Fema Form 086 0 33 PDF Details

The FEMA 086-0-33 form epitomizes a crucial component in the administration of the National Flood Insurance Program (NFIP), specifically aimed at compiling elevation data to evaluate flood risk and determine insurance premiums accurately. Beyond its technical purpose, the form stands as an essential tool for local communities to observe floodplain management ordinances and maintain compliance, thus ensuring the resilience and safety of properties against flood risks. Gathering and processing the data necessitates a considerable effort, with an estimated reporting burden averaging 3.75 hours, highlighting the form's complexity and the detailed attention required to fulfill its requirements. Importantly, this form not only serves the immediate needs of insurance adjustment but also supports critical decisions around constructing and improving buildings within flood-prone areas. The information submitted through this form, voluntarily by the property owner, directly impacts their eligibility and rates for flood insurance, underscoring the form's significance in the broader context of flood preparedness and risk management. Additionally, the document caters to a range of conditions, including buildings with crawlspaces, enclosures, and those requiring floodproofing, providing a comprehensive approach to addressing flood risk. Local communities and engineers play a pivotal role in this process, as their compliance and certification efforts are vital for the accurate assessment and documentation of flood risk, further emphasizing the collaborative effort needed to mitigate flood impacts effectively.

QuestionAnswer
Form NameFema Form 086 0 33
Form Length15 pages
Fillable?No
Fillable fields0
Avg. time to fill out3 min 45 sec
Other namesA9, AO, Rico, C2

Form Preview Example

NATIONAL FLOOD INSURANCE PROGRAM

ElEvation CErtifiCatE

AND

INSTRUCTIONS

2012 EDITION

National Flood Insurance Program

ElEvAtion CErtiFiCAtE

Paperwork reduction Act notice

Public reporting burden for this data collection is estimated to average 3.75 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form. You are not required to respond to this collection of information unless a valid control number

is displaon this form. comments regarding the accurac of the burden estimate and ansuggestions for reducing the

burden to mation tment of , ederal

,

lington, PaperworPro

notE: Do not send your completed

form to this address.

 

Privacy Act Statement

Authority: Title

Principal Purpose(s): This information is being collected for the primarpurpose of estimating the rispremium rates necessarto provide lood insurance for new or substantiallved structures in designated

routine Use(s): The information on this form mabe disclosed as generallpermitted under 5 § 55of the Privacof as amended. This includes using this information as necessarand authoribthe routine uses published in

– Program iles or 73 ed. . 777

– Program of of 7ed. . 7

ebruar written consent, b or as required bw.

Disclosure: The disclosure of information on this form is voluntarhowever, failure to provide the information requested maresult in the inabilitto obtain lood insurance through the Program or the applicant mabe subto higher premium

rates for lood insurance. mation will onlmitted bw.

Purpose of the Elevation Certiicate

The vation tiicate is an important administrative tool of the Program is to be used to

provide elevation information necessarto ensure compliance with communitloodplain management ordinances, to determine the proper insurance premium rate, and to support a request for a of or of vision based on

ill

The vation tiicate is required in order to properlrate Postbuildings, which are buildings constructed after publication of the located in lood insurance

and . The vation tiicate is not required for Prebuildings unless the building is being rated under the optional Postules.

part of the agreement for malood insurance available in a communit, the requires the communitto adopt loodplain management regulations that specifminimum requirements for reducing lood losses. such requirement is for the communitto obtain the elevation of the lowest loor basementof all new and substantiallimproved buildings, and maintain a record of such information. The vation tiicate provides a wafor a communitto document compliance with the communits loodplain management ordinance.

of this certiicate does not provide a waiver of the lood insurance purchase requirement. a or from the ederal can amend the and remove the ederal mandate for a lending institution to require the

purchase of lood insurance. ever, the lending institution has the option of requiring lood insurance even if a has been issued bThe vation tiicate mabe used to support a or request. est loor and lowest ad

grade elevations certiied ba surveor engineer will be required if the certiicate is used to support a or request. leted whichever is appropriate.

This certiicate is used onlto certifbuilding elevations. separate certiicate is required for loodprooing. the, non residential buildings can be loodproofed up to or above the vation loodproofed building is a building that

has been designed and constructed to be watertight impermeable to loodwaters below the of

residential buildings is not permitted under the unless has granted the communitan exception for residential loodproofed basements. The communitmust adopt standards for design and construction of loodproofed basements before will grant a basement exception. or both loodproofed nonbuildings and residential loodproofed basements in communities that have been granted an exception b a loodprooing certiicate is required.

guidance can be found in Publication vation tiicate, available on ’s website at http.fema.govw

FEMA Form 086-0-33 (REVISED 7/12)

F-053

FEDERAL EMERGENCY MANAGEMENT AGENCY

ElEvAtion CErtiFiCAtE

U.S. DEPARTMENT OF HOMELAND SECURITY

 

National Flood Insurance Program

iMPortAnt: ollow the instructions on pages

o.

xpiration ateul, 5

SECtion A – ProPErtY inForMAtion

s

Polic

and...

Properts, Tax Parcel , etc.

., , etc.

tiicate is being used to obtain lood insurance.

or a building with a crawlspace or enclosure a wlspace or enclosure

bmanent lood openings in the crawlspace or enclosureve ad

c Total net area of lood openings in

 

d ngineered lood openings

Yes

.

sq ft

sq in

o

or a building with an attached garage

 

a

sq ft

bmanent lood openings in the attached garage within ve ad

c Total net area of lood openings in

 

 

sq in

d ngineered lood openings

Yes

o

SECtion B – FlooD inSUrAnCE rAtE MAP (FirM) inForMAtion

anelanel

vised

vation

, use base lood depth

vation

mined

vation datum used for rier

P

Yes

o

SECtion C – BUilDinG ElEvAtion inForMAtion (SUrvEY rEQUirED)

vations are based on

uction wings

uction

w vation tiicate will be required when construction of the building is complete.

vations –

.

 

 

 

 

 

 

h below according to the building diagram speciied in to , enter meters.

 

 

 

 

 

 

 

 

ertical

vation datum used for the elevations in items a.

 

 

 

vations must be the same as that used for the

 

 

 

a Top of bottom loor

crawlspace, or enclosure loor

 

 

.

b Top of the next higher loor

 

 

.

 

c

 

 

 

 

 

 

.

d

 

 

 

 

 

 

.

e

 

 

 

 

 

 

.

f

 

 

 

 

 

 

.

g

 

 

 

 

 

 

.

h

 

 

 

 

 

 

.

structural support

 

 

 

 

 

inished uction

feet

meters

feet

meters

feet

meters

feet

meters

feet

meters

feet

meters

feet

meters

feet

meters

SECtion D – SUrvEYor, EnGinEEr, or ArCHitECt CErtiFiCAtion

This certiication is to be signed and sealed bve, engineer, or architect authoriw to certifvation

information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.

vided on bacm.

ere latitude and longitude in vided b

 

 

 

licensed land surve

Yes

o

tiier’s

P

Title

Telephone

orm

(REVISED 7/12)

verse side for continuation.

vious editions.

ElEvAtion CErtiFiCAtE, page 2

iMPortAnt: in these spaces, copy the corresponding information from Section A.

 

and...

Polic

SECtion D – SUrvEYor, EnGinEEr, or ArCHitECt CErtiFiCAtion (ContinUED)

vation tiicate for , and .

SECtion E – BUilDinG ElEvAtion inForMAtion (SUrvEY not rEQUirED) For ZonE Ao AnD ZonE A (WitHoUt BFE)

or complete tiicate is intended to support a complete or use natural grade, if available. to , enter meters.

Provide elevation information for the following and checvation is above or below the highest ad grade est ad

aop of bottom loor

crawlspace, or enclosure

 

.

bop of bottom loor

crawlspace, or enclosure

 

.

or manent lood openings provided in uctions

feet

meters

feet

meters

above or above or

below the below the

the next higher loor vation

 

 

.

 

feet

meters

Top of platform of machinervicing the building is

 

.

 

feet

meters

 

.

 

feet

meters

vailable, is the top of the bottom loor elevated in accordance with the communits loodplain management

 

ordinance

Yes

tifmation in

 

 

 

 

 

above or

above or

above or

below the

below the

below the

SECtion F – ProPErtY oWnEr (or oWnEr’S rEPrESEntAtivE) CErtiFiCAtion

The properts authori and and rect to the best of m

Properts s

Telephone

SECtion G – CoMMUnitY inForMAtion (oPtionAl)

The local oficial who is authoriw or ordinance to administer the communits loodplain management ordinance can complete and vation tiicate. . to , enter meters.

The information in ection as taen from other documentation that has be

en signed and sealed bicensed surveor, engineer, or architect

who is authoried baw to certiflevation information. ndicate th

e source and date of the elevation data in the omments area below.

.

 

 

The following information tems –s provided for communitl

oodplain management purposes.

Permit

ermit

tiicate

This permit has been issued for

vation of asest loor

s design lood elevation

w uction

vement

.

 

feet

meters

.

 

feet

meters

.

 

feet

meters

s

Title

Telephone

orm

(REVISED 7/12)

vious editions.

ElEvAtion CErtiFiCAtE, page 3

BUilDinG PHotoGrAPHS

 

uctions for

iMPortAnt: in these spaces, copy the corresponding information from Section A.

and...

Polic

using the vation tiicate to obtain lood insurance, afix at least building photographs below according to the instructions for all photographs with date taen“ront iew” and “ iew”and, if required, “ iew” and “

iew.” applicable, photographs must show the foundation with representative examples of the lood openings or vents, as indicated in it on this page, use the age.

orm

(REVISED 7/12)

vious editions.

How to Edit Fema Form 086 0 33 Online for Free

Working with PDF forms online is actually a piece of cake with this PDF editor. You can fill out AO here painlessly. To retain our editor on the cutting edge of convenience, we aim to put into action user-oriented features and improvements regularly. We are routinely looking for suggestions - assist us with remolding how you work with PDF forms. If you're seeking to begin, this is what it will require:

Step 1: Hit the "Get Form" button above on this page to open our PDF editor.

Step 2: After you access the online editor, you will notice the form prepared to be filled out. Other than filling in different blanks, you can also perform some other things with the Document, that is adding any words, modifying the initial text, adding illustrations or photos, placing your signature to the PDF, and much more.

In order to fill out this form, ensure you provide the required details in every blank:

1. While completing the AO, be certain to include all of the needed blanks within the associated form section. This will help to expedite the process, making it possible for your information to be processed swiftly and appropriately.

Part no. 1 of filling out A1A30

2. When the previous segment is complete, you're ready put in the required details in C Elevations Zones AA AE AH A, Cah below according to the, Benchmark Utilized, Vertical Datum, Indicate elevation datum used for, NGVD, NAVD, OtherSource, Check the measurement used, a Top of bottom loor including, b Top of the next higher loor, c Bottom of the lowest horizontal, d Attached garage top of slab, e Lowest elevation of machinery or, and Describe type of equipment and so that you can go further.

A1A30 conclusion process explained (portion 2)

3. This 3rd step should also be rather easy, iMPortAnt in these spaces copy the, FOR INSURANCE COMPANY USE, Building Street Address including, Policy Number, City, State, ZIP Code, Company NAIC Number, Copy both sides of this Elevation, SECtion D SUrvEYor EnGinEEr or, Comments, Signature, Date, SECtion E BUilDinG ElEvAtion, and For Zones AO and A without BFE - these empty fields needs to be filled in here.

Writing segment 3 in A1A30

It's simple to get it wrong when filling in the State, thus make sure to go through it again prior to when you send it in.

4. To go onward, your next step involves filling out a few fields. Examples of these are E Zone AO only If no lood depth, ordinance, Yes, Unknown The local oficial must, SECtion F ProPErtY oWnEr or, The property owner or owners, Property Owner or Owners, Address, Signature, Comments, City, Date, State, ZIP Code, and Telephone, which you'll find fundamental to moving forward with this particular process.

Step no. 4 in submitting A1A30

5. The pdf should be finalized by filling in this section. Further you have a comprehensive set of blank fields that must be completed with accurate details for your document submission to be accomplished: G Permit Number, G Date Permit Issued, G Date Certiicate Of, G This permit has been issued for, New Construction, G Elevation of asbuilt lowest loor, Substantial Improvement, G BFE or in Zone AO depth of, G Communitys design lood elevation, Local Oficials Name, Community Name, Signature, Comments, Title, and Telephone.

The best way to fill out A1A30 portion 5

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