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901 EARLHAM DRfOMB No. 1880-0008 Expires February 28. 2009 U.S.oEPA)ITIAEN 'OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergency Management Agency Neoonal Flood Insurance Program snip urtant. Read the Instrudien8 on pages 1-8. SECTION A - PROPERTY INFORMATION Al.ingban'sNanme M/ 1 HC!4E:S OF TAMPA LLC A2. Building Street Address (Weaseling Apt., Una, Stale, fulmar Bids Nb.) or F.O. RotAe and Bmf N0. 901 EARU1AM DRIVE City Stats CLEARWA'Ji! K FL. A3. Property Descriptors Lot and Bloat Numbest, Tax Panel Maribor. Ucal Description. etc) Lf/P_1a,VARSITY ESTATES 07-29-16-93757-000-0120 M. A5 AB. A7. As. Far insurance Company Use Y Ntinnber Company NAIL Number ZIP Cade 33756 1 Building Use (e g.. Rema sl. Nat•Rmsidantht AddWon.,etc..) RESIDENTIALlilt. 27°58 ' 25" Lang_ 82'44 19" Hodeontd Datum 0 NAC 1027 LatiWricilLenffitude Attach Mama 2 photographs OM, bulling f the Certificate M being used to obtain flood Insurance. Btalding niegrarn Number 1 For a boding intent a crawl space or en1Jesune(s), preside: Square footage of ileal Nocea endomae(s) No. of permanent food openings in the eland spare Of enclosures) waft within 1.0 toot above adjacent grade Total net area of aood ope *gs In Mit a) b) c) N/A N/A N/A spin s4A A9. fl NAC 1983 For a budding with an attached mirage, peo lde: N a) Square footage of attached garage 586 g b) No. of permanent load openings In the allad d 9 walls *Oen 1.0 foot abuse adjacent grade c Total net arae of Mood openings In As.b SECTION B - FLOOD INSURANCE RATE MAITRE) INFORMATION 81. NFIP Community Name & Commonly Number CLEARWATER 125096 B2. Camay Name B3. Site PINELLAS FL. 04. WaittPanef Number 1 21 0 3001 26 85. Sufis G 86. FIRM Indar Date JUNE 1,1983 87. FIRM Panel EWedMIR Date 9-03-03 f98 flood ) 89. Base Flood Elevalior. A0 Dose Go00 0 810. indicate the source or the 8asa Flood Elewton (BFE) data or base food depth entered In nem 89. 0 FIS Profile 0 FIRM ® Community Dstenrined ❑ Oilier (oesalbs) 811. hdcale elevation tab►m used for BFE in Item lam: ® NGVD 1929 ❑ NAVD 19138 0 War (Desats) 012. b the building Ionated In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yea Designation We 0 CARS 0 OPA ®No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C 1. Building elevations are based at 0 Construction Drawings' 13 Building tinder Construction' 0 Finished Construction `A new EJersifon Co tflrate sal be required when o mall rdian of Its building R complete. C2. BevsSons –Zama M -A30. AE, AN. A Seth t3FE), VE. V1 -V30. V (watt BFE). AR. ARA. Ate, AR/A1-A30. ARM. ARIAO. Ca ll.= hams C2a, below a000nling to the building diagram !gamed in tern A7_ (landmark Mem SEE 'S Vertca! Datum NGVD 29 a) b) c) 0) e) 1) 9) c w Top of bottom floor (Including basement, ent, aewl specs, or enafoaae floor) Top of the next higher floor Oohom of the lowest herbzontal structural member N Zonas only) Attached garage (tap of slab) Lmuest elevation of machinery or equipment servicing tee building (Describe Nps of equipment In Caneserds) Lowest adjacent Meshed) grade (LAG) Highest adjacent wed) grade (HAG) Cheat the raaturament crud. 31. 6 g feet N A rent 11.1 feet feet N/A fed N/A feel ❑ meters (Puerto Repo only) rutin ❑matins (Puerto Rico only) I-=-^+ Q ❑ maters (Puerto Rico ori meters (Puerto Rico any)i' N ❑ meters (Puerta Rico only) i al meters (Puerto ,v Rad°° meters (Puerto Rlootally) CZ—) SECTION D - SURVEYOR. ENG1HEER, OR ARCHITECT CERTIFICATION The Ogen es to be signed and sea atsivapor. . or architect authorized baw to orrery etsvalIon information. 1 verify Mat the bdbanatian an Gib Cr Micah represents cry bend 'barbs to &Moppet the Ade a radeble. 1 understand that any AtYa astlbnaenr may be punishable by Alas orbrie eentent ander 11 U.S. Cody, Section 1001. © Check here If comments we molded on bade of form. Cerfwsrs Nana Timothy ._ Marshall TWO PmfPasipnal Surypynr Address FEMA Foran 81-31, February 2006 License Nu PSM#5056 er `1✓lE-F�� ill LIANCE .'y HE CITY \,»ER!FICATICDAtiR trirv'r,)R27 721_A�/'1 FATE:_ .L reverse fade for continuation. Inc Cade 4- -c • c: Replaces di previous editions IMPORTANT: In these spaces, copy the coneaponding InterrnaUon from Section A. t3uldkg Street Address (intruding Apt, Unit. Suite. endror mew No.) or P.O. Route and Bos No. 901 EARLHAM DRIVE fe,Fd rc• 7 - / c 3/ For Ineurence Company Uca: Policy Humber City CLEARWATER State FL. 33756 ZIP Cede Campine) NAJC Number SECTION D - SURVEYOR, ENGINEER. OR ARCHITECT CERTIFICAT)ON (CONTINUED) Copy both siders of lis Elevation Certificate for (1) commie* clidal, (2) Insurance agent/company. and (3) building ower. Comments BFNQ4MARK; NOR'T'H RiM f)F SN TTARX MANHCIT F AT VARSTTY flRTt7F ANTI f1SRRT.TN JTVF ELE VATIGN= 30.57 r NGVD 29 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A JW ITHOUT BFE) For Zones AO end A (without BFE), complete items E1 -E5, if the Cogitate is intended to swoon a LOMA a WMR.F request, complete Sedans A. 8, and C. For items E1 -E4. use natural grade, if ehraltab e. Cheri[ the mai ummerd used. W Puerto Rim oily, ester makes - El . akes_El. Protide elevator itfonnation lbw the following and cheek the approprab borers to show whether Me elevation la above or below tree highest adjacent grade (HAG) end the lowest steward grade (MNG). a) Top of bottom floor (inducting basement, crawl spim or enclosure) is ❑ feet rn B s 0 above or 0 below the NAG. b) Top of bods n floor (inducting basement. mat apses, or enclosure) is _ 0 tent meters ❑ above or 0 below the t.AG. E2. For 8uidtng Diagrams 6-8 with permanent good openings provided in Sectigaiik trams aIOW s (ase8 of Inebh#ions), the hent Mellor floor (elevation Cath Cab In e diagrams) of the budding Is _ ❑ meters above Or Libelotw are HAG. E3. Attached garage poop of sem) b 0 fest 0 axioms 0 above or 0 below the HAG. E4. Top of platform of machinery and equiprnant,ervicirg ane budding b •„_, feed 0 meters 0 starve or 0 below the HAG. Es. Zone AO only: 11 no flood doper number is available. b the top of the bottom floor elevated in accordmhoe with the community's 8ocdplen nenegement ordinance? 0 Yes 0 No 0 Unknown. The local official must codify ahs INormaeon to Section G. SECTION F • PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property Owner or owners authorised raprvsertaave who omeletes Sedum A. 8 end E for Zone A (wihotd a FEMA -Issued or wed WE) or Zone AO must sign here. 11hv rutsnerifs br Sextons A. B, and E ere contain the beef d my knowledge. Property Ousiefs or Owners Authorized Representative's Nance Address City Stale ZIP Code Signature Date Telephone Comments SECTION G • COMMUNITY INFORMATION (OPTIONAL) The local cadet who Is sulitodzed by taw or ordinance to administer the conmuriitt js ifoodetain ritenegernere o dhartee can complete Sedions A, 8, C (or E). and G of acts Bavarian Centime. Comtplets the applicable Items) and sign below. Check fine meaaurererd used Ica Nares GS. and GO. G 1. ❑ The information to Sedian C was tail= from other documenbelon that has been signed end Healed by 8 tieeoseo Surveyor. engineer. or architect web to Wheezed by taw to certify elevation information. (Indicate the source and date of the elevation date in the Co mewls area below.) 02. 0 Amman* di tat completed Section E for a budding located W Zone A (without a FEW -Issued or cornrnune -aued BFE) or Zone AO. 03. 0 The following information (Items G4.-09.) le provided for canvnxalty loodelein managanent pseposes. G4. Permit Number 35. Date Permit issued Ge. Date Ceralicele Of CompliencelOocupeney issued G7. Title permit has been Issued for: 0 Now Construction 0 Substantial Improvement GO. Elevation of as -built barest Boor (inducting basement) of the building _ 0 feat 0 meters (PR) Datum G9. 8FE or (In Zone AO) depth of hooding et the building site: 0 feet 0 meters (PR) Datum Local OfOdais tame Tile Community flame Telephone Signature Oeste Comreaib 0 Check here x ettaarslent>a FEMA Font 81-31, Farm)/ 2006 Reams al pr8Y1ous etilions u.s.o�wo���r oF r�ou��a sECC���nr ELEVATlC1N C�RT'iFICATE o�►s tvc�.te�-au�s f.�cotres Fehruaru 28_� F�EmenBene�+NEar�lem�i apengr � �-8. Natlonel FloaG tr�su�sn�Pr�rart� tmpa�Earrt: Read tt�e irtstrctc�ts ort s�.s SECTlUN A-PRt3�RT1f t�iFQRf�A'�M For tr�sui�nce i�isny U� Ai. U►�r1e�'s 1�atr18 PO�Y�� M HQ� OF TAMPA LLC A2. Bu�ding Sae�t A�eas t�kI9I1�..tl�rt,5u�e,erdk�s BI�(vtR)e�R�_t7.�€�e�s Bc�Na Gxr�►arq NRIG l�emt�er 901 EARL�I�M DRIVE �Q�� �FI. 33756zr�caaa tt3. Prover�►De�Tpiiar�ttd md�dt I�s�a.��t P�!1�lurrt+er.t.e�pa1 D�toe�et�} r�m �� � Esr�� o� 2� �6 ��7�� ooQ-��Za - 140. eu�ng uee te.g..�s�.r�tt�deertiaX l�r�r.�o�or�.s�.� z2ESIDnVTIAL a5, t�deA.or�ude_t.st.27°58'25"_ `�ons. $2 44 19 tior�aorrteE oa�um: tt�tg tar� t�AD fs83 A6. Ariarh aL le�t 2 pl�ngrepfi�s Af the buHdbig P!Are CerCi�e f�behg u�i to ob1a�►Aaod�. AT_ BUid'�ng t)iegrsm N1�e� � as_ Fa►a e�etrg wt1�a aaw�spaoe ar er+�swetey.v�: AS. Far a hu�na w(!t►an am.dnea g�raae.prraMde: r, � (A t� a) sa�are�ege a�d c�rtA ap�e or er�la�te(o) N�A sq t! ay S�t�s M�ed 9�'�li� � ° _ � O b} No.d peintmetU flood a�dtga In 19�e erawt spo�e br h} i�in.d permnnaot 41aod apsNtgit i�he�d$ � _ ..� er,dosure(s}wa�s w�r tA taot�ea�aaent greee �f A rraNc+��.o�at abwe ad�ant�raaa a `� m N �, r�������� hi/A �� c) Tot�i��ofilood apee�inA9.b ___.��__ o m � oD s�e-�oorr�uw�r+e�����w�r�t�ru c,� �7 ' ", � r B1.NFlP GCi1lMLt1�r1E[yFtetlM b CAtriTRUllty Wtmlbier 8Z.Co�ri1►Ni�l1B 83.Sta�Ee C� T CGEARWATER 125095 prnrFr.r�S FZ,. +- W 6+�_�AaQJPeiriet Nuriber &5.Su}ix B6.FlRII�te+dar ST.FiRM PaneE 88 fioo0 B9.Base Pkioet Eievatior. � � 127 03Ct}126 G � ����� ���j �•���� � � JU1�TE 1,1983 9-03-43 AE 2b B1o. rnd�sr�e so�ce�tne B�Se Fioca Ele,►affiot�(�E�d�a8 ar b�e�a�s a�rea m riam ss. � �FISPmtfle ❑FIRM �C01lNiNqiflyDi�fl�Tfl�ti Qt.�li8[(t�&pjb8j a� � et,_ �caoe ekava�ion�usea ro►eFE in Etr�n e�l:�k�w ts29 Q r�U►w t9ea Q alher tD�aa�e} v et2. �the Duiidi,ig oocafed in a Coasta�BarlteE ste6curoes Systen►{t;SRSj sna or o1�er�a Rrobcqd lu�a{OPA?? Q Yes �P�o # �esignttloe t}ate Q C81iS Q OPA � W SECTIdFI C-BU�fAtG ElFVATE4i�t t[�lFORIiEATK?Ff{$URYEY RE�i�t�� C 4. Buitfing 01�vetic�ef+e bllitt!Ce�: Q C�struCl�Dlt�' [�Bu�a�g tfndC!'Cate�u�lbil' Q Fkd3h8fi�0!! 'A ticw EJa�re�ion Certlp�afe r�aG t+�R�eO wMn oor�trt�af the�g ts�la6e. C2. �va5a�–Z�dl��A3Q,AE,Ni.A{�Ih BFEj.NE.`+tt�t.�►fw�Fe�E?.AEt.AEltd4.�k�tF!!�,AWAt-,A34 Aft�1�l�.OtRtlW. �Ihart�C2. belaw aGOO�ng!fl!te bt�ng Q�pra�n 3p4dflaa it Il2m A7. Bend�rt�k U� S� C�I'S VeAi��m j�jGVD 29 Ched�Ihe measu�ameat e�eed. �'.J7 � a} Top ot 0an�n tMaar�dud�g aa��►t,crawi apa�e,ar�t�ooey 31, 6 Q�c Q meo�se(Puerta R�ou o�ly} 0 p� b} rop o�t�he nexc riigt�er noo�► N A.'—Q taat ❑met�ars(Pe�e�1c R�au o�rl � o U�W,. Aoor r� c) Bateom ot me Mywest harimrtat stuc�urat mem�(v T.onea w�ly) A�t...t leet �meter�{Puorto R"ioo vr�. ¢ meter d} Attaccl1od Sarist!{!a�!Of itBbf 'x1.��!e@t �rr�t(FueRe�iioc►a►tp)' cV �� e) �aNest els,ra�an o��e�►a e�t sav�tns�ee b�d�g �1.�,,�raee Q met�a(F�ta r�co anly} � o� �ul i�h�of ea�tn Go�et�I �--, � �'. c�' t� t.owest sd�nt t�shmdl9►a�{UC+} N A T[�terl d me�era{puer�o R� 9) �s►�est e�t�a)s�e t►u� _IIL���+ E'►�t���}�'� � g `� sECnoN o-�v�row.�.�a���r c��tcwno�s �� U This ae�ticaaan�s ta oe e�ned and ss a seaveycr.�.ar ard�a au�e�Fme!sy tawr ta aMFfy eiavauan .�tl iniom�ifan. J r�rfaJr tlts!�ha hd�ot+�ra�rr cvr dds CerG�e rr�r�eserds�ttY 4sat sllwb Aa 6�deip�eat tAe d�s�Llk - 1 t�anD btit asy ii�Ace s�t�De pt�V�qsitb by lk�a�orb�tfaor+rnsnt w+dsr'!8 tR�Cock.5ee�oi»fOQt. ` '�.�- ��°,.¢.- , 'O Q ChBCk h�B if Gbt�t�etMs 81e plovl�Qn b�Ck et iucrrt. `�r -.'<-s x �' �:'°' certnfers�rne I.+oe�se N�x�rDa -' s;� ^• Timn1'h� T_ Marahall PSM#5055 -' �a' � �� _ _—_ � � , _ ' j` � �t3� �ev � . ��.iAt�c� , HE CirY c°°° .a>�,��,- . r' � �'g., r i � � � - �'L.����4�1� i:�') � _ � . � � .. ` � F�IVIa Farrr 81-31,f�r�r 2006 \�,_ S�a reuerse�farc�rt�,atioa Reptaoea a�pr�evi�c�� 4�}Y. (a,i�Y . , � �.,f�Y�:_����,_�,.....�.,......-...,. �r-....._.._ ._ c� �+ � – /� 3 �- r�t�o�r�rr: in er�e s�oes,co�r m��t�Enra�n.taan eror�s�or4 a Far ir�susanoe Campen}�U6e: gurd�ng sneet�a�ess{�arnQ�apt.,un�.sne.a,+d�r e�q.�eo.j ar P.a.�e�a e�rro: �;�r�+u�,ner 901 F���a� [3I�IVE ° City Stete ZlP Cade Car�far►y MA{G l�tm6er (�EARWATIIt �'F,. 3 sECT[ON D-SuRVEYOR.E�I�tIEER,oR ARCHiT'ECt CEEtTIFlC�T#E1M(G't)bmrtuEDj �Opy bO�h 6tde8 Of t�ttS ElBVat�rt G�tB for[1 j�rnexlY af�Ci9b C2I�tualk��tloa�t�Y�ty.afld{3Z E�teMAh9 awzreer. Con� $F�CHMP�$K: Nf7RTH RTM �F SA►�TTARY R9A_Sj[if�IFF. AT VA72�T'j'Y iIRTVF: ANfS (�AF!RT.TN j'�Tt� ELtE'�1ATION= 30.57` NGVD 29 Rh'VI 9-1 d sipna�re C�,__.__ = o�tte � r' 1-19—�a O cr�ts�.�etm�ur�er:s SECTtdA1 E-Bt!!lLdfNG ELEVATIQN tl�ORM1lTi0[�i(SURYEY NOT EiEGti1RED}FOR 2CNE AO►AND�C3N£A�t�T B� � �� � �,. , .. For Zones AO ani A(wkhout S�}.oompleta fienis E1-E5. if�e C�is�e4 tt�s�ppqrt a L06M�LDMR F rEq�esl,oa�rnpkEe Sec9ans E►.8. and C. ftrr ttema E1�4.�e r�Gsat grede.�a�reiial� i�eck ite�rtem�rt cs.A. �Pua14 Rim mdjr,eri6er tnaiexe- E1. Pruwae eteva�n�xrCtation w►sns�awhp ara a�edc tt+e appmpr�le om�a�etww,Mtrether�e e�e,ra�on i��ar trem�►�i�hrst�d1� Siade(MIb6)end�e i�est a�Cer�9��M�?� �}r�m�eoor f�„m���t.�n�.«���t� __._„CI ree� �J me�rs L:7 ao�a�►e ar C�n��►me�u+c. ��Toa�m�e�►�a�m�e�t.��,or��� _�ra�c ❑� p�a Q t,�n�e ta�. E2. Far e�u�ng D�r�s�a wf��rc�er��oaa apentngs p�vWed�n��ae�ns e 9(see a at Ir�6onsk ane creYt tdghar i�ar {davatlon G2b irs tl2e d�rams}af tfie buAdG'i8� —�� LJ rnebers �above��relo�w Ihe H�+►G. �s. anecnea s�s�t���l�s Q�at p�te�a ❑�e o► Q ce�u�e w�. �a. �r��r p��d�n���,a�.,���,�y r, —Q reac �� p�a. p����E+nc. ES. T_pne AO anf�r: N n0(hxsd depih number�s eva�hle.i3 the Ea�a!the bofbOm flaof eaavatsd L�aoco�danoe w8M tf�e oo�en�mli�/s 1[oalplat�f re�nagdnen! ardirtanoe7 ❑Yes Q r�o ❑u►,�o�,. rn����t o�ry u�r��o�►�,secuon a_ SEC71i3N F-PR�}PERTY f�{fiINER(Oit tnNMER'3 REPREBENTATiV��TiFlCA7EON The ProPe+tY awner as owaers a�h�r��reaantalMa who�x Se�s/�H;,and E fw Zone A(w�qp�d a f�M-fstusd or earm�u�ed Hl^E7 or Zone AO r�wil s�1 h�e. TIro�s b�SsaGbrts�B,and!'are�!v�he best ofmY� Ptnpe�ly O�n�er's m p�nrn�S+�ertho�ed�Oe s�me ��s C� S� I1P Cacie �8� Da� Telephone Co�rensr� y a�j„��r�I}ai18�s .'SECTIQN Pa•CO1�i11A1�11TY I�IF�lRlblATK}N(LlPrftCll+lAL} �. The iatal o�Ud�i who i�at�d�o�ed dy iaw a ordi�ance 0�admir�sberlhe mm►r�urt�s Aood�r►r�nt a�d�anoe ca�cxxn�ete Sedior�s A.8.C f�4. end C,ot Udss flewabon C.e�lit�te. Corr�pteae�aPP��(��d���. Cttedr�e t�remmrst used ks t6�asss G8.ae�i C�& G t. � the iniottr�lain In Sectlpr+C w�s bloen from ait�e�caourma�itc�+that traa been at�ned�1 Se�ted df►a IiCensetS Sutveyar.engh�er.a��tfec�v�1w a a�Aha�ed br�r ba oe�tiiy eieva�ion ie�FCnnetmn_ {N�tt�sotu�and deGe d the devalon daba�ttee C.ac�reMS aeea h�nr_} G2. Q A ao�rr�d�Ciel cempieted 5ec6on E i�a buiEdinp�ad�Zor�B A(w(tllout B FEMA�asusd Gr CarQermdy�uec�8F�ts�Zc►tee AB. Ca3. � 'The�Enfa�ttraifott[iteins G4.-C�9.)�Pmrrtded for oomrtxsiitY!�rrs�e�r�r�t��oses- G4.�tmR f�hrnbor 65. Wbe Pqet�r�9t i8we0 G6. Qabr C.�nt taat,ted G7_Thia pemtit hss 6eee�ts�e8d for: []hFsw C.o�ue�On ❑�attba�rtlla!kr�p�o�t ` �s.�vanc�,ofes��ro�e+roor�a�,�}cf�e tur�a�: ❑�eet Q�s{�� oaa,m �s.s��tr,z�e ao>�pn o+�s�t t�a�:t�e. p seei ��t�y o�m �oad orncurs lWma ,�o Cotr�lly t�m� T� �� -- � ,, Comrr►er� 0�.���.�d'ett�.,,�c� FEMA Farnt 8i-3�f,F�lery 20p6 itept�es�ll p�ev�u5 ed�tions .> ' R.y • � • J� � • �