680 BAYWAY BLVD FEDERALEMERGENCY MANAGEMENT AGENCY
� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
. �� Expires December 31, 2005
�c�c� 3- ��o� �, ELEVATION CERTIFICATE ,-
Important: Read the instructions on pages 1-7.
SECTION A•PROPERTY OWNER INFORMATION For Insuranoe Comparry Use:
BUILDING OWNER'S NAME Policy Number
ROGERS BEACH DEVELOPMENT, INC UNIT No.4
BUILDING STREET ADDRESS(InGuding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
680 BAYWAY BOULEVARD
CIN STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.) '
Lot 4,MOORINGS TOWNHOMES II P.B.126,PGS.7&79
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,'rf necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-#l#'-##.##" or ##.##�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAA�E B3.STATE
City of Clearwater 125096 PINELLAS FLORIDA
B4.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX 86.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use deplh of flooding)
125096-0007 D AUGUST19,1991 JULY2,1992 AE EL11.0
610,Indicate the source of the Base Floai Elevation(BFE)data or base flood depth entered in 69.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Desaibe):
611,in�cate the elevation datum used fa the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Desaibe):
B12.is the buil�ng located in a Coastal Bartier Resources System(CBRS)area or Othervvise Protected Area(OPA)? ❑Yes �No Designation Date_
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
•C1.Buiiding elevations are based on:�Construction Drawings' ❑Building Under Construction' �Finished Construdion
'A new Elevation Certificate will be required when c:onstruction of the building is complete.
C2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram
aa:urately represents the building,provide a sketch or photograph.)
C3.Eleva6ons—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AWAE,AWA1 A30,AWAH,AWAO
Complete liems 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 docximent the datum conversion. _
Datum NAVD 1929 ConversioNComments NIA >�,�4��.�� .� ,
Elevation reference mark used LP-15, EL.=4.981 Does the elevation reference mark used appear on the FIRM? ❑Yes �No *�,cs�,?,�� � ���'�N��,
o a)Top of bottom floor(including basement or endosure) 6.83 . FT ft.(m) � � �
o b)Top of next higher floor 16.3 . FT ft.(m) `� � ��"�� ". ` ��
v a�` .0 �; .''.
o c)Bottan of lowest honzontal structural member(V zones only) WA . FT ft.(m) o o . ;� !t�,, � ���
o d)attached garage(top of block) 6.83 . FT ft.(m) w�"�:�',� � "� �O} � I ;�;�,-
o e)Lowest elevation of machinery andlor equipment „ �� •.,��� � A
servicin the buildin ELEVATOR EQUIPMENT 11.3 . FT ft.m ° ' r�` °° w� «°��� �.•�: '
9 9( ) ( ) s � r .s �1 '.��:
o �l.owest adjacent(finished)grade(LAG) 6.6 . Ff ft.(m) z'�� �� �� .fi► t' �" ��, <Y';
o g)Highest�acent(finished)grade(HAG) 67 . FT ft.(m) �N ' .,`�� � �� `
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � �` ��e'�` �� �
o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. .�.°.��A a s,�'������•""
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
1 cerfify fhaf fhe information in Sections A,B,and C on this cerfificate represenfs my best efiorts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001.
CERTIFIER'S NAME LICENSE NUMBER
BRUCE A.KLEIN PLS 5052
• TITLE : , ,, , COMPANY NAME
PRESIDENT R KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
8016 Old County Road New Port Richey FL 34653
SIGNATURE_ DATE TELEPHONE
_ . � 12/09/04 (727)834�140
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces,copy the corresponding information from Section A For Insuranc2 Company Use:
BUILDING STREET ADDRE3S(Induding Apt,Unit,Suite,andlor Bidg.No.)OR P.O.ROUTE AND BOX N0. Policy Number
680 BAYWAY BOULEVARD UNIT No.4 ZIP CODE Company NAIC Number
��.n, STATE
CLEARWATER FLORIDA 33767
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) �
Copy both sides of this Elevation Certficate for(1)community offiaal,(2)insurance agenUcompany,and(3)building owner.
COMMENTS
A1C UNITS ON THE TOP OF THE ROOF
❑Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting informafion for a LOMA or LOMR-F,
Section C must be completed.
E1.Buiiding 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.)
E2.The top of th�bottom floor(induding basement or endosure)of the building is _ft.(m)_in.(cm)�above or ❑below(chedc one)ihe highest adjacent grade. (Use
natural grade,'rf available).
E3.For Building Diagrams 6�with openings(see page 7),the next higher floor or elevat�floor(elevation b)of the building is _ft.(m)_in.(an)above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4.The top of the platform of machinery andlor equipment serviang the building is _ft.(m)_in.(cm)�above or ❑below(chedc one)the highest adjacent grade. (Use
natural grade,'rf available).
E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in acxordance with the community's floodpiain management ordinance?
❑Yes ❑No ❑Unknown. The local oif�iai must cer�fy this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The properry owner or owners authorized representative who completes Seclions A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or communiiy-
issued BFE)or Zone AO must sign here. The sfatements in Sections A,B,C,and E are correc,f to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME •
ADDRESS CITY STATE ZIP CODE
SIGNATURE
� DATE TELEPHONE
COMMENTS
❑Check here if attachments
� SECTION G-COMMUNITY INFORMATION(OPTIONAL)
Thelo�al a�aal who is authonzed bq1aW or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
C,ertificai� Com�ete the applica�le n�s)and sign below.
G1.�The infoi�nation iri Sectibn C vq;�s taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state
;or Iocal law to ceRify elevatio��in(Qrma6on. (Indicate the source and date of the elevation data in the Comments area below.)
G2;��'����i�y,pffiq�c�xnplet�.Section E for a buiiding located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.�The following info�rfetion E6�e1`�s G4-G9)is provided fa community floodplain management purposes.
G4.PERMIT�NfJMBER ' � G5. DATE PERMIT ISSUED G6.DATE CERTIFICATE OF COMPLIANCFJOCCUPANCY ISSUED
r� '
G7.This permit has been issued for.�New Construction ❑Substantial Improvement
. ft.m Datum:_
G8.Elevation of as-built lowest floor(induding basement)of the building is: -- � �
G9.BFE or(in Zone AO)depth of flooding at the building site is: _.._�t.(m) Datum:
LOCAL OFFICIAL'S NAME TITLE `p`
COMMUNITY NAME TELEPHONE
SIGNATURE DATE � •
COMMENTS
�
CITY OF � ' tta n
Replaces all previous e i ions
FEMA Form 81-31,January 2003
FEDERAL EMERGEN�Y MANAGEMENT AGENCY
` NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
, Expires December 31, 2005
ac�c� 3- c��.0 9 �, ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-7.
.1 SECTION A-PROPERTY OWNER INFORMATION For Irr�ranoe Canparry use:
BUILDING OWNER'S NAME Policy Number
ROGERS BEACH DEVELOPMENT, INC UNIT No.4
BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,arxUor Bldg.No.)OR P.O.ROUTE AND BOX N0. Company NAIC Number
680 BAYWAY BOULEVARD
C STATE ZIP CADE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Desaiption,etc.)
Lot 4,MOORINGS TOWNHOMES II P.6.126,PGS.78-79
BUILDING USE(e.g.,Residential,Non-residential,Addition,Awessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
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
61.NFIP COMMUNITY NAN�&COMMUNIN NUIvIBER 62.COUNTY NAtv� 63.STATE
City of Clearwater 125096 PINELL4S FLORIDA
64.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUN�ER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE . 88.FLOOD ZONE(S) (Lone A0,use depih of flood'rg)
125096-0007 D AUGUST dli�l�-t;1997` AE EL11.0
B10.Indicate the souroe of the Base Flood Elevation(BFE)data or base flood depth enter in 9.
❑FIS Profile �FIRM ❑Communiiy Determined ❑Other(Desaibe):_
611.Indicate the elevation datum used for the BFE in 69:�NGVD 1929 ❑NAVD 1968 ❑Other(Desaibe):
B12.Is the building located in a Coast�Barrier ResourCes System(CBRS)area a Othervvise Protected Area(OPA)? ❑Yes �No Designation Date_
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Buiiding elevations are based on:�Construction Drawings* ❑Buildng Under Construction` �Fnished ConstnKtion
• � 'A new EJevation Certificate will be required when construction of the building is complete.
C 2.B u i l d i n g D i a g r a m N u m b e r 7 (S e l e c t th e b u i l d i n g d i a g r d r n m o s t s i m i l a r t o t h e b u i l d i n g f o r w h i c h t h i s c e r ti f i c a t e i s b e i n g c a n p l e t e d-s e e p a g e s 6 an d 7. I f n o d a g r a m
aa;urately represents the buildng,provide a sketch or photograph.)
C3.Elevations—Zones A1-A30,AE,AH,A(with BF�,VE,V1-V30,V(w�h BFE),AR,AR/A,ARIAE,AR/A1 A30,AR/AH,AR/AO
Complete Items C3:a-i below accadng to the building dagram speafied in Item C2 State the datum used.If the datum is d'rfferent from the datum used for the BFE in
Section B,convert the datum to that used for the BFE.Show field measurem�ts and datum conversion calculation. Use the spaoe provided or the Commenls area of
_ . _ _ _ _
Section D or Sedion G,as appropriate,to document the dffium conversion. _ . _
Datum NAVD 1929 ConversioNComments WA ..f., ,,, ;.,;;�,:;
Elevation referenoe mark used LP-15, EL.=4.981 Dces the�evation r�erence mark used appear on the FIRM? ❑Yes �No ��,;�� � ' .<:�
�,
o a)Top of bottom floor(indudng basement or endosure) 6.83 . FT fl•(m) N � � , �,,. Y p s , •i
o b)Top of next higher floor 16.3 . FT ft.(m) � a ,-�'' R;, . �.
o c)Bottom of lowest horizontal strudur�member(V zones only) �UA . Ff ft.(m) y� f k, � ` ~�
00 ;.�
o d)attached garage(top of blodc) 6.83 . FT ft.(m) �� � +O � `,s3
o e)Lowest elevation af machinery andlor equipment W; ;,,:; ' `'
servia the buildin ELEVATOR EQUIPMENT 11.3 . FT ft.m � � � �
�9 9( ) ( ) �� , i �, ��.��� ' "
o �Lawest�acent(finishe�grade(LAG) 6.6 . Ff ft.(m) z'� �� '� . ,ji"f, .
� �,: .
o g)Highest�acent(finished)grade(HAG) 6.7 . FT ft.(m) �N' '' �/� . : �
o h)No.�permanent openings(flood vaits)within 1 fl.above�acent grade 14 � �" �i,T� � ;., y
o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. � ``:,,`, '
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
1 certify that the information in Sections A,B,and_C on this cerf�cate represenfs my best efforts to interpref the data availabie.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001.
CERTIFIER'S NAME UCENSE NUMBER
BRUCE A.KLEIN p�g 5052
• TITLE , COMPANY NAME
.� PRESIDENT. KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
8016 Oid Counry Road � New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
a � 12�09/�4 (727)834-8140
CC��A r...... O� �� 1...........�nn� C...................i.rn in.......fi...,..{i.... Donl�noc�II nrc..�..�.c o.di4innc
IMPORTANT: In these spaces,copy the corresponding information from Sectior�A For Insurance Company Use:
BUILDING STREET ADDRESS(Indud�g Apt,Uni�Suite,andlor Bkig.No.)OR P.O.ROUTE AND BOX N0. Policy Number �
680 BAYWAY BOULEVARD UNIT No.4
STATE ZIP CODE Caripany NAIC Number �
CITY FLORIDA 33767
CLEARWATER
SEC710N D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) •
Copy both sides of this Elevation Certificate for(1)canmunity oSiaai,(2)insurance agenVcompany,and(3)building owner. �
COMMENTS
WC UNITS ON THE TOP OF THE ROOF
❑Chedc here'rf attachments
SECTION E-BUILDING ELEVATtON INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(without BFE),complete Items E1 through E4. ff the EJevation Certificate is intended fa use as supporting information for a LOMA or LOMR-F,
Section C must be oompleted.
E1,Buildng Diagram Number_(Select the building diagram most similar to the buiidng fa which this oertificate is being completed–see pages 6 and 7. If no diagram accurately
�epresents the buildng,provide a sketch or photograph.)
E2.The top of the bottom floor(�dudng basement or endosure)of the buiiding is _ft.(m)_in.(cxn)�above a ❑below(chedc one)the highest adjacent grade. (Use
naturai grade,'rf av�lable).
E3.For Building Diagrams 6-8 with openings(see page�,the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4.The top of the platform of machinery andlor equipment serviang the building is _ft.(m)_in.(cm)�above or ❑be�ow(chedc one)the highest�acent grade. (Use
natural grade,'rf available).
E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in acxordance with the communit�s floodplain management ordnance?
❑Yes ❑No ❑Unkncnnm. The local offia�must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATiVE)CERTIFICATION
The prope�ty a�mer or owners authorized representative who compldes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community-
issued BFE�a Zone AO must sign here. The stafemenls in Sec�ions A,B,C,and E are carecf fo the besf of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME �
ADDRESS CITY STATE ZIP CODE
SIGNATURE
� DATE TELEPHONE
COMMENTS
❑Check here if attachments
. � SECTION G-COMMUNITY INFORMATION(OPTIONAL)
T��q�ip�who is authorized bylaw or ordinance to administer the communit�s floodplain managemeM ordinance can complete Sections A,B,C(a E),and G of this Eleva6on
Certificaf�.. Comp►ete the a�plicai�le it�s)and sign below.
G1.�The ir�ot�nation in Sectibn C w�s taken from other documentation that has t�een signed and embossed by a licensed surveya,engineer,or ar�hitect who is authaized by state
or loca�Jaw to cerfify ele.catiortanf�rrnation. (Indicate the sou�ce and date of tl�e deva6on data in the Comments area be�ow.)
G2.�A'z.Ammunity�pffidal�plet�¢Sedion E for a building located in Zone A(without a FEMA-issued a community-issued BFE)or Zone A0.
G3.0 The follar�ing rnfoC�e6on(�ei�Js G4-G9)is provided fa community floodplain management purposes.
G4.PERMfT NUMBER � • G5. DATE PERMIT ISSUED G6.DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
_
G7.This peRnit has been issued for:�New Construction ❑Substan6al Improvement
G8.Elevation of as-buifl lowest floor(induding bas�nent)of the buil�ing is: —=ft•�m�
Datum:_
G9.BFE or(n Zone AO)depth of floodng at the buiic�ng�te is: __ft.(m) Datum:
LOCALOFFICIAL'SNAME TITLE `_
COMMUNITY NAME TELEPHONE
SIGNATURE DATE � •
COMMENTS
�
� ClTY GF �41 ' tta n
Replaces all previous e i ions
FEMA Form 81-31,January 2003
�$�'ar�% � C ITY OF C LEARWATER
. � �`I i, ,�
r � p DEVELOPMENT &NEIGHBORHOOD SERVICES DEPARTMENT
9� � `O� POST OFFICE BOX 474H� CLEARWATER� FLO�Dn 33758-4748
�'ATER�� MUNICIPAL$ERVICES BUILDING, 100 Sov'rx M�rx'r[,E AvENUE,CLEARWATER,FLO�uDn 33756
TE�rxorrE(72�562-4567 Fnx(72� 562-4576
MEMO OF REVIEW FOR CORRECTNESS 8� COMPLETION
In accordance with participation in the NFIP/CRS program,all 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 Official
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):
��°_��_�.�° ar �.�°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE
64.MAP AND PANEL g5.SUFFIX B6.FIRM INDEX DATE B��FIRM PANEL gg,FLOOD ZONE(S) B9•BASE FLOOD ELEVATION(S)
NUMBER g-18-1992 EFFECTIVE/REVISED DATE (Zone AO,use depth of Flooding)
8-19-91
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89.
❑FIS Profile ❑FIRM ❑Community Determined ❑Other(Describe)
611. Indicate elevation datum used for BFE in B9:❑ NGVD 1929 ❑NAVD 1988 ❑Other(Describe)
612. Is the buildin located in a Coastal Barrier Resources S stem CBRS area or Otherwise Protected Area OPA? ❑Yes ❑No Desi nation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. euilding elevations are based on: ❑Construction Drawings* ❑Building 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 Official:
AJ/�(pvafion certificates shal/be maintained by the communiry and copies with the attached memo made available by request
•
Fw�rrx H�asnw�,MAYOR
GEORGE N.CRE7'EKOS,COUNCILMEMBER JOIIN DORAN,COUNCILMEMBER
PAUL F.GIASON,COUNCILMEMAER � CARLEN A.PE1'ERSEN,COUNCILMEMBER
��EQUAL EMPLOYMENT AND AFFIWNAT[VE ACTIUN EMPLOYER��