USVI Public Records

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DEPARTMENT OF PLANNING & NATURAL RESOURCES DIVISION OF PERMITS FLOOD HAZARD PERMIT __________________________ __________________________ FZP NO. RECEIPT NO. __________________________ ___________________________ QUARTER DATE Property Owner/Applicant__________________________________________________ Address _______________________________________________________________ City __________________ Island St. ____________, USVI Zip Code _____________ Telephone (Home) ________________________ (Work) _______________________ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Engineer, Architect, Land Surveyor (If Applicable) _______________________________ _______ ______________________________ (First Name) (M.I) (Last Name) Street Address: ________________________________________________________ Post Office Address: ____________________________________________________ Telephone No.: ________________________ Please Seal Here -------------------------------------------------> PROJECT INFORMATION Site Location (Address, Property Description, or Lot Number) **Attach Flood Map (FIRM) and show property location. ______________________________________________________________________ ______________________________________________________________________ PROPOSED DEVELOPMENT ( ) New Construction ( ) Residential ( )Non-Residential ( ) Improvement of Existing Structure Value of Existing Structure ____________________ Value of Proposed Improvement _______________ ( ) Manufactured Home Within existing manufactured home park or subdivision ____________________ Outside existing manufactured home park or subdivision __________________ ( ) Fill (amount and type) _______________________________________________ ( ) Alteration of Water Course (Describe and attach sheet) FLOOD HAZARD ZONE (Circle) A AO AH A1-30 AE V V1-30 VE Flood Source (Name of Waterway, etc.) ______________________________________________________________________ Floodway? (Check) No ____ Yes ____ (If yes, Step-Backwater Analysis Required) Base Flood Elevation _____________________________________ FEMA Map Panel Number _______________________ Map Date _______________ ( ) Certificate of Elevation file date __________________ ( ) Approved __________________ Signature __________________________ ( ) Disapproved _______________ Date ______________________________ ( ) Comments: _______________________________________________________ ______________________________________________________________________ ______________________________________________________________________ CERTIFICATE OF COMPLIANCE for FLOODPLAIN DEVELOPMENT (Applicant shall fill in all pertinent information in Section A including sections nos. 1 and/or 2.) ______________________________________________________________________ SECTION A Primises location ______________________________ Permit No. _____________ ______________________________ Variance No. ____________ Project Type: ______________________________ Date: _________________ ______________________________________________________________________ 1. I certify that I have completed the above project in accordance with the Community’s floodplain management regulations and have met all the requirements which were conditions of my permit. I now request completion of this Certificate of Compliance by the program administrator. Date: __________________________ ___________________________________ Signature 2. I certify that I have completed the above project in accordance with conditions of variance number _________, dated _________________, to the Community’s floodplain management regulations and have met all requirements which were a condition of the variance. I now request completion of this Certificate of Compliance by the program administrator. Date: __________________________ ___________________________________ Signature ______________________________________________________________________ SECTION B (Local Administrator will complete, file, and return a copy to the applicant.) Floor Slab Elevation Date: __________________________________ Inspected by: _____________________________________________ Inspector’s Signature This certifies that the above described floodplain development complies with requirements of Flood Damage Prevention Local Law No. _________, or has a duly granted variance. Signed: __________________________ Local Administrator Date: __________________________ Supporting Certifications: Floodproofing, elevation, hydraulic analysis, etc; (LIST) ______________________________________________________________________ ______________________________________________________________________