970 ELDORADO AVE FEDERALEMERGENCYMANA�EMENTAGENCY O.M.B. No. 3067-0077
�(�,p'���--- ��� ( � NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
v� ELEVATION CERTIFICATE
• I t Read the instrudions on es 1-7.
SECTION A•PROPERTY OWNER INFORMATION For�r�suranoe C«rpany use:
�BUILDING OWNER'S NAME Policy Number
Wa ne and Bri ett Philli s
BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
970 Eldorado Avenue
CITY STATE ��I C J-R r _� �C'
Ciearvvater Beach FL ,�3 - -
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Desaiption,etc.) ' � !
Lot 8,Biodc 61,Mandalay Subdivision,Plat Book 14,Pages 32-35
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,'rf necessary.) � � y�
ResideMiai
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE:
( ##'-##'-##.##' or ##.�) ❑NAD 1927 ❑NAD 1983 1 ��� � ' `� L?�f��
�''il�.���i�i�--
�
SECTION B•FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
81.NFIP COMM�A1NIlY NANE&COMMUNfiY NUWBER B2.COUNTY NAIuE 83.STATE
Gly d Clearwater 1�i096 Pinellas FL
64.MAP AND PANEL B7.fIRM PANEL B9.6ASE FLOOD ELEVATION(S)
NUMBER B5.SUFFUC B6.FIRM INDEX DATE EFFECTIVF�REVISED DATE B6.FLOOD ZONE(S) (Zone A0,use depth offlooding)
12103C0064 G 9�3N3 913�03 VE 13
610.Indicate fhe sourGe of the Base Flood Elevation(BFE)data or base flood depih ent�red in B9,
❑FIS Proftle �FIRM ❑Community Determined ❑Other(Descnbe):
B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 �NAVD 1988 ❑Other(Descx�be):
812.Is the buikiing bcated in a Coastal Bartier Resouroes Sysfem(CBRS)area or Othervvise Proteded Area(OPA)? ❑Yes �No Desgnation Date_
SECTION C•BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Bu�fing elevations a�e based on:❑ConsUuc�ion Drawings* ❑Buiding Urider ConsUuction• �Finished Construd'an
'A new Elevation Cert�e w�l be required when oonstrix�ion of the buiding is comple�.
Bu�d�g Di�ram Number7(Select the bukiirg diagram most sim�ar 9�the buikling forwhich this oertiBca6e is being completed-see pages 6 and 7. If no diagram
aoa�rately represenGs the building,Provide a sketch orphom9raph•)
C3.EJevations–ZonesA1,A30,AE,AH,A(with BF�,VE,V1-V30,V(with BFE�,AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO
Complete Items C3.-a-i bebw a000rding to the building diagram specif'�ed in Item C2.State the datum used.If the datum is different from tlie datum used for the BFE v�
Section B,convert the datum D�that used for the BFE.Show fi�d measurements and datum conversion calculation. Use the spaoe provided or the Comments area of
Section D or Section G,as appropriate,�doa�ment the datum oonversbn.
D�um NAVD-1988 Conve�sanlComments :
E]evation referenoe mark used Does the elevation reference mark used appear on the FIRM'? ❑Yes �No =
o a)Top of bottom floor(induding basement orendosure) 6. 8 ft(m) � i �
o b)Top of ne�hgherflaor 17.1 it(m) .� ' ,<;
o c)8ot�m of lowest horiaonfal st�uctural member(V zones only} 15.0 ft(m) �� � '`� � '`k '� ''
�
s u � ,;: �
o d)Attached 9arage(�op ofslab) NIA. 1t(m) g° ,� ��' �
o e)Lowestelevatbn of machinery andlorequipment �� l`;/��6
�,.
servicing the buiding(Descxi�e in a Comments area) 14.6 ft(m) ,� ,
o fl Low�est adjaoent(finished)grade(LAG) 6,6 ft(m) �.m ���'��f�T';.f��J
o g)Highest adjaoent(finishied)grade(HAG) 6. 8 ft.(m) �� ,
o h)No.of permanent openings(flood venfs)within 1 ft.above adjaoent grade 9 � `
o i)Total area of all pertnanent openings(flood vents)�C3.h 1202 sq.�.(sq.an)
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to oertify elevation information.
1 certi(y that the information in Sectiais A,B,and C on this ce�tificate represents my best effo►ts to interpret the data available.
1 understand that any false statement may be punishable by 6ne or imprisonment under 18 U.S,Code Section f001.
CERTIFIER'S NAME Donald E Armstrong Jr. UCENSE NUMBER 5083
11��� CAMPANY NAME Don Armstrong l.and Surveying
•���� CITY STATE ZIP CODE
40347 U.S.19 N,Surte 131 Tarpon Springs FL 34689
SIGNATURE pATE TELEpHpNE
1119A6 (127)9�45-1073
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces,copy the correspondin infom�ation from Section A For in�,r�oe can�r,y use:
BUILDING STREET ADDRESS(Indudirg Apt,Urtt,SuiOe,andbr BkJg.No.)OR P.O.ROUTE AND 80X N0. Polic�/Nurr*�!u • �,�
970 Eldaado Avenue -
�� STATE ZIP CODE Company NAIC Number
��earv�a�B�h R 33759 �
SEC110N D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) �
Copy both sides of this EJevation Certificate for(1)o�mmunity offiaal,(2)insuranoe agenUoompany,and(3)building ovmer.
COMMENTS
Elevations are based upon a National C'�eodetic Bench Mark"F3',Elevation=2.72 Feet,NAVD-1988
Item 3(e)is an Air Conditioner Compressoron a ra'�sed wood dedc
Item 3(h)Fbod Vents ar�oovered with plastic and caulked in plaoe(designed to break-away)
❑Check here if attachments
SECTION E-BUILDIN�ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(VIIITHOUT BFE)
For Zone AO and Zone A(wifhout BFE),complete Items E1 through E4. If the Elevation CertiFicate is inter�deci for use as supporting infortnation for a LOMA or LOMR-F,
Sedion C must be oompleted.
E1.BuikJing Diagram Number_(Select the building diagram most similar to the buikiing for whidi this oeitif'�caGe is being completed—see pages 6 arx17. If no diagram accurately
represents the building,provide a skeGch or photograph,)
E2.The top of the bott�m floor(�nduding basement or endosure)of the bu�ling is _ft.(m)_in.(an)❑above or ❑bebw(diedc one)the hghest adjaoent grade. (Use
natural grade,'rf available).
E3.For Building Diagrams 6-8 with openings(see page 7),the ne�higherflooror elevated floor(elevation b)of the buikiing is _ft(m)_in.(an)above the hghest adjaoent
grade. Complete items C3.h and C3.i on front of fortn.
E4.The top of the pla�orm of machinery and/or equpment serviang the bui��g is _ft(m)_in,(cm)0 above or ❑bebw(d�edc one)the hghest adjaoent grade. (Use
natural grade,'rf available).
E5.ForZone AO only: If no flood depth numbar is available,is the top of the boKom floor elevated'm acoordance with the oommunitys floodplain management ordinanoe?
❑Yes ❑No ❑Unknown. The bcal offx�al must oertify this information in Sedion G.
SECTION F•PROPERTY OWNER(OR OVIMER'S REPRESENTAl1VE)CERIIFICATtON
The property owner orowners authorizsd representative who completes Sedions A,B,C(Items q.h and Ci,i only),and E for Zone A(without a FEMA-issued or oommunity-
issued BF�or Zone AO must sign here. The statements�Se�ons A,B,C,and E are conect to U�e best of my lv�owledge,
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME •
ADDRESS CIlY STATE ZJP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑Chedc here if attachments
SECTION G•COMMUNITY INFOftNW110N(OP110NAL)
The bcal offiaal who is a�,thoriz,ad by law or ordinanoe to administer tlie community's floodplain management ordinanoe can oomplete Sections A,B,C(or E),and G of this Elevation
cerGficate. cornplete tl,e applicable ltern(s)ar,d sign below.
G1.�The information in Sedion C was taken from other documentation thart has been signed and embossed by a lioensed suroeyor,engineer,or arr�i6ed who is authorized by stafe
ortocal law b oeitify elevation infortnation. Qndicate the souroe and da6e of the elevation data in the Comments area bebwJ
G2.�A oommundy official complefed Sadion E for a buildirg bcated in Zone A(without a FEMA-issued or oommuni�-issued BF�or Zone A0.
G3.�The fulbwing infama6on(Items G4-G5)is provided for oommunihr floodplain management purposes.
G4.PERMIT NUMBER C'{�. DATE PERMff ISSUED G6. DATE CERTIFICATE OF COIuPLIANCEIOCCUPANCY ISSUED
G7,This permit has been issued�r.0 New Constrix�ion ❑Substantial Improvement
G8.Elevatbn of as-buift bvaest floor(induding basement)of the buiding is: _._ft(m) D�um;
G9.BFE or(in Zone AO)depth offlooding at the buikling site is, _._ft(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE •
COMMENTS
❑Ct�edc t�ere if aihachments
Reptnces aa pre�++iovs ediiiinr�s
� FEDERALEMERGENCYMANAGEMENTAGENCY O.M.B. No. 3067-0077
, , NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
� ELEVATION CERTIFICATE
' I • Read�e instructions�n es 1•7. '���� �� � ���
SECTION A-PROPERTY OWNER INFORMATION Far�nsurence canpany use:
UILDING OWNER'S NAME Policy Number
Wa ne and Bri ett Philli s
BUILDING STREETADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO, Company NAIC Number
970 Eldorado Avenue
CITY STATE
Cleaiwater Beach FL c, �M��
PROPERIY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Desaiption,etc.) ,;,��,#,,,„��,-
Lot 8,Bbdc 61,Mandalay Subdivision,Plat Book 14,Pages 32-35 E !�
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Commerrts area,if necessary.) �C�� � � Z��� ;'I��
Residernial
LATITUDEIL.ONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: e):
( ##'-#1#'-##.##" or ##.#A�l#') ❑NAD 1927 ❑NAD 1983 ❑U GS Q �+��e
�ownn�n►e � au+Gt-sz�P�
SECTION B•FLOOD INSURANCE RATE MAP(FIRM)INFORMATION °` _�
B1.NFIP COMIuIUNffY NANE 8�COMA�UNITY NUIuBER B2.COUNTY NANE B3.STATE
City of Clea�weter 125096 pinellas FL
84.MAP AND PANEL B7.F�RM PANEL B9.BASE ROOD ELEVATION(S)
NUMBER. B5.SUFFD( B6.FIRM INDD(DATE /, EFFECTNEiREVISED�TE B8.FLOOD ZONE(S) (Zane A0,use depth of floodrcg)
12103C0064 G �63-",s' 9�3p3✓ VE 13
810.Indicate the sourne of the Base Fbod Elevation(BFE7 data or base flood depth entered in B9.
❑FIS Profie �FIRM ❑Community Determined ❑Other(Descrbe):
B11.Indicate the elevation datum used�r the BFE in B9:(]NGVD 1929 �NAVD 1988 ❑OTher(Descnbe):
B12 Is the building bcated in a Coastal Barrier Resouroes System(CBRS)aiea orOtlieiwise Proteded Area(OPA)? ❑Yes �No Des' nation Date
____
SECTION C-BUILDING ELEVAl10N INFORMA710N(SURVEY REQUIRED)
C1.Buiding elevations are based on;�Constiudion Drawings* ❑Buiding Under Construc,tan' �Finished Const�udion
*A r�ew Elevation Cedifir�w�be required when o�nstrudion of the bulding is complete.
` Bu�dirg Diaqram Number7(Select the bu�dirig diagram most simdar to+��� �g forwhich this oert'fficate is being completed-see pages 6 and 7, ff no diagram
\..�aocurately represents the bu�ding,Pr�vide a sketch orphoto�� �
�d
C3.Elevations—ZonesAl-,A30,AE,AH,A(with BFE�"" , � ,!j(S WA,AWAE,ARlA1-A30,ARIAH,AR/AO
Complete 16ems q,,a-i bebw a000rdirr' �p� {�� Sta4e the datum used.If the datum is dilfierent from the datum used for fhe BFE in
i
Sedion B,oornrert the datum b that " � (J`� 'atum oonversion calculation. Use the spaoe provided or the Comments area of
Sedion D or Sediai G,as approp�ia& '�� t r1
Dadum NAVD-19i68 Conversior�(C'yfSii 5 °
Elavation�eferenoe mark used ��Dc � �e FIRM? ❑Yes �No
o a)Top of bott�m floor(induding basern� �.,,) �
o b)Top of ne�d hgherfloor 17.1 it(m) �
o c)Bott�om of bu�est horiaontal strudural rr� 15.0 ft(m) �o
o d)Attad�ed garage(�op of slab) WA. _ft(m) �
o e)l.ow�est eleva�ion of machinery and/orequ4xrient W m !l�Q,/d 6
servic�ng tl�e bu�ding(Desai�e�a Comments area) 14.6 ft(m) ��
o�Lowest adjaoent(finished)grade(LAG) 6.61t(m) �.�, ��S ��O B.l�
o g)Highest adjaoent(finisFted)grade(HAG) 6. 8 ft(m) ��
o h)No.of permar�ent openings(flood vents)within 1 ft above adjaoent grade 9 �
J
o )Total area of all pemianent openings(flood vents)in C3.h 1202 sq.h.(sq.cm)
SECTION D•SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land suroeyor,engineer,or architect authorized by law to certify elevation information.
1 certi(y that the information in Sectrons A,B,and C on this cediBcate represents my best efforts to interpret the data available. f, 1 �
!understand fhat an false statement ma be unishable b Bne or im risonment under 18 U.S.Code,Section 1001. ��
CERTIFIER'S NAME Donald E Am�strong Jr. IJCENSE NUMBER 5063 i
n��� COMPANY NAME Don Armstrong Land Sunreying
�� CITY STATE ZIP CODE
7 U.S.19 N,Suite 131 Tarpon Springs FL 34689
SIGNATURE DATE TELEPHONE
1119ro6 (727)945-1073
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions
(3c-�� -�i;0 I Q
IMPORTANT: In these spaces,copy the corresponding infontiation from Section A. �or insuran�corr�any use:
BUILDING STREET ADDRESS(indudir�Apt,Urrt,Suite,endlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Nur-war ' •
970�daado Avenue .
ClTY y.�`$�, � ,, `. A' � - STATE ZIP CODE Comparry NAIC Nurnb�
Clearwater Beach R 33759
SECTION D•SURVEYOR,ENGINEER,OR ARCHITECT CER�IFICATiON(CON7INUED) �
Copy both sides of this EJevation CertiFicate for(1)community offiaal,(2)insurance agenUoompany,and(3)building owher.
COMMENTS
FJevations are based upon a Natanai C�eodetic Bench Mark'F3",Elevation=2.72 Feet,NAVD-1988
Item 3(e)is an Air Conditioner Compressor on a raised wood dedc.
Item 3(h)Flood Vents are oovered with plastic and caulked in plaoe(designed to break-away)
❑Check here if atlachmenls
SECTiON E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(IMTHOUT BFE)
ForZone AO and Zone A(wilhout BFE),complete Items E1 through E4. If the Elevation Certificat�is intended i�r use as supporfing information for a LOMA or LOMR-F,
Sedion C must be aompleted.
E1.Bwldirg Diagrdm Number_(Seled the buiding diagram most similar to the buikiing inr whidi this oertiFicate is being completed—see pages 6 and 7, If no diagram aocurately
�epresents ihe buibing�Provide a sketch or photogrdph.)
E2,The Eop of the bott�m floor(induding basement or endosure)of the bu�ding is _ft.(m)_in.(an)�above or ❑below(d�edc one)the hghest adjaoent grade. (Use
natural grade,if available).
E3.For Buikl�g Diagrams 6-8 with openings(see paqe 7),the ne�higherflooror elevated floor(elevation b)of the buikling is _ft.(m)_in.(an)above the hghest adjaaoeent
grade. Complete Aems q.h and C3.i on front of ivrm.
E4.The�p of the plafform of mad�inery and/or equipment serviang the buikiin9 is _ft.(m)_indcm)�above or ❑bebw(diedc one)the hghest adjaoent grade. (Use
natural grade,if available).
E5.For Zpne AO only: If no flood depth number is avalable,is the top of the boflom floor elevatad in a000rdanoe w�h the oommunitys floodplain management ordinanoe?
❑Yes ❑No ❑UnkrioHm. The bcal offiaal must certi(y this�furmabon�Sec�pn G.
SECTION F•PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner oromier's authorimd represenfative who completes Sections A,B,C(Items C3.h and C3.i only),and E fw Zone A(without a FEMA-issued or oommunity-
issued BFE�or Zone AO must sign here. The stetemenls�►Sections A,B,C,a�d E sre carect to fhe best of my lmowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTA7IVE'S NAME �
ADDRESS CITY STATE Z1P CODE
SIGNATURE DATE TEIFPHONE
CAMMENTS
❑Chedc here if att Q
�
SECTION G•COMMUNITY INFORMATION(OPTIONAL) N
The bd offiaal who is authcriaed by law or ordinanoe�adminisisr the o�mmunit�s floodplain management ordinanoe can oomplete Sections A,B,C(or E),and G of �����J �i
Cerbfirate. Complete the applir,able item(s�and sgn bebw. ��,�� cv
� �' .:..
G1.Q The�formation h Section C was taken from other documentation that has been signed and embosaed by a�ioensed surveyor,engineer,or ar�hitect who is aut
,r,;', cB
or bcal law b oertify elevafion infortnation. Qndicate the souroe and date of fhe elevation data rc�the Comments area bebw.) i�11'
G2.�A oommun�y offiaal oomWeted 5edion E for a budding bcated in Zone A(without a FEMA-issued or oommunily-issued BF�or Zone A0.
a°�;;] ��
G3.�The fulbwing infamation(IGems G4-(39)is provided for oommun�y floodplain manaqemer�purposes. ,;;� ,�.'
G4.PERMT NUMBER Gb. DATE PERMT ISSUED G6. DATE CERTIFICATE OF CAMPLIANCE/OCCUPANCY ISSUI ��'II/ ��
��,�,� �',a z
G7.This pertnit has been issued for.�New Constnx�ion ❑Substantial Improvement �;,„ ��� Q
G8.Elevation of as-built lowest floor(indudrr�g basement)of the buiding is: ___._it(m) Datum:_ '°", ��� �
G9.BFE or(in Zone AO)depth of flooding at the bui�irg site is: _ft(m) Datum: ° �') � �
— — ��,aiJ ��„� a �
LOCAL OFFICIAL'S NAME TITLE i,,,,' �'�. � �
J ��
}P„ �..� C
COMMUNITYNAME TELEPHONE �� "' 2 0
����!� ��] � N
SIGNATURE DATE •
COMMENTS
❑Check here if attachmenis
FEMA Form 81-31,January 2003 Replaces all previous editions
� . .
l+�j��°�'a'r
0 � P
� �4'`�.��'�'°°`�N���� CITY OF CLEARWATER
� � --
`��.�I i, � �;
o � G
��' _ �� DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT
� -1
� ' +h���b�' POST OFFICE BOX 4/4H� CLEARWATER� FLOa�DA 33758-4748
���_�n,t
� ����d ������
,, ,�e}� MUNICtPAL SERVICES BUILDING, lOO SOUTH MYRTLE AVENUE,CLEARWATER,FLORIDA 33756
9"''°�'��' TEL�PHONE�72� 5�2-4567 Fn�c(72� 562-4576
MEMO OF REVIEW FOR CORRECTNESS 8� COMPLETION
In accordance with participation in the NFIP/CRS program,all elevation certificates are required to be reviewed for correctness and completion prior to
acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of
elevation certificates.
The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community
The attached elevation certificate is complete and correct
_�Minor corrections have been made in the below marked sections by Community Official
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
A1. BUILDING OWNER'S NAME Policy Number
A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
CITY Clearwater STATE ZIP CODE
A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
A4. BUILDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)
A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:�GPS(Type):
(##°-##'-##.##" or ##.#####°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE
64.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX 66.FIRM INDEX DATE EFFECTIVE/REVISED DATE B$•FLOOD ZONE(S) �Zone AO,use depth of flooding)
5/17/2005
810. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69.
❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other(Describe)
611. Indicate elevation datum used for BFE in 69:0 NGVD 1929 ❑ NAVD 1988 ❑Other(Describe)
612. Is the building located in a Coastal Barrier Resources S stem CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Desi nation Date
SECTION C -BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction• ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number (Select the building diagram 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,AR/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 Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No
e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m)
h) No.of permanent openings(flood vents)1ft.above adjencent grade
i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm)
Comments:
Date of Review: Community Official:
�vation ceRificates shall be maintained by the community and copies with the attached memo made availab/e by request
FRANK HIFiRARD,MAYOR
G@ORGE N.CRE'fGKOS,COUNCILMEMBBR JOIIN DORAN,COUNCILMGMBER
PAUL F.GIRSON,COUNCILMEMAGR � CARLEN A. P@7'GRSEN,COUNCILMGMBER
��F,QUAL EMPLOYMEN'I'AND Af�FIftMA"fIVE AC7'ION EMPLOYER�