1812 SUNSET DR a
FL�RIDA PAGE 92
05/19/2��� 14:47 9417495751 �
Im rt�nt: Raad t��lnstruatlons on a es'� -7- wr�i�wrrr,.o.;CO�'�PanY,vele•:.�
■ . . .
SECTION A-RROPERT'Y OWP1�R INFOI�MATIdN .....:........ :: ..
Poll�7►NulnbNr-....... .: . . :.. .....: .
BU��oING QWNER'S NAME . : ��; . : . .-:: . :: .'
� �+lo.)OR P,Q.ROUl"E AND BOX N�. `Gaf�!RaAY�!C llul►At�er:...:;.� „ ,i
BUILOtNCa STREET ADD S5�(IneludyPq�s.�1�'�.,1�.�{�jahdJCr Bidg. •- . . ,; ;_ � . . . �
L ,�1.7 �`�. ir�.. 5TATE �1P CQI7� �
Cirr �+ �,�M��A"{�IC• �
pROP�RTY OESCRIPTION I.otand��Nu��j�D�Psr��m��•��a��t�a���� �
4 d neaessarY�� I
BUItA1Nd USE(e,D,�Ra.iaanlial,Non-re6ldentla{,llddltlon.A��•etc. UsO Comtnend sad��
L/1T17U�RONf`sITUDE(�PTIOWI4) HORIZONTAL�NA�u1983 S013F'�tCE: u USGS Q d Msp 1_!��r. '
t ,M,w.�wr.�.w�' w �.�') IJ ww,a2� Li
SECTIdN EI-�LOUb�NS1�iRANCE RATE MAP(FIRM)iNFCR11MATiON �
B3.STA'tiE
g1,pIFIP COMMUNITY iuAME���UNIfiY NUM�ER 8�•G���ME
q4.NIAP ANd PANEL BS.SUFFIX B6.FIRM INDEX 97.FIRM P�EL B8.�-�� a9•BASE FL ELEVA7IDN(5)
NUMB�R DATE ��FEGTN � � ` ��AT� YONE(S) (Zorre AO.u� eDth a�Appdin�) I
� -1 �•SZ . �
514.Inclitate the�souroe af the 8 e Flood ElevaCwn t9FE�data or beae flood deMh entered in B�.
IJ pIS PrnFla � I_,_I Commuryty Det tnsc� I_I�her(Resaibe):
811.Indlc�te the eievaUor�dwtum usedlE�msBReatonurcee�C8}iS)area vr Oth1erw�se Pro�eceea�a�a aPA)? U Yes �N�
812. Is Rne buitding located�n a Co�sta_
oesiAnation aate: :
SECTION C•gU�La����AnON INFDRMA'f10N($URVEY REQUIREa) f �����4� �
C1.�ullding elevaHane ate bassd an: I_ICanstrudion[Sr+aWln�s' �...�
Building Under Conatruction"
•A new Etevation C.eniflcale wU!be r+equir�d when cee+stn+�i°n ot tha bul�ding Is aomple�. � I�t�-��
�2.Bulldtng Dfagram Number_�(Seled the buildlnp ol�grens moat similar�o the buildin for whlrh thls certif�ata is bein con+p 1
pa,ges 8 and 7. ti na dia9ram accuret�h►r�D��°�e buildinp,pmvide a$ketch ar photopraph•) i
C3.Elevations-2enes A1-A30,A��AH,A(with BF�j,NH�V'1-V30.V(+Mth 9FE)�AR.AR/A.AWAE.ARlAi-A30.AR/AFi�AR1A0 �
Camplete E�ms C3a-i bNoW acaardiny to th�buiWl�g dls�fe�m spaafiad in ltern C2.State the datum used.If the d�tum is ditlerent Nnm I
tha da#um usfd for tf+a�F�in Sec�ion B,eorwert 1h�daWm to that used for the BFE.5hew fleld� dcaument�he detum c�meraio�+�
aalculatian. Use the spaoe pravlded o�the Ca^�me�bs a�ea of Sectlon D or Sedi�G.as mPpr� ;
Datum,,,�.�_ C��IoNComments r on the FI RM7 ��Yes L o
Elevation rafarence maAc usad C1a4s tha eievat�on reFerenoe marlc used appee
_�'��(m) �
� �)Top at bottom Aoor(ndudiwg aaserttaM or encto6ure) — �„R.(r+'�) f
4 b)Top bf next higl�er flaar ^�.(m) �� {
O c)8ottom ai bwest hori�orttal struatural member N xones on1�r) �
0 d)Altached�arape(tap o4 aia�) (� L� � � 1..� �
G s)Lowsat�tevslion at mschl�ery and/or eau�P�nt f� '
senrieing d+e bulldin� �: �
p �Lowast adjscant grade(LAC,7 �
O g)1-tlghe�!ad}aoent�rede(HAG) { � ��J � � � L�t�� i
11ood V�11ts)wlthln 1 A.�bov�adjgCBnl�red� I '. �
I� h)No.of pertnanant apeninp'( .
0 h Totel.ree ot aY p�rmenant open��6;��vent�)In C3h` �9-in.( • .� , °:-:4?h`���R�.iVT SV�� �
SECTION�-SURVEYOR�ENl31N�ER,aR ARCHITECT �tILA:' ;
::. -"_, lon. 1
T'hi�ceNflc�tion Is ta be sagned and ses�ed by a Isr►d aurve�►er,en9meer,or arch�se�t au�horized by ew �
!certll�fhet fF►e lNarnetior►in Sections A,B,a�d C on thla eerbliC��e representa mr best eflF��ts M lnte�pret tha dete eve!lebfo. ;
!under�tend tlymt an i$Jse statement ms be 'sh�Dle b line ar i risonment undLlC HS NUMBER �]�.1�. ,�/r,a1 1 �
CER'f1FlER'S NAME ,�y-
TITL� CdMPANY NAME Cj U�I�� G��� r �l,��1�
U u.3 l��.� r�'. yi caoE .�'�
� �T ATE
/►ppRES3 9 } � p^�,� _ � �'EIEPFtOh1
G., t � .
SIO TURQ & 1 �
• FLMq�erm 81-�1,AUG 99 SEE REVE �SIQ��OR CONT1PtUAl'lON REPiACES ALL PREVIOUS ERfTlaN �
MAY-19-2000 �4�56
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I For Inauranoa CamponY uM�
{INIPORTAId7: In these�Pa�.copy trie eon�•P4ndln�Iniortnatton tran�S.ction A. Poliey Nunraor
UiLAING S REET AUDRESS(lnclud np Apt.,Un�,Suite,ana/or 91dg-No.)QR P.O.RO E ANp�OX NO.
STATE 21P COD� Cnmpa�r�NP►1C NumbOr
IYY
S�CT10W D�3URVEYdR�N�3INEER.OR ARGNI�'ECT CERTIFICATION iCDNTINUED)
crpy bath sides of this�Ievatian Certif+�t�tor(1)community ofiicial.(2)insura�ce sgenUooM S,and(3)building owner.
OMME '� � I�.��ILJ��� 5��.� � IJ
D E'-�-�2�rvt � ►s� t��� � N4��2a�7'A
� ��CheCk here if att�chments
; SECTIOr1 E-BUILD�NG ELEVA`�ION IN�ORIYIAT�Oid(SURVEIf NOT�tE4UIRED)FOR ZONE AO AND ZOM�A(rNl*HOL1T BP�)
F r Zon�AO snd Zone A(wilhout BFE),oomplete Items�1 through�4. If the E�velion CerfiRcata ls ir►�endad for use as supportin�
i »netion f�or e LdMA or LOMR-F, Secflo►r C must�e Completsd•
. puilding Diagrsm Number�_(Se1ed the building diegram md$t slmiiar 10 t�gk��br phroiogtaP} ����t���&��mpleted—
see pages B end 7. I�no diagram aCCUretey�nis the b�lding.pravido �. m In.cm �dove or I_„1 below
.7he top of ths botlOm 1bOr(indud�ng ba5eme�ar endosute}oT xhe bufld(ng 16 l I _I t )�� � � U
(ch�ck ona)th�highost ad]�nt$oade.
.�or Bulldi��aiegrdm8 S-B wkh openings(sae Page 71,wa►�ext higher flaar or eleuated fl�r(elevatiaK+b)Of th�building is
„�j,�j�t.(h+)I_.Uin.(an)abawe�he hfghest adjacant grade.
=or Xona AO aniy: lf no Aoad dePtF►numbsr is availabl$,is the top C►f the bottarr�floor elevatsd in a000rdance wlth tho community's
fload �ain man emer�!orrllnanca? Yes No Unknowm. 7ha local offiCia�must tMio infaRnatian in Secl�on G.
SECTION F-pROPERTY OWNEft(OR OwNER'S R�PREBEN"1'ATtYE)C�IrtT'�FICATION
he prope,ty owner or ow!►ers suthorixed represe�tetivd who cOmRle���'�A,B,artd E for Zvn6 A(w'�thout a FEMA-Issued or
munity-lasued 8F�o�'Zo�e AO enust sfgn hero.
wNER'S OR UWNEIi' A ORI PRESE /� 'S
Cl STATE 21P COO
bDRES:`s
E
� CIRE
MENTS
' Check h�r�it attachments
9EC'T10N G-COMMUHITY INFORNIATION SOPTIDNAL)
T �locei officfel w�'�o is auifiarized by law or o�dinance to adminialer the oommunilys 11c+odplain ma��gement ardinance can complete
3 ction�A,8.0{or E),�nd�of ttrts Elevetion Certificate• Complete the BPPI'icabla itsm(a)and sigA belaw.
. �J The information in Seetfon C wes taken from ather documentstJan thai has baen si�ne0 end emboss�a by a liaensed�unieyor.
engineer,ar architect wtw�s sutt�odxed by state or�oca��ew ta certify eleratian iMormBtion. (Indicste Ihe 6ourca�nd date af ttt�
elavattan data in the ComtneNts eres b+Dlo�•)
� •I�A communily oific�al compleled SectiOn�tnr a building localaQ in Zo�e A(wit►�out a��MA-issuod or communiry-'rsaued BFE)ar
2ona AO. u� �y.
G .�The(ollowin$information(Items Ga-G9)Is providad tor community 1loodpleln managemsnt P Pb
.PB UMB �S. GwTE PERM I VE Cs�. DA G£RTIFlCII E OF G L1A �E/�CC ANCY
,ssu+�o
.7his perrnii h8e been issued for: U New Construction U Subgtantial Impto�eme y
,Elev�nan ot eg-built lowoat 11oor(InGudmg besemeM)of the buiiding is: `�,���pelum:,
BFE af Gn�one AO)depth ort�aeding 8t the butfdlnQ site is:
.,At�D ! U11.'S AME
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�MMUNITY MAM�
1 RE
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