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1941 EDGEWATER DRAUG -18-2006 09:568 FROM: 0",r,c4WW0 tit•, 00/12/7U10 UUZt2I4 !AA U.B. DEPARTMENT OP 140atguiND SECURITY Redone Etdergoncy ste ei nlrttPa.Icy NseMnal Flood Manna* Program TO:14067562016 ELEVATION CERTIFICATE Irrlpar ant Roden the instructInna on paper 1.8. Al. BOMAN. owns'• Nemo Sweet L,01_ A2. Buhang Addrw (MOWN Apt,. (ktN, Merit.. wenn 8klg• Na.) or P.O. Rets end Dan No. 11141 Edpewatar Dna COO end on 15. tiRrBaZiUrar es Lots 40 ovd41. Mrs we mein die VMeat 17.00 feel Utseal, +Bunnydsle Subdivision P.3 . v a OMB Na 10130-0000 Exvka Pebuanr 2B. 2020 A4. evading Use (e.g. Pleadmeal. Nan•RseldenMet. Addition, Aaeesary, en) lari,'• octal LatAwd onWs+ds: wt. Long. Ho1zantel Oakes: CI NAD 1027 ©NAD 1003 ' .b, Muth el resat 2 phaloUraplr Otto building if ere Cot/bibs Is balm) used to obtain load Manners A7. guiding DIprsm Number, -J_ _ M, For betiding eeldn e and specie or sndosun(s), prov)ds: al Saws Winn 0/olIA1 spa0eereavaow,rela) sa l b) nen as permanent Ind openings h the mewl i)aci seisms(:) anti Wenn 1.0 for aeove Md sc i1 grade o) Total no ens of wand epeongs M gob so In A0. For a burning:Mth an aebah.d pogo, roods: •) Squire footage d elleduld Mats tel R b) No. of permanent hods opinigs in the added gimp wags within 1,0 foot sbevs sd;aer d ride „_._..- a) Toad not anal *Mod awing, N AAA . . a4 h >(BCTWN • ft.000 INaURANCE TE PUP (FIRM) I N!O/IMATIOM CUR. Z mi ur y Name • Canenunty gnaw sr a + Ol Ourasto 12200 BL County menu PkiNa FL 6E linotanorkunites 1210300100 • x 14 Be. t minx Oen 8.1140 f FIRM Panel Effeot1VWRavbad Doe 8•17416 Ad, Ploo.1 Zonis! VE. AE bliTaae Flood Elnedonts) Mons" AO, use baulked thole) VE'1S, AEs 1ln 3 010. Indlorte to soasoe of Ma Woo Flood Ele ittbn (ISM deli or brae food drplh mond N It 1!e• (JL4 Prot. ®FIRM QGafrrnunity Disonmbua Mtn 003000010 •11. urmtwr omega. aop,m wad for w@ N nem 110: CI NOVO 1020 (KNAVE) 1068 D Other 012 is the nQ toasted In Coate] Sonar Raaurea1 BysMm (c moa or Mono PlatoPlatoons,rs oA(OPA)? C) Yas Ne OeM ! ....= CORS DOPA SECTION C • BUILDING ELEVATION INFORMATION RVN4' REQUIRED) 01. Bulding Wvadons as based en: 0Cendrueien OrnMrrgs• (3 Butting under Cons1uciorr PMulhsd Constntollts, •A seer Elrvaian Cere6e .w at be rapeseed worn nstr u bn dthr buldkq 4 Complete. C2. [lavaboes Zones Al -a30, AS, AH, A (+,at OF 61. VE V1•MMM. V (+with 0E). AR ARIA. APJAE, AWAI430. PP1101. AMC, Cmnplele hens p,a.g below saoordhg b ire butting term apeoi/ed In harm A1. bandana* LRRz.d City StC1 of Lstar alll..'WI. A—tiro PD.280A vw1 oo1 Oehan EJ, • Qbnvenon/Commenb a) b) 0) d) e) fl 2) Top of Want SOOT (lttrmdarvv smarm int. ordeal spew, orIndoor. floor) .12.M ® hot 2.�iry O4111 hote taut ®hal DE, 111tact ns__ Iii Inst ®iia( Ili Sint Top of to nod deter sour Eakin or the lowest ho.tzono] *vaunt member (V Zoon only) Attired wag* (lop Odes) Lowest slevadtu, of machinery r eoubment aervaob+V g • Caton, (Onion type d /Outrun' rain' h Cowherds) Lave awesome (Itdeh 311) grads (G) Highest *disown (inirhad) bud• (RAO) Cheat ser sass urenlerd toad. D Maus (Puerto Moo only/ CI metals (Porto RBeo only) Q mabA (Pl sdD Rico only) D rosters (Puerta Rtoo OW) CI mass (Mow Rim only) (3 noire (Puerto Moo aey) Oman (Puerto lam teals) 1112.e-7, O • EVOR, ENGINEER, OR ARCHITECT CERTWJCATION 11,63 ries r• ilor. L to be stand -end ass.. by ileru7 su ieyor. mono, a M s(*urtlon Iniomtitbn. f wary MeriPre kilemwil st on Odra C edea. topreaanle my best starts toInkwell?* dire awiwtb1). 1 understand /dad any Was afelrnwu may bo punishable by lbes ar bryr►ewrna t undo, isU R Cods. Saab,1)e' 1. Creta, hers If ammonia ere Provided Oft bait •»'tate". a mom a �4snrBr 11Ss • �oritpsmy coma .,4 FEMA Porro 141, Fitment 2008 6sd moors side fa' e:ondnuelfan. Repines ;swims odi1oni /(-cy 9 9 6 .) ee,jr-26,1 / ,2- CR) r • ry ?FEDERAL EMERGENCY MANAGEMENT AGENCY ttATIOI4AL FLOOD INSURANCE PROGRAM Ct. eleValfectS are based on: 1 (Construction Drawings* NB.Rdiag Under Constniction• f 'Finished Constructiori fleW Elevation Certificate will be required when constrJction of the budding is complete. Balcfing Diagram Number i (Select tie building diagram most similar to the buitdirig for which this certificate is being completed - see pages 6 and 7. lino diagram accurately represents the building, provide a sketch or photogr-apt, ) C3. Elevabons —Zones At -A30, AE, AH, A (with EWE), VE, VI -V30, V (with BEE), AR, ARM, AREAE, ARAI -A30, ARIAH, AR/A0 Complete Items C3a-i below according to the building tkagrarn specified ill Item C2. State the datum used if the datum is clifferit from the datum used for the SEE if) B, convert the datum to that used for Me BFE. Show field measuremerits and datum conversion calculatiOrt, Use the space provided or the Corrvnents area of Section D Secuon G. as appropriate, to document the datum corwersion„ DzAurn CorwersioniCortments ElesiatoR fdeteIXe mark used - Does the elevation reference r used appear on the FIRM? 1 I Yes f I No a a) Top a bottom Lam (mcluchng basement or enclosure) /3?. .6 ft On.; To b) Too of next t*gtter Soot foil) lffel iC4.ici:Je -1, ELEVATION CERTIFICATE hnpodant Read the instructions on pages 1 - T. SECTION A PROPERTY OWNER INFORMATION ETADDRtSS ftrioludirigArt_, Unit ef 4/41`ite 0 ROUTE AND BOX NO. 0.M.B No 3067-0077 Expires July 31, 2002 STATE ZIP CODE >1.7 Jax ParceltAvnber, Legal Description, etc) t.44,117 Cfiel 0 *IC Addibco, Accessory, etc. tise COMMerft section # necessary.) T1 .Ttlix:itr::ititfiTtiDE( 4:'t HORIZONTAL DATUM: L J NAD 4927 L.jNA01983 SOURCE. LJ GPS (Type). - L LJ USGS Quad Map LJ Other - FLFt FEI.HFn 1cooariausnY tatmE a .sir rafortfeY P2. COUNTY NekliW 133. STATE liTAPilt4OPAIET. 05. SUFFIX OID D ` d'f 87. FIRM PANEL 1 Z..0. FLOOD 1 EFFECTIVEiREVISEC DATE 1 ZONE(S) 1: I BIO Incficeite the Worm of the Base Fbod Elevatior (BFE data ortkseood depth entered in 89. LJ, FS ProOlia jj FIRM LJ Communili Determine LJ Other (Describe): 811. Incbcate the elevabon datum used for the BF E NGV[) 1929 j NAVD 1988 LJ Other (Describe): 812. is the bditg wed in a Coastal Berner Resuurces System (CBRS) area or Otherwise Protected Area (OPA)? 1Yes f;tesignedion Date: . BASE FLOOD ELEVATION(S) I one AO, use depth of flooding) No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) a c} Bottom Of kavest horizontal structural member (V zones only) ftttittr:/} 0 d) Attached gmage (top of slab) 3 e) Lowest 4evation ti machMery and/et equipment tr; tentiolig the building ft (rn) ta CI 0 Lowest adjacent grade (LAG) g; Highest adjacent grade (HAG) 0 h) No. oi permanent openings Mood vents) within 1 ft above adjacent grade 0 I) Total area of al permanent openings (flood vents) in C.3h sq H (sq. ern) ft (n) z ft (m) SECTION 0. 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 1 certify that the inkimiabon in Sections A, 8. and C on tins certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 7811 S Code, Section 1001 CERTIFIER *9 NANE r LiCENSr NUMBER TITLE fee COME% f P .• )` CITY /1 - 1 ATE - coDE 177? ,,Zr1 TELEPHOtifr - DATE te:'; SEE REVERSE SO[ FOR ONTINUATION REPLACES ALL PREVIOUS EDITIONS ADDRESS SIGNATURE FEMA Forrn 81-31. AUG } A. AND BOX For Insurance Company Use: Poicy Number ZIP CODE Company NAIC Minter 5 :RTiI ,CATION (CONTINUED) E -' ZoneA( mile I Check fere if atactunents ifATKIN TIt3N (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) •S>C. l grade. 6-8 with openings (see page 7), the next tgher door or elevated floor (elevation b) of the building is �ea�iEe the highest adjacent grade. number G airs?able. is the tap of the bottom floor elevated in accordance with the community's LI Yes LI No Lj Unknown. The local official must certify this information in Section G. El through E4. N the Elevation Certificate is intended for use as supporting budding diagram most since to the berg for whet this cedificalC b being completed — the budding. provide a sketch or photograph.) or endosure) of the budding is I I 1 ft.(m) ) 1 Iin_(crm) LJ above or (Y( below I F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION owner's authorized represent ve who completes Sections A. 8. and E for Zone A (without a FEMA -issued or or Ztarne AO must sign here. TY LiiRlr R S OR OMIFIER'S AUTHORIZED REPRESENTATIVE'S NAME STATE ZIP CODE DATE TELEPHONE SECT)OH G - COMMUNITY INFORMATION (OPTIONAL) 1 j Check here it attachments is authorized by taint or ordinance to adn lister the community's floodplain management ordinance can complete G of this Elevation Cert_ Complete the applicable item(s) and sign below. Section C was taken from other documentation that has been signed and embossed by a icensed surveyor, aim who is zed by state or loci law to certify elevation information. (Indicate the source and date of the in the Comments area below.) [ J A cocrinirai ty ofd con>pleted Section E for a budifiny located in Zone A (without a FEMA -issued or community -issued t or Zone AO_ .1 [The information (Items G4 -G9) is provided for community fioocOlain management purposes. 4. MINT MILO3ER 1 G5. DATE PERMIT 'SSUED 1 G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY I ISSUED has been issued tlx: 1_1 New Construe ion LJ Substantial Improvement as -bol lowest Boor (including basement) of the building is: _ f.(rn) Datum: Zone AO) depth of float at the budding site is - "S NAME TITLE TELEPHONE DATE ft (m) Datum: 81-31. AUG PEPLACES ALL PREVIOUS EDITIONS