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525 MANDALAY BLDG 1 #11-14 " ��C/���� `������DERAL EMERGENCY MANAGEMENT AGENCY �� � � NATIONAL FLOOD INSURANCE PROGRAM O.M.E3. No. 3067-U077 ' .� ��� � hn�� /� /`2 Expires Uecember 31, �005 ��C� ��� vn��s �—%� ELEVATION CERTIFICATE —�— � J Important. Read the instructions on pages 1-7. � SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: _BUILDING OWNER'S NAME Policy Number' J.M.C.Design&Development Corp. BUILDING STREET ADDRESS(InGuding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAICNumber 501-525 Mandalay Avenue(Belle Harbor) _ _._ ��In STATE ZIP CODE Cleanvater 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 Pubiic Records of Pinellas County,Florida BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) l�lulti-story residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type}: ( ##°-##'-##.##" or ##.#1�#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION �� 61.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE � Ci�o(Cleanxaier,Fbrida 125096 Pinellas F� 64.MAP AND PANEL B7.FIRM PANEL B9.BASL FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVFJREVISED DATE B8.FLOOD ZONE(S) (Zone Fl0,use depth of flooding) 1250960007 D 08I1911991 0811911991 AE 10&11 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Communiry Determined ❑Other(Describe):„_ 611.Indicate the elevation datum used fa the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):_._ 612.Is he building located in a Coastal Bamer Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Uesi nation Date_.� _ SECTION C•BUILDING ELEVAT'ION INFORMATIQN(SURVEY REQUIRED) C1.Building eleva6ons are based on:�Construction Drawings* ❑Buildiny Under Construction' �Finished Construction `A new Eleva6on Certificate will be required when consUuclion of the building is complete. �.Building Diagram Number 7(Select the building diagram most similar to the building for which this certific;ate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch a photograph.) C:.Elevations–Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,AR/A1-A30,AR/AH,AWAO Complete items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the daturn is different from the datum usetl for the BFE in Section B,convert the datum to that used fa the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Coniments area of Seclion D or Secfion G,as appropriate,to document the datum conversion. Daium_ ConversionlComments ElevaGon reference mark used 5,1 Does ihe elevaGon reference mark used appear on the FIRM? ❑Yes �No t�\\ o a)Top of bottom floor(induding basement or endosure) 7. 1 ft.(m) �,� \� �, o b)Top of next higher floor 11.1 ft.(m) � � o c)Bottom of la�vest horizontal structural member(V zones only) _ft.(m) y� �` � o d)Attached garage(top of slab) I. 1 ft.(m) �� �'� r� o e)Lowest elevation of machinery and/or equipment W f0 � � � �' �� �/ servicing the building(Describe in a Comments area) 2.0 ft.(m) a � � � � �A � o f I Lowest adjacent(finished)grade(LAG) 6.7 ft.(m) z.m � o g)Highest adjacent(finished)grade(HAG) 7. 4 ft.(m) �� '`� �� 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 108.288 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 elevaiion information.� 1 certify that the information in Sections A,B,and C on fhis certi�cate represents my best efforfs to interpret the dafa available. 1 understand that any false statement may be punishable by�ne or imprisonment under 18 U S Code Section 1001. C:ERTIFIER'S NAME Samuel Mark Beach LICENSE NUMBER LS 62Ei1 T ITLE Professional Surveya and Mapper COMPANY NAME Florida Design Consultants,Inc. PDDRESS CIIY STATE ZIPCODE 3J30 Starkey Boulevard New Pat Richey FL 34655 �IGN/�TURE DATE TELEPHONE �. 03/1012005 (727)849_�7588 FE�4A Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information fram Section A. �� For Insurance Company Use: �BUILDWG STREET ADDRESS Qnduding Apt,UnA,Su'rte,ancllor Bldg.No.)OR P.O.ROUTE AND BOX N0. �Pol'x,y Nwriber �01-525 h9andalay Avenue(Belle Harbor) EITY STATE ZIP CODE Company NAIC Number ' , Cleanvater FL 33767 SECTION D-SURVEYOR,ENGINEER,OR ARGHITECT CERTIFICATION(CqNTINUED) � py bolh sides of this Elevation Certiticate for(1)community official,(2)insurance agenUcanpany,and(3)building owner. CCMMENTS C3 a-Elevation given is lowest garage floa elevation. _ C3 e-Elevation given is the botom of the elevata shaft. See atta�ed Architects plan for calculations and flood vent IocaUons. �Check here if attachments SECTION E•BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE�(WITHOUT BFE) For�one AO and Zone A(without BFE),oomplete Items E1 through E4. If the ElevaGon Ce�ificate is intended fa use as supporting infamation for a LOMA or LOMR-F, Secti�n C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being oompleted—see pages 6 arid 7. If no diagram accurately represents the buiiding,provide a sketch or photograph.) E2.The tcp of the bottom floa(induding basement or enclosure)of the building is _ft.(m)_in,(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6-8 with openings(see page 7),the ne�higher floor or elevated floa(elevation b)uf the builtling is _ft,(m)_in.(cm)ak�ove the highest adjacent �3rade. Complete items C3.h and C3.i on iront of form. E4.The tcp of the platfam of machinery andla equipment servicing the building is __,ft.(m)_in.(an)0 above a ❑below(c,�hedc 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 boflom floor elevated in accordance with the community's floodplain management ordinance? ]Yes ❑No ❑Unknown. The local offiaal must ce�tify this infama6on in Sec�tion G. � SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION �� The property owner a owners authaized representa6ve who completes Sections A,B,C(Items C3.h and C3.i only),and E fa Zone A(without a f=EMA-issued or community- iss aed BFE)or Zone AO must sign here. The statements rn Sections A,B,C,and E are correcf to the best of my knowledge. PF.OPFRIY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAMI= _�DRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHUNE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local��aal who is authaized by law a adinance io administer the community's floodplain management ordinance can oomplete Sections A,E3,C(or E),and G of this Eleva6on Cert�icate, Complete the applicable item(s)and sign below, G1.]The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certify elevation informa6on. (Indicate the source and date of the elevation data in the Comments area below.) G2.�A community offiaal completed Section E for a building located in Zone A(without a FEMA-issued or commuriity-issued BFE)a Zone A0. G3.]The following informafion(Items G4-G9)is provided for community floodplain managerr�ent purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6.DATE CERTIFICATE OF CCxviPLIANCE/OCCUPANCY ISSUEC� G7.This permit has been issued for. ❑New Construcfion ❑Substantlal Improvement G8.=1ev�tion of as-built lowest floor(induding basement)of the building is: _._._ft.(m) Datum;_ G9.3FE�x(in Zone AO)depth of flooding at the builtling site is: _._ft.(m) Datum;_ LC�CAL OFFICIAL'S NAME TITL.E COMMUNITY NAME TELEPHONE SIi�NATURE DATE OMMENTS ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces ali previous editions . ��� � �1 � � (J����DERAL EMERGENCY MANAGEMENT AGENCY ���'� O.M.E3. No. 3067-0677 � NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, `�005 ' ���' �""���`l`�,y ELEVATION CERTIFIGATE -- ' bl�� I �n�f51/ -/`f ,� Important: Read the instructions on pages 1-7. SECTION A•PROPERTY OWNER INFQRMATION For huurance Company Use: BUILDING OWNER'S NAME Policy Number J.M.C.Design&Development Corp. BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)O P.O.ROUT�E A`N�D BO� O. p ��_�- Company NAIC�lumber - an a ay v r) vc�� ��1��(��R,,�,�l.V� �ti./�C�C ` �%��' ST E ZIP CODE Clearwater FL 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 1"Belie Harbor'as recorded in Plat Book 125,Page 15 of the Public Records of Pinelias County,Floiida BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) b�lulti-story residen6al LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.##" or ##.�t#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B•FLOOD INSURANCE RATE MAP(FIRtN)INFORMATION �� B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER 82.COUNIY NAME B3.STATE � Ci�of Clearwater,Fbrida 125096 Pinellas FL B4.MAP AND PANEL B7.FIRM PANEL B9.BAS[FLOOD ELEVATION(S) NUMBER 85.SUFFIX B6.FIRM INDEX D.TE EFFECTIVFJREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use deplh of flooding) 1250960007 D 08119/1 08/1911991 AE 10&11 B10.Indicate the source of the Base Flood Elevation(BF�data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Communiry Determined ❑Other(Describe):_ 611.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Desuibe):___ B12.Is f�e building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA}? ❑Yes ❑No Uesignation Date_ SECTION C-BUILDING ELEVAT'ION INFORMATION(SURVEY REQUIRED) C1.Building elevaGons are based on:�Construclion Drawings* ❑Building Under Construction* �Finished Construction *A new Elevation Cerfificate will be required when consUuc6on of the building is compiete. •2.Building Diagram Number 7(Select the building diagram most similar to the building for which this certific;ale is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C:.Eleva6ons-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AWAE,AWA1-A30,AR/AI-I,AR/AO Complete Items C3:a-i below according to the building diagram s�er,ifiad in I(Pm�?.Stafa rha�ar��m����,ir ihA����„m;�,�;ffo�o,;±F;�;;;�r;�u•u��;;;us����;�;��g�L��, Seclion B,convert the daium to that used for the BFE.Show field measurements and datum conversion calculaUon. Use the space provided or the Comments area of Section D or Secfion G,as appropriate,to document the datum conversion. Datum Conversion/Comments ElevaUon reference mark used 5,1 Does the elevation reference mark used appear on the FIRM? ❑Yes �No — � �, o a)Top of boriom floor(indudiny basement a endosure) 7. 1 ft.(m) � `��{`,, o b)Top of next higher floor ��,�ft,�m� � �"� o c)Bottom of lowest honzontal swdural member(V zones only) _{�(m) N� �y� �, o d)Attached garage(top of slab) 7. 1 ft.(m) E� � �''`� � \�/ � u e)Lowest elevation of machinery ancllor equipment �� �'s�� �� servicing the building(Describe in a Comments area) 2.0 ft.(m) E� ,�� �A �� o fl Lowest adjacent(finished)grade(LAG) 6.7 ft.(m) �.m �„q �� o g)Highest adjacent(finished)grade(HAG) 7. 4 ft.(m) �� '�'�° �i� o h)No.of permanent openings(flood vents)wifhin 1 ft.above adjacent grade 12 � o i I Total area of all permanent openings(flood vents)in C3.h 108,288 sq.in.(sq.an) �---' � SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION�� ���� This certificalion is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.�� 1 cerfiFy that the informafion in Sections A,B,and C on fhis certificafe represents my best efforfs fo inferpret fhe dafa available. I understand fhat any false statemenf may be punishable by fine or imprisonment under 18 U S Code Section 1001 C:ERTIFIER'S NAME Samuel Mark Beach LICENSE NUMBER LS 6261 T ITLE Professional Surveyor and Mapper COMPANY NAME Florida Desiyn Consultants,Inc;. �ADDRESS CITY STATE ZIP COC�E 3J30 Starkey Boulevard New Port Richey FL 3A655 `IGNNTURE DATE TELEPHONE °� 03/10(2005 (�27)849-i588 FE�4A Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMP�RTANT: In these spaces,copy the corresponding information from Section A ��� Fo�i��s�r���com��y u�: BU�DING STREET ADDRESS Qnduding Apt,Uni�5uite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Pol�,y Nuitrber 5'�i-525 Ma'�dalay Avenue(Belle Harbor) CI'Y STATE ZIP CODE Company NAIC Number ' Cleanvater FL 33767 � SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) �� .,opy both sides of this Eleva6on Certificate for(1)communiry official,(2)insurance agenUcompany,and(3)building owner. CC MMENTS C3 a-Elevation given is I�rvest garage floor eleva6on. C3 e-Elevation given is the botom of the elevator shaft. See atta�hed Architecls plan for calculations and flood vent locations. �Gheck here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE�(WITHOUT BFE) For�one a0 and Zone A(without BFE),complete Items E1 through E4. If the ElevaGon Ce�ificate is intended for use as suppo�ing information for a LOMA or LOMR-F, Secii�n C must be oompleted. E1.6uilding Diagram Number_(Select the building diagram most similar to the building for which this cerUficate is being completed—see payes 6 and 7. If no c�agram accura(ely represents the buiiding,provide a sketch or photograph.) E2.The tcp of the bottom floor(including basement a enclosure)of the building is _fl,(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.Fa Building Diagrams 6-8 with openings(see page 7),the next higher floor a elevated floor(eleva6on b)of the building is _ft.(m)_in.(an)above ihe highest adjacent �3rade. Complete items C3.h and C3.i on front of form. E4.The tcp of the platfam of machinery andlor equipment servicing the building is __ft.(m)_in.(an)❑above a ❑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 accordance with the communihJs floaiplain management ordinance? ,]Yes ❑No ❑Unknown. The local offiaal must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner a ownei's authonzed representaGve who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a f=EMA-issu�or community- iss aed BFE)or Zone AO must sign here. The statements rn Sections A,B,C,and E are correct to the besf ofmy knowledye. PF.OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ��DRESS CIIY STATE ZIPCODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local�ffiaal who is authorized by law or adinance to administer the community's floodplain management ordinance can complete Sections A,E3,C(or E),and G of this Eleva6on Cert�icate. Complete the applicable item(s)and sign below. G1.�The informaUon in Section C was taken from other documentaUon that has been signed and embossed by a license�l surveyor,engineer,or architect who is authonzed by siate or local law to certify elevation informa6on. (Indicate the source and date of the elevation data in the Comments area below.) G2.�A community official completed Seclion E for a building located in Zone A(without a FEMA-issued or comrnunity-issued BFE}a Zone A0. G3.]The following informa�on(Items G4-G9}is provided for community floodplain managerrient purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIA.NCEIOCCUPANCY ISSUEC� G7.This permit has been issued for. ❑New Construcfion ❑Substan6al Improvement G8.=levation of as built lowest floor(including basement)of the building is: __._ft.(m) Datum:_ G9.3FE�x(in Zone AO)depth of flooding at the building site is: __._ft.(m) Datum:_ LUCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE 'OMMENTS ❑Check here if attachments FEMA Form 81-31,January 2003 Repiaces all previous editions . . . . � �: �.�, . ������� � CITY OF CLEARWATER � �'��� � i. ' �"' ` DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT ��.�.. _� �.��°, � �; � .< ub . 3 y' ,^. ,��; �, `" ' POST OFFICE BOX 474H� CLEARWATER� FLOa�DA 33758-4748 ���" � �`�'i ��, MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�unn 33756 - TECEPxoNE (72� 562-4567 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 525 MANDALAY AVE (BLDG 1 UNITS 11 -14) 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 62.COUNTY NAME B3.STATE � B4.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER g5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8 FLOOD ZONE(S) �Zone AO,use depth of flooding) 8/19/1992 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) 811. Indicate elevation datum used for BFE in B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources S stem(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 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) C01'T11llBfitS: One siqned and sealed elevation cerfificate submitted for proiect bv the survevor. Raised sea/attached to main certificate for address 501-fo 525 Mandalav Ave. Date of Review: Community Official: �evation certificates shall be maintained by the community and copies with the attached memo made available by requesf FRANK HIBAARD,MAYOR GEORGE N.CRE"I'EKOS,COUNCILMEMB�R JOIIN DORAN,COUNCILMEMBER PAUL F.GIASON,COUNCILMEMBGR � CARLEN A.PE1'ERSEN,COUNCILMEMRER ��EQUAL EMPLOYMENT AND AFFIKMATIVE ACTION EMPLOYER��