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<br />
<br />FEDERAL EMERGENCY MANAGEMENT AGENCY
<br />NATIONAL FLOOD INSURANCE PROGRAM
<br />
<br />ELEV A liON CERTIFICATE
<br />
<br />a.M.B. No. 3067-0077
<br />Expires December 31, 200e
<br />
<br />
<br />1m ortant: Read the instructions on es 1 .7.
<br />SECTION A. PROPERTY OWNER INFORMATION
<br />
<br />Fa-Insurance ~ Use:
<br />Policy Number
<br />
<br />Company NAIC Number
<br />
<br />CITY STATE
<br />ZEPHRYHILLS FL
<br />PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
<br />Lot 4, Block 11, MOORES ADDITION, P.B. 1, PG. 57
<br />BUILDING USE (e.g., Residential, Non-residentiaJ, Addition, Accessory, etc. Use a Comments area, if neces5aly.)
<br />Residential
<br />LATITUDE/LONGITUDE (OPTIONAL)
<br />( ##0 _ ##' _ ##.##" or ##.#####')
<br />
<br />ZIP CODE
<br />33541 .3 '3 :;- "I~
<br />
<br />HORIZONTAL DATUM:
<br />o NAD 1927 0 NAD 1983
<br />
<br />SOURCE: 0 GPS (Type):_
<br />o USGS Quad Map
<br />
<br />o Other._
<br />
<br />SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
<br />
<br />B1. NFIP COMMUNfTY NAME & COM\1UNfTY NUMBER
<br />CfTY OF ZEPHRYHILLS 120235
<br />
<br />B2. COUNlY NAME
<br />PASCO
<br />
<br />B3.STATE
<br />FL
<br />
<br />84. Ml\P AND PANEL B7. FIRM PANEL 89. BASE FLOOD ELEVATlON(S)
<br />NUMBER 85. SUFFIX 86. FIRM INDEX DATE EFFECTlVEJREVlSED DATE 88. FLOOD ZONE(S) (Zone AO, use dep1h of flooding)
<br />0005 C 12117/91 12/17/91 AE 84.0'
<br />
<br />810. Indicate the SQUire of the Base Rood Elevation (BFE) data or ~ flood depth entered in 89.
<br />o FIS Profile l8J FIRM 0 Community Determined 0 Other (Desaibe): _
<br />811. Indicate the elevation datum used for the BFE in 89: l8J NGVD 1929 0 NAVD 1988 0 Other(Desaibe):_
<br />812. Is the building located in a CcmtaI 8errier Resources System (C8RS) area a- OtheIwise Protected Area (OPA)? 0 Yes l8J No Designation DateNA
<br />SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
<br />
<br />C1. Building elevations are based on: l8J Construction Drawings" 0 Building Under Construction. 0 Finished Construction
<br />. A new Elevation Certificate will be requiraj when construction of the building is complete.
<br />C2. Building Diagram Number 1 (Select the building diagram most simila-to the building for which this certificate is being completed - see pages 6 and 7. If no diagram
<br />accurately represents the building, provide a sketch a- ~ograph.)
<br />C3. Elevations - Zones A 1-A30, AE, AH, A (with 8FE), VE, V1-V30, V (with 8FE), AR, ARiA, ARiAE, ARiA 1-A30, ARiAH, ARiAO
<br />Canplete Items C3.-a-i belcNI a::cording to the building diagram specified in Item C2. Slate the datum used. If the datum is different from the datum used for the 8FE in
<br />Section 8, convert the datum to that used for the 8FE. Show field measurements ald datum conversion calaJlation. Use the spa;e provided or the Canments area of
<br />Section D or Section G, as appropriate, to document the datum conversion.
<br />Datum NGVD 1929 Conversion/Comments NA
<br />Elevation reference marl< used Local Does the elevation reference marl< used appea- on the FIRM? 0 Yes l8J No
<br />o a) Top of bottom floor (including basement or enclosure) NA. _ft.(m)
<br />o b) Top of next higher floor NA._ft.(m)
<br />o c) 8oItom ci Icmest horizontal structural member (V zones only) NA . _ft.(m)
<br />o d) AlIa:hed gaage (top of slab) NA. _ft.(m)
<br />o e) Lowest elevation ci mcdlinery a1C1Ior equipment
<br />savicing the building (Desaibe in a Canments area)
<br />o ~ Lowest adjocent (finished) grade (LAG)
<br />o g) Highest adjacent (finished) grade (HAG)
<br />o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NA
<br />o i) Total area of all permanent openings (flood vents) in C3.h t:l8,sq. in. (sq. an)
<br />
<br />SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
<br />This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
<br />I certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available.
<br />I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
<br />CERTIFIER'S NAME David L. Smith LICENSE NUMBER 5265
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<br />TITLEProfessional SIJ/veyor and Mapper
<br />
<br />COMPANY NAME David L. Smith Surveying and Mapping
<br />
<br />ADDRESS
<br />1406 W. Unebaugh Ave.
<br />SIGNATURE /) '- 11 _
<br />/ v --( rl.J -
<br />
<br />CITY
<br />Tampa
<br />
<br />5"'0 f
<br />
<br />STATE
<br />FL
<br />TELEPHONE
<br />813-935-1960
<br />
<br />ZIP CODE
<br />33612
<br />
<br />FEMA Form 81-31, January 2003
<br />
<br />See reverse side for continuation.
<br />
<br />Replaces all previous editions
<br />
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