1043 ELDORADO AVE���4
EPARTMENT OF HOMELAND SECURITY
Federei Em�9��Y ��9ement AgencY
National Flood In�rance Program
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-9.
SECTION A - PROPERTY lNFORAM1ATION
A2. Buil�Fng Street P�ddress (nc{ucing A�•. Unit, Suite, endJor Bldg_ No.) ar P.O. Route and Baoc No.
1043 ELDORADO AVE
OMB No. 1660-�08
Eupires March 31, 2012
For Insurance Company Use:
Cny CCEARWATER State Fl ZIP Cade 33i67
A3, Prope�tY Descri'P�� (Ld and Block Numbers, Tax Percel Number, Legel Description, etc.)
PARCEL 05-29-15-5466Cs068-0130 , LOTS 12 8� 13 BLOCK 68 , MANDALAY SUB , PLAT BOOK 014 PA�CE 032 , PINELLAS COUtSTY FLORIDA
A4. 8uQc5ng Use (e.g., Residentiai, Non-ResideMial, Addition, P�cossorY, etc.) $�SIDENTIAI.
A5. Latitude/Langftude: Lat. 28.0037 Long. $2.826Q Horizordel Detum: ❑ NAD 1527 � NAD 9983
R6. Attach et least Z phatographs ot the builc�n9 ��e ��� is �ing used to obtain flood inwrance.
A7. Buitding Diagram Nurr�ber EIGHT
;4$. For a buil�ng with a crawlspace ar enclosure(s): A9. For e buil�ng wtth an attached garage:
a) Squara toatage af aawlspece or endowre(s) � sq ft a) Square footage d at�Ched garage _1;� sq ft
b) No. of permenent flaod openings in the crawls�ce or b) No. of permane�t fload apenings in the attached garage
endosure(s) within 1_0 foat above a�acent grede 7� • wid�in 1.0 foat above adacent grede _0
cj Total n� erea of flood openi�s in AB.b .Z6,55 sq in c) Tdel net area of flood ap�inys in A9.b 0 sq in
d) En�ne�ed flood openings? ❑ Yes � No d) En�neered flood apenings? ❑ Yes ❑ No
SECTION 8- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
61. NFIP Cort�nunity Name & Corrimunity Number B2. Caunty Name B3. Stete
CLEARWATER CITY OF 125096 PINQLAS FLORIDA
B4. Map/Penel Number B5. Sufl�c B6. FlRM Index 67. FIRM Pand BS. Fbod B9_ Base Fioad Oevatian(s) (Zone
12103C0064 G Dete Effiective/Revised Date Zone(s) AO. use bese flood deP�)
OS/182U09 09/03l1�3 i!E 8� AE VE =13.0 AE =12.0 FEET
810. In�cate the source of the Base Fbod Elevation (BF� data or base fl�d depth entered in ttem B9.
❑ FIS i�afile � FIRM ❑ CommuNry Determined ❑ Other (�esc�ibe)
B'l i. Indcate elcvation datum used for BFE in Item B9: ❑ NGVD 1929 BJ NAVD 1988 ❑ Other (Describe)
812. Is the building located in a Coastal Barrier Resources 9ystem (CBRS� area or Othervvise Prdected Area (OPA)? ❑ Yes � No
Designation Date WA ❑ CBRS ❑ OPA
SECTION C- BUILDINO ELEVATtON INFORAAATION {SURVEY REQUIREDj
C1. Building elevations are 6ased on: ❑ Construction Dre`e'ln9s` � Building Under Conshrudion* ❑ Finished Constructian
*A new Eleva6an Certificate wili be required when ca�strudion of the buil�ng is camdete.
C2. Elevations — Zones A1-A30, AE, AH, A(with BF�. VE. V1-V30, V(with BF�, AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h
below according to the building diagram specified in ttem A7_ Use the same datum as the BFE
Senchmark Utilized NGS AL 0118 Verticai Datum NAVD 1988
Conversion/Comments yONE
Check the measur�nent used.
a? TeP aF baitom floor (�epid'ng basement, crawispace. ar enclosurc floor) S,RAW4$Z � fiezt 0 meters (Pue�to Rico onlY)
b) Top of the next higher flo� $�•� ��� ❑ meters (Puerto Rica only;
c) B�tom afi the laavest horiaantel strudursl member (v Zones ony) �; b'� � 1ed ❑ m�e�s (PueRo Rico only)
d) Attached garege (top afi sleb) 4•37 � ieet ❑ meters (Puerto Rico only}
e) Lowe� eleve6� a4 machinery w e��mant servicing the buil�ng �¢„]� � Teet ❑ meters (Puerto Rico cniy)
(Describe ty� at equi�nent and locetlon in Canments)
� Lrnnrest adjacent (finished) grade next to buili5ng (LAG) 4.37 ��eet ❑ meters (Puert� Rico �r.`y'�
g) Highest adjacent (finished) grede next to buiit6ng (HAG) 4.87 � ieet ❑ meters iPuerio Zi� cr`y
hj Lowest adjacent yrade at lawe� elevation of deck or �airs, induding 4,�7 � feet ❑ meters (?uer•.a �`x M;
strudural suooat _
D-SURVEYOR, ENC3INEER, OR ARCHITECT CERTIFICATtQN
This certi6cation is to be siyned �d seeled by s lend SurveYor. en9meer, of efCTltteC[ 8umonzeo oy iaw �o m uay cxracsc� +
information_ I caerhly fhat fhe i�farmebian ovl �s CerfificaAe represents my best eiT�xLs to interPre: the data a���.
! understand ihat am false stai�ment mey be punishab/e by frne or imprisonment under 18 U.5_ Cais, Sez t;�r t,7;; s
❑ Chedc here if comments are prawided on 6adc offam. Were latibude and longtude in Sea"sa; � pro��•.:,.•+ ey e
licensed tand wrveyor? � `!� � "Y�
Certifier's Name BILL HYATT License Nurt�er 4�i6
Trile PRESIDENT Comparry Netm KNOW IT NOW 1NC
Address 1497 MAtN ST�Ki21 City DUNEDlN State FL ZiF Caca �c4�
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�q��fe �����,_ Date 12292010 Telephone 727-4i5-83{f5 L 12-29-10 �
FEMA Form 81-31, Mar t)9 See reverse side for continuation. Replaces all previous editions
ANT: in these spaces, copy the corresponding information from SeCtion A.
�e� Ad�ess lindudina Aut.. Unit. Suite. end/or Bld�. NoJ or P_O. Route and Bax No.
ELDORADO AVE
CLEARWATER State FL ZIP Code 33767
For Insurance Comr�emr Use:
SECTION D- SURVEYOR, EN(�INEER. OR ARCHITECT CERTIFICATION (CONTINUED)
CopY both sides oithis Elevatian CeRi6cete ta (1) community o(�dal, (21 imsurencb ag�t/compenY, and (3) buiding owner.
Camments C2. E= OUTSI DE AIR CONDITIONER UNIT
���
Si�aWre Date 12/29/2010 — - . - -- - -
E - BUILDING ELEVATION INFORMATION
FOR ZONE AO AND 20NE A
For Zones AO end A(withwt BF�, canplete ltems E1-E5. Iithc CeRific�e is intended to support a LOMA or IOMR-F request, compiete Sections A, B,
and C. For Items E1-E4, use naturel grede, if available. Check the rr�astvament used. in Puerto Rico ar►y, eMer meters.
E1. Provide elevation iniartnetion for the following and check the appropriate baxeg to show wh�her the elevat�n is abo�re or belaMr the highest adjecent
grada (HAG) end the lowest adacant grade (LAG).
a) Top otbattom floor (indud'ing basement, crewispace, or �dowre) is ❑ feet ❑ meters ❑ abwe or 0 below the HAG.
b) Top of boltom floa Mdudng basement, craw�pace, or endosure) is . ❑ ted ❑ m�ars ❑ abare or ❑ beiow the LAG.
Q. Far BuAding Diegrems 6�9 wlih pertnanent flood openings pravfded in Section A items 8 and/a 9(see pages 8-9 aF Instrucdons), the next hi�a floor
(elevatian C2.b in the diegrams) aF the buiiding is ❑ feet ❑ meters ❑ ebove or ❑ belaw the HAG.
Ei. Attached 4�9e (�P of slab) is . ❑ feet ❑ meters 0 above or ❑ below the HAG.
E4. Top of platform d machinary and/or ec�ipment servicing the bull�ng is ❑ feet ❑ m�ers ❑ abave a' � bdaw tha HAG.
E5. Zone AO onty: If noflood depth nurt�ar is aveilable, ts the tap af the hottom floor elevated in accordence with the r,ommunit�s flaadplain manapement
ordinance? ❑ Yes ❑ No ❑ Unknown. The Ixal dflc�al must c�tiy this intormadon in Secdon G.
SECTION F- PROPERTY OWNER (OR OWNER'S REPRESENTAT1VEj CERTIFICATION
The property o�wn� a owner's authorized representative who cort�pietes Secdans A, B, and E for Zone A(without a FEMA issued or communily-issued BFE)
or Zone AO must sign here. The statements !rr Sectlons A, B, and E aro caroct �o the best of my krawledQe.
Property Owner's or Ownei's Autharized RepreseMative's Name
p,��� Cfy State ZIP Code
S'igneture Date TelePhone
Cotnrnents
❑ Check hare itettachmen:s
3ECTION C3 - COMMUNITY INFORMATION {OPTIONAL)
The locel o1'ficiel who is eutharized by lew or ordnan� to administer the cammunitys floodplain rrreneganent ordnance can canplete Sedions A, B. C tor =?
and G dthis Bevatian Catificate. Complete the appUcable Rem(s) end �gn belaav. Check the measurement used in kems G8 and G9.
G1. ❑ The informetlan in Seaiat C was taken from other dowmentatian thet has be.en siyned end sealed by e licenaed wrveyor, engineer, or arhstea ufio
is authorized by law to certity devation information. (In�cete the source and dete d the devatlan deta in the Camrt�ents area belawJ
G2. ❑ A cammunity of�aal campleted Section E for a buiidng located in Zone A(w�haut a FEMA-issued or oorrununity-i�ed BFE� or Zone AO.
G3. ❑ Tha idlowing iniamaiion (Itans G4-G8) is provided for communily Aoodplein maneg�nent purposes.
G7. This pemit has be� issued fa:
Perrnit
� New Construdion
G6. Date
❑ 3ub�entiel I�roven►eM
G8. Bavadon of es-buiR lo�west floor (ndu�ng besement) aF the buqdf�: ❑ feet ❑ meters (PR) Debum
G9. BFE a(in Zone AO) depth aF 1loodng at the building site: ❑� ❑�� ��) �m
G10. Cort►munitys desi� flood elavatlan ❑ feet ❑ meters (PR) Datum
Locai OfidePs Name �°
Communihr Name Telephane
Sti�eturo Date
Ccrrttnents
tssss�
CJ �h*�k �ere i'attachments
FEMA Form 8131, N�f � Rep(aces ali previous ediY�ns
/�
, �� � ;� ographs
,� �-� =o� item A6.
Farinsurance Cornper
Buikiing Street Ad� �� �.� �� 3� '•�.` x P.O. Ra�te and Bar Ido. Pdicy Numbe�
1043 EIDORADO AYE
CttY CLEARWATER S� _> � � ,'":'?�' �� � �
If using the Elevation � �'� ��ar�ce, affoc at least two building photographs below accordir�q to
the instructions far item � �� ��� �_ date taken; °Front 1�iew" and "Rear View°; and, if required, `Right
Side Vew" and °Lefi S+de �r `��-.. ���t#o9raphs than will fit on this page, use the Contintration Page on the
reverse_
PICS TAKEN 12-29-? �
FRONT VIEW
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SEE NEXT PAGE FOR REAR VIEW
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Building Photographs
contirn�ation Page
Building ��°��'�°�9 �, Uni� S�i�e, and/or Bldg. No.) or P.O. Ra�be and Ba�c No. Paicy Nurr�er
1043 EL� ��
CI�/ C�"� � FL ZIP COde 33767 CamP�rY NAIC Nurrber
If su ���graphs than will fit on the preceding page, affix the addfior�l phatographs below_ Iderrtify ali
ph�� �-- :.�:� �ken; "Front Viev�' and "Rear Vew"; and, if required, °Right Side View° and "Left Side View."
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