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351 PALM ISLAND NE � � � , • FEDERAL CMCRGCNCY MANAGEMEN7 AGENCY O.M.[3. No. 30G7-0077 ',, NATIONAL FLOO�D INSURANCC PROGRAM Expires July 31, 2002 , . . . �_ , . ELEVA`�101� GERTIIFIC/�7E ; ; , . ,. ' Impo.rtant: Read the instr�ctions on a es 1 -7. �' SCCTION A�PROPERTI�,OWNCR'INFORMATION ,!�orinsuranco Company.Uso �11NG OWNER'S NAML= . ;Rolicy,Number ,. I, . ANNA CLADAKIS . CRISSY CLADAKIS , MANNY CLADAKIS . fIUIL(�ING S7REETADDRC-^,S(Incluilinry npL,Unil,Suite,and/or Elldg.No.)OI�P.U. I�tOUTI=nNU DOX NO. !Comp�iny NAIL,Numbe� ��: 351 . �. PALM ISLAND N. E. . , ,�•; �: .,:, : ------- ----------- ------- , cirv srn�rc zir�co�i= � Clearwater Florida PROP[R'fY DESCIZIPI'ION(Lol anu Ul�cic Nurr�bers,'I'ax Parcel Number,L,egal Descriplion,elc.) V �—�-- . T.n'j' 1 (11 , TTNTT �R .TST.I.�j�j� �,R'Pj�TF'� L2F �PT.F.ARWj�TF.t2 ..BUILDING.IJSE(e.g.,Residential,Non-residenlial,Addilion,Accessory,elc. Use Commenls section if necessary.) — A���DENT.Z�AL ' � � ' LATITUDE/LONGITUD[(OPl'IONnL) hIORIZON7Al.DA7�UM: SOURCE: �_�GPS(7ype): ( #1l°-�ll{'-�llt.dtl!' or llll.IlfNllif!°) I�t�NAD 197.7 �_�NAD 1�J0:4 �_�USGS Quad Map J_�Olher: S[CTION B-FLOOD INSURANCE RA7E MAP (fIRM)INFORMA710N Di:NFIP COMMUNITY NAME t�COMMUNfI�Y NUMf3ER [32.COUN'fY NAME f33.ST/�Tf_ CLEARWATER-125096__ PINELLAS FLORIDA r D4,MAP AND PANEL [l5.SUFPIX DG.FIRM IND[X D7:FIRM PANEI_ IID.FLOOD t39.Ul1SC 1=LOOD L=LCVAI"ION(S) NUMDER DATC C'FP[C'f1VURGV�S'�D DATF 7_ONE(S) (7one/10,��so d��u,or noo�i�r,�� . 125096-0007 D n 8-19-91 ��A��� 11 .0 D10. Indlcale the source of lhe L3ase�lood [levation ([iFG)dala or b�se flood depth entered in D9. ^ , ��� �IS Profile ��� f-IRM �_� Communily Detenninecl ��� Olher(Describe): � D1'1:IndlcalQ lhe elevatlon d�tum used for lhe D�E in E19: (..� NGV� 192J �,� NAVD 190a (_� Other(Describe): D12. Is lhe bidldfng localed In a Coastal D;irricr Resources Syslcrn(CDRS)�rc,i or 011icrwisc Protecled/lrca (OPA)'? �_�Ycs ��J No Designalion Dale:`-------------- --- SGCI'ION C -QUILDING CLEVATION INFORMA710N(SURVEY REQUIRED) - C1�ding elevations are ba,ed on: �_�ConsUuclion Drawings` �_�f3uilding Under Construction• �Finished Construclion/ new Elevation Certificate will be required when construction of lhe buildin� is complete. C2. [3uildinc� Dlac�r�m Number 1 (Selecl Ihe building diagram most similar b the building (or which thi:cerlificate�i; b�ing cornpleled- sr..r. . pac�es G�ncl 7. I(no�liaqr�m acr.ui:�lely represcnl:Ihr buildin��, ��rovidc��skelcli or��holo<�r;�pli.) C�. [Icvalions—Zone:�/11-nJO,/�r,/�I-I,/1(wilh DFE),VI=, V1-V30,V(wilh flf=l=),A(:,AR/A,/�R/A1=,AR//�I-n3U,/1R/AI-I,ni�ino Complete Items C��-i bclow�ccording to thc building diagram specified in Ilein C?.. Slale thc dalum used. I(lhe datum is diffcrr,nt (roin lhe dalum used for lhe E3PE in Seclion D,convert lhe datum lo that used for the[3��.Show field measuremenls and dalum conversion 'calculalion. Use lhe space provi<Ird or(he Commenls�re:i of Section D or Section G, �s�p�rop��:,i�, lo document Ihe d�itum convcrsion. Datum • Conversion/Commenls �IevaUon reference mark used _Does the rlevation reference mark used appear on Ihe FIRM? �_� Yr_s (_� No ❑ �)Top of boltom Ooor.(induding I.��semenl or enclosure) _ ___�„6�it.(m) W — U b)Top of next highcr Ilaor _______��.��(L(m) � U c)Dottom of lowest horizonl:.il slructin�al member(V zones only) __ . fl.(rp) ��' �,';'J? j � ?'���^ [:I d)AU�ched garage(top of�I�b) �--- — n° . -------�---6�•6 Z ft.(m) i=T i❑ c) Lowest elevalion of m;�r,hinery and/or ecµiipnicnl "' ," scrvicing lhe lsuildinc� R. m "�' ------------'— � � E- �� O q I_owest�djacent�rade(1_nG) --6-••�n.(m) � ;;, / �,�� (Cf �) Highest adjar.enl�rade (I-IAG) 1_ � ti _.�ft.(m) '; �f. ' � ❑ h) No.of permancnt��cninr�;.(Iloocl vcnls)wiU�in 1 fL above ad'accnl rade ../ ❑ I)7ot�l�re�.of all permanent opcninc�s((lood venls)in C�h sq. in. (sq. cm U. 1 5 2 q� 9-0 2 SEC710N D-SURVEYOR, ENGINEER,OR ARCI-IIl'CCT C[RTIFIC/�TION ' This certlf)cation is lo be signed and sealed by a land surveyor, enc�ineer, or architect aulhorized by law to ceriify elevatiominformation. I co�tlfy thflt the Jn/orm��fion in Seclions�1, D, and C on fllis certi�cafo rep�senls my best efl'orts to interprc�the d��t���.��i�i,r�. 1 undersfnnd lhnf nr►ylnlso stnlemc�nt m��y bQ punishr�blo ly finq orim�risonmenl undFr d U.S. Code, Soclion 1001. �--1-- —�------------- cE:rtl�ir•ir_R'S NAME t_ICLN;;L"• NUMDI:R — — ' �I,LTAM ��IC�1�T:L.N.��..----.. .------ NO_ 1 52II ---------...__ , f) • CiJMF'AIJY NAML . ---------------------------------- ...LG. SURV�YOR � ALLI�D _SURVEYING 11DD E$S , ` �- ---�-- - C��-Y -- S�fA7f_ !1'I'CUU� �1 1 8 R�W _ 7.'R]'���T CLP�RWATI:TF rr_,oRTDA 33�f i - SIGNATU � . ' � DATC 7CL[I'hIONL= — " �—a-?�� ----_Z2J_!1�—t�G3 1=F -o i11-;1 , AI ., �10�_ �� ;(?1= It1=Vl=1:`;F 511�1= f�OR CONI�INU/111nN I'�I�i n�r�,/11 I I'I?r\il�'�I I�; (-fl�����f1���; : ' . Building Photographs ' Continuation Page For Insurance Company Use: Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy tvumber 480 PALM ISLAND SE Clty CLEARWATER State FL ZIP Code 33767 CompanyNAlCNumber If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all � photographs with: date taken; "Front View"and "Rear View"; and, if required, "Right Side View" and "Left Side View." , I Y�„�� ``` r � �.;� ,� .: ;� - . "�' `l+�`° +''tK-... c{' �� � .ax:�� � . k. � „u , � �.` " �. ....� ,�q, „ .�',: __ ��,y, ', -�'— .� . -. ._..-^,�.=--- �! '"-'�'" - . � � rt�������.� �, -. __� ,c �,.. _ , _ �r.- ,-.. � :° � .,4 - ,: "` ' . ' , § b '� ., , :,,� � �� ��� . . ���: � f . � ii� ri� � � , . 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REAR VIEV�� PICTURE TAKEN ON 12-11-2008 . . Building Photographs � See Instructions for item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 480 PALM ISLAND SE City CLEARWATER State FL ZIP Code 33767 CompanyNAlCNturtber If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. .,�. : .. ��,� ��.� .;,�= � .���. _. _ r� . .. , . _ . ' � ��� i . . � :F,s*5�. ty,.,, ea .. . . .,.v 6 � .. 4 / �� �� �����, .- , -K! 4 � , , ...� � .�r'"w... � , �' �~mt���`�. �.. �_ . ..�'�*','�r` �_— —-- ='=�`�-�_. 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At���r � , , .. ,, - a,�, .'.x � .x i« � ,.�``�'_ �' �g+' FRONT VIEW } � PICTURE TAKEN ON 12-11-2008 !' � �J� ^�_ 1� �� 0 ����o ,� �����.., a ���i,�,� �,�,�,t. ,�����. . ��,. �� ���