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S! :l;i,; !V^ <;�i�> �`j'.rii�..'i)St�i f):SN l!':'.S (f:��.....�....._.,.�....,,..- _.-..w.........-...ro'.---•..-,. .... �.,..._ .....r . . �....�.,t, . .•-..-.,-.�-...-«..., . . . . ..... . : . ....r�-. � r..,,-.j........,.. r�r-,i).:tC?.S aii �cr_v vt�., Er):���sr�: � �y[Y M� ; FEDERAL EMERGENCY MQNAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION C�RTI FICAiE � This form is to be used for. 1) New/Emergency Program construction in Speciai Fiood Hazard Areas; 2) Pre-FIRM construcfion after September 30, 1982; 3) Post-FIRM construction; and, 4) Other buildings rated as Post-FIRM rules. OMB 3067-00T7 Erpircr Jcu+e I98I L-� c� rJ�,� D'� �- '!i n�s � c.�- � ti� �� �v -� BUILDING OWNER'S , ' NAME ' 3p�/ �!�-LH �S'L.4-�! D � E PROPERTY LOCATION (Lot and Block numbers and address if available) Lot 46, Unit 6A, ISLAND ESTkTES Ot= CL��,RWATLF. � I certity that the information on this certificate represents my best efforLs to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. code, Section 1001. SECTION 1 ELIGIBILITY CERTIFICATION (Completed by Local Community Permit Official or a Registered Professiona� Engineer, Architect, or Surveyor) MMUNITY NO PANEL NO. SUFFIX OATE OF FIRM FIRM ZONE DATE OF CONSTR t'BASOEZ�OD60. P' BUILDING IS - O New/Emergency 125096 � 0007 � B �6/1/83 � Al2- I I 11.00' O Pre-FIRM Reg. ❑ Post-FIRM Rey. YES NO �i is intended that the building described above will be constructed in compliance with the communit�s flood plain , D p ordinance. The certifier may rely on community records. The lowest floor (including basement) will be at an elevation of ft, NGVD. Failure to construct the building at this elevation may place the building in violation of the communiry's flood �lain management ordinance. YES NO The building described above has been constructed in compliance with the communir,+'s flood plain management jf� ❑�ordinance based on elevation data and visual inspection or other reasonable means. If NO is checked, attach copy of variance issued by the community. , 0 MOBIIE HOME MAKE l MODEL I YR. OF MANUFACTURE SERIAL NO. I DIMENSIONS X (Communiry Permit Official or Registered Professional Engineer, Architect, or Surveyor) -_ NAra� �� EUCjE�ile_,�. CdUd2� � ADDRESS 2575 Harn B1 vd . ,t_f -; ,~ rir�E Pres �.dQnt cirir Cl earwater STATE Fl orida ZiP 33546 . r. ; . - �. . �_f , ,, _ � . 6�7�85 . 813-536-7701 - „SIGNAT�J'RE ' ' �- �` ' —�— DATE PHONE � SEC7ICM 11 `ELEV TlON CERTIFlCATION (Certified by a Local Community Permit Official or a Registered Professional Engineer, � � � Architect, or Surveyor.) < - ' t r FIRM ZOI�l��A'1-r�3d: I certify that the buildng at the property location described above has the lowest floor (including basement) �>., � at an elevation ot_I • 32 feet, NGVD (mean sea level) and the average grade at the building site is at an elevatio� ot � U� feet, NGVD. FIRM ZONES V. Vt-V30: 1 certify that the building at the property location described above has the bottom o! the lowest floor beam at an elevation of feet, NGVD (mean sea level), and the average grade at the building site � is at an elevation of feet, NGVD. _ FIRM ZONES l� A99, AH and EMERGENCY PROGRAM: I certify that the building atthe properiy location described above has the lowest floor elevation of feet, NGVD. The elevation of the highest adjacent grade next tothe building is feet, NGVD. FIRM ZONE AO: 1 certify that the building at the property location described above has the lowest floor elevation of feet, NGVD. The elevation of the highest adjacent grade next to the building is feet, NGVD. . - SECTION 111 FLOODPROOFING CERTIFICATION (Cert�cation by a Registered Professional Engineer or Architect) I certify to the best of my knowledge, information, and belief, that the building is designed so that the building is watertight,�with walls substantialty impermeable to the passage of water arxi structural components having the capability of �esisting hydrostatic and hydrodynamic loads and effects of buoyancy that would be caused by the flood depihs, pressures velocities, impact and uplift forces associated with the base flood. YES O NO ❑ In the event of flooding, will this degree of floodproofing be achieved with human intervention? (Human intervention means that water will enter the building when floods up to the base flood level oo- cur unless measures are taken prior to the flood to prevent entry of water (e.g., bolting metat shields vver / doors and windows). YES ❑ NO ❑ wll the building be occupied as a residence? If the answer to both questions is YES, the floodproofing cannot be credited for rating purposes and the actual lowest floor must be completed and certified instead. Complete both the elevation and floodproofing certificates. FIRM ZONES A. Al.-A30, V1-V30, AO and AH; THIS CERTIFICATlON IS FOR g( SECTION II CERTIFIER'S NX�M� ` ' � , , Eugen�::5. Ca�t��? �, ' , : ,. TITLE _ ' • - � i'�, -_ —� Presidert = �� +- .� . . SIGNAT�lflE � r" - ' DATE _ . - -f -=; ` _� 6/7/85 �. r �� '`r.r�±�-�•� �w.0 �"-� .,�ilr_ Certified Floodproofed Elevation is feet, (NGVD). D BOTH SECTIONS 11 AND 111 (Check One) COMPANY NAME Caudell-Gaylor, Inc. ADDRESS 2575 Harn Blvd. CITY ' STATE Clearwater F1. LICENSE NO. (or Affix Seal) 2311 ZIP 33546 . PHONE 813-536-7701 The�nst�rance pgent should attach the ortglnal copy of the compteted torm to tne riooa �nsurance poucy appucauon, ttiE seGOnd eopy shoufd be supplled to the pollcyholder and the ihlyd copy retafned by the agent ��+ INSURANCE AGENTS MAY ORDEA THIS FORM " , FEMA Form 81-31, SEP 83 ntrvat,ta rtnnn rvnm oi-si, nrn tst, wnit,n �a vuav�c i c