City of Waveland

Floodplain Development Permit

Name of applicant(s): __________________________________________________________________

                  Phone No: __________________________________________________________________

1.           Address of development site: ____________________________________________________

2.           Type of development: __________________________________________________________

_________ Filling                                    _________ Grading

_________ Excavation                            _________ Routine Maintenance

_________ Minor Improvement             _________  Substantial Improvement

_________ New Construction

     3.     Pre-Improvement value of structure: _________________   % Damage: __________________

             Cost of improvement: __________________________________

4.         Description of development: ____________________________________________________

5.         Is property located in designated Floodway?      YES __________ NO __________

If yes, and Substantial Improvement and New Construction, certification must be provided prior to the issuance of a permit. To develop the proposed development will result in no increase in the Base (100) Year Flood Elevation.

                                                                                                       YES                   NO

     6.     Is property located in a Designated Floodway Fringe?  _______            _______

     7.     Elevation/Floodproofing requirement:                           _______            _______

     8.     Elevation of Base (100 Year) Flood: _______________

     9.     Elevation of the Proposed Development Site: _______________

This permit is issued with the condition that the lowest floor (including the basement floor) of any New or Substantially Improvement Residential Building will be elevated a minimum of four (4) feet above the Base (100 Year) Flood Elevation. If the proposed development is a non-residential building, this permit is issued with the condition that the lowest floor (including the basement floor) will be elevated or floodproofed above the Base (100 Year) Flood Elevation.

     10.   FIRM Panel Number:                             FIRM Zone:                       FIRM Revision Date: 

     11.   Source of Base Flood Elevation Data (if not available on FIRM):

     12.   List any other permits that may be required:

All provisions of the City of Waveland Flood Damage Prevention Ordinance Number 325 shall be complied with. This permit is issued with the condition that the developer/property owner will provide certification by a Registered Engineer, Architect or Land Survey that the lowest floor (including the basement floor) “As Built” elevation of any new or substantially improved building covered by this permit that the Floodplain Venting Affidavit is executed. The Nonconversion Agreement is executed and recorded in the Deed of the property with the Clerk of Hancock County.

Plans and Specifications approved:

____________________________________________        ______________________________________

Signature of Developer/                                                                    City of Waveland,                                                          

Property Owner                                                                                  Floodplain Manager