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815 ELDORADO AVE U.S.DEPARTMENT OF HOMEIAND SECUR{TY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emerggncy Management Agency Expires March 31,2012 National Flood insurance Prog�am Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For lasucance Company Use: A1. Building Owner's Name Thomas Lee&Lara Wright-Lee Palicy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 815 Eldorado Avenue City Clearwater State FL ZIP Code 33767 A3. Property Description(Lot and Blodc Numbers,Tax Parcel Number,Legal Descnption,etc.} Mandalay Subdivision,Block 10,Lot 5,Folio#05-29-1 r54666-010-0050 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)residential A5. Latitude/Longitude:Lat.27-59-38.9 Long.82-49-39.7 Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6_ Attach at least 2 photographs of the building if the Certficate is being used to obtain flood insurance. A7. Building Diagram Number 8 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1358 sq ft a) Square footage of attached garage 260 sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage snclosure(s)within 1.0 foot above adjacent grade 10 within 1.0 fo�above adjacent grade n/a c) Total net area of flood openings in A8.b 1344 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 B1.NFIP Community Name 8 Community Mumber B2.County Name B3.State City of Clearwater J 125096 Pinellas F� 64.Map/Panel Number B5.Suffix 66.FIRM Index 67.FIRM Panel 68.Flood B9. Base Flood Elevation(s)(Zone 12103C/0102 G Date Effedive/Revised Date Zone(s) AO,use base flood depth) &18-09 9-3-03 VE�AE 13.0' B10. Indicate the source of the Base Flood Etevation(BFE)data or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Community Deterrnined ❑ Other(Describe) B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 198$ ❑ Other(Describe) B12. 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-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Buitding Under Construction* � Finished Construction `A new Elevation Certificate will be required when construction 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,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specfied in Item A7. Use the same datum as the BFE. Benchmark Utilized F-03 Vertical Datum NAVD 1988 Conversion/Comments n/a Check the measurement used. a) Top of bottom floor(inGuding basement,crawlspace,or enclosure floor)7.5 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor 16.5 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 7.0 �feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 6.7 �feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 7.3 �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) fl Lowest adjacent(finished)grade next to building(LAG) 5.9 �feet ❑meters(Puerto Rico only) .,.'n�i sr�;r., g) Highest adjacent(finished)grade next to building(HAG) 6.7 �feet ❑meters(Puerto Rico oNy.} {� , �`f'�ii��"� h) Lowest adjacent grade at lowest elevation of dedc or stairs,induding n/a. ❑feet ❑meters(Puerto Ru�o ari�y)��'�•:;,.4, '�'?, `�f,.. , structural support -� � '�' �M�ae S � 1�`r�"� 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 elevatiort � '�' " `�' i • information. 1 ce►tify that the inforttta6on on this Certificate represents my best effo►ts to interpret the data availab/e_ ' '"' _ '; - ',� � I understand that any fa/se statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. - •, ,� � Check here if comments are provided on badc of form. Were latitude and longitude in Section A Provided by a . ; ��,�} �o,, ' ;``�"� licensed land surveyor? � Yes ❑ No �i� '�,!��j 1�t� Certifier's Name Alex Thompson,Jr. License Number 5318 4 '//'j��2��'�;��1,,, ��.-2 Title Professional Surveyor Company Name Extreme Surveying of Florida,Inc. Address 29340 Rh din lace City Wesley Chapel State FL ZIP Code 33545 Signature Date Telephone 813-973-2092 /I,�ZZ-�� FEMA Form 81-31, Mar 09 See reverse side for con6nuation. Replaces all previous editions IMPORTANT: in these spaces,copy the corresponding information from Section A. For Ins�,rance Company Use�- Building Street Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Policy Number 815 Eidorado Avenue � City Clearwater State FL ZIP Code 33767 Company NAIG Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insuranoe agent/company,and(3)building owner. Comments Lowest machinery is a/c pad.The base flood elevation for Zone VE is 13.0'and the base flood elevation for Zone AE is 12.0'. Signature Date �2,�ZZ�Ct ❑ Chedc here if attachments SECTION E-BUILDING E ON INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. ff the Cert�cate is intended to support a LOMA or LOMR-F request,canplete Sections A,B, and C. For Items E1-E4,use naturaf 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 enGosure)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 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 plafform of machinery and/or equipment servicing the building is . ❑feet ❑meters ❑above or�below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVEj CERTIFICATION The property owner or ow�er's authorized representative who completes Sedions 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 Owners or Owner's Authorized Representative's Name Extreme Surve in of Florida,Inc. Address 29340 Rhodin Place City Wesley Chapel State FL ZIP Code 33545 Signature Date Telephone 813-973-2092 Z-2z-C� Comments ❑Check here if attachments SECTION G-COMMUN(TY 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 Elevatio�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 oificial 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 floodplai�management purposes. G4_Permit Number G5. Date Permft Issued G6. Date Certificate Of Compliance/Ocxupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement G8. Elevation of as-buift lowest floor(i�cluding 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.Commu�ity's design flood elevation ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31,Mar 09 Replaces all previous editions � ` ' • a Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Poi�cy Number 815 Eldorado Avenue City Clearvvater State FL ZIP Code 33767 CompanyNAlCNumber 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. i�■ '.M .. , ' � �'�,,, ,.�� @91 �.F� � i!I fM U - ---• �� ;^;.r � � � ..._. ._._____.____.._ S� ��€ i� ,., . ..... 1�1� a t "+r:"�.. � k.•K _. �f �� a'8,� , �—+ . ��.. �-. ' ��.t� e. . • ,� .."a / _ . ' .. � � � ,.' f .; ) �..�%' ., ��.�� !��{�I�Ir1�'��k �,' �.}�.1 ..� Y,'� �`�"` . . .._ -.t. .. ... � :�£s�'a'�'{� +a`�'��}, ��, ' � r' '� � � - .. . '+�+'4? � �.,�. �*}� .d '�' �1'h .•' .. t i�.' �o. �. . ��:�� ,� �., Front View , ... 6� �... , . -.. , ::�.:. � _ \ _ �� ,- � � iiii p�a �� y} � , � �� . ' il� . �'� � �� ,�� . � , � w�.� _ --. ` �.' ; � , ° � -�,�,, ' 1�,�`�� '-,_ a ,` ,+,r,.r . _�... . � , �, M .�, y- �.. : �„ .n, �. .._._. ., , . .:� ,,,, - , , ;,, , � . . .. � �� . ..��, �t�_ �`'��"�Al��c.,.«r� . ... .. .}4y,�. 1 b9 Y.�T Rear View � U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Expires March 31,20'I2 Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For insurance Company Use: A1. Building Owne�'s Name Thomas Lee&Lara Wright-Lee Policy Number A2. Bui{ding Street Address(inGuding Apt.,Unit,Suite,and/ar BMg.No.)or P.O.Route and Box No. Gompany NAIC Number 815 Eldorado Avenue City Clearwater State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Mandalay Subdivision,Blodc 10,Lot 5,Folio#05-29-15-54666-010-0050 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)residential A5. Latitude/Longitude:Lat.27-59-38.9 Long.82-49-39.7 Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is beirig used to obtain flood insurance. A7. Building Diagram Number 8 A8. For a building with a crawtspace or enclosure(s): A9_ For a building with a�attached garage: a) Square footage of crawlspace or enclosure(s) 1358 sq ft a) Square footage of attached garage 260 sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enGosure(s)within 1.0 foot above adjacent grade 10 within 1.0 faot above adjacent grade n/a c) Total net area of flood openings in A8.b 1344 sq in c) Total net area of flood openings in A9.b Na sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Communiry Name&Communiry Number B2.County Name 63.State City of Clearwater/125096 Pinellas FL 64.Map/Panel Number 65.Suffix B6.FIRM Index B7.FIRM Panel 68.Flood 69.Base FI ion(s)(Zone 12103C/0102 G Date Effective/Revised Date Zone(s) AQ, e s ) &18-09 9-3-03 VE&AE B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ( � ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) � B11. Indicate elevation datum used for BFE in Item B9: ❑ NGW 1929 � NAVD 1988 ❑ Other(describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Proteded Area(OPA)? ❑ Yes � No Designation Date n/a ❑ CBRS ❑ OPA SECTION C-BUfLDfNG ELEVATION INFORMATION(SURVEY REQUiRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construdion' � Finished Construdion "A new Elevation Certificate will be required when construction 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,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 F-03 Vertical Datum NAVD 1988 Conversion/Comments n/a Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)7.5 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor 1f.5 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 7.0 �feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 6.7 �feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 7.3 �feet ❑meters(Puerto Rico only) (Describe rype of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 5.9 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 6.7 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of dedc or stairs,including n/a. ❑feet ❑meters(Puerto Rieo only} ,o�d��0091sati,� structural support - � ° ��'° SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION • '.;�`'e., �O , �''- This cert�cation is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to cert'rfy elevation ` ' A information. I certify that the informa6on on tf►is Certifrcafe represents my best efforts to ir►te�rret�re data availabfe. �` �`'1� r � �. "r 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. • �- �__ �f. _ ct� �� ' ,� � Check here if comments are provided on bacic of form. Were latitude and longitude in Sedion A provided by a �n C� q� licensed land surveyor? � Yes ❑ No '' ^�� • Certifier's Name Alex Thompson,Jr. License Number 5318 `~'�,��° �•'oF`;��`� / ii� ��1��J �,�e`. Title Professional Surveyor Company Name E�ctreme Surveying of Flonda,Inc. r��Qto�;►It;�t�� Address 29340 R di lace City Wesley Chapel State FL ZIP Code 33545 Signature Date Telephone 813-973-2092 � I _ Z_,� FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPOR7ANT: 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. Policy Number 815 Eldorado Avenue • City Clearvvater State FL ZIP Code 33767 Company NAIC Number SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFiCAT10N(CONTINUED) Copy both sides of this Etevation Cert�cate for(1)camrriunity ofiticial,(2)insurance agent/company,and(3)building owner. Comments Lowest machinery is a/c pad.The base flood elevation fior Zone VE is 13.0'and the base flood elevation for Zone AE is 12.0'. Signature Date / !Z`�� ❑ Chedc here if attachments SECTION E-BUILDlNG EL A NFORMATION(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 Secfior►s A,B, and C. For Items Ei-E4,use natural grade,if available. Chedc the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the foltowing and chedc 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 enGosure)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 IAG. 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�betow the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes�❑ No ❑ Unknown. The local official must certify this information in 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,B,and E are correct to the best of my knowledge. Property Owner's or Owners Authorized Representative's Name Extreme Surveying of Florida Inc Address 29340 Rhodin Place City Wesley Chapel State FL ZIP Code 33545 Signature Date '�4`�ml f Tetephone 813-973-2092 �..., 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 infortnation 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 communiry-issued BFE)or Zone AO. G3. ❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Pertnit Issued G6. Date Certficate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement G8. Elevation of as-buitt lowest floor(inGuding 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 _ _ _ __ _ _ __ _ Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Poi�cy Number 815 Eldorado Avenue Clty Clearwater State FL Z)P COd2 33767 Company NAIC Number 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. m- m; � �i :i :i . "�' ��w �a� !�� , � � „ , :: ;;�,'; � � Q _...,., _._.....__. . ■a `m'1l �� ...� 1lI� � ��t r�t,•',�.� �_,L�.< k.: "�.�L � s:��.,.. - —« �.. � � . � ` ro � , � �: � ..� �i .. s a . M � . 6 . � . :.�:� . P 4 .�.T _ .,��_�- '�'� � „ f� tltillk,All.i,t?�i ��4ttj�� - ,�� '� �� 4 �°��6�y��y�'�3�f��K�.,�%�._`-�..� `;:, � io- .��9c,s�i , . . . , ' Front View ��•, �� _ _. _ ._ ��.s_ _ .,2 — \�� '� � _ � � _� . -._ \ � � ' , - �� ii� ...� � ��. � � ,.� � �� r� , ' � �` � � �j ,��. C��i " Ci� � - ..- � ii ` m n �� 1 �i�� -� �. .i. �. • f .., _. � .. 4. �. � '�, - �.. .. :«� . � s� _..— �• - t �: . '. , I -<�..• '�. . • �i1+C./ . . . .. --' . _. � _�__- � . ......a�s . �i _.. . --. '� ..'_. .�..� ..A . -.� .r.�. ..� , . -.�_. .:_..,. ...,.. . . - . �:...-:_. �..M ___., i 1 - ., 'cr�. . _. ...- - - � . Rear View