182 BAYSIDE DR t�uv-t3-y9 1e :50 HM MIGHHEL BNKEk HSSOC. INC 727 93� 2g66 P. 01
� � � nn � FEOERAL EMEROENCY MANAGEMENT AOENCY
� � NATIONAI.FLOOD INSURANCE PROORAM Expi esNuly�,2002'
11999 ELEVATfON CERTIFICATE
�EC - Hn nt: Resd the in�iruction:on • � t -7.
SECTION A•PROPERTY OWNER 1NFORMATION Fa in�urant�Comp�nr tl�t.
Palc�r Nurt�be�
Ty _ r j :t��nr=..�T•�...�i!'.k�sl�r.:.Ck---
TREEt ADOqESS(Includnp llpt,tlnt,Suile,�ndlor Bldp o,)OR P O ROUlE AND BOX NO� Comp�nr NAtC Numb�v
-- 1..g 7 Bszysl.si�1��C._ _.. . .
CITY STATE ! . ZIP COOE��„ �
Clearwater FL -�r
i�'ROP^E���SCR��aN(lol�rW BfOCk umberi.t�x Prcet Number.Ce�al Oesc►iaion.�tC) J- �
Lot 21 IIa side Sub. No.4
--- -•..._..�_.�.... __ ._... ---—
8W101NG USE(s.q,ResW��ti�l,Non•rceW�ndsl,AddtUo'n.Acc�ssary,�tc. Use Canments s�ctbn K n�C'tafary)
_,Q,Es i dPnt i al - -
V1111U�EiLONGITUpE(pFTIONAL) ��HORIZONTA�DAiUAA: 60URCE� O GPS(Typ�). � � r �
( �M"-Mr'-NM.M" a p/MAMM7 ❑NAD 192� C]NAD 1983 Q USGS Qu�d Map ❑Oth�r:
SEC�ION 8-FLOOD INSUfIANCE RATE MAP(FIRM+INFORMATION
. �.��
81 NFIP CO�AMUNItY N�ME d COMMUNItY NUMBER 82.COUNTY NAME �� B3.STATE
Ci f_ Clcarwater ,125096 _ __. Pinellas .,_ _,_�_ FL , ��
64 MAP ANO PANEL 8,5.SUFFIX Bd fIRM INDEX B7.FIRM PANEL y� 88.F�Q00^ 89.6A5E F'LOOD ELEVATION(S)
NuMBER o�rE EfFEC?IYElREVi5E0 DATE 20NE�6� (2one AO,us.aepa,a fboan��
0007. � D Auq. 18, 199 Aug. 19� 1991 _� _ ._. .__ 12 '
6t0 indicate the source d the E3ase flood Elevation(8FE)datA or base tlood depth entered in B9
❑FIS P�dile �]FtRM Q Community pelermtned Q Olher(Descrlbe)
811 tndi�te the efevation Catum used tor the BFE in B9��NGVD 1929 Q NAVp 19f38 []Olher(Oescrlbe)
B12 fs the bui�d�nfl tocated in a Coastat Bamer Resources System(CBRS)area a Othenroise Protected Ar�(OPA)? Q Yes[]No
Detipnation Date Undetermined
SECIION C-BUILOING EIEVATION 1NfORMAt10N(SURVEY RE�UIRE�)
C1 Building elevatlons are based on Q Construction D�winps' O Bui�d�np uneer Construction• �Finished Construction
. •A new Elavation Certificete wiN be�equir�when tonstrurlian of lhe buiiding is Cpnplete
2 Buiidinp Diagram Wum6er 1{Se(eCt the burldinp diapt2im most similar to the bwldm8 for wh�ch thl�certilicaQe is beinp completed-see
peyes 6 and 7 U no diapram eccurafety rep�esentc the burltling,provlde a sketch or photoqraph.)
C3 Elevations-tones A1-A30,AE,AH,A(with 9FE}, VE, Vt-V30,V(with HfC),AR.AR/A,AR/AE,AR/A1�A30,AR/Ni,AR/AO
Complete Items C3s-i Delow accadinp to the buitdi�fl diayram specihed in Item C2. Stata th�datum used if the datum is dirterent from
the datum used for the 9FE in Section 6,eonvert the datum to that used fa the 6FE. Show field measurements and datum aonversion
calcuta�tio� Use the spece providecf a the Corrxnents area d Section 0 or Section G,as�appropriate,b docume�t the datum conversion.
Daiump�y�.,GonversloNComments
EtevaUon�eter�ice mark used �Does th��tew�tion reterence mark used appear on the FIRM? ❑Yes ❑No
A a)Top d bottom floa(irx�rudinQ basement a enclwure) _5_,S,R(m) 3
U b)Top d next hl�he►tlocr �'� _R(m) '"
O c)Bc�ttom of bwesi horizontal strudural member(V zones onty) -- tt.{m) ��
0 d)lltteched parsQt!!oP of sk�bj _ 6 1h(m) g
U ey,lowest elevetlan d rt►achinery and/a equlpment � � °�
servM:rrfl the build+n� T ft(m) �
0 f)lowast eAjACeM�ade(L,AG) _S �,R(m) �� �
0 �)Hpt�est adjacent prade(I tAG) �i. 2 ft.(m) � � ; � �
0 h�N o. d p e R n a n s rt l o p e n l n y s(f l o o d v e n t s j w R h� t i l a b o v e a d;a c e n t p r a O e - . � ,/f�/�""' ��-'
ood
O i)Tot�l n►N d�N p�rm�nent openlnps(flood v�nisj in C3h sq in (sq cm) �v 1 1 9�9�
BECtION D-SURVEYOR EN(iINEER,OFt ARCHtTECT CERTIfICATfON
?h�s ceR+ticatlon b to bo siynQd�nd sealed Dy a Isnd surveyo�,enyineer,or�rchitcC�autha¢ed by law to Ccrtify elow.�tion(nfom►�tion.
l c�rt+ry rMt th•lnlormatan!n Sedlone A, 8, snd C on thrs cort�f�cels repeser►ts my best ellals to irrte�pref the dete ov�ilobN.
t undersfend that�false stetemeM mey bs punishab�e Dy fine or rmpnsonmen!und�r 18 U.S Codo, Section 1001.
CERTIFt�R'3 NAME -��.•�' ---- '�.. ..•.�UG��N��NU�E�
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