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1043 ELDORADO AVE; AKA 1050 BAY ESPLANADE SOUTH HOUSE . U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Federal Emergency ManagementAgency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Buiiding Owner's Name JACQUELINE S LATIMER Policy IVumber A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 1043 ELDORADO AVE-AKA 1050 BAY ESPLANADE SOUTH HOUSE City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.) PARCEL 05-29-15-54666-068-0130,LOTS 12&13 BLOCK 68,MANDALAY SUB,PLAT BOOK 014 PAGE 032,PINELLAS COUNTY FLORIDA A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat.28.0037 Long.82.8260 Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building'rf the Certficate is being used to obtain flood insurance. A7. Building Diagram Number EIGHT A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1205 sq ft a) Square footage of attached garage 198 sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 72 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 1655 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-F�OOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number 62.County Name 63.State CLEARWATER CITY OF 125096 PINELLAS FLORIDA B4.Map/Panel Number B5.Suffix B6.FIRM Index 67.FIRM Panel 68.Flood 69.Base Flood Elevation(s)(Zone 12703C0064 G Date Effective/Revised Date Zone(s) AO,use base flood depth) 08/18/2009 09/03/2003 VE&AE VE=13.0 AE=12.0 FEET B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No Designation Date N/A ❑ CBRS ❑ OPA SECTION C-BUILDING E�EVATION 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. 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 C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized NGS AL 0119 Vertical Datum NAVD 1988 Conversion/Comments NONE Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)CRAW 4.87 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor REG LIV 6.48 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 5.60 �feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 4.37 �feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building AC 6.15 �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 4.37 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade ne�ct to building(HAG) 4.87 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 4.37 �feet ❑meters(Puerto Rico only) structural support °�,�.,�_ SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION �%:- This cert�cation is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to cert'rfy elevation � information. !certify that the information on this Certificate represents my best efiorts to interpret the data available. �v��"��° ��-� �.,: I understand that any fa/se statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 9001. ��: �� `$�A J�� ❑ Chedc here if comments are provided on back of form. Were latitude and Iongitude in Sedion A provided by a ;r�;" � _ �'��,;.�� '� licensed land surveyor? � Yes ❑ No �,� �a � � � �, Certifier's Name BILL HYATT License Number 4636 y�; �' ��' ��` � � ' Title PRESIDENT Company Name KNOW IT NOW INC Address 1497 MAIN ST#321 City DUNEDIN State FL ZIP Code 34698 ��3�L- Signature Date 2-1-12 Telephone 727-415-8305 Z°'7�1 y FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces atl previous editions • IMPORTANT: In these spaces,copy tne corresponding information from Section A. For Insurance Company Use: Building Street Address(including Apt.,Unit,Suite,andlor Bldg.No.)or P.O.Route and Box No. Policy Number .1043 ELDORADO AVE-AKA 1050 BAY ESPLANADE SOUTH HOUSE City CLEARWATER State FL ZIP Code 33767 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)commurtity official,(2)insurance agent/company,and(3)building owner. Comments C2. --;QUTSID�AIR CONDITIONER UNIT . w `Q �`s! .�. .. . �"' � rs �'� � Sign4tirre � �, � � � Date 2-1-12 o� � � ❑ Chedc here if attachments SECTION�,:'��IL�tNG� EVATION INFORMATION(SURVEY NOT REQUtRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) Fo'r Zones AO'ar1d��(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. � E1. Provide elevation inforrnation for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enGosure)is ❑feet ❑meters ❑above or�below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or 0 below the HAG. E5. 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 ❑ U�known. The local o�cial 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,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,B,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'rf 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. Chedc the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect 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 community-issued BFE)or Zone AO. G3.❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions � Building Photographs See Instructions for Item A6. For insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 1043 ELDORADO AVE-AKA 1050 BAY ESPLANADE SOUTH HOUSE Clty CLEARWATER State FL ZIP COd@ 33767 CompanyNAlCNumber If using the Elevation Certificate to obtain NFIP flood insurance, affix at least finro building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear Viev�'; and, if required, "Right ; Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the ', reverse. I PICS TAKEN 1-31-12 '' FRONT VIEW � � - � �� . �ir .. � � .. ♦ j� / �: �""""'� ! � � , �, - �� {� i .,, .,� -'i- � �. .,... P� -- � ,.. . � �r � - , r , ,� � , � ', � .-,...,,._�,._._ . � � _ � ____.� � ,_ . ( /'' _.,_..�... . � � � r,.r,� .�..�.,:�.� . , � �; ) _ � ,� �� ; � -, . ' � _ - � ' I ; __ ,. ��; � , '____. . a �-- , � t ' � � , ' a � ' �,1j� � � �i��1 �� , _ ► . : .� �: + -� � �� ° ° _ , , � , ,�,. � , , ,_ , , , � . ; e��„_ � �. � i . ..-�., , _ -- _ ` . �'�'_ _- .,,� � .,�:�.. . �� REAR VIEW ,�{ �Y �� ..�.F � � � , ,.. . .... . . . ,. � . 1. y . , . _ , ti.,:..,� �- .... ,� .� .. ...� � i , . ' � -- �� r:, III�II � . �, + ��: � , ._.� . :� � � � � �-- �_ — , ; � f ; . . d � . . I� ; _ ��: � _ � , ,� _ _. { � , w._�.._ _,. � __ � . , Building Photographs Continuation Page For Insurance Company Use: Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 1043 ELDORADO AVE Clty CLEARWATER State FL ZIP COd@ 33767 Canpany NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View"and "Rear View"; and, if required, "Right Side View"and"Left Side View." SIDE VIEW �� p��J,� �� -�yY�,�l � \ . s�� .x, � � ��,, �"�<LL'��` * � � �` �' � [�"� ��^� ��l _ _____ „_. . '" — — —,_ � �°~--H; —— _ ;n� _..��.. -- _..___ --;� �, �J � , .., , .., ,, ;�,f� .: �� : . � �;�. �,��.;�M �", �. �` , .s ,� �i� �= �: °:�;� . , � ._ �w� .. :.. �. � /�� _ r �. ! � I � t � � /� �, � � r �� `� � v 1 1 + " '�,��' t, ✓ � / � l� (� i�_I( ,�i��!''._�.-.,.I�� -� � „ FEB022012 #� �. �. � ... . _._..�.._._� PLANNI�G&l��VELp�h/�i':s�;` "- _.�._.CITY�'?+�CIt�U•�.�.T:':! ( ` U.S.DEPAR�'MENT OF HOMELAND SECURITY ELEVATION CERTIFICATEFeae�a� �„e�9e��,,M OMB No. 1660-0008 Nati��nal Flood Insurance Program Important: Read the instructions on pages 1-9. Expires March 31, 2012 SECTION A-PROPERTY INFORMATION Fvr Inst�cance�mpany tJse; A1. Building Owner's Name JACQUELINE S LATIMER 'PCUcy Numbe� + ' A2. Building SEreet Address(including Apt.,Unit,Suite,and/or Bldg. No.)w P.O.Route and Box No. CExnpany IYAt�IVumlae� 1043 ELDORADO AVE City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) PARCEL OS-29-15-54666-068-0130,LOTS 12&13 BLOCK 68, MANDALAY SUB,PLAT BOOK 014 PAGE 032 , PINELLAS COUNTY FLORIDA A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude: Lat.28.0037 Long.82.8260 Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number EIGHT A8. Fw a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1205 sq ft a) Square footage of attached garage 198 sq ft b) No. of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adja�nt grade 72 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in AS.b 1655 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1.NFIP Community Name&Community Number B2.County Name 63.State CLEARWATER CITY OF 125096 PINELLAS FLORIDA B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel 68. Flood B9.Base Flood Elevation(s)(Zone 12103C0064 G Date Effective/Revised Date Zone(s) AO,use base flood depth) 08/1 S/2009 09/032003 VE&AE VE=13.0 AE=12.0 FEET 610. 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) B11. Indicate elevation datum used for BFE in Item 69: ❑ 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 N/A ❑ CBRS ❑ OPA 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. 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 C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized NGS AL 0119 Vertical Datum NAVD 1988 Conversion/Comments NONE Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)CRAW 4.� �feet ❑meters(Puerto Rico only) b) Top of the next higher floor REG LIV 6.48 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structura!member(V Zones only) 5.60 �feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 4.37 �feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building AC 6.15 �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) f� Lowest adjacent(finished)grade next to building(LAG) 4.37 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 4.87 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 4.37 �feet ❑meters(Puerto Rico only) structural support 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 certiiy elevation information. !certify that the information on fhis Certificate represents my best efforts to interpret the data avaiJable.J understand that any false statement may be punishabte by fine or imprisonment under i8 U.S. Code, Section 1001. `�,,,,�u<,.4,,�,�, ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ,'��,�H•HY''�.. licensed land surveyor? � Yes ❑ No ,•:�r:�EkTiFCk�� 1��9f.� Certifier's Name BILL HYATT License Number 4636 rr-: Sr �, e�^ �� -� •��T � Title PRESIDENT Company Name KNOW IT NOW INC `�?t•��q��' �" :. .,•...IOA,,. � Address 1497 MAIN ST#321 City DUNEDIN State FL ZIP Code 34698 ,��RU�.�+�e" Signature �.�� Date 12/16/2009 Telephone 727-415-8305 FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions . . � �.�2� �� —� � �� , _sf:�� t . IMPORTANT: In these spaces,copy the corresponding information from Section A. 'Fcrtn�urance Campar�ylJse; Bwlding Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. RdiCy Nurr�er 1�43 ELDORADO AVE City CLEARWATER State FL ZIP Code 33767 �otnpany't�fAIC Mut^�ier SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION{CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments NO'G TO BE USED FOR CONSTRUCTION OR DESIGN,IS FOR FLOOD INSURANCE USE ONLY '�s �ti'' "i�' Signature- ,^�_ `-' � �� Date 12/16/2009 � �, � ❑ Check here if attachments SECTION-E��B�1�LDIN � � VATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) �. � For Zones QQ and A,(withc�uf��),complete Items E1-E5. If the CeRificate is intended to support a LOMA or LOMR-F request,complete Sections A, B, and C. For Itet1��1-E4,us�natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation infa�mation for the fdlowing and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or Q below the HAG. b)Top of bottom flow(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platForm of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. Zaie 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,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,B, and E are correct to the best ofmy knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP�ode 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. Check the measurement used in Items GS and G9. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer,or architect 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 communiry official canpleted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The fdlowing information(Items G4-G9)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including 6asement)of the building: ❑feet ❑meters(PR) Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions c � � Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Paicy Number 1043 ELDORADO AVE CitY CLEARWATER State FL ZIPCOd2 33767 CornpanyNAlCNumber If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 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 View" and"Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. PICS TAKEN 12-16-09 FRONT VIEW �� '� -.�. � j. �" � �iI � ��' », � �� ,, �� . '� - . - , �j " �- '^� _ � .. ,_,>,.; . . ... . f ,..._....,.. { .j. ' � `� F. � �»..� , ,. . ... �' f� _. .. — , F . � � ,.� _....._�.:. �. �� ... '—.�.—,,, �,. . ,., ,. . �. - '�"'�a" a. �.°' ; �... � �; � p � , � �t!�� t �.� �,,f�� ` . .. � . .� . .. ��.� , ��, � n ill 4L ` �°�' � ' ��. _ ,, , �.. ;,e� � , � .� �' ��I11i�l� � s��11lif� � ;, �� ,��R . �, +�, aY � r . �rf1�FF .,�� }� $ � , � �.,� a. ... ��'. .. � � ..�. "3 . . �..:,� , REAR VIEW v ,.. - . , ,� ;. _ � � ��,.� ,� �. � t _�` ,� . ,,,�,�._ � � � � � � , _� _,. _ _ _�,. . � t�rs�..�� ' ... _ �y3.. . .. ..� w v.- ■ � t.: �d , �� _s I �, "�" :� �'"'"� �� fii�{ � � � �� E , . � . , � �- � �� ..a � _ � � : ��s � a .�... � -��s:.� , � � �, : _ • _ � �-.��'._. .� �,� �� „��. ��€ � s . _ ,, ° .� �� . . . , , , n:,:� .. ; , ._... � � � _ ,.� � . . :: ... .. . �, .,. n .. .,. � � r � a_, e � _ �o.h . _ A _. .N,�.� - ,�, �� w U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No•1660-0008 �F'ederal Emergency Management Agency E)cpires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Inswance Cort�any Use: A1. Building Owner's Name JACQUELINE S LATIMER Policy Number A2. Building Street Address(including Apt.,Unit,5uite,and/or Bidg.No.)or P.O.Route and Box No. Company NAIC Numbsr 1043 ELDORADO AVE City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Biock Numbers,Tax Percel Number,Legal Description,etc.) PARCEL 05-29-15-54666-068-0130,LOTS 12 8�13 BLOCK 68, MANDALAY SUB,PLAT BOOK 014 PAGE 032,PINELLAS COUNTY FLOR�DA A4. Building Use{e.g.,Residentiel,Non-Residentiel,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude: Lat.28•0037 Long.82.8260 Horizontal Datum: ❑ NAD 1927 � NAD 9983 A6. Attach at least 2 phatogrsphs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number EIGHT A8. For a building with a crawlspece or enclosure(s): A9. For a building with an atteched garage: a) Square footage of crawispace or enclosure(s) 1205 sq ft a) Square footage of attached garage 198 sq ft b) No.of permanent flood openings in the crawlspace or b) No.of pertnanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grede 72 within 1.0 foat above adjacent grade 0 c) Tatal net area of flood openings in A8.b 1855 sq in c) Tatai net erea of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP{FIRM) INFORMATION 61.NFIP Community Name 8 Community Number 62.County Name 63.State CLEARWATER CITY OF 125096 PINELLAS FLORIDA B4. MapiPanel Number 85.Suffix 66.FIRM Index 67, FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 12103C0064 G Date Eftective/Revised Date Zone(s) AO,use base flood depth) 08/182009 d9/03l2003 VE 8�AE VE=13.0 AE=12.0 FEET B10. Indicete the source of the Bese Flood Elevation(BFE�data ar base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe} B11. indicate elevation datum used for BFE in item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Descri6e) B12. Is the building loceted in a Coastel Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No Designetion Date N/A ❑ CBRS ❑ OPA 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 6e required whan construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V7-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Compiete Items CZ.a-h below eccording to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized NGS AL 0119 Vertical Datum NAVD 1988 Conversion/Comments NONE Check the measurement used. a) Top of bottom floor(inciuding basement,crawlspace,or enclosure floor) RC AW 4.� �feet ❑meters(Puerto Rico only) h) Top aF the ne�ct higher floor REG LIV 6.48 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 5.60 �feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 4.37 �feet ❑meters(Puerto Rico oniy) e) Lowest elevation of machinery or equipment servicing the buiiding ��.�,,.5 �feet ❑meters(Puerto Rico oniy) (Descri6e type of equipment and location in Comments) fJ Lowest adjacent(finished)grade next to building(LAG) 4.37 �feet ❑meters(PueRo Rico only) g} Highest adjacent(finished)grade next to building(HAG) 4.87 �feet ❑meters(Puerto Rico oniy) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 4.37 �feet ❑meters(PueRo Rico only) structural support SEGTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certificatian is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. !certify that the information on tlais Certificate represenfs my best etlorts to interpret the data avaitable. !understarrd fha t any fafse sta�ment may be punishable b fine ar i ""{,:�r.fi-'' y mprisonmenf under 18 U.S. Code,Section 1001. ;.`�L H,i jy�. ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A pravided by a 3�GERT i;r,•�� licensed land surveyor? � Yes ❑ No - • �''• �-F'� 'i-t S is�'�' 'v$ Certifier's Name BILL HYATT License Number 4636 '•��ti�TqTfOF� $ �:��•�RIOA,f Titie PRESIDENT Company Neme KNOW IT NOW INC ',uL�'�E��P Address 1497 MAIN ST#321 City DUNEDIN State FL ZIP Code 34698 �� Signature ��y�_ Date 12J29R010 Telephone 727-415-8305 12-29-10 FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IdNPORTANT: In these spaces,copy the comesponding information from Section A. For Inwrance C ompany Use: Buiiding Street Address(inGuding Apt.,Unit,Suite,endlor&dg.No.)or P.O.Route and Box No. Pdicy NumbPr � 1043 ELDORADO AVE •� Ciry CLEARWATER State FL ZIP Code 33767 Campany NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)cammunity official,(2)insurance egenVcompany,and(3)building owner. Comments C2. E=OUTSIDEAfRCONDITiONER UNIT �..7i5��' Signeture Date 12/29/2010 Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR 20NE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A, B, and C. For Items E1-E4,use natural grade,if aveileble. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevetion information for the fdlowing end check the eppropriate boxes to show whether the elevation is ebove or below the highest adjacent grede(HAG)end the lowest adjacent grade(LAG). a)Top of bottom floar(including basement,crawlspace,or enciosure)is ❑feet ❑meters ❑above or 0 below the HAG. b)Top of bottom floor(including basement,crewlspace,or enclosure)is . ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings pravided in Section A Items 8 and/or 9(see pages S-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform aF mechinery and/or equipment servicing the building is ❑feet ❑meters ❑above or Q belaw the HAG. E5. Zone AO only: If no flood depth number is aveileble,is the top of the 6ottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The locel official must certify this iniormatian in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATtON The property owner or ownePs authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-fssued or community-issued BFE) or Zone AO must sign h ere. The statements in Sections A,B, end E are correct to the best of my knowledge. Property Owner's or Owner's Autharized Representative's Name Address City State ZIP Code Signeture Date Telephone Comments ❑Check here if attechments SECTION 0-COMMUNITY INFORMATION(OPTIONAL) The local officiel who is authorized by law or ordinence to administer the community's floodpiain menegement ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the appliceble item(s)end sign below. Check the meesurement used in Items GS and G9. G1.❑ The informetion in Section C was teken from ather documentation that has been signed and sealed by a licensed surveyor,engineer,or erchitect who is authorized by law to certity elevetion information. (Indicete the source and date of the elevatian deta in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMa-issued or communit�issued BFE)or Zone AO. G3.❑ The fdlowing informatian(Items G4-G9)is provided tor community 1loodplain management purposes. G4.Pertnit Number G5. Date Pertnit Issued G6. Dete Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantiai Improvement G8. Elevation of es-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or{in Zone AO)depth of flooding et the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood elevati� ❑feet ❑meters(PR)Datum Local Official's Name Title Communiry Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions � Building Photographs Continuation Page For Insurance Company Use: Building Street Address(inciuding Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Paicy Numeer 1043 ELDORADO AVE Ci�/ CLEARWATER State FL ZIPCOd2 33767 ComparryNAlCNumber If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and"Rear View"; and, if required, "Right Side View"and "Left Side View." REAR VIEW �,�� -= ,_ � � �_ �. .� �. .+ �" � . _- -� i �' ��N;,,� � t- � � II ��; ° � �. �`�- � r� , � - .w Q , � �' +n ,` �..ed,�,... _...._ �' ' � �,,,�,R,�„'.' „ i f :t ! ' � q.r � j+3'� � i �� YM"u- �i. � � �LI�, ( f �. . � ��.:;� � ;. �� .. �� .t r : �, �� y ..� �� : �� - � �� . ..�- �.�-' , � - , : a , . _ ,__ �z. ° �� c � .- �,"�""° , _ - '. _ r ._ , '�sw,� -�� =d""'< -�- , r , _. _- - �.. � � .. � � � �..P. :. >u �_ _ . �' 3 � � � �,Ac�t �� _ �� .Lv. i�;o+ }� •`'� �v -"� ^� � � �<! �n�' � � �'� � ' 'f � ��`�r � ��. .:� �� ''M1�.•p � . �^ � `� � �`��.�uk� � � t� .�$ .xN ' .Y`" �l�sl�'��'.'R.�`�'.a!t'�.�.�� r `�, Ici,.F�� . . . �.� P`� �� ,f_.:r, _. . �M I � � �� r ta`.`' � . . . r✓��,�� _- ... ,,:.r M.± . p ° ,.. ,-.� �` �jl. . .. � � �� . . .�� ' .. .. _ . _ '� ',h.= � .� '�' � .��-^� .. . � i�� ,". � . _ � '*- '�� ' '�:�';... � �'. �yxA*.i��.Ws. . . �s.. .�--, y� � �::, ��V _ �.,a � _ ,-.:,.a�� ._;._ . ,e--a- , �-. _� _ �� `��. :,:.� � ' ' �.,.�� - " . v� �f'w I w.� 1 a - . ' Y ��4x��4.�i „�,:..p • �s.� ..__ Y ,�.�:� ,�'!K"'�_'�.�{�c.�.�.�.. !��` �� . i. Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O.Route and Box No. Paicy Number 1043 ELDORADO AVE CI�/ CLEARWATER State FL ZIP COd@ 33767 Carpany NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for �tem A6. Identify all photographs with: date taken; "Fror�t View" and"Rear View"; and, if required, "Right Side View"and"Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. i PICS TAKEN 12-29-10 FRONT VIEW „ �� ,J�� >. .� � �{�� 5�.:::s: 3•`',�� *� �'Y. A�..,,i� `�� :4 F� i � ' ' w. ':, �M`a. � ....,..r. '� � ip� . ��----�\ - -. ._' ,. �\" �. : . � y' '�1 J,_. . � a<< �: � �`�-�: � �— _ �!��.� .. �� '. , _ :� 1 _ � _ i -�!3 ",'' .IS, ��: �" ��. [ .�� Y''��, r � , � 1 ,�; �K : �� ,q11111 �� t � � �� ..� ,� r ��w� �� .-��:' - ��' �,� �,.;_ "-� ... .. _ _£ � ►a��. �* ��. �` � � �*.`-��.r� ��,!_` � � _ t �— / -�'--�___._'--- � � _._ n . < -- _- -� �.�� --- - .� - -----_ -_�� :� �� . , - � _ ,,� . �i . _ y . ... _.__ ._ •._~ iT�.Y,� _"'—._ .. ., " '__— �.,.....,�,._ � �.,. �� #,-.'��, ��. _._—. �..� $ � �= < � � � ^ _. _. ..e.. ' �� . ... _'_ _ ,__" .,: -' =.. _ .. 'd , ..�,,....�.---, . . u. '__ . 4- x ..._. _ .—_ _ .._ � �� .. _ ` �/ f �t,,,t � - I� � � _ . � �� :�,�''• I _ -_C ' x� �!! — _- r�.�:,� � � ,� � ` � � � - - ' , ' r R� . ..'.�,.`°^'^----°— ` �e• �' �'�' ��P f �k—�„ ^i -. ..—.— --' �� ,'�� y: .` ls �.k.;"'. ... .,t; --��. ` �� }� . . 'a- � �� ` .. = ,�. �, �� ,�.�_:_ , _. _�: ; SEE NEXT PAGE FOR REAR VIEW U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATEFede�a��„e�ge��,M OMB No. 1660-0008 National Faood Insurance Program Important: Read the instructions on pages 1-9. Expires March 31, 2012 ' SECTION A-PROPERTY INFORMATION Ft�r.tr�surance C�n�i tJse: A1. Building Owner's Name JACQUELINE S LATIMER pq,��p� ' A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. CC�pBny Ni41G Nurnber 1043 ELDORADO AVE City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) PARCEL OS-29-15-54666-068-0130 , LOTS 12&13 BLOCK 68, MANDALAY SUB,PLAT BOOK 014 PAGE 032,PINELLAS COUNTY FLORIDA A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. LatitudelLongitude: Lat. 28.0037 Long.82.8260 Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number EIGHT A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: � a) Square footage of crawlspace or enclosure(s) 1205 sq ft a) Square footage of attached garage 198 sq tt �� b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 72 within 1.0 foot above adjacent grade 0 � c) Total net area of flood openings in AB.b 1655 sq in c) Total net area of flood openings in A9.b 0 sq in o� d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes ❑ No v SECTION B-FLOOD INSURANCE RATE MAP{FIRM} INFORMATION 1 B1.NFIP Community Name&Community Number 62.Ca�nty Name B3.State CLEARWATER CITY OF 125096 PINELLAS FLORIDA B4. Map/Panel Number B5.Suffix 86. FIRM Index 67. FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone (�j 12103C0064 G Date Effective/Revised Date Zone(s) AO,use base flood depth) U OS/18/2009 09/03/2003 VE&AE VE=13.0 AE=12.0 FEET 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. � ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe� 611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) � 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No Designation Date N/A ❑ CBRS ❑ OPA 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. 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 C2.a-h U below according to the building diagram specified in Item A7. Use the same datum as the BFE. � ,. Benchmark Utilized NGS AL 0119 Vertical Datum NAVD 1988 �� Conversion/Comments NONE � Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)CRAW 4.�7 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor REG LIV 6.48 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 5.60 �feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 4.37 �feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building AC 6.15 �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 4.37 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 4.87 �feet ❑meters(PueRo Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 4.37 �feet ❑meters(Puerto Rico only) structural support 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 certify elevation information. !certify that the informa6on on this Certificate represenfs my best efforts to interpret the data avaitable.! understand that any false statement may be punishable by fine or(mprisonment under 18 U.S.Code, Section 1001. '' j � ' - r,r,:c n r�.;��" ❑ Check here if comments are provided on back ofform. Were latitude and longitude in Section A provided by a L.,r�+��,�H,hy�;,�� a�::; licensed land surveyor? � Yes ❑ No 4�aT�Fi'��, r Certifier's Name BILL HYRTT License Number 4636 � :r}:�;��s9� �7�ID�` :, ,�Tqr � - � ; � Title PRESIDENT Company Name KNOW IT NOW INC -%?>'�OpFQ'� � r U.,•.,,1DA,,. P .�. Address 1497 MAIN ST#321 City DUNEDIN State FL ZIP Code 34698 �R��Y�"� � � Signature �� Date 12/162009 Telephone 727-415-8305 FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For tnsucanc��r�«ar�y Use; Building$treet Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. PdicyNu.ma�r 1043 ELDORADO AVE Ciry CLEARWATERState FL ZIPCode 33767 GompanyNAl�Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation CeRificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. Comments NOT TO BE US�D,F'OR CONSTRUCTION OR DESIGN,IS FOR FLOOD INSURANCE USE ONLY - � � �.. -. �' �"<� _� ;r I � r a i� �l'�° ' Signature ��, � Date 12/16/2009 ❑ Check here if attachments SECTION E-BlJIL�I(+1� E!."E1� . ION INFORMATION (SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) 4.—w�--�� For Zones AO and!�(with�out B�),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections� B, and C. For Items E1-E+41�e natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the fdlowing and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement, crawlspace,or enclosure)is ❑feet ❑meters ❑above or�below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above w 0 below the HAG. E5. Zone AO only: If no flood depth number is evailable,is the top of the bottom floor elevated in accordance with the communitys 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 w owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,8, and E are correct to fhe best ofmy knowledge. Property Owner's w Owner's Authorized Representative's Name Ar�dress City Sate 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. Check the measurement used in Items GS and G9. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date af 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 community-issued BFE)or Zone AO. G3.❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions ' � - � Building Photographs See Instructions for Item A6. Fw Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bidg. No.) or P.�. Route and Box No. Paicy Number 1043 ELDORADO AVE CI�/ CLEARWATER State FL ZIPCOd2 33767 CompanyNAlCNumber If using the Elevation Certificate to obtain NFIP flood insurance, affix at least finro 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." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. 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