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<br />FEDERAL EMERGENCY MANAGEMENT AGENCY <br />NATIONAL FLOOD INSURANCE PROGRAM <br /> <br />ELEVATION CERTIFICATE <br /> <br />I9.M.B. No. 3067-0077 <br />L<Pires December 31,2005 <br /> <br />Important: Read the instructions on a es 1 . 7. <br />SECTION A - PROPERTY OWNER INFORMATION <br /> <br />For II1SlllIf1OO ~ Use: <br />Policy Number <br /> <br />BUILDING 0 ER'S NAME <br />RON & GL NDA THOMAS <br />BUILDING ST EET ADDRESS (Induding Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. <br />4843 SUZANN ST <br />CI1Y STATE <br />ZEPHYRHILL FL <br />PROPER1Y D SCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) <br />WINTERS MO ILE HOME PARK 14-26-21-o00o.oo200-000O <br />BUILDING US (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) <br />RESIDENTI <br />LATITUDElLO GITUDE (OPTIONAL) <br />( ##' - #If - ##. 'or ##.#####') <br /> <br />Company NAIC Number <br /> <br />ZIP CODE <br />33542 <br /> <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 />82. COUNTY NAME <br />PASCO <br /> <br />B3.STATE <br />FL <br /> <br />87. FIRM PANEL <br />85. SUFFIX 86. FIRM INDEX DATE EFFECTIVElREVlSED DATE <br />C 12117/91 12117/91 <br />Ire ci the Base Fkxx:l Elevation (BFE) data or base floexl depth entered in B9. <br />o FIRM (gI Community Determined 0 Other (Desaibe):_ <br />ation datum used for the BFE in 89: (gI NGVD 1929 0 NAVD 1988 0 Other (Desaibe): _ <br />ed in a Coastal8aTier Resources S em CBRS <rea or Otherwise Protected Area OPA ? 0 Yes 0 No Des' ation Date <br />SECTION C . BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br /> <br />s ere based 01'1: 0 Constructior1 !:lIaNings* 0 Building Under Construction" (gI Rnished Construction <br />Certificate will be required when rolStructior1 ci the building is oomplete. <br />Number g (Select the building diagran most similcr to the building for which this certificate is being oompleted - see pages 6 and 7. If no diagram <br />ts the building, provide a sketch or photogr~.) <br />A 1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARJA, ARJAE, ARJA 1-A30, ARJAH, ARJAO <br />Complete It C3.-a.i belcm cmxding to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in <br />Section B, rol ert the datum to that used for the BFE. ShaN field measurements and datum rolversion calaJlation. Use the Spcnl provided or the Comments <rea of <br />Section D or . G, as apprqlriate, to document the datum rolversion. <br />Datum NGVD 929 Conversior1lComments <br />Elevation rei mcrk used CFDfTBM Does the elevation reference mark used awear 01'1 the FIRM? 0 Yes (gI No <br />o a) Top ci om floor (including basement or enclosure) 00. .1 ft.(m) <br />o b)Topci higherfloor NJA._ft.(m) <br />o c) Bottom ci t horizontal structural member (V ZOI'Ies OI'Ily) NJA. _ft.(m) <br />o d)Attcd1ed arage(topcislab) NJA. _ft.(m) <br />o e) LONest eI ation of machinery CIld'or equipment <br />seM::i the building (Desaibe in a Comments area) <br />o Q Lo.vest t (finished) grOOe (LAG) <br />o g) Highest jCDll1t (finished) grOOe (HAG) <br />o h) No, of ent openings (flood vents) within 1 ft. al:.ove adjCDll1t grCKJe Q <br />o i) Total <rea all pemlCJlentopenings(ftood vents) in C3.hQ..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 formation in Sections A, e, and C on this certificate represents my best efforts to interpret the data available. <br />I understand tha an false statement ma be unishable b fine or im risonment under 18 U.S. Code, Section t001. <br />CERTIFIER'S NA E JOHN H. DEMMONS, JR. LICENSE NUMBER PSM ffi72 <br /> <br />88. FLOOD ZONE(S) <br />AE <br /> <br />89. BASE FLOOD ELEVATION(S) <br />(Zone AD, use depth a bxlrg) <br />84 <br /> <br />(1j <br /><1l <br />C/) <br />al<1l <br />"'- <br />'" Ol <br />oD <br />.0." <br />E c: <br />WOl <br /> <br />/2>$ fVj .-11 5{" 72 <br /> <br />i~o(Lq <br /> <br />7/27/o? <br /> <br />NJA._ft.(m) <br />86.2.ft.(m) <br />flQ. !ft.(m) <br /> <br />~cO <br /><1l ~ <br />.o=> <br />En; <br />=> c: <br />z.2' <br /><1lC/) <br />'" <br />c: <br />~ <br />::; <br /> <br /> <br />COMPANY NAME C. FRED DEUEL & ASSOCIATES, INC. <br /> <br />ADDRESS <br />5151 GALL BLV <br />SIGNATURE <br /> <br />CITY <br />ZEPHYRHILLS <br />DATE <br /> <br />STATE <br />FL <br />TELEPHONE <br />(813) 782-6717 <br /> <br />ZIP CODE <br />33541 <br /> <br />FEMA Form 81-3 ,January 2003 <br /> <br />See reverse side for continuation. <br /> <br />Replaces all previous editions <br />