936 BRUCE AVE�c ,� ���� � �- �-�y
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U.S. DEPARTMENT OF HOMELAND SECURfTY ELEVATION CERTIFICATE
Federal Emergency Management Agency
Nationai Flood I�urance Program Important: Read the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION
A1. Buildi�g Owners Name
Thadd C Taylor & Heather E. Taylor
A2. Building Street Address (induding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
936 Bruce Averwe
Cdty qea+water State FL ZIP Code 33767
A3. Property Desaiption (Lot and Bbdc Numbe.�s, Tax Parcei Number, Legai Description, etc.)
Lot 7, Blodc 50, Mandalay Subdivision
F�
OMB No. 1660-OOd8
Expires March 31, 2012
U88:
A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.} Residential
A5. LaUtude/La�gitude: Lat. 27.999212 Lcx�g. -82.825986 Horizontal Dat�an: ❑ 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 8
A8. For a buflding with a crawispace or endosure(s): A9. For a buiiding wffh an attached garage:
a) Square footage of crawispace or endosure(s) 1� sq ft a) Square footage of attached garage N/A sq ft
b} No. of permanent flood openings in the cra�Mspace or b) No. of permanent flood openings in ihe attached garage
endosure(s) within 1.0 foot above adjacent grade 10 within 1.0 foot above adJacent grade WA
c) Totai net area of flood openings in A8.b 1440 sq in c) Total net area of fload openings in A9.b WA �, sq in
d) Engineered flood openings? ❑ Yes � No d) Engineered flood openinc,�? ❑ Yes � No
SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
61. NFIP Cmnmunity Name 8 Community Number I 82. County Name I�ss
Citv of Gearwater 125096 Pin�las �
610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69.
❑ FIS Profile � FIRM ❑ Community Determined ❑ Other (Describe)
611. Indicate elevation dattan used fa BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Othe�' (Describe)
B12. is the buiiding located i� a Coastal Barrier Resour�ces System (CBRS) area or Othervvise Proteded Area (OPA)? ❑ Yes � No
Desigrration Date N�4 ❑ CBRS ❑ OPA
SEC770N C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Buiiding etevations are based on: ❑ Construction Drawirgs" ❑ Building Under Construction' � Finished Conshuction
A new Elevation Certificate wiN be required when construdion of the buikling is complete.
C2. Elevatians - Zones A1-A30, AE, AH, A{with BFE), VE, V1-V30. V(wiifi BFE), AR, AR/A, RR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h
below according to the budding diagram specified in Item A7. Use the same datum as the BFE.
Benchmaric Ublized ARUAL 1973 Verticai DatYxn ELEV= 3.14' (N.A.V.D.I
Conversion/Comments WA
Chedc the measurement used_
a) Top of bottom floor (induding basement, crawispace, or endosure floor) �.�Q � feet ❑ meters (Puerto Rico oniy)
b) Top of ihe next higher floor 5.17 � feet ❑ meters (Puerto Rico only)
cj Bottom of the lowest horizorrtal structural member (V Zones oniy) N.� � feet ❑ meters (Puerto Rico onlY)
d) Attached garage (top of siab) N.� � feet ❑ meters (Puerto Rico oniy)
e) Lowest elevation of machinery or equipment servicing the buiiding 5.86 � feet ❑ meters (Puerto Rico only)
(Describe type of equipment and bcation in Commenis)
f} Lowest adjac�nt (finished) grade next to building (LAG) 2.7 � feet ❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG) � 4.� � feet ❑ mete►s (Puerto Ric:o oniy)
h) Lowest adjacent grade at bwest �evation of dedc or stairs, induding �1.�4 � feet ❑ meters (Puerto Rico �ly)
sbUCtural 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
infortnation. 1 cerfify that the infamation on this Cer6ficate represents my best efiorfs to interpnat the data availab/e.
I undersiand that any fa/se statement may be punishab� by flne or imprisonrrrent under 18 U. S. Code, Section 1001.
� Check here if �mments are provided on badc of form. Were latitude a►id longihide in Section A provided by a
licensed land surveyo�'t � Yes ❑ No
Certifier's Name Philip C. Stodc License Number RLS#3035
Title President Company Name Target Land Surveying, Inc.
Address 516 Lakeside Place City Largo State FL ZIP Code 33771
Signature �,_ „ r, Date 7-1-10 Telephone (727) 784-0573
FEMA Form 81-31, Mar 09 See reverse side for continuation.
Replaces all previous editions
IMPORTANT: In these spaces, copy the
Building Street Address (inciuding Apt, Unit, Sui
936 Bruce Avenue
City Ciearwater State FL ZIP Code 33767
information from Section A
.) w P.O. Route and Box No.
Fa
Cornpeny
SECTION D- SURVEYOR, ENGtNEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy bolh sides of this Elevation Certificate for (1) canmunity Mficial, {2) insurance agent/company, and (3) bui�ng owner.
Comments
Job # 100630.02
CZ.e) = A/C Unit.
According to the Pinellas County Properly Appraiser, this house was built in 1925. At that time, FEMA Flood Maps did not ebst
Signature , ;� —
�7_��,�
7-1-10
.Z"�
SECTION E- UILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A{wittrout BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, compiete Secfior►s A, B,
and C. For Items E1-E4, �e natuai grade, if availabie. Check the meas�xement used. In Puerto Rioo oMy, enter meters.
E1.
E2.
E3.
E4.
Provide elevation ir�fortnation for U�e fdlowirg and chedc ihe appropriate boxes to shaw whetl�er Nie elevation is above or below the highest adjacent
grade (HAG) artd the lowest adjacent grade (LAG).
a) ToP of bottom floor (induding baserr►�►t, crawispace. or endosure) is ❑ feet ❑ me�ters ❑ above or � below the HAG.
b) Top of bottom floor ('inGudi�g base�nent crawlspace. or endosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG.
For &n'fding Diagrams 69 with permaRe�t flood openings provided � SecHon A items 8 and/or 9(see pages 8-9 of Ins�ns), the next higher floor
(elevatlon C2.b in tt�e �agrams) of the b�n'Iding is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
Attadied garage (top of slab) is ❑ feet ❑ meters 0 above or ❑ below the HAG.
Top of platform of machinery and/or equipment servic�ng the building is ❑ feet � meters ❑ above or � below tlie HAG.
E5. Zone AO any: If no flood depth � is availaWe, is the �p of tl�e bottom floor elevated in a000rdance with the �s floodplair► management
ordina�e? ❑ Yes ❑ No ❑ Unkrnown. The bcal a�iCial must ce.rtify this irrfortnation in Sectlon G.
SECTION F- PROPER'fY ONMER (OR OWNER'S REPRESENTATIVE) CERTIFlCATION
The property ov+mer or owner's authorized �resentative who can�etes Sedions A, B, and E for Zorre A(without a FEMA-issued or communiry-issued BFE)
or Zone AO must sign here. The sfatements in Secfions A, 8, and E a�e oarect to the best of my know/edge.
Property Owne►'s or Owner's Authorized Representative's Name
Address
Signature
Comments
City
Date
State ZIP Code
Telephone
❑ Check here if attactxnents
SECTION G - COMMUNITY MIFORMATION (OPTIONAL)
The locai offiaal who is authorized by iaw a adinance bo admrc�ster the oa�s floodplain managernent ord'mamce can complete SecKions A, B, C(w E),
and G of ihis Elevation Certificate. Complete the app(icable item(s) and sign below. CFiedc the measure�ment used in Items G8 and C�J.
G1. ❑ The information in Section C was hak� irom oth� docxxn�ta6on that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certify elevation iniormation. (Indicate tl►e sairce and date of the elevation dafa in the Comments area below.)
G2. ❑ A community official completed Sedion E for a building locat�ed in Zone A(without a FEMA-issued or oommuruty-issued BFE) or Zone AO.
G3. ❑ The following information ptems G4-G9) is provided for community floodplain management purposes.
G4. Pennit Number
G7. This permit has been issued for:
G5. Date Permit Issued
❑ New Construction
G6. Date Certificate Of CompGance/Occupancy Issued
❑ Substantial Improvement
G8. Elevation of as-twilt lovMest floor (induding basement) of the building: ❑ feet ❑ mete,rs (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Dat�m
G10. Community's design flood elevation
Locai O(ficiaYs Name
Community Name
Signature
❑ feet ❑ meters (PR) Datum
Title
Telephone
Date
Chedc here if attachments
FEMA Fortn 81-31, Mar 09 Replaces all previous editions