The URL can be used to link to this page

745 BAY ESPLANADE - �, _ , . . � _ . . � . ,,. � y, FED�RAL EMERGtNCY MA�AGE�4EI�TAGENCY O.M.B. No. 3067-0077 , , NATIONAL�LOOD INSURANCE PROGRAM Expires December 31, 2005 � ELEl�ATION C�RT[FiCAT� Important: Read the instructions on pages 1 -7. SECTION A-PROPERTY OWt�ER IM1lFORNATION For insurance Comnanv Use: BUILDiNG O1N�ER'S NAME C Policy Number ��ra Q�� i-��--. ��`l� BUILDING STREET ADDR�SS(including Ap�.,Unit,Suiie,andlor�Idg.No.)OR P.O.ROU i F AND BOX N0. Company NAIC Number. °��%�;' i7�;..f ��'.��t:�t�� CiTY ° ' STATE ZIP CODE GL��f�w��z2 �, ��7 Cn�l PROPERTY DESCRfPTlO�� (Lot and 8{ock Numbers,Tax Parcel Number, Legal Description, etc.) � �c(Z�D�J LiC lvT �'iN�3 Lc.% �i. /',��G.(� ��.F' ll��f�i.,tiJf��.�?:.� "7�-"'�i,.'? tf:�.lCarut• - BUILDiNG USE (e.g., Residential, Non-residential,Addition,Accessory, etc. Use Comments arearif necessary.) �GS�iY.�.�T��4� LATITUDE/LONGITUDE (OPTIONAL) HOR(ZONTAL DATUM: SOURCt: �_� GPS(Type):_ (�`-�'-#�.�"or,'-"--r.�`) �_� NAD 1927�_� NAD 1983 �_� USGS Quad N�ap �_� Other. SECTION B-FLOOD lNStJRAh10E RATE tNAP(FIRM) It�FORNtATfON E'I. NFIP COMMUNITY I�AME&COMMUNITY NUMBER B�COUNTY NAME B3. STATE C 1 T v�� `L".C�l��c��...�4".�'.f� � � Z � "� �'�rJ`'�.l.�f' � ��. B4. fJ�AP AND PANEL B5. SUFFIX B6. FIRM INDcX B7. FIRM PANEL B8. FLOOD E9. 3AS= FLOOD ELcVATION(S) NUMBER DAT'" EFFECTIVE/REV(SED DATc ZONES I z1 � � ofn2. c7'°�, u�Y �- G3-c 1�;�: ��,� ` B�Q. Indicate t e source or tne Base Flood evation (BFE)data or base flood depth entered in B9. �_� F!S Profile I�FIP,N� �_� Community Determined �_� Other(Describe): ___ B11. fndicate the elevafion datum used for the BFE in B9: �_�NGVD 1929 �(NAVD 1988 �_� Other(Describe): B12. !s the building {�cated in a Coastal Barrier P,esources System (CBRS) area or Otnerwise Protected Area(OPA)? (_�Y2s �� No Designation Qate: SEC�'1014 C -BUILDIPdG ELEVATtOi�i�lFQRt1Pi�;TION (SURVEY P.EQtJfRED C1. 3uilding elevations are based on: (_�Construciion Draveings`� �Buiiding Under Construcfion' �_�rinished Construction �A new Elevatior Certificat2 wili be required when construction oi fhe building is compiete. C2. Building Diagram Number � (Select the buiiding diagram most similar to the building for whicn this ce;�ificate is being completed-see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. El�vations-Zones A'f-A30,AE,AH,A(with oFE),VE,V1-V30, V(with BFL),�P.,AR/A,AR/A�,AP,/A1-,A30,AP,lAH,AR/AO Complete Items C3.a-i beloti�according to fhe building diagram specined in liem C2. State the datum used. I�the datum is different from the daturn used for the BFE in Seciion B, convert the datum to that used for the BFc. Show field measurements and datum conversion caiculatior,. Use the space provided or the Comments area of Section D or Secfion G, as appropriate,�o documenT the datum cornersion. Datum �•� ��`-'�� `�8�� Conversio Comments °. — -�w-�r�.--= Elevatio�refer�nc�mark used F- � l PC fC ty'� Do°s the elevation rererence mark �sed appear o�tne-,r;4Rf�S;?°��''t�s�r�,�� No �a)Top o�bo��om fioor(incfuding basement or enclosure) 3 .�ft.(m) � � ��^A �r- Ob)Top oT next higher floor r l .�!ft.(m) � � �f ❑c)Bottom of lowest honzontal sfructural member(V zones oniy)_�� . ft.(m) �� •``�"' � F�+ � ❑d)Attached garage (too of slab) �.�ft.(m) �o � r} �' :s � r ' _T, �;`�f ,��' . �e)Lowest elevation of machinery and/or equipment � � �, m ,; � " ��1 '� `� � servicing the building (Descnbe in a Comments area.)--�-T- � ) - �; f,� ��, -�-��` e� ❑ �Lowest adjacent(finished)grade(LAG) •��m) � _ ' '� [I g)Highest adjacent (finished)grade(HAG) •z�(m) _ _ !' �"� ° c �"' z.� `R,")b"� � ��°` a,`�4�' ❑ h)No.oT permanent openings(flood vents)within 1 ft.above adjacent grade __fC� _ �"' <�'f4F&� �y f{�i��1�,6A�°' ❑ i)Total area of all permaneni openings(flood vents)in C3.h 2��ZO sq. in. (sq.cmj J SECT{QN D-SURVEYOR, Ek�GtM16EER, OR l�,RCHtTECT CERT(rIC�.TIC)N This csrtification is to be signed and sealed by a(and surveyor, engineer, or architect autharized by law to certifiy elevation irformation. f ce�-ti"ry that the information in Secfions A, B,and C on this certi icate represens my best efforts to inter�ret the data availab{e. [ understand that any fafse statement may be punishabfe by fine or impris�nmen:under i8 U.S. Code, Section 100'1. CERTIFIER'S NAME l� LICENSE ��UMBER t°� ��-`� t.a �(cz r,-'F'�°�' � .S I�C�_ � �/ '� i IT!C � COMPANY NAIv�E ��<C t L�;i�J,''t. �K.'��-2 z,ia"�l: `::��IF?..(f..j �,.�C-. ��;` �E�,� �,t��.. DDR�SS CITY STATE " ZIP CODE Z C�CF f 2 / ��1 r�c��;�,,��T :�^c;f F� L��T� 1="� �,�-��;=; �iGNATURE � � DATE TELEPHONE �- ' f � / � Z - z z -�S� �% 3 �i'%3 Zt�GI2 FEMA Form 81-31, January 2003 SEE RE ERSE SIDE FOR CONTI�UATfON P.EPLACES ALL PREVIOUS CDiTIONS . � � I�PORTANT: fn these s aces. co v fhe correst�ondina informztion from Section A. For Insurance Com�an�Use: � BUILDING STREE i ADDRESS(including Apt.,Urit,5uite,andlor Bidg.No.)OR P.O.ROUTE AND BOX N0. Policy Number, _ � `{� �A�.< <�� , l.�t,��iaF° � �� C�n a ` STATE ZIP CODE Company NAIC Number GC.�.12�..��-r�� ?a�i-�j � • SECTfON D -SURVEYOR, ENGINEER, OR ARCHiTECT CERTIF{CATION ( Copy both sicies of this Elevation Certincate for(1) community o�ciai, (2) �nsurance agen�/cotn '� � COMMENTS � � � �. � °E °�" C:. 4 CI ' �.�.- SECTlON E- BUILDING ELEVATION INFORMATiOt� (SURVEY NOT RE�UfRED) FOR ZONE AO At�D ZONE A(VI�fTHOUT BF ) � ror Zone AO and Zone A(without BFt), complete Items E1.through E4. if the Elevat�on Certincate is intenoed for use as supporting in�ormation for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number (Select the building diagram most similar to the building ior which this certificate is being compleied– see pages 6 and 7. ff no diagram accurately represenis the building, provide a sketch or ohotooraph.) `2.Tne top or fhe bottom fioor(including basement or enclosure)oT the building is I—I_I ft�m) I_I—I�n.(cm} �_� above or�_� below (check one)the highest adjacent grade. (Use naturai grade, if available.) E3. For Building Diagrams 6-8 with openings (see page 7),the next higher floor or elevateo floor(elevation b)of the buiiding is �_�_�it.(m) ��_�in.(cm)above fhe highest adjacen±grade. E4.The top of the pla�form of machinery and/or equipment servicing the building is �_�_i ft. (m) (_�_� in. (cm) �_� above or�_� below(check one)the highest adjacent grade. (Use natural grade, if available.) E5. ror Zone AO only: Ir no t1ood depth number is availabie, is the top of the boYom floor elevated in accordance with the community's floodplain rrzanagem�nt ordinance? �_�Yes �_� No �_� Unknown.The locai ofr�cial musi certiiy this information in Section G. SECTfON F-PROPERTY OWNER(OR OVI+NER'S REPRESEF6TF�TIVE) CERTtFICATfOM1I Tne property owner or owner s author�zed representative who completes Sections A, B, C (Iterrts C3.h and C3.i onfy), and E for Zone A (wifhouf z FEl�A-issu�d or community-issued BFE) or Zone AO must sigr� h>re. The statements in Sections A, B, C, and � are correct;o the best of my knowledqe. PROPERTY OWNER S OR OV�JN�R S AUTHORIZED P,EPR�SEt�i ATIVt'S NAIJ�E _ � ADDRESS G�C�-2c�r�V°f= �v /��l s, �.a�" � I�K'. CITY STAT� ZI°CQDE Z(.��1 Z..- „ r"t�•;C�rw)c,,� i r:� .,i:� v i Z � 3 . �. SfGNATJRE , .r„ DATE TELEPHONE � � � � ��.��-�.� �,r �:�l�� ' :4=�� COMMENTS ` �_ �_� Check here ir attachmenis , SECTfON G-COF�tMUN{TY iNFOrZti�ATlOf� (QPTiC3PlAL) The loca! c��icial urf�o is authorPzed by law or ordinance to administer the community's floodpiain management or�inance can complete Sectiens A, E3, C (or E;, ano G of this Elevafion Cerfificate. Compiete the applicabfe item(s)and sign oelow. G1. !._I The information in Section C was taken from other documentation thai has been signed and embossed by a licensed survzyor, e�yine2r,or arch�tect who is authorize�± h}�s?e±e or!ccai 12w. tc certify:�levation ir�formation. (l��dicate ih�source and date ot ine elevation da;a in?ne Ccmments area below.) G2. �_I A community o4icial completed Section E r'or a buiiding located in Zone A(without a FEM,4-issued or community-issued B��) _nr Zone AO. G3. �_)Th�following infermation ((tems G4-G9) is provid?d for community floodpiain management purposes. G4. PERMIT NU�viBER G5. DAT� PERMiT ISSUED G6. DATE CERTIr-ICAT� Or= COMPLIANC�/O�CUPANCY ISSilF7 G7.This permit has been issued for: �_� New Construction �_� Substantial Improvement G8. �levation o�as-built lowest iloor (including basement)oftne building is: _�t.(m)Datum: G8. Br=t or(in Zone AO) depth of flooding at the building site is: _ft.(m)Qatum: LOCAL OFFfCIAL'S NArJf� TITL� CONMUNITY NA�E TELEPHON� SIGNATURE DATE COMMENTS • �_� Check here i�attachments r=EMA Form 81-31, Jarn�ary 2003 REPL^,CES ALL PREVIOUS EDITIONS __ _ _ _ _ __ __ _ L1EC-22-2085 0'4 =`�`j PM E74TF2EME SURVEYIhIG ' v_��I�rv FEDERAL EM�RGENCY MANAGEMENTAGENCY O.M,B.No. 3057-OQ77 ��,P Z��L` NATIONAL FLOOD{NSURANCE PROGRAM Expir�s Decemb&!31,20�5 � D�-�31 ELEVATION CERTIFICATE � Importsnt:Rsad tha instructions on pages 1 -7, EC i -PROPERTY OWIVER INF�RMATI Fot Insurar�Ce Com n Use:� • 9UIL41NG QWNER'S NAME , Rol;cy Number ; • :��: . � �, BUIIDING S'fREETADDRESS(kt�ut�ngApt,Ur►lt,Svite,and/or tdg.No.)OR P,O.ROUTE ANC BOX N0. Company NRfC.IVum6er.�� , r � . A E � � � c�TV��w 4T'E2 S A7�I ��? PROPERTY DESGRlPTfON(Lot and B►ock Numbers,Tax Percet Number,Legal pescnptEon,etc.) t�vz.n� �,ar /�f' �-o c� SF t3I�cK 3 l�,,,, ?'1�r�r.��C.A� S�B t��v�y�•�,l• - BUIt,DING!�USE(e.g.,Resldenbal,Non-residentla{,Additlon,Accessory,etc.Use Comments area�f necessary.) /S ,.1'�i.-rli%�� LATITUDE/LOWGITUD�(OPTiONAt) HORIZONTAL DATIJM: SOURCE:U GP5(Type}: ��•_�_�,��.�°) (_(NAD 1827�J NAD 1983 I—I USGS Quad Map I_��her._ . &EGTION B-FLOOD INSURANC�RATE MAP(FlRM11 FORMATION _ ■ ■ iru�irr�i � ��n 1.N i C MUNITY NAM£6 COMM tTY NUMBER B2 COUNTY NAM� B3. 57ATE \'ti o R �� iu Bq,MAPV�I� @5.SU FIX 86.FIDATE EFFEC"f1i1RlE/RE�VIS�D DATE Bg20NE5 89. AS OOC Et ATI tJ � 2 C O Z _p -O� �- o •Q /�� ,.C , 810.IrtdicatD e sOUroe of the Base Flaod Efevatlon{BFE)dete or base flaod depth entered in�89. J,�FIS PraFile �j FIf2M (_J Gommunity Determined �.J Ofher{Describe): _ 811.indicate the eievfltlon detum used forU�e gFE in 99: �_I NGVD 1929 (�NAVD 1988 j,_j Othar(Descrtbe): — 812,is the bWiding located in a Caasts�!8arrier Resources Syatsm(CSR5)aroa or Ottterwlse Protected Area(OPA)?L�Yes{�No Designa6on Date: SEGT C-BUIIDiNC3 ELEYATfON INFORMATIDh1 8URYEY REQUiRED �C1.Buildir►Q eievetions are basad on��Gonstruction Drawings" Building tlnder Construction'��Finished Cot+strucdon •A new ElevaGon Certiftc:ate witl be requlred when constructian o the buiMing is compiete. CZ.BulldlnQ Diagram Mumber�_(SEtect the 6uifding ciiagfam most similar to tha building for wtdch thls certlf,�ate is being compieted-see pagas 6 and 7. if no dlagrem�ccurately represerrts the bul►d►ng, provlde a sketch or photograph.) � C3.Elevati�►s-Zones A1-A30,AE,Aht,A(with BFE),VE,V1-V30,V(with BFE},AR,AR/A,AWAE,ARIA1-A30.AWAH;AR/AO • Complete ltem8 C3,a-I beiow accorcfing ta tha bu91d'+n�diapram spectfied In Item C2,State the dah,m used. If tha datum Is differerrt fr�n the dsturtt ussd for the BFE in Sectlon 8,cottvert the dstum to Ihat used for the BFE.Show flefd measurements and datum c�rtversion calculst�on.Use the spa p vlded or the Comments aroa ot 5ection D or Sectlon G,es appropriate,to documant the detum conversion. Datum �•A �/.�. �'�� C nve�sw Comrnents sw Eleva6on reFerertce mark used��-�9�c�Does the elevaUon teterence mark used appe2r on the FIRM?j_l Yas�J No (ae)Top ot bottom ffoor(including basement or enclosure) 3 .�ft.(m) � Qb)Top of next hi9her f{oor �/ �•�m? � ❑c)Boqom of towesi horizontsl sfructural member(V zones onfy) N , �.(m) �, (�d)qtt�ohed getege(top of sEab) .g...ft.(m) D� � S3i g, j�e)�owesS elevation of machinsry and/or equlpment E servlcing Me butlding(Describe in a Comments area.)-.------�--. R.�"�) `i' o �� -zZ•o'S' (�n Lowest adjacerYt(frr�shed)grade(LAG) �ft.(m) � O g)Highest adjscsnt (finished}�tde(HAG) �•?� �.�"'� �� d h)No.af p�msn�t apenings(flood vents)wIU►in 1 R.�bove adJacent grsde /L9 � (a t)Totel acea of aq p�menerit openlrtgs(tlood ven�g).in C3.h 2+Z0 sq.in.(sq.cm) � BECTION D•SUR YO�R ENQtNEER,4R Ai2CHITECT CERTIFICATION ��r�urir �w�r AI�II��rMYri�1i��1�Y�i Thla certlfica�tton Is Lo be sianod and sssl�d br a land sunreyor,enginswr,or srchitect nutho►ized by law to certify eiavs�ort Informadon.t csrtify lhatt ths Infermatlon(n SecEiona A,B,and�on thta certlticate repres�nts my bast sfforta to Interpret the d'ta availabls.l understand that any fslsa statsmo�rt may be punishablr by fina or impris�nment under 18 U.S.Code, Section 1�01. CERTf�IER'S NAME I.tCEPfSE NUMBER �I��. 'Q -r� �2. 5 3� � 7tTLE � a�� COMPANY 1VAM� ADI7RESS C'2��i p�+.,i' CITY �x'}�#.w�.� S A RJt�ra+�+CODE Z�i l �� r� v T'�L. StGNqTUaE bAT� 1'ELEPNONE 1 i• 2 t -c+� 8�3�97 3-�a�12 FEMA Form 81-3t,J�nuary z003 E R ERSE SIOE PpR COt+{?INUATION P D • aa�= 'ws�P _ ��as�--=��m � ✓.. 4 . . � �J S ��-�� DEC � � 200a i j�.f � NEW SINGLE FAM RESIDENCE �'� ; HUPP, ANDREW � " Zonin : LMDR atlas#249A �9��'►�1PMI�NTi�F�'ul��r��'Z � 9 , _ . DEC-22-2005 04 :49 PM EXTREME SURVEYING 9732122 P. 02 � �L FEDERAL EM�RC',ENCY MANAGEMEN7AGENCY O.M.B. No.3067-0077 ��*' Z�CJ I NATIdNAL FLOOD{NSURANCE PROGRAM Expir�s December 31,2005 ' D�-�3 1 ELEVATION CERTIFICATE Importe�t:Road the instructions on pages 1 -7. • 5ECT1 -PR�PERTY OWNER iNFORMATI For lnsurance Com n Use'- BUILDiNC,pWNER'S NAME Rblicy Number � �° ' �v `u . .. . . . . BUILDlNG S'�►iEET ADQRESS(kt�udng Apt,UnN,Suite.andtor ldg.No,)OR P.O.ROUTE ANC BOX��0. Company NAIC.iVumber_•� • a A � � � � c,rrG��r.w�2 S A7�I -��'07 PROPERTY DESCRtPTION(Lot and B{ock Numbers,Tsx Percel Number,Legal pe6c.�iptlo�,etc.) /"�2T/•�•� a�' �••f �rv t or Si� �L'i /d'l�ls�-��2''�L'��/ 5-►fi tD�✓�a/w�l• BUl�DtNG USE(e.g.,Residential,Non-resident►el,Addition,Accessory,etc.Use Comments area if necessary.) LATITUDE/LOl�GITUD�(OPT►ONAL) NQRiZONTALaATUM: SOURCE:(J GPS(Type): (##'-##'-##.#p"or�1#.###i!#°) U NAD 192T�)NAD 1983 �I USGS Quad Map�_�Other. . $�CTION B-F�OOD INSURAI�C�_RATE_NlAP{FlRM)I F�RMATtON - „� 1.NFI dMMUNI'fY(YAME 8 COM ITV NUM�ER B2.COUNTY NAM� B3. S7ATE 1 TL o (� i Z 1 r.t B4.M�P��1�i ' B5.5U �IX B6.FIRM 7.F1RM PANEt. BB. l B9. AS OOD ELEVATf DATE EFFEC'TlVE/REVIS�p DATE 20NE5 z c o 2 -o -03 �j- o -c /�rE \,� ' B1 R.�r�dieate e 9ouroe o�the Basa Flood Elevatlon(BFE)dste or bsse tbod dspth entered in�89. j,�F�S Profi�e �FIRM LJ Community Detecmined �Ofher(Descxibe)' _ 81�.indicate the elevatlon deturn used fathe B�E in B8: L�NGVD 1929 �NAVD 1968 J,rJ Other(Describa): — 812.fs the b�Ming focated irt a Caastal8arrler Resources Syatem(CBRS)aroa ar Otherwise Protected Ares(OPA)?�)yes�(Na pssignaGon Date: SEGTION C-BUILDiHG ELEVATtON IhlFORAAATiOIV g(1RVHY REUtJIRED r�� C1.Building eievstions Sre besed on:�Gonstruction Drawings" Bu(Iding Under Construction'��Finished Construcdon `A new ElevaGon Certlfit:ate witl be requlred when constructian o fhe building is compiete. GZ.Bulld{n�Diagram Mumber�_(Select the bui{ding c#iagrarn most similar to the building forwtdch itds ce�tltrcete is beirtg compteted-ses � pagss 6 and 7, If no diagrsm eccurstely represer�ts the buttding, provide a skelch or photograph.) C3.Elevsfions-Zonos A1-A30,A�.Ati,A(with BFE),VE,V1-V30,V twith BFE),AR,AR/A,ARJAE,AWA1-A30,AWRN;AR/AO Complete Items C3,a-I beiow acxordbtg ta the building dia9ram specified In ltem C2.Stste tha da�,m used_ If the datum Is differerii from the d�tum used#or the BFE in Sec#on 8,convert the datum to that usad tor the BFE.Show ftekd measurements and dalurn cor�version calculstion.Use the spare p Ided or the Comments aree ot SecUon b or Sectlon G,as appropriate,to documant the ded►m canversion. Qaium N•A �t.�t. N1'A� � rtve►sro Comrnents Elevation referertce mark used��ppe9 the elev�Uon re4erence mark used appe�r on the FIRM?��Yes�J No (ae)Top of bottom ffpor{including basemeM or enc.Nosure} __ ._� .�i�,(m) � (�b)Top of�ezt hiSfiar floor r/ ft.(m) � ❑c�9Mtom af bwest horizor►tet structural membar(V=ones only) a tt.(m) n Qd)Atfaohed geregs(top vf sEab} J`�"� .�,,n.�m) g� � S3�8 (�a)lowest elevation of machinery andfor equlpment ,E� servlang ttte butlding{Descrit�e in a Camrnenb area.)—.�-,--�-�e�._- ft.{m) o i� -Z�•,4,�' �t�Lowest adjace►rt(firtished)grade(LAG) �ft.(m) � � 0 g)Hfghest sdjacent �f+nished)DradC(HAG} --�•2. ft.{m) �� ❑h)No,�permanent v peni n gs(flood ven�)wlthin 1 R.above ad Jacent grade /t) � (a 1)Total area of all p�rmertertt c�¢enht9s(tlaod ven�s).in�,h_ 2�,'7Z0 Sq.in,(s4.Cmj _, S�CTION D•SUR YOit,ENQiNEER,OR ARCHITECT CERTIFiCAT10N �� ..��.. Thia certlficatlon Is to be s�anrd snd ssalsd hy a land sunreyor,engineor,or srchitsct�uthorized by law fo certify sisvstion Inforntation.l certify that tha{nlormatian tn Secfiona A,B,and C on tMs txrtlflcate represonts my bsst�fforts to Interpret tho d.te evailabie.l understand that�y fsls�stat�me+�t may be punfshrble by ffn�or impri�onment under 18 U.S.Code, 3ectf on 1001. CERTIFIER'S NAME l.10EtySE M1JUMBER � �� 'Q �a,� �. �. tG� 5 3/ � 7m-E j] CQMPANY NAM� f/L�(C�OL'w�1' �"�t,}1Ctw�Ai �JvfZJt��•,G• •#' � ��G ADbRESS �� , � + CITY � STAT�� ZIP+CODE � Y StGNATURE DAT� 1'ELEPNONE ! z• 2t -Q� g,3•9'73-�oR2. ._.:.. • FEMA�orm 81-31,Jsnuary 20D3 - E R RSE Slb�FOR COIYrlIVUATIQN P D i T _-_- � � _�� , ' � � 1\ A i�A 3 AiA � ��.)��l.-��/�� •' �� 2(�f�' i '.�� NEW SINGLE FAM RESIDENCE ��~`� :� HUPP, ANDREW v -N • - ° Zoning: LMDR atlas#249A �t�l�►��'t,�"IPMFN�Ty�f�t�'lt��a,,�� F f , y_ -.�.-�«.�.�.o�� ; - � �' `-'� '� ,� C� . � C� C�� -��" �-� �� .,�� : _ TF��hl�h�I��SIOh•a 's?ERIFI�,�;TInN REFORT TIME : 05/3112012 1': 51 NAME : CIT1' OF GLEARWATEF' FAiC : 7275624576 TEL : ?275624567 SER. # : BROF3�J496261 DATE,TIh9E E�5;'31 12: 51 F�;:; hdCi. !'hdHh�1E 9464E4946 DUR�TIOh! �0: ��: �� F��E�;,�-�;; �a 0 F:Ev�I_ILT gIJ�''r' h�iL�LiE �T�;NUARD BL��=�'�r'. E�I 1=�'�r',''ha0 F'E:�F'L�F1:=�E .� _ _ �+ "" f J . .,f �,,t. �� i� . , � FEDERAL ENERGENCY MANAGEMENTAGENCY O.M.B: No. 30o7-a077 NATIONAL FLOOD fNSURANCE PROGRAM `xpires December 31, 2005 EL.E�l�TIOf� CEE�T��iCAT� Important: Read the instructions on pages 1 -7. SECTfaN A-PROPERTY OWNER INFOR(Y;ATfON Forinsu�ance Companv Use: ' BUILD(NG OWNER'S NAME � - Policy Number ' � tiQ�� ;�� BUILDING STREET ADDRESS(IncfudingApt.,Unit,Suiie,and/or�idg.No.)OR P.O.ROUTEAND BOX N0. CompanyNAIC Number . . , ... ri=� �s�'� '_ f , �•e�:,,=.r F,�.=,�(�� . . �f;fY `° ' STATE ZIP CODE ��tLw�(�� i �i�7Cr��r PROPERTY DESCRIPTION (Lot and Block Numbers,Tax Parcel Number, Legai Description,etc.) �� a,r ��r a�o �a� S. ��-/c �C.P , .��C.�:�` ��:`f ��,�1• BUILDlNG USE(e.g., Residential, Non-residential,Addition,Accessoy,etc. Use Comments area if necessary.) �G-5 i i�i.�T��4 t LATITUDE/LONGITUDE(OPT{ONAL) HOP.IZONTAL DATUM: SOURCt: �� GPS(Type): (�`-'�„-#.'"-#.#.�"or�.�°) �_� NAD 1927�_� NAD 1983 �_� USGS Quad Map �_� Other: SECTION B-FLOOD tNStJRAF10E RATE MAP�FIRM}IhlFORNt,4T{QN � B1.NFfP COMMUNITY nAME Y COMMl1NITY NUMBER B2r.�COUnTY f�AME B3. STATE C\T`- o f ' :$1��..74'�-�.�� Z � �'J�J�.l.'x�� .. B4. NAPAND PANEL B5. SUF�IX B6. ^IRM INDEX B7. FIRM PANEL B8. FLOOD B9.BASE FLOOD ELcVATtON(S) NUMBER ��p,p�T � EFFECTIVE/REVISCD DATE ZONES I �`- '_ f ZIla C oln�. �'��= �'- o�-c '� !�� •� � B1 Q. indicate t e source of tne Base Flood Elevation (BFE)data or bzse fiood deoth entered in B9. �_� FlS Profile I�FIP,M �_� Community Determined �_� Other(Descri5e): - B11. Indicate the elevation datum used for the BFE in B9: (_�NGVD 1929 (�NAVD 1988 (�Other(Describe): B'12. !s the building located in a Coastal Barrier Resources System(CBRS) area or Otne�v✓ise Protect�d Area(OPA)? �_�Y2s �� No Designation Qafe: SECTi�N G-BUILDItdG �LEVATEOI� EtvFOr2�E1�.TiOIV (SURVEY REQ�JfRED '1.3uilding elevations are based on: �_�Construciion Drawings" � �Building Under Construciion'�_��inished Construcfion *A new Elevaton CerEificate will be required when construction o�the buifding is complate. C2.Buiiding Diagram Number �] (Seleci the building diagram most similar fo the building for whicn this cehificate is being completed-see pages 6 and 7. f`no diagram accurately represents the building, provide a skeich or phofograph.) C3. Elevafions—Zones A1-A3Q,AE,AH,A(with BFE),VE,V1-V30, V(with BFC},AP,,ARlA,AR/Ac,AP,/A1-A30;AP./AH,AR/AO Complete Items C3.a-i belovv according to the building diagram specined in Item C2. State the datum used. l;�he datum is�i�rerent from the datum used for the BFE in Seciion B,convert fhe datum to Ehat used for the @FE.Show fi�ld measurements and datum conversion calculatior.. Use the space provided or the Comments area of Section D or Secfion G, as appropr'ate,�o documenT the datum conversion. Datum �� -'�� `�8� Conversio Comments ___ Elevation referenc�mark used�. c Is� Doss the�leva�ion reference mark�sed appear on tne FIRM? �__�1'�s�__; No �a)Top of bo«om floor(incfuding basement or enclosure) 3 .�ft.(m) � ,�f — ❑b)Top of nexf higher floor !� .�ft.(m) � � �. ❑c)Boftom of lowest hoRZOntal siructural member(V zones only) � i� ff.(m) �� Qd)Attached garaoe(foo of slab) . °�ft.(m) �o #s �`�E� �e)Lowesf e(evation of machinery andlor equipment � � �. m w � � �� servicing the building(Describe in a Comments aroa.} � ) -� i'� ��•,�:� ❑ �Lov,�est adiacent(finished)grade(LAG) � ��ft•�m) �� []g)Highest adjacent (finished)grade(HAG) �/ . Z ft.(m) � `� z_� � h)No.oT permanent openings(flood vents)within 1 it.above adjacent grade /L7 _ �"' � ❑ i)Total area of ai{permanent openings(flood vents)in C3.h 2��72C� sq.in. (sq.cm) � SECTfQN Q-SURVEYOR, Ek�Glt3EEf2, OR ARCtitTECT CERTfFIC�TkQN i Fsis cerEification is to be signed and sea{ed by a land surveyor, engineer, or archi�ect autharized by law to certifiy elevat�on infarmation. [certi"ry that the inforrt�ation in Sections A, B,and C on�his cer�i icate represens my best efforts to inter�ret�he data avai(able. f understand that any faEse statement may be punishab[e by fine or imprisonment under't8 U.S. Code, Section 100'i. CERTIFIER'S NAtv{E LICENSE �UMBER � E�� '(�M�-��:y.r��, .�� S 3/ � TITLE � t ' COMPANY NAME 12�Cr�� C.'�2�wi�; �v�•lf.�(ti,..�C..-� � �, t�G DDR�SS CITY STATE " ZIP CODE ZLC�f 2- �'�r�c��,� �c�� L�r�. ?``�- �=�'� SIGNATURE � DATE TELEPHONE - � / l�', / z- - Z2 -�5' �i3.�/m7�-Z�q2 ,� FEMA r=orm 81-31, January 2003 S�E RE ERSE SIDE FOR CONTI��UPTfON P.EPLACES ALL PREVlCUS EDiTIONS t�PORTANT: fn fhese s aces. co v�he correspondina information from Section A. For Insurance Company Use� � BUfLDING STREET ADDRESS(Including Ap't.,Unit.Suite,andlor Bldg.No.)OR P.O.ROUTE AND 30X N0. Policy Number �`�� 1 c;<. _�,�,� o�" C�N � � STATE ZIP CODE Company NAIC Number GC.�.�2�...�aT��2 �� r�'rj SECTION D-SURVEYOR, EN�1I�EER, OR ARCHiTECT CERTIFICATION ( Copy both sides o`fhis Elevation Certificate for(1) comrrsunity osficial,(2) insurance agen�/corn •f COMMENTS $ �. c i �. SECT40N E-BUILDING ELEVATiON [NFORFJfATIOf� (SURVEY NOT RE�UiRED) FOR ZOM1lE AQ AR�D ZONE A(Vl�(THOUT�F ) ror Zone AO and Zone A(v�nthout BFC),complete Items E1.through E4. If the Elevation CerEmcate�s intended for use as supporting iniorrrtation for a LOMA or LOMR-F, 5ection C must be completed. E1. Building Diagram Number (Seleci the building dizgram most similar to the buiiding for which this certificate is being compizied- see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2.Tne top of zhe bottom floor(including basemenf or enclosure)o�fhe building is �_�_�ft.(m) j_+_�in.(cm} �_� above or�_�below (check one)the highest adjacent grade. {Use natural grade, if available.) E3. For Building Diagrams 6-8 with openings (see page 7),the next higher floor or elevateo floor(elevafion b) of ihe building is l—I_I ft.(m) ��_�in.(cm)above the highest adjacen?grade. E4.The top of the pla�form or'machinery and/or equipment servicing the building is ��i ft. (m) �_�_� in. (cm) �_� above or�_� below(check one)the highest adjacent grade. (Use natural grade, i�available.) E5. For Zone AO only: If no t1ood depth number is availab(e, is the top of the boGom floor elevated in accordance with the community's floodpiain rrTanagemenf ordinance? ��Yes �_� No �� Unknown.The local ofrrcial musi certi"ry this informafion in Secfion G. �ECT{rJN_F-PROPERTI'OWPlER(OR OWR1cR'S REPRESENTlaTIVE) CERTtFICATfON The property owner or owner s author�zed representative who completes Secfions A, B, C (hems C3.h and C3.i only), and E for Zone A (withoui a FEfUR-issued or community-issued BFE)or Zane AO must sign h�re. The statemen±s in Secfions A, B, C, and � are correct to the best of my knowledge. • PROPERTY OWNER S OR OWN�R S AUTHORIZED REPR�SEt��ATIVE S NAt�E _. � ADDRESS G�L-F2c=t'`tL" v �c/4�:{ t;tX,� r.�." �.} t� Z(.a(.�I Z- �Y��,C��:�4irK ��t ..ef� CfTY vr`Z STATC � 33Sf`{'DE E SiGNATURE t--�-> DATE TELEPHONE n � �``'�� / ='�'1 t2-��°�°' �.t: °�� ' �� COMME�tTS � ��t � � �_� Check here Pf attachments � � , _ SECTtON G-COFikIV�t1N[TY{NFORM/aTION (OPTi(?PlAL) j The local ofric�al v�ho�s authonzed by law or ordmance to admimster the communify's floodpiain managemenf ordinance can complete � Sectiens A, B, C (or E;, ano G of this clevation CerEificate. Comp(ete the applicable item(s)and sign below. G'[. �_i The inf�rma�ion fi Section C was ta�:en from other documentation thai has been signed and embossed by a ficensed surveyor, en5inear,or architec�who is authorized by s?ate er!ccal tav,te��ertify elevafion iriformation. (I�dicate th?source and date of tne elevation daia i-;tne Comments area b21ow.) G2. �_f A communi±y o�icial compieted Section E ior a building locaied in ZoneA(withoui a FEM,A-issued or community-issued B�E) or Zone AO. G3. �_�Th�faflowing inrermation (Items G4-G9)is provid?d for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMiT ISSUED G6,DATE CERTiFICATC Or COMPLIAI�CC/OCCUPANCY ISSi 1F7 G7.This permit has been issued for: �_�New Construction �_�Substantial Improvement G8. Elevation oT as-built lovrest floor (induding b2sement)or tne buiiding is: _�f.(m)Datum: G9. BFE or(n Zone AO) depth o�flooding at the building site is: _ft.(m)Datum: LOCAL OFFfCIAL'S NAfJ�E . �' `.� `' TITL� COMMUNITY NAME TELEPHON� SIGNATURE DATE • COMMENTS �_� Check here i�attachments FEMA Form 81-31,January 2003 REPLACES ALL PREVIOUS EDfTIONS > • CITY OF CLEARWATER � DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT POST OFFICE BOX 474H� CLEARWATER� FLOa�DA 33758-4748 MUNICIPAL SERVICES BUILDING, ZOO SOUTH MYRTLE AVF,NUE,CLEARWATER,FLORIDA 3375� TELEPHONE �72� 562-4567 Fnx(72� 562-4576 MEMO OF REVIEW FOR CORRECTNESS 8� COMPLETION In accordance with participation in the NFIP/CRS program, ali elevation certificates are required to be reviewed for correctness and completion prior to acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of elevation certificates. The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community The attached elevation certificate is complete and correct X Minor corrections have been made in the below marked sections by Community O�cial SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. BUILDING OWNER'S NAME Policy Number A2.BUILDING STREET ADDRESS(including Apt., Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number CITY STATE ZIP CODE A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) A4. BUILDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ��°_��_�.�� or �.�°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑ Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 1. NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE B4.MAP AND PANEL g5.SUFFIX B6.FIRM INDEX DATE B�•FIRM PANEL gg.FLOOD ZONE(S) B9 BASE FLOOD ELEVATION(S) NUMBER 5/17/2005 EFFECTIVE/REVISED DATE (Zone AO,use depth of flooding) B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑ FIS Profile ❑ FIRM ❑Community Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in B9:❑ NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date SECTION C -BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings' ❑ Buiiding Under Construction' ❑ Finished Construction `A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m) h) No.of permanent openings(flood vents)1ft.above adjencent grade i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm) Comments: Date of Review: Community O�cial: �levation cerfificafes shal/be maintained by the community and copies wifh the attached memo made available by request FRAIYK HIBBARI),MAYOR � ' GEORGE N.CRE7'EKOS,COUNCILMEMAER JOIIN DORAN,COUNCILMEMBGR PAUL F.GBSON,COUNCILMEMRER � CARI.GN A.PE"I'�RSEN,COUNCILMLMAER ��EQUAL EMYLOYMEN7'AND AFFIItMA'PIVE AC7'ION EMPLOYER� LZ-2@05 04 :49 PM EXTREME SURVEYING g732122 P' �3 , A�I R P��';In these c aces co eh orres ondtn Infarmati �fro Sectlon A. For Insurance Com en Use: �3UilD!NG 57R ET ADDRESS(Mduding Apt,Unit,Su1te,and�nr Bfdg.No.)OR P.O.ROU7E AND 9�X N0. Pollcy•Number:. �.; : � , C�Ty STATE ZIP CODE Compeny.NAfC:N�mber: ' • f�t.c-r.R�..�� . F�l '1 ri � . � ' :� . .. .. � SECTION D-BURVEYOR, ENGtNEER,QR ARCHITECT CERTIFICATION (CONTINUED� Capy�bcth s{des afth��levatian CsrtiflcaSa for(i)community ofticiai,(2j ns a�nce agentJcompany,and (3)bulidfng ownar. I.,._I Chedc here if atmchments SE�N E-BiJii.plNp Ei.E ATION�INFqRMAT10N(SURYEY NOT REQUIRED)FOR ZQNF AO AND ZONE l�(WlTFlDUT BPE� Fpr Zone A�and Zone A(wlthaut BFEy,comptete Items E1.through�4, If the Elevatbn Certificete is intanded for uss as supporting ir�formation far a�OIyfA or LOMR-F,SecUon C must be oosnplaied. E1.Building dlagram Number (Seled the bu{Iding diagram most simHsr to ihe building for which thle certlFlc�te is being campieted— see pages 6 and 7. tt no diagram axuretely repr�sents the buiiding,provide a sketch or phatagraph.j EZ.The top qf the bottom floor(inefuding bssamant a�enciosuro)of the buliding is�_(_�R.(m)►_�_�1n.(cm)��above or{_,_�be4ow (checic one)the highest ed)ar�nt yrade,.{tJse nakurei grede,If avai{able.) E3.For Bultrling Dfagrams 6-8 with openings(see page 7j,�►e ne�ct hlgher floar or e�e�ated floor(elevafion b)of the bu;tcSlnB 1� ��{,J ft.(m)U_►in,(an)above the highast adjacant grede, E4.The top ot the platform af macF�inery and/or equlpmem senrici�g the bui►ding is �,��tt.(m)j_{,��in.(cm)��above or�`� befow(chedc a�e}fhe hk�h�st adjacent grede. (Usa natura!grade,lf evattable.) ES.For Zone AO onty: If no flood deplh number is available,fs the top ot the bottom floor eleveted fn sccordance wtth tlie cnmmunity's floodp(a+n manegement ordinsnce?u Yes�No(_J Uhknown.7he Iec81 offfctai must c�ttEfy this informatfan in Section G. SECTMaN F-P OPERTY OWN R OR OWNER'S REPR�S�NTA YE CERTIFiCATIQN The property owner or own�rs authorized reprasantative campletes Sections A,B,C(Items C3.h and C3.i oniy),an�E for one A (withovt a FEMA-issusd or community-is'sued BFE)or Zone AO must sign here. The stetements 4n SecFions A,B,C,end E ere ca�ct{o the best of mv knowledge. PR�RERTY�WNER'S OR OWNER'S AUTHQRIZEQ REPRESENTATIVE'S NAME � � .. a�'�" • ADbR�SS Z � a N �,4 GITY �� STA7E � ZI C E SIGNATURE 17A7� T�LEPHONE � i - 7-+a Z GOMMfNTS . �_f Check h�if att3ChfieMs SECTION G-COMMUN(TY iHFdRMATlO (O T NAI.) �si n��i�■ n�n.nwu� i��...i�ivainio��n iui iww�� The local officis!who is authorized by 1aw or ordinance to admin(ster the community's flaodpiain manAgement ordinanoe een compiete Sec�ions A,H,C(ar E),and G of this 6levatlon Cerrtlflcste. Compiete the applfceble Item(s)and slgn bsbw. G1.(�,,,�7he informstian in Sec�ian C wes taken from other docum�terion that has been signad and ambasssd by a licensed surveycr, eng(neer�or erc:hited who Is autho�tzed by state or locai law to certify etevation informatfon.(Indicata the source end date of the etavatian data in the Camments area babw.) G2. �„)A commu�iry officisl compteted Section E for e twil�ing locaked in 2one A(wlthout s FEMA-{ssued or community-issued BFE) ot Zonp AO. G3. LJ The foilowi�g infortnatlo�(Items Q4-G8)is providsd for c.ommunity floodplain management purposes. G4, PERMI7 NUMBER G6.QATE PERM{T ISSUED G8.DATE CERTIFICA PLIANCE/ ►ssu�o G7.This psrmit has been issued far.�New ConsVuction�,,,_,(Substant+af imFrovement G8.Efevatton of ss-butli(owesi floor(indudirtg hasement)of the building Is _ff.(m)Datum: G9. 6FE or(in Zone AO)depth of t9oodiriy at the bu dt�slte s:f r. �R.(m)Detutn: ��;�,k. (�n�rrtt.l�if1!'P_ LOCAl.OFFtC1AL'S NAME �� ` ��,s t r,.l;,J ;,� 1'fTL.E �T't Q GOMMUNITYNAM� �: ��.��,;r ��(}i� 1 , TELEPNONE 6tGNAT�1#2� ~ DATE ��I�; COAAMENTS �i- y�;,,�.�-r,1...► � � �� '_� ,_.i �x. r e, f{! i 4,—. s � ��, . �......,,,,Y. �_�Check here tf ettechments FEMA Fnrm 8f-31,J�nusry 20Q3 REPIAGES ALL PR�VIOUS EdiT�dNS � . , n .,,�, . � �, � e DEV ��'-.��4� :�� N :.�5 DEPT �