Flood Hazard Area Development Permit Application

Applicant Name*
First Last
Application Date*
MM slash DD slash YYYY
Owner Information
Owner Name*
First Last
Owner Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Owner Phone*
Owner Email*
Builder Information
Builder Name*
First Last
Builder Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Builder Phone*
Builder Email*
Description of Work
Proposed Development Description*
Size and Location of Proposed Development*
Type of Construction*
Is the proposed development in an identified floodway?*
Has a No-Rise Certification been obtained?*
As identified on the (FIRM, FHBM, etc.), what is the zone of the proposed development?*
What is the panel #?*
Base Flood Elevation at Site (in Feet)*
Required Lowest Floor Elevation (Including Basement) (in Feet)*
Elevation to which all attendant utilities, including all heating and electrical equipments will be installed or flood-proofed (in feet)*
Will the proposed development require alteration of any watercourse?*
Alterations, Addition or Improvement to Existing Structure
Estimated Market Value of Existing Structure*
Cost of Proposed Construction*
If the cost of the proposed construction equals or exceeds 50% of the market value of the structure, then the substantial improvement requirement shall apply.
Non-Residential Construction
Type of Flood Protection Method*
If the structure is flood-proofed, the required flood-proofing elevation is (in feet):*
Subdivisions
Does this subdivision or other development contain 50 lots or 5 acres (whichever is less)?*
Has flood elevation data been provided by the developer?*
Attachments
Drop files here or

Accepted file types: jpg, pdf, gif, png, Max. file size: 128 MB.
Upload any additional documents here. Accepted formats are jpg, pdf, gif, png

Cookie	Duration	Description
cookielawinfo-checkbox-analytics	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".
cookielawinfo-checkbox-functional	11 months	The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".
cookielawinfo-checkbox-necessary	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-others	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.
cookielawinfo-checkbox-performance	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".
viewed_cookie_policy	11 months	The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.

Flood Hazard Area Development Permit Application

Owner Information

Builder Information

Description of Work

Alterations, Addition or Improvement to Existing Structure

Non-Residential Construction

Subdivisions