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152 DEVON DRM a z a s P a n t a z e s DATE: 08/23/2018 PERMIT REVIEW CORRECTIONS REPORT CITY OF CLEARWATER, FLORIDA PERMIT NUMBER: BCP2015-05204D RESPONES AS FOLLOW: Elevation certificate revised to reflect three engineered flood ports with a total coverage of 600sf. ICC -ES Report attached Florida product approval sheets attached / 1REVI .,,} _L) LAN ... 11 RE_CE 4\rE "( ,,i 'x AUG PLANNING DEVEL UPMEN STV r F C:LEARVVA! EF` U.S. DEPARTMENT OF HOMELAND SECURITY • Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2018 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) buildin SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name BILL W. MAZAS Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 152 DEVON DRIVE Company NAIL Number: City State ZIP Code CLEARWATER FLORIDA 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 18, REPLAT OF BAYSIDE SUBDIVISION - PARCEL # 08-29-15-04914-000-0180 A4. Building Use (e.g., A5. Latitude/Longitude: A6. Attach at least A7. Building Diagram A8. For a building a) Square footage b) Number of c) Total net area d) Engineered A9. For a building with a) Square footage b) Number of c) Total net area d) Engineered Residential, Non -Residential, Addition, Accessory, etc.) Lat. 27.9741° N. Long. 82.8249° W. RESIDENTIAL Horizontal Datum: obtain flood insurance. 1.0 foot above adjacent above adjacent grade ❑ NAD 1927 grade x NAD 1983 N/A 2 photographs of the building if the Number 1A Certificate is being used to N/A sq ft with a crawlspace of crawlspace permanent flood of flood openings flood openings? an attached of attached permanent flood of flood openings flood openings? or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b N/A sq or enclosure(s) within in sq ft within 1.0 foot sq in 3 ❑ Yes x No garage: garage 453 openings in the attached garage in A9.b *SEE NOTES x Yes ❑ No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name & Community Number CITY OF CLEARWATER . 125096 B2. County Name PINELLAS COUNTY 63. State FLORIDA B4. Map/Panel Number 12103C0102 65. Suffix G 66. FIRM Index Date 8-18-2009 67. FIRM Panel Effective/ Revised Date 9-3-2003 B8. Flood Zone(s) AE 69. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 11.0' B10. Indicate the source ❑ FIS Profile B11. Indicate elevation B12. Is the building Designation Date: of the Base Flood Elevation (BFE) ❑ Community Determined for BFE in Item 69: Coastal Barrier Resources ❑ CBRS data ❑ NGVD System or base flood depth entered in Item 69: ❑ Other/Source: x FIRM datum used located in a N/A 1988 ❑ Other/Source: or Otherwise Protected 1929 x NAVD (CBRS) area ❑ OPA Area (OPA)? ❑ Yes x No FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 8 OMB No. 1660-0008 Expiration Date: November 30, 2018 --- - IMPORTANT: In these spaces, copy the correponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 152 DEVON DRIVE Policy Number: City State ZIP Code CLEARVVATER FLORIDA 33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: Construction Drawings* 0 Building Under Construction* 0 Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones A1—A5O.AE, AH, A(with 8FE).VE, V1—V3O.V(with 8FE).AR, 8R/A.AR/AE.AR6A1_83O.8R64M.AR/AO. Complete Items C2.a—h below according to the building dagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: LP 10 1 FLHD Vertical Datum: N.&V.D. 1988 Indicate elevation datum used for the e?evations in items a) through h) below. [] NGVD 1929 0 NAVD1908 0Dthar/Suunm: Datum used for buildirig elevations must be the same as that used for the BFE. Check the measurement used. Top bottom floor (including basement, crawlspace, or enclosure floor) 4.40 0 feet [] meters a) of Top the higher flN/A nor 0 feet [] meters b) of next Bottom the lowest hohN/Aznnta|otructuna|mem�er(VZoneaon|y) 0 feet El meters c) nf d) Attached4.26 .28 0 feet [] meters Lowest machinery or equipment servicing the building 4.39 0 feet 0 meters e) elevation of (Describe type of equipment and Iocation in Comments) 3.8 .D 0 feet [] meters f) Lowest adj Highest adjacent (finished) grade next 4.0 .O 0 feet [] meters g) h) Lowest adjacent atlowest elevation ofdeck orutaisN/A.in�|uding 0 feet 0 meters grade structural support SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevationinfomnoUon. / certil' that the information on this Certificate represents my best efforts to interpret the data avallable, / understand that any faise .statement may be punishab/e by fino or imprisonment under 18 U,S. Code, Section 1001. Were latitude and Iongitude in Section A provided by a licensed land surveyor? EiYen []No ID Check here if attachments. ^ Co�o�License manoaMumber � GEORGE A.GH/MPIII 6137 - Title Job Number��` VICE PRESIDENT 080117'D Company Name GEORGE A SHIMP 11 & ASSOCIATES INC Address' 3301 DeSOTO BOULEVARD SUITE D City State ZIP Code PALM HARBOR FLORIDA 34683 (Notvalid A surveyor's`o��raised seal) S' ture Date Telephone 6-15'2018 727'784-5496 Copy all pages ofthis Boation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) SEE ATTACHMENT PAGES 7 AND 8 FOR SURVEYOR'S NOTES AND COMMENTS. THIS DOCUMENT IS NOT VALID UNLESS SIGNED AND EMBOSSED WITH THE SURVEYOR'S ORIGINAL RAISED SEAL AND MUST CONTAIN ALL 8 PAGES. FEMA Form 086-0-3 (7/15) Replaces all previous editions. ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 152 DEVON DRIVE Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ metersabove LOMA or LOMR-F request, used. In Puerto Rico only, the elevation is above or below or ❑ ❑below the HAG. ❑ above or ❑ below the LAG. 9 (see pages 1-2 of Instructions), ❑ above or ❑ below the HAG. above or ❑below the HAG. above or below the HAG. with the community's this information in Section G. • b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters E3. Attached garage (top of slab) isfeet ❑ meters E4. Top of platform of machinery and/or equipment servicingthe buildingis ❑feet meters E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 8 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from SecUon A. FOR INSURANCE COMPANY LJSE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 152 DEVON DRIVE Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION 0— COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A.B.0(or E).and Gufthis Elevation Certifioa0a.Complete the applicable ihem(s) and sign below. Check the measurement used in Items GB—Gb. in Puerto Rico only, enter meters. surveyor, G1. [ The information in Section C was taken from other documentationthathao been signed adsoo|edhyo|iuenoedoumeyo, engineer, or architect who is authorized by Iaw to certify elevation information. (Indicate the source and date of the elevation data iri the Comments area below.) G2. [] A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone A0. G3. 0 The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit lssued 06. Date Certificate of Compliance/Occupancy Issued GT. This permit has been issued for: G8. Elevation of as-buHt lowest floor (including ofthebui|�ing� G9. BFE or (in Zone A0) depth of flooding at G10. Community's design flood elevation: New Construction D Substantial Lmprovement basement) 0feet feet 0feet 0 meters Datum the buliding site: D meters Datum 0mete'o Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) 152 DEVON ���� DR BCP201505204D RTC ELEVATION CERT BILL MAZAS Zoning: Low Medium Density Atlas #: �276# 0 Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions, Form Page 4 of 8 BUILDING PHOTOGRAPHS . ELEVATION CERTIFICATE See Instructions for Item A6. OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 152 DEVON DRIVE Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo One Photo One Caption FRONT VIEW 6-15-2018 Photo Two Photo Two Caption REAR VIEW 6-15-2018 FEMA Form 086-0-33 (7/15) Replaces at previous editions. Form Page 5 of 8 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 152 DEVON DRIVE Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Photo One Photo One Photo Three Caption N/A N/A Photo Two Photo Two Photo Four Caption N/A N/A FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 8 ELEVATION CERTIFICATE Surveyor's Notes Attachment Page 7 OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 152 DEVON DRIVE Policy Number: City State CLEARWATER FLORIDA ZIP Code 33767 Company NAIC Number SECTION D — SURVEYOR'S CERTIFICATION (CONTINUED FROM PAGE 2) Al.) THIS ELEVATION CERTIFICATE WAS EXCLUSIVELY PREPARED FOR AND CERTIFIED TO THE PARTY SPECIFIED IN SECTION A, ITEM 1, FOR THE SPECIFIC PURPOSE OF OBTAINING FLOOD INSURANCE AND/OR VERIFYING FLOOD ZONE COMPLIANCE WITH THE LOCAL GOVERNING AUTHORITY. USE OF THIS DOCUMENT BY ANY OTHER PARTY OR FOR ANY OTHER PURPOSES IS STRICTLY PROHIBITED AND SHALL RENDER THIS DOCUMENT INVALID FOR THOSE PURPOSES. THIS DOCUMENT SHALL NOT BE VALID OR BINDING AGAINST THE SIGNING SURVEYOR UNLESS IT IS SIGNED AND EMBOSSED WITH THE ORIGINAL RAISED SEAL OF THE FLORIDA LICENSED SURVEYOR AND MAPPER. UNAUTHORIZED COPIES IN ANY FORM OR BY ANY MEANS, INCLUDING PHOTOCOPYING OR OTHER ELECTRONIC OR MECHANICAL METHODS, ARE STRICTLY PROHIBITED, SHALL NOT BE CONSIDERED AS SIGNED AND SEALED AND SHALL NOT BE VALID. REQUESTS FOR ANY ADDITIONAL OFFICIAL SIGNED AND SEALED COPIES MUST BE DIRECTED TO GEORGE A SHIMP II & ASSOCIATES, INC. A4.) THE BUILDING USE WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. A5.) THE LATITUDE AND LONGITUDE COORDINATES WERE OBTAINED USING A HAND HELD G.P.S. UNIT WHICH MEETS OR EXCEEDS FEMA'S REQUIRED ACCURACY OF 66 FEET. A7.) THE BUILDING DIAGRAM NUMBER WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. CERTAIN STRUCTURAL FEATURES NOT VISIBLE TO THE SURVEYOR (PILINGS, GRADE BEAMS, ETC.) OR USE OF ANY AREAS BELOW THE BASE FLOOD ELEVATION THAT DOES NOT COMPLY WITH FEMA REGULATIONS CAN AFFECT THIS DETERMINATION. A8.) FOR THE PURPOSE OF THIS DOCUMENT, A BUILDING ENCLOSURE IS DEFINED AS THAT PORTION OF AN ELEVATED BUILDING, BELOW THE LOWEST ELEVATED FLOOR, THAT IS EITHER PARTIALLY OR FULLY SHUT IN BY RIGID WALLS. A GARAGE BELOW OR ATTACHED TO AN ELEVATED BUILDING IS CONSIDERED AN ENCLOSURE. SUCH AREAS SHALL NOT CONTAIN MORE THAN 20 LINEAR FEET OF FINISHED INTERIOR WALLS (PANELING, ETC.) OR IT WILL BE CONSIDERED A FINISHED (HABITABLE) AREA. A8. & A9.) FOR THE PURPOSE OF THIS DOCUMENT, A FLOOD OPENING IS DEFINED AS A PERMANENT OPENING IN AN EXTERIOR WALL THAT IS NO HIGHER THAN 1.0 FOOT ABOVE THE HIGHER OF THE EXTERIOR OR INTERIOR GRADE OR FLOOR IMMEDIATELY BELOW THE OPENING. IN REGARD TO ENGINEERED FLOOD OPENING(S), IF APPLICABLE, THE SURVEYOR DOES NOT KEEP COPIES OF EITHER THE INDIVIDUAL ENGINEERED FLOOD OPENINGS CERTIFICATION OR THE EVALUATION REPORT ISSUED BY THE INTERNATIONAL CODE COUNCIL EVALUATION SERVICE (ICC ES) ON FILE. CURRENT COPIES OF THESE DOCUMENTS SHOULD BE AVAILABLE FROM THE MANUFACTURER OF THE ENGINEERED FLOOD OPENING(S). B8.) UNLESS OTHERWISE NOTED IN SECTION B, ITEM 10, THE FLOOD ZONE WAS DETERMINED BASED ON THE FLOOD INSURANCE RATE MAP. IN CERTAIN CASES WHERE AN ACCURATE DETERMINATION COULD NOT BE MADE FROM THE MAP, FEMA'S INTERACTIVE MAP OR THE COUNTY'S G.I.S. OVERLAY MAY HAVE BEEN UTILIZED TO DETERMINE THE FLOOD ZONE. NO SEARCH OF THE PUBLIC RECORDS WAS PERFORMED FOR LOMA'S, LOMR'S, ETC. WHICH MAY AFFECT THE SITE. B9.) IF APPLICABLE, WHEN THE BASE FLOOD ELEVATION IS SHOWN AS A WHOLE NUMBER ON THE FIRM, IT HAS BEEN CONVERTED TO A DECIMAL AND ENTERED TO THE NEAREST TENTH OF A FOOT AS REQUIRED BY FEMA. IF APPLICABLE, THE STRUCTURE CONTAINS: ❑ CRAWLSPACE 0 ENCLOSURE 0 ATTACHED GARAGE 0 N/A IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS: N/A IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK -AWAY WALLS? 0 YES 0 NO p N/A IF APPLICABLE, THIS ELEVATION CERTIFICATE WAS PREPARED USING THE "HISTORIC" FLOOD MAP DATA AND DATUM (N.G.V.D. 1929) FOR POSSIBLE "GRANDFATHERING" PURPOSES: 0 YES I] NO Attachment Page 7 of 8 Surveyor's Notes Attachment Page 8 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 152 DEVON DRIVE Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION D — SURVEYOR'S CERTIFICATION (CONTINUED FROM PAGE 7) IN REGARD TO ENGINEERED FLOOD OPENINGS, AS REFERENCED IN SECTIONS A8 AND A9 IF APPLICABLE, THE STRUCTURE'S: CRAWLSPACE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FEET PER OPENING (MANUFACTURER: N/A — MODEL: N/A ) FOR A TOTAL OF N/A SQ. FEET OF COVERAGE AND N/A NON -ENGINEERED FLOOD OPENING(S) WITH A NET AREA OF N/A SQ. INCHES, PROVIDING COVERAGE FOR A TOTAL OF N/A SQ. FEET. ENGINEERED FLOOD OPENING(S) ARE: ❑INSTALLED ❑UNDER CONSTRUCTION 0 PER PLAN p N/A NOTES: N/A ❑ ENCLOSURE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FEET PER OPENING (MANUFACTURER: N/A -- MODEL: N/A ) FOR A TOTAL OF N/A SQ. FEET OF COVERAGE AND N/A NON -ENGINEERED FLOOD OPENING(S) WITH A NET AREA OF N/A SQ. INCHES, PROVIDING COVERAGE FOR A TOTAL OF N/A SQ. FEET. ENGINEERED FLOOD OPENING(S) ARE: 0 INSTALLED 0 UNDER CONSTRUCTION OPER PLAN 0 NIA NOTES: N/A Q ATTACHED GARAGE CONTAINS 3 ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER 200 SQ. FEET PER OPENING (MANUFACTURER: SMART VENT — MODEL: 1540-520 ) FOR A TOTAL OF 600 SQ. FEET OF COVERAGE AND 0 NON -ENGINEERED FLOOD OPENING(S) WITH A NET AREA OF 0 SQ. INCHES, PROVIDING COVERAGE FOR A TOTAL OF 600 SQ. FEET. ENGINEERED FLOOD OPENING(S) ARE: I:INSTALLED OUNDER CONSTRUCTION O PER PLAN 0 N/A NOTES: ENGINEERED FLOOD OPENING(S) ARE 8" x 16" AND CONTAIN A TOTAL PHYSICAL NET AREA OF 384 SQ. INCHES C2.e) AIR CONDITIONER LOCATED ON A CONCRETE PAD ON THE SIDE OF THE HOUSE. NOTE: REVISED ON 8-22-2018 TO SHOW ENGINEERED FLOOD OPENING DATA (JOB NUMBER 080117E). Attachment Page 8 of 8 ES ICC EVALUATION SERVICE r.. Innovation RESEARCH LABS Most Widely Accepted and Trusted ICC -ES Evaluation Report ESR -2074 ICC -ES 1 (800) 423-6587 1 (562) 699-0543 1 www.icc-es.org Reissued 02/2017 This report is subject to renewal 02/2019. DIVISION: 08 00 00—OPENINGS SECTION: 08 95 43—VENTS/FOUNDATION FLOOD VENTS REPORT HOLDER: V erY r , SMARTVENT PRODUCTS, INC..14/ 20/8 430 ANDBRO DRIVE, UNI'TP1aAjtvlir` PITMAN, NEW JERSEY 08071.'; r,, f, nt EVALUATION SUBJECT: SMART VENT® AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-520; #1540-521; #1540-510; #1540-511; #1540-570; #1540-574; #1540-524; #1540-514 ICC ICCICC L.LEM L_ES-Th PMG c LISTED Look for the trusted marks of Conformity! "2014 Recipient of Prestigious Western States Seismic Policy Council (WSSPC) Award in Excellence" 152 DEVON DR BCP2015-05204D RTC ELEVATION CERT OFF BILL MAZAS Zoning: Low Medium Density Atlas #: 276A INTERNATIONAL Subsidiary of ACOUE ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as to any finding or other matter in this report, or as to any product covered by the report. Copyright ® 2017 ICC Evaluation Service, LLC. All rights reserved. LSC -IEC 17.65 Product COrtilicntv>n Bcniy 01000 ES ICC EVALUATION SERVICE Most Widely Accepted and Trusted ICC -ES Evaluation Report ESR -2074 Reissued February 2017 Revised November 2017 This report is subject to renewal February 2019. www.icc-es.orq (800) 423-6587 1 (562) 699-0543 A Subsidiary of the lntemational Code Council® DIVISION: 08 00 00—OPENINGS Section: 08 95 43—Vents/Foundation Flood Vents REPORT HOLDER: SMARTVENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 (877) 441-8368 www.smartvent.com i nfoasmartvent.com EVALUATION SUBJECT: SMART VENT® AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-520; #1540-521; #1540-510; #1540-511; #1540-570; #1540-574; #1540-524; #1540-514 1.0 EVALUATION SCOPE Compliance with the following codes: • 2015, 2012, 2009 and 2006 International Building Code® (IBC) • 2015, 2012, 2009 and 2006 International Residential Code® (IRC) • 2013 Abu Dhabi International Building Code (ADIBC)t tThe ADIBC is based on the 2009 IBC. 2009 IBC code sections referenced in this report are the same sections in the ADIBC. Properties evaluated: • Physical operation • Water flow 2.0 USES The Smart Vent® units are engineered mechanically operated flood vents (FVs) employed to equalize hydrostatic pressure on walls of enclosures subject to rising or falling flood waters. Certain models also allow natural ventilation. 3.0 DESCRIPTION 3.1 General: When subjected to rising water, the Smart Vent® FVs internal floats are activated, then pivot open to allow flow in either direction to equalize water level and hydrostatic pressure from one side of the foundation to the other. The FV pivoting door is normally held in the closed position by a buoyant release device. When subjected to rising water, the buoyant release device causes the unit to unlatch, allowing the door to rotate out of the way and allow flow. The water level stabilizes, equalizing the lateral forces. Each unit is fabricated from stainless steel. Smart Vent® Automatic Foundation Flood Vents are available in various models and sizes as described in Table 1. The SmartVENT® Stacking Model #1540-511 and FloodVENT® Stacking Model #1540-521 units each contain two vertically arranged openings per unit. 3.2 Engineered Opening: The FVs comply with the design principle noted in Section 2.7.2.2 and Section 2.7.3 of ASCE/SEI 24-14 [Section 2.6.2.2 of ASCE/SEI 24-05 (2012, 2009, 2006 IBC and IRC)] for a maximum rate of rise and fall of 5.0 feet per hour (0.423 mm/s). In order to comply with the engineered opening requirement of ASCE/SEI 24, Smart Vent FVs must be installed in accordance with Section 4.0. 3.3 Ventilation: The SmartVENT® Model #1540-510 and SmartVENT® Overhead Door Model #1540-514 both have screen covers with 1/4 -inch -by -1/4 -inch (6.35 by 6.35 mm) openings, yielding 51 square inches (32 903 mm2) of net free area to supply natural ventilation. The SmartVENT® Stacking Model #1540-511 consists of two Model #1540-510 units in one assembly, and provides 102 square inches (65 806 mm2) of net free area to supply natural ventilation. Other FVs recognized in this report do not offer natural ventilation. 4.0 DESIGN AND INSTALLATION SmartVENT® and FloodVENT® are designed to be installed into walls or overhead doors of existing or new construction from the exterior side. Installation of the vents must be in accordance with the manufacturer's instructions, the applicable code and this report. Installation clips allow mounting in masonry and concrete walls of any thickness. In order to comply with the engineered opening design principle noted in Section 2.7.2.2 and 2.7.3 of ASCE/SEI 24-14 [Section 2.6.2.2 of ASCE/SEI 24-05 (2012, 2009, 2006 IBC and IRC)], the Smart Vent®F11s-must be -installed as -follows: • With a minimum of two openings on different sides of each enclosed area. • With a minimum of one FV for every 200 square feet (18.6 m2) of enclosed area, except that the SmartVENT® Stacking Model #1540-511 and FloodVENT® Stacking Model #1540-521 must be ICC -ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as to any finding or other matter in this report, or as to any product covered by the report. Copyright © 2017 ICC Evaluation Service, LLC. All rights reserved. Page 1 of 5 ESR -2074 I Most Widely Accepted and Trusted installed with a minimum of one FV for every 400 square feet (37.2 m2) of enclosed area. • Below the base flood elevation. • With the bottom of the FV located a maximum of 12 inches (305.4 mm) above the higher of the final grade or floor and finished exterior grade immediately under each opening. 5.0 CONDITIONS OF USE The Smart Vent® FVs described in this report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: 5.1 The Smart Vent® FVs must be installed in accordance with this report, the applicable code and the manufacturer's installation instructions. In the event of a conflict, the instructions in this report govem. Page 2 of 5 5.2 The Smart Vent® FVs must not be used in the place of "breakaway walls" in coastal high hazard areas, but are permitted for use in conjunction with breakaway walls in other areas. 6.0 EVIDENCE SUBMITTED Data in accordance with the ICC -ES Acceptance Criteria for Mechanically Operated Flood Vents (AC364), dated August 2015. 7.0 IDENTIFICATION The Smart VENT® models recognized in this report must be identified by a label bearing the manufacturer's name (Smartvent Products, Inc.), the model number, and the evaluation report number (ESR -2074). TABLE 1—MODEL SIZES MODEL NAME MODEL NUMBER MODEL SIZE (in.) COVERAGE (sq. ft.) FloodVENT® 1540-520 153/4" X 73/4" 200 SmartVENT® 1540-510 153/4" X 73/4" 200 FloodVENT® Overhead Door 1540-524 153/4" X 73/4" 200 SmartVENT® Overhead Door 1540-514 153/4" X 73/4" 200 Wood Wall FloodVENT® 1540-570 14" X 83/4" 200 Wood Wall FloodVENT® Overhead Door 1540-574 14" X 83/4" 200 SmartVENT® Stacker 1540-511 16" X 16" 400 FloodVent® Stacker 1540-521 16" X 16" 400 or SI: 1 inch = 25.4 mm; 1 square foot = m ESR -2074 1 Most Widely Accepted and Trusted FIGURE 1—SMART VENT: MODEL 1540-510 FIGURE 2—SMART VENT MODEL 1540-520 FIGURE 3—SMART VENT: SHOWN WITH FLOOD DOOR PIVOTED OPEN Page 3 of 5 ES Icc EVALUATION SERVICE Most Widely Accepted and Trusted ICC -ES Evaluation Report ESR -2074 CBC and CRC Supplement Issued February 2017 Revised November 2017 This report is subject to renewal February 2019. www.icc-es.orq 1 (800) 423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council e DIVISION: 08 00 00—OPENINGS Section: 08 95 43—Vents/Foundation Flood Vents REPORT HOLDER: SMARTVENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 (877) 441-8368 www.smartvent.com i n fo (ads m a rtv e n t. co m ES ICC EVALUATION SERVICE Most Widely Accepted and Trusted ICC -ES Evaluation Report ESR -2074 CBC and CRC Supplement Issued February 2017 Revised November 2017 This report is subject to renewal February 2019. www.icc-es.orq 1 (800) 423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council® DIVISION: 08 00 00—OPENINGS Section: 08 95 43—Vents/Foundation Flood Vents REPORT HOLDER: SMARTVENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 (877) 441-8368 www.smartvent.com infoAsmartvent.com EVALUATION SUBJECT: SMART VENT® AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540520; #1540521; #1540510; #1540-511; #1540.570; #1540-574; #1540-524; #1540-514 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that Smart Vent® Automatic Foundation Flood Vents, recognized in ICC -ES master evaluation report ESR -2074, have also been evaluated for compliance with codes noted below. Applicable code edition: • 2016 Califomia Building Code (CBC) 2016 Califomia Residential Code (CRC) 2.0 CONCLUSIONS 2.1 CBC: The Smart Vent® Automatic Foundation Flood Vents, described in Sections 2.0 through 7.0 of the master evaluation report ESR -2074, comply with 2016 CBC Chapter 12, provided the design and installation are in accordance with the 2015 International Building Code® (IBC) provisions noted in the master report and the additional requirements of CBC Chapters 12, 16 and 16A, as applicable. The products recognized in this supplement have not been evaluated under CBC Chapter 7A for use in the exterior design and construction of new buildings located in any Fire Hazard Severity Zone within State Responsibility Areas or any Wildland-Urban Interface Fire Area. 2.2 CRC: The Smart Vent® Automatic Foundation Flood Vents, described in Sections 2.0 through 7.0 of the master evaluation report ESR 2074 complywith the 2016 CRC, provided the design a nd installation are in accordance with the 2015 International Residential Code (IRC) provisions noted in the master report. The products recognized in this supplement have not been evaluated under 2016 CRC Chapter R337, for use in the exterior design and construction of new buildings located in any Fire Hazard Severity Zone within State Responsibility Areas or any Wildland-Urban Interface Fire Area. The products recognized in this supplement have not been evaluated for compliance with the International Wildland–Urban Interface Code®. This supplement expires concurrently with the master report, reissued February 2017 and revised November 2017. ICC -ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed 111 ca720 as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as to any finding or other matter in this report, or as to any product covered by the report.-=cu-¢grm uEaN Copyright © 2017 ICC Evaluation Service, LLC. All rights reserved. Page 4 of 5 ICC EVALUATION SERVICE 1."7."Ilitfl Most Widely Accepted and Trusted ICC -ES Evaluation Report ESR -2074 FBC Supplement Reissued February 2017 Revised November 2017 This report is subject to renewal February 2019. www.icc-es.orq 1 (800) 423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council® DIVISION: 08 00 00—OPENINGS Section: 08 95 43—Vents/Foundation Flood Vents REPORT HOLDER: SMARTVENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 (877) 441-8368 www.smartvent.com infosmartvent.com EVALUATION SUBJECT: SMART VENT® AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-520; #1540-521; #1540-510; #1540-511; #1540-570; #1540-574; #1540-524; #1540-514 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that Smart Vent® Automatic Foundation Flood Vents, recognized in ICC -ES master report ESR -2074, have also been evaluated for compliance with the codes noted below. Applicable code editions: N 2017 Florida Building Code—Building • 2017 Florida Building Code—Residential 2.0 CONCLUSIONS The Smart Vent® Automatic Foundation Flood Vents, described in Sections 2.0 through 7.0 of the master evaluation report ESR -2074, comply with the Florida Building Code—Building and the FRC, provided the design and installation are in accordance with the 2015 international Building Code® provisions noted in the master report. Use of the Smart Vent® Automatic Foundation Flood Vents has also been found to be in compliance with the High -Velocity Hurricane Zone provisions of the Florida Building Code—Building and the Florida Building Code—Residential . For products falling under Florida Rule 9N-3, verification that the report holder's quality assurance program is audited by a quality assurance entity approved by the Florida Building Commission for the type of inspections being conducted is the responsibility of an approved validation entity (or the code official when the report holder does not possess an approval by the Commission). This supplement expires concurrently with the master report, reissued February 2017 and revised November 2017. ICC -ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as to any finding or other matter in this report, or as to any product covered by the report. Copyright CO 2017 ICC Evaluation Service, LLC. All rights reserved. Page 5 of 5 A CSPAATMCNT lfc r BCIS Home Log In ! User Registration Hot Topics Submit Surcharge Slats & Facts Publications I Contact Us I BCIS Site Map Links Search Product Approval USER: Public User Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL5822-R6 Application Type Revision Code Version 2017 Application Status Approved Comments Archived Product Manufacturer Smart Vent Products, Inc. Address/Phone/Email 430 Andbro Dr Unit 1 Pitman, Ni 08071 (877) 441-8368 info@smartvent.com Authorized Signature Michael Graham info@smartvent.com Technical Representative Michael Graham Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method 430 Andbro Dr Unit 1 Pitman, NJ 08071 (877) 441-8368 info@smartvent.com Structural Components Products Introduced as a Result of New Technology Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed the Hermes F. Norero P.E. Evaluation Report Florida License PE -73778 Quality Assurance Entity Architectural Testing, Inc., an Intertek Company Quality Assurance Contract Expiration Date 12/31/2020 Validated By Locke Bowden P.E. Validation Checklist - Hardcopy Received Certificate of Independence FL5822 R6 COI Smart Vent COI SS 2017-08-18 .pdf Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code 1612.5(1)(1.2) 1708.2 Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Date Revised Summary of Products Method 2 Option B 06/20/2018 06/20/2018 06/28/2018 08/15/2018 08/17/2018 FL # Model, Number or Name 5822.1 SmartVent Model #1540-510 Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 200 sq. ft. of interior space (minimum 2). 5822.2 SmartVent Model #1540-511 Limits of Use Approved for use In HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 400 sq. ft. of interior space (minimum 2). 5822.3 SmartVent Model #1540-520 Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 200 sq. ft. of interior space (minimum 2). 822.4 SmartVent Model #1540-521 Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 400 sq. ft. of interior space (minimum 2). 5822.5 SmartVent Model #1540-524 Limits of Use Approved for use In HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +55/-65 Other: One vent may be used for up to 200 sq. ft. of interior space (minimum 2). 5822.6 SmartVent Model #1540-570 Limits M -Use_ Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Description Dual Function Flood and Ventilation Vent Installation Instructions FL5822 R6 II 1540-510 SS 2017-08-23.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R6 AE PER5022 SS 2018-06-20.pff FL5822 R6 AE SmartVent - Impact Requirements SS 2017- 08-23.p_df Created by Independent Third Party: Yes Dual Function Flood and Ventilation Vent Installation Instructions FL5822 R6 II 1540-511 55 2017-02-28.01 Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R6 AE PER5022 SS 2018-06-20.0f FL5822 R6 AE SmartVent - Impact Rgquirements SS 2017- 08-23.01 Created by Independent Third Party: Yes Insulated Flood Vent Installation Instructions FL5822 R6 II 1540-520 S5 2017 -Q8 -23.0f Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R6 AE PER5022 SS 2018-06-20.pdf FL5822 R6 AE SmartVent - Impact Requirements SS 2017- 08-23.R9_f Created by Independent Third Party: Yes Insulated Flood Vent Installation Instructions FL5822 R6 II 1540-521 SS 2017-02-28.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R6 AE PER5022 SS 2018-06-20.0f FL5822 R6 AE SmartVent - Impact Requirements SS 2017- 08-23•ppf Created by Independent Third Party: Yes 16" Garage Door Flood Vent Installation Instructions FL5822 R6 ir I540-524 S5 2018 -06 -20.01 - Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R6 AE PER5792 55 2018-06-20.pdf FL5822 R6 AE SmartVent - Impact Requirements SS 2017- 08-23.rf Created by Independent Third Party: Yes Wood Wall Insulated Flood Vent InstallationInstructions FL5822 R6 II 1540-570 SS 2017-02-28.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R6 AE PER5022 SS 2018-06-20.0f Other: One vent may be used for up to 200 sq. ft. of interior space (minimum 2). 5822.7 SmartVent Model #1540-574 Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 200 sq. ft. of interior space (minimum 2). FL5822 R6 AE SmartVent - Impact Requirements SS 2017- 08-23.p�Jf Created by Independent Third Party: Yes 14.5" Garage Door Flood Vent Installation Instructions FL5822 R6 II 1540-574 SS 2018-06-20.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R6 AE PER5792 SS 2018-06-20.mdf FL5822 R6 AE SmartVent - Impact Requirements SS 2017- 08-23.pdf Created by Independent Third Party: Yes Contact Us :: 2601 Blair Stone Road Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mall to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. "Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, RS., please click here . Product Approval Accepts: ME ®ick® Credit Card Safe sccuritVMieFRic1 VENT DOOR 8 1/4" R/O HURRIBOND GRIP & SEAL ADHESIVE LOCATION (FLANGE) 111 VENT FRAME FIGURE 2 SIDE VIEW DETAIL DIAGRAM MODEL 1540-520 FLOOD VENT INSULATED Digitally signed by Hermes F. Norero, P.E. Reason: I am approving this document Date: 2017.08.23 19:01:08 -04'00' CLIP SLOTS USE TWO TOP AND TWO BOTTOM 16 1/4" R/0 FLOAT SLOTS SLIPS INSTALLED: TWO ON TOP TWO ON BOTTOM FIGURE 1 FRONT VIEW • ZONAL d • a • a FIGURE 3 SIDE VIEW 12" MAX FROM FINAL GRADE SMART VENT® 877-441-8368 WWW.SMARTVENT.COM SMART VENT FOUNDATION FLOOD VENTS 430PITMANR NJD08071 1 FLOOD VENT INSULATED MODEL 1540-520 TIE INFORMATION CONTADIED IN THIS DRAWING IS THE SOLE PROPERTY OF SMART VENT INC. ANY REPRODUCTION OR USE OF THIS INFORMATION WITHOUT THE WRITTEN PERMISSIDN OF SMARTVENT INC IS PROMBITED. SFLE A DWG NO. 1540-520 REV B DATE. 8-21-18 SHEET 1 OF 2 Airtv Srnart VENT 877- 441— 8368 www.smartvent.com INSTALLATION INSTRUCTIONS INSTALLATION INSTRUCTIONS & DETAILS MODEL 1540-520 FLOODVENT INSULATED a .-n-u 1. REMOVE VENT DOOR FROM VENT FRAME. (TURN UPSIDE DOWN, ROTATE BOTTOM OF DOOR OUTWARD AND SLIDE OUT) 2. PREPARE A CLEAN 16.25" WIDE BY 8.25" HIGH ROUGH OPENING (APPROX. 1 BLOCK WIDE X 1 BLOCK HIGH) FOR EACH VENT. ENSURE THE BOTTOM OF THE ROUGH OPENING IS NO MORE THAN 12" ABOVE THE FINISHED GRADE. 3. APPLY A BEAD OF HURRIBOND ':GRIP & SEAL OR EQUIVALENT ADHESIVE AROUND THE BACK OF THE FLANGE ON THE VENT FRAME. (FIG. 2) 4. INSERT INSTALLATION CLIPS INTO THE TWO SLOTS ON THE TOP AND TWO SLOTS ON THE BOTTOM OF THE FRAME. 5. THE SPRING ARM OF THE CUPS SHOULD BE ON THE OUTSIDE OF THE VENT FRAME. COMPRESS THE BOTTOM TWO CUPS AND BEGIN SLIPPING THE FRAME INTO THE OPENING. ENSURE THAT THE BOTTOM CUPS ARE IN THE OPENING BEFORE ALLOW THEM TO DECOMPRESS. 6. WITH THE FRAME NOW IN THE OPENING, AND THE BOTTOM SPRINGS IN PLACE. COMPRESS THE TOP SPRINGS AND PUSH THE VENT FRAME INTO THE OPENING COMPLETELY UNTIL THE FRAME IS FLUSH WITH THE WALL 7. RE -CHECK THAT FRAME IS SQUARE AND SLOTS ARE CLEAR OF DEBRIS, AND CAULK. 8. INSTALL THE DOOR INTO FRAME BY GRASPING THE BOTTOM OF DOOR (WITH FLOAT PINS DOWN) AND FRONT (SMALL SCREEN IN FRONT). SUDE DOOR INTO FRAME AND ROTATE UNTIL IT IS LATCHED. 9. TO OPEN THE DOOR INSERT TWO CREDIT CARDS INTO THE FLOAT SLOTS AS SHOWN IN THE DIAGRAM. THIS WILL UNLATCH THE DOOR FOR REMOVAL AND CLEANING. DET4JL SPECIFICATIONS: MATERIAL STAINLESS STEEL OPERATION: AUTOMATIC NON -POWERED ACTIVATION AND OPERATION INSTALLATION: SECURED W/ 4 STAINLESS STEEL INSTALLATION CUPS INCLUDED AND AN ADHESIVE HYDROSTATIC REUEF: 200 SQ. FT PER VENT REQUIREMENTS: MINIMUM OF 2 VENTS PER ENCLOSED AREA MOUNTED ON AT LEAST TWO DIFFERENT WALLS COLORS: STAINLESS (STANDARD) EXTERIOR POWDER COATED WHITE, WHEAT, GRAY, AND BLACK (AVAILABLE) MEETS THE REQUIREMENTS FOR ENGINEERED OPENINGS AS SET FORTH BY: FEMA, NFIP, ICC, & ASCE SUPPORTIVE DOCUMENTS, TB 1-08, 44CFR 60.3(C)(5), ASCE 24-14 ICC EVALUATION # ESR -2074 SHEET 2 OF 2 BUILDING DROPS A Perfect Solution in Every Drop! Certificate of Authorization: 29578 398 E. Dania Beach Blvd. Suite 338 Dania Beach, FL 33004 954.399.8478 PH 954.744.4738 FX contact@buildingdrops.com • Product Evaluation Report of Smart Vent Products, Inc. Insulated Flood Vent Model 41540-520 Insulated Stacked Flood Vent Model 41540-521 Dual Function Smart Vent Model 41540-510 Dual Function Stacked Smart Vent Model 41540-511 Insulated Wood Wall Flood Vent Model 41540-570 for Florida Product Approval F1 # F15822 Report No, 5022 Current Florida Building Code Method: Category: Sub — Category: Other Sub -Category: Product: Material: Product Dimensions: 2 — B (Engineering Evaluation) Structural Components Products Introduced as a Result of New Technology Ventilation Automatic Foundation Flood Vents (AFFV) Stainless Steel See Installation Instructions Prepared For: Smart Vent Products, Inc. 430 Andbro Drive, Unit 1 Pitman; 4J-08071 Prepared by: Hermes Norero, P.E. Florida Professional Engineer it 73778 Date: 06/15/2018 Contents: Evaluation_ Report Pages 1— 3 Digitally signed by Hermes F. Norero, P.E. Reason: I am approving this document Date: 2018.06.20 07:22:36 -04'00' 111 I till/ • OF HerrS(d1 NoR0d; 1.E. Florida No. 73778 BUILDING DROPS A Perfect Solution in Every Drop! Certificate of Authorization: 29578 FL#: FL5822 Date: 06/15/2018 Report No: 5022 Manufacturer: Product Category: Product Sub -Category: Other Sub -Category: Compliance Method: Product Name: Scope: Limits of Use: Smart Vent Products, Inc. Structural Components Other Ventilation State Product Approval Method (2)(b) Insulated Flood Vent Model #1540-520 Insulated Stacked Flood Vent Model #1540-521 Dual Function Smart Vent Model #1540-510 Dual Function Stacked Smart Vent Model #1540-511 Insulated Wood Wall Flood Vent Model #1540-570 This is a Product Evaluation Report issued by Hermes Norero, P.E. (FL # 73778) for Smart Vent Products, Inc. based on Rule Method 2b of the State of Florida Product Approval, Florida Department of Business and Professional Regulation - Florida Building Commission. Hermes Norero, P.E. does not have nor will acquire financial interest in the company manufacturing or distributing the product or in any other entity involved in the approval process of the product named herein. This product has been evaluated for use in locations adhering to the Current Florida Building Code. See Installation Instructions provided by Smart Vent Products, Inc., verified by Hermes Norero, P.E. (FL # 73778) for specific use parameters. 1. This product has been evaluated and is in compliance with the current Florida Building Code, including the "High Velocity Hurricane Zone" (HVHZ). 2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment into substrate material shall be beyond wall dressing or stucco. 3. When used in areas requiring wind borne debris protection this product complies with Section 1609.1.2 of the Florida Building Code and does not require an impact resistant covering. 4. Site conditions that deviate from the details of the drawings require further engineering analysis by a licensed engineer or registered architect. 5. See Installation Instructions for size and design pressure limitations. 6. Wall construction shall meet requirements of Section 1612 of the FBC as deemed technically relevant due to site conditions. Hermes-Norero, P. -E. Florida No. 73778 Page 2 of 3 /\ BUILDING DROPS A Perfect Solution in Every Drop! Certificate of Authorization: 29578 FL#: FL5822 Date: 06/15/2018 Report No: 5022 Quality Assurance: Performance Standards: Code Compliance: Referenced Data: The manufacturer has demonstrated compliance of ventilation products in accordance with the Florida Building Code for manufacturing under a quality assurance program audited by an approved quality assurance entity through Architectural Testing, Inc. (FBC Organization #: QUA 1844) The product described herein has been evaluated and tested per: • ASTM E 330-02 • ASCE 24-14 • TAS 202-94 The product described herein complies with the current FBC Section 1708.2 and the intent of the current Edition FBC Section 1612.5(1)(1.2). 1. Product Testing performed by Architectural Testing, Inc. (FBC Organization # TST1558) Report #: 01-42966.01, Report Date: 11/15/02 Report #: 38957.102-122-44, Report Date: 11/16/05 Report #: 60619.01-122-47, Report Date: 11/16/05 Report #: 61877.01-122-44, Report Date: 01/06/06 Report #: 94135.01-109-18, Report Date: 08/31/09 Signed and Sealed by: Michael D. Stremmel, P.E. FL # 65868 2. Product Testing performed by Blackwater Testing, Inc. (FBC Organization # TST10394) Report #: BT -SVP -16-001, Report Date: 01/06/17 Signed and Sealed by: Constantine Bortes, P.E. FL # 77915 3. Quality Assurance Architectural Testing, Inc. (FBC Organization #: QUA 1844) 4. ICC Evaluation Service ESR -2074: Meets requirements of AC364 Reissued February 2017 Revised November 2017 Installation: Refer to Installation Instructions by Manufacturer for installation requirements. Design Pressure: Design Pressures +100/-100 PSF Hermes Norero, P.E. Florida No. 73778 Page 3 of 3 BUILDING DROPS A Perfect Solution in Every Drop Certificate of Authorization: 29578 August 18, 2017 TO: Mr. Mike Graham President Smart Vent Products, Inc. 430 Andbro Dr. Unit 1 Pitman, NJ 08071 FROM: Hermes Norero, P.E. Building Drops, Inc. RE: PRODUCT NAME: FloodVent — Impact Requirements Dear Mr. Graham, 398 East Dania Beach Blvd. Suite 338 Dania Beach, FL 33004 954.399.8478 PH 954.744.4738 FX contact@buildingdrops.com The purpose of this letter is to evaluate the impact (wind-borne debris) requirements for your FloodVENT product, according to the 6th Edition Florida Building Code (FBC), 2015 International Building Code (IBC), 2015 International Residential Code (IRC), and ASCE 7 engineering standards. According to the FBC Section 1626.1(c), all parts of the building envelope protection shall meet impact test criteria except for vents in a garage with four or fewer cars. The size of the vent is not to exceed the minimum required design area by more than 25%. The typical FloodVENT opening size, as indicated by the manufacturer, is 15.25" x 5", or 0.53 square feet (sf). Typically two vents are installed per wall, which provides a total net open area of 1.06 sf per installation. The total net open area provided by the vents is regarded as insignificant such that the openings do not compromise the enclosure category of the structure. An enclosed building is one defined as not partially enclosed and not open. An open building is defined as a building with each wall being at least 80% open. A garage with flood vents does not fall within the definition of an open building. A partially enclosed building is defined as a building that complies with both of the following: 1: Thetotalarea of openings in -a wall -that -receives positive -external -pressure exceeds the sum of the areas of openings in the balance of the building envelope (walls and roof) by more than 10%. 2. The total area of openings in a wall that receives positive external pressure exceeds 4 sf or 1% of the area of that wall, whichever is smaller, and the percentage of openings in the balance of the building envelope does not exceed 20 percent. Hermes F. Norero, P.E. Florida P.E. No. 73778 Page 1 of 2 BUILDING DROPS A Perfect Solution in Every Drop Certificate of Authorization: 29578 398 East Dania Beach Blvd. Suite 338 Dania Beach, FL 33004 954.399.8478 PH 954.744.4738 FX contact@buildingdrops.com A standard garage wall is approximately 25 feet long by 8 feet tall. This equals an approximate wall area of 200 sf. The typical net open area for two flood vents, as described above, is 1.06 sf, which is Tess than 4 sf and less than 1% of the wall area. It can also be assumed that 1.06 sf does not exceed more than 10% of the remaining open areas of the garage. Therefore, a garage with flood vents cannot be considered a partially enclosed building. In my professional opinion, the flood vents manufactured by Smart Vent Products, Inc. do not require additional impact (wind-borne debris) protection devices to be placed over them so that they can continue functioning as flood vents. The vents do not increase the amount of openings in a wall or building such that the building classification changes from enclosed to partially enclosed. In addition, the 5th Edition FBC has specified applicable governing authorities to establish special flood hazard areas as per FEMA specification under 6th Edition FBC section 1612.3. This product has been evaluated, dependent to specific site conditions, to meet the minimum requirements of the National Flood Insurance Program (NFIP) flood plain management requirements (44 CFR) with respect to flood openings for enclosed areas for the purpose of equalizing hydrostatic pressure resulting from flooding. The product has been evaluated to conform to design principles noted in Section 2.6.2.2 of ASCE 24 for a maximum rate of rise and fall of 5.0 feet per hour by the ICC -ES under evaluation report ESR -2074. Thus, the product may be used in wall construction to comply with 6th Edition FBC Section 1612.5(1)(1.2). Please feel free to contact me should you have any questions regarding this evaluation. Best Regards, `�tttttllllf,,, jor .,,,p, .:. • -v :T•T • Cr �:i •••'••••••••''•• C ��Digitally signed by Hermes F. Norero, P.E. '''I �/' ON't,t�?````` D ReasoI am n: approving his document Hermes Torero, -P.E. FL PE No. 73778 Hermes F. Norero, P.E. Florida P.E. No. 73778 Page 2 of 2 . w �� � I.S.DEPARTMENT OF HOMELAND SECURITY ��.�\l,�,Ti�N C��tTIFICATE OMB No. 1660-0008 ederal Emergency Management Agency Expires Nlarch 31, 2012 lational Flood Insurance Program Important: Read the instructions on pages 1-9. �'�Lp 2 Jt -� 3� a S SECTION A-PROPERTY INFORMATION For irtsurance Company Use: A1. Building Owner's Name BILL&VASILIKI MAZAS Policy Number A2. Building Street Address(including Apt., Unit,Suite.andlor Bldg. No.)or P.O. Route and Box No. Comparty NAtC Number 152 DEVON DRIVE City CLEARWATER State FL ZIP Code 33767 A3. Property Descnption(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 18,REPI.AT OF BAYSIDE SUBDIVISION(PARCEL NUMBER 08-29-15-04914-000-0180) A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude: Lat.N 27.97387 Long.W 82.82482 Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Buiiding Diagram Number 1A A8. For a buiiding with a crawispace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawlspace or b) Nc. of permanent flood openings in the attached garage znclosure(s)within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in AB.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes � No d) Er,gineered flood openings? ❑ Yes � No SECTION B-FLOOD INSURANCE RATE MAP(FIR�rt) INFORMATION 61. NFIP Community Name&Community Number 62. County Name B3.State CITY OF CLEARWATER 125103 PINELLAS FL 64. Map/Panel Number 65.Su�x 66.FIRM index 67. FIRM Panei 68. Flood 69. Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO, use base Flood depth) 12103C-0102 G 8-18-09 9-3-03 i AE 11' �10. Indicate the source of the Base Fiood Elevation(BFE)data or base flood depth entered in iterr;89. ❑ FIS Profile � FIRM ❑ Commurity Determined ❑ Other(Describe;r �11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) t12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes I� No Designation Date N!A ❑ CBRS ❑ OPA SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) ;1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* � Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. :2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,ARlA1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized LP 10 BM#1 VeRical Datum NAVD 88 Conversion/Comments N/A �heck the measurement used. a) Top of bottom floor(inciuding basement, crawlspace, or enclosure floor)4.33 �feat ❑meters(Puerto Rico only) b) Top of the next higher floor N/A �fe�t ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/A �fe�t ❑meters(Puerto Rico only) d) Attached garage(top of slab) N/A �feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 4.64 �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 3.98 �fea_t ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to ouilding(HAG) 4.25 �fe:=_t ❑meters(Puerto Rico only) h) Lowest adjacent grade at iowest elevation of deck or stairs, inciuding N/A �feet ❑meters(Puerto Rico only) structural suppoR SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation __ information. I certifij that the information on this Certificate represents my best efforts to interpret th�data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. I� Check nere if comments are provided on back of form. Were latitude and longitude in Seciion A provided by a licensed land surveyor? � Y:=s ❑ No Cartifier's Name GECRGE A.SHiMP III Job Number C80':17A License Number ;137 i Title VICc?RESIDENT Company�ame GEORGE A. SHIMP ii&ASSOCIATES. INC I � -- 1����� -� ��- addr�ss 3301 DtSOTO BLVD.. SUITE D City PALivI'r,'ARBGR State Fl. ZiP Code 34683 � ) � #6137 DAT= ��17.!�f j � � � IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insuranee Company Use: ' Building Street Address(including Apt.. Unit,Suite,andlor Bldg.No.)or P.O. Route and Box No. Pfllfcy Number. " 152 DEVON DRNE City CLEARWATER State FL ZIP Code 33767 -Cornparty iVE�tG Num6ec - SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompary,and(3)buitding owner. Comments C2.e)AIR CONDITIONER LOCATED ON CONCRETE PAD Sign�ure ORGE�A,. SHIMP III Date 11-21-11 � Check here if attachments SECTION E -BUILDING ELEVATtON INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sectfons A,B, and C For Items E1-E4, use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E 1. Provide elevation information for the following and check the appropriate boxes to show wheiher the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 andior 9(see pages S-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑apove or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. F5_ 7nn@ aQ��I�: If nn flnnr�cfP�th number is available,is the too of the bottom floor elevated in accordance with the comm�nit_y's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local officfal must certify this information ir Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, 8, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION (OPTIONAL) The local oificial who is authorized by law or ordinance to administer the community's�loodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the meas�rement used in Items G8 and G9. G1 ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) liL. IJ H C6(YIf1lUIlILy O�C131 GC�tl�1�71Z1Z1�SBCllOi1 c iuf 8 uiiiiuiiiy iGi.aicu iii�viic r°i�ti✓itilOUi a��Pv^�-iSSucu vi Cunniiu^I.y-ISSU2G�Q�cj C��0�.°.f�Q. G3.❑ Tne following information(Items G4-G9)is provided for community floodplain management ourposes. �I G4.Permit Number I G5. Date Permit Issued i G6. Date Certiiicate Of Compliance/Occupancy Issued � I t i G7 This permit has been issued for: ❑ New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet C meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10. Community's design flood alevation ❑feet ❑meters(PR)Datum Local Official's iJame Title Community Name Telephone Sigr.ature Date Cornments . • Building Photographs See Instructions for Item A6. Fartnsurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. eoiicy Num�er 152 DEVON DRIVE City CLEARWATER State FL ZIP Code 33767 ComparryNAlCNtanber If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. , ��. -,. ��. 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Route and Box No. Policy Number 152 DEVON DR1VE Clty CLEARWATER State FL ZIP Code 33767 GompanyNAlCNumber if submitting more photographs than will fit on tr�e �receding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." _ � �;�.�'� r;�"� � � � ��� d � � � � , : �� ,„. ,��-���;, r � K 3� / - ��5• !t - +�, 1 - _ _ ={^,• tl "�Y G'���� �#i � !r� .. . :_ ,�r .• r,, p�� � <r,� __: � � i �� { ��i� -. �n .. � �e ��' ,�. :.,� . .riS`�1:_..:.� � � �;...l.`lfk' �., � ,,,�� ' >,..- . . .<'.,EF�t3�; ..� . Y: ,.:_."� �°"-"� -.�..�'dYtlC,�, ..._�.�! Y_ ii�."9�t� ` . . 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' .. - .:.. ry �,...� . - �. , .�-. y' , __.. .2 � ,: � 1�'� ..�.e.>a__ i ' _ �. � ��� � . p , �� � � _ _ � ,z ._.�.....�...�.,� ,�� � a __ — ., —�--� ,: ' ��� � � =— _=—_ � II � � � , � , I,�I � ,� — — + � � ., :d +�„�� --- _� .= � : ____---�-- . � �'� — � — � �: _ ----_---__ � __ __ __----__ REAR VIEW PICTURE TAKEN ON 11-21-11 a� . • U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency ManagementAgency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Etse: . A1. Building Owner's Name BILL&VASILIKI MAZAS PQ����� A2. Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. 'Company NA1G Number 152 DEVON DRIVE City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 18,REPLAT OF BAYSIDE SUBDIVISION(PARCEL NUMBER 08-29-15-04914-000-0180) A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude: Lat. N 27.97387 Long.W 82.82482 Horizontal Datum: ❑ NAO 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawispace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the crawlspace or b) No_ of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61. NFIP Community Name&Community Number 62.Counry Name 63.State CITY OF CLEARWATER 125103 PINELLAS FL 64.Map/Panel Number 65.Suffix 66.FIRM Index 67.FIRM Panel , 68. Flood 69.Base Flood Elevation(s)(Zone Date Effective/Revised Date ' Zone(s) AO, use base flood depth) 12103C-0102 G 8-18-09 9-3-03 I AE 11' B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Itern 89. ❑ FIS Profile � FIRM ❑ Commurity Determined ❑ Other(Describe) 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No Designation Date N/A ❑ CBRS ❑ OPA SECTION C-BUI�DING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction' � Finished Construction *A new Elevation Certificate will be required when construdion of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,ARiAH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized LP 10 BM#1 Vertical Datum NAVD 88 Conversion/Comments N/A i,heck the measurement used. a) Top of bottom Floor(including basement,crawispace, or enclosure floor)4.33 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor N/A �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structurai member(V Zones only) N/A �feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) N!A �feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 4.64 �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 3.98 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 4.25 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at iowest elevation of deck or stairs, including N/A �feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION � ``"`�f, This certification is to be signed and sealed by a land surveyor,engineer, or architect authorized by law to certify elevation '- 4 ��� information. 1 certify that the information on thrs Certificate represents my best efforts to interpret the data availab/e. -` �� ��� ������ 3 :~', 1 understand that any fa/se statement may be punishable by fine or impnsonment under 18 U.S. Code, Section 1001. �-�F v ��� +�C,,,,' 'i ,- . � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a � _i� :� F,��.��.�.�,- � - - licensed land surveyor? � Y�s ❑ No °, ;� : - � !�• = , t, Certifier's Name GEORGE A. SHIMP III Job Number 080117A License Number a"137 ".�,�. '. ,':=,.:,- ''�" �� - �L:�' _��'i;�.i�=•�'�' •,'� Title VICE PRESIDENT Company Name GEORGE A. SHIMP II&ASSOCIATES, INC. �,`�' .�. ���• � r!'i!4,��`'��Y;;' Address 3301 DESOTO BLVD.,SUITE D City PALM HARBOR State FL ZIP Code 34683 '° : #6137 DATE:� ure ^ ����r Date 11-21-11 Telephone 727-i84-5496 la - _ ' - �s IMPORTANT: In these spaces, copy the corresponding informatio�from Section A. For insurance Company ltae: Building Street Address(including Apt., Unit, Suite,and/or Bidg.No.)or P.O. Route and Box No. Policy Number 152 DEVON DRIVE City CLEARWATER State FL ZIP Code 33767 Cornpany NA1G Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agenUcompany,and(3)building owner. Comments C2.e)AIR CONDITIONER LOCATED ON CONCRETE PAD Sign ure ORGE .SHIMP III Date 11-21-11 � Check here if attachments SECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE), compiete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the HAG. b)Top of bottom floor(including basement,crawlspace,or enciosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and%or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑ below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑ beiow the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated ir�accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information ir,Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,8, and E are correct to the best of my know/edge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The following information(Items G4-G9)is provided for community floodplain management purposes. j G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued � G7. This permit has been issued for: ❑ New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet �meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet �meters(PR)Datum G10. Community's design flood elevation ❑feet �meters(PR)Datum r Locai Official's Name Title Community Name Telephone S�gnature Date Cornments ❑ Check here if attachments � ti • ' . . Building Photographs I See Instructions for Item A6. I For Insurance Company Use: � Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. po�icy Number � 152 DEVON DRIVE City CLEARWATER Stat2 FL ZI P COd@ 33767 Company NAlC Number II If using the Elevation Certificate to obtain NFIP flood insurance, affix at least finro building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "l.eft Side View." 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