The URL can be used to link to this page

625 HARBOR ISLANDU.S. DEPARTMENT OF HOMELAND SECURITY Federar Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. OMB No. 1660-0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION Al. Building Owner's Name WILLIAM & TERRIE BYRNE A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 625 HARBOR ISLAND City CLEARWATER State FL ZIP Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) ISLAND ESTATES OF CLEARWATER UNITS 6D, 7A, 7C, PLAT BOOK 64, PAGES 1-2 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. 27°58'15.4" Long. 82°48'57.1" A6. Attach at least 2 photographs of the building if the Certificate is being used A7. Building Diagram Number IA A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) Q sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b d) Engineered flood openings? 0 Yes ® No Q Q sq in RESIDENTIAL Horizontal Datum: to obtain flood insurance. 0 NAD 1927 ® NAD 1983 A9. For a building with an attached garage: a) Square footage of attached garage 110.2 sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 4 c) Total net area of flood openings in A9.b 513 sq in d) Engineered flood openings? ® Yes 0 No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number CITY OF CLEARWATER, 125096 B2. County Name PINELLAS B3. State FL B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12103C0102 G Date Effective/Revised Date Zone(s) AO, use base flood depth) 8-19-09 9-3-03 AE 11 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. 0 FIS Profile ® FIRM 0 Community Determined 0 Other (Describe) B11. Indicate elevation datum used for BFE in Item 59: 0 NGVD 1929 ® NAVD 1988 0 Other (Describe) 812. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes Designation Date Na ❑ CBRS ❑ OPA ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings' 0 Building Under Construction* ® Finished Construction °A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items 02.a -h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized j_Q4Vertical Datum 1988 Conversion/Comments WA a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 11.1 b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location In Comments) Lowest adjacent (finished) grade next to building (LAG) Highest adjacent (finished) grade next to building (HAG) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support f) 9) h) 7.$ $•Q Z•$ Check the measurement used. ® feet ® feet ❑ feet ® feet ® feet ® feet ® feet ® feet 0 meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) 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. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes 0 No Certifier's Name DAN H. RIZZUTO License Number 5227 Title PROFESSIONAL LAND SURVEYOR Company Name POLARIS ASSOCIATES, INC. Address 2165 S DALE LVD. City CLEARWATER State FL ZIP Code 33765 FEMA Form 81- 1, Mar See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 625 HARBOR ISLAND City CLEARWATERState FL ZIP Code 33767 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments 1. SURVEY MAP AND REPORT OR THE COPIES THEREOF ARE NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED. 2. ITEM C2 . - OTES HOT WATER HEATER. ALL OTHER EQUIPMENT IS AT ELEVATION 10.9 3. POLAR JO: NUMBE 4125. Signatu Date 7-12-2012 0 Check here If attachments SEC ION E - :U1 ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (wi out BFE), complete Items E1 -E5. If the Certificate Is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items El -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. 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 0 feet 0 meters ❑ above or 0 below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet 0 meters 0 above or 0 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 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage (top of slab) is ❑ feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet 0 meters 0 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? 0 Yes 0 No ❑ Unknown. The local official must certify thls 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 Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments 0 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. 0 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.) 02. 0 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 -G9) Is provided for community floodplain management purposes. 04. Permit Number G5. Date Permit Issued G8. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: G8. Elevation of as -built lowest floor (including G9. BFE or (in Zone AO) depth of flooding 010. Community's design flood elevation 0 New Construction 0 Substantial Improvement basement) of the building: 0 feet 0 meters (PR) Datum at the building site: 0 feet 0 meters (PR) Datum 0 feet 0 meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments 0 Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 625 HARBOR ISLAND City CLEARWATER State FL ZIP Code 33767 For Insurance company Use: Policy 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. ALL PHOTOS TAKEN 7-10-2012 FACING EAST FACING NORTH FACING NORTH FACING WEST Building Photographs Continuation Page Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 625 HARBOR ISLAND For Insurance Company Use Policy Number City CLEARWATER State FL ZIP Code 33767 Company C 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." FACING EAST FACING WEST U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. OMB No. 1660-0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION Forinsuranse Company Use Al. Building Owner's Name WILLIAM P. & TERRIE D. BYRNE Policy+ Numl A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 625 HARBOR ISLAND Company NA,IC Number City CLEARWATER State FL ZIP Code 33767 A3, Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL # 05-29-15-43456-073-0090 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory A5. Latitude/Longitude: Lat. 27°59'15.6"N Long. 82°48'56.7'W A6. Attach at least 2 photographs of the building if the Certificate is being A7. Building Diagram Number 16 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes 0 No , etc.) RESIDENTIAL Horizontal Datum: 0 NAD 1927 ® NAD 1983 used to obtain flood insurance. A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? 0 Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number CITY OF CLEARWATER/125096 B2. County Name PINELLAS B3. State FLORIDA 84. Map/Panel Number 85. Suffix 86. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12103C0102G G Date Effective/Revised Date Zone(s) AO, use base flood depth) AUGUST 18, 2009 SEPTEMBER 3, 2003 AE 11.00 NAVD 88 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM 0 Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ® NAVD 1988 0 Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Desianation Date 0 CBRS ❑ OPA ❑ Yes ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings' ® Building Under Construction` 0 Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/A0. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized SEE COMMENTS • Vertical Datum NAVD 88 Conversion/Comments a) b) c) d) e) 0 g) h) Top of bottom floor (including basement, crawlspace, or enclosure floor) 11.0 N/A._ N/A._ N/A. 10.9** Top of the next higher floor Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) Highest adjacent (finished) grade next tr building (HAG) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 6.7 7.7 N/A. Check the measurement used. feet 0 feet 0 feet 0 feet E feet ® feet ® feet ;a feet 0 meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) 0 meters (Puerto Rico only) 0 meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rice only). 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. / certify that the information on this Certificate represents my best efforts to interpret the data available./ understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes 0 No Certifier's Name JOHN D. WEIGLE License Number LS 5246 71. Title PROFES ONAL LAND SURVEYOR Company Name POLARIS ASSOCIATES, INC. Address 21Q5 Signature UNNYDALE BLV, STE D City CLEARWATER State FL ZIP Code 33765 Date 01-19-12 Telephone 727-461-6113 FEMA Form1-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 625 HARBOR ISLAND City CLEARWATERState FL ZIP Code 33767 For Insurance Company Use: Policy Number Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments SURVEY MAP AND REPORT OR THE COPIES THEREOF ARE NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED. BUILDING CURRE TLY UNDER CONSTRUCTION, NO GARAGE SLAB. " BASIS OF ELEV ION, CITY OF CLEARWATER BENCHMARK "I-04" HAVING AN ELEVATION OF 5.2452 NAVD 88. "" DENOTES T.E TION OF C AD SO TH SIDE OF BLDG. Signature• Date 01-19-12 ❑ Check here if attachments SECTION BUILDING ELEVA ON INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO nd A (without BFE), complete 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. El. 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 0 feet ❑ meters 0 above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet ❑ meters 0 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 0 feet 0 meters ❑ above or 0 below the HAG. E3. Attached garage (top of slab) is 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters 0 above or 0 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? 0 Yes ❑ No 0 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, 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 0 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, 8, 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. 0 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. 0 The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Cvr structioii ;J Si ibstantiai imp ovemen. G8. Elevation of as -built lowest floor (including basement) of the building: 0 feet 0 meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet 0 meters (PR) Datum G10. Community's design flood elevation 0 feet 0 meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments 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. 625 HARBOR ISLAND Policy Number City CLEARWATER State FL ZIP Code 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, following. EASTERLY BLDG EXPOSURE 01 '10 '2012 WESTERLY EXPOSURE AT SOUTH PROPERTY LINE, 01/19/2012 e w U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE oMB No. 1660-0008 Federaf Emerge'r?cy Management Agency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION S�z�t��r�s� c��t�sripan�Use, � ��,: A1. Building Owner's Name WILLIAM&TERRIE BYRNE ��! ��,� ��`�� , ��, � �� ' A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. �c�ryt�i�t�'�,��Num�T`�,��,3��r��y�� 625 HARBOR ISLAND �"��. ��•3��`�� ., . ��`�;'�' City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) ISLAND ESTATES OF CLEARWATER UNITS 6D, 7A,7C,PLAT BOOK 64,PAGES 1-2 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat.27°58'15.4" Long.82°48'57.1" 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. 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 crawlspace or enclosure(s) 0 sq ft a) Square footage of attached garage 800 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 0 within 1.0 foot above adjacent grade 4 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 513 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 B2.County Name B3.State CITY OF CLEARWATER, 125096 PINELLAS FL B4.Map/Panel Number 65.Suffix 66. FIRM Index B7.FIRM Panel 68.Flood 69.Base Flood Elevation(s)(Zone 12103C0102 G Date Effective/Revised Date Zone(s) AO,use base flood depth) 8-19-09 9-3-03 AE 11 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) 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ 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. Buiiding 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. 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 I-04Vertical Datum 1988 Conversion/Comments N/A Check the measurement used. a) Top of bottom floor(including basement,crawispace,or enclosure floor) 11.1 �feet ❑meters(Puerto Rico oniy) b) Top of the next higher floor 22.6 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 8.2 �feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 9.7 �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) fl Lowest adjacent(finished)grade next to building(LAG) 7.5 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 8.0 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 7.5 �feet ❑mete�s(Puerto Rico only) structurai 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 elevation ' *� � information. 1 certify that the information on this Certi�cate represents my best efforts to interpret the data available. ` °i, .• �1y^�4- I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1009. .= � A� •. ?,;� w'. � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a .., P `' �; ,.,�� licensed land surveyor? � Yes ❑ No °=` � 'j" �� G" "�': �' � `�, Certifier's Name DAN H. RIZZUTO License Number 5227 �� ,�,: � �-` � .,�', i'�"�er,-` Title PROFESSIONAL LAND SURVEYOR Company Name POLARIS ASSOCIATES, INC. �, �R.. a�� Address 2165 S N DALE LVD. City CLEARWATER State FL ZIP Code 33765 �,,��,� Signature Date 7-12-2012 Telephone 727-461-6113 FEMA Form 81- 1, Mar See reverse side for continuation. Replaces all previous editions • � IMPORTANT: In these spaces,copy the corresponding information from Section A. For�nsurance C��np��a��Ise. _ Building Street Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O. Route and Box No. ��j�� p ��-� �� ,�� 625 HARBOR ISLAND � � � � ��`� �. � �' �� ,� �� , City CLEARWATERState FL ZIP Code 33767 �� Y��, � i z��:��.;�� . �..,� �� ,� � 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. Comrnents 1.SURVEY MAP AND REPORT OR THE COPIES THEREOF ARE NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED. 2.ITEM C2 OTES HOT WATER HEATER.ALL OTHER EQUIPMENT IS AT ELEVATION 10.9 3.POLAR JO NUMBE 4125. Signatur Date 7-12-2012 ❑ Check here if attachments SECTION E- UI ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(wi out BFE), complete 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 eievation 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 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❑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 ceRify 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 fhe best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Addres� 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 Iocated in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑ The following information(Items G4-G9)is provided for community floodpiain management purposes. G4. Perrnit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy issued G7. This permit has been issued for: ❑ New Construction ❑Substantiai 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 Local Ufficial's Name Title Community Name Telephone Signature Date Comments ❑Gheck 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. Poiicy Number 625 HARBOR ISLAND Clty CLEARWATER State FL ZIP COd@ 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. ALL PHOTOS TAKEN 7-10-2012 FACING EAST FACING NORTH ,� n._..-- �,,,,�� , ;. `: .;, ri�, ...� ,- : t� �^�+,..wr.�..�+.. u�.M�� . 4} �� - r�� .�_.�. ° , � i�1! � � � � � , � _ #�. �• �� .� , � �tr � �—�,.a:;.,�� . � iI 'i , � ��„ �, � , -.�..�� ., „ . � �...� � � ._ , � � _�,,_ ; w. �'�'-�'�:� I, � � --- __ w ��, I � � ,„�.,„�.,,�... �:,�.: i l r„ � � ��' �� m�,..,--^ I � � � � � �� :�� o �y �� ,•� 4,, e;.� ■/ t�3 �G � g �, �j �i i� _..,�;..... � � � ..,, � o r��' � �� — — �� '�� il � { . � . I , �_�: a �. : . A � .. .. . _:,: � �' �t a��`� ��'°a�,t�+'<'.-„°++xa�' _ "� a� �..I�' '"�'�'� e' "` ., t _ "� Y 5.Y` �� t�:�it -' ::��w #: '� �, �' .. '." � ;,,.�,� ,�,, � �« ik k '°e,..+M�:f FACING NORTH FACING WEST ��a �� v�pc� _ �TM t� ,� � iu�� ,< � �� h �� „ � "., � �,� ��a� `A�'+^ ��, \ ,�. � ., - ,I�� . � . . � � �I. � �. �� ,� � � �� 4v� � � � 5� _ ��, ; � � �� ,� � �._� � � - � . .. . �. 5�� ,� +�..?. .:Y "� tr� �� a �� f �� --��.�� „ r �- ,, � � �; ; ty � 4�i�� I . , ��"� ,,,5w� ��.A I �I �, y�.v-� " �I :�' � �rY��''F r�i'.R- � I ��i,,"#V a r�i ... : , `' i ; �. ' � ` Building Photographs Continuation Page For Insurance Company Use: Buildin Street Address includin A t., Unit, Suite, and/or Bld . No.)or P.O. Route and Box No. Poiicy Number 9 ( 9 p 9 625 HARBOR ISLAND Clty CLEARWATER St8t2 FL ZIP COde 33767 CompanyNAlCNumber If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify al� photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." �A.r-i�� vn,r��T FACING WEST J � � ° � 4, +� F ... . ae.�++xn �,m2ts'a+a:_..s-r.. — i .��'��"'°"."�s..��mn _ . ,... . � �� y �1; � ! \.t` '� . �✓+' !f f'M �I�sY�� .. dR�.�i.�� .�� ______. ..__' �'" �� — � �. . �. , � � �_ _ ° .. :r . � ° � �, $° � �r°�' , .. � � � � �—� � �„� . �� i . a , . , , , n .,,� ° , , :�.� � � � �. � : � ,�� _ :� `� r,,. � � �r � � . � ,.� � . , � — . r_,o..�a � _ e - 1 . r _ , . . �. r�- . ._ ., . ,•-.. �� °:�'_" � ��, . , ::�� F� .a ��, �� t�;,��;: �� ' ,. ; ... �p , w:, u � ., .,. _�� e y �V >. � ,. 3 . � .:1_••+' .._ . #.. +i n _ .' �'3,r 1r` ',.e�. 4. ^j.I. �t 1 � � �i6 �i .Fi'_ �A+" � ��: �,,��W t��r�'li��i' I I��r,y� i i��1�`�i� ',� �'� ?� ' ,� a � I� .:r� - ��;r� '. � ' _. „ v. .z. .. . . , s a. .. I i 3 .��4 FACING EAST ry � ..—�.e �+r<. . . :- .�� I � _ � a , , : .�� ., � �i ' aa ��, � - --— � .,.,,Y�,�� . a� � � - �,�� ,�,. �'�`� �.�, ��r��: .�;r,.�..`.,;__.�, ;F; �'",�� ,.� `�,�' ;., �� , �s�, �« �� ` � x I, �� 4� h � +3 '.�^�.�'�' ::.' y x'-�� `� _ k ...--_,„�- ! .-.,� I� U.S DEPARTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE oM6 N0. 1660-0008 Federal Emergency ManagementAgency Expires March 31, 2012 National Fiood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Ins�rance Campany Use: ; A1. Building Owner's Name WILLIAM P.&TERRIE D. BYRNE ('o1�CyNumber A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box Na Campatty NAIC,Number , 625 HARBOR ISLAND . City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Nurnber,Legal Description,etc.) PARCEL#05-29-15-43456-073-0090 A4. Buiiding Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat.27°59'15.6"N Long.82°48'56.7"W 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. Building Diagram Number 16 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) 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 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) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name&Community Number B2. County Name B3.State CITY OF CLEARWATER/125096 PINELLAS FLORIDA B4. Map/Panel Number 65.Suffix B6.FIRM Index B7. FIRM Panel B8. Flood B9.Base Flood Elevation(s)(Zone 12103C0102G G Date Effective/Revised Date Zone(s) AO,use base flood depth) AUGUST 18,2009 SEPTEMBER 3,2003 AE 11.00 NAVD 88 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) 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No Desiqnation Date ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIREDj C1. 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. 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 SEE COMMENTS*Vertical Datum NAVD 88 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)11.0 �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 structural 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 buiiding 10.9** �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 6.7 �feet ❑ meters(Puerto Rico only) g) F�ighest adjacent(finished)grade next t^ building(HAG) 7.7 �feet ❑ meters (Puerto Rico only) h; Lewes!adjacent grade at lo�vest eleva;ion o'd�ck or stairs,including N;^,._ ;� fett � meters (Puc;rtu Ricc u,ilyj � 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 elevation � 's"+ information. I certify that the information on this Certificate represents my best efforts to interpret fhe data availab/e.l s^'; ' � " `'��' understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1009.❑ '°�`y ' ��a . :�^. w v,�` Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a . ' +�` ' �„ licensed land surveyor? � Yes ❑ No t �� >'� �� e -^.. Certifier's Name JOHN D.WEIGLE License Number LS 5246 -� �. ��'�� ` � ` �,;.,�. i„�{��_! »': � $,. Title PROFES ONAL LAND SURVEYOR Company Name POLARIS ASSOCIATES, INC. � �5'�1�.�i► �� , ,, Address 21 5 UNNYDALE BLV ,STE D City CLEARWATER State FL ZIP Code 33765 #��°� I�2� ;;4 ��"°- l i Signature Date 01-19-12 Telephone 727-461-6113 '" � . FEMA Form 1-31, Mar 09 See reverse side for continuation. Replaces all previous editions 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. Policy Number 625 HARBOR ISLAND City CLEARWATERState FL ZIP Code 33767 Company NAIC 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 SURVEY MAP AND REPORT OR THE COPIES THEREOF ARE NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED. BUILDING CURRE TLY UNDER CONSTRUCTION, NO GARAGE SLAB. "BASIS OF ELEV ION,CITY OF CLEARWATER BENCHMARK"I-04"HAVING AN ELEVATION OF 5.2452 NAVD 88. "DENOTES E TION OF /C AD SO TH SIDE OF BLDG. Signature Date 01-19-12 ❑ Check here if attachments SECTION -BUILDING ELEVA ON INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO nd A(without BFE),complete 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 inforrnation for the foilowing 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 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 platform 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 REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who compietes 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 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. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued ----------- –____— r ---- — -- _. — -- vi. �i iiiS perrnit has been iSSUBG fGf: [,j P��W CuilSiiUCYiGii ,�j S��kisidiliidi ilTlar"OVE�fYletl'. G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑ meters(PRl�atum 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 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. Poiicy rvumber 625 HARBOR ISLAND Clty CLEARWATER State FL ZIP COd@ 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, following. EASTERLY BLDG EXPOSURE ��s,; r:_� ,1 ,: a� ,. �.� ..�,x .�� . .-` �, .. .v. .,�...,.: _ � � .. � ��, � � � '!i�ii � �'��I � T ��''"` ` ��,.Z c� I 1 —�$��`j � �� •� � . � ,�'� �';��a��I�N� � ' � r �_ '�, S � '�a°�' � '��, � '� �, � A� � �L ,r j� '� �, �, . � (FA42 � 33,��7^��-L � � � � � � .t �d.c . - �--� ��' �_� °� .-�.0 l�v 8 �� ' /' . _ ., �• � � � �.� . � �� S ��/ �` WESTERLY EXPOSURE AT SOUTH PROPERTY LINE � ��,,�..,, 1 I � ��,,-_;;- ��1.t , � y.�(�j a � 'Xi�f! �:...6f' iFn� �'.;' :� �¢��!@GPe! r-:1� �° �I I i�1i�'I k 'r . , r i�,: F . ' , , � - ��:�• , ��n• . ' _: �'�a-,4 e� . " .� . k � i^.,S�' a '� ��, �-�� ,�,'� � �