Application For Permit To Develop In A Special Flood Form - State Of Alabama Page 2
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TO BE COMPLETED BY ADMINISTRATOR/BUILDING DEPARTMENT
Issue No. 4
Section E. Subdivision.
1. Does this subdivision or other development contain 50 lots or 5 acres (whichever is less)? ____ Yes ____ No
2.
* If yes, base flood elevation data must be provided by the developer.
Section F. Administrative:
1. The applicant understands that an on-site inspection is required at the time of completion of the lowest floor
and/or lowest horizontal supporting member is in place.
2. At the time of inspection, a certified Elevation Certificate using a current FEMA Form 81-31 and is required
to be on-site and the original on file in the Inspection Department Office.
3.
If for any reason elevation does not comply with the required height above BFE (Base Flood Elevation)
alterations will be required to be made before continuing construction.
4. A Final Inspection is required on the structure after the building is completed and ready for occupancy.
The benchmark is to be left on site until the development is completed at that location.
5. Provide “As Built” Floodproofing certification, if required, by a registered professional engineer.
6. Applicant is responsible for acquiring (required and approved) Local, State, or Federal permits prior to
the start of construction.
7. Comments: (Attach additional comments if necessary) ___________________________________
Section G. Attachments: (Check and provide all that apply)
Site Plan required showing buildings and improvements, flood zones, base flood elevation (a completed FEMA
Elevation Certificate is required for each structure).
Building floodproofing (FEMA Floodproofing Certificate required) plans certified by registered architect or
professional engineer. (Required for non-residential floodproofing in lieu of Elevation Certificate).
Building elevation plans by registered architect or professional engineer (required for elevated construction).
* An “Approximate” zone elevation determination by professional land surveyor or registered professional
engineer and submitted on a FEMA Elevation Certificate. Exhaust all resources (TVA, USACE, ALDOT, etc..) to
establish BFE for areas where Base Flood Elevation has not been determined by FEMA.
“No-Rise/No-Impact” certification by registered professional engineer. (Required for development in floodway
to include hydraulic and hydrologic analyses supported and submitted on FEMA Form MT-2).
“V” Zone Certification by registered professional engineer. (Required for coastal construction in areas
identified on FIRM as Zone V, VE, or V1-30).
* Complete Increased Cost of Compliance Coverage Checklist, if applicable, and attach to this permit.
I, the undersigned, understand that I must comply with the _______________________ (City/Town or County)
Flood Damage Prevention Ordinance (Resolution) and all applicable Local, State, and FEMA regulations. In
.
addition, permanent electrical service will not be energized until all provisions are compliant
Applicant’s Signature: ___________________________________________ Date: ________________________
Local Administrator’s Signature: ___________________________________ Date: ________________________
______________ APPROVED
______________ DENIED
_______________CONDITIONAL
COMMENTS RELATING TO CONDITIONAL APPROVAL: (Attach additional comments if necessary)
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