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757 ELDORADO AVEr�t��r2nL �M�n��t�cY MnNnc�M�Nr ���NcY -- � N/1f IONAL ("LOOU iNSUI2/1NCE I'120GI2AM � M.E� fJo. 3061-OU77 �x��ires (Jecernber 31, 7�)(1!i ELEVATIO�i CEF�ti�ICATE ----- Irt�potl�itt: ne�d lhe Irist►uctiotis on pag�s I- 7. B�CtIvN A- t'i2ol'�f2tY UWN�t21NFUf2MA110N � hnr Inewa��ce c:ompa�ry Use: f1U111111•►r3 �w�1N11F12'Sf4AME _ Poliry NUnber Frederick C. & Trac�_M..Belton i�i iil tiii i�; .^, i tttE 1 Mn�1�r S3'(Ir,d�nll��q 11pl.. U►dl. Sulle, and�o► bldg. No.) o►t h.v: ftoU tE nldU Elox (JO. cn�npa�ry fJl11c Td�nnbcr 757 Eldorado Avenue -- ----- - �:iiv_....--------...---- - sint� �ircrmr Clearwater, City of ..__..F�.-- ..._ ....._ _..__ ....---- . . . I�ii��i�`r_ti i J iiE:sCfii��iit�tJ jlol ai� ►li'ock �in�ieis. lax ►�arcel If�inbr.r, tr.qa� �esr.iinllon, elc.) Lot 2, Block 1 1 Mandal�a..�,_ __—___________ fltll�.l)li��l^r (e.g.. fiesidenlla� on•resldetilla.l Addiilon, nccessory, elc. se g Commenh area, If necessary.) Et e s.i d e n t i a 1 — ------ -----. _.__ fniiiiJii€�i_��i�C3iT[JG��(`oi�iioFlnL)`- il`o►tlzoF3`ti1C15�i13Iu1: goUhCE: c31'S (typc): 1 NH' . pM' - NN.MlI" or MN.bMNl1k") ' (� � N/1U 1927 (_� NAb 1983 �� U303 Qvad Ma p I_ I Olher -- --- s�ctloN F! - rLovU INsUItnNc� FtAtE MAh �FII2M) (NFv►2MAiIoN iii"IiFir �:oi�i�itliJiiv Fi1C1u1�'l� coiGi�i,iUiiiiv NtJ1Gi�€ �i. co y $3�sihi� Clearwater, Cit of 12103C l�inellas FL i _. _ ___ _ _____. y � r --_ _ � - iid �ihi� i►flii f��ti3Ei:— -Bs. "sU�fiz —b"-e. f�i�T� ifiG€x` �i. €iii�i P)(T'i'F_'� —�'e:�FLovo --�.-6n.'s€ fioou €LF'vnirii�si I ►�uMn�rr bnt� ErFecr�vEmEVisEb bAr� ZONEf8) p_ohA AO, u�� donu� e� no�dnai 1 2103C0102 G 9-3-03 9-3-03 I_ AE _&_VE____AE( 1_2' ),_ VE_(.13.' ). . . . . .. . . . . .. . . . . . ... _ . . . _ _. _ ._ --------- ------ ------ ------------------- - - �111) haHr.ni� Ihe� sou►rn ol lhn Ilt�se t'lood �Ivv�llon (13r�) dafa or b�s� IIooJ deplh eider��l bi f19. I. .I ri5 I�roflln , �_�� r112i�A (_� CommUnilybelem�lned �_� Olher (Uasctibe): --.--.---.-_-__ II t I Ir,�llcale U�e etevailon d�lu�n Usnd fo� (he ��� In b9: (,_� I,IOVb 1929 �*( N/1Vb 19�lf �_� Olher (bescribe)� �----.-- �t 17 I� Ihe bulldh�g McalnJ l►� n Coas1Al �airler (2esoti►ces 3yslem (CbfiS) arA� or �thc+rwlse prol�cfed Aron (UPn)? (�j v�,a (*� W� I)��iqr��lion Oalv. 3EC t1UN C- BUILbINc3 �LEVAiIOfJ INrvf2MAtIvN (SUItVEY (2�QUllt�b) G � (h�ildiiig rlevallt�ng Aln brsed rnr �._�Cor�sirUcHon Urawings' I^IE;ullding Unde► Conskurlion• (* (Finlshnd C.rnnhi�r,ft��� 'A i�nw rinv�fion C�rNlir,alh WIII I�Q ►ehUl►etJ wlre�t ConSI►t1CNon of (iit� hUllving Is cvrTirlr,I�. C7 Ihdl�lbi�� OI�t��:tnt (Iin�ibn� __�_ _(S�IerI Ilip itUIItI(ng til�t�rhtt� It�ost Shnllat In Iltc ��ullding Ior wldr,It Nds cr.rlilir,�ln, is i�rb�c� cnhq�Irlr.ti -.^,ne �rnqno �3 nncl 7 If nn di�g�am accuiglniy ieptesenls Ihe builJi�ig, hrovlde a skelr,h or hholog�aph. ) G.1 Flnvs�Uoi�q - 7_on�!t /11./13U. /1F. /111, /1 (with Hr��, V�. VI-V30, V (wilh EiFE), /1Ii, /1f2//1, /ltt//1E, /11?/AI-/13�1. /1f2M11, A17//1�) Conq�inin. Ilen�s C:1 q•1 bebw Ar.r.vrdtnq lo (hn 6uR�ling dis�pram spocilie� (n Ilern C7. SIaIe (Iin cialUr» Ilsn�i. II Ihn d�furn Is rJillr�nh) Irnm Ihn. cl�luni �►sarl (nr Ihp F�F� In Secllon Ef. corwerl Uie dafurn Io Ihal used lor Iha F3f'E. Show Iteld rneasute��irrd� a��rl rinfurn r.�r�v�r���i� �-ht�ulhtivn. Use Ihe sps�ce nrovlJed or (he Com►r�enfs Are� ol Secliori b or Seclion � as npproprigle, (o clocV�nr.�tl Ihn �i:flutn r.q�rvn.r5irn� O�Inin Convnrsion/Conimenls S@e tevetse commen�s( Section U� _. --- ----- ht..�,�lion ir.le�e��cr.'ina►k use�1 buAS Ihe elevallon relArencn rnatk i�sed,appr�ar on ihe I�It2M? �_� Yes L� fdn _) a� Inp oI hollorn Iloo► �Including basernenl o► enclosu►e) 7 8 7 n.(m) � --�- J �,� In�, of nexl hiqher floor NA _ n.(m� N _� c1 Ilnllorn ol lnwesf I,orizonlal siruclurs�l member (V zones only) 7.� n.(rji) m � �i� nn��i��d ��:,�:,�i� �i�n �r siai>> ___�. _��n <«,� F �o ni � J �) Lrrwrsl elevhlio�� n( i�iarldnery arrd/oP equlpme�if e� snivichig Ilie buildh�g (Uesr,►Ihe in � Com►nenls s�tea.) �. 6 � IL(m) �� J �) I.pWRSI AfIi:1Cf!f1) (IIIIISI1PtI) C�1�(lf} �I_AG�. . . � - / . 2 (t.(rn) z �' J u) I UghnSl a�l��r.rnl (4nlshed) grade (I IAG) 7. � rf.(►iQ J I+► hin ol ��r.�inanr,nF opei�inds (flood venis� within 1 fl above adjacen) g�ade NA _� ,�f 30 3 5 �- - 4 J I� 1�I�1 ��,•;� c,f ntl per►naneni operdngs (Ilood vehls) Ir� C3,h NA sq. In. (sh. cm) 3�C11VN U- SURVEY�►t, ENGINEEn, 012 Af2C1111EC1 C�f211tIC/��ION Ih�s ���I�I�raOon Is lo be si,yned and se�led by �'land surveyor, engineer, or a►chllecl aulliorized by law Io certlly elevai�on Inlormation. 1 cr.►Ir/y flrnl Ihr, ir►fornrnlion in Spcfio►ts /1. d. ond C on Ihis cP►li�cnle ►ep►esr.nls nry hesl elfo►fs lo lyde�pref llre dnl» avnilnl�le. I rnulr,i�l,+nd Ihnl eny lnlse slelemenl niey be punislrob/e fiy �ne or lrnp►isonr►renf under 1 B U.S. Code, Secliorr 1001. _.,. __ _ _......._ _ _ ---- ---•-- ---- - - - — -- �..►.r�ini ir , iinnn€ - iicFr�isF fiii�i�Fn_ i'1 i l�p._C._..S_�,ock_._.. ------- _ _ RLS�k3U35 -- --._... .. __. _ -- --.._. C�JMt'A�JY f I/1�dF-- ��resl.den� '1'�ryet I�arid 5urveyir�g lr�c._._______.___. AliliI71�S;- -- --- ----- — � CIiY --- SIAIE 7.If'(;OU� f'. U....�3ox_G63---- llunedirt -----.—CL__ _ w _3�169_Z------__ :i,:rin�iy�r -------- ��-� �` nFi �iir-_ —._ � �� � �..�, - 7-�2-04 � 7�7 � 1Q�l-0573 -_ � MA I n�in Ri-31, J�n)►hry 7Uf13 See revers� SI�IC (of rn111inU:�lion. (2e►�IhreS �11(�I�viotls etliflot�^. Irom 9cadon A. IM1�_- U_ �!1: h� Ihage �ry�oee, oo��y^^"_" 1�.-'_ 8►��r.oi�,pa��y Uee: ,..._.._.»..�------^�- 1 nll. :����c. a....._. - - - ItU11.U1NC3 91 NEE f nUD17ES9 (��cluding nh ., �II' C°t�-� co�„ra'�y t�nic � 757 Eldorad_ o Avenue S��rr �_____ �;iiv--�_____.._ City of �L CvNIINU�U) Clearwater ► �Nc�INE�tt, olt AIt�111tECt C�tt11fICAtIoN ( - sEC11oN U - surtv�YVrt, Insuionce egenbcon�pany� and (3) butl hig owi�e . r,n��y bolli �Ides ol Ihis Elevallon CerHflcAfe for (1) corrm,unity olliclal, (1) N. A. V_.D�_�._.--- -;;,.;f�F�Ftiis " 1 5-93-DA-09" Elev=4 .__9_.8_�_�-- _._0407.14.._04,_.Benchmark FL DNR ___ . � Z A= a/ C u ri i t. ____------------`".�___--_- _-_ -----'---_—_ ----------- -_--__.___._'._ Infomr+liv�t lot A LOMA o► �_um��-r, ���..�.. -- rovide s� sketch ot pholograpl►.) +_� ��einw geiecl lhe building diagrem �»os S ITI AFJO��' n� 1 I fiull�lb,c� Lllhhlan� Nu�nber ( (C (In) �___.�—� h�. (cm) (__.� snn ��n�t�s ����� ��� ��� dlagrain AccUrnlely tepresenls Ihe bulidi��¢, n g I—I_) 1.? ihe In�� oi Ihe bollom Itoor (It,clUd�r�g basernenl or enclosure) ol (he bf ����r oralevaled Iloor (�lev2Non i�) o� Ihe �x�(Idinq is (r.11PCk a11,n,) Iltn, I�I�JI��9I 9cl��r,P.M af0ti8. (US9 t1AI1119I gr9cJ0, II :�VifIIA�I�A.� I':1 ho� Uull�lh�,y 1)lag��ms e•!l wlll� operdi�gs (see hdg� 7)� Ihe nex� (dghe In (crn) (,� obove or ��) bol�w I__._��� 11. �n�) �_...�---�ht (cm� �16ove (he highesl adJ9cen1 grade. Complele Ilarns C3.h �`�d C' ` o f r�l n� ol lorm. � A Il�e Io�� of lhe,n)IIII( I1P,SI n(I� CCf�,I (� A I8a(USB 118nIlJfa�'g9gdpCIl'AVFI'IIAiIIgI,III� �9 �_�— Icl�er.k one) 11 J ,. ,,,, n,� n„i : ir „� n�od d�t>n� �w�►,har ig A��n����, is 1�» 1°,own'� llellocal olndal tnus! ce�Ui cihle�info►rn'altlon In SecUon O.R �., ��,� �� Y Yes .(Jo Unk c�a�iricnrioN Ilood lal�i mai�a emenl o�dinancei oft OWNEft'S It�F'I2E9EN 1A71V�) 4Kr. t1oN F- F'f20t'Ett1Y aWNEn ( � p p(Iterns C3.h and C3.1 oniy�, on � lor ctlrrn I fo Ih� �,�opeily owne� or awner'e euihorized rap�esen�e�rve wr Iwlll�oul n I'�Mn-Issued ot coi►i��wnily-lssued b��) or Zone IAc be^I ol ►�y lutowlr.dge,--• :__...�.------- - i��i� >i�r n i v c�n+t �� it s c,ia �w►a�►i.�:-ni� i i ioniz�u nern�s€id . AUUIif��S - ..._..... .^,Ir.;ll/111112r �_. . . _. _. r.i iMfd(i l l l i---•------` irnpletes Seclions . � rnUsl slgn Iiere. 11te slBlemenlsl�l Seclfnns A. 8. C� �r► ar__=__-_--- n i � �ii�� c�ur _.__.__. C) I Y - - --.._. _._ ----- f EIEf'l1oFIF ---- UA1E - _ ___. __.--___. __ ._ . ._. _ . Check hoic (I allacluncnls . ..._ s�CiioN o- coMMUtairY �rarvtsMnYioN 1ort�oranL) I I,P Ioc�l olncl� I who Is s+uilwriz�d by lew or ordinence lo edminisler lhe c�om�licable lle �(s! ��� Sign helowe„) ordingr�icer�ecl su�veytor, �ecllrn�s A. El.'C (or �►. Ar�d Q �f Ihis �Ievallon Cerllticale. Comp elc� t e ph �a(e or loca� law lo cerU►y elevallan Inlormallon. (�nd�c��e ll�e source and dale of d�o c, � ( ' IIIQ IIlIOi111i1II011 IIl SP,.CIIOII C was laken Iro 9 olher documenlalion lhal has been sigr�ed anc� emhosse ��y a rnc�lnner, or a�clil(ect who is au11wrized by �levalio�� d�iti iri Il�e Connnents area below.) IAcial cronq�leled SecNvn � for a bulldb,g localed In Zoi�e n(wlllwuf � I"���-issued �r coininunily isstt�c fl►"r) �t �,.z (_ � A rn�nnni�illy v .. 7�"" ��) Is rovided (or coi�v��u��ily Iloodplali� tnan�c�e�»ehl purposes. _. --I il�e lollowinc inloimalio�� Ilems G�-G9) h _ ��cv CJ.1 (--� 1 ( �J � G8. UAIE C�It11fICA1� Ot' COMf'LInNCClOCCUf'/l _l _ �i;:l I'rtiMll IIUMUCI2 � GS. b111E f'E n M i � I S S U F U � ` I3 c 6° �°_ r s l�-�3 �`-' - � i i s l r U c U o t_ t �_ .� S ubslanll. . _ ._...._ -- _.._ � New (,o l:�i Ihl, peu�ii) (�as heen lssued (�r, �_:H Cl�vallni� vl as��uill lowell 'ol floolding�all e'bulldin�,slle'Is: bUildit�� Is: t:ifl [.lI"� or (h� Zoi�c n0) dep 11t Lc)CnL OI"f'ICI%1l'S ^�,OMMUIJI►Y IIAMI l ;li_;11/�Illltr - � :t �MMC.111 ; ---- - '- I rlv1� Frnn� (��.31, Ja��uary 20U:7 15SUEU -�--- hnh en�enl (L (n►) V�lunr...____�--------_.. ------`- (l. (�n) balun,� __--- — ____.--- 1E ----------------____. - - -- Cl�eck I�eie 11 allach�nciils Iiehlaces �II pievious edilioris