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2195 SPRINGRAIN DR __ _ _ ��� � MAR. 20. 2012 9:45AN1 AAR INSURRNCE �0. 121 P, 3 � U.5_DEPARTNi�i'f OF iiOMELAtYD SECURITY �LEVAT10�1 C�1�T1F[GAT� �� �M8�ro.lssa000s � Explres March S7,2442 FederaP Emargen�Y Ma�sgemenFAgenCY NOUonal Flood insuranca PrGgram Imporfant: Read khe'instructions on pages 1-9. . -- - SEC'fION A-AROp�C�3Y IIdFORMATION _ oc�p,�p� =•-- � :-.:_'� a�, suitau►g o,nners►�ama ROBERT G AND J�AN W RtDDLE _ __ . A2, BuNdGt9 SliBet Ad4f+�ss(1nc1¢dfng A�►t.�Unit,6utte.BtMlor Btdp.Na)ot P 0,Ra1te�nd BWC 1�0. � �995 SPRINGE2AIN DRNE Ctly CI�RWATfR S(ate FL Z1P Code :53793-2288 A3. Pr�a1SY De�8Cnp11on(Lot and BiOdc Numbars�Tax Parcel NUmbe��l-a0a�DascrlpUOn��) / P,q.RCEL 36 28-15-84:��5=0�0-0380, LOT 38 S!'E�lNC3 LAKE��CLEARWA7E PlA'C gOOK Q80 PAGE 091, PIN�LLAS q{. suAdfn�y Uss(e.g.,Residantlol,Non•Reeld�tUa1,Additlon.Act�ssor�:ek•)BF�E��1AL HoNzonfel Datum= � NAO 1929 x NAD 198s A6, laGluden-ongHude:LaL �A.aoOB Lon9. k8. Rttacn at least 2 phol09►gPns of the bulldrng�f the CertiRcate ta bNnB uaed lo obtaln�lood Inaurance. n7. B�dk�y Dtapram Numbu.�p1�,:9 A�, �ar a buildln�wlN�n aRachad 98rago: A8, Fora bullding wl4h 8�e4rEsPsca or enctosure(sy: � Squate(oot8ge of attached sarege 449_ 84 h �) Square footqqe afr�awlspace or encbsuro(s) �L � b No,aF P��nant 800d openk►ys In lne atlaehed gara8a b) �la,of pe�nanant Oood opentRgs In 1he cf8wlsp�a� � withln 1.0 fool above gdJaCa�t grade � sndoaure(a)withtn 1-0 foot abave�dJecen!yrade � c) Tolal nat area of flaod openings In AB.b ,Q� sq in cy Tota1 n�t atee of Rood openings in AB.b � Sq tn d En fnae�!fiood o entn ? ❑Yes X�YO En ineered flood o enln ? ❑ Ye9 X No � S�C710N 8-FLOOD INSI�RANCE RAT�MAP(F1RM)IN�ORMATION ~ 83 Stele Bi.NFIP Commanity Nstt�e&Community Number B2 CounlY NPINe�L�S �L CtEARWATER CI7Y OF 125988 Ba:Map/Pan�l Number �5�SuJ}Ix 66.FIRM hid�x B7.FIRM Panai Bs.Ffood B9.Sase Flootl Elevatlon($){Zeno Dafa Effed►velRevlsed Dats zoAls) AO.�+q6.7�EET ep�� 12'L03C�0469 G 08/18J2009 09/03/2003 810. Indtcato1he source cf tha 8ase Ftooe Elevatlon{BF6)daia or basa flood daplh ente��od In item 89. C7 F13 Prafllr x F1RM ❑ComnwnitY Dalermtned �Otl►er(Doactibe) 'ah1, .�,�dtcaFa eleva�lon datum used for BFE in Item B9: _NGVD 192g X tJAYo'1988 ❑Other(Deacribs) Q Y� x No 612. I.s the bullding locat0d in s Coaslal 9arrier R�ou►�ces SYetem(❑�� °f Ot��PA Protecled Atea(OPA)T DeslgnaUah Date S�C710N C•BU1LDI�IG�L��'AT�ON IN�ORMA110H(SURVEY R�Ql11R�D) 1. Build�8 elevd�°"s are base�on� d Canslructinn Draw(r�ps' �Buliding Under Cor�sUucUan• X FfnlBfled Conal�ucl�an �q ner�r Elavatlon Certi(ICata r�fill be required whert cortswcllo�d Iha buBding la complete. C2. �IevaRo�-Znnss Ai A3U.AE�AH�A(w10e S�E)�V��v7-V34�V(v+dUt BF�}�AR.AF/A.ARlAE,AR/A1-A30.AWAH,ARIAO. Ccmplete ltems Ca.a-h ealow aocvtd�ng to the bul[dina dlaQram ap��Aad 1n flem A7. Use�he same dalum a�:�ho BF�. ge��ark Ul�iz,ed aas VerUcai nalum_ PIP�VO-� �onverslonlCommanta PIONE Checktha measuremant used. a) Tap of boUpm 11oor Qndud�nA basamanE,crawlspace,or encloaarafloo��4�, xtee! ❑metecs(paerto Rico ortrn q� Top of�he next h�hsr floo� ..�_.—. X fe9t ❑maters(PUado itira Onll�} c� BoUom of tha lowest horizontaf slructural►nnmbar N zo�s�b) �-- X feat C]mete�s(�e�ta Rtco on�y� d) Atlached�gsraye(lop of Sf�b) ,��:— x foet 0 metera(Puerta RICO oN� e) Lawe�t elsvalian of inechlneN a aQulpment SeMrJny 1ha bW�d�9 —A�CSr •52 q -- X faat 0 meters(PUSrto Rlco ontl� {DeaS�ibetypa of equlpment and foCaUor1 ln Commepts} x feel 0 melers(Puedv R�CO onl� � LowasY edJace�t(flnlshad)grade nex!to bulldfn9(�G) �g+�---� 7�{ae� C7 meters(P�Afto Rlco onl» ga H�ghast ad}aCant(ilnlshad)9�ade next to bidlding(NAGy `��x ieet ❑mel�era(Puedo Rfco unly} h) �nweat ac�acenl steds at lowest slevatlon of dack ar sle�rs,h►cWdln� �4.�� aw�tural au on sEC71QN p-SUFiV�YO1R,ENGIT[�ER,OR AR�CHI7ECT C�EtTiFlCATtON ' Thts cqrUllcaAOn 16 to besigrtad and sealed bY a land survey0r.enain�ec,or ereblleat aulhorized bY��w to casdfy 91a�►atla► Inlorm�lion. I cerfdy thaf ihe Tnfonnallon on thls Cer�aket�feprvsertfs mY best efforts fo,ntsrpref tho date ava!(enle. ��ae„"�"''4a,,,< �unBcrsland lhet eny lelsr steteman!m�Y bA punlshabl9 by Nno orlmpl�sonmonf Nnder'�B U.S Cotla.Secflon 14a�. ya�Q`�,L N�.Fj r,9� ��K,(��r comments ar6 pronrlded oa back olfam. Wore tatltudB end lortdT+;ude tr�SeCtlOn A provldad dy a � GERj��'J•y,,� Ilc�setll�ndaurvayoP� xYas ONo ;��'Sb. �,��v Ltcensc�Numbcr: LS 4836 3 r� S �,���n '� ��flgr�11ame: 61LL HYATT s?s r�a r f o 711te: PRESIDENT CompaqY N�a: ��W�N�1NG ��� '•ORl A S`��,,�������/�� Addrsss` 1487 MAIN S7R��T#321 G0.y: DUNEDIN SEate: �L zIP Code: 54880 "�ti,,��]I��(�v..a nalurs ��� � ��'n2 T�e h�ne: 727-4]Fr630s F�MA Form�1-a'1,Mar OS 9ee r�verse side for conilnuatlon. Repiaces��praviaus e�itions ; � � � ���� ���N1AR, 20. 2012 9.45AM RRA INSURRNCE �0. 121 P. � lMRORTA►y7': In these apacea�copy the corpesponding Infonna�lon from 8ectlon A. :� - _ Bulldi�g Streel Addrass(h�cludGip Apt.,Unit,Sutt�e,and/or Blda-Na)of P.C.Route and BOx No. - 7195 SPR(NGRA�! DRIVE — __ qLy CLFJIRWATER Slale Pt. ZIP Coda 89785-2238 _ SEGTION D-SURY�I/OR,ENG[N��i�,OR ARCHI?�CT CERTtF1CA1'ION(CONTiNl1�D) CoPX b41h Stdes of thf8 EIBVaUor1 Ce►6Ik.�for(1)�flmunity oflicfa6(2I In6atwnce agenUGOmpHny,and(�)6��ng ownar. Cornments h10T TQ e�USEO FOR CONS7RUCT10N OR GEStC�N.lS FOf1 FlOOp INSURANCE U;3�ON�Y S�Bnature J�"�""`�� Do 1/2SIt2 X Chack hare if e�achmants `SEGTION E-BUtl.UI�G EIEVATION INFOR�'rLON(3UFtVEY iVOT REQtiI{��D)FOR�ONE AO AiVD ZOPlE A(WITHOUT�FE) Fp�Za�¢s Aa ane A{vhlhdu6 BFE).CompleUa Rems Ei-E6, lF lhe CaNflcale Is InlendQd la suppart 8 LAMA or L�MR F roques�ComPlete S�cUons A,B, a� arid C.Fo[ftecn�EI-Ft,use netucal9rade,ff avatlebfe. Check 1he measuremeot used. In Puado Rlco ony►,ente�ma ets. Ei. provida eCavallon Iniormat�rt for the fo110�ving a�d�k the approprlete bo�ces la st,oW r�helher Ihe elevalton 1s above or be�uw lhe hl9nas!adjaceat Qraao(HnG)a�,d�n.rcxresc aa�JBCent yrade(l.A�). a)T�op of bc�tan lloor pnclume9 6asament,crawlsPace.or enclosure)is ..._-- �t�� C7m9ters Qabove oc �below lhe FIAG. b?�oA oCbo[tcm Aoar,(tnelud�ng baaamo�.erarrlspaca,or en�loeure)1� ,_�^_ C1 f6et ❑melers �abave or dbelow lhe IAG� E2. for Bdldinq Dla�ams 6�wtth permanori!ilood 4panhB$Provfde�fi Soelfon A 1lsn�a B a�la 8(gee Papas&g Of lnsUuctlons),18e next fii8her�aor (eSavaf�on C2.61n ih��alyrema}04 ths bulMio9 Is _ C3 ioal �matats ❑a6ova or 0 below the HA6. F,3. Attacited g8�'6�ga(top o(slab)IS . - - 0 feet dme�era Dabova a Q below lho FU10� Et. `ToP af�ptettarm of madilne�Y end/or gqWpmantservir�0 4ha bu0�n9�8 ^ - _ �feel ❑matan Qabove or�batoN+�ne HAG. ES. Zap AO Oniy: (f no 9ood depih number le sNal�able�Is 1he WP������0°�o��te��"�0rdancs wllh!he communNYs lloodplaln rnaneyament qrtlinabce? DYes i7No OVrlk�wn. The loCe�olfidal muat caW(y thl3 Inforrr.iatlan ie SeCdon G. SECT(OIV F-Pii0P�R71'OWN�R'(OR OWNER'S R�pRESENTATIt+�}CERTIFICL►TION T�a proper�y ownar or owner's author�ed reprasenlaSve whu compietes SeWona A,��and E for zone A(wilh0ut s FEMA-Issued ar aommunl[ylssuod BFE} w Tene AO musl sfgn ttere. 7rie sfaterRen�s ln SeCUAr+s A�B,and�a"a�'�10�s bes!of my krrowladpe. Properly Ownpr'6 oc Owne�s Authvrtzad Repr9senlative's Nam9 �d�$ �, Sfa1e ZfP Code SiDnaWCa Psie Telephone Canmen�s ❑_r.M,��k hara 1f atle�hmenls SEC'PION G•coMMUwn IN�aRMaTroni(oP'r�oNaf.y The lacai oJtldel who ts suthorf.ted bY law or ord�nanCe to adn►Inlster U1a aanmanity6 f�oodplain m9nagoment ordM�lCa cars compTeta SecUons A,e,C(or E), and(3 of lnds ElevaUOn GecUffoa�e. Complel6�e appliCabla ilem(s)and SIgR bebw. G�adc Ihe maasu�ement used In Itema GB and G8• Gi.O r�,a lniormauon in Seonon G was takcn�ron►a�►ar documenta�on chat hss bean:i�ned and aealed by s uoensed iurveyor,enp�near,or archltacE who ia aulhorized bY�w�a�Y�gg0°�°��HUon. (IndlceAA lhe soutce aild d�le of ih9 elevptlon daka In the Camments area betow.) �2.❑ A Co,n►��+kx p�%�1 r,�mpleted SACHon E ior a buNd1�[ocalsd In xonm A(�vtif►aur.a FEMArlesued or caromunttydasued 9F�}o�zone A0. G3.Q The FoNowlny 1Mormatlon�Itans G4-09)[�provfdet[for aommuntly noadplaln�tar�aDamanf purPOSO�• Q4.Permtf Number G5. Date Perfnit tssued� G9. Date Cedlflcate�F CampllancelOCwpancy Issued 07. Th[s p�rmlt rias e$sn traued for: �Hew Conefrudloce 0 Subslar�l8l ImP��ent " G8. E[evsUon of as-bulkao�ve�t tloor(ir�duding baserr�ent�of ths bulldhg: C} lcat Q mators tPt�oa�um Gy. �FE�Qr{Ee zonm AO�depth�ftooding at lha iaulldlnp slte; _.,�_ C� teat O meters(PR)Dalum G10.Communl s das n floCtl al�+aHan C] foot ❑meters Datum lo,Caf Of�ldnl'a Name �� Canmun�rNeme Teteplione Slgnalure pa{� c«nma�� _��heck Rflre iF ailachmeniS � FENW Form 81-31,Mar 09 aeplac�s al1 previous edrt�ons ; I