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2005 S. 4th St--Facio's WoodworksU.S.DEPARTMENTOFHOMELAND SECURITY OMB ConWNo. lesc-000e Federal Emergency Management Agency E%plretlon Date: 06/30/2026 National Flood Insurance Program ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9.19 ;o y all pages of this Elevation Certificate and all attachments for (1) community official, (2) Insurance agentloompany, and (3) building ownen FOR INSURANCE COMPANY USE Al. Building Owner's Name: FACIO'S CUSTOM WOODWORKS LLC Policy Number: A2. Building Street Address (including Apt., Unit, Suite, end/or Bldg. No.) or P.O. Route and Box No.: Company NAIC Number: 2005 SOUTH 4TH STREET city: VAN BUREN State: AR ZIP Code: 72956 A3. Property Description (e.g., Lot and Block Numbers or Legal Description) end/or Tax Parcel Number: PT SW/4 SE/4 & PT SE/4 SW/4, SEC30 & PT NW/4 NE/4 & PT NE/4 NW(4, SEC31, T-9-N, R-31-W, CRAWFORD CO. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.): NON-RESIDENTIAL A5. Latitude/Longitude: Lat. 35026'21.880" Long.-94920'18.016" Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983 N WGS 84 AS. Attach at least two and when possible four clear photographs (one for each side) of the building (see Form pages 7 and 8), A7. Building Diagram Number: 1 B AS. For a building with a crawlspace or enclosure(s): a) Square footage of crawispace or enclosure(a): 0.00 sq.ft. b) Is there at least one permanent good opening on two different sldea of each enclosed area? ❑Yes ❑ No ®N/A c) Enter number of permanent good openings In the crawlspace or enclosure(s) within 1,0 fool above adjacent grade: Non -engineered good openings: 0 Engineered good openings: 0 d) Total net open area of non -engineered good openings in A8.c: 0.00 sq. In, e) Total rated area of engineered good openings In A8.c (attach documentation - see Instructions): 0.00 sq. ft. f) Sum ofASA and A8.e rated area (If applicable -see Instructions): 0.00 sq. ft. A9. For a building with an attached garage: a) Square (Dotage of attached garage: 0,00 aq, ft. b) Is thereat least one permanent good opening on two different sides of the attached garage? ❑ Yes ❑ No ❑ N/A c) Enter number of permanent good openings In the attached garage within 1.0 foot above adjacent grade: Non.englneered good openings: 0 Engineered flood openings: 0 d) Total net open area of non -engineered flood openings in A9,c: 0,00 sq, In. e) Total rated area of engineered flood openings in A9.c (attach documentation - see Instructions): 0.00 sq. ft. f) Sum of A9.d and A9.e rated area (if applicable- see Instructions): 0.00 sq. ft. - - -� SECTION D - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1.a. NFIP Community Name: CITY OF VAN BUREN B1.b. NFIP Community Identification Number; 050053 B2. County Neme:CRAWFORD B3. State: AR B4. Map/Penal No.: 0ouaac0390 B5. Suffix: J BB. FIRM Index Date: 12/03/2010 B7. FIRM Panel Effective/Revised Date: 12/03/2010 B8. Flood Zone(s): AE B9. Base Flood Elevation(s) (BFE) (Zone AO, use Base Flood Depth): 401.7 810, Indicate the source of the BFE data or Base Flood Depth entered In Item B9: ❑ FIS N FIRM ❑ Community Determined ❑ Other: B19. Indicate elevation datum used for BFE In Item B9; ❑ NGVD 1929 N NAVD 1988 ❑ Other/Source: B12. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes N No Designation Date: ❑ CBRS ❑ OPA 1813. Is the building located seaward of the Limit of Moderate Wave Action (LIMWA)7 ❑Yes ®No FEMA Form FF-208-FY-22-152 (formerly 088.0-33) (10/22) Page 2 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 949 Building Street Address (Including ApL, Unit, Suite, andfor Bldg. No.) or P.O. Route and Box No.: FOR INSURANCE COMPANY USE 2005 SOUTH 4TH STREET Policy Number: City: VAN BUREN State: AR ZIP Code: 72958 Company NAIC Number. SECTION C QYILOING ELEVATION INFORMATION (SURVEY REQW , ED) C1. Building elevations are based on; ❑ Construction Drawings" ❑ Building Under Construction" Finished Construction "A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations — Zones A1430, AE, AH, AO, A (with SFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO, Ag9. Complete Items C2.a4 below according to the Building Diagram specified In Item AT In Puerto Rico only, enter meters. Benchmark Utilized: ARDOT NETWORK Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in Items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other; Datum used for building elevations must be the same as that used for the BFE. Conversion factor used? ❑ Yes ® No If Yes, describe the source of the conversion factor in the Section D Comments area. Check the measurement used; a) Top of bottom floor (Including basement, crawispace, or enclosure floor): 403,15 ® feet ❑ meters b) Top of the next higher floor (see Instructions): ❑ feet ❑ meters o) Bottom of the lowest horizontal structural member (see Instructions): ❑ feet ❑ meters d) Attached garage (top of slab): ❑ feet ❑ meters e) Lowest elevation of Machinery and Equipment (M&E) servicing the building (describe type of M&E and location In Section D Comments area): El feet ❑meters f) Lowest Adjacent Grade (LAG) next to building: Natural ® Finished _ 402.67 ® feet ❑ meters g) Highest Adjacent Grade (HAG) next to building: ❑ Natural ® Finished 403.09 ® feel ❑ meters h) Finished LAG at lowest elevation of attached deck or stairs, Including structural support: ❑ feet ❑ meters SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by stale law to certify elevation information. I certify that the Information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by nine orknicrisonment under 18 U.S. Code, Section 1001, Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No ❑ Check here if attachments and describe in the Comments area. Certifier's Name: RICKY W. HILL License Number:1443 CiS7�D�� Title: PLS •SIA GPI'•. Company Name: SATTERFIELD LAND SURVEYORS, P/A Nb S Address: 1928 HWY 71 NORTH NO t City: ALMA State: AR ZIP Code: 72921 RE v. 2 9 , 6t0 � Signature: /Po:�. �.�� Date: li. ZZ. Z3 /aNALos LPN�S Telephone: (479)•632-3666 Ext.: _ Email: droza@slsurveying,com Place as Here Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) Insurance agent/company, and (3) building owner. Comments (Including source of conversion factor In C2; type of equipment and location per C2.e; and description of any attachments): FEMA Form FF-206-FY-22-182 (formerly O86.0-33) (10/22) Page 3 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 949 Bullding Street Address (including Apt', Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: FOR INSURANCE COMPANY USE 2005 SOUTH 4TH STREET Policy Number: City: VAN BUREN Slate: AR ZIP Code: 72966 Company NAIL Number: SEG1ION Ed — BUILDING MEASUREMENT INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO, ZONE ARIAO, AND ZONE A (WITHOUT BFE) ForZones AO, AR/AO, and A (without BFE), complete Items Ef—E6. For Items EI—E4, use natural grade, if available. If the Certificate Is Intended to support a Letter of Map Change request, complete Sections A, B, and C. Check the measurement used. In Puerto Rico only, enter meters, Bullding measurements are based on: ❑ Conetructlon Drawinga' ❑Building Under Construction" ❑Finished Construction "A new Elevation Certificate will be required when construction of the building Is complete. El. Provide measurements (C.2.a Inapplicable Building Diagram) for the following and check the appropriate boxes to show whether the measurement is above or below the natural HAG and the LAG, a) Top of bottom Boor (including basement, crawlspace, or enclosure) Is: ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (Including basement, crawlspace, or enclosure) Is; ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent good openings provided in Section A Items 8 and/or 9 (sae pages 1-2 of Instructions), the next higher floor (C2.b In applicable Building Diagram) of the building Is: ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (tap of slab) is: E4. Top of platform of machinery and/or equipment servicing the building Is: El feet El meters ❑above or ❑below the HAG. ❑ feet ❑meters ❑above or ❑ below iha HAG. E6. Zone AO only: If no good depth number Is evelleble, to the top of the hottom floor elevated in accordance with the community's floodpleln management ordinance? ❑Yes ❑ No ❑Unknown The local official must certify this Information in Section G. SECTION F — PROPERTY OWNER The property owner or owners authorized representative whe completes Sections A, B, and E for Zona A (wltheut BFE) orZone AO must sign here. The statementsln Sections A, B, and E are correct to the best ofmy Irnowledge ❑ Check here If attachments and describe In the Comments area. Properly Owner or Owners Authorized Representative Name: Address: City: Signature: Telephone: ExL: Email: Date: State: ZIP Code: FEMA Form FF-206-FY-22-162 (formerly 086-g-33) (10/22) page A of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9.19 Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No) or P.O. Route and Box No.:EFORfNAIC OMPANY USE2005 SOUTH 4TH STREET City: VAN BUREN State: AR ZIP Code: 72956 -ber: SECTION G — COMMUNITY INFORMATION (RECOMMENDED FOR COMMUNITY OFFICIAL COMPLETION) The local offlclal who Is authorized by law or ordinance to administer the community's floodplaln management ominanco can complete Section A, B. C. E. G, or H of this Elevation Certificate. Complete the applicable item(s) and sign below when: G1. ❑ The Information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who Is authorized by state low to certify elevation Information. (Indicate the source and date of the elevation data In the Comments area below.) G2.a. ❑ A torsi oflicfal completed Secllon E for a building located In Zone A (without a BFE), Zone A0, or Zone AR/A0, or when Item E5 Is completed for a building located In Zone AD, G2.b. ❑ A local official completed Section H for Insurance purposes. G3. ❑ In the Comments area of Section G, the local official describes specific corrections to the Information In Sections A, B, E and 1-I. 04. El The following Information (Items G6—G111 Is provided for community fioodpleln managamenl purposes. GO. Permit Number: GO. Dale Permit Issued: G7, Date Certificate of Compllance/Occupancy Issued: GO. This permit has been Issued for: JJO New Construction ❑ Substantial Improvement G9.a. Elevation of as -built lowest floor (Including basement) of the building: ❑ feet ❑ meters Datum: G9.b. Elevation of bottom of as -built lowest horizontal structural member: ❑ feet ❑ meters Datum: G10.o. BFE (or depth In Zone AO) of flooding at the building site: ❑ feet ❑ meters Datum: G1 O.b. Community's minimum elevation (or depth In Zone AO) requirement for the lowest floor or lowest horizontal structural member: ❑ feet ❑ meters Datum: G11. Variance issued? ❑ Yes (fNo If yes, attach documentation and describe in the Comments area. The local official who provides Information in Section G must sign here. I have completed the Information In Section G and certify that it Is correct to the best of my knowledge. If applicable, 1 have also provided spec//!c corrections In the Comments area o/this section. Local Official's Name: Title: /3wlAru.� pF.rC NFIP Community Name: Cdy,}- //ei� BL&r . 0 4%4&a�� Telephone:y'1479-89113 Ext.:_ Email:_ Address: /CcJ City: 1/a„ /3ctr.u. State:_ ZIP Code: 729yG Signature: ��� Date: `�^QG• Zo2cl Comments (Including type of equipment and location, per C2.e; description of any attachments; and corrections 10 specific information In Sections A, B, D, E, or H): FEMA Form FF-206-FY-22-162 (formerly 086-0-33) (10/22) page 5 of 19 ELEVATION CERTIFICATE IMPORTANT; MUST FOLLOW THE INSTRUCTIONS ON PAGES 949 Building Sireel Address (Including Apt., Unit, Sutle, and/or Bldg. No.) or P.O. Route and Box No.: FOR INSURANCE COMPANY USE 2005 SOUTH 4TH STREET Policy Number: City: VAN BUREN State: AR ZIP Code: 72956 Company NAIC Number: The property owner, owner's authorized representative, or local floodplain management official may complete Section H for all flood zones to determine the building's first floor height for Insurance purposes. Sections A, B, and I must also be completed. Enter heights to the nearest tenth of a foot (nearest tenth of a meter in Puerto Rico). Reference the Foundation Type Diagrams (at the and of Sectlon H Instructions) and the appropriate Building Diagrams (at the end of Section I Instructions) to complete this sect/on. H1. Provide the height of the lop of the floor (es Indicated In Foundation Type Diagrams) above the Lowest Adjacent Grade (LAG): a) For Building Diagrams 1A, 1 B, 3, and 5-9. Top of bottom ❑ feel ❑ meters ❑ above the LAG floor (Include above -grade floors only for buildings with subgrade crawlspaces or enclosure floors) Is: b) For Building Diagrams 2A, 2B, 4, and 6-9. Top of next ❑ feet ❑ meters ❑ above the LAG higher floor (Le., the floor above basement, crawispace, or enclosure finer) Is: H2. Is all Machinery and Equipment servicing the building (as listed In Item H2 instructions) elevated to or above the floor indicated by the H2 arrow (shown In the Foundation Type Diagrams at end of Section H Instructions) for the appropriate Building Diagram? []Yes ❑ No SECTION I — PROPERTY OWNER (OR OWNER'S AUTHORIZED REPRESENTATIVE) CERTIFICATION The properly owner or owner's authorized representative who completes Sections A, B, and H must sign here. The statements In Sections A, B, and H are correct to the best of my knowledge. Note: If the local floodplain management official completed Section H, they should Indicate In Item G2,b and sign Section G. ❑ Check here If attachments are provided (Including required photos) and describe each attachment In the Comments area. Properly Owner or Owner's Authorized Representative Name: Address: City: State: ZIP Code: Signature: Date: Telephone: Ext.: Email: Comments: FEMA Form FF-206-1`Y-22-152 (formerly 086-0-33) (10/22) Page 6 of 19 Liz - Lill fe� if - F.. el wl Lie I it 31 � ell e, eq si'F x� t it lef M•arCL elf. if -r y Li Yr.M1 Jr i� lIiiifs Jib` a ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 BUILDING PHOTOGRAPHS Continuation Paue FEMA Form FF-206-FY-22-152 (formerly 086-0-33) ('10/22) Page 6 of 19 ' U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program e/AC8441% � OMB No. 1660-0008 Expiration Date: November 30, 2022 ELEVATION CERTIFICATE Important: Follow the Instructions on pages ". Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) Insurance agenUcompany, and (3) building owner. SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE A1. Building Owner's Name Policy Number. LORENA FACIO A2. Bonding Street Address (Including Box No, Company ApL, Unit, Sufte, and/ar Bldg. NoJ or P.O. Route and N AIC Number: 2001 S 4TH ST l61m.54 S" y I City State ZIP Code Van Buren Arkansas 72956 A3. Property Description (Lot and Block Numbera, Tax Parcel Number, Legal Description, etc.) PT SW BE SEC31 T9N R31 W A4. Building Use (e.g., Residential, Non-Realdentlal, Addltfon, Accessory, etc,) ACCESSORY A6. Latitude/Longitude: Let, 3592521.880"N Long.-94°20'18.016"W Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood Insurance, AT Building Diagram Number 1B AB, For a building with a crawispace or enclosure(s): a) Square footage of crawlspece or enclosure(s) _ 0.00 aq It b) Number of permanent flood openings In the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0 c) Total net area of flood openings In A8.b - 0.00 sq In _ d) Engineered flood openings? []Yes N No - - - - - - A9.-For a building with an attached garage: - -- - --.—e)-Square footage of attached garage 0.00 sq it - - - b) Number of permanent flood openings In the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0,00 sq In d) Engineered flood openings? ❑ Yes x❑ No SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Communlly Name &Community Number B2. County Name B3. State CITY OF VAN BUREN 050053 CRAWFORD Arkansas 84, Map/Panel B5, Suffix B6. FIRM Index B7. FIRM Panel BB. Flood 09. Base Flood Elevaflon(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 05033CD390J J 12-03-2010 12.03-2010 AE 401.7 810. Indicate the source of the Base Flood Elevation (BFE) data or base good depth entered In Item 89: ❑ FIS Profile x❑ FIRM ❑Communlly Determined ❑ OthedSource: 611, Indicate elevation datum used for BFE In Item 139: ❑ NGVD 1929 N NAVD 1989 ❑Other/Source: 612. is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ❑x No Designation Date: ❑CBRS ❑ OPA FEMA 17orm 086-0-33 (12/19) Replaces a11 previous editions. Form Pagv 1 of 8 OMB No, 1660-0008 ELEVATION CERTIFICATE Expiration Date: November30, 2022 IMPORTANT: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 2001 S 4TH ST Van Buren Arkansas 72956 SECTION C -BUILDING ELEVATION INFORMATION C1. Building elevations are based on: ❑Construction Drawings' ❑X Building Under Construction" ❑Finished Construction 'A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations .Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARM, AR/AE, AR/Al-A30, AR/AH, AR/AO, Complete Items C2.a-h below according to the building diagram specified In Item AT In Puerto Rico only, enter meters. Benchmark Utilized: SMARTNET Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations In Items a) through h) below. ❑ NGVD 1920 0NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom Poor (Including basement, crawlspace, or enclosure floor) 403A ❑x feel ❑ meters b) Top of the next higher floor N/A ❑ feet ❑ meters y Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab)- N/A ❑ feet ❑ meters e) Lowest elevation of machinery or equlpment servicing the building N/A ❑ feet❑ meters (Describe type of equipment and location In Comments) -0 Lowest adjacent (finished) grade next to building (LAG) 402.5 -0 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 402.8 ❑X feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck o� aleirs,.Including - - — -- -- ---structuralsudort _- _ -"- _ - _ p - - -=N/A- _ teat —_. _ meters— El _ SECTION _SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation Information. / cer/i that the Informatlon.on Mls Ceditloate_represents mybest efforts to Interpret the data available. / understand -that any false 8 tafementmaybepunishablebyflneorlmprfsonmentunder18U.S.Code,SaoIon4001.--_— Were latitude and longitude In Section A provided by a licensed land surveyor? N Yes ❑ No ❑ Check here If attachments. RIGKY-W.-HILL -- 1443- I PLS SATTERFIELD LAND SURVEYORS, P/A 1928 HWY 71 NORTH Copy all type of FEMA Form OOP-0.33 (12/19) Stets ZIP G Arkansas 72921 ZZ (479) 632-3565 i and ell attachments for (1) community official, (2) Insurance and location, per (32(e). If applicable) Replaces all previous editions. and (3) building owner. Page 2 of 6 ELEVATION CERTIFICATE OMB No, Nob Date: Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No, Policy Number: 2001 S 4TH ST env state zIP code Company NAIL Number Van Buren Arkansas 72956 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate Is Intended to support a LOMA or LOMR-F request, complete Sections A, Band C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation Information for the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom Boor (Including. basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feel ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent good openings provided In Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the building Is ❑ feel ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slob) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top -of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑below the HAG. E5, Zone AO only: If no flood depth number Is available, Is the top of the bottom floor elevated In accordance with the community's floodplaln management ordinance? - ❑ Yes ❑ No ❑ Unknown. The local official must certify this Information In Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) -CERTIFICATION The props -owrier or owrfer's adthorize re�letive whocom�Sections A-B, and E for Zone A ( I(ou -FEMA-Issued or - coml _y Issued BFE)-or Zone AD must sign here. The statements In Sections A, �,=and E-are correot to the beat of my knowledga.- City ❑ Check here If attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 of a ' 008 ELEVATION CERTIFICATE OMB No. Date: Nov Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No, Policy Number: 2001 S 4TH ST Van Buren Arkansas 72958 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 Items) and sign below. Check the measurement used In Items GS-G10, In Puerto Rica only, enter meters. Gt. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who Is authorized by law to certify elevation Information. (Indicate the source and dale of the elevation data In the Comments area below.) G2 ❑ A community official completed Section E fora building located in Zone A (without a FEMA-Issued or community -Issued BFE) or Zone AD. G3. ❑ The following information (Items G4-G10) is provided for community fioodplain management purposes, G4. G5. Dale Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been Issued for: ❑New Construction ❑ Substantial Improvement GB. Elevation of as -built lowest floor (Including basement) of the building: ❑ feel ❑ meters Datum G9. BFE. or (in Zone AD) depth of flooding at the building site: -- - ❑ feet-0 _metes Datum G10. Commuh ty'a design flood elevation: ❑ feel meters Datum Community Name Signature -- Comments (Including type of equipment location, per C2(e), Date - FEMA Form 066-0-33 (12/19) Replaces all previous editions. ❑ Check here If attachments. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Sea Instructions for Item A6. Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address (Including Apt., Unit, Suite, and/or Bldg, No.) or P.O. Route and Box No. Policy Number: 2001 S 4TH ST City Slate ZIP Code Company NAIC Number Van Buren Arkansas 72866 If using the Elevation Cedlficate to obtain NFIP Flood Insurance, affix at least 2 building photographs below according to the Instructions for Item AS. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, 'Right Side View" and "Left Side View." When applicable, photographs must show Ilia foundation with representative examples of the flood openings or vents, as Indicated in Section AS. If submitting more photographs than will fit on this page, use the Continuation Page, Photo One Caption - - - Clear Photo One PholaTwoCaption clear Photo two i FEMA Form 006-0-33 (12/18) Replaces all previous editions. Form Page 5 of 6 CITY OF VAN BUREN COMMERCIAL NEW CONSTRUCTION PERMn THIS FORM WAS PRINTED ON: 7/18/2023 PERMIT #: 12761 DATE ISSUED: 4/29/2022 PROJECT ADDRESS: 2005 SOUTH 4TH LOT SUBDIVISION: BLOCK VALUATION: $ 86,000,00 ZONE ORD: SEGMENT DESC: COMMERCIAL BUILDING SQ FT 51000 TYPE: ISSUED TO: FACIO'S CUSTOM WOODWORKS CONTRACTOR: FACIO'S CUSTOM WOODWORKS ADDRESS 2001 SOUTH 4TH ST ADDRESS: 2001 SOUTH 4TH ST CITY VAN BUREN CITY: VAN BUREN STATE AR ST: AR ZIP: 72956 ZIP: 72956 PHONE: PHONE: FEE CODE DESCRIPTION AMOUNT BUILDING BUILDING FEE $ 500.00 ACIEA TAX AR CONS IND EDUC ACT $ 43,00 EROSION EROSION CONTROL $ 25.00 TOTAL $ 0.00 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. (SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT) DATE (APPROVED BY) DATE