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276 BAYSIDE DR � • O.M 8.No 3067 0077 ELEVATi�N CERTIFiCATE fxp�resMay31, r993 �j�� ['� FE�EAAL EMERGENCY MANAGEMENT AGENCY � a� + NATIONAL Fi.000 INSURANC� PROGRAM �A EtJTiON��5�a�cert � e does not provide a waiver of ihe flood insurance purchase reou�reme�t. This form�s used only to � ��ov�de eievaC n nrb7rl'1�t+on necessary to ensure compliance with aoplicable ccmmun�ty Iloodola��manaqement oroinances. to ;�term�ne t�P�RM�1 I I«�e p�emium rate. anolor;o suoport 2 reauest tor a Letter of Map Amendment or Revision�LOMA or lCMR1. 7�structions for comaieting this io�m can be tound o�the(ollowing pages. " SECTION ,� PfiOPEAT'!INFOAMATICN I f7Fi�NSURSNC_:�'•�PANV�,se � POL.ICY NUf.1B"e= =li:ICING�:�VNEn S NAME �ouc.� �It ?�REET�CCFlE�S ilnclvd�ng Aot..Urnt.s'une ano:or aidg.Numoen CF°.O•�CU"c aN0 8C:(`1UMBER COMPANV`UiC':U:.18EA � 2.��o E R - ��HEq CESC�tP?ION�Lot ana E!ocK Numoers.etc.; gAvs�n�. � uN�T A ��`N „ gc.ock 1 S�aTE _�P:ODE .::-� C�EA2w��Fr� ��o�i�a - SECTICN B FLOOD INSURANC�AATE MAP(FIRM) INFORMATION =-�vide the to�lowing from che orooer FiRM �See instruc;ionsl: ��tdMUNiTY NUMBER 2.°ANEL VUMBER J.SUF�IX = JATE�F=ORM�NDEX 5.=�Ria�CNE 5 an AC Z-nesD Ese aeo I�v �,2�O�j(o I o007 �J Auc�usr 19,1991 � � � � 2, - naicate �he elevation datum system�sed on the FIRM for�ase�'000 E:evations(6F�i: __NGVD'2° .—Other raescnbe on oacxl _. =or�ones a or V, where no BFc+s provideo on ;he FIF,M. ano:�e community has estaolished a BFc 'or this buiiding site. inaicate ` �he community's BF�: .^ feet NGVD (or other��nM datum-see Sect+on B. Item �l SECTION C BUILDING ELE'/AT10N INFORMATION ' Jsing the Elevation Certificate Instructions. indicate the diagrarr number'rom the diagrams`ound on Pages 5 and B that best �escribes the subject building's reterence level � _ a1. FiRM Zones A1-A30..4E.AH,and A�with BFc'�. The too oi-7e reference level floor from the selected diagram is at an elevacion o� �D ..SQ feet NGVD(or other FIRM datum-see Sec:ion B. Item 7). 5): FIRM Zones V1-V30,VE, and V(with BFEj. The bo[tom oi:�e!owest horizontal structural member of the reference level from the selected diagram,is at an etevation of .— fee[NGVD�or other FIRM datum-see Section 8, Item 7). _ c1. FIRM Zone A(without BFE). The floor used as ihe referencs�evel from the selected diagram is '�.'__feet above _. or below _ (check one) the highest grade adjacent to the building. .d). F1RM Zone AO. The floor used as the reference level(rom the selected diagram is �..— feet above� or below_ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest(loor(reference level) elevated in accordance with the community's floodplain management ordi�ance? ;! Yes �� No r'• Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:�NGVD'29 r Other(describe under Comments on Page 2). (NOTE: I/the elevation datum used in measuring the e/evations is dfNerent fhan that used on the FfRM jsee Section 8, ltem 7J, then converi the e/evations to the datum system used on the F1RM and show the conversion eQuation under Commenfs on Page 2.) s. Elevation refere�ce mark used appears on FIRM: _ Yes -No (See Instructions on Page 4j 5. The reterence level elevation is based on: � actual construction _ constructio�drawings (NOTE: Use ol construction drawings is only valid il the bullding does not yet have the ieference level lloor in place,In which :.ase fhis ceriificate will only be valid lor the building during the course ol construction. A post-construction Elevation Certifrcate will be required once conslruction is complete.) c. The elevation ot the lowest grade immediately adjacent to the buitding is:��•� teet NGVD(or other FIRM datum-see Section 8, Item 7). SECTION D COMMUNITY INFORMATION Ii the community official responsible for verifying building elevations specifies that the retere:�ce level indicated in Section C, Item 1 . • is not the'lowest floor"as detined in the community's tloodplain management ordinance,the elevation ot the building's"lowest floor"as defined by the ordinance is: � � � � � ! �� feet NGVD(or other FIRM datum-see Section B, Item 7). 2_ Date o(the start of construction or substantial improvement F EMA Form 81-31�MAY 90 REPIACES AL'_PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION r- -. - _ � . .. . _ . ., ... -...�� ._. . . . � .. �K . . _. . _ . � . . � . - . . . .� .. . — .. . . +P � .. �•�_• . r � �r -s .I. ' ` .T.`V ' ' ��. ' � � ' � .�� .� . . i M . __ _ . . .� . T. � . ' ' : . � � ?. ., . . -- . •..--_'.SEC710N E CERTIFICAl10N. ;�J.- �-z-� ' _ - _- � i . _ , - _- . • - • _ __ , ._ • � � , ...., : . . :_.,• : ,.. s.:•_. • . This certificalion is to be signed by a land surveyor,engineer,or architect who is authorized by state or local�aw to certity elevation ' iniormation when the elevation infortnation for Zones At—A30,AE,AH,A(with BFE),V1—V30,VE,and V(with BFE)is required. Community officials who are authorized by local law or ordinance to provide 800dplain management infortnation,may also sign the certification. In the case of Zones AO and A(without a FEMA or communiry issued BFE�,a building official,a property owner,or an� ' owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8-Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size,bcation of servicing equipment, area yse,wall openings,or unfinished area Featu�e(s),then list the Feature(s)not included in the cenification under Comments Delow. The diagram number, Section C, Item 1,must still be entered. i I1 ceRity that the inlormation in Secrions B and C on this certilicare represen[s my best etlorts to interpret the data availabfe. � I understand that any lalse statement may be punrshable by fine or imprisonment under 18 U.S. Code, Section 1001. RoN1-}�.I� N ut,N E� �'LS � 374--�7 � CEATIFIErI'S NAME LIC�NSE NUMBER(or Atlix Seal) � PRES�D�J�' CoR�lE2ST�NE ENG�NEE��nI('., Au� S�evEy�N�, I _ COMPANY NAME rrne � 21g. C LtvELA1�{A ST��ET CLEARV�/f}TE� F[.oR1D�4 34-CD2S ADDRESS r CITY STATE Z�P � ! OATE PHONE SIGNATURE n�, i - ' � L1J Copies should be made of this Certificate for: 1)community otticial,2) insurance agent/company,and 3)building owner. COMMEN7S: , � � ' y�„ . � ON PILES. `� SlAB � _ BASEMENT VIERS.ORCOLUMNS A � � A V � ZONES ZONES ZONES , ZONES ZONES _ REFENENGf IIEifJ1FJ�C[ I�EiEf1EMCE k4E � �� llVE� IEVES . fLOOD (1tVA1K7�1 • .�i'!��:;'!�, �ti Sa.'.lie7.4i.^,.Lt',. _ :3 NfE �[tri7; .-:�'�.��'� '[ .r. RO00 6ASE � ..::;��i�•:: •'Ap,y�LF11T�:�:.:;N pE��f ELEVATIOM f1000 �pE ' EIEV�T�OM pEFERENCE A�i�CEM LEVEI GMOf �+�" ii .!yn�+�`ti'�r.;. ?�•:�. � .✓.�.:: . . •.. :`'.'�Y�7:;:'•YI��:;; •. .1yk;:iKt�: '•..r:;,^...� .:r:'.;: ' 7:�ii.{:!� ,��:,j.�� :.��.i::. �.i:i:.. •. •. :cn. ':y�S. .�;}'x4•y jY?. �j.�p,MCtI!{{: , :�'tl' ;'•:iL�.��i.iii:,.,^.'� iy: 3' ✓/'�' I:. _yI•�.�1.'•r.•:'"'��'I �� .�...:'�t\/•��.�ww . The diagrams above illustrate the poinls at wbich the elevations should be measured in A Zones and V Zones. � , � � - - . . .. . �IevaUons tor all A Zones should be measu�ed al the top of the reference level floo�. . Elevations for all V 2ones should be measured at the botlom ot ihe lowest horizontal structurat member. � � . _ . . . . .. i ._ ..._. . __�..�:^?._._. -.. . . ... ..._ ._ - -� - . _- ...__. ..-----_.__._.___... . _....:. �:c;,�,- "?:—v': :.�. ' , Page 2 . -"�:;' �-. '.'r,::'.;:;�,;', . . ' ' . - - �±•..��•, ��r'�`�'+}~�T S� J .i" .}:.3..}-�Fy � .. . �_........ .. . . ... . � .. y . ,. , - • '•''•��L�r ..,f.-i.�.1�/��Z ' ��_.-.�-� __-.—^" --�.__ _ _ _ __ _ __ _ _ _ _ _ C'ER TlFIED r0.� D 0 U G H A N S E N .SEC. � TWP, 29S RGE. 15E O� � r!� /�.�Y s ,�l� I�` � � �� Nr a�gy 'M � '�1 q3 �G � `�� r�, 9t2 �T, \N P °°° �5� �� ooc�s o �'o, o�. �S 'Y G� �9� �0 � FN� C cP �c)`, c��, �� . ��~w ��O� 1 G�NG. �p2� � •+ , � 2 S � 3, O LJ� p � PO�L �o. 1 e�-'�i5 i � � �C + � �`�� s t�' � � G`) � O' v's O �� 1� '0 ' � . � c� � F • V, >> o �Op _�� \� , a 3�� 5. ��y6a ' �a�� ` f! �,L,�6 �� y p0 �. � O p�� ' ^' ,Gg 5� L��JGB`�6 ��' '�i3` � v ��, � . � q ��o�E�- , �,d�. Z N �`c^ \ �'161 \ E�� a�,R � ,�1s � G '� 6 6'�a�� S�� a. . �� o. �►a''` '� C'8r' a> $ 2��4�a �'� Ms-,- � -' r'.t�i � -a ��s. �o �s�, • � \ , oN�. o. �3 G ,9� e� '� OCCUPATION DOES NOT MEET ,�� LEGAL DESCRIPTION AS PROVIDED � ' a� •Q�' N' 30.06' �°�r. ��„� \ ' 66 p��'� % �\v� � � C 66 �� Q � - .- � P�C'o R°�� , �� 5 , � � �, , , � L EGEND.• � � // F/R�L' = FOUND 1RON R00 e� CAP ROW = R/GHT pF WAY S/Rd�C = SET lRA'V R00 � CAP SEC = S£C77AV /�/ SNddJ = SET NA/L � D/SK TWP = TOr41VSHlP FNdaD = FOUND NA/L dr O/SK RCE = RANCE CANC = CONCRE7E" STY = STY R � R£CORD BLOC = BLOC M = A/£ASVREO UAL = UAUTY CLF = CHAIN L/NK FENCE SF = SQUARE Ff£T B A SI S OF B E A R I N GS EASM = fASEAIENT AC = ACRE SOUTH LINE LOT N PER PLAT ----------------- tHiS �or uES ENTIRELY WITHIN NOTE: THI$ $URVEY IS CERTIFiED TO TIiE PARiIES AS IISTEO AND NO�A: COpi89 Of fhi9 SUfv@y f10� FLOOD ZONE AE ACCORDING TO �S k0T TRANSFERABIE. SHOULO CHANGES TO OR ON 1HE PROPERTY �plid unless embossed wifh FL000 INSURANCE RATE MAP N0. �utt, EITHER PHYSICAL OR AS RECORDED, iHIS SURVEY IS INVALID. gi9�in9 SUfvCyOf�� seal. SURVEY OF LOT N, BLOCK 1, UNIT A, BAYSIDE SUBDIVISION N0.4 " " AS RECORDED IN PLAT BOOK 36 , PAGE 57,5$ OF THE PUBUC REGDRDS,OF PINELLAS COUNTY, FLORIDA, ' �� :-. .° � ` ;; I do further certify thot the survey represented hereon meets the " ui�'em�rits;_pf�t�e- lo ida Stotutes 472.027 Chapter 61G17-6, Florida Administrotive Code. � � --�-..-��l�•1�,.,,_ __ P:L.�S.�r�t�-•:=3��4�� ..a, •��a.,�,��'' Cornersto�r�,e Erzgin,eer�ing 8c Surzeyir�,g, I�nc. • • ENGINEERS • SURVEYORS • LAND PLANNERS . 12 f 4 CLB'V�'LAND STRB'ET, CLJ3'AR Ir'ATER, FLORlDA 34626 P'H. (B f 3) �47—f 7B3 OR 446-4364 DATE OF SUn^VEY: � �?.AWN B16/19R 8 ��T�OUNDA�� J�'�'�Y W/ iNAPRC�VEM�IVI�S