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301 GULFVIEW BLVD S 11.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 F�ede'ral Emergency Management Agency Expires Februarv 28.2009 National Flood Insu�ance Program important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name NJR DEVELOPMENT Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number S.GULFVIEW BLVD , City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Blodc Numbers,Tax Parcel Number,L.egal Description,etc.) PARCEL ID NUMBERS 07l29/15/52380l000l0570&07/29/15/52380/000l0580&07/29/15/52380l000/1050 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Non-Residential A5. Latitude/Longitude:Lat.N27°58'25.7" Long.W.82°49'45.0" Horizontal Datum: ❑NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Cert�cate is being used to obtain flood insurance. A7. Building Diagram Number 6 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 enGosure(s) 7.810 sq ft a) Square footage of attached garage N!A b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attach� Q enciosure(s)walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade N/� [] co c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b N!A � w crv SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION m w `� 61.NFIP Community Name&Community Number B2.County Name 63.State � `� CITY OF CLEARWATER 125096 0102 PINELLRS FL � w 64.Map/Panel Plumber B5.Suffix 66.FIRM Index B7.FIRM Panel 68.Flood B9. Base Flood Ele� W � � Date Effective/Revised Date Zone(s) AO,use base fl� 12103C0102 G MAY 17,2005 JANUARY 28,2009 VE 8�AE 11', 12',8 � � Q 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. J 0 O ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe) � � � 611. Indicate elevation datum used for BFE in Item 69: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe) w B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? QYes � � p � Designation Date N/A ❑CBRS ❑OPA (� N W ~ J � a Q �' SECTION C-BUILDING ELEVATtON INFORMATION(SURVEY REQUIRED) Q U � � Mm ° N C1. Building elevations are based on: ❑Construction Drawings' �Building Under Construction'� ❑Finished Construc *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,W-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,ARlAH,AR/AO. CbmpL�te�ttems��2.a-� ; below according to the building diagram specified in Item A7. -�- � �� Benchmark Utilized Clearwater Benchmark G-02 Vertical Datum NAVD 1988 � __;�� ConversioNComments NONE o � Check the measurement used. o " N � � a) Top of bottom floor(inGuding basement,crawl space,or enclosure floor)_ 4.10 �feet ❑meters(Puerto Rico onlyj ! � ' b) Top of the next higher floor 15.81 �feet ❑meters(Puerto Rico only} 'i p � ; c) Bottom of the lowest horizontal struotural member(V Zones only) 13.72 �feet ❑meters(Puerto Rico only) f Q 4 ; ; d) Attached garage(top of slab) N/A. ❑feet ❑meters(Puerto Rico only) „ ; � � ,- e) Lowest elevation of machinery or equipment servicing the building 3.89 �feet ❑meters(Puerto Rico only) �` � ' (Descnbe rype of equipment in Comments) Q„a,.,.r,�,.:,m,,,�,��,��:i� � Lowest adjacent(finished)grade(LAG) 4.1 �feet ❑meters(Puerto Rico onl�� j`,.�. ��.�� g) Highest adjacent(finished)grade(HAG) 5.4 �feet ❑meters(Puerto Rico onl��,,,� �� SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or archited authorized by law to certify elevation , s�.v>,°°°••..� � information. l ceKify that the information on this Certificate represents my best etforts to inte►pret the data available. � I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 100L � '`f,�' r ,�' � , e�;�: r,� " �� Check here if comments are provided on back of form. •w � v ; ` � . ' Certifier's Name JEFFERY A.COPELAND License Number 5279 '� ;tc�i'� `��`�• `� � " � , �. �� j q� Title FLORIDA REGISTERED LAND SURVEYOR Company Name Suncoast Land Surveying' ' ;'-,�.�j ��L /�,r',;• °� , .> • j . Address 111 FOREST LAKES LVD. City OLDSMAR State FL ZIP Code 34677 �� e�= l��' Signature Date 8!3/09 Telephone 813-854-1342 .�-�.�� IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: �uilding Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number S.GULFVIEW BLVD. City CLFraRWATER State FL ZIP Code 33767 Company NAtC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. Comments A8.ELEVATORS,STAIRWELLS and OTHER ENCLOSED AREAS ON GROUND LEVEL PARKING AREA. B8.FLOOD ZONES BASED ON"LETTER OF MAP REVISION DETERMINATION DOCUMENT"CASE NO.O&04-6704P,EFFECTIVE DATE 1/28/09. C2e.ELECTRIC TRANSFORMER PAD EVATION �� Signatur Date 8!3/09 ❑ Check here if attachments SECTIO E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR 20NE AO AND ZONE A�1NITHOUT 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 only,enter meters. E1. Provide elevation infoRnation for the following and chedc 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 (efevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)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�betow 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 floodplai�management ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners 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 a►e�ct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address Ciry State ZIP Code Signature Date Telephone Comments ❑Chedc 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. Chedc 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 RO. G3.❑ The following infortnation(Items G4.-G9.)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Cert�cate Of CompliancelOccupancy Issued G7.This permit has been issued for. ❑New Construction ❑Substantial Improvement , =" °�- � " � ° �' °� G8.Elevation of as-built lowest floor(inGuding basement)of the building: _�feet ❑meters(PR)Daturra a�_ � t 4 s G9.BFE or(i�Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Daturll " � W� ��m �� q� �� Local Official's Name Title ; '� � �� Community Name Telephone • ` """ °°_ °° _�,,. ; �z� __ ,, 5ignature Date _.._,. _ ' , � Comments fl Chedc here if attachments . . . � ` 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 S.GULFVIEW BLVD. Clty CLEARWATER State FL ZIP COd@ 33767 CompanyNAlCNumber 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. NORTH SIDE BUILDING 7/31/09 N0 '�i 4�g �� r � + � � � � �� ' �� , , . _..: _ ��`�� ' ( ,� ._ .; 111 , i�� p � rv'� � : ' � a�' 2 � 1,�� r W N ��r ' � � ��y .■ �1� ' , J z � � ��;��i �: �� _ � � �i m o � ,� � #�� , �,�� il�i �` �� rrr W w �� _�.� :�� w�o�� . � �� iw i �; �ww�! � r- 0 � � - �„a�6 .,� � � . es �� z M Z i;;'r� �;,�iA/�611��`' +tl� � ��. ,� __.. . � � � ` .._ � " � � � a� r;, R"�"� �.�#�- ' � � � .. �•�.. ' ` „`�; , � � �— ' ` � � ---� :`� . Q _ �' °��,y�.,l = � � . . . �'. . �� _..,,�;_,Y": ;.. r^ w v .� �' � N w � � /1 J � I r� " Q C 0 v � ` Mm aN EAST SIDE BUILDING 7/31/09a ��- �� ' � ! �I � , � , �.�-- .. � � �.. , � � I�� ,�}k, # �' o � s r. — .� ;� � , � o �: � N � �,, ` ' ; t�°� � f _ �- ,� ' ;f�� a `�. ��. = � �� .: . � � � f w � a � bi'�yv �: .. . .... \ .� [� '�f;9'. ' � 'b �! �' - R � (Y� � �L '"a��` • � ' � �� t�al3�1 � � � ��`��`� - ,�r � q � � � � � ��k '_� ' � � � -�` c 1I. ,�: �a � � � �, , � �, �� ....._., .._ _. , � �,t � � .� � . ��,�� ° � � � =; �,- �' � �� '� „,' � : � � - � ' �' �; �� .�� r�"�,��r y�r -<�� e>�" :y f� F Y..,.�{' . � . .i "s'�- `. ��: � � , �� :�. � � s a�r �_..•_.._ . . ,.�x, - ^4!`� , .. �n.,.,�� , . 7 . .'Mi' `, ' ' 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 rvumber S.GULFVIEW BLVD Clty CLEARWATER State F� ZIP COd@ 33767 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all I photographs with: date taken; "Front View"and"Rear View"; and, if required, "Right Side View" and"Left Side View." SOUTH SIDE BLDG 7/31/09 �� _ . �� . �� .� � � �� ; � �� , � ,;�`,� r� =_ v _ — r..4 r„ _— � � ; .� �� _ , ,.., r+� _ ` ' �.- _ �j �. _ � < '"'_"',,�, ` _ ��:, �' p� �,�"' . �,I� �° �y�� ;�,� k �� v ��`� . ,��Y a �. �I +_+ i c�*�bw: �, �.�'# 1♦ � �� wt� }� . -�F � . � �' �r �� q�Y ;%.. �t" I i l! `" ,tr� ,t� C ,.��r 5��.� �_ �+a. t. t� - �.�;� .. .,. . �� I .r �. I ,< ' >. �. .,,-..... WEST SIDE BUILDING 7/31/09 �� ,... o� �.,� ' `�� r �� R ;� ; „ , ,; . ��r .. �, - -F{�� , �,, �.� .. �s. � �� , �;°° � '� I � � �� '�L'` �.�.�—f� ',;� � �� :,L� ��' ' � , , �� a ' ir�,� � � �� j�� • ��,� � _ ;, �r� .� � , ;�� w �� ' � � �� i�t � � ' '� � � =� �, � ___ , , , i� �,� �� ' I ; �h � �� iq 6 � �� -- � � ' _ � ' � � . ��. � �� ,?� _ MI : � � ��n �� Q � `�� `'��:��_- �°.,,.� ��! ��q� I�� N�� n� ��. � ,d� � �� ; ■*c ■ �.,.,,,t� �.�.+� �1 ...,:�: ._. _„� , ��° � � ��,�»� �e�1� rM�:•�r� ��1��Ueq��i r � r; � '�Y �� .,.�, �1 �, '+,.,.—.Y.._� � VG�+cs°-. `'!! ��. ��.� �a � a --� ._.. _ n�. •a � ._ - ---' ,�+ ,s,��s__ ; � 11.1 �._ s ��W �r _ ._ -��1 _�.� � � ' � �� . .. _ . . � ��t� �� P . __ , u , � �,�,?� � ��"�'� �� . , --- , r ,� ... .: , . �.�.�. � - , '� �h`._....�.- �: �;:�... '�� . �,� � �,.�, .�<< �y�� E�a � � � � - u ;��r � •,� �° '� , �^� � � . �:. ... U.S.CaEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Feclerai Emergency Management Agency Exoires 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 NJR DEVELOPMENT Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Q Company NAIC Number S.GULFVIEW BLVD City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.) PARCEL ID NUMBERS 07/29/75/52380/000/0570 8�07/29/15/52360/00010580&07/29/15/52380/000/1050 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Non-Residential A5. Latitude/Longitude:Lat.N27°58'25.7" Long.W.82°49'45.0" Horizontal Datum: ❑NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certficate is being used to obtain flood insurance. A7. Building Diagram Number 6 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) 7.810 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 enGosure(s)walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 0 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 Communiry Name&Community Number 82.County Name 63.State CI'lY OF CLEARWATER 125096 0102 PINELLAS FL B4. Map/Panel Number 65.Suffix 66.FIRM Index 67.FIRM Panel B8.Flood B9. Base Flood Elevation{s)(Zone Date EffectivelRevised Date Zone(s) AO,use base flood depth) 12103C01 a2 G MAY 17,2005 JANUARY 28,2009 VE�AE 11', 12',&13' 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 Item 69: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe) - 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Proteded Area(OPA)? _;��]Ycs: �No Designation Date N/A ❑CBRS ❑OPA �..- � ' ;, . SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) �' °'r ;_:� C1. Building elevations are based on: ❑Construdion Drawings* ❑Building Under Construction* �Ffpis}ted`Construction ', *A new Elevation Certificate will be required when construdion 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,ARlA1-A30,AR/AH,AR//YO:•GEUhpjste Items C2.a-g . below according to the building diagram specified in Item A7. - �, Benchmark Utilized Clearwater Benchmark G02 Vertical Datum NAVD 1988 ' _'' ' � Comersion/Comments NONE � ` t �� Check the measurement us�d:' � ... � � a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 4.10 �feet ❑meters(Puerto RicA ortty) ; (1 � b) Top of the next higher floor 15.81 �feet ❑meters(Puerto Ricp orily) � c) Bottom of the lowest horizontal structural member(V Zones only) 13.72 �feet ❑meters{Puerto Ricp„only),�; _.% ' d) Attached garage(top of slab) N/A. ❑feet ❑meters(Puerto Ricc�ar�Iy)<� �s- � �i; f:�' �� e) Lowest etevation of machinery or equipment servicing the building 3.89 �feet ❑meters(Puerto Rico on�y).,� ,�: "- (Describe type of equipment in Comments) ^,�� _ � Lowest adjacent(finished)grade(LAG) 4.1 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 5.4 �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 archited authorized by law to certify eleYation ..� `'� information. 1 certi(y that the infom►ation on this Certificate represents my best efforfs to inte�pret the data availal� �'� �� ` I understand that any false statement may be punishable by 6ne or imprisonment under 18 U.S. Code, Section 10�}'1 '� ,�,,'� � ••• ,� �.,� °.� - -� r '� � .. � Check he e if comments are provided on back of form. ��*,•� . � �„ �� Certifier's Name JEFFERY A.COPELAND License Number 5279 '�'"-"-� � � � ♦ w� ,� � :� , J `� ��,��' . � .�� -��'".. Title FLORIDA REGISTERED LAND SURVEYOR � Company Name Suncoast Land Surveyi ,g,�'•, �� yy�ti _ �'�"•, � ti Address 111 FOREST LAKES B VD. Ci OLDSMAR State FL ZIP Code 34677 .' �� •.�� .� � Signature ate 3/5/10 Telephone 813-854-1342 `��Gj��"�� `"�'., IMPQRTANT;, In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number S.GULFVIEW BLa'D. City CLEARIYVATER State FL ZIP Code 33767 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. Comments A8.ELEVATORS,STAIRWELLS and OTHER ENCLOSED AREAS ON GROUND LEVEL PARKING AREA. B8.FLOOD ZONES BASED ON"LETTER OF MAP REVISION DETERMINATION DOCUMENT'CASE N0.08-04-6704P,EFFECTIVE DATE 1/28/09. C2e.ELECTRIC TRANSFORMER PAD ELEVATION Signa J� ^ Date 3/5/10 ❑ Check here if attachments SECTIO -BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR 20NE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFEj,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 only,enter meters. E1. Provide elevation infortnation for the following 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(inGuding basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or�below the HAG. b)Top of bottom floor(including basement,crawl space,or enGosure)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 slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platfo�rn 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 local 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 stafements in Sections A,8,and E are coirect to the best of my knowledge. Property Owners or Owners Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Chedc here'rf 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 cert'rfy elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community o�cial 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: _�feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments fl Chedc here'rf attachments