708 ELDORADO AVE � •
U.S.DEPARTMENTOF HOMELAND SECURiTY EI.EVATIt�N CERTIFiCATE oMB No.�sso�oos
Federai Emergency Management Agency Expires March 31,2012
Nationai Fiood insurance P ............................ --•--•--
rcx�ram lmportant: Read the ins#ructions on pages 1-9.
SECT1iJN A-PRQP�RTY 1NFORMATION
A1. Building Owner's Name Gregary J.Henchei€�Elizabeth P.Kessler
A2. &uiiding Street Arldress{induding Apt..Unit,Suite,andior Bidg.Na.)w P.d.Route and Bax No.
708 Eltlorado Rvanue
City Clearwater State FL ZIP Cade 33767
A3. Property Descripiion{Lat end Btack iJumbers,Tax Parcei Number,Legai Description,etc.)
P�rcei ID#05-29-15-54666-002-Q42�
AA. Buikiing Use(e.g..Residentiai,Nwi-Residential,Addition.Accessory,etc.)��!
A5. Latitude/Longihxie:laL 7.98�14 Long.-$,����� Horizontal Aatum: ❑ NAD 1927 (� NAD 1983
A6. Rttach a#least 2 photagraphs of the buiiding ff the Certificate is being used to obtain flood insurance.
A7. $uildinp Diagram Number�
A8. Far a lwitd�with a craw►space or enctosura(s): A9. Frn a buiiding with an attached gar�e:
a) Square foatage o#ccawispace ur endosure(s) 360 sq ft a) Square footage of ai�ched gardge 9�Q sq ft
b) No.ofipermanent�laod apenings in the crawispace or b) No.oi pettnanent flood ope�ings in the attached garage
enclosure{s}wiUun 1;0 foot above adjacent grade g within 1 A#oot above adjacen#grade g
c) 7o#ai nu4 area of flood openings in AS.b � sq in c) To#al net area of flood operrings in A9.b 0 sq in
d) Errgineeted flt3ad openings? [� Yaa � No d} Engineered flood operti�s? Q Yes � t�b
SECTION B-FLQOD INSURANGE RATE MAP(FIRM)INF�RMATlON
B1.lVFIP Carnmunity Name&Gommunity Numbar B2.County Name B3.State
City of GeetwerieF 125096 Pinellas FL
B4.MapJP�ne►Number B5.Suffix BS.FiRM incie�c B7.FIRM Pa�e! B8.Flood BS.Base Fioad Elevatlon(s}{Zane
12103CA102 G Date EffeciiveJt2avised Date Za��s) AO,use base flood depth)
8-18-p9 9-3-03 VE 13'
B10. tndicate the sounce of the Base Fbod Eieuation(BFE}data or base flood depth entered in item B9.
Q FIS Prolile � FIRM Q Gommunity determined [j Other(Describe)
811. Incilcate eleva6on da4um used for BFE in item 89: ❑ tJGV{?�929 �{ NAV�1988 Q Other{Descxibe)
812. is the'building located in a Coastal 6a►riar Resoum.es System(CBRS)area or Othe�wise Protected Area{OPA)? [) Yes (� No
Designation Date N/A Q CBRS Q OPA
SECTtOFI C-$UILDII+IG EL£VAT'i�N lNFORMATIQN{SURYEY FtEQU1RED)
C1. Building elevations are based on: (� Conshuction Drawi�gs' D Buikiing Under Gonshuc�io�' � fiinished Conshuction
'A new'Eisvetion Gertlficats wi'�be required when cor�sbuction of the building is compiete.
C2. Etevatio�s-Zones A1-A30,AE,AH,A{with BFfj,VE,V1-V30,V(with BFE),AR,AR/A,ARJAE,AWA1-A30,ARiAH,AR1A0. Complete Items C2.a-h
beluw according tts tha building diagram speci8ed in Item A7. Use the same dafum as the BFE.
Benchmark Utilized CITY OF�LW 1-02Verticai Datum ELEV=4��'(N.A.V.D.)
ConversioniGomments N!A
Chedc the measarement useii.
a) Top of bottam floor(induding basement,crawispace,w endosure floor)6.47 �#eet Q meters{Puerta Rico only)
b) Top of the nexi higher floor �.� �feet �meters{Puerto Rico anly)
c) Bottom of the lowest horizontal structurai member(V Zones only) �.(� �feet ❑meters{Puerto Rico only)
d) Attached garage(top of siab) �.� �feet ❑mefers{Puerto Rica oniy)
e} �owest elevation of machinery or equipment sen+iang the tx�ildiRg 23.�5 �#eet ❑meters{Pu�to Rico only)
(Describe type of equipment and bption in Comments)
fl Lowest adjacx�nt(finished)grade next to buiiding(LAG} �.� �fieet 0 meters(Puerto Rico oniy)
9) Highesk adjacent(finished)grade nent to buiiding(HAG) 6.2 �feet [,�mefexs(Puerto Rico only)
h) Lowesf adjacet�t grade at towest eievation of dedc or stairs,inciuding N.A �feet Q meters{Puerto Rico oniy)
----
strut�urai support
SEC"fiON D-SUitYEYOR,EHGtNEER,OR ARCMtTECT CERTIFICATiON
This cer[iifacaUon is ta be si�ed end seaied by a tand surveyor,engineer,or arc�ikect auttrorized by iaw to c:ertify elevation _
infonnaUan: 1 carlify that Hta infamatian an tbfs Certif/cate represenfs my best effa#s fo inter{�nai tAe data availab/e.
1 understand that any fa/sa stalemeM may be punishabJe by�na or imprisanmant under 1$U.S.Cocfe,Section 1t101.
� Chedc here if c:�mments are prc�vided on back of form. Were!ati#ude and iongitude in Sec#ion A provided by a
licensed iand surveyor7 � Yes (� No �'�- �
Certifier's�Name Pfiiilp G.Stock License Number RLS#3035 � � �;�"��
_.,.......
7itle Presitlen# �ompany Name Target Land Surveying,Ir�a
Address 51$1.akeside Piace Ciiy Largo State Fl ZIP Gode 33771
S+gnature pate 12-13-11 TelepMone {T27)784-4573
FEMA Form 81-31,Ma�D9 See reverse side fo�continua#ion. Replaces ali previous editions
.,.�,
IMPORTAWT: In tfiesa spaces,copy the corresponding lnformation from Sectlan A.
Building Streef Address{includ+ng Apf.,Unit,Suite,andlor Bidg.No.)or P.fl.Route and Bax No.
74$EidoradoAvenue
City Clea►water 5tata FL ZIP Code 33767
SEC'1'f�N D-SURVEYQR,ENGlNEER,t)R ARCHITECT CER7'tfICATlON(CONTINUED)
Copy both sides of this Elevation Ce�tificate for{1)community offipal,{2)insurance agenticompany,and{3)buiiding owner.
Comments
Job#1112d9.01
G.2.e}=A/C Unit
Stucture was buiit on elsvated masonry coiumns arni with break-a-way wafls.
$ic,p�ature Date 12-13-11
[] GheCk fiare if attac�ments
SECTiON E-BUILDING ELEYATION iNFORMATION{SURVEY NOT REQUIRED)FOR ZflNE AO ANd ZONE A{W17HOUl'BFE)
For Zones AO and A(without 8FE},complete items Ei-E5. if tlie�rtifipte is intended to suppo�t a LOMA or IOMR-F re�uest,complete Sections A,B,
and C. For Items Ei-E4,use nah�ral grade,'rf availabie. Chedc the measurement used. In Puerto Rico wiiy,�ter meters.
E1. Provide elevation infottnation for ihe foilowing and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjaaentgrade{LAG).
a)Top of bottom floor{induding basement,crawispace,or endosure)is ❑feet ❑meters �above or C]bebw the HAG.
b)Top of botWm fl�r{induding:basement,crawispace.or endosure)is ❑fest ❑meters ❑above or❑ below the IAG.
E2. For Building Diagrams S-9 wi#h permanent flood openings provided in Section A Items 8 andt�9{see pages&9 of InsWctions),the next higher floor
(elevation C2:b in the diagrams}ofi#he building is ❑feet ❑meters ❑above w ❑below tMe hIRG.
E3. Atbched garage{top of sleb)is ❑feet ❑meters ❑above or ❑beiow the HAG.
E4. Top of platform of machinery andlor equipment serviang the buiiding is ❑feet ❑meters ❑above or�below the MAG.
E5. Zone AO only: Ifi rro flood depth number is available,is!he top of tlie bottan floor elevated i�ac�wdance witl�the community's floalplain manag�nent
ordinance? Q Yes ❑ No ❑ Unkntrv�+n. The bcai official must certify this infwmation in Sedion G.
SECTION F-PROPERTY�WNER(OR OWNER'S REPRESENTATIYE)CERTIFICATION
The property owner ar owner's authorized reprasentative who completes Sections A,B,and E fw Zone A(wi#hout a FEMA-issued qr mmmunity-issued BFE)
or Zone AO must sig�hera TAe statements in Sectlons A,B,and E are carect to the best of my kROwiedgs.
Property Cf�mer's ar Oam�'s Autharized Representative's Name
Address City State ZIP Code
Signature Oate Te3ephone
Cammenis
❑�here if attachments
SECTION G-COMMUNITY INFqRMAT10N{OPTIpNAL)
The local official wFro is aulhorized by law or ad9nance ta administer the canmunity's flaodplain management ordinance can complete Sections A.B.C(or E),
and G of this Elevation Certificate. Gflmpiete the applicable ite,m(s)and sign below. Chedc the measurement used in items G8 and G9.
G1.❑ The information in Sectio�C was taken from other documentation that has been signed and sealed by a licensad surveyor,engineer,or architect who
is aufhorized by law to ceRify etevation infortnation. (tndicate the source and date o#the elevation data in the Commenis area below.)
G2.❑ A communityoffiaai compieted SeCtio»E for a building located in Zone A{without a FEMA-issued or community-issued BFE}w Zo�e AO.
G3.❑ The foilowing infomiation{It�ns G4-G9)is provided for communily floaiplain management purposes.
G4.Pertnit Number G5, Oate Permif tssued G6. Oate Gertificate Of Compiiance/0cxupancy Issued
G7. This pertnit has been issued for: []New Construction ❑Substantiai lmprovement
G8. Elevation of as-built Vowest floor(i�Guding basement)of the building: ❑feet ❑meters{AR)Datum
G9. BFE or(in Zone AO}depth of flooding at the buitding site: �feet ❑meYers{PR)Datum
G10.Community's dasign fbod elevabon ❑#eet ❑meters{PR}Qatum
Locai t�fficial's Narr�e TiUe
Community Name Telephone
Signature date
Comments
❑Chedc hsre ifi attachments
FEMA Form 81-31,Mar 09 Replaces all previous editions
Building Photographs
See Ins#ructions for item A6.
Ft�tlnsuranc.e G�mparsy�iss:
Suilding Street Address(induding Apt,Uni#,Suite,andlm Bidg.No.)or P.O.Route and 8ox No. Palicy Numt�er
70$Eldorado Avenue
City Ciearvvater Stat@ FL Z1P Code 33767 �F�Y�G���'
!f using th�e Elevation Certiflca#e#o obtain NF1P flc>od insurance, affix�t ieast two building photographs below according to
the instructions for Itern A6_ Identifiy ail photographs with;da#e taken;"Front View'and"Rear Vew"; and, if required,"Right
8ide�ev�'and"Left Side View." If submi#ing more photographs then wifl fit on this page, use the Continuation Page an the '
reverse.
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Building P�otographs
Continuation Page
��or�Jnsurancs Cc�mp�ny Use:��
Suiiding Sireet Address{inctuding Apt.,Unit,Suii�,andlor Bldg.t�lo.)t�r P.�.Raute and St�x No. ?o���yy�vumr�sr
7fl8 Eldorado Avenue
City Clearwater S#ate F� Z1P COd@ 337fi7 �P�+Y����' �
if submitting more photographs khan wili fit on the preceding page, affix #he additionai photagraphs below. ldentify ail
photographs with:da#e taken;"Front View"and"Rear Viev�';and, if required,"Right Side Visv,�'and"�eft Side View."
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