700 ISLAND WAY �' o � FEDERAL EMERGENCY MANAGEMENT AGENCY
�''�� ,�� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
ry2�" Expires December 31,2005
��e�r '° ELEVATION CERTIFICATE
Im rtant: Read the instructions on p es 1-7.
SECTION A•PROPERTY OWNER INF�2MATION For�nsurance Comparry use:
BUILDING OWNER'S NAME Policy Number
Als ch Construction `�
BUILDING STREETADDRESS(InGuding Apt.,Uni�Suite,arxi/or Bkig.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number �
700 Island Way(generator site) �-
r"��
CITY STATE ZIP CODE
Clearvvater FL 33767 �
PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcet Number,Legal Description,etc.)
Parcel ID#05/29/15/80325N00l0001 (
BUILDING USE(e.g.,Residential,Non-residential,Additlon,Acoessory,etc. Use a Comments area,iF necessary.) f�l �
residential
�
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or #f�.#tt�l##� ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other. (��
Na (�'
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION �"
B1.NFIP COMul1NRY NANE&CO�M41NfTY NUNBER B2.COUNTY NAIuE 63.STATE (^�
PINELIAS COUMY,FL AND N�CORF'ORATED AREAS 12103C PINELLAS F� �.->
B4.AAAP AND PANEL � B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUIvBER 65.SUFFIX 86.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.ROOD ZONE(S) (Zaie A0,use depth of flood'ng)
12103C 0102 � 9Pi�03 9/30l03 'AE" 17
B10.I�te tlie souroe of the Base Fbod Elevation(BFE)data a base floal depth entered in B9.
❑F�s Profile �Flwul ❑carnnunity oetem�ned ❑ar,er(Desaibe):
B11.IncScate tlie elevation datum used for the BFE in B9:�NGVD 1929 �NAVD 1988 ❑Other(Desaibe):
B12.Is the buddng bcated in a Coastal B�er Resouroes System(CBRS)area or Othervuise Proteded Area(OPA)? ❑Yes �No Des' nation DateNa
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) ^
C1.Buil�ng elev�ioru ar�e besed on:�Construction Drawings' ❑Bu'�d'ing Under Consbuc�on" �Fn�hed Constnx�ion ""(see oomn�nt)
.,A new EJevabon Ce�te wiU be required when construction of the builc�rg is car�plete.
'2.BuikFng Diagram Number Na (Select the buil�ng diagram most similar to the buildrg fur which this oerlificate is being oompleted-see pages 6 and 7. If no diagrarn
accurately represents the buil�ng,Provide a sketch or photograph.)
C3.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARlA,AR/AE,ARIA1-A30,AR/AH,ARIAO
Complete ftems C3.a-i bebw aocording to the buil�ng�iagram speafied in ftem C2.State the datum used.If the d�tum is d'rfferent from the d�um u5ed for th�E in
Sedion B,conved the datum to that used for the BFE.Show field measurements and da�um conve�sion calculaation. Use the space p�ovicied a the Corrunents area of
Section D or Secfion G,as appropriate,to docu►nent the datum conve►sion. - - -'_
Datum NAVD ConversiadComments Na
Elevatlon reference mark used oou tv Does the elevation r�erence mark used appear on the FIRM? ❑Yes �No _
��A a)Top of bottom fba(induding basernent or endosure) Na. �ft.(m) � � . . ��� ��°'; . m�.�
o b�ToRofr�k�ierAoor Na._ft.(m) • -T-
: ° #19�8 ;
o c)Bottan of lowast horizaital s�uctural member(V zones only) Na._ft.(m) �Q „_ ���� `
��
P d)Attached 9arage(toP of slab) nla. _ft.(m) e� °;;� ri ,-
o e}Lowest eleva6on af madiinery and�a equipment w " `_ ,. ," = ,�
. _.,
... se�icing the buil�ng(Desaibe in a Comments area) see oanments._ft.(m) � ' d. � , ��~ - , .
o�Lowest acf aoent(finished)grade(LAG) 8.55 ft.(m) z � A � ��,
'�..,
0 9)H�9���(��)9�(��) 8. 55 ft(m) �� >
o h)No.af pem�nerrt openirgs(flood vents)within 1 ft.above adacent grade Na °� s'`�>V„'
J �-.,�. . 4 �� _ ._:�..�
o i)Total area of�I permanent openings(flood v�ts)in C3.h n/a sq.in.(sq.an) , ��,
SECTION D-SURVEYOR,ENGINEER,OR ARCHRECT 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,8,and C on this certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable by fine or impdsonment under 18 U.S.Code Secfion 1001
CERTIFIER'S NAME JOHN MELLA LICENSE NUMBER #1988
TITLE PRESIDEM COMPANY NAME JOHN MELLA&ASSOCIATES,tNC.
���� CITY STATE ZIP CODE
5804 N.22ND S Ef TAMPA F� 33604
SIGNATURE DATE TELEPHONE
� �4/12/�6 813.232.9441
FEMA Fo 1-37,January 2003 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces,copy the corresponding information from Section A For Insurance Canpany Use� , �
BUILDING ST�2EET ADDRESS(Indud'mg Apt,Unit,Sui�,arxllor Bldg.No.)OR P.O.ROUTE AND BOX N0. p�,y N��, �+
. !.
CtiY STATE ZIP CODE
Company NAIC Number
SECTION D-SURVEYOR,ENGINEER,OR ARCHRECT CERTIFICATION(CONTINUED)
Copy both sides of lhis Elevation Certificate for(1)community offiaal,(2)insurance agenUcompany,and(3)buiiding owner.
COMMENTS
"'generator site is located at the Southeast comer of most Southeriy e�asting tennis oourt of 700 ISLAND WAY I CONDO
Top of Conc.Base=9.05 feet ! Bottom of Generata=12.00 feet
❑Chedc 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),oomplete Iterns E1 through E4. If the Elevation Certificate is interxied for use as supporting infamatiai for a LOMA or LOMR�,
Sec6on C must be oompleted.
E1.Build�ng Diagram Numbe�_(Select the bui�ing diagr�n most similar to the building for which this cer6ficzte is being completed—see pages 6 and 7. If no diagram aa;urately
rep�esents the building,provide a sketch or pfatograph•)
E2.The top of the b�ttom floor(induding basement or endosure)of the building is _ft,(m)_in.(cm)�above or ❑below(chedc one)the highest adjacent grade. (Use
natural grade,'rf available).
E3.For Buii�ng Diagrams 6-8 with openings(see page 7),the next higher floor a elevated floa(elevafion b)of the building is _ft.(m)_in.(an)above the highest adjacent
grade. Compl�e items C3.h and C3.i on front of fam.
E4.The top of the pla�am of machinery and/a equipment serviang the building is _ft.(m)_in.(cm)Q above or ❑below(chedc one)the highest adjacent grade. (Use
natural grade,if avalable).
E5.For Zone AO onty: If no flood depth number is available,is the top of the bottan floor elevated in a000rdar�ce with the communit�s floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local ofl'ia�must oertify this infamation in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The poperty owr�er a owners authorized representa6ve who oompletes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or carnnunity-
issued BFE)or Zone AO must sign here. The st�emen[s in Sections A,8,C,and E are con��b fhe best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZJP CODE
SIGNATURE DATE TELEPHONE
CAMMENTS
❑Chedc here if attachments
SECTION G-COMMUNffY INFORMATION(OPTIONAL)
The la�l offiaal who is autliorized by law or ar�nanoe to administer the carmunit�s floodplain management or�narxe can compl�e Sections A,B,C(or E),and G o�this Elev�on
Cer'�iCate. Complete the applicable item(s)ar�d sign bebw.
G1.0 The ir�ama6on in Sec6on C was takea►fran other documenta6on that has bcen signed and err�ed by a lioensed surveyor,engineer,or arc;hitect who is autt�orized by state
or local law to oertify eJevation ir�orrnation. (Indicate the source and d�e of the elevation data in the Comments area below.)
G2.�A oommurity official oomplet�d Sectiori E f�r a building located in Zane A(wilhout a FEMA-issued or canmunity-issued BFE)or Zone A0.
G3.0 The fdbwing ir�ormallon(Iterns G4-G9)is provided fa canmunity floodplain management purposes.
G4.PERMff NUtuBER G5. DATE PERMff ISSUED G6.DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSIJED
G7.This permit h�been issued for:0 New Constr�xzion ❑SubstanUal Improvement
G8.Elevation of as-built bHrest floor(induding baserrient)of the buikling is: _._ft.(m) Datum:
G9.BFE a(in Zone AO)depth o�floodng at the building site is: _._ft.(m) Datum:
LOCAL OFFICIAL'S NAME -� TITLE
COMMUNITY NAME >.,.9'' TELEPHONE
SIGNATURE ��� C 4� ��:�„ DATE
CAMMENTS �'"`�
� �,. ,., . ,�:p.�_ ��
� °°" ❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
/,��� r'� . y FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
J'�^ ry2J% �� NATIONAL FLOOD INSURANCE PROGRAM Expires December 31,2005
��f��° �J ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-7.
SECTION A•PROPERTY OWNER INFORMATION For�r�,ranoe Company use:
UILDING OWNER'S NAME Policy Number
Als ach Construction ��
BUILDING STREET ADDRESS(InGuding Apt,Unit,Suite,and/or Bkig.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number �'
700 Island Way(generator site) "t"'�
i
CRy STATE ZIP CODE
Cleanivater FL 33767 �
PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.) �
Parcel ID#05/29/15/80325J000/0001 ���
BUILDING USE(e_g.,Residential,Non-resider�tial,Addition,Aco��sory,etc. Use a Comments area,if necessary.)
residential V
LATfTUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or ##.�� ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
Na (
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION �
�
B1.NFIP COMMUNffY NAbE&CO�MRJNffY NUNBER 62 COUNTY NAIvE 63.STATE
P , AREAS 121 i c� QLAS R . `}��.a
b4.MAP AND PANEL I� � B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM I DATE EFFECT1VEh2EVISED DATE BS.FLOOD ZONE(S) (Zaie A0,use ckqh of flood'mg)
12103C 0102 G 9130�03 'AE' 17
B10.Indcate the souroe of the Base Flood Elevation(BFE)data or base flood d�th entered in B9.
❑F�s�� ��wN ❑corr,�,n�y�et��d ❑ome�(��):
B11.In�cate the elewation dalum used for the BFE in B9:�N�VD 1929 �NAVD 1988 ❑Otl�er(Desa�e):
612.Is ihe builc�ng located in a Coastal Barrier Resouroes System(CBRS)area or�rwise Proteded Area(OPA)? ❑Yes �No Designation Daten/a
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Buildng eleva�au are based on:❑Construction Drawings" ❑Bu�c�ng Under Construdion* �Fnished Caistnxtion "*`(see carnnent)
*A new EJev�ion Certificate will be required when consU�x�on af the buil�ng is complete.
�2.Buildng Diagram Number Na (Select the bu�ng diagram most similar to the buikbng for which t�is certificate is being oompl�ed-see pages 6�d 7. If rro diagram
aa;urately represents the buil�ng,(xovide a sk�tch a photograph.)
C3.Elevations—Z.ones A1-A30,AE,AH,A(wiih BFE),VE,V1-V30,V(with BFE),AR,AWA,AR/AE,AWA1-A30,AWAH,ARIAO
Complete Items C3.-a-i bebw accorcling to the buil�ing�agram spec�fified in Item C2.State the datum used.If the da�um is different from the datum used fa Ui�BFE in
Section B,convert the datum to that used for tt�e BFE.Show field measurements and da�um oonversion c�CUla6on. Use the space provided or the Comrr�ents area of
Sec�on D or Section G,as appropriate,to document the datum conversion. - - --
Datum NAVD ConversionlCanments n/a
Elevalion r�erence m�k used oounN Does the elevation r�erence mark used appear on the FIRM? ❑Yes �No
�p a)ToP q#bottom floor(induding baserrient or er�sure) nla. _ft(m} �
o b}Tc�ofne�&k�floor nla._ft(m) `�
o c)Bottom of Iwvest haizont�stnx�ural member(V zones only) nla. ft.(m) N� #'t J$S'
- -p d)Attached garage(top of slab) nla. _ft.(m) �� �pri I 12,2Q0 _
. o e}�o�west elevation of machinery and/or equiprnent w m
_ servicing the buil�ng(Desaibe in a Commer�s area) see canments._ft.(m) ��
o�Lowest adacent(finished)grade(LAG) 8.55 R(m) z�
o g)H'�ghest adacent(finished)9rade(HAG) 8. 55 ft.(m) ��
o h)No:of permanent openirgs(flood vents)within 1 ft above ad�aoent grade n/a �
o i)Total area of a�permanent openings(flood vents)in C3.h n/a sq.in.(sq.an)
SECTION D-SURVEYOR,ENGINEER,OR ARCHffECT CERTIFICATION �
This ce�ification is to be signed and sealed by a land suroeyor,engineer,or architect authorized by law to certify elevation information.
1 certify thaf the information in Sections A,B,and C on this certificate represents my best efforts to interpret the data available.
1 understand that any false sfafement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001.
CERTIFIER'S NAME JOHN MELLA LICENSE NUMBER #1988
TITLE PREStDENT CAMPANY NAME JOHN MELLA&ASSOCIATES,INC.
ADDRESS CITY STATE ZJP CODE
5804 N.22ND S TAMPA FL 3,'3604
SIGNATURE DATE TELEPHONE
04/12/06 813232.9441
FEMA Fo 1-31,January 2003 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces,copy the corresponding information from Section A For ms�,rance company use: ." ,
.,r
BUILDING STREET ADDRESS(Induding Apt,Uni�Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Poficy Number. '��
. x
CITY STATE ZIP CODE '4,"_' ,
Corr�pany NAIC Number
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agenUcompany,and(3)building owner. �
COMMENTS
'"`generator site is bcated at the Southeast�of most Southerly e�asting tennis court of 700 ISLAND WAY I CONDO
Top af Conc.Base=9.05 feet / Bottom of Generata=12.00 feet
❑Chedc 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 ftems E1 through E4. If ihe Elevaati�on Certifx�te is inte�ied for use as supporting information for a LOMA or LOMR-F,
Section C must be compieted.
E1.Buildng Diagram Numher_(Seled the building diagram rnost simil�to the building for which this certificate is being completed—see pages 6 and 7. If no diagram accurately
represents the builtling,provide a sketch or photograph.)
E2.The top of the bottom floor(induding basement or endosure)of the building is _ft.(m)_in.(cm)�above or ❑below(chedc one)the highest adjacent grdde. (Use
natural grade,if available).
E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(eleva�on b)of the building is _ft(m}_in.(cm)above the highest atljacent
grade. Comple�e ftems C3.h and C3.i on front af form.
E4.The top of the plaatform of machinery and/or equipment serviang the building is _ft.(m)_in.(cm)�above or ❑below(chedc one)the highest adjacent grade. (Use
naturai grade,if available).
E5.For Zone AO only: If no flood depth number is av�lable,is the top of the bottom floor elevated in acco�d�ce with the communit�s fl�oodplain management ordinance?
❑Yes ❑No ❑Unknown. The local offiaai must certify this irrfama6on in Secfion G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or ovmers�ed representali+re who canpletes Sedions A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA�ssued or canmuni�-
issued BFE)or Zone AO must sign here. The shatements in Sed'rons A,B,C,and E are correct to the best of my Mrowledge.
PROPERTY OWNER'S OR OWNER'S AUTHOPoZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE �
SIGNATURE DATE TELEPHONE
COMMENTS
❑Chedc here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The loc�official who is auU�orized by law or ordinarxe to administer the communit�s floodplain management ordinance can oompiete Sections A,B,C(or E),�d G o�this Elevation
CerGficate. Complete the applicable item(s)�d sign below.
G1.�The irrfama6on in Sedion C was taken from other da:umentation that has bcen signed and embossed by a licensed surveyor,e�gineer,or ardiitect who is authorized by staEe
or local law to oertify elevation infama6on. (Indicate the source and date of the elevaUon data in the Canrnents area below.)
G2.C;A ca�nmurity�'iaa{comple��d Sedion E for a buildir�g located in Zone A(without a FEMA-issued or canmunity�ssued BFE)or Zone A0.
G3.�The fdlowing infermation(Items G4-G9)is provided for canmunity floodpl�n management purposes.
G4.PERMIT NUNBER G5. DATE PERMff ISSUED G6.DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7.This permit has been issued for:�New Construdion ❑Substanti�Improvement
G8.�evation of as-buift la�vest floor(induding basement)of the building is: _._ft.(m) Datum:
G9.BFE or(in Zone AO)depth�f flooding at the building site is: _._ft.(m) Datum:_
LOCAL OFFICiAL'S NAME �,{-� TITLE
a f,�
COMMUNITY NAME ��,�'' � TELEPHONE
�
SIGNATURE i � � 4 DATE
a-�� -, ,# '::r.�.�
CAMMENTS
� q°_-��''e, �3.�.�-- ���� �
� �
� , �-�-5, �.
❑Check here if attachments
FEMA Form 81-31,January 2003 Rep�aces all previous editions
. `' r �r�-,.
ri�� a " '
� �R���� �� �` C ITY OF LEARWATER
� ���� ��� ax� � � �
��� �����`s ° DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT
�*"�":s" .,# � °� POST�FFICE BOX 474g� CLEARWATER� FLO�DA 33758-4748
� y ��r.:�
MUNICIPAL SERVICES BUILDING, ZOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�uDn 33756
' TECErxoNE(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 Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
CITY STATE ZIP CODE
A3. PROPERTY DESCRIPTION(�ot 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
NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE
City of Clearwater 125096
64.MAP AND PANEL g5.SUFFIX 66.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)
611. Indicate elevation datum used for BFE in 89:❑ NGVD 1929 ❑ NAVD 1988 ❑Other(Describe)
612. 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' ❑ 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 buiiding 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 buitding(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:
�vafion certificates shall be maintained by the community and copies with the attachedmemo made available by request
FRANK HIBRARD,MAYOR
GEORGE N.CRE'1'EKOS,COUNCILMEMBER JO[IN DORAN,COUNCILMEMBER
Pnu�F.Gissorr,COUNCILMEMBER � CARI.EN A.PE7'ERSEN,COUNCILMEMBER
��EQUAL EMPLOYMEN7'AND f�FFI1tMA'1'NE AC1'ION EMPLOYER��