720 ELDORADO AVE fj��,�J, � (� (� � � , ^� NAL FLOOD NSURANCE PROGRAMCY
/ O.M.B. No. 3067-0077
� I `rb Z Expires July 31, 2002
���VATION CERTIFICATE
Im ortant: Read the instructions on a es 1 -7.
� SECTION A-PROPERTY OWNER INFORMATION For insurance Company Use:
,.,iNG OWNER'S NAME Pdicy Number
LINDA AND TERRY HOGAN
BUILDIALG STRE�T�A�O SAVENUE9 Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
/1U ELD
C�N STATE p q
CLEARWATER BEACH FLORIDA U
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) .
LOT 6, BLOCK 2, "MANDALAY", PARCEL N0. 05/29/15/54666/002/0060
BUILDING USE(e.g.,Residential,Non-residendal,AddiGon,Accessory,etc. Use a Comments area,if necessary.)
IATITUDE/LONGITUDE(OPTIONAL) HORIZONTAI DATUM: SOURCE: �_�GPS(Type):
( ##°-##'-A�#.##" or ##.�°) U NAD 1927 u NAD 1983
�)USGS Quad Map � SUCS
N.G.V.D 1 2 �CLEAR
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION '
81.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE
FLORIDA
B4.MAP AND PANEL B5.SUFFIX B6.FIRM INDEX 87.FIRM PANEL B8.FLOOD B9.BASE FLOOD ELEVATION(S)
NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of 800ding)
125096 — 0007 D 8/18/92 6/9/71 — 8/19/91 ' V—E"&"A—E" 13.00'
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth ente�ed in B9.
U FIS Profile ��FIRM ��Community Determined �J Other(Describe):
B11.Indicate the etevation datum used for the BFE in B9: �X � NGVD 1929 �_� NAVD 1988 �_�Other(Describe):
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? �_�Yes �No
Designation Date:
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. R ilding elevations are based on: L�Construction Drawings' I_fBuilding Under Construction' � X�Finished Construction
w Elevation Certificate will be required when construction of the building is complete.
C2. din g D i ag r a m N u m b e r 1 (S e l e c t t h e b u i l d i ng d iag ram most similar to the building for which this certificate is being completed-see
pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.)
C3. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,Ag/AH,AR/AO
Complete Items C3.a-i below according to the building diagram specified in Item C2.State the datum used. If the datum is different from
the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion.
Datum�� ConversioNComments rT�rv nF r-r FnurJATFU ('(1TTCTDTT!'TTA��� rT n'r cnNtlrtF7tc�m �;��/� ,51 �
Elevation reference marfc used T AV R . pT_ 10 Does the elevation reference mark used appear on the FIRM'�"'� , es �_XJ No
❑ a)Top of bottom floor(including basement or enclosure) ��6� ft. � ' ,
� N DENNIS J� '� ��'�
O b)Top of next higher floor 7'b�n•�) 9 p,L!� '
❑ c)Bottom of Iowest horizontal structural member(V zones only) SEE NOTE _ft.(m) o o �"°
O d)Attached garage(top of slab) N/A _ft,�m� E� � - <::� s� � �
❑ e)Lowest elevation of machinery and/or equipment W � '; �
servicing the building(Describe in a Comments area.) A/C SLAB ' 7,6' ft. � `� ' "� � °
� E ; m ��. =
O �Lowest adjacent(finished)grade(LAG) 6,2' ft.� Z. , '.`�'
❑ g)Highest adjacent(finished)grade(HAG) 7,1!ft�) � . �j
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 0 � � •'��y -
°� .
O i)Total area of all permanent openings(flood vents)in C3.h 0 sq.in.(sq.cm) J D ER � , }�002'
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certificaGon is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation infoRnation.
I certify that the information in Sections A,8,and C on this certificate represents my best efforts to inferpret the data available.
1 understand that any false statement may be punishable by rne or imprisonment under 18 U S Code Section 1001
CERTIFIER S NAME LICENSE NUMBER �{
TCATHTTC T L'VD� !lZH6S
TITL� PROFESSIONAL LAND SURVEYOR COMPANY NAME
GEODATA SYSTEMS, INC.
A C�n' STATE ZIP CODE
10 OVERCAS , ITE "C" DUNEDIN FLORIDA 34698
SIGNATU DATE TELEPHONE
DECEMBER 18, 2002 727 734-0929 FAX. 727 734— 228
FEMA Fo 81-31,JUl SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
' .
IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use:
BUILDINGOs ELDORADO EAVEncluding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Policy Number
/L
��N STATE ZIP CODE Company NAIC Number
CLEARWATER BEACH FLORIDA �
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community officiat,(2)insurance agenUcompany,and(3)building owner.
COMMENTS
THIS BUILDING IS BUILT SLAB ON GRADE AND LOWEST SUPPORTING MEMBER IS BENEATH
THE GROUND.
- `'' `'� �` �` �� �' I I Check here if attachments
SECTiON E-BUILDING ELEVATION INFORMATION(SURVEY NOT REGIUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and��?one!�(without BFE),complete Items E1.through E4. If the Elevation Certificate is intended for use as supporting
information for a LOMA or LOMR-F,Section C must be completed.
E1. Building Diagrarrt Number (Select the building diagram most similar to the buitding for which this certificate is being completed—
see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.J
E2.The top of the bottom floor(including basement or enclosure)of the building is I_I_I ft•(m)I_I_I�n.(cm) �_�above or �_� below
(check one)the highest adjacent grade. (Use natural grade,if available.) �
E3. For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is
�_�_�ft.(m)�_�_�in.(cm)above the highest adjacent grade. Complete Items C3.h and C3.i on front of form.
E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance?� �Yes � � No �_� Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B,C(Items C3.h and C3.i only),and E for Zone A
(without a FEMA-issued or communiry-issued BFE)or Zone AO must sign here. The statements in S.ections A, 8, C, and E are correct to
the best of my knowledge. �
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
� � Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B,C(or E),and G of this Elevation Certificate. Complete the applicable item(s)and sign below.
G1. �J The infoRnation in Section C was taken from other do�cumentation that has been signed and embossed by a licensed surveyor,
engineer,or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G2. �_J A community official completed Section E for a building Iocated in Zone A(without a FEMA-issued or community-issued BFE)or
Zone AO.
G3. ��J The following information(Items G4-G9)is provided for communiry floodplain management purposes.
G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY
ISSUED
G7.This peRnit has bee�issued for. U New Construction U Substantial Improvement
G8.Elevation of as-built lowest floor(including basement)of the building is: _ft.(m)Datum: .
G9. BFE or(in Zone AO)depth of flooding at the building site is: _ft.(m)Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS �
I I Check here if attachments
FEMA Form 81-31,JUL 00 REPLACES ALL PREVIOUS EDITIONS