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1746 SUNSET DR U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION �c�� '��. `-r� r� �; A�. sui�ding owner's Name PUDDY TAT LLC ��'� ; � �� : ; A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. ��19�r L�� , ,. �iy 1746 SUNSET DRIVE � ,�' '� �°' City CLEARWATER State FL ZIP Code 33755 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) PARCEL 04-29-15-61488-012-0010, BLOCK 1, LOT 1 & RIP RTS, NORTH SHORE PARK, PLAT BOOK 003, PAGE 010 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat. 27.9849 Long. 82.7984 Horizontal Datum: ❑ NAD 1927 x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number ONE-A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) � sq ft a) Square footage of attached garage � sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade � within 1.0 foot above adjacent grade � c) Total net area of flood openings in AS.b Q_ sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑Yes X No d) Engineered flood openings? ❑ Yes X No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Community Name&Community Number B2.County Name B3.State CLEARWATER CITY OF 125096 PINELLAS FL B4.Map/Panel Number 65.Suffix 66.FIRM Index 67.FIRM Panel 68.Flood 69.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 12103C0106 H 08/18/2009 05/17/2005 VE 15.0& 14.0 FEET 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑FIS Profile x FIRM ❑Community Determined ❑Other(Describe) 611. Indicate elevation datum used for BFE in Item B9: _NGVD 1929 X NAVD 1988 ❑Other(Describe) 812. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes x No Designation Date ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) 1. Building elevations are based on: ❑Construction Drawings' X 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-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized GPS Vertical Datum AVD 1988 Conversion/Comments NONE Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 8.15 x feet ❑meters(Puerto Rico only) b) Top of the next higher floor NA x feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) SLAB ON GRADE X feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) NA x feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building NA x feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 6.34 X feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 6.84 X feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 6.34 x feet ❑meters(Puerto Rico only) structural support 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 information. I certify that the information on this Certificate represents my best efforts to interpret the data availab/e. �,,,,�=�...4.�� 1 understand that any false statement may be punishab/e 6y fine or imprisonment under 18 U.S.Code,Section 1001. ,��,�,H. Hy".� J� XCheck here if comments are provided on back of form. Were latitude and longitude in Section A provided by a .�Gf�RT IF�k>'� licensed land surveyor? X Yes ❑No -3` ��'•a��.�� :r: Sr � 9� �� Certifier's Name: BILL HYATT License Number: LS 4636 :�;,n qrf :ti.�:l pq �� Title: PRESIDENT Company Name: KNOW IT NOW INC :,, `�_•.,,lDAy,. � •..,,URVEY�.� Address: 1497 MAIN STREET#321 City: DUNEDIN State: FL ZIP Code: 34698 � �•�"' • Signature �-�'"`''V7�� Date: 11/15/11 Telephone: 727-415-8305 �3�5-� FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions i � � Z�� zs � � �� j� i� NOV 2 1 2011 PLANNtNG&�E t7t';�;EiVi'pEpT CITY QF C�,,/�,�qi�� IMPORTANT: In these spaces,copy the corresponding information from Section A. ��:��er�+a . Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. �`� 1746 SUNSET DRIVE City CLEARWATER State FL ZIPCode 33755 �G�1i l�#� „; 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 NOT TO BE USED FOR CONSTRUCTION OR DESIGN,IS FOR FLOOD INSURANCE USE ONLY Signature �-�'"''�J'� Date 11/15/11 X Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT 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 information 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(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 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑belaw 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❑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 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 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 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 G10.Community's design flood elevation ❑ feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions 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 rv�mber 1746 SUNSET DRIVE City CLEARWATER State FL ZIP Code 33755 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 Viev�'and"Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. PICS TAKEN 11-15-11 I FRONT VIEW �:,• . � ,,,,. . ,� . t�i� �� w ,� � `s r '` ti� '+� n*• "*�Fyi� �. , .. . ,+ , i � �.: _.. (i �� ...� i�_ � . . x �' . ^ .. 4 I = � x...b'm � �� ,1 r .+ . � � � � � , . ,�� r< �� , _ � _ � � _. � _ _ � - fi . ,,, � � * . " .�6 : . ,..�-, ' _,�^ _ ��" �.�__ -.� �.� � � ,..�„�„ _ m.,� x , ,,�, - .« :,� A� .z•"�"�'" � �.'i��1 — _.�`_�.. � � - ��,: �� z�; a �� i � ,�x REAR VIEW ;�..�,� � �{ '�i1 °�.e °9� � ; " I �;;�.; -�� «�' � , �,° li'�� r €�,:' `° � ,�f 4 > .., , . �r� �� — : t�, �s �. .: - r, �— o . „, ,k y f.. .. —..r� _��r.c,y„ . F :,, � , . -. �. �. . . :i . . -nww-- � �`�'> �k, t`'t"� — - _ .� . .> � ' _.. . � ,� ��:„ �,,. •�.�� M,��,�' � ° . y , . �._ , �:. � �� -: .' . '.-,. , c � .Y.� - ; �._ �.r � -�zi,�� . �� ` �' � "�'� ?��i , � z� II �II .�' - , .. � a;�-, � ,��"`�� . � " �°� �� , , _ t:� ��' �n ,aa l�, ��'� - �a,�s*�'° �' : 'm�: _,..,.r..�.,r;�,,.�-�9.�' � i�( i i ��i �,` °� � ,` � I�i��l v.,� ;, _ m`N .,':_ u.s.o��N-r oF Honneuu�o sECURrnr ELEVATION CERTIFIGATE OMB No. 1660-0008 Federal Emergency ManagementAgency Expires March 31,2012 ;afional Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION A1. Building Owners Name Joseph Chironno&Julie Chironno A2. Buiiding Street Address(i�duding Apt.,Unit,Suite,andlor Bldg.No.)or P.O.Raute and Box No. 1746 Sunset Drive City Clearwate� State FL 2lP Cade 33755 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LAt 1,Block 12,NORTH SHORE PARK SUBDIVISION A4. Building Use(e.g.,Residentiai,Non-Residentiat,Addition,Accessory,etc.)Residential A5. Latitude/Longitude:Lat 27d 59'05.62"N. Long.82d 4T 53.45"W. Horizontai Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the buiiding if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number $ A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawispace or enGosure(s) 2135•2 sq ft a) Square footage of attached garage 1159• sq ft b) No.of peRnanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enGosure(s)within 1.0 foot above adjacent grade 115 within 1.0 foot above adjacent grade N�/ c) Total net area of flood openings in AB.b 993.9 sq in c) Totai�et area of flood openings in A9.b ,�@ sq in d) Engineered flaod openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State Clearwater 125096 Pinellas ��a B4.MaplPanel Number 65.Suffix B6.FIRM Index 87.FIRM Panel 68.Flood B9.Base Fiood Elevation(s)(Zone 12103C 0106 H Date Effective/Revised Date Zone(s) AO,use base flood depth) 5/17/05 5/17/D5 AE&VE 13.0',14.0',15.0' B10. indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑NGVp 1929 � NAVD 1988 ❑ Other(Desctibe) 6/2. 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 UnderConstruction' � Finished Construdion *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,FiR/A,AR/AE,AR/A1 A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specifled in Item A7. Use the same datum as the BFE. Benchmark Utilized Aural F. Verticai Datum NAVD 1988 ConversioNComments Check the measurement used. a) Top of bottom floo�(including basement,crawispace,or enclosure floor)7.2 �feet ❑meters(Puerto Rlco only) b) Top of the ne�d higher floor 7.4 �feet ❑meters(puerto R�o only) cj Bottom of the lowest horizontal structural member(V Zones only) N.A �feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 7.� �feet ❑metets(pusrto Rico only) e) Lowest elevation of machinery or equipment servicing the building 7.2 �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) fl Lowest adjacent(finishedj grade next to building(LAG) 6.7 �feet ❑meters(Puerto Rico onty) g) Highest adjacent(finished)grade next to building(HAG) 7.2 �feet ❑meters(Puerto Rico oniy) h) Lawest adjacent grade at lowest elevation of deck or stairs,inciuding N.A �feet ❑meters(Puerto Rica oNy) Structural support 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 information. l cer6fy that fhe information on U�is Celtificate represents my best efforts to interpret the data available.l understand that any false stafemerrt may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001.❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provlded by a licensed land surveyor? � Yes ❑ No Certifler's Name Edward D.Murphy License Number 5333 `. i f Titie Professional Land Surveyor Company Name Murphy's Land Surveying,inc. � � Address 575011 Avenue N. City St.Petersburg State FL ZIP Code 33710 ` Signature Date 1/26/11 Telephone 7271347-8740 FEMA Form 81-31, Mar 09 See reverse side for continuation. Repiaces all previous editions +1. �� , !� �� p '(� o� i� i, � . �� u s� � � � , � ��, , r � � /,,r ,f; . v �'" , _ _ _ _ __ _ _ � . � IM OP ri NT:�In these spaces,copy the corresponding information from Section A Buiiding treet Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. 1746 Sunset Drive Gty Clearwater State FL ZIP Code 33755 SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy hoth sides of this Elevation Certificate for(1)community o�ciai,(2)insurance agenUcompany,and(3)building owner. Comments C2e=A/C Signature Date 1/2f�11 ❑ Chedc here if attachments SECTION E-BUILDING ELEV ION INF MATION(SURVEY NOT REQUIRED)FOR ZONE AO AND 20NE A(WITHOUT BFE) For Zones AO and A(without BFE),comple tems E1-E5. f the Certificate is intended to support a IOMA or LOMR-F request,compiete Sections A,B, and C. For Items E1-E4,use natural grad ,if available. Che the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for th �foliowing and check he appropriate boxes to show whether the elevatlon is above or below the highest adjacent grade(HAG)and the lowest adjace t grade(LAG): a)Top of bottom floor(including bas ent,crawlspa ,or enclosure)is ❑feet ❑meters ❑above or�below the HAG. b)Top of bottom floor(including basem t;-eFa ace,or enGosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Buflding Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages&9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feat ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platfortn 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 floodpiain management ordinance? ❑Yes ❑ No ❑ Unknovm. 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 representadve 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 irr Sections A, 8,and E are correct to the best of my knowledge. Property Owners or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments • ❑Chedc here if attachments SECTION G-COMMUNITY INFORMATION(OPTiONAL) The local official who is authorized by faw 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 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 sunreyor,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 communiry official compieted Section E for a building located in Zone A(without a FEAAA-issued or community-issued BFE)or Zone AO. G3.❑ The foilowing information(Items G4-G9)is provided for community floodplain management purposes. G4.Permit IVumber 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(inGuding basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the buiiding site: ❑feet ❑mekers(PR)Datum G10.Community's design fload elevation ❑feet ❑meters(PR)Datum Local Offiaal's Name r� Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces ali previous editions � � . � Building Photographs See Instructions for Item A6. For lnsurance Company Use:' Building Street Address(including Apt, Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number 1746 Sunset Drive Clty Clearwater State FL ZIP COd@ 33755 CompanyNAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least iwo building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear Viev�'; 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. ,��, - ' � :F DATE: 1/24/11 � � ;` ,"�� :�� "K�'�/ �, � , � t;� `��,�� ° � ,��=� �: � t b �� '�� ,, ,�' � �.:� �. , r� � ; � w � ,. a ., • � "�Y"'" a ::Y4;; � �.c-,' t ', ;�-- �,.� � _ t;l/'�,.f *w � � ��.`��f ��' - y� .. .,f' �� '€"�� .�...,�,�„_� .�. .. ; �.. n{. :# P'�- ,r :. �� - - � r _ - .-..� r, _, . ,z...-=.�. � r ' __- ;�.g '�`` - ' ' �� I. , ��I e ' � ,� t n; ,�' _.;: ___ :m_ r......�_v. _._ _�_.. - F � t,iat 1 Y T � � — f �� r r"`ip,�.Y57+w�� rt� � - Y�"�.-�"T, ��; � �, „ �y°;�� ,�. *, .. '�-^�.7,.. -.. ��yha� , _ �. � ' �",�;3,�,,,._,_ FRONT VIEW: � ' ' - - � .: ; . .. r . , �� .a,� ,;f .,.�,,.-.w*�.� � �, �, ; . :..w � ,-..�. ,. ,'...w,T,r,N; � ;.. .....,..s.`�._'Y' ^q ... ,- .. ._�„ � . , ...._ , _„ .. ... ' ' .�.� �,..i �. �'�: �� .,� ,.4�1 i t p L� tY �Ni �• : . . � : ` :� �� , ' 4 ��-,� � �.a . . �,` . . � ��k, `��`� ��'"' � ��` ,. ' ° ? " " .�� '�,.;.,. - -�np--w:"'-�'i`*`�-• - ._�_.,.� — �' . � �� ', . . � }��``� . �v q "' I � �,`� � �,_< REAR VIEW: j � i- "� ' y , { � �� ____' "A ___.'_-_'- __ � �� . �..� i.; � e _�, . . . .�.. . • _ , : � -..y._.. _ .. . ti� t i .v .� �.4 ;',Xw -tic�, ?^ �r�.�A.�a __. .. __...... .T. +�d 1: 1.• - � . . iNr'17^j �"�'�_ . � -� _ . .. . � �) ., � �� rt" ...„+�, "M. ._ .. - ..__'. _... � ' � � }D� t1� "_ JS.r'4 � . -l;+p ' � � �'r :� ,� ' 1� �° _�� r�y e' J+� � � '�� i� �' u � -=� � � r ��t��'�i;7�c�{i+"'�g qflv.` �'& �� ir i a � ," �..� .�.� �� a ..,- y �� r a�.' �, F az �,. > ; �'�r� „ � y a�, � � k � � -�.i; �� -"` r ` r ` � r� � � �t „ � s r � �' i� �. �° ' J+ 1 d '�u 4 � ��, y ry�yy i h� �,. "�.��xr 1 ;, � ,�.:a � r,�;"� � a .a�* v �..s 5�- 4� � a's s m�"�-� �:C �1) � . i' : . ¢- � '' a. �,,"'� ai �, °r�r-. . .4'. � �aa°�€.Is�.i..:�� .,..�...��:. vn._,'�.,��..��`a�.d.xd�_s.,m°��''i'3�,-��.:. ._.,,...�..... .....____. �.'....! "c0s,?� e�..�v..u,^�u�4�s'�v..�a�a� `�:� � r � - FEDERALEMERGENCY MANAGEMEM'AGENCY , ' NATIONAL FLOOD INSl1,2ANC�PROGRAM O.M.B. No. 3067-0077 , Expires DEC. 31, 2005 ELEVATION CERTIFICATE Im rtant: Read the ir�structions on es 1•T. SECTION A-PROPERTY OWNER INFORMATION Forh�anoe C«nperry t1s� BUILDING OWNER'S NAAAE ��Y N�� JOSEPH�JULIE CHlRONNO BUILDING STREET ADDRESS(Ir�dud'sg Apt,Un�,Su�e,andlor Bldg.No.)OR P.O.ROUlE AND BOX NO. Comparry NAIC Nurnber 1746 SUNSET DRIVE �" �°- CITY STATE ZIP CODE CLFARWATER Fl- PROPERTY DESCRIPTION(Ld�d Bbdc Numbers,Tax Paroel Ntmber,Legal Desaiption,e6c.) LOT 1,BLOCK 12,NORTH SFIORE PARK, PINELLAS COUNTY PUBLIC RECARDS BUILDING USE(e•9•,Reside�fial.Nbrr�esidential,Add'�ior'�.AooessorY�etc. Use a Comments ares,�neoessaty.) RESIDEMIAL LATITUDFJLONGtTUDE(OPTIONAI.) HORIZOIVTAL DATUM: SOINZCE: GPS(TyPe). (#t�'-##'-##.##" or ##.� ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Nlap ❑Other. SECTION B-FLOOD INSURANCE RATE MAP(�N2M)WFORMATION B1.NFlP COA�uIUVITY NlANE&CANI�ATY NlAu6ER B2.COUNTY NAME B;i.STATE CRY�CLFARWATER 12103C Pq�lELLAS FLO(iW1 - B4.AAAP AND PANEL �,SI�F{X 67.FIFtA+I PANEL �.BASE FLOOD ELEVAI'ION(Sj NUM6ER 86.FIRM INDEX DATE EFFECTIVFIREVISED DATE 88.ROOD ZONE(S) (Zaie A0,use depih offloodu�g) 0106 G 08M9V1999 �i 'NE" 14A 610.lr�Cate the so�oe a�the Base Fbod Elev�ion(BFE)da�a a base flood depth entered in B.9. ❑FIS Pro�ile �FIRM ❑Canmuniry D�ermir�ed ❑OU�er{Desqibe): 611.ir�iCate the eleval�n dabun used fa the BFE in 69.�NGVD 1929 ❑NAVD 1988 ❑0��'(Desa�be):_ B12.Is the buik�rig bcated in a Coastat B�rier Resouroes Syst�t�(CBRS)area a Otliervhs�e Protected Area(OPA)? ❑Yes �No De�gnabon D� SECTION C-BUILDING ELEVATION�IFORMATION(SURVEY REQU�tEQ} C1.Buil�ng ele�+�ions are based on:�Cor�s6tx�a t Drawin�" ❑Buii�ng Under Constnx�on* �Ftashed Constnx�ori "'A new Elevaiion CerUfica�e w�be req�red when construction�the buil�ng is co�te. C2.Buiidmg Dia�am Nw� 1 (Select the building�agr�n most sirr�la to the buii�r�fa whid�this certifica�e is being oanpleted-see peges 6 and 7. If ra�agam aocura�ely r�ihe buik�rig,provide a sk�ct►a photo�aph.) C3.Eleva�ans—Zones A1-A30,AE,AH,A(wdh BFEj,VE,V1-V30,V(w�h BFE�,AR,ARIA,AR/AE,AR/A1�3(1,ARIAH,ARJAO Compiete I�rns p.,a-i bebw acoading to tl�e building�agram speafied in item C2.State tl�e d�um used.IFtl�e dalum is�t fran the datum used forthe BFE� Sedia�►6,convert the datum to thak used fa tlie BFE.Sharu fi�d me�urements and dah�m conversion c�cula�+ai. Use the spece povided or the Comrnents ar��f Se�on D a Section G,as�ropriate,to document the datum oonversion. Dalum Conversia�lComrn�ts NONE aevaea,re�erer,ce ma�c used Dces tlie elevatron reference mark used appear on the FIRM? ❑Yes ��o ► a)Top of bottan flaor(indu�ng basement a endosure) 062 ft � � ► b)Tap�neaQ highaibor WA..ft �m ► c)Bo�om o#lo+n�t horizontal strucharal member(V�nes only) N�A.ft o _ �� ' Bo om � ► d�A�ached 9ara9e(top o�slab) 07.9 it �W " ► e)Lo�st eleva�a�of machir�ery arxvor equipment �; (y� servicyng ihe buii�rg(Desaibe in a Corrar�ents area) WA_ft. ;� a�� ► �LoNrest a�ao�tt(finistted}c�ade(lAG) 06.3 it �� 1 ► 9}Highest ad�aoent(finist�ed)9rade(HAGj 06.5 R � ► h)No.of P�m�ent openirx,�s(flood venis)witlmt 1 ft.at�OVe adaoent grade 0 '' ► )Total�of all penn�ent ope�(flood ve�rls)in C3.h 0 sq.in. �$$cM�5 SECTION D-SURVEYOR,ENGINEER,OR ARCHtTECT CERTIFICATI�i 7tiis certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. 1 certify that the information in Sections A,B,and C on this certificafe represenfs my best efforts to interpref the data available. 1 understand that any false stafement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. CERTIFIER'S NAME MOHAN�iAAD B.FAR LICENSE NUMBER #5545 TITLE PROFESSIONAL LAND SURVEYOR 8�MAPPER COMPANY NAME MOHAN�YIAD B.FAR ADDRESS CITY STATE ZIP CODE 8131 Ii�IDOYVVIEW PLACE NEYY PORT RICHEY FL 34655 SIGNATURE �/,��✓ �G,,�—�' DATE TELEPHONE FAX i � �� 0$�12-2003 12T�'T5�1740 727�37r1741 FEMA Form 81-31,JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONB