920 ELDORADO AVE11,
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
Nations, Flood !neuroses Program
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-8.
SECTION A - PROPERTY INFORMATION
Al. 8drtidkg Owner's Nan» *T
"0o N E. -rsAvA%Z.is
A2. Bolding s Address (Inoluding Apt. Unit Suke, and/or Bldg. No.) or P.O. Route and Box No.
Cfty GI- e-wA-rE R.. 81 G t -i State FL .
LOT 21. Bwc- 521 Maki y �-J_)
A4. Building Use(e.g., Residential,Non-Residential, Addition` Acnes ) ICE5(L> EO T(A L
A5. LaUtude&ollpitude: L. l7° < /Le p8/32...Hottzatdal Datum: a14AD 1927 0 NAD 1983
A6. Attach at hest 2 photograph of the bul d g If the Certificate Is being used to obtain flood insurance.
A7. Building Diagram Number 7
A8. For a building WM a arawi space re enclosure(s), provide; A9. Far e building with an attached
a) Square footage d crawl space or endasure(s) NIA sq ft a) Square rootegeof att.:And wife w' 3g sq R
b) No. d permanent flood openings In the crawl space a b) No. of pennaneat food opening, In the attedlat garage
enclosure(e) wale wdhkn 1.0 foot above adjacent grade __ wale MINA 1.0 f above ardent grade � .7-
c) Total net ate@ d hood openings in A8.b _A sq In 0) Tatar net Brea or openings ki A9.b sq in
8ECr11ON 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORMArIO tit;
OMB No. 1600-0008
Expires February 28.2009
°�1kJrbir/iyb�er ..
ZP A3. Property Description (Lot Block Number, Tex Parcel +'lumber, Code
374.7
Legal Description, etc.)
1
Bt. � !P� ACo Nene �ommunky Number
B2.CountyNem° PINEL.LA5
B3i$te6e
84. Map/Panel Nuinber
1210 0102
86. Suffix
G
86. FIRM index
Date
S-1�-9�
' 87. FIRM Panel
Effective/Ra ised Date
j -b3 -a3
86. Flood
s)
89. Base Flood Elevason(s) (Zana
Akin, base flood depth)
.: 13 ,
910. Indicate soiree of the Base Flood Elevation (BFE) dem dr base flOQd depth entered In Item 89.
Q Fts Prafle I FIRM [`j Community Determined ❑Other (scribe) ..
811. Indicate elevetOn datum used for 8FE n kern B9. ❑ NGVD 1929 EtriAVD 1999 ❑ Other (DesaRoe)
812. ,s the building located in a Coastal B@MMer Resource, System (CIES) area ProteCI.d Ares (OPA)? 0 Yeti 13*i .,
;,
Designation Cite U dib OPA
8E C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevatiqu ars based on: ■ Construction Drawings' : ❑ Building Under Construction' . [!Rntshed Construction
'A new Elevation Certlfcete will be required when canskuaibn ofithe building Is complete.
C2. emotions -Zones A1 -A30, AE, AH. A (with BEE), VE, V1 -V30, V (with 8FE), AR AR/A, ARAE, ARIA1-A30, ARIAH, AR/A0. Complete Items C2.a-g
beim .weeding to the budding diagram specked in Ilan A7. C �-}
Betid;tsnark UtRzed . AURA L- RM 3 Vertical Datum 5..Q (. NAV Q ) 9!
Converses 14(.*5 r9+-1S41EV El-EVA-DOr•1
a)
b)
c)
f)
9)
Top of bottom floor (Inoktdkng basement, crawl space, or enliosure floor)
Tap of the need higher floor
Bottom of fie low* horizontal structured member (V Zones pnly)
Attached garage (lop d Web)
Lowest elevation of machinery or equipment servicing the bhlltdkhg
(Describe type of iqufpnvent In Commants)
Lowest adjacent ($*hed) grade (LAG)
Highest adJeceM (finished) grade (HAG)
Check the measurement used.
16 .J reef ❑ mstap (Puerto Rk:a tidy)
❑
meter(t (Puerto Woo only)
8meter, (Puetto,Rlco only)
miter@ (Puerto Rlco only)
Metes.
(Puerto Woo ally)
ez)
8 meters (Puerto Rico only)4,
meters (Poet° Woo J``VV
SECTION D - SURVEYOR, NEE. OR ARCHITECT CERTIFICATION /�.
This certification is to be signed end sealed by e land surveyor, enplriber, or architect authorized by IOW to certify edeyetIori
Information. /away Mat dee Information on this Certificate represents my beat oto 18m 100. r O� pe
lrunnderatend that eny false staternant may be punishable by Ane or liprr +►e/, V ,� ���
t Check freta N comments are provided an beck of farm. �C/
erlNlers Name License Number
Ce Land Surveyor
Address 1460 Beltree
Larry L. )Means PLS 1 2937
Company Name
Evans Land Surveying, -Inc. •
City eet Suite 9 Dunedin, El- ZIP �a
Date 4 -Z(. -o7 T"°r1e (727) 734-3821
Signore
FEMA Form 81-31, F{Ijtuary 2008
See reverse aide for conthwtaUon.
SCC
• HES
e�
R.Oc,. all previous oamn.
' IMPORTANT In these spaces, copy the correspondhvg Information Tion Section A.
Ming Street Address pnokuding Apt.. Unit, Suite, and/or Bldg. No.) ar P.O. Rags and Box No.
920 e. --1-4>c) RA po AvFNvE..
SECTION D - SURVEYYR, f IGINEER,OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation CerlflcMe for (1) calamity ofldal, (2) Insurance agenVoon *y. and (3) budding owner.
Comments G 2•, G,: 15 al -WA; -re V A/c- Goµ
Signature Dste
■ Check . . I attachment
• SECTION E • BUILWNO ELEVATION'1JIFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BI=T:)
Far Zones AO and A (without BFE), coinptetr isms El -E5. If the.Cerl$ cafe is intended to support e LOMA or LOMB F request, complete Sections A. B..
and C. For Items E1 -E4, use. natural tlradsf' f evaUebb. heck the measurement used. In Puerto Rico only, enter meters.
El . Provide elevation Wormation for Mowing and check to appropriate boxes to show Mather the air ve�tian. k above or below the highest adjective
•qrads (Mai and the lowest ad ''grade (LAG).
a) Top of bottom floor (Inducing meal, arerai space, or endows) Is , . 8 feat 0 metes �{ above ar . below the HAG.
b) Top d bottom floor Ondedfnrf.• ssinent, crawl space, or enclosure) N — feet 0 meters ❑ above ar below the LAO.
E2. Far Building Megrie ,, 9-0 v ti•permenent flood openings provided,jae S Items 8 or 9 (see d s 8 Instruction!), the neat higher hoar
(elevation C2.b In the Negrtl %) at Moe building it U feetU meters U above or LJ below the HAG.
E8. Attached garage (top af.•9b) is 0 feet (] meters Q above cc 0 below the HAG.
E4. Top d platform of mechbtdry andlor equipment servicing the bullring Is 0 fest ❑ meters 0 above or p below the HAG.
E5. Zane AOA•Ino./Kxad depth number b eve table, Is the top of the bottom floor elevated In ecoardanccs *Nh the community's floodplain management
ordinance? 0' tl No 0 Unknown. The local official must mall this Information kr Seaton 0.
•wSr
The property err irdr or armors authorized representative who completes Sections A, 8, end E for Zohe.A (wfhout a FEMA -Issued or community -Issued BFE)
or Zone AO r; alga f)are, The stetemenfs lh Sectlens A,13 and. E ars comsat o the best of my knowledge.
Property (".,axe's or OMNI Authorized Representative's Name
A Mw'imi f coy
SECTION F - PRO OWNER.(OR OWNER'S REPRESENTATIVE) CERTIFICATION • .
ZIP Code
Telephone
Com,nents
SECTIONG-C
Ttn(itxral Abbe who r euthortiad b)ntew or ordlnenoe to administer
andG rinks Elevation CerMlcetd. Cbmrplete UN applcabls Item(s) a(rd
01. 0 The information In Seolon G was liken from other d
N aulhorhsd by law to cerRy elevation krfornhaUon. (Indicate
02. ❑ A community official oamptated Section E for a building located Zone A (nitirout s FEMA-Issiad or co mndty-bilubd BFE) or Zone AO.
. 03. Q • The fallowing Inturmel(dn (Items 04.-G9.) is provided for conmynity floodpbkh mannament purposes.
INFORMATTOh (0i rotiAW
loodpish management ordinance oars oomrptsts Sections A, 8, 0 (or E),
below. • Ctuok urs measurement wed hi Item Ge. and GO.
that hes been signed and added by a licensed iurveyor, engineer, or architect vitro
source and des of the elevation date In the Cambia ares below)
G4. Pernik Number
05. Date Penni Issued
GO. Data Calflcxte Of ComplencNOcaupeocy issued
01. This permit hes been issued for: ❑ New Construction 0 Substantial knprovemett
08. Elevation of es-b*1t lowest floor (koduding basement) of the bidding:. 0 Leet 0 meters (PR) Datum Q
bulkingG9. OFE or On 7 -one AO) depth of flooding et the site: 0 austere ...... Datum'
Local ONclers Name
Commonly Name
S9gnbure
Comnnerts
Tide
Telephone .
DateO� P
<<"-
(-_;• Q ' c_;•
preck hue d etedieheab
FEMA Fctm 81-31. February 2006
Maple ¢ ail Ismlo`rg ediUona
Ikt♦klk q sheet Adttress (Nxitxling Apt., Unit,
City __.. _...
( ,„•.1t
Building Photographs
Sue Instiucaions (or Item A6.
S+ale,
and/or Bldg. No.) or P.O. Route and Box No.
Stale ZIP Code
l+
3s 14: 41
",l!truftitrole Co Rriy.1I
'I'�Ioy rJu►r;��
y
Company MC !Amber
If using the Elevation Certificate to obtain NFIP flood insurance, affix at feast two 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 Viow" and "Left Side View.” If submitting more photographs than will fit on this page, use the Continuation Page,
following.
r