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2691 LAKEBREEZE LN _ _ _ _ _ �C,� 2OD�'y-UZ 3�� U.S.DEPAR;M�NT 3F HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Federal Emergency Management Agency Exnires Februarv 28.2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name R07TLUND HOMES OF FLORIDA, INC Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O. Route and Box No. �l ��M"'' a I 2691 LAKEBREEZE LANE 1 : `� � , City CLEARWATER State FL ZIP Code 33759 ` , �' ; ;� :t t�. A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) ` '"` LOT 10 CHAUTAUQUA LAKE ESTATES PLAT BOOK 128,PAGES 39�33 �u � �� A4. Building Use(e.g.,Residential,Non-Residentiai,Addition,Accessory,etc.) RESIDENTIAL ��,�' �` �""�°` ��'�� ` �� 9 �^a A5. Latitude/Longitude: Lat. 28d 00'20.8" Long. 82d 43'29.1" w�lz�in�al�t�]m��l,� ; , ,�� 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s)walis within 1.0 foot above adjacent grade N/A walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Community Name&Community Number 62.County Name 63.State CITY OF CLEARWATER - 125096 PINELLAS FLORIDA B4. Map/Panel Number B5.Su�x 66.FIRM Index B7.FIRM Panel B8.Flood 69. Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) LOMR-F-0704�491 A MAY 17 2005 September 3,2003 X LOMR DATED 8/07l07 N!A 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ❑FIRM ❑Community Determined � Other(Describe)Creek Watershed,Vol.1 (199� 611. Indicate elevation datum used for BFE in Item 69: ❑ 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 N!A ❑CBRS ❑OPA 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. 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 C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized CAMPUS J Vertical Datum NAVD Conversion/Comments NGVD LESS 0.85 EQUALS NAVD Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ N/A �feet ❑meters(Puerto Rico only) b) Top of the next higher floor N/A �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) N/A �feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building N!A �feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) � Lowest adjacent(finished}grade(LAG) N/A �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) N!A �feet ❑meters(Puerto Rico only) 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. I ce�tify that the information on this Certificate represents my best efforts to interpret the data available. oeyn, � 6,� l understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. do�°' �,��x�?9 •'` - �°��► � � _ ► � Check here if comments are provided on back of form. ?:;°-�`.��' F `� . - _ t��' ��a��F ' ti �� Certifier's Name KATHLEEN C.LANZNER License Number 5120 : g� �� '��' � s" ° �c�•,��• r, Title LAND SURVEYOR Company Name CUMBEY&FAIR,INC ~� a, a��F - ;:w T ` s° �`.. Address 2463ENTERPRISEROAD City CLEARWATER State FLORIDA ZIP Code 33763 °At `�t,, • y4.,�"�`t �"` `�' ♦ .�'( �',S_ , - :�F�,_� . "a,�� .. 1 C l4�`� ee%�" Signature Date 0 09 Telephone 727-797�982 °��+eeo��am+j"''' � rr��n r__.v nw nw r_�_.._._.nnnn n__ __"____ 'c�_ r___'_`'_"_a'_._ r�'_�_" .:_. '��`:_�_ IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Corr�Na��y Use: Buiiding Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number ` 2691 LAKEBREEZE LANE City CLEARWATER State FL ZIP Code 33763 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community o�cial,(2)insurance agenUcompany,and(3)building owner. Comments Signature Date ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade, if available. Check the measurement used. In Puerto Rico oniy,enter meters. E1. Provide elevation information for the foilowing and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or�below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of siab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or�below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The Iocai official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,8, and E are correct to the best of my knowledge. Property Owner's or Owners Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8.and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The following information(Items G4.-G9.)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7.This permit has been issued for: ❑New Construction ❑Substantial improvement G8. Elevation of as-built lowest floor(including basement)of the building: 0 feet ❑meters(PR)Datum G9. BFE or(in Z.one/�O�depth of flooding at the building site: ❑feet ❑meters(PR)Datum Locai Offica�'s Name � Tit�e r Commenity Name Telephone Siynature Date Comments ❑Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions �,'"�� ,,,6_1.,,,•�..�,/�j �....r�d.,r t I � ,� U.S.DEPKRTMENT OF HOMEIAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Feder�l E Aergency Vlanagement Agency Expifes Februerv 28. 2009 Nat'ronal Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name ROTTLUND HOMES OF FLORIDA, INC Poiicy Number A2. Building Street Address(including Apt., Unit,Suite,and/or Bidg.No.}or P.O. Route and Box No. ��j ,! 1 � 2691 LAKEBREEZE LANE �� ' �" �� . � � a City CLEARWATER State FL ZIP Code 33759 �i �� A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) ° '"°'"`'� LOT 10 CHAUTAUQUA LAKE ESTATES PLAT BOOK 128,PAGES 39-43 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL �..��'��gr �`��..�.."��.i#*�� ir��- A5. Latitude/Longitude: Lat. 28d 00'20.8° Long. 82d 43'29.1° I�or�z�n�al��Pn:��].�tl�F�„7�i�.��{3 1983 A6. Attach at least 2 photographs of the building if the Gert�cate is being used to obtain flood insurance. A7. Bui�ding Diagram Number 1 A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade N!A walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in AS.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 31.NFIP Communiry Name&Community Number 62.County Name 63.State �ITY OF CLEARWATER - 125096 PINELLAS FLORIDA 64.Map/Panel Numb . 65.Su�x 66.FIRM Index 67.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone � �'�' Date Effective/Revised Date Zone(s) AO,use eptM� �' �� 1t� MAY 17 2005 September 3,2003 X LOM ATED 8/0 /07 N/A t� ndicate, e of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. /�� FIS Profile ❑FIRM ❑Community Determined �Other(Describe)Cneek Watershed,Vol.1(199��"' �l�� 11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑Other(Describe) 12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date N/A ❑CBRS ❑OPA 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. 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 C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized CAMPUS J Vertical Datum NAVD Conversion�Comments NGVD LESS 0.85 EQUALS NAVD Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ N/A �feet ❑meters(Puerto Rico only) b) Top of the next higher floor N/A �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) N/A �feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building N/A �feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) fl Lowest adjacent(finished)grade(LAG) N/A �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) N/A �feet ❑meters(Puerto Rico only) 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. ,,�. ; �,, l understand that any false statement may be punishable by frne or imprisonment under 18 U.S. Code,Section 1001. .* i Q$/07�@9 � Check here if comments are provided on back of form. N . �� `.:�- ,, �, , Certifiels Name KATHLEEN C.LANZNER License Number 5120 � � � �- ��= Title LAND SURVEYOR Company Name CUMBEY 8 FAIR,INC _ �� Address 2463 ENTERPRISE ROAD City CIEARWATER State FLORIDA ZIP Code 33763 �{ . ' ` .� � Signature Date 0 09 Telephone 727-797�982 s',�`�� ,e�,`�� _ _ �? ., � � (, l `��e� V vV C�1aD 04/14/2009 1°:49 FA% 727 669 0997 ROTTLUND HOMES � `- � f�002/003 �1.5,DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No.1660-0008 Ex�i�s FebruaN 26.2Q08 Federal Emergency Management Agency Nativn6l Flootl Insurance Program Important: Read the instructians on pages 1-$. $�C�l�N A-PROP�RTY INFORMATION For Insurance Company Use: A7. Bullding Owners N�ne ROTTLUNb HOMES OF' FLORIbA,INC Policy Number A2. Building Street Address(including Apt.,Unit.Suite.and/or Bldg.No.)or P.Q.I�ouie and 6ox No. CompBny NAIG Number 2691 LAKEBF2EEZ.E LANE Gty CLE4RWATER 5tate FL ZIP Code 33759 A3, Property Description(Lot and Block Numbers,Tax Paroel Number,Legal Descrip[ion,etc.) LOT 10 CHAUTAUQUA LAK�ES7A7ES PLRT BOOK 125,PAC>ES 39�43 A4_ Building Use(e.g.,Residential,Non-Residential,Addition.Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat_ 2Bd 00'20.8' Long. B2d 43'29.1" Horizontal Datum: ❑NAD 1927 � NAD i983 A6. Attach at leasl 2 photographs oF the building if ths CertifiCate is being used to oblain flood insurance_ A7, Bui�ding Diagram Number 1 A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an ettached garege,provide_ a) Square ioofage of crawl space or enclosure(s} N/A sq ft a) Squere fvvtage of attached garage 1�/A &q ft b) No,of permanent flootl qpenings in the cr8w1 spaCe or b) Na.bf pgrm8nent flood openings in the ptteched garage enclosure(s)walls wi�hin 1.0 foot above adjacent grade N/A walls within 1.D foot above adjacent grade N/A c) Tolal net ar�ea oFflood openings in AB.b N/A sq in c) Total net area offlood openings in A9.b N/A Sq in SECTION B-FLOQD tNSURANCE RATE MAP(FIRM)INFORMATION 81.NFIP Cvmmunity Name 6 Community Plumber 92.County Name 63,State CITY OF CLEARWATER • 125096 PINELLAS FLORIDA B4. Map/Panel Number B5-SufAx 86.FIRM Index .. 67.FIRM Panel BS,FlaOd 69.Bese Flood Elevation(s)(Zone �ate Effective/Revised Date Zone(s) AO,use bdse flood depth) LOMR-F-07044491 A MAY 17 2005 September 3,2003 X LaMR DATED 8/07/07 NIA Btp. Inaicate the sour�e of the Hase Flood Ei2vation(BFE)dala or base Flood depth entered in Item 89. ❑FIS Profile ❑FIRM ❑Community Determined �Other(Describe)Creek Watershed.Vol.1(199� 6i 1. fndit8t6 ei�valipn datum usetl for BFE in Item B9: ❑NGVD 1929 �NAVD 7988 ❑Other(Describe) � BT2. ls the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? DYes �No �� Designation Date N/A ❑CBRS ❑OpA � SECTION C-�UILDING EL�VATION 1NFORMATION(SURVEY REQUIRED) � N C1. Building elevalions are based on: ❑Construction Drawings' �Building Under ConstruGtlpn" ❑Finished Construction o "A new Elavatfon Certifcate will be raquired when constructio�af the building is complete. � C2, Elevations—Zones A1-A30,AE.AH,A(with BFE),VE.V1-V30,V(wilh BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH.Aft/AO. Complete Items C2.a-g below accordfng to the bullding diagram specfAed In It9m A7, �'�r� 8enchmark Ulitized CAMPUS J Ve�tical Datum NAVD ��`J ConversioNComments NGVD LESS 0.85 EQLIALS NAVD Check tlte measurement used. � a) Yop of bottom floor(including basement,crawi space,or enclosure floor)_ N/A �f�et �meters(Puerto Rico enly) � b) Top of the next hlgher floor N/A �feet ❑meters(Puerto Rico only) � c) BottOm pf the iawest horizOntQl Structural member(V Zones only) N/A ❑feet ❑meters(Puarto Rico only) d) AttBChed garage(tap of slab) N/A �iBet ❑mele�'S(pueRO Rito only) � e) Lowest elevation af machinery or equipment servicing the building N/A �feet ❑m�te�s(Puerto Riav only) (Descrir�e type of equipment in Camments) � Lowest adjacent(finished)gr8de(LAG) N/A �feet 0 metgrG(Puerto Rico pny) g) Highest adjacent(finishea}grade(NAG) N(A �feet ❑mete�s(Puerto Rico only) SECTION D-SURVEYOR,ENGfNEER,OR ARCHITECT C�RTIFICATIaN This cenification Is to be s�gned and sealed by a land su�veyor,engineer,or archi[ed auth�rized by law to certify eieva[ion informafion. I ceitify that the information on th;s Certifica�e r9prasents my best efforts fo interpret fhe dafa aveilable. 1 understand tn�t arry felse statement mey be punisheb/e by fine or imprisonment under 18 U.S. Code,Section i0oi. 0�4J07/09 .�SO.YF S�fV. � Chack here ifeomments are p�ovided on back aEfortn. • � ' � Certifiers Name KAT►iLEEN C.IANZNER License Number 5120 _ 7itie LAND SURVEYOR �� Company Name CUMBEY�FAIR,INC - ' �=�`- Address 24&3ENTE PRiSERQAD City CLEARWATER Stata FLORiDa 21PCode 33763 _ ' �� - -_ _. Signat�re Date 04107/09 T�iQpnone 727-797$982 ,�-- 04/14/2009 13:49 FAX 727 669 0997 ROTTLUND HOMES f�003/003 . ' IMPORTANT: ln thes�spaces,copy the corresponding informatian from Section A. �'or insurance Ccxnpany Use: Boiiding Street Address(induding ApL.Unit,Suite,and/or Sldg.No.)or P,O. Rouie and Box No. POIiCy Number 2691 LAKEBREEZE LAfVE City CLEARWATER State F� ZIP Gode 33763 Company NAIC Number SECTION D-SURI/EYOR, ENGINEER,OR AFiCHITECT CERTIFICATION(CONTINUED) Copy both sides of lhis Elevation CeRfTiCate for(1)communiry oKcial,(2)inSuranCe agenVcompany,and(3)building awner. CommeMs Signature DatO ❑ Glleck here if attachments SECTION E-BIJILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FQR ZQNE AQ AND ZONE A(WITfiOIJT BFE) / For Zoneg AQ and A(witll0ut BFE),complete It9m5 E1-E5. IF the Certificate is intended lo support 8 LOMA or LOMR-F requesl,complete SetllonS A,B, and C. For Items E1-E4,usa natural grade,if available. Che�k the meeSUr'ement used. In Puerto Rico on1y,enter meREfS, E 1, Provide elevation information ior the Eorlowing and check the appropriate boxes to show whether[he elevation is above or belpw the highest adjacent grade(HAG)and the lowgst adjacent grade(LAG). a)Top of bottom floo�(including basement,crawi sp8ce,vr enclosure)is ❑Seel ❑meters ❑aborre or�below tha IiAG, b)Top of botlom floor(including basemant,crawl space,or enclosure)Is ❑feet ❑meters ❑above or� bei0w Ihe IAG. E2. For 8uilding Didgrams 6-8 with pertnanent flood openings provided in Sectlon A It9m5 8 6nd/or 9(see page B af Inslruciions),the next higher iloor (eievation C2.b in the diagrams)oF tne bui�ding is ❑feet ❑meters ❑above or ❑balow the HAG. E3. Attached ga�age(tup of slab)is ❑feet ❑meters ❑a6ave or ❑below the HAG_ E4. Top oF platform of macninery and/or equlpment servicing the bui{ding is �f9et ❑meters ❑above or�betow thQ hiqG. E5. Zone AO anly� If r10 ftood depth numbar is availab�e,is the lop of the bottom floor eievated��aCCOrtlance with the communiry's floodpiain management ordinance7 �]Yes � No ❑ Unknown. The local oiflCldl muSt Cert9fy this infortnation in Sectiatt G. SECTIpN F,PROPERTY OWNER(OR OWNER'3 REPRESENTATtVE)CERTIFlCA710N The property owner or owne�'s aulnorized representativg wno completes Sections A,B,a�d E for Zane A(witnout a FEMA-issued or community-issued BFE) or Zonp A4 musi sign here. The stat�mgnts in Sections A.B, a�E ang ColteCt t0 the best of my knowfedge. Properry pwner's or Owners Autharizep Representative's Plame Address Ciry State ZIP Code 5fgndture �ate Tp(ephvne Comments ❑�n ra�Fj��if atlachments SECTIQN G-COMMUNITY INFORMqTION(OPTIONAL) 7he local offcial who is au�horized by fdw or ordinance ta adminigter the Community's floodplain managemgnt Ordin�n�e can complete Sections A,B,C(or E), and G of th�s Elevation Ceriificate. Complete the appllceble item(s)and sign below. ChecJc thE me85urement used in llems GB_and G9, Gt.❑ The inFormation in Seafon C was taken From other documentdtion that has been signed and sealed by d licensed surveyor,engineer,or�rchitect who is autnorized by law to certify elBVetion infvrmation. (Indicate the saurce and tl8t0 of the e�evalion data in th0 Gomments�rea below.) G2. ❑ A community efficial completed Section E for a buildin�IoCated in Zane A(withou[a FEMA-Issued Or COrtmunity-issued BFE)or 2pne A�, G3. ❑ The following iniormation(Items G4.-G9.)�s provided for community floodplain m9nagement purposes. G4,Permit Number rs5. Qa[e Permit Issued G6. Date Certiflcate Qf Compliancel0ccupancy Issued �--., G7.This permil hd5 b2Ef1 fsSU@tl For: ❑N�9w COnSlfuttian ❑Substantial Improvement G8, Elevalion of as-buil[lowesl flpOf(including basement)of tha bu��ding; _ _�feet ❑mpter5(PR)Datum G9.8FE or(in Zone AO)depth of flooding at Ine builqing site: ❑fee�t l�meters(PR)Datum `�al.q�3hrre - Yitle -^-�-- i..� .. - --� .... - . �opAmumty�W�R'Se • TelephOne - . �,. - _ _" 3i�na�e.•. _� - _ Pate _ — : i ` .Ea[�men �=� :-� . -� „ ' --__ __ .� —�--==;-� ,.,.,..____ �� ❑Check here if attachments FEMA Form 81-39,Feb�uarv 200G Ranlarat all.,�P„i�,��p��+�.,.,�