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108 EVERGREEN AVE N -- � . _ : ,+6GP��,�- • ����Y��� O.M.B.No. 3067-0077 � � � ' NATIONAt.FL�OD IN511RANCE PROGRAM Expires July 31, ZOQ2 �� ELEVATION CERTIFICATE /p 8 /v�a. ��,Es�.G+�•E.E..��JJ �e.a me�«� �-7. SEC710N A-PROPERTY OyYFiH21NFORMATION Far ira,ar�coapay use BUILDWG QNNERS NAME Policy Ntarbec AMERICAN HOIISING CORPORATION BUILDWG STREET ADDRESS Qnciudrg Apt,Ur�[,Sute,and/ar Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Miriies CITY STATE Z1P COOE CLEARWATER FLORIDA 33755 PROPEF7TY DESCRIPi'ION(Ld and 8bcic Numbe�s,T�c Pamxl Nurttba�Lepal DesaiP�,�J LOT 7A, FAIRVIEW ADDITION � BUILDING USE(ep.,R�i�Nantes7der�al.Addtion�Ac�arY�e6c. Use a Carrrx�its area,if necessary.) LAT�TUDE/LONGfTUDE(OPfiONA1� HORt�PfrAL OATUNL• SOURCE GPS(Type}: t#�-�-#u.xrr or �rc.� p wa��s2� ❑ww�ss3 p uscs c1�a� ❑o�,er. SECTION B-ROOD MSIJRANCE RA7E MAP(F�A)MIFUWMATION B1.I�iP CCMMI�TY NAME&CCMMIA�lTY N.AdB82 62 COI�(TY NAh9E 63��ATE CLEARWATER — 125096 PI�LAS FLORIDA B4.MAPAPD PAt�L Ba SUFFiX B7.RRM PPN� � 39.64SEROOD H�FNATION(5) M�IBER BfiRRMIPDIXDATE EFF�CTIVE/REIASEDDATE BflFL00DZONE(J� ` CLoneAO,taede�hdfimcii9) 0016 D 8/19/91 8/19/91 AE ! 23 FEET 610.In�e the sau�e cf the Sase Rood Be�nn�d�a ar beseflood depth ertaed��. ❑FtS Pra�e �A RM ❑CanmwiiY Detemv�ed ❑Ctha�Satbek_ B11.I r�e the elar tion d�m�sed fathe BFE n Bg�NGVD 1929 ❑r�aw�sas ❑ad,�c�z— 61 Z ts the bti�g bc�ed m a Coas�al Banet Resaur�Sy�em(CBRS�ar�ar Ott�ruise Ptr�ecbed Aree(OPA)? ❑Yes [�}No Desigz�an Date_ SECTIQN C-BUILDING ELEVATION 1NFORMATION(SURVEY REQU�ZID) ct.�ele,r�as are based orc�Cors�rt�n Dra�x�s" �B�dmg under ca�wti«,' ❑Fin'sr,ed c«ntr�ction "A new Elevatian Cat�czte wl be reqt�ed�hen c�rSion aFthe bu�ding is crn�de. CL B�nlding Di�g�n Nsmbe�i(Se�led the bddrg�n most am�arto the btildFx�far wtidi this certiic�e s bang cortpleted-see pages o and 7. If no cfag-am accu�elY represe�s the buidng,prouide a sk�h Q ptntogaph) � �.8ev�atias-Zones A1�130,A�AM�A(v�h BF�.1l�V11I30,V(�nih�AR AF�I�ARlA�AR/A1-,4'i0,AWAH,ARIAO Canpfete tems C3ai belowaocar�ngtothe buidrg�am spec�ied in�em C2 StPte the d�dn�sed ifthe dehgn's�eertftom tt�e d�um�ed fa the�a� Section B,con�ret the d�um to ttrd used forUie BFE Shavfield rr�remets arxi d�m coruesiai cala�on. lJse the�e awided athe Canmeris aee d Se.ction D a Sedion G as app�to docunert the d�un cmuersion Qatun N��',aiuersiodCQnrr� , ,".'�,,°°� �.� _ -. El�irn refeen�e mak�sea Does the�tion refaerr,e malc used�ontne RRM? ❑Yes �Wo ,, � '�^ r °.,:� � . a�Top d botan fba(r�kxirg b�t a encl�ue) �.1�1t(m) � �_ �'a��� °.,��� "s`�:�' � b)Tap d ne�higtr,�floar 1t m � :�, ,� °" � ; ��_ ( ) � n c)BoGan of iowest ha¢ortal�hral mar�r(V mnes ony) 1t m �o .���� c;� ` - DILA•_ ( ) tl' :r �����aP��) 1.�•71i�(m) � ��,� � ��� � r�; e)La�est ele�ion d machiiey ada eq��r�ert � ° , � , :� ,y - . z sevicngthe a�(DesQbe n a Carrneris ae� ?� �R t(m) A/C PAD �? ' - � °`' '�Jy' "� .� �l��''���S�MA 1.Q_.3,2�.(m) 2_ ' ��` v � , � �E��(��0�� �.�.[�,p_ti(m) �°'. �� y�# ,� � � .��;'a h)Na d Pama�ert�gs�lood vats)witin 1 t aboue ad�eoert gade N/A � ���".'�;�: �� � . )Tctal aes of ai Pem�a�t cpe�gs f lood vats)n C3h sq in(sq a�) w?/A ° ���a+a+,• S�cC'TION D-SURVEYOR,ENGBVEE}�,OR ARCNfiECT CERTIRCATION rnis cet�ion is to be si�ed end seefed ny a lar,d sw�.ya,e.ngir�r,or arcntect auct,o�ed by lawto certry elevabor►uf I certify fhat the r►►f�rmatior►in Se�Gorrs a B,end C.on tfrs certiBcafe reAiesents my best elforts to interpret the dets evealebte I�dersfand fhet erry faLse stataner#may be piaisbeble by fine orimprisrnment�a�der 18 U.S.Code,Secctilon f001. CERIIFlER'S NAME 110ENSE t�R JOHN C. BRENDLA 1��� � COA�PANY NAA�E REG SDRVEYOR JOHN C. BRENDLA � ASSOCIATES, INC. � q1Y STATE �'COOE 4015 2ND VENIIE NORTH pi�,� p � CIAlE T9.ff'tiOt�E � _ FE orm 81-31,JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS � MAPORTANT: k��SSe apacas,coP!►tl�e oorteapanan8�ntortnation 6�om Section A r-or k�ranoecar�us� ': BIqtDING sTR�T ADOR6S GnddrpApt.11n�Sui�adaBkg Na)ORP.a R011fEMD 80XN0. Pd�NVrmhec 108 NORTH EVERGREIId AVII�iIIE CITY STATE ZIPCODE Compa�rlyUCNur� SECTION D-SURVEYOR,EN(�IEEF�,OR AR(��I(TECT CERIIRCATION(CONTIMI�) Copy bdh sides cf th's E]evetion Cat�e tor{t)�Y dfidal.C��ra�oe agenticanpany.and(�b�nldn9 auner. COAR�IIENfS ❑chedc hee iF a#�menis SECTION E-BUd.DM1G ELEYA710N qrFORYATION�SURHEY NOT REQINR�)POR m t�E AO Alm ID!E A�JT BFE� For Zone AO and Z,a�e A(w�hat BFE�,carplete ters Et Brough E4. Ifthe B�tion Cet�iCate is iterded far use as uppatirg�iurr�iai fiar a LAMA or LOA�t-F, Section C rtnat be�ed E1.&�dirg DFagarn N�mber_(Seledthe bui�g�ag�an mo�srniarto the bui�rg for r�hich this cet�e is barg caripfeled—see pe�s 6 arx17. If no ciagern�xr��+; rep�theb�xl�xouideask�harphdog�ti) . E2 Thefiop cf the bdf�rn floor(nckdncj ba�n�t Q erdosue)of the bu7�irg 6 _R(m)_n(an)�aba+e ar ❑below�hedc a�the tic��est a�ecet 9� N� r�ual c�ad��ar�alabie� c3.For Btildn9�ia�q"ans 6S wZh openi�gs(see Page�.the neG higherfloor or eie,va6ed floor(elar�ia�b)ofthe buiduig is _k.(m)_r(c�n)abaethe hi�st ad�rit c3'ade Car�te tems C3.h�d C3i m frat dfam E4 For Za�e AO ori�r. tf no flood depth rxn�s araiai�s thetop af thebdtan floor�ed'n accor�ince wih the cortur�ad�s floo�Fa�rt�gernent a�rxe? ❑Yes ❑No ❑Ur�lva�wi The bcal a�iaai miat cahTytts irfam�m n Section G_ SECIIQN F-PROPERTY OWNER(OR OYY��R'S REPRESENTATIVE)CERIIHCA110!! The propaty awr�er or ow�s athaeed r�t�e nho campletes Sectiors/�B,C Qte�ru C3h erd C3.i aiy�ard E fer Zaie A(v�ttiat a FEMAissued or carunu� is�,ed eF�Q zone ha rrn�t 9g,r,ae tt,e�er,er�s�sectiors A Q c.and E ae ccrrea ton,e best cf mr Iv�owiedge. PROPER7Y OVMIER'S OR OIM�R'S AUTfi0R1�R�SE�f fAT1VE'S rWI�E f1DDRESS (�TY STAIL ZIPCODE s�c�n�a-ru� oAr ra.�.�� c�tiv�+�rs ❑a,edc nere i�attactments S'ECTIQN G-('AMMUNRY INFQRMATION(OPTIONAL) The bcal afficel viho s aithor¢ed by lawa a�naxe to a�niisterttie canrnur�s flooc�Fan marregernert adarence can cotnpl�e Se�ors A B,C(a�.and G cf fhis Ele�r�tion Cert�e Cort�e the�picaWe ten(s)ard sgi beJoMt G1.�The iiom�ation in Sedion C nas taken fom dt�docur�ent�on th�has been si�ed and ernbossed by a ficersed sw�r�or,erxjriea,cr ar.hted►tit�o s a�a¢ed trq state orbc�l lawto catty eie�r�ia�ifum�on Qr�ethe sa�e and dete a€tl�deYatia�d�a inthe C«rttne�ts aea bdaec) �2�A cunrtxi�iY c�i canple6ed Section E fv a bui�g loc�ed'm Zme A(v�ihat a FBNA�s+�ed cr oormnr�iy��ed BFE�Q Zone A0. G3.�The foio�'r�g�iametion Rans G4�G�'s Ro�i�ied fQ cortm�niY flooc�la�rt�a�r�rt ptrposes- G4.Pff2MfiM�IBER C�i. OATEP6ih4TISSU� G6. DATECB�i1FICATE0FCA6PLtAI�FJOCCUPAIVCYISSU� G7.This pem�hss been ssved iar.�NewCa�fiction ❑�tiei I�rp�vanet G8.Elev�tion d a�bu�bwest ba(�ndudr�g besemet)dthe btdcirg s _ �(m) pytun;_ G9.BFE a(a►Za�e A�depth d 9oo�g�the b�rg s�e's __�(m) p��:_ LOCAL OFFIQALS NIU�E � COMNUt�9T1(NAA+E 7D8hpp� SIGNATIJRE DATE COI�ANIENiS ❑G,edc t�e iF aRtac�rnems A Form 81-31,1IUL 00 REPL/4CES ALL PREVIOUS EDITIONS _ _ � ► :. • ' /d� ,Jo. ,�,��.r� � A�z � ��i��� — D?6 3 7 A,•,it/l�c.r� �sds,•�� �'�° .�Y6- 6 6// ; . �l � ., �. . .����'�''..,��' , -- . ��'��Y��� O.M.B.No.3067-0077 � � � � � NAl10NAL FLi00D INSIJRANCE PROGRIIM Ex pires July 31,2002 � ELEVATION CERTIF�ATE Re�r,fl,e:�on ,-7. SECTION A-PROPERTY 04YNBt INF�ORMA710N Fa iraiar�coQpa�u6� Bu�tDWG awMEits wuNE Folic.y Ntar�bec AMERiCAN HOIISING CORPORATION BUILDWG STREET ADDRESS pnclu�rg Ap�,Ur�Su�e,and/ar Bldg.No.)Of2 P.O.ROUTE ANp BOX NO. Coa�pany NAlC t�s�ber C� STATE �P COQE ���1�� FLORIDA 33755 PROPERTY DESCR1Pr10N(Ld and Biodc t�turt�bss,'T�c Parr.eJ Nurr�,Legal DesaiP�on,ebc.) LOT 7A, FAIRVIEW ADDITION BUILDING USE(e�,Reside�al,Nartesideriial,Ad�an,Ac�orY,e6c. Use a Camierys arez,if nece.ssary,) LATfTUDE/LONGffUDE(OPfIONAy HORIZONTAL OATUNL' SOURCE: GPS(fype}: ( rr�-�-�.�ac a �re.#� ❑rw�isz� p ru��ss3 ❑uscs c1�d� ❑o�,� SECTION B-FLOOD MSiJRANCE RATF�AAP(Fa2M)Wi�RMATION B1.NRP CCMN0.NVfTY NAME&COMMUNTY M.�188� 62�p�.M'[yµqlylE gg��AJE CLEARWATER — 125096 PI1dELLAS FLORIDA B4.MAPN�D PPJ�i. Ba SUFAX B7.ARM PPN� B9.84SEROOD H.EVAT1qV(S) t�lPubBER Bfi RRM I�DIX DATE EFFECIIVBRFYISED DATE Bfl ROOD ZCNE(� (ZoneAO,ised�th dfloo�n9) 0016 D 8/19/91 8/19/91 AE 23 FEET B10.Incicatethesouce cf the Base Fiood Be�n�d�a a baseflood depth ertered'o B9. ❑FIS Prdde [�RRM ❑Canm�a�tY Detgmined ❑Cth��es�e� B11.Incf�ethe e�ia�d�m ised fathe BFE in Bg�NGVD 1929 ❑NAVD 1986 0 Ot�(D�bek_ 612 Is fhe bii�ng bc�ed in a Coastal�tri�Resa�es 9y�em((�}aee cr Ott�ruise Rn6eded Aree�OPA)? ❑Yes [�No Des�tim D�e SECTIQN C-BUILDING ELEI/ATiON 1NPDRMATiON(SURVEY REQUitZID) C1.B�7d'vig deir�ors are bffied ort�Castr�n Dra�i�gs' �B�ldug Llncier Ca�trtxtion` ❑Fmished Cas�ution 'A n�a El�ratim Cef�c�te wi be req�=ed vit�en�ion afthe btald'mg's cxmpde ��9�+9"��1�eled the b�cfr�g�rn most amlarto the b�ildng fhr wtid�ttis cert�e 6 being carpleted-see pages 6 and 7. If no�ag-am aa�r#eH��b�dn9.aoui�a ske�h ar phato9raPh) r'..3.Be�r�tions—Zmes A�-A30.A�AF�A(�h BF�,1l�W V30.V(v�ih B�,AR.AF�IA ARIAE,ARIA1-A30,AWAH.AR/AO complete tems c3-a-i belowaccar3�g bthe b�ing�agam sp�ied m�em c2 st�ethe d�um�ed ifthe dahan is�cft«n the d�um used fa n,e�a� Seciion B,cauet the d�m tottr�tsedfarthe BFE Stawfidd meauraner#s and cidttn coruesiort cala�im. Use thespace praided erthe Canmerts aea cf Se,cSon D a Sedion G,as appropriet�to docuner#the dahun can�sion Dattm NG�uneersior�('�Qnmetts Ele�r�ian re(eence mak used Does the devatim refaerxe mak used�pea onthe RRM? ❑Yes �No . a)Top of bc�an floar(r�dxig basenet a erd�re) �-l�.�,(m) � 9�` b}Tap aF ne�hi�er iba N1A•�(m) `� \\�'� c)Bdtan dlou�est ha¢onFal9niduai merr�s N�s a1Y) �.A. 1t(m) $m �1� �l��ed�a9e�aP��) 1�•71i�(m) �� � e)Lowest eleu�orl tf ineChnery ald�or eqt�7felt w " � � servicn9the b�d'n9(Desa�e n a Camieris ae� �3„�t(m) A/C PAD E \�� �I.a�st adpce�t t�*�9�MA .1.�32�(m) z� �,1,\ �F�����Q� �4—y�-it(m) _" . �/` h)Na d pemfnat aperirx,¢�lood vets)wihi�1 t r6we ad�ert gade N/A � ' \ )Tctal aee d ai pem�ert ePe►*�f lood�tr)n C3h s4�454 a�1 �T/A S�cCT10N D-SURVEYOf�ENGWEER,OR ARCNT[ECT CER7IHCATION This cert��iCation's to be signed end s�led by a land sweyor,erginee�,or arch�ed authaQed by tawto cert�y eiev�ion irf I certi(y B�et the irdortnation in Sectiorrs/�B e►d C.on ftis ce�5ficafe represer�ts my best elforts to interp�et the dete ave�eb�e I�derstand that arry false ststemerf may be�xuysheble 6y frne or impr�nment�nder 18 U.S.Code,SecGon f00t CERIIFlERS WAME UCEi�1SE t�R JOHN C. BRII�DLA' � SIIRVEYOR ����� JOHN C. BRENDLA � ASSpCZATES, INC. � q1Y STATE 7P CODE 4015 2ND. pENIIE NORTH PINELLAS P SIC-,NA �� .��� � FE orm 81-31,JUL 00 SEE REVERSE SIDE FOR CONTINUATION . REPLACES ALL PREVIOUS EDITIONS . . . , [:Yt�ItJ'ANT: fn tl�ese spaoes,cop!►the oon�pond�n9�fom.�a�on from Seclion A For�rs�rarioecor�tse BuItDwG s7R�T ADOf2ESS Q►du�ir�pk�t,Uni s�le.adQ Bic�.Na)oRF.o.RoUTEnPn BoxNO- PdqlwmCa. �08 NORTH EVERGREEN AVIIdiiTE • �' - STATE ZIP CODE Ga�r�ery IVl4C Nimber SECTIQN D-SURVE1fOR,ENG�IEEF�OR AR(��IITECT CERTIRCATION(CONTII�1�) Copy bath sides aFtlis E7E.vstion Cat�e tor(1)carmrdY cffia�(�ir�raioe agetftcanpary,ad(�bu�ldrg awner. COIMAEI�ITS � ❑c�edc t�ere if a�tachments SECTI�N E-BUL,DNrG ELE1fA710N INFORYATION(5UR11EY NOT REQIAR�)FDR mPE AO At�IAlE A�INITHOUT BFE► For Zrme AO and Za�eA(wttia#BF�,cartpfeEe berts E1 Urou�E4. Ifthe Hev�tion Cet�iCete's ite�ded far use as s�ppatng ii�m�ion far a WMA ar LOlu�t-F, Section C rtx�t be cartpl�ed E1_Buldxg oFagam Nt�nber_(sefecttheb�idrg degan nn�srrdato the aul�rg for Mtiid,ttis ceti�ace is b�g�rr�ed—see pe�s s and 7. �r no�agar►►a.�uat�; rqxesenlsthebui�ig pouidea skA�h aptdng�ti.) - E2 Thetnp afthe bal�am floa(nck�ng t�asenert Q endostre)cf ihe bu7dn9 6 _n(m)_�(an)❑aba�e a ❑b�ow�edC a�the tx�e�a�t gade. Nse r�ual g��a�raleble� �3.Far&i1�9�i�mu fr8�h ap��gs(see Pe9e�.the neQ tighe�floa or eieva6ed bor(eiev�ion b)ofthe bui�ncJ is _1t(m)_�.lan)abwethe hi�t adpoert 9ade Comp�eter�sq�h�dC3.imfrortdfam E4.ForZmeAO or fir. �m flood depth r�mber's avaia6i�'s thetop dthebdtatt floor ele�rrted'n accac�rxe w�h the cot►unadys fiooc�iao rtmregert�ent u�r�? ❑Yes ❑No ❑Urrvarn The bcal c�dei miat cehTyth's irffmn�an n Section G. SECTION F-PROPERIY OWNER(�R OYYl�R'S R�PRESENfAT1VE)CERTIHGAATIOti . The propety owr�erar ar�Ys att�or¢ed r�res�e�t�eriho catr�letes Sectiors!�B,C pbems C3h and C3.i aiy�and E fa Zflne A(r�fnit a FEMA�cr carmu�y- i�t,ed eFE�cr zane Aa rrne#sg,nae�rte�in sec4ors/�B,C.and E ae carect toa,e best d rtnr Iv�an�ied�x PROPEft7Y O{NN625 OR OYIIt�RS AUTHORf�R�F�ESB�f fATNE'S NAAiE ADDRESS qTY STATE ZJP CODE SIGNAIIJRE DA7E TE:..�'FIONE CO�AuIEMfS ❑chedc t,ere if affactmentss SECTION G-COMMUNtTY INFORIIIATIQN(OP110NAI.) The bc:al dfiaal vrho's aithamed by lawar ardr�xe b a�nriste,�ttie arnrt�s floo�fan ma�agernert a�erxe cxn cortipiete Secaors Il B.C(or�,and G afthis Ele�ion Cert�a Cotr�l�e the�picable tan(s)aid sgi bdoMc G1.�The iiom�ion n Sedion C�s Falcen irom ctha docur�t�im tt�t has been sig�ed ard�by a fi�sed suveycr.erx,fiea,a a�h�Ct wt�o's aithaQed by state aloc�l iawbocatTy eler�on iirnn�on pn�ethe saioe and d�e aFthe eJe�ratim�a nthe Carunets aea bebMC) G2 C�A cvnrtxr�iY�I cartiplebed Sectim E fQ a biidrg bc�ed in Zone A(r�iho�t a FHIAA�ued cT oamnniyissued BF�Q Zone AIJ. Gi-�ThefoloMig iiornr�tion(kens G41�'s Raided far aorm�uiiY flooc�lsn ma�rne[t Puposes. G4.PffiMffM�1BER (�i a47EPB'iMTISSU� G6. DATEC6�TIFICATEOFCD►PUMCEX)CCUPANCYISSU� c7.T►,'sper�tssbeen'sa,eatcc p tJe�vca��tion ❑�tatial Irrprvueme,c G8.Eleustimdas�butbwest�oor(ndu3r�g6asertief)afthelx�ng's _ tt(m) Detun:_ G9.BFE ar(m Z.ane A�depth dAoo��p�the 6uld�g s�e� __R(m) oet,m:_ LOCAL OFFtGAt.S NAl4E 7f� COMuIU(d71(WAA+E �Ep� SIGNA1l1RE D,q7E COh�MENT'S ❑G,edc t�ere iF�tadYneMs MA Form 81-31,JUL 00 REF'LACES ALL PREVIOUS EDtTIONS