501 MANDALAY (SOUTH TOWER) ' j �� � � /�, � �(' C EDERAL EMERGENCY MANAGEMENT AGENCY o.M.Q. rdo. :3067-0077
� ��1'''�V���" L'�� ���NATIONAL FLQOD INSURANCE PROGRAM Expires December 31, 2005
� `���J ���n��ij�£y ELEVATION CERTIFIC:ATE -- —
SL?���i ��C�� Important: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATIUN � Fcx Insurance Company Use:
•3UILDING OWNER'S NAME � Policy Number
J.M.C.Design&Development Corp.
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg./N�,o�.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
5 rbor) .:�f t?JJ�Ct-'RC�S%t-�.,i'���1C�VL`{-r� 't�D�v�.f�
����' � STATE ZIP CODE
Clearvvater FL 33767
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lot 1"Beile Harbor'as recorded in Plat Book 125,Page 15 of the Public Records of Pinellas County,Floiida
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
Wluiti-story residential
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or ##.�tfNt##°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION �
81.NFIP COMMUNIIY NAME&COMMUNITY NUMBER B2.COUNTY NAME 83.STATE �
Cily of Clearwater,Fbrida 125096 Pinellas _ FL
64.MAP AND PANEL ` r 87.FIRM PANEL B9.BASf=FLOOD ELE=VATION(S)
NUMBER B5.SUFFIX B6.FIRM IND DATE EFFECTIVE/REVISED DATE Q8.FLOOD ZOPJE(S) (Zone A0,use depth of flooding)
1250960007 D 0 991 08/19(1991 AE 10&11
B10.Indicate the source of the Base Flood ElevaGon(BFE)data or base flood depth entered in B9.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Desc;nbe):_
B11.Indicate the elevation datum used for ihe BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Gther(Desuibe):___
612.Is he building located in a Coastai Bamer Resources Syslem(CBRS)area or Otherwise Protected Area(OPA)? ❑`r'es ❑No Des�Jic natior�Date_ _
SECTION C-BUILDING ELEVA�tION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:�Construction Drawings' ❑Buildiny Under Construclion' �Finished Construcfion ���
'A new Elevation Cer6ficate will be required when consUuction of the building is complete.
Building Diagram Number 7(Select the building diagram most similar to the building for which this cert�cafe is being completed-see pages 6 and i. If no diacram
acc�ralely represents the building,provide a sketch or photograph.)
C�.Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,ARIAE,AWA1-A30,AWAH,AWAO
Complete Items C3.-a-i below acoording to the building diagram specified in Ilem C2.State the datum used.If the dalum is different 6a n fhe dalum use:i for the BFE in
Section B,convert the datum to that used fa lhe BFE.Show field measuremen(s and datum conversion caiculafion. Use the spac�provided or the Canments area of
Section D or Seclion G,as appropriate,to document the datum conversion.
Dafum Conversion/Comments
Elevation reference mark used 5_1 Does the elevaUon reference mark used appear on the FIRM? ❑Y�s �No --- —
i:,
o a)Top of bottom floor(induding basement or endosure) 7. 1 ft.(m) � `,\ �,,
o b)Top of next higher floor 11.1 ff.(m) �' ��
o c)Bottom of lowest horizontal sUudural member(V zones only) __K,(m) � @ ��?�' �
o d)Attached garage(top of slab) 7, 1 ft,(m) W� +'
o e)Lowest elevation of machinery and/or equipment ��� �a
-� �� ��..�
servicing the building(Describe in a Commenis area) 2.0 fl.(m) � � '�`��'` �
� � �y�') *A��
v f1 Lowest adjacent(finished)grade(LAG) 6.7 ft.(m) z'.m �„
o g)Highest adjacent(finished)grade(HAG) 7. 4 ft.(m) �� �� y���'
U
u h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 17 -�
o i I Total area of all permanent openings(flood vents)in C3.h 108288 sq.in.(sq.cm) — -`- —
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 thaf the information in Sections A,B,and C on this certificate represents my best efforts to interpret the dafa available.
1 understand that any false statemenf may be punishable by fine or imprisonment under 18 U.S. Code,Sectio�t 1001,
CERTiFIER'S NAME Samuel Mark Beach LICENSE NUMBER LS 6261
11TLE Professional Surveyorand Mapper COMPANY NAME Flonda Oesiyn Consultants,Inc.
� DDRESS CITY STATE ZIPCODF_
3�30 Starkey Boulevard New Port Richey FL 34655
:IGNATURE DATE TELEPHONE
� 03110l2005 (72�)849-�588
FE��A Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions
_ _ _
-�� f �,1�����,;�,s� FEDERALEMERGENCYMANAGEMENTAGENCY o.M,�. rdo. :sos�-oo�7
/ NATIONAL FLOOD WSUF2ANCE PR�GFtAM Expires Decernber 31, 2005
�
�v�- � M��'�x�'�'�"" ELEVATION CE�RTIFIC;ATE ----- ---
Important: Read the instructions on pages 1 -7.
SECTION A•PROpERTY OWNER INI=ORMAT'ION �� ForinsuranceCompanyUse:
BUILDING OWNER'S NAME Policy Number'
J.M.C. Design&Development Corp.
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number -
501-525 Mandalay Avenue(Belle Harbor)
��ITY STATE ZIP CODE �
Clearwater FL 33 767
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lot 1"Belle Harbo�'as recorded in Plat Book 125,Page 15 of the Public Records of Pinellas County,Florida
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
Nlulfi-story residen6al
LATITUDEJLONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type}:
( ##°-##'-##.##" or ##.###�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑01her:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION �
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUN7Y NAME B3.STATE
City of Clearyvater,Fbrida 125096 Pinellas FL
64.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER 65.SUFFIX 66.FIRM INDEX DATE EFFECTIVEIftEVISED DATE B8.FLOOD ZONE(S) (Zone Fl0,use depth of flood'ng)
125096 0007 D 08119/1991 08/1911991 AE 10&11
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depih eniered in B9.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_
611.Indicate the elevaUon datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):_._
B12.Is he building la;ated in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA�? ❑Yes ❑No C)esignation Date
' SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevaGons are based on:❑Construction Drawings' ❑Building Under Construction' �Finished Construction
�A new Eleva6on Certificate will be required when oonsUuction of the building is complete.
C�.Building Diagram Number 7(Select ihe building diagram most similar to the building fa which this c�rfrficate is being completed-see pages 6 and 7. If no diagram
accurately represents the building,provide a sketch or photograph.)
Cc.Elevations–Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AWAE,ARIA1-A30,AWAH,AR/AO
Complete Items C3.-a-i below accading to the building diagram speafied in Item C2,State 1he datum used.If the daium is different fran the datum used for the BFE in
Section B,convert the datum to that used fa the BFE.Show field measurements and datum conversion calcula6on. Use the space prr�vided or the Corriments area of
Section D or Section G,as appropriate,to document the datum conversion.
Datum Conversion/Comments
Elevation reference mark used 5_1 Does the elevation reference mark used appear on the FIRM? ❑Yes I�No ��
o a)Top of bottom floor(induding basement or endosure) 7. 1 ft.(m) � �\�L,
o b)Top of next higher floor 11.1 ft.(m) � ��
o c)Boflan of lowest horizontal swdural member(V zones only) _,_ft.(m) �
�,�
� � � E�
o d)Attached garage(top of slab) 7. 1 ft.(m) E� '*� � �►
o e)Lowest elevation of machinery andlor equipment W� �� �n,�
serviang the building(Describe in a Canments area) 2.0 ft.(m) °' ``�, � , ,��»
E � a .
o fl Lowest adjacent(finished)grade(LAG) 6.7 ft.(m) z� �,,, �,����
o g)Highest adjacent(6nished)grade(HAG) 7. 4 ft.(m) � `�'�
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 12 J
o i�Totai area of all permanent openings(floal vents)in C3.h 108,288 sq.in.(sq,an) —'�
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION T�
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
I cerfify fhat the information in Secfions A,B,and C on this certificate represenfs my best eiforts to interpret the dafa available.
I understand that any fafse statement may be punishable by fine or imprisonment under 18 U.S. Code,Secfion 1001.
CERTIFIER'S NAME Samuel Mark Beach LICENSE NUMQER LS 6261
T ITLE Professional Surveyor and Mapper COMPANY NAME Florida Design Consultants,Inc:.
�.DDRESS CITY S'TATE ZIP CODE
3D30 Starlcey Boulevard New Port Richey FI_ 34655
�IGNNTURE /� DATE TELFPHONE
� � 03l1012005 (727)849=i588
FE��A Form 81-31,January 2003 See reverse side for continuation. ReplacE;s all previous editions
IMPO+�TANT: In these spaces,copy the corresponding information from Sec�ion A. � �� For ir�s��a���e com�any use:
.
BU�DING STREET ADDRESS(Induding Apt,Uni�Suile,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Pol'�cy Nun iber
541-525 Mandalay Avenue(E3elle Harbor)
CITY STATE ZIP CODE Company NAIC Number 1
Cle3rwater FL 33767
SECTION D-SURVEYOR,ENGINEER,OR ARGHITECT CERTIFICATION(CUNTINUED) ���
Copy bdh sides of this Elevation Certificaie for(1)communiry official,(2)insurance agenUcompany,and(3)building owner.
CCMMENTS
C3 a-Elevation given is lowest garage floor elevation.
C3 e-Elevation given is the botom of the elevator shaft,
See atta�ed Architecls plan fa calcula6ons and flood vent locations. �Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For�one AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Cerlificate is intended fa use as supporting information for<�LOMA or LOMR-F,
Secli�n C musi be completed.
E1.6uilding Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed—see payes 6 and 7. If no diagram accurately
represents the building,provide a sketch or photograph.)
E2.The tcp of ihe bottom floor(induding basement or enclosure)of the building is _ft,(m)_in.(an)�above or ❑below(check one)the highest adjacent grade. (Use
natural grade,'rf available).
E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floa(eleva6on b)of the building is _ft.(m)_in.(cm)above the highest acfjacent
yrade. Complete items C3.h and C3.i on iront of form.
E4.The tcp of the platform of machinery andlor equipment seroiang the building is __ft.(m)_in.(an)❑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 lhe boflom flax elevated in accordance with the community's floa.iplain management ordinance?
]Yes ❑No ❑Unknown. The local offiaal must certi(y this information in Section G.
SECTION F-PROPERTY OWNER(OR AWNER'S REPRESENTATIVE)CERI'IFICATION ��
The property owne�a owners authorized representative who completes Secfions A,B,C(items C3.h and C3.i oniy),and E for Zone A(without a f=EMA-issued a community-
iss aed BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are coirect fo the besf of my knowledge.
PF.OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
AC�DRESS CIIY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAI_)
The!ocal�ffiaal who is authorized by law a ordinance to administer the community's floodplain management ordinance can complete Sections/�,E3,C(or E),and G of this Elevation
Cerl�icate. Canplete the applicable item(s)and sign below.
G1.]The informa6on in Section C was taken from olher documentation that has been signed and ernbossed by a licensed surveyor,engineer,or architect�rvho is authorized by state
or local la�w to certify elevation informaGon. (Indicate the source and date of the eleva6on 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 cpmmunity-issued BFE)or Ione A0.
G3.]The following infamation(Items G4-G9)is provided for community floodplain management purposes.
G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIA,NCEIOCCUPANCY ISSUEC�
G7.This permit has been issued for: ❑New ConsUuction ❑Substan6al Improvement
G8.=1ev�ion of as-built lowest floor(including basement)of the building is: __._ft.(m) �aatum:__
G9.3FE or(in Zone AO)depth of flooding at the building site is: _._ft,(m) Datum:_
LC�CAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
❑Cher,k here if attachments
FEMA Form 81-31,January 2003 ^^` � Repiaces all previous editions
. .
�� -������
�
�s����������� ���t� � CITY OF CLEARWATER
,��,�� ,� a
� ��k .� , �;
�� ����� �' DEVELOPMENT & NEIGHBORHO(7D SERVICES DEPARTMENT
�`
'�'°�°� ��° � POST�FFICE BOX 4748� CLEARWATER� F�o�DA 33758-4748
,�..;:�`r - � ';:,.
� " MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CI.EARWATER,FLO�unn 33756
TELEPHONE �72� S6Z-�tS67 Fnx(72� 562-4576
MEMO OF REVIEW FOR CORRECTNESS & 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
501 MANDALAY AVE (SOUTH TOWER)
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):
(##°-##'-##.##" or ##.�°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑ Other
SECTION B -FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE
B4.MAP AND PANEL g5.SUFFIX B6.FIRM INDEX DATE B�•FIRM PANEL gg,FLOOD ZONE(S) B9 BASE FLOOD ELEVATION(S)
NUMBER $�19�1992 EFFECTIVE/REVISED DATE (Zone AO,use depth offlooding)
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)
B11. Indicate elevation datum used for BFE in 69:0 NGVD 1929 ❑ NAVD 1988 ❑Other(Describe)
B12. 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 compiete.
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)
COITllT72f11S: One siqned and sealed elevation certificate submitted for proiect bv fhe survevor Raised seal attached to main certi�cate for address 501-fo 525 Mandalav Ave.
Date of Review: Community Official:
All elevation certificates shall be maintained by the community and copies wifh the affachedmemo made available by request
•
FRANK HIBAARD,MAYOR
GEORGE N.CRE7'EKOS,COUNCILMEMBER JOIIN DORAN,COUNCILMEMBER
PAUL F.GIBSON,COUNC[LMEMBER � CARI.GN A.PE'1'ERSEN,COUNCILMEMBER
��EQUAL EMYLOYMENT AND AFFIftMATIVE ACTION EMYLOYEK��
' �� ���r,���� �/ �C�#EDERALEMERGENCYMANAGEMENTAGENCY o.M.[�. rJo 3067-0077
, v � lq �r"�NATIONAL FLOOp INSURANCE PROGRAM Expires December 31,2005
�� � . ,
�� ' S�l �<��j��y ELEVATION CERTIFI�ATE ----
5��� `�✓w� Important: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATION Fwlnsuranoe Company Use:'
UILDWG OWNER'S NAME Policy Number
J.M.C.Design&Development Corp.
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,arxUor Bldg.No.)OR P.O.ROUTE AND BUX NO. Company NAIC Number
501-525 Mandalay Avenue(Belle Harbor)
i�ITY STATE ZIP CODE
Clearwater FL 33767
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lot 1"Belle Harbor'as recorded in Plat Book 125,Page 15 of the Public Records of Pinellas County,Flo�ida
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
h�lultl-story residential
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Typ�):
( ##°-##'-##.#1#" or ##.�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Qu�d Map ❑Other:
SECTION B-FLOOD INSURANCE FtATE MAP(FIRM)INFORMAT'ION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNIY NAME B3.STATE ��
Ciry of Cleanvate�,Fbrida 125096 Pinellas FL
B4.MAP AND PANEL B7.FIRM PANEL B9.BASC FLOOD ELEVATION(S)
NUMBER B5.SUFFIX 86.FIRM INDEX DATE EFFECTIVFJREV�SED DATE E38.FLOOD ZUNE(S) (Zone A0,use depih of flooding)
1250960007 D 08119/1991 0811911991 AE 10&11
B10.Indicate the source of the Base Flood Elevation(BFE)data a base flood depth entered in B9.
❑FIS Profile �FIRM ❑Canmunity Determined ❑Other(Describe):_
B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Desc:ribe):___
B12.Is he building located in a Coastal Bamer Resources System(CBRS)area a Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date
SECTION C-BUILDING ELEVATION INFORMATIQN(SURVEY REQUIRED)
C1.Building elevations are based on:�Construction Drawings' ❑Building Under Construction* �Finished Construclion ��
`A new Elevation Certificate will be required when consUuction of the builtling is camplete.
Buiiding Diagram Number 7(Select the building diagram most similar to the building for which this certifc;ate is being completed-see pages 6 and 7. If nu diagram
accuraiely represents the building,provide a sketch or photograph.)
C�.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AWAE,AWA1 A30,AWAH,AWAC1
Canplete items C3.-a-�below according to the building diagram specified in Ilem C2.State the datum used.If the datum is different irom the datum useci for the BFE in
Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calcula6on. Use the sp�provided or the Comments area of
Section D or Sedion G,as appropriate,to document the datum conversion.
Dalum Conversion/Comments
Elevation reference mark used 51 Does the elevation reference marlc used appear on the FIRM? ❑Yes �No -- �,
o a)Top of boflom floor(induding basement a enclosure) 7. 1 ft.(m) � �� ,
o b)Top of next higher floor 11.1 ft.(m) � �
o c)Bottan of lowest honzontal strudural member(V zones only) _,_ft.(m) N °' �` �
o d)Attached garage(top of slab) 7. 1 ft.(m) �Q �'► �
o e)Lowest elevation of machinery andlor equipment `�`°
� � ��� �l
servicing the building(Describe in a Comments area) 2.0 it.(m) -°= �`�,,, , �
o fl Lowest adjacent(finished)grade(LAG) 6.7 ft.(m) z� ��A ���
o g)Highest adjacent(finished)grade(HAG) 7. 4 ft.(m) � �` 4�
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 12 � -
o i I Total area of all permanent openings(flood vents)in C3.h 108288 sq.in.(sq.cm) ^
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT GERTIFICATION �l��
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation iniormation�
1 certiFy that the information in Sections A,B,and C on this cerfificafe represents my best efforts to interpret the dafa available.
I understand that any false stafement may be punishable by fine or imprisonment under 18 U.S. Code Secfion 10U1.
C;ERTIFIER'S NAME Samuel Mar1c Beach LICCNSE NUMBER LS 62fi1
11TLE Professional Suroeya and Mapper COMPANY NAME Flanda Design Consultants,Inc;.
------ ----—-----------
DDRESS CITY STATE ZIP CODE
3�30 Starkey Boulevard New Port Richey FL 34655
�IGNl�TURE DATE TFLEPHONE
� 03/10/2005 (72l)849-1588
FEA�A Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions