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1011 CHARLES ST' - • t l'UtKHL tMi=Y'<laLiVl. T Itil/��V/1VI:Mt'rv � HI�ClVI. 1 NATIUNAL f�LC)U(j INSURAAlCE PROGRAh1 ELEVATION CERT(FICATE irt�portant: Rca� the insiructions an pages 't - 7. ��} �j SECTIOtd A- Pf2nPE'FtTY QYYNER !PlFORh1A2iOh � B�IL:�IN �; ti'.":NER'S IJAM� Jasc>� � LPS 1 i e'wor:t� f�I.!!I [)t�rt£; tilti!=E=1 AOC?R�SS (InGuci�g f,pt. Unit, Sui'e, �nd?ar F',1cf..; t:c., C:Ft P.n_ FO(P7F k':D 60X NU. iQli Char3es Strcct � G.h�4.[i. ��'c� 3Uu7-d?�.:+7 � ILxpires n��cembcr :�1, �t�U`� L�__. _ _ . ..,?.... ,.�,� :,�.,• :�•'aticj+2f:it5"�}.�. .'. - - ..�. . �. .e.;a.�;G'rs:;'�r�_ . � eT.:. •'_�C•cxnpaFiyJd]',1C:Nuh►h�� ' i;11 Y S? A7E 7!P CO:J� Glear.•�ater Fl. 33%5$ — — -�__,_.,�_ _ _____. __ - ---.� NI:Uf'E:RTY DESCR1Pi'tOtv (Lo: �fid 81o�'.,k Nvmtx:rs, Tax Niru:l Nur�i.;cr, �cgal Ucscriptia.�, ctc.) _.___ Lc�t ?, � the w`es� 1/2 �7 �ot__�:_.�ik F3, f'Er",LL F�,RK _ _ _._�- _ _ _ . _... _ .. _---__ _ _--- F'.•iJll.[):tdC; U;iE� {e.g., Ke: iuential, tJon-resia7enuaE, Addition, A�.-C?S$tlf�, P.iC. �:Sk.' a C,omrr�nt5 area, i! necess��}�.) Resic#cntiai — - . _ _ _ _� _ [Ai171JJi." Uh'GITUUE� {UNl'IO:��,Lj HOR�ZUh1tii_ t>:-.t ��r�: SO�l�tCE: [,PS 'f x� t�-�x� - a4a �;,- ur k�.�ux�,:°} � � rrn:� ts2r {�I r,-.i i���;� � i_I (�T �� �_. _ ni� �i4 i � ��CiS UL'a�� P�f��P �_) �)L"te:: .... 1'i r: ._. . ..... ��� ��w�P � SCCTiON [3 - FLUUD IN5UF2!',NCE 1�2ATE MAF' (F1RMj INFOF:t�;ATION _ ____ _ _ __ _ -...� _ ..__ .___ _ _ � L 1. �:i It" L:Ot.th!l1f�l i Y NAS1L 1s CC>F.Al,4Util7 Y' �3l1PAfiEf< G2. COI !t•;Tl' !Jt.!v1C —� B3. �TJ�Tr- :.____ Ci ey i:1 �1ear��vater i2SOyb ----� .. __._P�INEI.U.S _ __ t _.. _._L�.-----____ .. _-- - — — - ___�._ _ _ _. ----_. � C.<. F.SA�� � �aD P�r�CL C5. SUfFIX fiE. FIRhA IhDEX B7. Flr^�A1 ('ft�N�L El$. i-L(}UL? B4. t'sf�SF !�l (i(,U C��'�'f.':CJlJ(Sa �Jlltt+l:i[F2 ; GATE EFi-'�CTIVEIFZ�VISED OATE "LUht{S) (Zorie k4, ir.;e: dc�th ot ti�ng) l_ ?�51,6 U1C�6 ; G _°I03/2CO3_1 9/0�I200, 9/03/t"Q03 12.0 .s- i3.� E3„1. tndir.atc th� source �t the fs ise �Food �levation (E3�t) �i3ta c,r base tlood depttti enlcred in t39. �� F(S i'mtilc (X � FI(2PJ (_J Ccammuniiy Uetc�rmined �_J (�ther ([7escribej: --_ B11. I:*.c4ic;::te Uie elevation cf4lum used for the B�E in B�J: �__� t�GVC3 7�29 � X� NAWD 1968 �__j C�fher (Describe:): _ _._� _ 1�5? I^ the b�ii`deny Epc;.jt��d ira 3 Geastat @arsier Re�urces Sysiern (CSRS) area or Othenvise Frutected Are;� {Of'{'e} % � � Yr�; ,}� _� Nn (�csiqnat�on Uat�: ' SECTEON C- E3UILQING [LEVI�;�IOht lNFORMAI'10N (SURVEY FiE0U1REd} �;_ t3uile�ng clevaiion, ar� bascd on; �jConstructio� Dra�v;r.�=:' I__JE3uildi�� Under Cons:ruction' ; X. J�inislr8d Con ,traic:.inr, '�; r,Nw Efevation Ceriificatc rv'a;t 6e requirad wh�n consln:ctian nf thc: huilding i, complete. G2, ��Rf�ing Cliayr�rn t�urnt;er _ i (5e1ec( thc buiidrng c:iayra;;i mo::t simi(ar in thC huitding (or vrnic.h lhis c:ertific,�,tr i, ;�r•�ng ;.;�m;����t�;cf sfle pagc:s f �a�Q 7. !f no diac�ram accu3ately represen;s it�e truildin�, provide a sketrh �r photc}graph.) C'. Elevations -- 7_anes k1-A30, AE. AH, A(with SFE), V[, Vi-\�3C, '+/ 4wit�i 6FE), {',(Z, f,RJf;, AF'v'AE, ARIF, s Jl'(�, itiRJAH, �;si�i��� Ccirrzpl�:t� 1t�ms c�3.a-i betow according to the building �i�orarn S,3NLi �ec� in Ilem (:?_ 5t�s:c� ltic datum usecf. !f thc� 1�!�3.:1TI !�� Cii;r.re�7t faa;;; U�e datum use� for ti5e EiFE in SeClipn f.i, Convert ltie d2tt:m tc ti:�t usetJ t�t tr�c EFE_ Sliuw field rr,casurerrents a-ac d<,turr� r�a•i��ersicr� r.aleu:?tinn (!se t�e space �c�vided or the Commer,is are� c" Sce:i.�n O nr Se:,tinn C�. a; a��ri,;,ria�e, tc� c`nci,�i;cr�t the dl1u��� �:i,n•.�crsion. D2tu:t� NAVD t98E (;�nversionlf;�mmcnts _, _ . _ hlava;ion referenCe iriar�: used C 1 w. €- G, 1 7. � r' 7cic:� t i.: �:Icvat:cn •�i�arenr.r. nzart: asa:i a��es�r �, �, ta,- ('€f? 6.4'? i I,'�. ; i.—^ tJ:� _ __._.__ �_ _ ._ _� ___. f� �;j To�� of t�ttom ffo�r c;�cloJ�rt:) �` t;,•,•: 1 i•��; 1 t 0 ft.im' �_ i --- • _ 1 °; J h) �c,� of ne� t�i�he; �oor _ . �_G . � `t.f,�n; - .• e• s U r,; H.,ttcm oi low�st hflrilont.i� strur.i�rr:f m�mher (V Tor.c� anlvj _;.� h.t.(r �, �-- P:;. S„ :; ., • �, t, ., • , . .— .. � . _ .. c� � c;j /;ttachcd garage (to;� o; slab) 1 ti� .� fi.(rn r n � �' � 6!2=::!�t)c�!, !? i�; I c�w<�st el�v2tiOn oi maciiinery :�ndiur equipm�nl 1° '� , i _ V J serviunu the building (Describe in :� Comments are��.; 1� L tt.{m1 E� �� --4_F' - ��'- -t :J fl L+�west udjacent {finish�d) grad� (L6,G} , �� -� ft.(m} z' �� � �J �7) lii�!�cst ad'acc.ri! finished rad� tNAG N, v, , v f � � �9 4 � ��� . � i�.�fflf � T�.:j �fF-�{l�ll � ( �R'. l�.;kt! !'FflAF.t.:: � �J !ij tva. e�? �rtnanenf openinqs (fiood venG,) wiih�n i ft. atx�vr. ac:;aCrnt _ryr2de t'��� ~� � rcF. iNSU-.}�trt C�IFG'�+' t� :�r�t r ry h�/i � tiCT TC F' t:SfD ff�' ,-.,�..Ci=:.'{71iit1 C;! i) Tutzl .�re�i o( ali permanens openiruYs {f3�d ventsa in G':5_I� sq i+� {sq. cm} __ __ �a...�e, . . ,. SECTION D- SUf2VEYUR, �NGIt�tE�R, OR ARCN(TECT CERTlFlCATION 'his certification i, to be siqned and ,caECd by a Eand sutveyoi, erat�ir�er.r, or archdect authorimd hy law to cer:ify elevatior� infnr�rnatian. t cen;tylhat the rnlom�atron ,n Sect,�ns A, t9, ar�d C on tl�;s CerfifrCale represcrnts my btr .t t�ff�rfs fo intemrGt the tlal� av�itaWc P u;:drrs(�,nci that �rry false sta;n_mc�n; �;ay bN pur�rs6rabfe Uy ane �; �m�ns��rtm�n; crnder ff; t.l S C;odG, S�Ctiort 1(1J T — _V. - --_ _��._ _ .. --._ _ i;[-F;TIFIFfi',° NAMF I I(�FNtif- NtIMHFR Fdhard J„ L�nq;c�n, ,r. ����5� ___. _.__r_ --- ___ _ __ _� .__ _ .____ __ __ __ _._ _. i:l d L t.;�t✓PANY h:Atvt?- Nrofess�icsn�i l.anci �ur��eyor l.E�NCTON SURVEYIHf 9NC�`i___ �,00��s�: -- _ ii-Y _sr�.�-E _T_' zir�cc�oc _ 52$5 P.-��k � 1 vt�i. ;ry P i n� 1�fas f��rK f'7 e 33�'� � S.'GNATURE . -•- � `r—•-_—.—.— _...�_ ___. _ ' � •, { -- � , ' -� ' � UA1 F 1 EIE�'HOhE — � � Gt� �; la�, .� i2 _ ._,, _. _ _ ____�Sc_ �.---� _. 1 _�'_'��S-S�i>a��_� ---_ . _ ___ ____ _ t P�t�. f orcn Ra-3S, Janua.ry 211C33 �-'" See rc:verse side tor �ntinaiatie�:�. Flc.p(ace : 311 previous ��' in,�s i IMf'Qf2TAN1: In Uees� spaces, the corresponcling iniormat�an from Section A. (-3U:�L%Ih:G �1'iiEET /'+[�Df2E:;i:i (InGlu4ir.� Apf , l!nct, Su;te. �nrL'rn E3;dg. No.1 (�f-2 N 1011 Charles_Sireet �1TY _. Clcarv:ater' F1. STl\T� k("Jt17C F,.*�D 80X tJr) -- 711� CODC 33755 FUI IRSU�r�nct: C:cx;ip3nV t,se: Pof:cy fvurnt�l AtC Nur.lhe.• SECTIOh D- Sl1RVEYOR, �NGINEER, OR ARCHITECT CERTIFICATION (CONT►NUEDj Co�.�y bc;eh sid�s of this Eleva:ion t�erti,'icate Snr (1) eorhmfinity oYcia�. (2) insurance agcnticon:pany, 2nd (3j bui{ding ownef. _. _. _ _ _ __ _ GUM!dF.tvTS j_f C'hedc here i', attact:rnents SECTION E-�UILDING EL�VATION 1NFORMA710N {SURVFY NOi REQUIRED) FOR ZONE AO AND ZON� A(WITHOlJT IIF�) :�r Zce�e AO ;�nd "!_i�ne A(�r.vthout 6FE}, r,r�m�late Iterns L 1. lhro�gh E5. if the F_Icvati�n Ccr.ific::jte. is intendec! for use as sti�p�'�rlin,a infom:�Eir,r fcx a LOPJ'.A or LOt�Af:-�=, Seciiun C rtSUSt hc w:n�lete�. E1. Buildiny Diagram Number (Sr..lec1 4he buildi�ig di�gc:�m rnc�st similar ;n 1hc: bu:idiaig (or v.17i�h t�+is r_er;if:cate is beir�,r, compie;ed - see ��:�Qes 6�nd 7. I( nU diayrarn accuratr.ly rc:presents the bwid�ng, �covide a sketch or phc�'oyr�.ah.l C2. �? he t�p c! tl�e b4t9nm tioar (I�cludirn; !.>a5ement or enc:F�3surC) 9t ihe :,uoldiny os � �_( tt (m} � �_� ir�. (crn) [.__� ahr'rve ar 1_ ; bE�iow (cher.k one) the Iti,yhest adjacent gc:�dc_ {U�e nat��rat gr�de, if avait�b�r..j �3. ��r Guild:rc� �3i�gr.3m , G-fs ►v;:l� opCninr�s (,ee ,�:�ye 7). L'�c� nt�xt fpiyhe� fivur ur el�vatecl �I��or (f'iF-Vo3IlUdt �� ti� ihr. buaidiny is ;_j�j ,t. {m) L_J__ .[in. (cm) atxrvc thc hiyiiest acijacent yrade. f;'om�lrtc Itams C3.h :�n� C3.i o� �ront of fnrm. �4. 7he t7p of U�e plattorm of machinery andlor eqiaiprnem servicing the buildiny is (`I�I �� (�; I_[—I �n- (uT�) 9_I a�ve or �� br.low (check one) thc highest at�jacent cJrac:e. (l)se natusaf c�raAe, ii :�vailab4e.} �5_ !-c�r 7ane AC� ostly: 11 no fo�d �"epih nurnber is availabte, is the tap of the bot;om floer elev�iCCi in accordance with the commuryity's tl��dpl3in management UrclindnCt'? i � Ye� ° � No �! tlnkn��m. The local official must certi'v tttis intnrm��ti�n in Secli�;, C� SEC7tOh F• PROP�RTY OWNER (OR OWNER'S f2EPf2ESENTATiV[) CFRTIFICA'fION T hf• pres��erty owner or owner s a:�thoriz�d reptesentahve who completes Srctions A, B, C(Items E3.h 2n�J C;3.+ only}, and E fo: 7c-nu !� {w�ithnui : FEt�.�tA-issGe� or community-issue;:f E3r E) or lone AU rnuvt Sic;� hCr�. Thr 5'al�mert�s rrr Se.ctie�;�s A, fi, C, and E ar� :.'�,f�rr,) ti: the best of mykn�wlc�+c,�e. _. . _ _- -- _ :__ _ ,— __. __ PROPERTY C?'vVNkH'S Oli t3WNEii'S AUTHt)h17FU R£FR�SEI�IZA1 R�'r'S NlJ�tE F.U��cSS S;GNAi, Ir2 � r�W.PAENTS - t:ITI' � QA1�6 STA; L iIf' C:(N)E .. r���H�ic3nC _. _ �_. � C;heck t�i:rc i' attaGnmer.ts SECTION � - COMMUNIlY INFORMATION (UYTt(]NtiLj The Ioca� offi�. I who is autt��rizec; t�y law ar ardtn;�rice tn s dm:r,isier tHe ::c�rr�,?iunity's `.iUadp`.ain manaGernen; ardir,�zr;ce ; ar.• wrT.{;d�t�� ;;�::tic�ns �,, �, C(or C), an�i G c�( Uiis Elev:�tir?r (;crtaflc.-�te. �ompletr; tte ar�zlie:3Jle :tern{s} 2nd �,i�n tir.l�w. t�1. �_) 1 he informatior� in Section G w:.as t3ker. f�mm �tiser d�JCUfit6:1281iOP� thr.` h�r , be�n si��neG and E�n;t,ossc d b;� a iicen�eC sua: cyor. r:nni���cr, qr :�rci°,itect who :s a��thcmfeci by St3:E �r i�r,�ii Is,w ;o ce;ti�y EIMV �t:��n infr�rmalian. (In;ii::�te t�:is r;ourr.r. .snu d�le ui t,•�e:: clevalic�n dald in the: Cpmments are:3 betow.} G2. � � A r,om:nunity ofiicial completed Sec!ion E for a ba�alding IocaEed in Zone R(wi:hotst a FEtt4��-issued or co�rm.anity-issued �i��j �: Cone AO. G3 �_� I he Sol(awing in(ortnatio� (Item� G4-�9} is �rnvi�ed h�s co�nmu»i4y fi�dpl�in manayement pur��f�s�3s. ..�� _ .._ ___ . -- - _ _. ___ _._ _ __ r'° � TE (3F C:t)Pv1P1JANCGlClCCiJr'AN(;Y G4. �'E�t,Ai i'd�]Mf3[R I(i`�. Df+TE PERMII I.:.�UED c t� C�ATE CEicTi, IC;. � I5:5t7EU I_._ . _ _ _ _ __ _� .._ G i, rh;s perrnit h25 bcen �ssued fo,: �_� Nev+ CnnstruCtion �_� Substar�tial Irnprovement C;� F(evation n! a:�-built lr>west floor (inclu�3irx.� t�asnmrnQ n! ihe b�itdins� i.,: . ft (rr�? [��a'um: �__ _ . � _. _ C��. BFE ot {in l.one /�U) cie;�lh of (looding �at tt�e buildir�g sitc i,: __ �L (rnj v3lurti - _ __. LGC.At C)FFtCIAL'S NAMt GC�M!.A11�11T1r" N!�!.'IL SIGh1,T"UkE f:0A4AA�P3TS �F?YiI� �Uf�TI £11-'i1, .):]t�uar: i'iiJ:i �._ _� � � � � _ __ 1 llL!'NC>�f`_ Qf�;E______ . �` c;ftcck rocre �.' a1t, a�lments 4{c;pl;�Ge.:i ;.all �>rt�vic�u; i:cii�i��n:>