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<br />U.s, DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br /> <br />ELEVATION CERTfFICA TE <br /> <br />OMS No. 1660-0006 <br />El(oires Februarv 28. 2Q09 <br /> <br />National Flood Insurance Program Important: Read the Instructions on pages 1-8. Olo383 <br /> SECTION A. - PROPERTY INFORMATION "F-ori!l.S\li~~~90~ny LIse: <br />A1. Building OWner's Name Bu. -t\e rBe.lei POic)-- N\.Imt)er <br /> - . '. , <br />A2. BiJlkli'5 Slree\ N1dress (including ApI.. Unl!. Suite, anellor Bldg. No,) or P.O. Route and Box No. ';Qerijp~~NArc. tWffloiir <br /> D3\ b*'S.\-ree+ 1':',_:, ", -' <br /> <br />A3, <br /> <br />City Ze "'''I r'h \ 1\ S State FL <br /> <br />Property Description (Lol and BlOOk Numbers, Tax Parcel Number. Legal Descrlplion, etc.) <br />L6t ~ 't-. \"\0 Ci Orz~ fh rni\\s; <br /> <br />BuHding Use (e.g., Residential. Non-Residenlial, Addition, Accessory. etc.) f -ec,i de VI -h 0...' <br />1aIItuclelL<mgitude; Lat N A Long. "-1/'\ Horizonlal Datum: 0 NAD 1927 <br />AUach at least 2 pnOfograpns of the building if the Certlllcale is being used to obtain flood insurllnce. <br />Building Diagram NUmb8r~ <br />For a bulldJng with a <:raw! space orencIOStlre(s), provide: <br />a) Square footage of a-awl space or enclosure(s) ~ sq It <br />b) No. of permanent flood openIngs in the cmwt space or <br />enclosure(s) walls within 1.0 foot above adjacent grad8 ~ . <br />c) Total net area of flood openings in AS b ~ sq in <br /> <br />ZIP Code 3 ~Lj :;L <br /> <br />A4 <br />A5, <br />AS. <br />A7. <br />A8. <br /> <br />o NAO 1983 <br /> <br />A9. <br /> <br />For a building with an attached garage. prOllide: N 1* <br />a) Square foolage of atlactted garage sq tt <br />b) No. of permanent flood openings In the attached jJ81llge <br />walla within 1.0 fool above adjaC&l1t grade N ~ <br />c) Total net area offload openlnge in A9.b N f"t sQ in <br /> <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br /> <br /> <br />Of" I'cla <br /> <br /> <br />82. County Name <br />Pel: C <br /> <br />87. FIRM Panel <br />EffeclivelRellised Date <br />t3- 11- q I <br />Indicale the sourOll of lhe Ba:se Hood Elevation (BFE) dala or base flood depth en~~n;,d In lIem B9. <br />OFIS Profile ~F'RM o Community Oetennlned o OIher(t>eacrlbe) <br />Indicate elevation datum used for BFE In Item B9: ~ NGVD 1929 ONA\IO 1988 OOlher(Desctibe) <br />Is .ha building located In a Coastal BalTler Resources System CCBRSlarea or otherwise Protected Area (OPA)? <br />Oeslgnalion Date N -A 0 CBRS DO!;'A <br /> <br />89. BaBe Flood E""vationCs) (Zone <br />AO, use base nOOd depth) <br />e,4 I <br /> <br />810. <br /> <br />B11. <br />812. <br /> <br />DYes <br /> <br />g) No <br /> <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY ReQUIRED) <br /> <br />C1. Building ..Ievetlons Bre ba6lld on: 0 Conslruclion Dra~ngs. ~ BU~dlng Under Conslrucllol"l" 0 Fin~hed Construcllon <br />"A new Elevation Certiticale will be requif\td when construction of the building Is complele. <br />C2. Elevations - Zones A1-A30, AE, AH, A (with 8FE1. VE, V1-V30, V (With BFE1. AR. ARIA. ARlAE. ARJA1-A30. ARlAH, AAJAO. Complete Items C2.a-g <br />below according 10 Ihe building diagram specified In Item A7, <br />a enChmark lJjjUzed \ 0 ca.l Vertical Datum NGt V 0 I q L 9 <br />Conversion/Comments N A <br /> <br />a) <br />b) <br />c) <br />d) <br />e) <br /> <br />Top of bottom "oor (including ba6emenl. crawl apace, or enclO9Ure ftoor) <br />Top of Ihs next higher lloor <br />Botlom of 'he lowest horizontal slructural member (V Zones only) <br />Attached garage (lop of slab) <br />towesl el8vatlon of machinery or equipment serv/cklg the building <br />(DesCribe type of equipment In Commenl$) <br />Lowest adjacent (finished) grade (LAG) <br />Highest adjacent (finished) grade (HAG) <br /> <br />Check the mBasurement used. <br /> <br />e S _'2.0 G";eot 0 meters (Puerto Rico only) <br />N A, 0 feet 0 meters (Puerto Rico only) <br />1\1 A .=n feet 0 meters (Pu..-to Rloc only) <br />N A .--D feet 0 meters (Puerto Rioo ollly) <br />N ~ ,-0 feel 0 melers (Puerto Rico only) <br /> <br />A '0 -~feet 0 melG/'S (Puerto RIco only) <br />e ~ .~et 0 melers (Puerto Rico only) <br /> <br />f) <br />g) <br /> <br />SECTION 0 - SURVEYOR. ENGINEER, OR ARCHITECT CERTIFICATION <br /> <br />This certification Is to be signed and sealoo by e land surveyor, engineer. or an;hitect authorized by law to certify elavetion <br />Inrormatlon. I certify that the Information Dn this C8ftiRcate T&",..!umts my best 9Ifotfs flJ Intfupr9t the data svailable. <br />t understand that Bny false slstfJlnMI may b8 punlshabie by fine or imprisonment under 18 U.S. Cod... Section 1001. <br /> <br />o Checl< here if commenls are provided on back of form. <br /> <br />~ I <br />;B~' c~~,.. <br />. r;.. -- ~ oQ-~: fJ.' <br />, 114 ..; i"" '_~ r::.. '.., <br />~-:;ICt~ATjH:L ANti <br /> <br /> <br />or <br /> <br />r':'ATE ~-iEkE: <br /> <br />FEMA Form 81-31. February 2006 <br /> <br />P L'S il. ?:>l2SS <br />L C1_ a q - 0(0 <br /> <br />See reverse side for continuatloo. <br /> <br />Replaces all previous editions <br />