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<br />FEDERAL EMERGENCY MANAGEMENT AGENCY <br />NA ilONAL FLOOD INSURANCE PROGRAM <br />ELEVATION CERTIFICATE <br /> <br />a.M.B. No. 3067-0077 <br />Expires December 31, 200E <br /> <br /> Important: Read the instructions on paaes 1 . 7. <br /> SECTION A. PROPERTY OWNER INFORMATION For Insurance Company Use: <br />BUILDING OWNER'S NAME Policy Number <br />ALVIN BACHTEL CONSTRUCTION <br />BUILDING STREET ADDRESS{lnclu~~/n~ Su~, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number <br />5'" STREET :7- '9 v, ."'! '7 .' / <br /> <br />CITY / STATE <br />ZEPHRYHILLS ' FL <br />PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number. Legal Description, etc.) <br />LotS, Block 11, MOORESAODITION, P.B. 1, PG. 57 <br />BUILDING USE {e.g., Residential, Non-residen1ial, Addition, Accessory, etc. Use a Comments area. if necessary.} <br />Residential <br />LATITUDE/LONGITUDE (OPTIONAL) <br />( ##0 _ ##' _ ##.##" or ##.#####') <br /> <br />ZIP CODE <br />33541 <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 Otl1er:_ <br /> <br />SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br /> <br />B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER <br />CITY OF ZEPHRYHILLS 120235 <br /> <br />B2. COUNTY NAME <br />PASCO <br /> <br />B3.STATE <br />FL <br /> <br />84. IvlAP AND PANEL B7. RRM PANEL 89. BASE FLOOD ELevATION(S) <br />NUMBER 85. SUFFIX 86. FIRM INDEX DATE EFFECllVE/REVISED DATE 88. FLOOD ZONE{S} (Zone AG, use depth oi flooding) <br />0005 C 12/17/91 12/17/91 AE 84.0' <br /> <br />B10. Indicate the source of the Base Rood Bevation (BFE) data or base flood depth entered in 89. <br />o RS Profile r8J FIRM 0 Community Determined 0 Other (Desaibe):_ <br />B11. Indicate the elevation datum used for the BFE in B9: r8J NGVD 1929 0 NAVD 1988 0 Other(Desaibe}:_ <br />B12. Is the building located in a Coastal Barrier Resources System (CaRS) area or Otherwise Protected Area (OPA)? 0 Yes t81 No Designation OateNA <br />SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />C1. Building elevations are based on: r8J Construction Drawings* 0 Building Under Construction* 0 Finished Construction <br />* A new Bevation Cartilicate will be required when construction of the building is complete. <br />C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram <br />CK:CUrateJy represents the building, provide a sketch or pmtograph.) <br />C3. Bevations - Zones A 1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARiA, ARiAE, ARiA 1-A30, ARiAH, ARiAO <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, convert the datum to that used for the BFE Show field measurements and datum conversion calcuJation. Use the space provided or the Comments area of <br />Section D or Section G, as appropriate, to document the datum conversion. <br />Datum NGVD 1929 Conversion/Comments NA <br />Bevation reference mark used Local Does the elevation reference mark used appear on the FIRM? 0 Yes !2] No <br />o a) Top of bottom floor (induding basement or endosure) NA. _ft(m} <br />o b}Topofnexthigherfloor NA._ft(m) <br />o c) Bottom of lowest horizorJtal structural member 01 zones only} NA . _ft(m) <br />o d} Atta:hed ga-age (top of slab) NA. _ft(m) <br />o e} ImIest elevation of machinery and/or equipment <br />servicing the building (Desaibe in a Comments area) <br />o ~ La.vest OOjacent (finished) grade (LAG) <br />o g) Highest adjacent (finished) grcxJe (HAG) <br />o h) No. of permanent of:€flings (flood vents) within 1 ft above adjacent grade NA <br />o i} Total area of all pennanentopenings (flood vents) in C3.hMsq. in. (sq. an) <br /> <br />SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />This certification is io be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. <br />I certify tflat 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 UCENSE NUMBER 5265 <br /> <br />OJ <br /><0 <br />m <br />"C <br /><D<O <br />"'- <br />",<IS <br />cO <br />.Q"C <br />Ec: <br />W<lS <br /> <br />~ /' <br />'z...\" I <br />~~ ~I'" <br />'( \.J' <br />n ~ \ \\ <br />I ~. <br /> <br />NA._ft(m) <br />80 . Q.ft(m} <br />80. aft(m) <br /> <br />...:oi <br /><o~ <br />.Q~ <br />Eai <br />~c: <br />z.Q> <br /><om <br />'" <br />c: <br /><D <br /><.> <br />::J <br /> <br />TITLEProtessior.al Surveyor and Mapr;er <br /> <br />COMPANY NAME David L Smith Surveying and Mapping <br /> <br />CITY <br />Tampa <br />DAJE <br />511t//)4 <br /> <br />STATE <br />FL <br />TBEPHONE <br />813-935-1960 <br /> <br />ZIP CODE <br />33612 <br /> <br />ADDRESS <br />1406 W. Unebaugh Me. <br />SIGNATURE /] --/ '-/1 ,..--- <br />lei F.___ <br />I <br /> <br />rEMA Form 81-31, January 2003 <br /> <br />See reverse side for continuation. <br /> <br />Replaces all previous editions <br />