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114 MANDALAY AVE�.�. °�P'�""�T oF "°""�'"° ��,R'TM ELEVATION CERTIFICATE OMB No. 166p-000$ FEDERAL EMERGENCY MANAGfEMENTAGENCY Expiration Date; July 31, 2015 Naci�a� Fl+ud Insunmce Pmgmm IMPORTANT: Folbw the instruCtions on pages 1-9. A1. A2. A - PROPERTY No.) or P.O. Route and Box No. A3. Rroperty D�scnption (Lnt and Black Numhers, Tax Parcel Number, Legal Descripfion, eto,) LOT 1� BLOG�! A. '�i1RB0UR-MARROW Sl/BOINS/ON' PIIRCEL l.D.: AB-29-15-02592-001-0140 A4. Building Use (e.g., Residen I Nfln-Re �' gntial, Additian, Acoess� e.t'c.,� — A5. Latiiude/longitude: Lat. Z� �� ry I.ong, �*� 37.8 W Horizontal Datum: ❑ NAO 1927 � NAD 1983 A6. AttBCh atl8�st 2 photographs �� he buikiing if the Certificate is being used Yo obtain flaod insurance. A7. Buikling Diagram Number AS. For a huilding with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or encbsure(s) N/A sq ft a) Square footage of attached garage N A sq ft. b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the a c ed garage ar �nclosure(s) witnin 1,0 ftiot above adjsceni grade �_ withfn 1.0 foat above adja�nt grade c� Total net a�ea of flood openings in AS.b �d— sq in c) Total net area of fload openings in A9.b _N/� sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes J� No SECTION B- FI.00D INSItRANCE RATE MkP (FIRM) INFORMATION 65. 5uffix � 66. FlRM Index Date 12fO1'JC0f02G I G PINEIUS FIRM Panel EffeCtivej 88. I Revised Date RQR/DA �d Zone(s> 89. Base Flood Elevation A0, use bese flood d� AE 11 � 12 B10.Indicate the source of'the Base Fload Elevation (BFE} data or base flood depth entered in Item B9: ❑ FlS Profile j� F1RM ❑ Community Determined ❑ Other/Source: B11.Indicate elewation datum used for BFE i� Item B9: ❑ NGVD 1929 j$� I�lAVD 1988 ❑ Other/Saurce: B12.IS the building located in a Goestal Barrier Resaurces System (CBRS) area or Otherwise Protected Area (OPA}? ❑ Yes J� No Designation Date: / N A / ❑ CBRS ❑ OPA SECTIpN G- BUILDING ELEVATION INFClRMATION (SURVEY REQtJIRED) C1. Build(ng elevaUor�s ere based on: ❑ Construction Drawings* J$f Building U�der Construction* ❑ Finished ConstrucUon *A new Elevation Certificate will be xequired when construction of the building is complete. G2. F.levations — Zanes A1-+430, AE. AH, A Swith BFEj, VE. Vl—V30. V(with BFE), AR, AR/A. AR/AE, AR/A1—A30, AR/AH, AR/A0. Complete Items C2.�h below aCCOrding to the building diagram specified in Rem A7. In Puerto Rico only, enter meters. Benchmark Util€zed; ��� ��� Vertical Datum: NAVD 88 Indicate elevatiort datum used fo� the elevations in items a) through h) below. ❑ NGVD 1929 J� NAV01388 ❑ Other/Source: �atum used for building elevativns must be the same as that used for the BFE. Check the measurement used a) Top af bottom flpor (including basement, crawlspace, or enclasure floor) �.� b) Top of the next higher floor N�A c) 8ottom of the lowest horizontal structural member (V Zones only) N�A d) Attached garage (top of slab) .�l/.�— e) �owest elevation of machinery or equipment servicing the building _�. � (Desctibe rype of equip�rtent and It�caUon fn Corrtman#s} fl Lowest �jace�t (fiNShed) �ade next to building (IAGj � . � g) Highest adjacent (fiNshed) grade next to building (HAG) _�.� h) Lowest adjacent grade at lowest elevation of deck or stairs, including �l,l� structural suppoR j�Q feet ❑ meters ❑ feet ❑ meters ❑ teet ❑ meters ❑ feet ❑ meters � feet ❑ meters �j feet ❑ meters J$j feet ❑ meters � feet ❑ meters SECTIbN D- SURVEYOR, ENOINEER, dR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a la�d surveyor, engineer, or architect authorized by law to certify elevation informatian. J cerGfiy that the in%rmatton on this CeKificate represents my best efforts to interpret ihe data available. f u�der'Stand ihat anyfalse ststement may be punisheble by fine or imprisonmeni under 18 U.S. Code, Section 1001. ]$� Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Eheck here if attachmenks. licensed land surveyor? ❑ Yes � No �',, � r Name auz,�eEn,r K�n�cmv �uazr� SURVEYt71R AND A/APPER Signature � `� FEMA Form 086-0-33 {Revised 7/L2) C�AI� �LAlND CG�EARWAIFR oace- --- -- - - Lioensg Number LS8113 YINCL [1C 5tete ZIP Code fLAR/DA 33765-2 Telephon �727) 474-3751 See reverse side for continuation. 1 -. - y��� ; HE��:. � �� � � 3%/?,/�Oi6 Replaces all previous editions. � ELEVATION CERTIFlCATE, page 2 IMPORTANT: In these spaces, capy the oorrea�pa�ding infarmatioe from Sectian A. Building Street Address (including Apt., Unit. Suite. and/or Bldg. No.j or F0. Route and Box No. 114 A/AN�ALAY AVENUE ��LY State 21P Code lXEIIRWAIER fZQR/DA 33767 SECTION D- SURYEYOR, ENQINEER, OR ARCHITECT CERTIFlCATION (CONTINUED} Copy both sides of this Elevation CerUfloate for (1) �mmunity otflcial. (2) insurance agent/comparry; a�d {3j building owner. Comments 1,) EtFV� navs �aF e�4cn �� a�nuw � p f0 L��o ; HANd�A P1/BL��f.D�STED_ELEII�I I):GN � 384' (NA_b 8A) sEg�a�ure �G� �/ //%�� �-- oate 3/�l7/2016 �f,YiX�1C , '.P/LI (J SECTION� BUILAING ELEVATION INFORMATIQN (SURVEY NOT REQUIREDj FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE), Camplete ftems E1-E5. If the Cer#iflGate is intended to support a LOMR or LOiNR-F request, complete Sections A, B,and C. For Items E1-E4, use natural grade, if available. Check tha measurement used. In Puerto Rico only, enter m�ters. E1. Provide eievatio� informat€on for tk�e following and check fhe appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacem grade RtAG). a) Top of bottom floor {including basement, crawlspace, or encbsure) is . ❑ feet ❑ meters ❑ above or ❑ belowthe HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is . ❑ feet ❑ meters ❑ above or ❑ helow the LAG. E2. For Buikling Diagrams (i-9 with permenent flood openings provided in Section A Items S and/or 9(see pages 8-9 of Instructions), the next higher floor (elevation C2.b in ihe diagrams) of the building is . ❑ feQZ ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage {top of slab} is . ❑ feet ❑ m�ters ❑ abave or ❑ below the HAG. E4. 7op of piatform of machinery and/or equipment servicing the build'€ng is . ❑ fee# ❑ meters ❑ above or ❑ below 4he HAG. E5. Zone AO only� If Ro flood depth number is available, is the tap of the bouom floor elevated in accordance with the cammunity's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The Iocal ofticialmust certify this fnforrnation in Section G. SECTION F- PRaPERTY OWNER (OR OWNER'S REPi2ESENTATIVE) CERTIFICATIQN The property owner or owner"s authorized representative who campletes Sections A, B, and E for Zone A(without a FEMA-iseued or community-issued BFE) or Zone AO must sign here. The statements in 5ections A, B, and E ere correct to the best of my knowledge. Property Owner or Owner's Autharized Representative's Name Address Signature Comments City State ZIP Code Date Telephone ❑ Check here ff attachments. SECTION G - CQMMUNITY INFORMATION `(OPTIONAL) The local affidal who ts authorized bylaw or ordinance to adminfster the community's floodplain management ordinance can compiete Sectfons A, B, C(or E), and G oi this Elevatfon Certificate. Complete the applicable item(s) and sign bebw. Check the measurement used in Items G&-G10. In Puerto Rico oNy, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architeot who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or communityassued BFE) or ione A0. G3. ❑ The failowing information (ltems G4-G10) is provided for community flnodplain management purposes. f4. Permit Number G5. Date Permlt Issued G6. Qate Gertfftcate Of CampfianceJOocupancy Issued G7, This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8, Elevation oP as�built lawest floor (ineluding basement) of the buikling: , ❑ feet ❑ meters Datum G9, BFE ar (in Zane AO) depth of fiooding at the building site; . ❑ feet ❑ meters Datum G10.Cornmunitys design flood elevatior�: , ❑ feet ❑ meters patum Local Official's Name Community Name Signaiure Comments TiUe Telephone Date ❑ Check here if attachmerrts. FEMA Form 086A33 (Revised 7/12) Replaces all previous editions. . ELEVATION CERTIFICATE, page 3 BUILDING PHOTOGRAPHS See Instructions for Item A6. IMPORTAMT: In these apaees, copy the sorresponding Informatlon from Soction A. FOR INSURANCE CONiPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. PoUcy vumber: !' _ .�_� . � /�� .3:i%e% tf using the Elevatian Certiiicate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must sho�v the foundation with representaGve examples of the flood openings or vents, as indi�ated in Section A8. If submitting mpre photographs than wili fit on this page, use the Continuation Page. fRQNT NEW — PHOTt7 TAKEN 3f17/2018 FEMA Form 086L}33 (Revised 7/12) Replaces all previous editions. , ELEVATIdN CERTIFlCATE, page 4 BtJILQIMG PHOTOGRAPHS Coritinuation Page IMPORTANT: In these spaces, copy the aorrespondUg infortnatlon from Seciton A. FOR IhSURANCE COMPAFJY USE Building Street Address (inciuding Apt., Unit, 5uite, and/or 131dg. No.) or P.O. Rbute and Box No. Policp Number: City State ZIP Cotie Campa�y f�nic Number: lXEARWATER FLAR/DA 33787 If submitting more pt�otc�graphs than will fit nn the preceding page, affix the additional photo�raphs belvw. Identify all pholographs with; date taken; "Front View" and "Rear View"; and, if required, "Right Side View" anci "Left Side View." When applicable, photograpl�s must shov✓ the foundation with xepresentative examples of the flood openings or vents, as indicated in Section A8. REAR NEW — PH07't� TAKEN 3/17/20f6 �: � � ,. �. , ��, n .'.���"� �.;��k...�w�, � :a�:���T�::��+.y: � �. . .. � �.�.. ,-�. �;. =� � �� . . r a „ J�h � � p ��. � � � �.' � � � � ��: � q f_: f' � - < <, � . � �., � �� � , � . �. � �� , � �� , ; .: . : :. . �,� r�.,;,,�,;�; ..�;�:� _�-; ,,... .. _ : .� ,... � � �.�. � � � � ��� .� ��� _,.. �..� ' <:; ��_:-;;,>; �. :�•,��,. ,����x�,.x��� �_,����.,..��.�,.��� <, ,;: , � �<. �� � ,� , fLOQD ZANE EIEVAAQN DETAIL (AS SCALED fROA/ fLOQD MAP) FEMA Form 0861�33 (Revised 7/12) Replaces ali previous ediUOns.