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<br />FEDERAL EMERGENCY MANAGEMENT AGENCY <br />NATIONAL FLOOD INSURANCE PROGRAM <br /> <br />a.M.B. No. 3067-0077 <br />Expires December 31, 20D!: <br /> <br />ELEVATION CERTIFICATE <br /> <br />Important: Read the instructions on pa es 1 . 7. <br />SECTION A. PROPERTY OWNER INFORMATION <br /> <br />ForlrlSUlaJ1al ComJmY Use: <br />Policy Number <br /> <br />BUILDING OWNER'S NAME <br />ALVIN BACHTEL CONSTRUCTION <br />BUILDING STREET ADDRESS (In<;:luding Apt, U <br />Sih STREET J.f qr- ./ .;) <br />CITY <br />ZEPHRYHILLS FL <br />PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br />Lot 7, Block 11, MOORES ADDITION, P.B. 1, PG. 57 <br />BUILDING USE (e.g., Residential. Non-residential. Addition, AccessOIy; etc. Use a Comments area, if necessary.) <br />Residential <br />LATITUDE/LONGITUDE (OPTIONAL) <br />(##0 _ ##' _ ##.##' or ##.#####") <br /> <br /> <br />Company NAJC Number <br /> <br />ZIP CODE <br />33541 <br /> <br />HORIZONTAL DATUM: <br />o NAD 1927 0 NAD 1983 <br /> <br />SOURCE: 0 GPS (fype):_ <br />o USGS Quad Map <br /> <br />o Other:_ <br /> <br />SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br /> <br />81. NFIP COMMUNITY NAME & COMMUNITY NUMBER <br />CITY OF ZEPHRYHILLS 120235 <br /> <br />82 COUNTY NAME <br />PASCO <br /> <br />B3.STATE <br />Fl <br /> <br />84. MAP AND PANEL 87. FIRM PANEL 89. BASE flOOD ELEVATION(S) <br />NUMBER 85. SUFFIX 86. FIRM INDEX DATE EFFECTIVE/REVISED DATE 88. flOOD ZONE(S} (Zone AO, use depth offloodin;J) <br />0005 C 12/17191 12/17/91 AE 84.0' <br /> <br />B10. Indicate the source of the Base Rood BevatiOIl (BFE) data or base flood depth entered in B9. <br />o FIS Profile t'8J RRM o Community Deterrnined 0 Other{Desaibe):_ <br />B11.lndicate the elevation datum used for the BFE in B9: t'8J NGVD 1929 0 NA VD 1988 0 Other (Desaibe): _ <br />B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area {OPAl? 0 Yes t'8J No Designation Date~ <br />SECTION C . BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br /> <br />C1. Building elevations are based 00: I:8l ConstructiOIl Drawings. 0 Building Under ConstructiOIl. 0 Rnished Construction <br />. A new Bevation Certificate wiD be required when ronstruction of the building is romplete. <br />C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being rompteted - see pages 6 and 7. If no diagram <br />accurately represents the building, provide a sketch or photcgraph.) <br />C3. Bevations - Zones A1-A30, AE, AH. A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARlAE, ARIA 1-A30, ARlAH, ARlAO <br />Complete Items C3.-a-i below according to the building diagram specified in Item C2. Slate the datum used. If the datum is different from the datum used for the BFE in <br />Section B, ronvert the datum to that used for the BFE. Show field meac;urements and datum conversiOIl calculation. Use the space provided or the Comments area of <br />Section D or Section G, as appupriate, to document the datum COIlversiOIl. <br />Datum NGVD 1929 Conversion/Comments NA <br />Bevatiol1 reference mark used Local Does the elevation reference mark used appear on the FIRM? 0 Yes t'8J No <br />o a)Topofbottomfloor(induding~torendosure) NA. _ft.(m) <br />o b) Top of next higher floor NA._ft.{m) <br />o c) Bottom oflONeSt hOlizonti structural member(VzonesOIlly) NA ._ft.(m) <br />o d)Allachedgarage(topofslab) NA. _fl.(m) <br />o e) Lowest elevation of ma:hinely and/or equipment <br />selVicing the building (Desaibe in a Comments area) <br />o ~ Lowest adjacent (finished) graje (LAG) <br />o g) Highest adjacent (finished) grade (HAG) <br />o h) No. of permanent openings (flood vents) within 1 fl. above adjacent grade NA <br />o i) T olal area of all permanent openings (flood vents) in C3.h ~ sq. in. (sq. em) <br /> <br />SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERT1ACATION <br /> <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 2tatement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. <br />CERTIFIER'S NAME David L Smith UCENSE NUMBER 5265 <br /> <br />lii <br />., <br />00 <br />'0 <br />a> a> <br />~iii <br />00 <br />.0'0 <br />E<= <br />WaI <br /> <br />4~~? / <br />~. '6~ ~ <br />,r~ /- \ok <br />( , \\\ <br /> <br />NA._ft.(m) <br />8O.~ft.(m) <br />ill..ift.(m) <br /> <br />~ Ol~ <br />., - <br />.o:::l <br />Eiii <br />:::l<= <br />z.2' <br />.,00 <br />en <br /><= <br />., <br />u <br />::J <br /> <br />TITLEProfessional Surveyor and Mapper <br /> <br />COMPANY NAME David L Smith Surveying and Mapping <br /> <br />ADDRESS <br />1406W. UnGbaughAve. <br />SIGNAT~ .' 11. <br />/ (]-fY"fJ ~ <br /> <br />CITY <br />Tampa <br />D1TE <br />.5//I/tJ4 <br /> <br />STATE <br />FL <br />TELEPHONE <br />813-935-1960 <br /> <br />ZlP CODE <br />33612 <br /> <br />FEMA Form B 1-31 , January 2003 <br /> <br />See reverse side for continuation. <br /> <br />Replaces all previous editions <br />