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200 SKIFF POINT U.$:!�.EPAFtZFMrENTQF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Exqires FebruaN 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 Policy Number SKIFF POINT OF CLEARWATER LLC and SYNOVUS BANK A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number 200SKIFFPOINT ^^^ � ' r n^1�� City L V V ��!��l�` f"`V!!y� State ZIP Code �� / � CLEARWATER �G'�2��7-0513 9, FL 'V A3. Property Description(Lot ai �ber,Legal Description,etc.) LOT 35 -ISLAND ESTATES OF CLEARWATER,UNIT 5-A PLAT BOOK 60 PAGE 51,PUBLIC RECORDS OF PINELLAS COUNTY,FLORIDA A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude: Lat.27.58556"N Long.82.49110" Datum: �NAD 1927 � NAD 198°� A6. Attach at least 2 photograph 5fthe building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number SIX , , A8. For a building with a crawl 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 walls within 1.0 foot above adjacent grade c) Total net area of flood openings in AB.b sq in c) Total net area of flood openings in A9.b sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number 62.County Name 63.State CLEARWATER 125096 (PINELLAS 12103C) PINELLAS COUNTY , F� � 64.Map/Panel Number 65. u ix B6.FIRM Index B7.FIRM Panel 68.Flood Zone(s) 69.Base Flood Elevation(s)(Zone ''; 12103C 0102 � Date Effective/Revised Date FRONT HALF AE AO,use base flood depth) � , 9-3-03 9-3-03 BACK HALF VE AE=12.0 VE= 13A � 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 slevation datum used for BFE in Item B9: ❑ 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 ❑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 CLEARWATER H-04 PUBLISHED ELEV 4.4997 Vertical Datum NAVD 1988 Conversion/Comments VERIFIED WITH CLEARWATER BENCHMARK I-03.5 PUBLISHED ELEV 6.4912 NAVD 1988 DATUM � a) Top of bottom floor(including basement,crawl space,or enclosure floor) 4.73 feet �..7 , � b) Top ofthe next higherfloor 1�.80 feet O � !r �: � � � �� c) Bottom of the lowest horizontal-structural member(V Zones only) 13.04 feet � �' d) Attached garage(top of slab) -- � `N/Q feet FEB 19 2009 1' �, e) Lowest elevation of machinery or equipment servicing the building N/A feet i � E� (Describe type of equipment in Comments) tr.: � Lowest adjacent(finished)grade(LAG) 3.78 feet g) Highest adjacent(finished)grade(HAG) 4.02 feet P�NING&DF�IELOPt�i NT SV�� CITY OF Gl EARWATEA 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 am�,.�writ�� ,, , information. I certify that the information on this Certificate represents my best efforts to interpret the data available �� I understand that any fa/se statement may 6e punishab/e by fine or imprisonment under 18 U.S. Code, Section 1001 � " �� "�, ��s;�:��'i��- �r � �/ ❑ Check here if comments are provided on back of form. �� :,�� ' `� ' '� �' . , ��•'" ��,,;��-,�: Certifier's Name License Number ,�� `- ' �.� ''�<,;, ` *��' BILL HYATT 4636 ,{�°"`,�''' r`. j i , v F ` �: ;,�, Title Company Name '• 4 , • �,; ; � PRESIDENT KNOW IT NOW,INC ' �r Address City State ZIP Code �', � � ry � �� MAIL=1497 MAIN ST#321 DUNEDIN FL 34698 �:, � ~"''� � sa,� ` �,�. . � . � "��'�''°�> +. r�.: �a, . , w. !' _ '° 'la! .„1 ,�,i9r �_,�� 'R' ..;.._ -:.. . Signature Date 2-6-08 Telephone727-415-8305 .,''a3otssa4b'a� ` ° ' �:.,:.� ,,,��:.. rt..M. ,. „ . FEMA Form 81-31, February 2006 See reverse side for continuation. �R�p1��.��1T'��vi�Ts editions IMPORTAt3T: 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 200 SKIFF POINT City State ZIP Code Company NAIC Number CLEARWATER FL SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company,and(3)building owner. , Comments NONE §•, � �I',� �� — �� : ��+'�, �� , ` ❑ S�,,,��,,�.• �'. , , , :�e Date 2-6-08 � ��.' ' � � Check here if attachments �;;; C - , ,, UIL LEVATION INFORMATION (SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) i �. �.-.,��+' ' "-� �l ; � s �! ithi� )��complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A, B, ^�� s;E 4,`� ' r�l grade,if available. Check the measurement used. In Puerto Rico only,enter meters. ; �. " . �ll T�� a. • v f�Ep�l� �/ t�dh i�ifp for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent �� t�:R_� d}Yy r�, I� ��;�pd i�`g;' �atljacent grade(LAG). • o c�r i ng basement,crawl space,or enclosure)is ❑feet ❑ meters ❑ above or ❑ below the HAG. � }�T�p, �t��m�q►`(i u � g basement,crawl space,or enclosure)is ._❑feet ❑ meters ❑above or ❑ below the LAG. E �� `�;,;�u�l�f� �f��r�triS�>8 with permanent flood openings provided in Section A Items S and/or 9(see a e 8 of Instructions),the next higher floor �'"' fi vation�2 b in tt��xd�agrams)of the building is _❑feet ❑meters ❑above or �below the HAG. E�� „�. `ched��ra�e(to�j oqf�slab)is �feet Q meters � above or � below the HAG. E4 E p of platfo��of machinery and/or equipment servicing the building is _�feet ❑meters �above or �below the HAG. r� E5. Zone AO�ily;�'tf no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinanc��? [�]`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 statements in Sections A,8, and E are correct to the best of my knowledge. Property Owner's or Owner's 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 whc 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: ❑feet ❑meters(PR) Datum • ___ G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR) Datum __ Local O�cial's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions . � � 0 FEB � 9 2009 p��n'ODCL�� P! t �� '�ATER . . • ! i 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 200 SKIFF POINT City State ZI P Code Company NAIC Number CLEARWATER FL I If using the Elevation Certificate to obtain NFI�P 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- . �� e, ,_ , , v , , � �� x � � � f � ..... _ _.__ ` ' . .. :_ p s _ ,'_ . ,�_ . _... _. -- , x..�� .� . s._......... __--. .... :_i '-_ ... ��' �r. � - " ,. �',: ' . .. . . . . � �� %�� .� � � � �� ;�� ' e � � � �� ,�� _�-� � s- , a 1;� � �� - � Y,� � � � �. ��ei� �,,# �€�� t ��: 5��'' �� ,> a��,�Ea � `��, � ii �. ;,,��(ly� . � �, �. � � p � � 3 �� ,� �, ; .. ' , -----s� � '�,.�: �'�"�* �..��`�.� .�4 �: : _^r ...a,.- y�e� . - " "'�'�'�fi��`�` ��b . . .. , 'v �3 �F �� ''. ,. �� i �� u � � � ` �.@��* �� ,.�� ,�F l . � �•�, p ,l+�alj.�. I ' � � �_ � �� q .� �� ir� W 0� �G'��+� a�* �. �". ,}'�y' �i4�w��i�t� . �� ' •t�+ y . � if� i �.y, Y �F� t t �, ��f� E ll�i�� 4V';', . � .'.tl ��ih,i�Vil�ll� ��'1�� u< �._ ��s� � ��yij��'�� i ✓t� �i �ti ' S �� •y°.� , a v 4', �M i tr.�, ��.' ., q�, �` , � , i�°,. �{i i �' �. � �,��i�,�°'N 4 i��I`�,��ts��f�4��I '��u�' � ��r �� '�� . '�' r�: , � • . , ' L� r , • " • � (Y'� ,�' Y pry `Y",`. . . . �w «��. �� f � � , � � ` � � ,�. �.f. p„�� p � � � � � A� _� s �4 :`��' ;� � n;' �_ ''. 7 �( '- ��. l� ��„� �.�r i.:�T� � � �� „�,° t `:� . �� a'. N I � � � � . �� "�., � r,ti�� ±�:... '" t M � � > a, �i 3�� ' x � �',;�'� R�� F`� c6 '�. � �� F� �r�.�.�",� ��;� �� i < , �"��pkRu _ � �. ,� , � C� M � ��y,�€ � �� C�" �j lL I� ,� ; R — Lt. O � z � , �,, L i� — �� , '� ��,�.� � ,..:�.. � . =�. , , . _.,. � , �„� OOzn- � ;: �� G7 � w y�°-�, ,�� ,��,y,:t N � � � � �� Q � � - � � � t �� > � � w � � i � � � � i � � ^°°"=-�- �". �� '� 'i`� �-� F� K� C� W c � �� : �� C o m W � N i s � ��.z,.�•u�... � �� : � r. . ...-� � �-._ � ' � .�� :� � � � � � 3 � �� . �� • ...,m;"k'. ,.,�:: :,�' ��. � Q C� C�� [SU� � � FEB 19 2009 ' " PLANNING&DEVELOP�I�Ni'SVCS CITY OF CLEAFiV!iATcA U.S.DEPART�'ENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Feder'al Er� �ency Management Agency Expires March 31, 2012 National Flood Insurence Progrem Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name MAJESTIC POINT,A CONDOMINIUM and GULFSIDE HOMES Pdicy Number A2. Building Street Address(including Apt.,Unit,Suite,end/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number 200 SKIFF POINT City CLEARWATER State FL ZIP Code�� A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 35 AND 36 -ISLAND ESTATES OF CLEARWATER, UNIT 5-A PLAT BOOK 60 PAGE 51, FOLIO 0&29-15-4339&000-0350 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL CONDOMINIUM A5. Latitude/Longitude: Lat.27.58556 Long.82.49110 Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Aitach et least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number SIX A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage: a) Square f�tage of crawlspace or enclosure(s) 650 sq ft a) Square footage of ettached garage 9741 sq ft b) No. of permanent flood openings in the crawispace or b) No.of permenent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in AS.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B-FLOOD INSURANCE RATE MAP(FIRM} INFORMATION 61.NFIP Community Name&Community Number B2.County Name B3.State CITY OF CLEARWATER 125096 PINELLP�iCOUNTY FLORIDA B4. Map/Penel Number B5.Suffix B6. FIRM Index B7. FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 12103C 0102 G Date Effective/ e 'sed Date Zone(s) AO,use base flood depth) 8-1&09 9 3- 0,3 AE&VE AE=12.0 VE=13.0 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) � B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) Z B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Oth❑erwise Protected Area(OPA)? ❑ Yes � No O M Designation Date ❑ CBRS OPA a r SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) � p C1. Building elevations are based on: ❑ Construction Drawin s � g * ❑ Building Under Construction" � Finished Construction LL" 1'� *A new Elevati�Certificate will be required when construction of the building is complete. � O 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-h � N belaav according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized CITY CIEARWATER BM H-04 Vertical Datum NAVD 1988 �r � � F•� U Canversion/Comments NONE � - � `'N m Check the measurement used. Y� t�:) �� r° a) Top of bottom floor(including basement,crawlspace,or enclosure floor)4.80 ❑feet ❑meters(Puerto Rico oNy) � � o ��'� �� b) Top of the next higher floor 15.80 ❑feet ❑meters(Puerto Rico only) ' �� o � : c) Bottom of the lawest horizontal structural member Zones onl 13.04 N ; ' ' (V y) ❑feet ❑meters(Puerto Rico only) c':�; � w d) Attached garage(top of slab) 4.80 ❑feet ❑meters(Puerto Rico only) �!r^f� .,_. �$ e) Lowest elevation of machinery or equipment servicing the building �. ❑feet ❑meters(Puerto Rico only) i„ � ` r`" (D e s c r i b e ty p e a F e q u i p m e n t a n d l o c a t i o n i n C o m m e n t s) :��;r! Q 4•::;' ��'� � Lowest adjacent(finished)grade next to building(LAG) 4.50 ❑feet meters PueRo Rico onl ` � � � �i'�. �...: ❑ ( Y) ��i.,��; g) Highest adjacent(finished)grade next to building(HAG) 5.30 ❑feet ❑meters(Puerto Rico only) "�� "� h) Lowest adjacent grade at lowest elevation of deck or stairs,induding 5.30 ❑feet ❑meters(Puerto Rico only) ! r""`" a �� structural support r ��- -•-�-=- ��2 � SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION �� " " ° ___.... .� This certification is to be signed and sealed by a land surveyor,engineer,or architect autharized by law to certify elevation information. 1 certify that the information on fhis Ce►tificate represenfs my best efforts to interpref fhe data available. 1 unaferstand that any false statemenf may be punishable by fine ar imprisonment unafer 18 U.S. Code, Section 9009. ,�,�wr:u.. ..y ❑ Check here if comments are provided on back of form. Were�atitude and longitude in Section A provided by a •• L H.H K� licensed land surveyor? � Yes ❑ No •'d��' •••� rq"�� Certifier's Name BILL HYATT ,` �kTfFC��`� License Number 4636 ' �� fi '��;��' ;�„� •�e� �� Tdle PRESIDENT Company Name KNOW IT NOW,INC ';�';,�TqJF 's-:7'��A o� � Address 1497 MAIN ST#321 City DUNEDIN State FL ZIP Code 34698 •.; u^.••..�DA'. Signature s� Date 01-13-10 Telephone 727-415-8305 ,•��EY(,� �-� `� . FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions � y IMPORTANT; In these spaces,copy the corresponding information from Section A. Fa Insurance Company Use: Build ng Street Address(including Apt.,Unit,Suite,end/or Bidg.No.)or P.O.Route and Box No. Pdicy Number 200 SKIFF POINT City CLEARWATER State FL ZIP Code � 3'�`�� Company NAIC Number `� � SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CER��fI�A�10N.(CO.NT.INUEDj ,, .Ny. Copy bqth,sides^Qrt�is Elevation Certificate for(1)community officiat,(2)insurence agenUcompany,:ahd�3�b�iiFdir�gpvq�Ae�`,� �� Comrr�Eqts �RQN �f,LF OF BUILDING IN ZONE AE, REAR HALF OF BUILDING IN ZONE VE-BOTTO r3�3F7 Fi1XS'PARKIN�NUITH STAIR AND F�E�A'fiC�'�4R�AS TC?UF?PER FLOORS, STAIR AND ELEVATOR AREAS ARE ENCLOSED REMAINING A T I�j O�jEN AREA WITH OPENINGS ON �i�.L'SID@N9,,3 . � , � � J�� J L��O � , . s � � . ,, .� . r�� L . _ : , �- , , x�, t , _� _ , . Signata[e, � ., < Date .:- ."--r,,;f �:- ' , . � ''�1 ,.'� �� '� � e-� ��}� ��• .D��iChec� here if attachments ` � , 7fON��';-• 'ILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) ��' .9�=± r �R For Zone��40 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 information for the fdlowing and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest edjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 end/or 9(see pages 8-9 of Instructions),the next higher floor (elevetion C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑belrnrv the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery andlor 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 officiel must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or awner'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,B, and E are carrecf to the best ofmy knowledge. Property Owner's or OwnePs Authorized Representative's Name Address Ciry State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL} The local official who is authori2ed by law or ordinance to administer the canmunity's floodplain management ordinance can canplete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the appiicable 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. (Indicete the source and date of the elevation data in the Comments area below.) G2.❑ A community officiel completed Section E for a building loceted in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The fdlowing inforrnation(Items G4-G9)is provided for community floodplein 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 et the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local Official's Name Title Community Neme Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces ail previous editions f • J j � 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. Paicy rvumber 200 SKIFF POINT Clty CLEARWATER State FL ZIP COd2 CompanyNAiC Number 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 on the reverse. 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