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909 MANDALAY . , , ���vA��ior� c�R�riricn���c �,.,� .,,�.�6� �, F[DEt1nL EMCRGENCY MANAGEMCNT nG�NCY �����r1M�y3�, �y Nn710NA1. FLOOD ItJSURANCE f'f�UGF1�M l�1TEN�IU�1: IJso ol tl�is curtilicalu duos not prpvido a walver e(ti�c� Iloo�I���uranco purchaso royuirumon;. Tt�is lorm is usod uniy ;� ��rovltJo olova�ion Inlonnalion nocos�ary to onsuro compllance�v(th appUcabla c�rn�nunity Iloodplain rnanayomenl ordinancos, lo •clotorrnino Itiu propor Insuranco proinlum rate, ancl/o�lo suppotf a roquosl lor a Lallor o(Map/lrnandmvnl or Rovl,lon(IOMA or�OMFij. — Inatnicllons tw cv�nploUnp tlda lorni can bo Iou►�d un lho followlnfl peqes. SECTION A PROPERTY INFOR�d/1TlOh! � FOA INSUMNCB COAIi'N�Y USE evi�ui��o owN�n�s rw,�E �DAVID� &' CEID.A S. HOUSEMAN Paicv�rur�eEn STiIEET AUOt1ESS(Iri�hiq/1p(,,Ur�lt,Su11�ur►d�or pldp.��w��G�r)Ofl P.O.(IUUT C A1IU UOX NUMUER 9 0 9 MANDALAY •AVE. CO�APANY WUC NUAIBER � OTHER UESC�IPTIpN(Lol u�d Ulodc Numba�.�Ic.) LOT 3 , BLOCK "20" , MANDALAY SUBDIVISION a rY ------- --- CLEARWATER BEACH SjnTE ziP cooE ' • � � � FLORIDA � SECTION � FIOOD INSURAP10E.f1l1T[ Mnl'(f111M) IP1f"Of1�dATION Provldo lho followi►�y from lho propor FIfiM(Soo Instrucpons): 1.C�N�!MUNITY NUAIDER z,rna��r�uraoen 7,SUFfIX �.p�.TE pF I IfUA k�OEX 5.FIRI.1 2pNE -� 6.BAS[FI.000 ElEW1llpl� • (in AO 2onas.us�deylh� _125096 0007 D 8-19-91 _ _ " �+ � i 7. Indicatu lho uluva(iori datuni syslom usoJ nn tlio fIFIM lor Uaso I"Iuoc1 Llovalions � (f3r�): �NGVD'29 ❑OUIer (dosCrib� on back) U. Fur 7_vnes A or V,wl�o�o►w HFC Is providod on tlw FIf�M,�nd lh��conmtunily has osla�lisl�od a�FE lor�his building silo,lndicalo _;lio conunu�iity', L1FC:L.l._LI�LJ.0 It�ot►JGVD(or oUwr FI(1t,1'dalwn-seo Soction 0, Itoni 71. __ _ � SECTION C FJUILUItJG LL�V/1�1IOW INfOI1Ml17�IOF1 . � 1. ;lsing Ihv Eluva!fon Curti(icalu lnstructions,lndicalq tlio dlagra�n nurnbor liom tlio Jiayrarns lound on Pagos 5 and G lhat bo�t do;cribos thu subJocl building's roloronce Invol 1 , •'(a). FIl�M Zone,At•A30,A�,nl I,�nd/l(wllh EIFE), The lop of Ilio tuloronco Iovql Ilo�r Irorn Iho soloctod diayram Is al an oluvaliot; ul L�5 L70.�lool NUVU {or nthor f=1f'IM datum-soo Soctlon f3, It�3iii 7). (�)• FIRt�I l_o.�os 1/1•��JU,VE, ancl V(wlth DFE). Tho botlont�(q�o Ic.�wost horizonlal slructural mvnibor of t��o roluronco luvv! (;on; tlio soluclocJ�iagrain, Is at an olovatlon of L.LL_1_U.0 lou���GVI.) (or ollior FI{1��1 claluin-soo Soctlon D, Itorn i). (c). �;f�t.1 Zono n (witliout OF�}. 71�o Iloor usod as llio reforonco lovu!Irom Ilio soloctod clia�rani Is L_1_.).0 lovt abavo L� or boluw(J (chec�c ono) thu h��l�ost�rade nd�acont to tlio bulldD�q. (d). t=lflhl%uno AU. 7ho Ilooi usocJ as lha ro(qronco loyol Irorn tlio suloclocl dia�rain is W.0 lool abovo[} or balow[] (cho�k orio) thu hi�l;o„t Urado ac.jaconl lo llio buildl��y. If nv IloucJ do{,Ih nun�bor Is av��ila�lo, Is tho buildfn�'s lowost Iloor (roloronco ►ovoll c�luvatc�ci In accordanco with llio conununity's floodplain manayotnonl orcliri,�nco� ❑ Yos ❑ No ❑ Unknovrn 3. Indicalo tho ulovalion daluin sysloin usod In do(orrnining lh� abovo r�(oroncu (uvcl elovalion;:� NGVD'29 ❑ plhor (c;o��r�Uo u;idur Cominoi�ls on Pac�o 2). (IJOT[: ll flio olov�tivn da(um us:�d in rne��suring(l�o elovalions is dr1/eron(Ihan lh3t used on Il�o Fil�M fsno Soc(ion ET, Nont 7f, !l�on convurf fhe��/ovatronc(o(hv cJ�lurn systenr us��v w� ,� � OcJU71iOrJ UlldO/(;C�lll110n15 al �':7�0?.� O � � ��5� ��� i 4. Elnvation rolo�oncn rnark usud appoars un f=lfihl; � Yos �_�Flu {��3u Ii�slrucliuns on ('ay� ) i ( !i. Tlin tuloronce luvol ulavaUon I5�asocl on: � aclual ronstrucliun ❑ conslruclion�trawinys i CvT 2 1 f��p , I f , (NO fE: Uso ol consl�uclion clra�vings is only valid if fl�o builJin�cloo.,no(yot li�v� fh v i o(o�o � I(�} �!!l o o�i n p l a ce, in w hic h !._,. c a s e(his cer fi lrcate wiU aify bo valid/o�fho buildiny during(ho c;otn;•o ol const�uclion, n>>vs( onst �vill bv toquirocl,onco consrructia�!s coniploto.J PLANNING&DEVELGPMENT SVCS G.'Thy ol�valion oi Ilic� lowo.sl gracJo.ln�niocfialoly a�ijac;oiit to llio �uilclin ,;; 5. 0 �N F ARWATER �ocllon B, Ilotn 7). fl L-L�-�---••,-I loot NGVU (or otl�or PIRM datur . :oe _ � _ SECIIOIJ [) CUMMUP�I fY INfUfihIATIUtI ` tt tha co�n�nunity�tt1_lal ros�;�.��-„I�Io (ur vorllylnp bulldinV olovatlons spocilios tlial tl�o roloronco lovol(ndicatod ln Sacilon C, ltom t is not tli� 'io���osl iloor";i::il��linr��J In lho comnwnlly's IloocJplaln�nanc�aomont orclinanco, tho olovalion o1 lho buildln 's'lowost Iloor' as clolinc�d t�� Il�u ordinanco Is: 9 � �-1-.1�_�_�.0 luul��t:�VL� (ar ollior FIR�A dalum-s�n Sot;iion E3, Itam 7). 2. Dalo ol lhu slai!�:'cunsL•ucllon or sut�s;antial Irnp�uvoinont �_.___ -------�--•---� - . —_-_---. . f Ef.1/1 Forrn U�-31 M/1Y 70 "—__----__,�_.,�.�r�____^,_' i �1�c�l.nl[S/11.1 f'ItG1�1UU5&0�110lJS S�E R[VEt1SF SIUE fOtl C�Jt�TRaI;ATiGti � SECTtON E �CERTIFICATIOt� 71iis co�UlicaUon is to bo ciynect by a land suivoyor,onginoor,o�arcl�ilocl�vho l� autlivrizod by �lato or local law to coriify ole� �� informatlon vrhon tho olovaUon Inlormatlon(or Zonos A1-A30,AE,AFI, A(with EIFE;,V 1-V30;VE, and V(with E3FE)Is roquir � Cornmu�tly officlals who aro auU�orized by locai law or ordlnancu lo.provido tloodp+c:�.;manac�omont(nlonnation, may aiso siyn ic ceitif'�caGon, In Uio caso ot Zonos AO and n(without a�[MA or conimunity issuec� I�1=1 a i�uildir�g ollicial, a properly ownor, or �: ownar's r�prosonlalive may a(so si�n tho cortl(icalion. • f�oloronco Iov�i c7iaflrams G, 7 anci El- DisUn�uishlnq Foaturos-II tlio cortifier i; unal�lu to certily to�reakaw�ylnon-broakaway wa' onclosuro sizo,localion ol sorvluln� oyulF��nont, aroa uso,wall oponinc�s,or unlinisl�ocl aroa �oalura(s), thon lisllho Foaluro(s) nc inGudod !n tho corUllcation undor Cornmonls�olow. 'fho diagram nu�nbor, Soction C, ileni i, nws! still bo ontorod. 1 cortily that!ho inlorniation in Svclions D and C o�i (liis cai(ilicalo�epr�;ents my best ollorfs to intorprot tho da(a available. !undorstanJ th�t any lalso slalo�nonf may bo punisl�ablo by lino or iniprisonmen(unc/cr 1 t3 U.S. CoJv, Soclior� 1001. ceEZTtr-i[rt•s r�nti+� _ i ucc�,�F Ni iniuEri{o�n�rx so,q ���zt,LZ�rt c . i;�n�i'I�IG ' �tl�?_0 T�T�E —_ _ i'p ,.Y Nn��� — — — � REG. SUIZVEYUIt AL���.0 �URVEXII7G /1DUf1�SS `-- CIIY -- -- -- --STATE 2124 , ��JZ���Y 1tLF'�,LVD . CLL•'I�FtP111'1'ER ` 1'LOItID11 34625 SiGr�nTURE 7/ ����� J� ------ --unt F ��c -- ,i'� ,.(/,i,'% f31�--��6-1."l63 �'�'�,�:-�---T�z�----- _ CoE�les should bo mado oi ti�ls Cettlllcato (or: 1)contmunlly o(Ilclal, 2) Insuranco aycnUcornpany, aiid 3)bullding owncr C0�.1t.1[IdT5: �_ _ _ _____ ______ _- -- --- � D � � �- � ------- - � . _ _ --! ------ ------ - �--�-�sg-- -- . ,. _.--_�____— --- -------- I�G&DEVELOPA9ENTSVCS —_—�.— �._ A � oa wini o�+ri�es, . sue . o�sc►�ei,t riens,on co�uur�s A V A A y 20uES 20r+G5 20r+E5 ZONES ZONES '"�"`�'z� n[r[n(e�ec n[ru�U�:c _ ' �� _ lEvtl ( =--c== y,�S[ LtEVFI IqtERf�KF . � (�� ft0/JO lfvEl � j� .' E�Er�i[n� �'`� � ��•' '�. ' r�T�'.: . NSf � ,i �j�iiY:it ;t.?S�'.i.��� �1�• j ttCi���:J� � );•� U.SE f1000 AOJ�C[I!1 �::���' ��L/EnLfti( �t� IIEYAflpr/ GIUQ( ' ///''' IEVFI nUCnENCE ApUCUrt 7yl / [l(vefry� L,EY« �Ma ���,: / `\'� .:rC�l��r� . ��';�11:+%'.'��r �I . �. ���t-.•,;(�l �i;ly. . ,�'t'. � '��I.'���1.� i" ':;'t'�I'��'��' .-:-. '�'-.', y� :...'���• �,'(:il:l:�'�'���1; ._ �� �.-r.. �.I,iii.�'...i .i.�:A�J�C[�li` .�l i-�'..� ....:`.�ir111=.:�:.::':`:'�:;;::;;�`,ipSl`�:`: an,cc Thu diaprams at�ov�iiluslrato lho polnts al whlch tho olovalions should bo moa;ured In�Zonos and V Zon�s. � ElovaUcns tor all A Zones sl�ould bu me�surud at tho top ol Iho ro(eronco►uvci poor, E.Iovations lor all V Zoi�os should bo moasurecf al Uio bouom ot tl�a lowesl I�orizvntal slniclurai rnomber.