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<br />FEDERAL EMERGENCY MANAGEMENT AGENCY <br />NATIONAL FLOOD INSURANCE PROGRAM <br /> <br />ELEVATION CERTIFICATE <br /> <br />~M.B. No. 3067-0077 <br />LPires December 31,2005 <br /> <br /> Important: Read the instructions on paaes 1 . 7. <br /> SECTION A . PROPERTY OWNER INFORMATION For Insuranoo Company Use: <br />BUILDING OW 'JER'S NAME Policy Number <br />RON & GLE NDA THOMAS <br />BUILDING STF ET ADDRESS (Induding Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAlC Number <br />4843 SUZANN ST <br /> <br />CITY STATE ZIP CODE <br />ZEPHYRHILLS FL 33542 <br />PROPERTY D SCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br />WINTERS MO ILE HOME PARK 14-26-21-0000-00200-000O <br />BUILDING US (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) <br />RESIDENTIAL <br />LATITUDElLO GITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type):_ <br />(#tf-##-##. 'or ##.####If) 0 NAD 1927 0 NAD 1983 0 USGS Quad Map <br /> <br />o Other:_ <br /> <br /> <br />SECTION B . FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B2. COUNTY NAME <br />PASCO <br /> <br />83. STATE <br />FL <br /> <br />B7. FIRM PANEL <br />85. SUFFIX 86. FIRM INDEX DATE EFFECTIVEiREVlSED DATE <br />C 12/17191 12/17191 <br /> <br />B10.lndicate the rce clthe Base Flood Elevatioo (BFE) data or base flood depth entered in B9. <br />o FIS PrcIiIe 0 FIRM ~ Community Determined 0 Other (Describe): _ <br />B11.lndicate the eI atioo datum used for the BFE in 89: ~ NGVD 1929 0 NAVD 1988 0 Other (Describe): _ <br />B12.ls the buildi ed in a Coastal8alier Resources S tem CBRS <rea or OtheIwise Protected Area OPA ? 0 Yes 0 No Des. natioo Date <br />SECTION C . BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br /> <br />s CYe based on: 0 Construction DrcJ.vings" 0 Building Under Construction" ~ Rnished Construction <br />Certificate will be required when COI'lstruction of the building is romplete. <br />Number 2 (Select the building diagran most similar to the building for which this oortilicate is being rompleted - see pages 6 end 7. ~ no diagram <br />ts the building, provide a sketch or photogr~.) <br />C3. Elevations - A 1-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 belON ocrording to the building diagram spOOfied in Item C2. State the datum used. ~ the datum is different fron1 the datum used for the BFE in <br />Section B, COI'lV the datum to that used for the BFE. ShON field measurements and datum COI'lversion calculation. Use the s~ provided or the Comments <rea of <br />Section D or . G, as cwrqxiate, to document the datum COI'lversion. <br />Datum NGVD 1 ConversionlCornments <br />Elevatioo ce marl< used CFDfTBM Does the elevation reference mark used appear on the FIRM? 0 Yes ~ No <br />o a) Topofbott floor (including basement or enclosure) 00. ~ft.(m) <br />o b) Top of ne higherfloor N/A._ft.(m) <br />o c) Bottom of haizontal structural member (V zones only) N/A. _ft.(m) <br />o d)Attochedg (top of slab) N/A. _ft.(m) <br />o e) Lcwest eIe ation of mochinery and/or ~ipment <br />servicing building (Describe in a Comments area) <br />o ~ LoNest adj t (finished) grade (LAG) <br />o g) Highest adj t (finished) grade (HAG) <br />o h) No. of anent openings (flood vents) within 1 ft. al:xJve adja:;ent grade Q <br />() i) Total area all permanent openings (flood vents) in C3.h [sq. in. (sq. an) <br /> <br />SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br /> <br />This certification i to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. <br />I certify that the i formation in Sections A, e, and C on this certificate represents my best efforts to interpret the data available. <br />I understand that n false statement ma be unishable b fine or im risonment under 18 U. S. Code, Section 1001. <br />CERTIFIER'S NA E JOHN H. DEMMONS, JR. LICENSE NUMBER PSM fJ372 <br /> <br />88. FLOOD ZO'JE(S) <br />AE <br /> <br />89. BASE FLOOD ELEVATfa\l(S) <br />(Zone AO, l.OO ~ or ftoOOrg) <br />84 <br /> <br /> <br />(ij <br />'" <br />en <br />'0 <br />'" '" <br />"'- <br />",t1l <br />00 <br />.0'0 <br />E C <br />Wt1l <br /> <br />P$/'-'l -rl SC, 7 2- <br /> <br />ic~oao <br /> <br />7/27/0(" <br /> <br />N/A. _ft.(m) <br />86.~ft.(m) <br />~.!ft.(m) <br /> <br />a.: cO <br />'" ~ <br />.0'" <br />En; <br />",c <br />z.Ql <br />",en <br />'" <br />c <br />~ <br />::; <br /> <br /> <br />COMPANY NAME C. FRED DEUEL & ASSOCIATES, INC. <br /> <br />CITY <br />ZEPHYRHILLS <br />DATE <br />7 2-7/6 (, <br /> <br />STATE <br />FL <br />TELEPHONE <br />(813) 782-B717 <br /> <br />ZIP CODE <br />33541 <br /> <br />Replaces all previous editions <br />