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818 SNUG ISLAND � �/� 4�w ('"" � (�`���*'�Y� � �+�� �•*E � ' �, y � U.S.�EPARTMENT OF HOMELANU SECURITY ELEVATION CERTIFICATE QMB No. �sso-0008, Federal Emergency Management Agency Expl�es Febi'ualY 28;2009 tvasonai Fiooa insurance Pro9ram Irnportant: Read the.instructions on pages 1-8. . SECTION A-PROPERTY INFORMATION For Inffiurqnce,�om bn..:F1se: � A1. Building Owner's Name PnIICy Mutntier -�'�r► K. � �N��. M�N Er�i�t�v zz I � A2. Buildin Street Address(includin A t.,Unit,Suite,andlor Bldg.No.)or P.O.Route and Box No. GoYnpanj�NAI�T N�Yi11�eC �f� `�/',�d�C�'" ��(�A1� . City C��•,�J�j�.V�I� ���c„ � State � ziP code 337b'7 A3. Property Description(Lot and plock Numbers Tax Parcel Number,Legal Description,etc.) , ---����T -r�- ���.�,�o �sr�.-r�� o.� G(.G,�l�'. v�/�TE�i°.� A4. 8uilding.Use(e,g.,Residential,Non-Residendal,Additlon,Accessory,elc.) R����N T�/4�.. A5. LatitudelLangitude:Lat.�°,��(���� Long. 2� � �3l�+' Horiznntal Datum: NAD 1927 NAD 1883' A8. AKach at leasf 2 photographs of the bullding If the Certificate ia baing used lo obteln flood insurance. - A7, Building Dlagram Number 1- A8. For a building with a or�wl space or enclosure(s),provide: A9. For a building wlth an attached gerege,provide: a) Square footage of crawl space or encloaure(s) ��/� sq tt a) Square foofage ot attached garage 5�sq ft b) No.of permanent fiood openings in the crawl space or � b) No,of permenent flaod openings in the atteChe g�rage enclosure(s)walls within 1.0 foot above adJacent grade walls within 1.0 faat above edJacent grede,� c) Total net area of flood openings in AB.b � aq In c) Tofal net area of flood openinga in A9.b �� sq in S�GTION B-FLOOD IN8UFtANCE RA,TE MAP(FIRM)INFQRMA�'ION . �,.� � I B1.NFIP Community Name&Community Number �82.County Name 83.State GI��I?,.WP+c I��. ,/ I25o91� �1N�E,L.(.,A� ��-� B4.MaplPanel Number 85.Suffix B6.FIRM Index B7.FIRM Panel 88.Flood B9.Base Flood Elevelion(s)(Zone '�I Q 2� ��O 2 � Date EftecQve/Revised Date Zone(s) Ab,uae base flood depth) .� 5-i7-°5 9-a�-a� A� �.1.' B10. indicete.the source of the ase Flodd.Elevatlon(BFE)dat�or base flood depth entered In Item B9. . ❑FIS Proflle ; FIRM �Community DetermMed [�Other(Describe) 811. Indicate eleveQan datum used far BFE in Item B9: ❑ NGVD 1929 [�NAVD 1988 ❑Other(Describe) • I312, la the building 1:6cated In a Coastal BaYrler Resources Syslem(CBRS)area or Otherwise Protected Area(OPA)?� [�Yes No Designatlon Da�e �CBRS []OPA SECTI� N C-BUILDIN�EL.�VATION INFORMATION(SURVEY R�QUIRED) �1. Building elevatians are based on: Conslruction Drawings': [� Bullding Under Construction" [�Finiahed Construcpon ",�new Elevatiori Certificate will be requlred when conatructlon of;the building is complete. C2. Elevatlons—Zones A1-A30,AE,AN,A(with BPE),VE,Vi-V30,V(wilh BFE),AR,AWA,ARIAE,ARIA1-A30,AR/AH,ARIAO. Complete itema C2.a-g below according to the bullding diagram specified in Item A7. ,� d, Benchmark Utllized C IT�-� D� ���'-� �� p F• --.�I- . Vertioal Datum �T� �'r'> ��aV� �J��g�. . Conversion/Comment� Check the measurement used. a) Top of bottom floor(includ(ng basement,crawl space,or en9losure tlnor) �I 2- uI--I�feet ❑meters(Puerto Rico only) b) 7op of the next higher iloor )2�l�feet ❑meters(Puerto Rico only) c) Bottom of the lowe,st horizontal structural member(V Zonea pnly) �/A . Q feet ❑meters(Puerto Ri�o only) d) Attached garage(tup of slab) ���feet ❑meters(Puerto Rico only) • e) Lowest elevatlon of machinery.o�r equlpment servic(ng the bt111ding " _____��,��eet ❑meterB(Puerto Rico only) (Describe type of dguipment In Comments) / f) Lowest ad)ecent(finlshed)grade(LAG) `�:� ,[�teet meters(Puerto Rico only) g) Highest adJacent(finished)grade(HAG) _.____��._.f_�eet �meters(Puerto Rico only) SECTION D-SURVEYOIt, NGINEER,OR ARCNITECT CERTIFICATION This cartiflcation is to be sl�ned and sealed by a lend aurveyor,�ngl�eer,or architect authorized 6y law to��rtlfy elevaU�n �.' ����� � (nformation. !certfly fhat tNe(nforhiatlon on thls Ce►tlficafe rep►esent�my best efforts to lnte►pret the deta av9flable. ,. ,,. , 1 understand that any false stetement may be punlshable by Bne or lniprlsonment under 18 U.S.Code,Sectlon 100L '� _° �a���:�,,,°� � . �-..,,/ � p � .�.... .,. � �,, � "�, � �"�� ,, ; ; L`S Ck�eck here if comments are rovideyi on back of form. � _ ��"�4 ° ��+,r ��� ,� �.; "�� . , . ' , � ti C, ' .. ._ .. .. F .; �r,�. ya��.��,�iM,�.{��- � � •Ce�tifier's N�me' ' � 'Llcel�se Number •�� ;; �"` f �Larry I;. Evans ;'; . , �PLS ��'°293� "M' . �~ ����M*� " � • �; " . `'� � �, Titte Company Name, ,� ': �„e , , �'��'�� " r�. •` "�"- , Land Surve or � � ': .; ` .�va s ;Land S rve in Inc. �: '. �c'� . �=p , Address City ` State ° ZIP Code � '�, �$ 4,�#°� , ' signature1464 Beltrees Street SuiDa 9 5 Telephone �* _''���'�°Qy , J ���� �? �-2„�+�g (727) 734-3821 J� .�::�`�` �.._. . , FEMA Form 81-31;February 2006 See reverse side'To�contin,uation. Repla�es'�Ih previous editfons , .� _. �M�ORTANT In these spaces,copy the corr�esponding information from Section A. �or lhsuFahce Com�any U,se,_' J Building Street Add ess(Includin Apt.,Unit,Suite,andlor 81dg.No.)or P.b:Route and Box No. _. P I �3 �NUf�- f� ND �Pon�yFlumb�r� Cfty 5tate ��LE/r��v�/�T�.'�.� .� � 3�P�de � -Company NAIC NUi�kiec , ; . . . ,.. , _. SECTION D-SURVEYOR, ENGINE�R, OR ARCMITECT CERTIPICATION(CONTINU�D) _Cvpy both sides of this Elevat(on CertiFlcate inr(1)community official,(2)insurance agentlCOmpany,and(3)building oWner. comnients G �� ya� ��` �-� �..iqrl SE. Enl ,k`„ r fr�oNT �oo . aND f�aoR.. ��.va-r�o�) _ �5_z3. 4" (N��ID i98�) ,� G Z.Q��A IZE, 1E.���/�T,E t> �4,G C..�M�dt�E:S S�o;�...,� Signature � Date A r,/ °""""°'" � 5��'��`�g I.� Check here if attachmenls SECTION -B L41NG ELEVATIO INFORMATION(SURVEY NOT ltEQUIR�p)FOR ZON�AO AND ZON�A(WITHOUT BFE) Far Zones AO and A(without BFE),complele Items E1-E5. If 1he.Cerlificate is Intended to support a LOMA or LOMR-F request,complele SeottonaA,B, and C. For Items E1-E4,use natural grade,Ifi avallable. Check tNe measurement used. In Puerto Rico only,enter meters. E1. Provfde elevation information for the following and check the appropriate boxes to show whether the elevatlon is above or below the highest adjacent grade(HAG)and lhe lowest adJacent grede(LAG). . a)Top of bottom floor(fncluding basement,crawl space,or enclosure)Is ❑feet ❑ meters ❑above or ❑below the HAG. b)Top of bottom floor Qncluding basement;crawl space,or enclosure)is . ❑feet ❑meters ❑above or ❑below the IAG. El. Far Building biagrams 8-8 with permanent 800d openings provided In SecH Items 8 n lor 8(see e 8 of Inslructions),the next higher floor (elevallon C2.b In the diagrams)of the bullding is .„�[]feet�meters �abova or �below the HAG. ��. Attached garege(top of slab)is . �feet[�meters []above or [] below the HAG. E:4. Top of platform of machinery and/ar equipment servicing the buliding Is��^�teet [�meters �above or []below the HAG. E5. Zone AO oniy; IF no flood depth number Is available,Is the lop of the bottom floor elevated In accardance with the community's floodplain managament ordfnance? [�Yes ❑No ❑Unknown. The focal offlclal must oertify lhia lnfarmalion In Sectiqn G. � SECTION F-I�kOPERTY OWNEF�(OR OWNER'3 REpRESENTA'TIVE)CERTIFICATION The property owner or awner's authorized representative who completes Sections A,'B;and�for Zone A(without a FEMA-issued or community-issued BFE) . or Zone AO must sign here. The stataments!n Seat/�ns A,B,and E ar�coi��ect to the beat of my knowledge. Property Owner's or Owher's Authorized Representalive's Name Address City Stete ZIP Code Signature ; , Date Telephone Comments , � . ❑ �ECTION G-COIVIMU IT1(INFORMATION(OPTIONAL) Tha,local officlAl who is authoriied by�law or ordinance to administer fh�o'mmunity's floodplaln management ordinance can complete Sectl�n�A,�,C(�r�), ' and;G of thia Elevatlon CerUfieate. C6mplete the applicable item(s)ef�d sign below. Check lhe measurement used in Items G8.and G9. �1, p The fnformatlon in Section C was teken irom other documentatl�n that has been signed and sealed by a Ilaensed aurveyor,engfneer,or architect who ', (s authorized by law to certify elevation information. (Indicate ih aourae and date of the elevetlon date in the Comments area below.) G7-. � �community oiffclai cbmpleted Se�Uon E for a building located In Zone A(without a FEMA-Issued or communily-Issued BFE)or Zone AO, �3. ❑ The following(nformatlon ptems G4.-G9.)Is provided for comm�inity floodplafn menagement purposes. G�.Permlt Number G5. Date Permit Issued G6. Date Certiflcete Of CompilancelOCcupancy Issued C G7::Thls permit has been Isaued far: (] New Constructlon ' ❑Substantlal Improvement ' G8.Elevation of as-bullt lowest floor(including basement)of the bullding:�`. ❑teet ❑meters(PR) Datum G9.8FE or(In Zone AO)depth df flooding at the building site: ❑feet, ❑meters(PR) Datum I�nc�l Officlal's Name TiQe C�mmunity Name r.�,,,,;, phone Signature Comments . � :� ____ DEVELOPMENT SERVICFS DEP G��Y n� C �i;C c�TY - �EM/�Form 81-31;�'ebruary 2006 ,' • " Repla�es all prevlous editions f v h �uilding Rhofiographs � See Instructions for Item A6. For Insurance Company Use: Eluilding Street Address(includir�g Apt., Unit, Suite,and/or Bldg.No.)or P.O.Route and Box No. Po�tcy Number �'1�3 S��C�' 1S�N L� � �:Ity C,LG n ���i�D State r, ZIP COC16 CompanyNAlCNumber _ vtt F—� r—��� �3' W 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 5ide View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. � -� < a� ` � .� _ .�- �__ . ,� � tl ,� -r-� ( �il.A.� ..� ,'�`"' _ �i, ,� �' � } .�I' '�.. C�►J� V i � ��r 'n: y�b}4���` y� � �, f'� f :� ` ° � � � L� �� �C . F Y� ��/ �' '..�� . ' F••� �'�� �'�f�� � . / / I � �� p � � ��..,� � � t � Y,�� . '" �� � �t� _ � d . �_��''� "A.�+ _ 1 ..�1�'# ++e'd�� � .:.'6 1 ; �`.. �;^e�. .a:t,' .. e � .�_ ^r . ✓7 � 2''jC` ;� �' �'� ��. •� �,�„IR,:�,�K„ye.Y+t,.'e�ire'�.�. . .�� Y� l �' � y �. .. µ . �`r ,� 17 ����,...ps. _ ,� >� � .. �� ....... .y... � ' ..... � 1 1 � � �' � �../ � „a�-'� rvr� ...� �� ,.�F� y � ,,. . ';�""+aG:+...-- .. _ .�.. �� AUG 0 8 2008 �� .__ s. ...� _. �.., . OEIIELOPMENT SERVICES PT C''1Y OF CLEARWATE - ,,.�. �" ' � � �-� , �, . . � �.� ►Z�� V��w � _:.-- �,,;, P � ..,. 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