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3350 NE 190 ST (2)FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE 02- 102E14010029co ` h podaft Read dw IrmstrudJans on pages I - 7.- SECTION A•PROPERTY OWNERNFORNIAT1ON k4wToew nx&etw�A . 3067 -0077 Expires Juty 31, 2002 MUM STREETADDRESS Rd*g Apt. Ut S^ai6XM3. Not UR r.U.rcuur t�ous�nu wr^^%.•^�•^^ 3MNE190Skcet YadtCWb - Ory STATE ZIP A,..,, R. 33180 (#NO- AF•AMYY or ❑ NOD 1927 ❑ NAD 1983 SECTION B- FLOOD INSURANCE RATE MAP lFWMOI MATiON B1. NFPOOrdAIAdiYNME6C0A lMTYMA,6ER i^g B10. k dcale lie source of the Base Flood Elevation (BFE) data abase Bond depth erkxed in B9. ❑ FLS Rolle ® FIN ❑ Camunay Debrrtied ❑ Oder(Oesc be):— B11. Indcaig the elevation d* m used for tie BFE in 139: ® NGVD 1929 ❑ NAVD 19M ❑ 01her(Desabe):— B121s the buidrg located ' na Coastal BaiderRssarcesSyslem (CBRS)amorOtomse Protected Ana (OPAP ❑Yes (ONO DesVAonDate- SEC" C • BUILDING ELEVATION INFORMATION (SURVEYREQURED) C1. DAft elevations are based on: ❑ Caiukutaion Drm*ge ❑ Bulang Urder Corwitt" ® Frished COWAdon -Anew 9evatlanC lewillbemWiredvrteneonsnictiondtobolftisearOM& CZBakingDiag mMsnba1(SelecttebL 9dagarnmostmftiDtehldrgfav khfteEylBk iDisbekgcanO*d- smpegas6ard7. Inodagam amrablyrepresadstehuidng govvJeadwIchor0micga*) C3. Elevations -Zones Al -A30, AE, AI{ A (YA BFE), VF- V1430, V o h BFE),AR, ARA N4V- AWA1•A30. ARAKARJAO Wroele Items C3aJ below aocadug b the txklduig dragon spaced n Ian C2 Stale helot n used.Itle dahm is dlaetiorn to dakm medlorl a BFE n SecYpnB . convert tie datunbUst Lead forte BFE Sl wfe ldmeamnetsanddaknamersurc*Li*m llsetrespacepovidedatreCamreASVead Section D or Section G. as appoprrK b domneitte daksn mNersion. Daum ConverslauCamenls_ Eimg(nre&,emff rkused_ Dcestiedwatonrdeacemakusedappear(intieFWW ❑Yes ®No • a) TopdboWnfw (dudngbamffataeidmmI 9.111 a • b) TopdnedMghetoor 21.1 N911 oc) Bolbmdhvesthaemtalshdmdmar6a (Vmeso* Na._t$rt) • d) Atlached 9aage (bpd slab) am _114g) • e )Iawesteimdtiondmadineyadaewprret _ sevicng tie buidrg Daniel C. Fortin, PSM o I)LmestaclaceNgadeMG) LS 2853 • g)lighestadaoaitgada(HAG) July 16, 2002 • h) No. dperma entopaugs (Rood vats) whin I& above ad)acertgade_ o ) Total amofalparowartopmkq (t)od vents) inC3h_scl. in. inan) This cedificalon is to be signed aid sealed by a lad amya, egineer, or architect authorized by law to cert(y etevgon irdormation. I certify Irat the infometon in Sedions A a and C on this certificate mpeserds my best ef/orts to interpret the data available. i understand that any false statement may be punishable by fine or impisonmeM under 18 U.S. Code Section 1001. CERTFERSNME DapdC rats PSM LC84SEMMER LS 2853 -- ADpB-K4 /180NE168Skeet CITY Noch MOM Beach STATE FL LPCJJDE 33102 820CUNTYM E BISTATE Auctl�a 6 t?f1876 kbriDede FtrHa BN.NWPAlDPNti BSSlFPOt B6.FRMINDEXMTE B7.FHMPANS- B8.ri00DZOK(37 89.ti,ASE1100DEl"ATt@!bj MR.flF1i 711795 I ElfEcirlmemEDDATE AE QaeAO,r BdAephdbodr� ''' 1202500084 J am ` B10. k dcale lie source of the Base Flood Elevation (BFE) data abase Bond depth erkxed in B9. ❑ FLS Rolle ® FIN ❑ Camunay Debrrtied ❑ Oder(Oesc be):— B11. Indcaig the elevation d* m used for tie BFE in 139: ® NGVD 1929 ❑ NAVD 19M ❑ 01her(Desabe):— B121s the buidrg located ' na Coastal BaiderRssarcesSyslem (CBRS)amorOtomse Protected Ana (OPAP ❑Yes (ONO DesVAonDate- SEC" C • BUILDING ELEVATION INFORMATION (SURVEYREQURED) C1. DAft elevations are based on: ❑ Caiukutaion Drm*ge ❑ Bulang Urder Corwitt" ® Frished COWAdon -Anew 9evatlanC lewillbemWiredvrteneonsnictiondtobolftisearOM& CZBakingDiag mMsnba1(SelecttebL 9dagarnmostmftiDtehldrgfav khfteEylBk iDisbekgcanO*d- smpegas6ard7. Inodagam amrablyrepresadstehuidng govvJeadwIchor0micga*) C3. Elevations -Zones Al -A30, AE, AI{ A (YA BFE), VF- V1430, V o h BFE),AR, ARA N4V- AWA1•A30. ARAKARJAO Wroele Items C3aJ below aocadug b the txklduig dragon spaced n Ian C2 Stale helot n used.Itle dahm is dlaetiorn to dakm medlorl a BFE n SecYpnB . convert tie datunbUst Lead forte BFE Sl wfe ldmeamnetsanddaknamersurc*Li*m llsetrespacepovidedatreCamreASVead Section D or Section G. as appoprrK b domneitte daksn mNersion. Daum ConverslauCamenls_ Eimg(nre&,emff rkused_ Dcestiedwatonrdeacemakusedappear(intieFWW ❑Yes ®No • a) TopdboWnfw (dudngbamffataeidmmI 9.111 a • b) TopdnedMghetoor 21.1 N911 oc) Bolbmdhvesthaemtalshdmdmar6a (Vmeso* Na._t$rt) • d) Atlached 9aage (bpd slab) am _114g) • e )Iawesteimdtiondmadineyadaewprret _ sevicng tie buidrg Daniel C. Fortin, PSM o I)LmestaclaceNgadeMG) LS 2853 • g)lighestadaoaitgada(HAG) July 16, 2002 • h) No. dperma entopaugs (Rood vats) whin I& above ad)acertgade_ o ) Total amofalparowartopmkq (t)od vents) inC3h_scl. in. inan) This cedificalon is to be signed aid sealed by a lad amya, egineer, or architect authorized by law to cert(y etevgon irdormation. I certify Irat the infometon in Sedions A a and C on this certificate mpeserds my best ef/orts to interpret the data available. i understand that any false statement may be punishable by fine or impisonmeM under 18 U.S. Code Section 1001. CERTFERSNME DapdC rats PSM LC84SEMMER LS 2853 -- ADpB-K4 /180NE168Skeet CITY Noch MOM Beach STATE FL LPCJJDE 33102 u'i ter:. .,ir sir: rr r'r: r n rr r. �� 9 ❑ CheckherefaWmeds SECTION E- IMILDNG ELEVATION PIFORM TION( SURVEY NOT REQUIRED )FORZONEAOANDZONEAMITNOUTBFE) For ZomAOaAZmeA NhaASFE),=rpl*WmE /haOE4.gOvSev Caffceeisirdwdedbruseasaaortingirwn *nkraLOM9crLOcif, Se*nCmdb9m7#ded E1. BuldrgQagamNrrrte_( Sekd4rebu�dngr i�rarnmalsidarb9iedrBdrgfavAuchldscalifica�isb�gmnpieled –seepages6and7. bradraganxmrafey re emb the b IAN, provide a sketch or ptwbc�aptr.) E2 The top dthebDbnloor (nrludrgbaaammtaendom)oftia ikgis — a(no— h4crn) ❑aboveor ❑bdmt(d)sdcme)iheI A9f• E3 For Dj*q MVm 6-Bwih qmv (we page Aft red howfloorordevaled floor(devallon b) offtbLadrg is — fl.(m)_n{mdahoveriehigtresla*mt 9aft E4. ForZmeAO odtr. Inroad depth nsnba is available, is lre by of lhebdbmfloor devaled in auadacewllh the odrmNlfs lbodplah rnaapne tadhanoe? []Yes ❑No ❑ lrkm. ThabdofiddmstcstlyftWwn aloninSeckna SECTION F - PROPERTY OWNER (ORONHdER'SREJT& NTATlVPCEitTF•1CATION The property moor amnefsatuizedre livewhomrgJelesSediosA •B,andEtarZoreA(wih utaFEM4bmWaaMmiurdyissuedBFE )orZmeAOmst so here. PROPERTY OWNERS OR OWNERSAuniORIZED REPRESENTATTYE•S NAAE I` ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TE -EMONE ❑ Che here I aitachrovis SECTION G • COl9111NRY NFORNATION(OPTIO M The bd dW wtios aAlar¢ed by lavora & am b addnsterthem wuWs loo#ah n arragar eriadnacecanmmgele Se*mA, B, C (a EA and G of ft Bevafcn CelTicde. Corrpktelhe Wlkablaa ilern(s)ardsW below . G1. ❑ The tdarnahm in So= C was takenfmmdhadoamedalmlM has bow sigredan dernboseedb yabmsedsurveyor,axjneer•aaddfe who isataizedby s2kabcattaxbcelfy&wAmMmnalm, MdcoelresasmanddAedlredLv datahlheC=m*areebebw) G2❑Amml * dW= wWSedmEfaabA *gbaledhZaneA(wilnaAaFEAk -im doroam rdytwWBFE)aZmeAO. G3.❑ThefoM, midomrdlm(ibmmG443%spmcbdfor mpj*tboVmmmwrraApspos G7. This pemik has been ssredfor ❑NcwCatMdon ❑SubsianlalIWMerned G8. Sevation of as-buill louvesl I= (MkKkg basemaiQ dNbull&9m: - -l(m) — G9. BFEa (in Zone AO) deodlooftat the bulftsileix —l(m) Oahm- LOCALCFFM!SNALE TITLE OOAMIB•rfT mqx TRE'+ME ❑ChedebereIMmh mts