2009 S. 4th St--Facio's WoodworksU,S, DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 949
of this Elevation Certificate and all attachments for (1) community officlal. (2) Insurance enenUcompany, and (3) building owner.
FOR INSURANCE COMPANY USE
OMB Contml No, 1600-0000
EuplrelIon Dale: 00/3012026
A1. Building Owner a Name; FACIO'S CUSTOM WOODWORKS "LC
Policy Number:
A2. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: I Company NAIC Number:
2009 SOUTH 4TH STREET
City: VAN BUREN State: AR ZIP Code: 72966
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 NE14 NW/4, SEC311 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.36°26'20.724" Long.-94°20'17.024" Horizontal Datum: ❑ NAD 1927 ❑NAD 1983 O WGS 84
A6. 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
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crewlspace or enclosure(s)0.00
b) Is there at least one permanent flood opening on two different sides of each enclosed area? ❑ Yes Q No ® NIA
c) Enter number of permanent flood openings In the crawlspace or enclosure(s) within 1.0 foot above adjacent grade:
Non-englneered flood openings: 0 Engineered flood openings: 0
d) Total net open area of non -engineered flood openings In AB.c: 0.00 sq. in.
e) Total rated area of engineered flood openings In A8.c (attach documentation — see Instructions): 0000 sq. ft,
0 Sum of ABA and AB.e rated area (if applicable —sea Instructions): 0.00 sq. ft.
A9. For a building with an attached garage:
e) Square footage of attached garage:
b) Is there at least one permanent good opening on two different sides of the attached garage? ❑Yes Q No ❑ N/A
c) Enter number of permanent flood openings In the attached garage within 1.0 foot above adjacent grade:
Non -engineered good openings: 0 Engineered flood openings: 0
d) Total net open area of non-englneered flood openings in A9.c: 0100 sq, in.
e) Total rated area of englneered flood openings In Ag.c (attach documentation — see Instructions): 0.00 sq. ft.
0 Sum of Ag.d and A9,e rated area (if applicable —see Instructions): 0000 sq, ft.
SECTION B —FLOOD INSURANCE RATE Its.AP (FIRM) INFORMATION
81.11. NFIP Community Name; CITY OF VAN BUREN B1.b. NFIP Community Identification Number: 050063
B2. County Name: CRAWFORD B3. State; AR 84, MsplPanel No,: 06033C0390 B5. Suffix: J
B6. FIRM Index Date: 12/03/2010 B7. FIRM Panel Effective/Revised Date: 12/03/2010
B8. Flood Zone(s): AE 89. Base Flood Elevation(s) (BFE) (Zone AO, use Base Flood Depth): 401.7
B10. Indicate the source of the BFE data or Base Flood Depth entered in Item B8:
❑ FIS ® FIRM Q Community Determined Q Other:
811. Indicate elevation datum used for BFE In Item 89: ❑ NGVD 1929 ®NAND 1988 ❑Other/Source:
B12, Is the building located
In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7
❑Yes
®No
Designation Date:
❑CBRS ❑ OPA
I B13. Is the building located seaward of the Limlf of Moderate Wave Action (LIMWA)? El Yes ®No
FEMA Form FF-206-FY-22-152 (formerly 086.043) (10/22)
Page 2 of 19
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 949
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
FOR INSURANCE COMPANY USE
2009 SOUTH 4TH STREET
Policy Number:
City: VAN BUREN State: AR ZIP Code: 72956
Company NAIC Number:
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 Al—A30, AE, AH, AO, A (with BFE), VE, VI—V30, V (with BFE), AR, ARIA, AR/AE, AR/AI—A30, AR/AH, AR/AO,
A99. Complete Items C2.a—h below according to the Building Diagram specified in Item A7. 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, crawlspace, or enclosure floor): 403.20 ® feet ❑ meters
b) Top of the next higher floor (see Instructions):
❑ feet ❑ meters
c) 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):
❑ feet ❑ meters
9 Lowest Adjacent Grade (LAG) next to building: ❑ Natural ® Finished 402.42 ® feel ❑ meters
g) Highest Adjacent Grade (HAG) next to building: ❑ Natural ® Finished 402.99 ® 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 state 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 line or Imprisonment 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.
Certifiers Name: RICKY W. HILL License Number:1443
Title: PLS
�GISTEgFO
T ''
'STATE OF^,
Company Name: SATTERFIELD LAND SURVEYORS, P/A
A
0 3
Address: 1928 HWY 71 NORTH
city: ALMA State: AR ZIP Code:G72921
ON RE v
90 a, rs O:
r�ssio�,�N,QJ
Date; O ZZ Z3
Signature: .
Telephone: (479) 6 -3565 Ext.: _ Email: droza@slsurveying.com
Place Seal Here
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) Insurance agenticompany, 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-22-152 (formerly 086-O-33) (10/22) Page 3 of 19
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 949
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.:
FOR INSURANCE COMPANY USE
2009 SOUTH 4TH STREET
Policy Number:
City: VAN BUREN State: AR ZIP Code: 72966
Company NAIC Number:
SECTION E — BUILDING MEASUREMENT INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AD, ZONE AR/AO, AND ZONE A (WffHOUT BFE)
For Zones AD, AR/AD, and A (without BFE), complete Items Ei—E6. For Items E1—E4, use natural grade, if available. If Ilia 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.
Building measurements are based on: ❑ Construction Drawings" ❑ 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 In applicable 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 floor (including basement,
crawispace, or enclosure) Is: ❑ feel ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement,
crawlepace, or enclosure) Is: ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2, For Building Diagrams 6-9 with permanent flood openings provided In Section A Items 8 and/or 9 (see 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 (top of slab) 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
floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown The local official must certify this information In Section G.
SECTION F — PROPERTY OWNER (OR OWNER'S AUTHORIZED REPRESENTATIVE) CERTIFICATION
The properly owner or owner's authorized representative who completes Sections A, B. and E for Zone A (without BFE) or Zone AO must
sign here. The statements In Sections A, B, and E are correct to the best of my knowledge
❑ Check here if attachments and describe In the Comments area.
Property Owner or Owners Authorized Representative Name:
Address:
City: State: ZIP Code:
Signature: Date:
Telephone: Ext.: Email:
Comments:
FEMA Farm FF-208-FY-22-152 (formerly 086-0.33) (10/22) Page 4 of 19
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9.19
Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No.:
2009 SOUTH 4TH STREET
city: VAN BUREN
State: AR ZIP Code: 72966
FOR INSURANCE COMPANY USE
Policy Number:
Company NAIC Number:
INFORP�IA'i ION (RECOMt11ENpEU FOR COAISt1UNITY OFFICIAL COMPLETION)
The local ofllclal who Is authorized by law or ordinance to administer the community's floodplein management ordinance 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 Sectlon C was taken from other documentation that has been signed and sealed by a licensed surveyor,
engineer, or archilect who is authorized by state law to certify elevation Information. (Indicate the source and date of the
elevation data In the Comments area below.)
G2.a. ❑
A local afflcial wmpleted Section E for a
building located In Zone A (without a
BFE), Zone AO, or Zone AR/AO, or when Item
E5 Is completed for a building located In
Zone AO,
G2.b.
❑
A local oificlal completed
Section H for Insurance purposea.
G3.
❑
In the Comments area of
Section G, the local official describes specific corrections to the information In Sections A, B, E and H.
G4.
❑
The following Information
(Items G5-G11) is provided for community 800dplaln management purposes.
G5,
Permit Number: G8, Date Permit leaned:
G7.
Date Certificate of Compliance/Occupancy Issued:
G8.
This permit has been issued for: R New Construction ❑ Substantial
Improvement
G9.8.
Elevation of as-bulif lowest floor (Including basement) of the
bullding:
❑
feet
❑
meters
Datum:
Gg.b.
Elevation of bottom of as-bulll lowest horizontal structural
member:
❑
feet
❑
meters
Datum:
G10.a.
BFE (or depth In Zone AO) of flooding at the building site:
❑
feet
❑
meters
Datum:
G10.b.
Community's minimum elevation (or depth In ZoneAO)
requirement for the lowest floor or lowest horizontal structural
member:
❑
feet
❑
meters
Datum:
G11. Variance Issued? []Yes No 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 cedi(y that it Is
correct to the best ofmylrnowledge. If applicable, I have also provided specific corrections In the Comments area ofthls sec(lon.
LocelOtflclal'sName: J�Avra
Iy%ai2-iye!
Tllle: B",Id,,,,,
NFIP Community Name: rAa,-
Pj G,-..%v ..
C h ."i'
V k urg .
Telephone; d/TJ—r{'iy—S443 ExL:_ Email: w ram@ �/a-r+�iur«cri'4.oraoi
Address: /4023
City (/wn State:A r, ZIP Code: 729!^c
Signature: (ti,J }'/'r�=
Comments (including type of equipment end location, per C2.e;
Date: 4-24-2aa4
In
FEMA Form FF-20&FY-22-952 (formerly 08B•0-33) (10/22) Page 5 of 19
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 949
Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: FOR INSURANCE COMPANY USE
2009 SOUTH 4TH STREET
Policy Number:
City: VAN BUREN Slate: AR ZIP Code: 72986
Company NAIL Number:
SECTION H - BUILDING'S FIRST FLOOR HEIGHT L ZONES
(SURVEY NOT REQUIRED) (FOR IN8 ' y)
The property owner, owner's authorized representative, or local floodplain management official may complete Section 1-1 for all flood zones
to determine the building's flrsl floor height for Insurance purposes. Sections A, B, and I must also be completed. Enter helghts to the
nearest tenth of a foot (nearest tenth of a meter in Puerto Rico). Reference the Foundation Type Diagrams (at the end of Section H
Instructions) and the appropriate Building Diagrams (at the end of Section i Instructions) to complete this section.
H1. Provide the height of the top of the floor (as Indicated in Foundation Type Diagrams) above the Lowest Adjacent Grade (LAG):
a) For Building Diagrams 1A, 18, 3, and 5-9. Top of bottom ❑ feet ❑ meters ❑ above the LAG
floor (include above -grade floors only for buildings with
subgrade cmwlspaces or enclosure floors) Is:
b) For Building Diagrams 2A, 2B, A, and 6-9. Top of next ❑ feet ❑ meters ❑ above the LAG
higher floor (Le., the floor above basement, crawlspace, or
enclosure floor) 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 property owner or owner's authorized representative who completes Sections A, B, and li must sign here. The statements In Sections
A, B, and H are correct to the best of my knowledge. Note: If the local floodpleln management official completed Section 1-1, 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.
Property Owner or Owners Authorized Representative Name:
Address:
City: State: ZIP Code:
Signature: Date:
Telephone: ExI.: Email:
Comments:
FEMA Form FF-206-FY-22-162 (formerly 086-0-33) (10/22) Page 6 of 19
ELEVATION CERTIFICATE
IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9.19
BUILDING PHOTOGRAPHS
See Instructions for Item A6.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: FOR INSURANCE COMPANY USE
2009 SOUTH 4TH STREET
Policy Number:
city: VAN BUREN Stale: AR ZIP Code: 72956 Company NAIC Number:
Instructions: Insert below at least two and when possible four photographs showing each side of the building (for example, may only be
able to take front and back pictures of townhouses/rowhouses). Identify all photographs with the date taken and "Front View," "Rear View,"
"Right Side View," or "Left Side View." Photographs must show the foundation. When flood openings are present, Include at least one
close-up photograph of representative flood openings or vents, as Indicated In Sections AB and A9.
Photo One
Photo One Cap(ion:
f a- Photo Two
Photo Two Capticn:
Clear Photo One
Clear Photo Two
FEMA Form FF-206-FY-22-1G2 (formerly 066.0-33) (10/22) Page 7 of 19
,.
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U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
Natlonal Flood Insurance Program
OMB No. 1660-0008
Explrellan Dete: November30, 2022
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9,
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
Al, Building Owner's Name Policy Number:
LORENA FACIO
Box No. Street Address (Including Apf., Unil, Sulle, and/or Bldg. No.) or P.O. Route end Company NAIC Number:
2001 S 4TH ST .Se
city Slate ZIP Code
Van Buren Arkansas 72966
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) - --
PT SW BE SEC31 T9N R31 W
A4, Building Use (e.g., Residential, Non,Residenflal, Addition, Accessory, etc,) ACCESSORY
A5. LatitudelLongilude: Lat. 36"25'20.724"N Long.-94°20'17.024' W Horizontal Datum: ❑ NAD 1927 ❑X NAD_ 1983
AS. Attach at least 2 photographs of the building if the Certificate Is being used to obtain good Insurance. AT Building Diagram Number 18
AS. For a building with a crawispace or enclosure(s):
a) Square footage of crawispace or enclosure(s) - - 0.00 sq It
b) Number of permanent good openings In the crawispace or enclosure(s) within 1.0 foot above adjacent grade 0
c) Total net area of good openings In AB.b 0.00 sq_ In
—d) Engineered good openings?- -❑yes 0 No - -- - - -
-- - Ag. For a building with an attached garage: -- - - - -
a) Square footage of attached garage - 0.00 -sq ft
b) Number of permanent good openings In the attached garage within 1.0 foot above adjacent grade 0
o) Total net area of good openingaln A9.b 0.00 sq In
d) Engineered good openings? ❑ Yes ❑x No
8
SECTION B - FLOOD
INSURANCE RATE
MAP
(FIRM)
INFORMATION
B1. NFIP Community Name &Community Number
B2. County
Name
B3. State
CITY OF VAN BUREN
050053
CRAWFORD
Arkansas
64, Map/Panel B5.
Suffix B6. FIRM Index
FIRM Panel
BB. Flood
B9. Base Flood
Elevellon(s)
Number
Date
1B7.
ERective/
Zons(s)
(Zone AO, use Base toDepth)
Revised Date
06093C0390J J
12-03-2010
12-03-2010
AE
401.7
10. Indicate the source of the Base Flood Elevation (BFE) data or base good depth entered in Item B9:
❑ FIS Progle ❑x FIRM ❑Community Determined ❑Other/Source:
811. Indicate elevation datum used for BFE In Item 139: ❑ NGVD 1929 x❑ NAVD 1988 ❑ Olhar/Source:
B12. Is the huilding located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑Yes x❑ No
Designation Date: ❑ CBRS ❑ OPA
FEMA Form 096-0-33 (12119) Replaces all previous editions. Form Page 1 of 0
OMB No. 1660-0008
ELEVATION CERTIFICATE 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:
20013 4TH ST
City State ZIP Code Company NAIC Number
Van Buren Arkansas 72966
SECTION C -, BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑x Construction Drawings' ❑ 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, VI-V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, ARIAO.
Complete Items C2.9-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 1929 ❑X NAVD 1988 ❑ Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a) Topofbottom Floor (including basement, crawlspace, or enclosure floor) N/A ❑ feet ❑ meters
b) Top of the next higher floor N/A ❑ feet ❑ meters
c) 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 equipment servicing the building
(Describe type of equipment and location In Comments) N/A ❑ feel ❑ meters
t) Lowest adjacent (finished) grade nextlo building (LAG) 402.7 ❑X feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 402.8 ❑x feel ❑ meters
h) -Lowest adjacent grade at lowest elevation of deck or stelm Including - -- _. --- -
- - _ --- structuralsuppoA..-N/A--❑-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 law to certify elevation Information.
_ l certify that the information on this CerNllcate represents my best efforts to Into rot the data available, /-understand that any false --
statement may lie punishable byline orimpr/sonment under 18 U.S. Code, Section 1001. --- -- - Were lalltude and longitude to Section A provided by a licensed land surveyor? R Yes ❑ No ❑ Check here If attachments.
Ca i8er's Name License Number
RICKY W. HILL - —--1443-
Title G1S ER
PLSoilBill O `
Company Name
SATTERFIELD LAND SURVEYORS, P/A
Address
1928 HWY71 NORTH
City state ZIP Code SON/i L I
ALMA Arkansas 72921
Signet a� y �teZ 2 (A79Telehone
J 832-3686 E
Copy all page f this Elevation Certificate and all attachments for (1) community official, (2) Insurance agenticompany, and (3) building owner.
Comments (including type of equipment and location, per C2(e), if applicable)
FEMA Form 086-0-33 (12I19) Replaces all previous editions. Form Page 2 of 6
OMB No. 1660-0008
ELEVATION CERTIFICATE Explralloh Date: November 30, 2022
IMPORTANT: In these apacea, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (Including Apt., Unit, Suite, end/or Bldg. No.) or P.O. Route and Box No. Policy Number:
20018 4TH ST
City State ZIP Code Company NAIL Number
Van Buren Arkansas 72966
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-E6. If the Certificate Is Intended to support a LOMA or LOMR-F request,
complete Sections A, Bend C. For Items E1-E4, use natural grade, If available. Check (he measurement used. In Puerto Rico only,
enter meters.
Et. 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 Door (including basement,
crawlspace, or enclosure) Is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom Door (including basement,
crawlspace, or enclosure) Is ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2, For Building Diagrams 6-9 with permanent flood 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 ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) Is - --- ❑ feet ❑ meters ❑ above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment
servlcing 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 Door 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
rTheproperty owner or owner's authorized representative who completes Sections A- B. and E for ZQha-A without a FEMA-Issued orily4asued BFE) or Zone AO must slgn here he statemen�In Sectlons B, and E-are correct to the bestof my knowledge.
Owner or Owner's Authorized Representative's Name - - - - - -
.Address - Clly State- - - ZIP Code
BI etuure GDate Telephone
Common
❑ Check here If attachments.
FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 3 of 6
ELEVATION CERTIFICATE OMB No.1660-0008
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 State ZIP Code Company NAIC Number
Van Buren Arkansas 72956
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who Is authorized by law or ordinance to administer the community's goodplain management ordinance can complele
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-G10, In Puerto Rico only, enter meters.
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 law to certify elevation Information. (Indicate the source and date of the elevation
data In the Comments area below.)
G2 ❑ A community official completed Section E for a building located In Zone A (without a FEMA-Issued or community -Issued BFE)
or Zone AO.
G3. ❑ The following information (Items G4-G10) is provided for community floodplain management purposes.
04. Permit Number G5. Date Permit Issued 06. Date Certificate of
Compllanoe/Occupancy Issued
G7. This permit has bean Issued for: ❑New Construcllan
❑ Substantial
Improvement
- G8. Elevation of as -built lowest floor (Including basement)
of the building:
❑ feet
❑ meters Datum
G9. BFE or (In Zone AO) depth of flooding at the building site:
- 8 — 8 .
❑ feet
- - — -- -
meters— -
Datum
G10. Community's design flood elevation:
❑ feet
❑ meters Datum
Local Official's Name
Title
Community Noma
Telephone
- -- -I Slanalure
- - -- -- - - - ---
Date--
Comments (Includin8 type of equipment end location, per
❑ Check here If altechments,
FEMA Form Otis-0-33 (12/19) Replaces all previous editions. Form Pagc 4 of 6
BUILDING PHOTOGRAPHS OMB No.1660-0008
ELEVATION CERTIFICATE See Instructions for Item AS. 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:
200184THST
City State ZIP Code Company NAIC Number
Van Buren Arkansas 72956
If using the Elevation Certificate 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" end
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents, as indicated In Section AS. If submitting more photographs then will fit on this page, use the Continuation Page,
0
Plinio [Niu _ _
OlearPholo One
Photo Twa Caption clear Photo Two
FEMA Fonn 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6
CITY OF VAN BUREN
COMMERCIAL NEW DONS I KUG I IVOO'I bytKlVll 1
THIS FORM WAS PRINTED ON: 7/18/2023
PERMIT tlf: 12762 DATE ISSUED: 4/29/2022
PROJECT ADDRESS:
2009 SOUTH 4TH
LOT
SUBDIVISION:
BLOCK
VALUATION:
$ 06,000.00
ZONE ORD:
SEGMENT DESC:
COMMERCIAL BUILDING
SO FT
51000
TYPE:
ISSUED TO:
FACIUS CUSTOM WOODWORKS
CONTRACTOR:
FACIO'S CUSTOM WOODWORKS LLC
LLC
ADDRESS
2001 S 4TH ST
ADDRESS:
2001 S 4TH ST
CITY
VAN BUREN
CITY:
VAN BUREN
STATE
AR
ST:
AR
ZIP:
72956
ZIP:
72956
PHONE:
479-926-0194
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