -1 package. whichever, is appropriate.
This certificate is used only to certify building elevations. A separate certificate is required for floodproofing. Under the
NFIR non - residential buildings call be floodproofed up to or above the Base Flood Elevation (Bl`E). A floodproofed
building is a building that has been designed and constructed to be watertight (substantially impermeable to floodwaters)
below the BFE, Floodproofing of residential buildings is not permitted under the NFIP unless FEMA has granted the
community all exception for residential floodproofed basements. The community must adopt standards for design and
construction of floodproored basements before FEMA will grant a basement exception. For both floodproofed non-
residential buildings and residential floodproofed basements in communities that have been granted all exception by
FEMA. a floodproofing certificate is required.
Additional guidance can be Found in the FEMA Floodplain Management Bulletin about using the Elevation Certificate.
available on FEMA's website at www.feina.gov /lima /fpml ?isl. Certificate el.
pinbUI.Shfin. Click oil "FEMA 467-1 Elevation Ce fica e Cov
and Bulletin."
U.S. DEPARTMENT OF HOMELA oSEComTY ELEVATION CERTIFICATE OMB No 1660-0008
Federal Emergency Management xgency lt��
National Flood Insurance Program Important.- Read the instructions on pages 1-8.
SECTION A - PROPERTY INFORMATION For Insurance Company Use:
Al. Building Owner's Name Pollcy Number M22�
uz. Building Street Address (including *p , Unit, Suite, and/or Bldg, No.) or P 0. Route and Box mo.
City
aa. Property Description (Lot and Block
State
Tax Parcel Number, Legal Description.
ZIP Code
A4, n"tdms Use (es Residential, mmm'Resmomiai Addition, Accessory, mc)
Ao. Lat Long. Horizontal Datum: [] mxo1927 xDln*a
xm. Attach at least 2 photographs ,w the building n the Certificate is being used m"man flood insurance.
x7. Building Diagram Number
___
A& For u building with a crawl space *=nnwnure(u).provide: »e. For o building wahmm attached garage, provide:
a) Square footage m crawl space oreno|umure(s) onM u) Square footage m attached garage _____uqo
u> No. u, permanent flood openings m the crawl space u. ^> No. oh permanent flood openings |n the attached garage
emc|uaurm(m)mmmo within 1n foot above adjacent grade walls nwmin1 o foot above adjacent grade
_____.
c) Total net area or flood openings inxo.o oqm "> Total net area u/ flood openings inxm.0 so in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Bl NFIP Community Name & Community Number
B2. County Name I
B3. State
84. Map/Pan,el Number
B5. Suffix
B6. FIRM Inde
Date
77��Tffective/Revised
B7. FIRM Panel
Date
B8. Flood
Zone(s)
B9. Base Fl�od -Elevation(s) (Zone
AO, use base flood depth)
um
Indicate the source w the Base Flood Elevation (BFs) data m base flood
UpiS Profile EInRw LJ Community Determined Other (Describe)
Indicate elevation datum used for erEm Item on: [l wovo1aoe [lw^vD 1988 [:l Other <oea"vu=>
Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation Date []cBns [-]opw
Flreo |l No
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: El construction Drawings- L] Building Under Construction' L] Finished Construction
'A new Elevation Certificate will be required when constructiion of the building is complete.
C2� Elevations — Zones A1f30. AE, xm.A (with BFE).ve.v1-V30.V(wfthBpe). AIR, AR/A.ARxE,AmA1-A3O`AR/AH.xmmD. Complete Items C2.a-g
below according w the building diagram apemfievm Item x7.
Benchmark Utilized Vertical Datum
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
informafion. / certify that the information on this Certificate represents my best efforts to interpret the data available.
/ understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001 ,
[l Check here if comments are provided ooback of form.
Certifier's Name,
Title
Address
Signature
FEMA Form D1'31. February 2UQ6
Name
License
State ZIP
Date Telephone
See reverse side for continuation.
Replaces all previous editions
Check the measurement used.
� Top o,uouvm floor 0mmudmqua*=mr�.o�w°space, menmomumenooA^^feet
��
LJ meters (Puerto Rico only)
b) Top of the next higher floor
El feet
171 meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (v Zones only)
��eet
meters (Puerto Rico only)
m> Attached garage (top o/slab)
[�fee\
meters (Puerto Rico only)
=) Lowest elevation vr machinery or�enuivmum servicing the buwuin8
�F����
F�mnmm<Puemomuoon|�
(meo�mo�pe� equipment inCummew»)
--
f) �mvento�mo�^,�nimoem)grmg�<��e)
feet
mo,*m(ruc�onicuon|y)
u) Highest adjacent (fininhem) grade (nAe)
�]fert
meters (Puerto Rico only)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
informafion. / certify that the information on this Certificate represents my best efforts to interpret the data available.
/ understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001 ,
[l Check here if comments are provided ooback of form.
Certifier's Name,
Title
Address
Signature
FEMA Form D1'31. February 2UQ6
Name
License
State ZIP
Date Telephone
See reverse side for continuation.
Replaces all previous editions
IMPORTANT: In these
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No,) or P.0 Route and Box No.- I Policy Number
City
State
ZIP Code I Company
SECTION SURVEYOR,-------~�
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments
Signature Date
El Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones wU and A(vwtho^ gFE), complete Items E1-E5. if the Certificate is intended to support aLOmAorLOWR-F request, complete Sections A.B.
and C. For Items s1-s4. use natural grade, navailable. Check the measurement used. |n Puerto Rico "nty, enter meters.
El. Provide elevation information for the following and check the appropriate boxes m show whether the elevation is above uv below the highest adjacent
grade (wxs) and the lowest adjacent grade (L*m)
m) Top of bottom floor (�nu|vumQ basement, crawl space, *r enclosure) w feel L1 meters LJ above or LJ below the nam u) Top of bottom floor (including uaoemmmt, crawl opace, or enclosure) is [feet El me/e," ] aunxm or E below the LAG.
E2. For Building Diagrams Vo with permanent flood openings provided mSecb o and/or o (see ��rommmm�/unm).m° next higher floor
(e|*v�iunC2.bm the U|a0mmu)o| the buUg|n8ie_____.___���et[]metm� FluuommarLJ below the HAG.
E3. Attached garage (top o;v;au)|o_____.____[]feet F7 meters [] above o,�7uetow the HAG.
E4, To �
n" � platform of machinery and/or equipment servicing the building |o_____.___[]feet [:]mmem [] above o, E] below the HAG.
eo. Zone AD only: If no flood depth number �s available, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ElYes []wo [] unknown, The local official must certify this information in Section o.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, 8, and E for Zone A (without a FEMA-Issued Or cOmmiunity-issued BFE)
or Zone AD must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner's m Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B C (or E),
and G of this ElevatIon Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9.
G1 The n�nne
[� |nmnneon|m Section C was taken from other documentation that has been signed and sealed uym licensed surveyor, engineer, m, architect who
|s authorized ur law m certify elevation information. (indicate the source and date ov the elevation data xw the Comments area we|mm)
Gu El x community official completed Section e for m building located puZone A (without upEw/+|s"ve^orcnmmunmy-}sooeueFe) ur Zone AO.
wv. El The following information (Items G4.-G9.) is provided for community floodplain management purposes.
G4, Permit Number I G5. Date Permit Issued
G6. Date Certificate 0*comp anca^o�cx pmncy|yvueu
G7. This permd:as been issued for: El New Construction E Substantial Improvement
G8, Elevation m as-built lowest floor (including basement) 'x the uu|mino:� F1 feet El meters (pn) oam
Go.orco, (in Zone AD) depth m flooding mt the budding site: []feu [] meters (pR) oom
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
El Check here if attachments
FEMA Form 81-31, February 2006 Replaces all previous editions
For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
City State ZIP Code Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
Building Photographs
Continuation Page
The Elevation Certificate is to be completed by a land surveyor, engineer, or architect who is authorized by law to certify
elevation information when elevation information is required for Zones Al-A30, AE, AH ` A (with BFE), VE, VI -V30, V (with
BFE), AR, AR/A,AR/AE,AR/Al-A30,AR/AH.oi-AR/AO. Community officials who are authorized bylaw or ordinance to
provide floodplain management information may also complete this form. For Zones AO and A (Without BFE), a community
official, a property owner, or an owner's represeritative may provide information on this certificate, unless the elevations are
intended for use in supporting a request for a LOMA or LOMR-F. Certified elevations must be included if the purpose of
completing the Elevation Certificate is to obtain a LOMA or LOMB -F,
'File property owner, the owner's representative, or local official who is authorized by law to administer the community
floodplain ordinance can complete Section A and Section B. The partially completed forin call then be given to tile land
surveyor, engineer, or architect to complete Section C, Tile land surveyor, engineer, or architect should verify the inforl-flation
provided by the property owner or owner's representative to ensure that this certificate is complete.
In Puerto Rico only. elevations for building information and flood hazard information may be entered in meters.
SECTION A — PROPERTY INFORMATION
Items A1.-A4,. This section identifies the building, its location, and its owner. Enter the nalne(s) of the building Owner(s), the
building's complete street address, and the lot and block numbers. If the building's address is different from the owner's
address, enter the address of the building being certified. If the address is a rural route or a Post Office box number, enter the lot
and block numbers, the tax parcel number, the legal description, or an abbreviated location description based on distance and
direction from a fixed point of reference. For the purposes of this certificate, "building'* means both a building and a
manufactured (mobile) home.
A snap may be attached to this certificate to show the location of the building on the property. A tax map, FIRM, or detailed
community inap is appropriate. If no swap is available, provide a sketch of the property location, and the location of the
building on the property. Include appropriate landmarks such as nearby roads, intersections, and bodies of water. For building
use, indicate whether the building is residential, non-residential. an addition to an existing residential or non-residential
building, an accessory building (e.g., garage), or other type of structure, Use the Comments area of the appropriate section if
needed, or attach additional comments.
Item A5. Provide latitude and longitude coordinates for the center of tile front of the building. Use either decimal degrees
(e.g., 39.5043', -1 10.7585x') or degrees, minutes, seconds (e.g., 39' 30' 15.5", -I 10' 45' 30.7") format. If decimal degrees are
used, provide coordinates to at least 4 decimal places or better. When using degrees, minutes, seconds, provide seconds to at
least I decimal place or better. The latitude and longitude coordinates Must be accurate within 66 feet. If the Elevation
Certificate is being certified by other than a licensed surveyor, engineer, or architect, this information is not required. Provide
the type of datum used to obtain the latitude and longitude. FEMA prefers the use of NAD 1983.
Item A6. If the Elevation Certificate is being used to obtain flood insurance through the NFIP, the certifier must provide at
least two photographs showing the front and rear of the building taken within 90 days from the date of certification. 'I"'he
photographs must be taken with views confirming the building description and diagrarn ]lumber provided in Section A. If the
building IIRS Split-level Or I-111,11ti-level areas, provide at least two additional photographs showing side views of the building.
All photographs Must be in color and measure at least 3"'x3". Digital photographs are acceptable.
Item A7. Select the diagram on pages 7-8 that best represents the building. Then enter the diagram number and use the
diagram to identify and determine the appropriate elevations requested in ]terns C2.a-g. If you are unsure of the correct
diagram, select the diagrain that most closely resembles the building being certified.
Item A8.a Provide the square footage of tile crawl space or enclosure(s) below the lowest elevated floor of ail elevated
building with or without permanent flood openings. Take tile measurement from the outside of the crawl space or enclosure(s),
Examples of elevated buildings constructed with crawl space and enclosure(s) are shown in Diagrams 6-8 on page 8. Diagram
2 or 4 should be used for a building constructed with a crawl space floor that is below the exterior grade on all sides,
Items A8,b-c Enter in Item A8,b tile number of permanent flood openings in the crawl space or enclosure(s) walls that are no
higher than 1.0 foot above the adjacent grade. Estimate the total net area of all Such permanent flood Openings in square
inches, excluding any bars, louvers, or other covers of the permanent flood openings, and enter the total in Item A8.c. if the net
Instructions, Page I
area cannot be reasonably estimated, provide the size of the flood openings without consideration of any covers and indicate in
the Comments area the type of cover that exists in the flood openings. If the crawl space or enclosure(s) walls have no
permanent openings within 1.0 foot above adjacent grade, enter "0" (zero) in Items A8.b-c.
Item A9.a Provide the square footage of the attached garage with or without permanent flood openings. Take the
meaSUrernent from the outside of the garage,
Items A9.b-c Enter in Item A9.b the number of permanent flood openings in the attached garage that are no higher than 1.0
foot above the adjacent grade. This includes any openings that are in the garage door that are no higher than 1.0 foot above the
adjacent grade. Estimate the total net area of all Such permanent flood openings in square inches and enter the total in Itell,
A9.c. If the garage has no perrilarient flood openings within 1.0 foot above adjacent grade, enter "0" (zero) in Iterns A9.b-c.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Complete the Elevation Certificate oil the basis of the FIRM in effect at the tilyle of tile certification
The information for Section B is obtained by reviewing the FIRM panel that includes the building's location. Information
about the current FIRM is available from the Federal Emergency Management Agency (FEMA) by calling 1-800-358-9616. If
a Letter of Map Amendment (I.,0MA) or Letter of Map Revision (LOMR-F) has been issued by FEMA., please provide the
letter date and case number in the Comments area of Section D or Section G, as appropriate.
For a building in an area that has been annexed by one community but is shown oil another C01111nUllity's FIRM, enter the
community name and 6-digit number of file annexing community in Item B 1, the name of the new county in Itern B2, and the
FIRM index dale for the annexing C0111MUnity in ]tern 136. Enter information from the actual FIRM panel that shows tile
building location., even if it is the FIRM for the previous jurisdiction, in Items B4, B5, B7, B8, and B9.
Item B1. NFIP Community Name & Community Number. Enter the complete name of tile cormllUnity ill which the building
is located and the associated 6-digit community number. For a newly incorporated community, use the name and 6-digit
number of the new community. Under the NFIP, a "community "' is any State or area or political subdivision thereof, or any
Indian tribe or authorized native organization, that has authority to adopt and enforce floodplain management regulations for
the areas within its jurisdiction. To determine the current cornlnUllity number, see the NFIP Connnunil),,Status Book. available
oil FEMA's web site at ]illp:/hN,Nvw.fet-na.izov/feiiia/csb.slitin, or call 1-800-358-9616.
Item B2. County Name. Enter the name of the County 01' Counties in which the community is located. For all unincorporated
area of a County, enter "unincorporated area." For an independent city, enter "independent city."
Item B3. State. Enter the 2-letter state abbreviation (for example, VA, ]`X, CA).
Items B4.-B5. Map/Panel Number and Suffix. Enter the l0- character. "Map Number" or "Coin in unity Panel Number" shown
oil the FIRM where the building or manufactured (mobile) home is located. For maps in a county -wide format, the sixth
character of the "Map Number" is the letter "C" followed by a four-digit map number. For maps not in a county-wide format,
enter the "CormllUnity Panel Number'" shown on the FIRM.
Item B6. FIRM Index Date. Enter the effective date or the map revised date shown on the FIRM Index.
Item B7. FIRM Panel Effective/Revised Date, Enter the map effective date or the map revised date shown oil the FIRM
panel, This will be the latest of all dates shown oil the map. The current FIRM pane[ effective date can be determined by
calling 1-800-358-9616,
Item B8. Flood Zone(s), Enter the flood zone, or flood zones, in which the building is located. All flood zones containing the
letter "A" or V" are considered Special Flood Hazard Areas. Tile flood zones are A, AE, Al -A30, V, VE, VI -V30�, AH. AO,
AR, AR/A. AR/AE. AR/A I' -A.30, AR/AH, and AR/.AO. Each flood zone is defined ill the legend of the FIRM panel on which
it appears.
histruclions — Page 2
Item 139. Base Flood Elevation(s). Using the appropriate Flood insurance Study (FIS) Profile, Floodway Data Table. or
FIRM panel, locate the property and enter time BFE (or base flood depth) of tile building site. If tile building is located in more
than one flood zone in Itern 138, list all appropriate BFEs in Item 139, BFEs are shown on a FIRM or FIS Profile for Zones AI-
A30, AE, AI -1, V I-V30, VE, AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, and AR/AO; flood depth numbers are shown for Zone
AO. Use the AR BFE if the building is located in any of Zones AR/A, AR /AE. AR /AI -A30, AR /A.H, or• AR /AO. InAorV
zones where BFEs are not provided on the FIRM, BFEs may be available 1roin another source. For example, tile corrinjunity
may have established BFEs or obtained BFE data from other sources for the building site. For subdivisions and other
developments of more than 50 lots or 5 acres, establishment of BFEs is required by the community's floodplain management
ordinance. If a BFE is obtained from another source, enter the BFE in Itern B9. In an A Zone where BFEs are not available,
complete Section F and enter N/A for Section B, Item B9. Enter the BFE to the nearest tenth of a foot (nearest tenth of a
meter. in Puerto Rico),
Item 1310. Indicate the source of tile BFE that you entered in Itern 139. If the BFE is froin a source other t , hall FIS Profile,
FIRM, or community, describe the source of the 13FE.
Item 1$11. Indicate tile elevation daturn to which the elevations oil the applicable FIRM are referenced as shown oil the map
legend. The vertical daturn is shown in the Map Legend and/or the Notes to Users one tile FIRM.
Item 1312. Indicate whether the building is located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected
Area (OPA). (OPAs are portions of coastal barriers that are owned by Federal, State, or local governments or by certain non-
profit organizations and used primarily for natural resources protection.) Federal flood insurance is prohibited in designated
CBRS areas or OPAs for buildings or manufactured (mobile) homes built Or Substantially improved after tile date of the CBRS
or OP,A designation. For the first CBRS designations, that date is October 1, 1983. An information sheet explaining CBRS
areas and OPAs may be obtained oil FEMA's web site at http:// vwNy.ferna,goy/fliniffinc cbrs.shtin,
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Complete Section C if the building is located in any of Zones A I -A 30, AE, Al 1, A (with BFE), VE, Vi -V30, V (with BFE),
AR, AR/A, ARIAE, AR/A I -A30, AR/Al-1, or AR/AO, or if this certificate is being used to support a request for a LOMA or
LOMR-F. If the building is located in Zone A0 or Zone A (Without BFE), complete Section E instead. To ensure that all
required elevations are obtained. it may be necessary to enter the building (for instance, if tile building has a basement or
sunken living room, split-level construction, or machinery and equipment).
Surveyors may not be able to gain access to some crawl spaces to shoot the elevation of the crawl space floor. If access to the
crawl space is limited or cannot be gained, follow one of these procedures,
• Use a yardstick or tape measure to Measure the height froin the floor of the crawl space to tile '*next higher floor," and then
subtract the crawl space height from the elevation of the "next higher floor," If there is no access to the crawl space, use
the exterior grade next to the structure to measure the height of tile crawl space to the "next higher floor.-
• Contact the local floodplain administrator ofthe community in which tile building is located. The community may have
documentation of the elevation of the crawl space floor as part of tile permit issued for the building.
• If the property owner has docurnentation or knows the height of the crawl space floor to tile next higher floor, try, to verify
this by looking inside the crawl space through an), openings or vents.
In all three cases, provide the elevation in the Comments area of Section D on the back of the form and a brief description of
]low the elevation was obtained.
Item CI. Indicate whether the elevations to be entered in this section are based on construction drawings, a building under
construction, or finished construction. For either of the first two choices, a post-construction Elevation Certificate will be
required when construction is complete. If tile building is under construction, include only those elevations that can be
surveyed in Items C2.a-g. Use the Comments area of Section D to provide elevations obtained from tile construction plans or
drawings. Select "Finished Construction" only when all machinery and/or equipment such as furnaces. hot water heaters. heat
pumps, air conditioners, and elevators and their associated equipment have been installed and the grading around the building
is completed.
Item C2. A field survey is required for Iterns C2.a-g. Provide the benchmark utilized, the vertical daturn for that benchmark,
and any datUrIl conversion necessary. Most control networks will assign a unique identifier for each benchmark. For example,
the National Geodetic Survey uses tile Permanent Identifier (PID), For the benchmark utilized, provide the PID or other
instructions — Page 3
unique identifier assigned by the mnumtaimcrof the benchmark. Also provide the vertical du1umn for the benchmark elevation.
Show the conversion from the field eurvev datuni used ifiidiffers from the dgmo used for the BFE entered hl }term 139 and
indicate the conversion moftvvenc wmcd. /\iV c|evmdume for the ce1iUcate, including the elevations for |tenma C2.a-9` must be
referenced 1n the do1om on Which the BEE is based. Show the datum omnversi*n, if applicable, ill this section or in the
Comments area nf Section 0. For property experiencing ground Subsidence, the muo1 recent reference nmark elevations must he
uoed for determining building elevations. However, when mubmideooe is involved, the DFEmhou|d not be a6umted. Entcr
elevm1iuoy in |immsC2.a-g to the memre( tenth mfa foot (nearest tenth ofometer, in Puerto Rico).
Kbomy C2.a-d Enter the building elevations (excluding the mUmmbcd garage) indicated by the selected building dimgrom ((kum
A7.)ioUcmo[2.m-c. [f there b ail attached garage, enter the elevation for top of attached gat-age slab in|TcmC2.d. (Because
elevation for top of attached garage slab is self-explanatory, attached garages are not |||uotnded in the d|agrwrnm.) If the
building is located in a zone eothe FIRM, complete 8Con C2.c, If the flood zone cannot bcdctcnuined` enter elevations for
all of Items C2.a-g. For buildings ioA zones, elevations a, b,d,and e should be measured u( tile top of the floor. For buildings
ill \/ zones, elevation mum{ be measured at the bottom of the lowest horizontal structural nicunherofthe floor (see drawing
below). For buildings elevated oil a crawl space, Diagrarn 8, enter, the elevation of the top of tile- crawl space floor ill I teril C2,a,
whether ornot the crawl space has permanent Omad openings (flood vents). //'o/!! ite/m Jvoo /xo/ u���'/* the bo/lc&ig, eo/uv'
N1.4 "Jbi- not orj)plicoble,
Item C2,.0 Enter the \ovvostpKu18onn u|cvuboo of at least one of the following xnmdhioury and equipment i|umm� elevators and
their associated equipment, furnaces, ]lot water heaters, heat pumups, and air conditioners in oo attached garage or enclosure or
on un *pen od)l{y n/a1fb,m that provides md|iry mem/|ccm for the building. Note that elevations for these specific machinery and
equipment i1cmua are required in order to rate the building for flood insurance. Local Ooodp|uln management officials are
required to ensure that all machinery and equipment servicing the building are protected fimn flooding. Thus. local nfGc[u\o
nnmy require that elevation information for all machinery and equipment, including ductwork. bed*cumeo\ud on the Elevation
Certificate. If' the machinery and/or equipment in mounted 10 m wa|L pi|u, e1u, enter the platforin elevation of the machinery
and/or equipment. Indicate muc6iocry/cquipmemJ type in tile Comments area of Section Dar Section Q,noappropriate, #'1hi.5
UemmwC2Jf-g Ad|ucent grade is defined um the elevation m[the ground, sidewalk, patio slab, ur deck Support lmnmediate|ynext
to the building, ]f the certificate ionmbe uscJ to support uruqoest for uLOM/\ urLOMR-F, provide io the Comments area tile
lowest adjacent grade elevation measured at the deck support or stairs if that elevation is lower than tbe building's |oncyt
m6orcot grade. For Zone /\O, uee the natural grade elevation. if available. This measurement moost be to tbe nearest terith of
root (nearest tenth ofmmmc«uc ill, Puerto Rico) if this certificate is being used rosupport uxequest fora LOM/\ or L0MQ-[
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
Cornplete as indicated. This section wf the Elevation Certifioteway be signed by only aland surveyor, engincer, or architect
who is authorized by law to certify s|uvu1ino infounuhoo. Place Your license number, your sea] (as nNnwud by the State
licensing bomd),your signature, and the date im file box in Section D. You are certifying that the information oil this certificate
represents )'ourbest efforts to interpret the data available and that you onderstmnd that any -false mu1omcnt may be puoinbub|e
/mstuICtinnx- Page 4
BUILDING ON
BUILDING VATH
BUILDING ON PILES,
SLAB
BASEMENT
PIERS, OR COLUMNS
A ZONES
BASE FLOOD
ELEVATION C2.c
BASE FLOOD
ADJACENT
DbJACENT
GRADE
GRADE
Item C2,.0 Enter the \ovvostpKu18onn u|cvuboo of at least one of the following xnmdhioury and equipment i|umm� elevators and
their associated equipment, furnaces, ]lot water heaters, heat pumups, and air conditioners in oo attached garage or enclosure or
on un *pen od)l{y n/a1fb,m that provides md|iry mem/|ccm for the building. Note that elevations for these specific machinery and
equipment i1cmua are required in order to rate the building for flood insurance. Local Ooodp|uln management officials are
required to ensure that all machinery and equipment servicing the building are protected fimn flooding. Thus. local nfGc[u\o
nnmy require that elevation information for all machinery and equipment, including ductwork. bed*cumeo\ud on the Elevation
Certificate. If' the machinery and/or equipment in mounted 10 m wa|L pi|u, e1u, enter the platforin elevation of the machinery
and/or equipment. Indicate muc6iocry/cquipmemJ type in tile Comments area of Section Dar Section Q,noappropriate, #'1hi.5
UemmwC2Jf-g Ad|ucent grade is defined um the elevation m[the ground, sidewalk, patio slab, ur deck Support lmnmediate|ynext
to the building, ]f the certificate ionmbe uscJ to support uruqoest for uLOM/\ urLOMR-F, provide io the Comments area tile
lowest adjacent grade elevation measured at the deck support or stairs if that elevation is lower than tbe building's |oncyt
m6orcot grade. For Zone /\O, uee the natural grade elevation. if available. This measurement moost be to tbe nearest terith of
root (nearest tenth ofmmmc«uc ill, Puerto Rico) if this certificate is being used rosupport uxequest fora LOM/\ or L0MQ-[
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
Cornplete as indicated. This section wf the Elevation Certifioteway be signed by only aland surveyor, engincer, or architect
who is authorized by law to certify s|uvu1ino infounuhoo. Place Your license number, your sea] (as nNnwud by the State
licensing bomd),your signature, and the date im file box in Section D. You are certifying that the information oil this certificate
represents )'ourbest efforts to interpret the data available and that you onderstmnd that any -false mu1omcnt may be puoinbub|e
/mstuICtinnx- Page 4
by fine or im prisonment under 18 D.S. Code, Section 1001. Use the Comments area of Section D, on the back of tile
certificate, ho provide dNmm, elevation, cv other relevant information not specified onthe front.
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO
& ZONE A (WITHOUT BFE)
Complete Section E if tile building is Unum1cd in Zone A(}nrZone A (`without 8FB). Otherwise, complete Sco1imo C instead.
Explain iutile Section f'Cornments area if the measurement provided under Iterns El,- E4. is based oil the"natUral grudo."
Items E1.a and b Enter in (tern El.uthe height to the nearest tenth ufafoot (tenth mfumeter in Puerto Rico) oƒ tile top of
the bottom Ooor (as indicated in the applicable diagram) above or below the highest adjacent grade (U&(]). Emter in Ncm
Bl.b1he height to the nearest tenth o/u foot (tenth of nmczcr in Puerto Rico) of the top of the bottnm floor (as indicated in
the applicable diagram) above or below the |mwcyt adjacent grade (LAG). For buildings in Zone AO the coommnuaih/`e
O*odp|oin mmomgcmcot ordinance requires the |ovveg floor of tile building be elevated above the highest a4jucen\ grade W
least ao high us the depth number oil the FIRM. Buildings io Zone A (Without &P2) may qualify for u lower, insurance rate if
an engineered BPG is developed ut tile site.
Item E2. For Building Diagrams 6-8 with permanent flood openings (see Page 8), enter the height to the nearest tenth of a foot
(1cu:h ofumetur in Puerto Rico) ofthe next higher floor orelevated floor (as indicated in the upp|iuuhlcdiugronn) above or
below the highest adjacent grade (HAG).
Item lCl Enter the height to the nearest tenth "[u 6o*{ ((eoA` of meter in Puerto Rico), in relation to the highest adjacent
grade next 10 the building, for the top of attached garage slab. (Because elevation for top of attached garage slab is self-
explanatory, nWmebcd gat-ages are not illustrated in the dimgnomno.) ///his //o/m does oo/ m/)jx)' to the by/6/inuz en/vr ^/0A^
fi)7- 770/u?9v/icoh/o-
Item E4. Enter the height to tile nearest tenth mfa foot (tenth ofa meter in Puerto Riou).|n relation 10 the highest n4jmoent
grade ocnz to the building, of the platform elevation that supports the nnmchine,y and/or cqu|pinenx servicing the building.
Indicate mmcbincry/equipIlleot type in the Conmmcn1a area of Section F. //'this ilmx ubux not mm)/v to the 6id1diVg, co/«/-
^'7%�'j^h,rmv/onm/ico6&
Item E5. For those omnmamiiicw where this base flood depth is not available, the community will need ondeioroi|nc whether
the top of the bottom floor is elevated in accordance with tile community's floodplain managernent ordinance.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
Coznple1e as indicated. This section is provided for oe,1iOcm1iom of nueasmremcnts taken by a property owner or property
owner representative when responding to Sections A. B, and B. The address entered in this uecdno rmust be the uo1oa]
mailing address mf the property owner °r property owner's representative who provided the infoonutionon tile oertifioate.
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
Complete as indicated. The Conununhy nDloia| who is authorized by |o`v or ordinance to administer the omomuni\y'm
floodplain management ordinance can cornplete Sections A, B, C (or E), and G of this Elevation Certificate. Section Cxmay be
filled in by the local official as provided i n the instructions below for Itenn G 1. If the authorized cominuo|ty official completes
Sections C, E, or G., cornplete the appropriate itern(s) and sign this section.
Check Item GI. if Section C is ummopUoled with elevation data 6nm other documentation. including elevations obtained Gmw
the Community Rating Syotcco Elevation Softvvore, that has been signed and nen]cd by m licensed surveyor, engineer, or
onu&i1c«t Who is authorized by Uu`v to certify elevation information. |udiun1c the source of the elevation data and thc date
vhtuiocd io the Cvmmcnts area of Section G. |f you are both uopmmunityofficial and licensed land Surveyor, engineer, or
architect authorized by |owio certify elevation infor�mudon, and you performed the mctmm| oorvcy fora building in Zmucy A|-
A38,AE,/\H`/\(vvi1h BFE).\/EVl-\730.V (with 8FE), AR, AK//\.AR/6l-/\3O./\8//\2,AfDA8I.urAR/A(}` YOU xnmx1
also complete Section D.
Check 11cm G2. if information is entered in Section Ehv the uorr/nuo|ty for u building in Zone (without a FKMA-imyucdor
corn no unity- issued BTE) or Zone AO.
[noMI homo-page 5
Check Item G3. if the information in Items G4.-G9. has been completed for community floodplain management purposes to
document the as-built lowest floor elevation of the building. Section C of the Elevation Certificate records the elevation of
various building components but does not determine the lowest floor of the building or whether the building. as constructed,
complies with the community's floodplain management ordinance. This Must be done by the community. Items 64.-G9.
provide a way to document these determinations.
Item G4. Permit Number. Enter the permit number or other identifier to key the Elevation Certificate to the permit issued for
the building,
Item G5. Date Permit Issued. Enter the date the permit was issued for the building.
Item G6. Date Certificate of Cornpliance/Occupancy Issued. Enter the date that the Certificate of Compliance or OCCUparley
or similar written official documentation of as- built lowest floor elevation was issued by the community as evidence that all
work authorized by the floodplain development permit has been completed in accordance with the C01111111.111ity'S floodplain
management laws or ordinances.
Item G7. New Construction or Substantial Improvement. Check the applicable box. "Substantial Improvement" means any
reconstruction, rehabilitation, addition, or other improvement of a building, the cost of which equals or exceeds 50 percent
of the market value of the building before the start of construction of the improvement. The term includes buildings that
have incurred Substantial darnage. regardless of the actual repair work performed.
Item G8. As-built lowest floor elevation. Enter the elevation of the lowest floor (including basement) when the construction
of the building is completed and a final inspection has been made to confirm. that the building is built in accordance with the
permit, the approved plans, and the community's floodplain management laws or ordinances. Indicate the elevation datLI111
used.
Item G9. BEG. Using the appropriate FIRM panel, FIS Profile, or other data Source, locate the property and enter the 13FE (or
base flood depth) of the building site. Indicate the elevation datUln used.
Enter your name, title, and telephone number, and the name of the cornnlllllit)�. Sign and enter the date in the appropriate
blanks.
Instructions — Page 6
BUILDING DIAGRAMS
The following eight diagrams illustrate various types of buildings. Cornpare the features of the building being
certified with the features shown in the diagrams and select the diagrarn most applicable. Enter the diagram
number in Item AT, the square footage of crawl space or enclosure(s) and the area of flood openings ill square
inches in Items A8.a-c, the square footage of attached garage and the area of flood openings in square inches in
Items A9,a-c, and the elevations in Items C2.a-g.
In A zones, the floor elevation is taken at the top finished surface of the floor indicated; in V zones, the floor
elevation is taken at the bottom of the lowest horizontal structural member (see drawing in instructions for
Section Q.
All slab-on-grade single- and multiiple-floor lbuild,ings
(other than split-level) and Ihi�gh-rise buildings, either
detached or row type (e.g., townhouses); with or
Distinguishing Feature — The bottom floor is at or above ground level
(grade) an at least one side.
(C2.b�
C2,a NEXT HIGHER
FLOOR
DIAGRAM 3
All split-level buildings that are slab -on- grade, either
detached or row type (e.g., townhouses); with or
without attached garage.
Distinguishing Feature — The bottom floor (excluding garage) is at or
above ground level (grade) on at least one side .*
DIAGRAM 2
All single- and multiple-floor buildings with basement
(other than split-level) and high-rise buildings with
basement, either detached or row type (e.g.,
townhouses • with or without attached garage.
Distinguishing Feature — The bottom floor (basement or underground
garage) its below ground level (grade) on all sides. Buildings constructed
above crawl spaces that are below grade on all sides should also use this
diagram."
C2.a
NEXT HIGHER
FLOOR
GRADE
BOTTO FLOOR
(BASEMENT)
J.
existmg `grade)'�
DIAGRAM 4
All split-level buildings (other than slab-on-grade),
either detached or row type (e.g., townhouses); with or
without attached garage.
Distinguishing Feature — The bottom floor (basement or underground
garage) iis below ground level (grade) on all sides. Buildings constructed
above crawl spaces that are below grade on all sides should also use this
diagram
C
C2�b
'�2,a HIGHER
GRADE FLOORS
NEXT HIGHER
BOTTOM FLOOR FLOOR
(BASEMENT)
77
i Trni
�` (d ete ned faj
exmstin g grade)
L
A floor that is belo\v ground level (grade) on all sides is considered a basement even if the floor is used for liVilIg PIWPOSeS. Or us all office,
garage. Nvorkshol). etc.
Instructions Page 7
DIAGRAM 5
All buildings elevated on pliers, posts, piles, columns,
or parallel shear walls. No obstructions below the
elevated floor.
Distinguishing Feature — For all zones, the area below the elevated floor is
open, with no obstruction to flow of flood waters (open lattice work and/or
readily removable insect screening is permissible).
(C 2.b�
C2.a
GRADE
NEXT HtlGHER
FLOOR
ELEVATED
FLOOR
Cdeier lined by
existing grade) C2,c (For V zones only)
DIAGRAM 7
All buildings elevated on full-story foundation walls
with a partially or fully enclosed area below the
elevated floor. This includes walkout levels, where, at
least one side is at or above grade. The principal use
of this building is located in the elevated floors of the
building.
Distinguishing Feature — For all zones, the area below the elevated floor is
enclosed, either partially or fully. In A Zones, the partially or fully enclosed
area below the elevated floor is with or without openings— present in the
walls of the enclosure. Indicate information about enclosure size and
openings in Section A— Property Information.
C2-a) NEXT HIGHER C2b
FLOOR
GRADE
DIAGRAM 6
All buildings elevated on piers, Posts, Piles, collumns,
or parallel shear walls with full or partial enclosure
below the elevated floor.
Distinguishing Feature — For all zones, the area below the elevated floor is
enclosed, either partially or fully. In A Zones, the partially or fully enclosed
area below the elevated floor is with or without openings** present in the
wails of the enciosure. Indicate information about enclosure size and
openings in Section A — Property Information
NEXT HIGHER
FLOOR
ELEVATED
84 FLOOR
A
enclosure spze &
openings, if any,
_7
f7�(de I
ter
. f 9 ) existing grade) (For V zones only)
DIAGRAM 8
All buiildings elevated on a crawl space with the floor of
the crawl space at or above grade on at least one side,
with or without an attached! garage.
Distinguishing Feature — For all zones, the area below the first floor is
enclosed by solid or partial perimeter walls. In all A zones, the crawl space
is with or without openings*' present in the walls of the crawl space.
Indicate information about crawl space size and openings in Section A —
Property Information.
C2 a)
NEXT HIGHER
FLOOR
C2.f
a
M� b_'C
NINGS**
(C2.-b
W
An "opening" is defined as a permanent opening in a wall that alloNNs for the free passage of water automatically its both directions kNritboUt
hunian intervenfion. Under the NFJ P, a Inininluill Of t1vo openings is rcquired lbr enclosures or crawl spaces %vith a total net area ot'not less than
one square inch for eveiN Square foot of area enclosed. Facb opening Must be on diflerent sides of the enclosed area. It'i building has niore titan
one enclosed area. cacti area MUsi have openings on exterior walls to allovv floodNvatcr to directly enter. The bottom of the openings must be no
higher than one foot above the grade Underneath the flood vents. AfternativeN, you nia) :submit a ecrtification bw a registered Professional
engineer or architect that the design wwilj atIOXNr for the automatic equalization of hydrostatic flood torces on eNterior Nvalls. A Nvindo\v, a door. or
a garage door is not considered an opening.
Instructions - Page 8