Loading...
225 MIDWAY ISU.S. l;�pAt�Th7ENi Qf" FfQM�LANJ SECU�?iTY ! U r2�t. P �!� ENI.Y :9.'a�;AL;LR1FNT AG�N�Y j �. .. � . . i,.�:,,..�, �:y:.;�r. Ai. �L,iiding Ows�ner's Name ��:����'��x�� �������'���i��� S��:POfil"siNT: i=ollow the instructions on pt,ges i-9. SEG�' � - pftOP�F27Y iNFQFYi1�A7PQft'4 ----_-_--- _ _ _ _ .-.-.. --------.----._----. _---. I '�i4'lE3 ;�!0. 1.(�(!�-�;l�lJ� �_Fxpiration Date: July ��, ?�1� ' �i�rrrvui;LtNQABERG -- - ""^�'�uc4VNlJ�T,�}NY:LSE +�?. Sui!ding StrErt Address (includir� 1 t., Jnit. S�ite, �nc Policy Numher� ; __�_22:5 tiHDWAY ISLAND � �— —' -------- �` P �/or E� d�; No.} or ?Q. Rc�tte �n�� Box ho - Cii1 CLEARWATER `"-'---- -- ------ -_______-- Cornpany RAIC au��; N3 'rcp rti ^�scri �ti�n Lot an _ - - - �.aie �L _ "' ___ ._--_. 71P Coc1� �- ( d 8iq�k Numbe, t�x P.rcei �Number, Le��i p�saip;ron, etc.) 33767 _ F'ARCEL 0£ QS-15_qg�,;,��00 4430�LC�T 43VUiV T 3 IS;� -- ��_ "-�-- +n. t3ui�d�ng Use (e.g., a�siUentiai, Non n�;s�� _"" N� �STAT � O Ci FAkW�i'f �k. FLA f BOG!< G47 PAGE O6 PIr �' ��---�---� M5. 1.8T1IUdP./L]tl ir ; ��enti�i. ,�r„a�[inn, Ac; �,:40�� . . . , . . . .. . �`��L.AS COIINTY, FI.ORIpA g.t dz: Ldt 27 979A y etc ) _ftF_SI(7�N ifA4 q6. rltt�cPi �i ieast w� {;h4tograpl s af tfie c�i�ild�n r-°- - lar &?.t9z3 -' -_ --- ___.__ ____� '-- _-_ �7. Bi�iidm , Uiag �, �i tt;a Cert�rlCatc � t��u; -f_ �`_ Nor�zon,al (»turr�. L� i�AD 1�27 � x �—_ � �' ratn A+urnbe QNE�A _ g useci tc� ot.r�in ,IOL'CI II,.,Ji�i(i�t�, ❑ NF.L ���5,5 �H. F���• a builclir�g witM a�rawispar,ea er Fr�c!�sur<a(sj: a) �4uare !r.otage �t Gr•�wisp�ce �r enr,lvs�irers) �,ta A9. Fc�Y a w;id;r.€; wiit: a� � attzcned ;�,. b) Nr�, o� R3erman�nt fioQd �p�nin�s in th� eia:,ist?�c� r�r � _._�__._ s� i? � e�e: --, a1 Sc�u�r� fc�otage of <�s�ached Gzr�ce 604 �n�losure(s) wid�ir: ? f� t�4t ��ove �djaeenr, �ade �) N�mber of �;:��rn�na�q {�oc�c: o enin s in tt�� at�arh� c) ?c,ai net area of fiond ��Cn;.��� I;, ��R sq rf �.`�.b N/�3 �_'�_ witnin 1.0 ioot aUCVe ac'�accnt �rar� NA w" �i garage r11 Fn;in�er@d fi�od �paruny�? �.'"] Yes �-.��''� 9n r•) iCrta! n�i �rea of fleod �R�r�jnG -' ���...�. ,,,_, !�1 N� os in AA.b VIA� d? cnginearea flood opini�igsr ('1 Y'a� n-n ��„ "_._ sq in ___. i��ATtsa�• .� . . �1. NFIP Coei E34. Map,ipan�l Numbax� v...., ��e,v cs ... ��,vt?C� !lVSURl�NC� RAY� RiAP (FiRNF} lIOIFARNiATlON O�hit Numher � E?7. C;ounty Name 115096 � 86. FIRM indA + P�N�L;AS I r Ca�a r87. Flr�tr", Pai,el Effeciiv„/ B8: r=lood Zone(s) 12103�•0102 � � ��vised D�,tP� � ----+__ G -_�� O8!?812005 �_ Gg!�3%2003 � B1Q. tr�dicate the source pf ths Bus� F;eoci E"levation (BFE) rfata ur base Pieoci dEUth eritered in Item 69: �E ____� __ '��, F�S Profile Q'�; flRhq j 7 Coinrnuniry petennin�d ❑ Other/Souroe: _�__� E311. I�tdicate elevaticm daium used for C3f� in I[em 89: � NGV� 19' g � �� 8j.2.!s the builCiing located f;; a Co�3iai Barrier �2esou;c�s S � � �d� � �� � NF1b ) �� ` �--� Y`�eir. GBRS ar�- � OtherjSeurce: . DQ�i�n�t+on Date: � t ) a rn• vihErvr;sc: Protccted Area fOPA)? � .�.--- ❑ C�RS (...,, G^rA � t�3. State __ � FL �`?• Base Flood Eievation(s) (� AQ use base tlood depth) 11.0 FT I� 4�,5 (�] No SECT�L7�1 G'. - f3E!lit33� �y� � i����}�g lNiF�l4iMdT6Q7� {� REc�l�lRED) ��. Guilving eievatians � e oased cn: r� '�"` *H new Ei�vation �ereu�Cate will be required vhen�conatr�� ��n ���r� �'� � 7e buiid rib'ig our:pi'z[Nr Gonsiructior:y C2. E!evatians - Zones A1-A30, AE, AH, 4 i.viti� 8Ft , ��, �r _,� � r�'''St EJ CcnsirucFic�n C2.�rh beiow accoeding to the u��ildin�; di,i��ari�s„ec;f�eri n�I�tem(A7rin ( i�e io �2�c:; enly, cnter r,et�rs. {A, �R/Ar, P,R,i�2-;..`sC. AR/Ey. AR'AU. Corr,,feie It�m: Genchmar;c Uti!ized; �PS Inoicate elevation da,um usec� for the elecatfons ir it:;rns �) 1P�iougl; h) heV NtiCa�' IVG`u ��A�� �98g ` Datu�r. used for buildi�g el��y����n5 rr�a�t he the sbme as ,htit used fer tr; ii��_-_ `-� � i24 NAVD 2�SS e 6FE. � 0[her/Source: _ a) Top ot hottorn ;laor {incluaing k+�sen�,,•;t, r.rawis, ��e. n: �nr,ipsu;�> il;��r t,} i�p ef rii� ncxt higffer tloor � c) F3ettent of the lo�v�.5t Ntirttprtt�! :,;;ucti�rai rnei�ihc:r �V Zrrne� only� c?) %�t[acheri gara�� ('.�r: pf si��;bi el Loivawt ��e4�etic�n of mae{�rr�ery Qr ery iip:;�et�t 5 ni�ir�� th�e �uiieiing (�escr be „p�; ot equipment a�+d lo�.�iiio�i fr Gc �n,rii;;nY�j r} �.oy��;st atijacen[ (fini:�hec!) grada ner.t to p�i;,�i�n� ;LAGI i,fj 'ril�flf!Si 2C1J?]GE(ti {ilfllSilQfj) �I`8.'�e i16Xt tQ �3(!It[ilft� (i-N�i(�.tj t�, �w�,st 3d;ac�t�t �rad� �t Io�PS• r?lavstic�r3 ef deck ,;r st�irs. inr,Ii:di�ig S{ Ui:�iJfiai SUpptltt � L'heck th� �7�easur2ment us�.a. --s.s� � � , �e± C7 r,aters —._ �/A �fa�!. � , N!r"� ._.i t'11.-tcF-5 -...�,..... '�'���'.! faq( '� ^SPLf:t'� -----i.---Q � feEi �.� h:'TEf5 7T0 _..�___ . c� f�t?2 � _� ��ll�tts!:5 5.0 ___'."'__ _ � 1et?i �.J �It�(Ei5 5.2 -_._._.__. � fPE'.L rl r�F�t@�5 �.0 _,�___ �f2er. !.�n,e�e�s ��C�'lC3�! D > �U�;�,��'r�� �l+ttzlit� � �� � �.:,-...�.... .��� ,..�.._.�- C E� s �ert�, c: icr; ,s t��,e s, ' •,R��_T��a��'i%"t Q" �R3'!�3 A7la�i �e � eric s� I c1 k r""`�----.....�,,,_.�.... , rt � y +� f� n�uti n' certrfy r��f t!u r fpmiG tan ori ;h, c a r2i,°���t� represcnt4 rny 6e,t'e�f,'�res t� iitter��r t ih�aY�ta dvci'ab,'�e"'tion i undctstar��i t,�a? arn fat.sz ..tatr;ment n�v b� puvchable b� fine � r rm�riaonrn<<nt t,,ider 1$ U.S,- Code. S�Gfion r � �l Ch�ck herq if Comm�nts are provi�ed on b3cic of f;�rm. 1. �.�Z. Ca ChP,:k here if a,tacnments. V�are laii2uci� and Ionai+�;de iri Sectinrr � pr�vided by � li�erseei land surveyor? � f�, C Nu � Certlfier's N�rne ,._.-.--. -e-_.----_"^-•---____.__---- qILL Fi. HYAIfi, JR F?RESIDENT 1�87MAW S'iHE�7'�3�q �EMA Furm 0$fi-0-33 (7jl2) KNO�V IT NG1N IVC City �'-� -- �UNEDIN pJr` : .._,�____.�. 12-22-2tl13 � �:cen�e Number '-"" ...Y __ k�636 Si�tN - -___.�.�-`�_ F� �IP Ccdy ^ 34698 _ 7<�lepno �e `�Z7) 415-b305 -�. �ee revgrse S�de ipr cer�tlnu�tion, ,�,r .�� ` ,,:. . .,�! �ts�ii ,3 ",' ' t � ':,:� � � � � � � �n c� •� y� y � N � rn o� �D �Q � � � � � � N �� � V/ g � D N � � N � D RG{ilacES �!I previptiS edit�. ��ns L.LE�i���t�� ��9?Tlr����'�, ;a�z�e '� lftiflr�oRTANT: ir, these spac`� ¢_ s erspY t e cer�.,;� zyd�r.�; intorrnation fro:» 5ecticn k. ^'..."..._ -____..� ^ou�7din� Street Address (including Ap' .,,. ;;. �; t�; „r�r'�'or' Elclg. , '�"' - F�E; lfV�URh^lCI; Cdh.iF 225 MIUtNAY ISLAND No..� er t.0. Route a� d �c� Mc. ----__ _ , �-.---------., C;ty � ^ —`------_----- --..._---�-- P�Ley Vum�er: CLCARWATER St�ta `--- � ZiP t;odE --- ---- ; u:�ivarY NA!Ctvi.;nk�er: � ,��_..___'_^__-- FL 357�r _�r SEC7'IC�� ta �. �t��VL-'Yt�R, �N�lfV��R, OR :�ft£i�!'t�Ci C��2�I�i�A�'Et3� {CON7(€VUEp) eepY bc:i� sides of ti.is Elevrtt+on Cert i ht.; ioe 11) comm�r � aif�riat �� ' Commir�ts � �` '�_ -- - � _-___ � __ �-> �`�suranc� ngent/com���ry, and (8i buil�ing owner. Signature t1SE • :rnic: 12/12i2G13 T`�' _.___�._, SECTION E- SUlLDfR1G ELL�'JA7idIN ilVFQRii�'il�TiON {SLIQZVEY NOT R�QiJIREQj F0�1' ZdN� q0 pip�� �pIVE A(WiTHOUi SFE F�r Zones AO and q(�n�ithoui r�F�) ,,��n�p�Et� ���ins t1,_E � �,- the Cer,;ficate is intenued to suppo t c �JMA or l.Qtv1R-F r��� UeSr tor ltems E1-E4, uee natura! grade f av �I��b�e. Check the me.asure7�e�t us�; ,. L� puertr; Rico or�y, ent�r meters. � E1.. Provide elevaYion inforinaUOn for ihe toJow�ng and cYiec�i �hr zp ra r�iate t�oxes ip g� � �� coinolete Sectirins !�, 6,and C. geade (HAr? and the lowest adj�cEnt g!ade (LqG), �� �o��' wh�ther the elevation is ahove or bel�w the h�gnest a�j_�cent a) T4p of bottorn tfoor (inGludin� basement, ciav,f,�,�34�, cr erclo,�r,} �; k�) l'o� c�f bottcrn flaor (ir�clUding b2.sernent, cra:iis ---- •.'". .-- `� t2et [_j �neto-:rs [' above or ( J brtlow tha HAG. E2. For B�ildin Dia rams Aur•e, or rnc�,� we) is __,_ .,.__� �74 fe; t(,ne�cr-; i"' � -, g � 6--9 tvith pc;;m_ar,�rt ficirr+ � pet;;��s provi�ieu ir� 5e�tiv�� A I:ems r3 ai�d'r o, �� � �tJb1�� u; �� �Flv�n• the Lq�. ihe r,ext higher finar �elevat on C2.b sn th� diaorrms� c�° the bu�lifi,ig �5 '�r -�"EP �dr",es 8 9 a± l�,irucUcnsj. Ei.Attached ara7e -� --��� � `` g �, (toP cf siab) is -_..___ +� iee [] ���eters � ��ove o; � �, bel;nv t{ic. !iRG. �4. Top of piatform of macni�ery an�/o, equ'r{?;n�nt servic.ir��; the building is � Y.— �� �e�t ��v��rs �� ��°���: �" � ��elnw fhE t-IAG. E5. Zone AO only: If no ilood dopth numb �r is avad<,bi�, ,, `- `�- '� f��+ � r:"t��s ��hov� .�; tf;e tQp o�i thE� buttom �Ip��r Flc,va ed ;n �ccorria�u€� with ihe t:ornmurnty's iiac� � n���anage�rrE;nt ordinance? [,� Yes L] �a� (_j �r�k����wn, The loca; o!ficiai must �ertify tn�s �, �format�on in Ser,tion G, �ECTit�R� � -- !'Rt7PEf8TY O�F1f��Fi �E}� 0 � '� F2�Ai����lViRiiV�') ��R�E��CA7EON The �ropErty �Nner or 3wner`s auth�rizad reGresentat��va ��ri� �»�� ���� Q-'ections A, [3, and f fer Zone A(�x:ct�cut a rE(�tr1•issi;eti or r,ornmur�ity-issued F•,fiE � Zone AQ �nust sign here. The staterr,ents i�i JECtIO11C J{, g, �t�� @ arc- c,orr cr to the hest of my knowledge, Property Owner or OtvnPr'� Aut�iorized ;�gpo�eg�;r�tattv�'s ��;�rn� ) or Address "'� •�--,-._.r. --� _�_.�_ .-____._—_ � ____-"" --___--- --�.__. ___-.______- ��pY ._.,—_.e__..._.,,,_ 5ignature_____�_,.__. ---__ .. ._�.__ _�__-- - __�.___ .�iate ZIf�Code Dt,te ---_-_-__ _ _ --1.t,.le h� ---_---._,. Cos�iments_...-�__,-__�..�_._ _�.�._ _._._ ._�_. ___ P c,i;cy "'"'..,.4"°--�------..�.�._,._..._,,,_„ i�� C?,:;ck here i� att��tm�ents. --�.--_. ,�c��oH � r e��sn�t�rv�r� tr��r��tr��a�r�a�; 4oPrio�iat� 7he loca! affici�l who is authorized by Eaw o� e tin,;;n�e ?� y�±�r�ini;tr.r the ct m,nun;ry'S tl�odp�zin rranagPmerii ordinanec- can eor.�r!�t�v �ections .A, E3, (; ;or 't , and G of this clevaUpn Ce: tineate, CompleTe tf�,e �ppiicabie item(s) and sign be o,, Crf ck the measuren,ent :;sc:q in IsNrr„ G�_ ; i G. i n pi;�r te Rico c1n;y, enter me � � G;. ❑ who isf �utf�or���d t�y e��s t� c� tif}i�� �� ion i fc>rmati�orU�(ir,dicdt��th,a�,nu ce�ar a�datr�ftie 41e�:,tiuii r ters. �� �� alrc� t�y �,icensed s irveyer, enginaer, cr architect G7. ❑ A cornrrwnity oi�i�.ial co„µ�i�_teU Sac.�on E ior 3 bui;din, (ocaiec� in Zun� ,^ � daia r th� .,omm�nts area beioiv,l �' � tw�thout ,= FEU.4•iss.iecl a: r.�r?rmun�tv �s ;.,ec: e,i [;) or I.ere i1u. G3. ❑ The follovring information (Items G�-Gg) ;s pr,;•vi�ietl for cornr:��r�ty'1r;�Ja�; in mona;emr.nt �ur'posPS. � G�l. Perrn�[ Nu+ribat -��_ �"��te Permit ls5��e�i "�_-`-- i---- -- �� Gfi. Jate Cc��tificate Of Cp!„� I�Gr,c;;/p;;�,a��,�cy Issue=�� - G7. Thi.; permit "as be�r �ssued for ;� � �"-'- ---_ i- i � r�o c __._1_-- �EV .�nstructiori �_� g�t���antial I!nprovemen; G8. Ele��ation of as-buiii lowest iloor (inr,ii!oin�= bas;;i;iert; oi !t�E �,:��IuinE?; G�J. �FE or (�n Zonu A9) depin of f7ooCing at tne tiuiiding ,;,e: ---- .__�_._. G:iU.Co�T7m,�inity's desi�;n finad elUVatinn: �--`� • ----- Loczl Orfirfai's Name Cammuniiy �vm� Signature � � C�mmen=s � i ti�t; CI.FARWAT�R? GITY OF T��eRi�ane - - -_____. ��_�.--- � feei r; :,,sters Datwi; ._ , - �i f;?c:. �J tilgi�(S �c�i.u�rl _ L) tE:et r-� iJ f)18(�,*f5 ��CL:p � F[1,1A Foim C8G-:?-;? (r,'"li) ---�-d-,.�.._�`_'""-..-�..._ r- -----_-_____.____..,.,._-___.... _ �_� � �'�tCli finre ;f � titt,°hntetli5. _._..�.....____.,,_.____.___.__.. ,...._ "<'n ui.�.; dtl ;�,'(9e�„�._ eJriitiO:l�;Y FL�i/�ai�t�i� ���°�1�E��,T� �i1lL�ili�G �'H�TC)��A,PHS �Jt���Ni��°�EC9�! �'�af�� �uilding Streaf Address (incl��d':ng �,�t., Ur�it, Suite, a�d/or Bidg. �lo, j or P.O. Ro�te �nd Box �!o. ADDRESS: 225 MIDVI,�AY iSl.AN�J CLEARlNAT��, FL �3T67 PICS fiAKEN 12/20/2013 FRf?NT VI�Vi/ ANL� Cp�lTINUINU AROUh!D BUiLqING � - , .� ��,�� � � � � y�;, � , �'�� �.'3 � - �t `*.�i� �'A > :'��-� .� g . ��: �� ��,,; � ^^� ������ � �� S � e a � Il�v«3`�,'3y _ . . a-��:^.�.++gx..a�.,�, P�.�.x.,�. . .. . . _ . ; c. . _ . 'j '�41 :"°0 �` ,�» : +at�. �`w":at; �'�""� _ ;�y.`,,,,' `4i '!, k- +l i., � k �,'��� '� _:Uiy,{-t... � ,1?nb, � � ' s- w � � .. 1 �«#� � -.�. _. ra'ir. . . � ;q^« ;� . �>•. � f �� j � t�. y � � '�"+:�:&�,. �,�w"; � . ^,y � y� ° �� ��t,�p., ��':� �,� { i .. .'���,. ,� �>,=, z a e� <- ,�.�� S �yi; z a'%.! &. ! . p , �a a � , x ' ��,, � . � �,�` .. � � � � � """ ' �.{ � ���,: ?�,'�, F �� �-� ., . � � . a�������?�,H,��.��*i��`,�:5�'y.,r.i���'�+�.� s°� .�,� # �"g � �� � ,� -��w?�,��n"a ;�r�' x...,,� K i 4 �;•- � �r � u . 4...?�' �t3•,%,.,CFS7� .�; �. 2:. .I ,..A il p � . 4. .•;:p, �•A. .!i �'�h'a,� a '��: 9� 3��2 "b�' S°F}��:, x ��S < h` �` �sts d,�s�1 � }: y: 4� 3; .. . > « �� �� �., � : � ���,� � r �.�_;� x ,�" �� , ��,, 1 �, ��'� ��� �: . �� W � ������ � . . aFY�`R �M �y'�������5��� � _ _ . � � (� } d , a��.1,rfM;T �� ��, � � � � �i W,i. -:S.`: =k *�=G± k� 4 F�c�s�€'% �; � �.P; ;{ f.. �� . xhW.t� �.,� � h � V" i`� �� � K �.. t�N . � t,� °r'. ,�, ,..,� ��