860 HARBOR ISLANDU.S. DEPARTMENT Of HOMEI.AND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY
Natiortal FTood Insurance Program
ELEVATION CERTIFICATE
Important: Read the instructions on pages 4-9.
SECTION A - PROPERTY INFORMATION
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. NoJ or P.O. Route and Box No.
860 HARBOR ISLAND
City CIEARWATER
State FL ZIP Code 33787
A3. Property D�scription (Lot and Blodc Numbers, Tax Parcei Number, Legal Description, etc.)
PARCEL ID# 05-29-15-43456-073-0580
onng �vo. �ssa000s
Expiration Date: July 31, 2015
8fQ HARBQR !SL -
BCP2015-031
RTC -
A4. Building Use (e.g., ResideMial, Non-Residential, Addition, Accessory, etc.) Residential ABBO, ART
A5. Latkude/Longitude: Lat. 27. 9559 Long. -82.818057 Horizontal patum: � NAD 1927 � NAD 1983 Zoning: Island Estates Neighbor
A6. Attach at least 2 photographs of the building ff the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1A
A8. For a buikiing with a crawlspaoe 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) Number of permanent flood openings in the crawlspace b) Number of pennaneM flood openings in the attached garage
or enclosure(s) within 1.0 foot above adjacent grade WA within 1.0 foot above adjacent grade �,
c) Total net area of flood openings in AB.b I�JA sq in c) Total net area of flood Openings in A9.b /r� sq in
d) Engineered flood openings? ❑ Yes ❑ No d) Engineered 800d openings? ❑ Yes ❑ No
SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
61. NFIP Community Name 8 Community Number B�. County Name 63. State
CLEARWATER, CITY OF 125096 PINELLAS FL
64. MapJPanel Numbe� B5. Suffix B6. FIRM Index Date B7. FIRM Panel 68. Flood
12103C0102 G 08/18/2009 Effective/Revised Oate Zone(s)
SEPT 3,2003 A11
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89.
❑ FIS Profile � FIRM ❑ Community qeteRnined ❑ bthed5ource:
811. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source:
612. Is the building located i� a Coastal Barrier Resources System (CBRS) area or Otherwise Proteded Area (OPA)?
Designation Date: WA ❑ CBRS ❑ OPA
69. Base Flood Elevafron(s) (Zone
AO, use base flood depth)
11
❑ Yes � No
3ECTION C- BUILDING ELEVATI�N INFORMATION (SURVEY RE(2UIRED)
C1. Suilding elevations are based on: ❑ Construdion Drawings• ❑ Building Under Construdion* �I 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/Ati, AR/AO. Compfete Items C2.a-h
below accorcling to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
8enchmaric Utilized: AU�L "A", Vettical Datum: N VD'2
Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 � NAVD 1988 C7 Other/Source:
Datnm used for build"mg efevations must be the same as that used for the BFE.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor)
b) Top of the next higher floor
c) Bottom of the bwest horizontal structural member (V Zones only)
d) Attached garage (top of slab)
e) Lowest e�vatlon of machinery or equipmerrt servicing the building
(Describe type of equipment and location in Commeots)
� Lowest adjacent (finished) grade next to buikiing (LAG)
g) Highest adjacent (finished) grade next to building (HAG)
h) Lowest adjaceM grade at lowest elevation of deck or stairs, including structural support
Check the measurement used.
7.81 � feet ❑ meters
NL. ❑ feet ❑ meters
N/A. � feet ❑ meters
7.34 � feet ❑ meters
7.g� � feet p meters
7.0 � feet 0 meters
7.3 � feet (] meters
�.23 ❑ feet ❑ meters
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 oertiry elevation
information. I certify that the information on this CerGficate represents my best efl`o►ts to interprot the data available.
l understand that any false statement may be pun+shable by fine or imprisonment under 18 U. S. Code, Section 1001. �' �
� Check here if comments are provided on badc of form. Were latitud� and longitude in Section A provided by a °�' a��''�,
❑ Check here if attachmeMs. licensed tand surveyor't � Yes ❑ No �:;� *� s p�, '�,
�� ... , , .
Certifier's Name Frank A. Julian
Title Presiderrt
Address 6438 Polk St
Signature , ,�,�/,
License Number 5495
Company Name Frank A. Julian Surveying, Inc
City New Port Richey
Date 7 uj I s
State FL ZIP Code 34653
Telephone 727 845-0389
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FEMA Form 086-0-33 (7/12) See reverse side for conG�uation. Replaces all��evious editions.
ELEVATION CERTIFICATE, pas�e 2
IMPORTANT: In these spaces, copy the corresponding information from Section A.
Buiiding Street Address (induding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box Na
860 HARBOR ISLAND
City CLFJIRWATER 5tate 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 agenUcompany, and (3} building owner.
Comments RE: C2) NGVD'29 TO NAVD'88 DATUM CONVERSION AS PER FLOOD MAP SCHEMATIC (+0.88')
RE: C2 e) LOWEST ELEV. MACHINERY..= A/C SLAB GRADE
Signature
SECTION E - BUILDING
Date
INFORMATION (SURVEY N�T
'����zo r s"'
FOR ZONE AO AND 20NE A
For Zones AO and A(without BF�, 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 ased. In Puerto Rico only, enter meters.
E1. Provide elevation ir►formation for the following and chedc the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (FIAG) and the lowest adjacent grade (lAG).
a) Top of bottom floor (induding basement, crewlspace, or endosure) is ❑ feet ❑ meters ❑ ebove o� � below the HAG.
b) 7op of Dottom floor (inGuding basement, crawispace, or endosure) is ❑ feet ❑ meters ❑ above or Q below the LAG.
E2. For Buildiog Diagrams 6-9 with perma�ent flood openings provided in Sedion A Iterns 8 and/or 9(see pages 8-9 of lnstruc:tions), the next higher fl�r
(elevation C2.b in the diagrams) of the buiiding 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 availabte, is the top of the bottom floor elevated in accordance with the community's floodp(ain management
ordinance? ❑ Yes ❑ No ❑ Unknown. The local offiaal must certify this information in Section G.
SEGTION F- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTlFIGATION
The property owner or ov►mers authorized rep�+esentative who comp�tes Sections A, B, and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sgn h�re. The statements in Sections A, B, and E are correct to the best of my knowledge,
Property Owners or Owners Authorized Representative's Name
Address _ City State ZIP Code
Signature pate Telephone
Comments
Chedc here if attachments.
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The bcal official who is authorized by Naw or ordinance to administer the cx�mmunity'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. Chedc the measuremerrt used in Items G8-G10. In Puerto Rico only, enter meters.
G1. ❑ The infomnation in Section C was taken ftom other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certiiy elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official compieted Section E for a building located in 2one A(wRhout a FEMA-issued or communiry-issued BFE) or 2one AO.
G3. ❑ The following information (Items G4-G10) is provided for community floodplain management purposes.
G4. Perrnit Number G5. Date Permit Issued G6. Date Certficate Of Compliance/Occupancy Issued
G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement ._
G8. Elevation of as-built lowest floor (inGuding basement) of the building:
G9. BFE or (in Zone AO) depth of flooding at the building site:
G10. Communiry's design flood e�vation:
I.ocal Official's Name
Community Name
Signature
Comments
❑ feet ❑ meters
❑ feet ❑ meters
❑ feet ❑ meters
Title
Telephone
Date
Datum
Datum
Datum
Gheck here if attachments.
FEMA Form 086-0-33 (7/12) Replaces all previous editions.
UBf�4/02 TUE 07:58 FA% 7275728705 Melco f�002
ELE.VATI�N GEI�TIFIGATE . �p+esMay3s��f 9 3
` F�DERAL EMEAGENCY MANAGEMEIVT AGENCY
NATIOIr'AL F1.00D INSURANC�PROGRAM
TTENTiON:llse of this certiflcate does not provid��a w�iver of the flood insarance pu�ch�se requireme�. This farm is used only ro•
avide elavaUon In(armation n�ce�sary to ensure c�mpilance with applicabie�mmunity�oodpl2��r,m�nagereent ordinances,to
eterml�e the ptope�(nsurB�nCe premium rate,and/c�r to support a r�quest fpr a Letter ot Map Amendment or Revision(LQMA or�OMR)_
. InstrUetlons tdr Comp�eting thls form can be iound on the fallowl�g peges.
SEC'f'fON A PROP cRTY INFORMATlON FOR�NSU�NCE COMPANY USE
8Utla�NQ OwNEA's NAME � PQ�ICr NuMBER
ar�h�er J6 7e�nx�g �1j3��
BTREET ADbRES3{Ineh�AO Apt�.Unit,Stiite endlor BWq.Numbar)OR AD.ROUTE AND 80X NUMHER COMPANY NA1C NUMBER
860 H�rbor I81 anr7 _�.._...
• OTH@R D�SCRlPTION iLot and 8fock Numbere,etc.?
LOt 58 Unitis L� l.az�.� FG.t�Q.� c�-f C'?par���-ex �
cmr sraT� z�P coo�
Clearwatez� FL
$�CT10N B FLOpD iNSURANC�RATE MAP(FIRM)INFORMA'i'!dN
Provide the iollowtng#rom th�proper FlRM(Sae InstrucEians)_ •
t.CpA1MUNm(N(JMgEp 2 pANEL NUMBEFl 3.SUFFIX 4.DA7E OF FIRM INDEX 5.FlAM zqNfE B.����D�d�IhO�N
OOQ7 b 0$.19.97 AE • 72.0'
7.�ndio�te 1he elevation d�turrt system used on the l=1RM tar Base Ftood Elevations(BFE): CJ NGVP'29 C�Other(descrlbe cn bedc)
B.For Zones A or Y,where no BFE is provlded on tt�e�'iRM,and the�mmunity has established a BFE for lhfs buifding site,indfoate
the communiiy's SFE:�J•U f�et NGVD(or other FIRM datum—see,Section B,Item�_
SECTION C �UI1.pINQ�LEVATION INFOftMAI'ION
1.Us�ng the�levation Certif+caEe InsEructions,indi�te the diagram number from the diagrams faund on PageS 5 and B that best '
descrbes the subject buiiding's�eterence level T�. �
2(a).F1RM 7.ones A1-A30�AE,AH,and A(with BFE). The top oF#he re{erenca levei tloor from the selected diagram is at an elevstion
df 1 I � 1 1R�,�feat NGVD(or other FIRM d�tum—see Sectlon B,item 7).
�),�1pM�anes v1-V30,V�,and V(with BF�). T�e bottom of the luwest horizontal structural member ot the reference Ievel trom
the s9lected d(ag�am,Is at sn elevation vf��...�,.�,U ieet fYGvD(vr other FIRM dalumWsee Section 6,1tem 7).
{c).FIAM Zone A(withc7ut BFE). The fioor used a��the reference level from the setected diagram is (._.LJ.LI teet above C] ar
be�oyv[] (Chgr,k one) lhe high8st grade adj'ace�l tv the building.
(d).FIRM Zone AO. The tloar used as the reteren�:e level from the selected dfagram is W.�feet above� or below 0{check
one)th9 hlghest grade sdj�cent to ihe building. If no 11ood depth num6er is availdble,is the buiiding's lowest floor(referen4e
level)etevated in accardance wfih the community's floodplain managgment ardinance? ❑ Yes [] No ❑ Unknawn
3_Indicate the elevation datum system us�d In determining the above refe�ence(evef efevations:� NGVD'29 ❑ Other(describe
under Comments on Pags 2). (NOTE: If the eleti�ation da�um ersed in measuring the elevations�s diHerent tharr ihat used on
the FIRM jsee Secfion B,ihym 7j,then canvert!he�levatlens to fhe datum sysrem used an the FfRM and shvw the conversian
., equatfnn under Comments an Page 2.) r�r,
4.Elevation re(erence marfc used appears on FIRM: �� Yes U No (See tnstructions on Page 4)
5.The reference tevel eieVation is based on: � ac!ual canstructian ❑ constructton drawings
(NQTE: Use of cons�n►clian drawings is anly vali��ff the building does not yet have the reference level lloor in place,in which
case thls certi�icat�w1li orrly be valid for the buildTr�g during the coursa of construcUon. A poshconstructlon E/evafion Certi�icate
w!!!be requlred once construc[ion!s complefe.)
6,'�'he slevation of��lowest grade'smmediately adjacent to the buildin�is:��.LI feet NGVD(or other FIRM datum-see
Ssction 8,Item 7).
$EG�'ION D COMMUNiTY tNFORMATIOhI
i.If the cvmmunity o�cial respansibie fo�verilying t�uilding elevations speci�ies that the reference level indicated in Section C,Item 1 �
is n�t Rlte"lowest fleor"as defined in!he comrnun:ty's floodplain managemant ordinance,the eEevatian of the building's"lowest
ffoor"e�s detfnsd by the ordinance is: ��...�.�_�.0 faet NGVD(or other FIRM datum--s�e Section B,Item 7).
2.aaie v!ihe start of construction or substanti�l improvement _ -
FfrMA Forn�8i-31.MAY 90 REPLACE5 �� VERSE 31DB F�R CONT(MUATION
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P� SVCS
CITY OF CLEAR AT�R
06/04/02 TUE 07:58 FA% 7275728705 Melco �00�
' ' S�CTION E CEA1iFiCATION �
. � .
This certi�ication�S to be slgned by e land surveyrr,engi�eer,qr architect who is authorized by st�te or locat iaw to certity e[evaG�n
information when th�elevatton Into�mation for Zones A1—A3b,'AE,AH,A(with BFE),Vi—V3Q�VE,and V(with BFE}is required. �
Communfty off�clals who are euthorized by Iacal I�iw or ordinance tu provide floodplain management inFormation,may also sign the
ce�teticatlon. 1n the case of zanes Ao and a(without a FEMA or community issued BFE),a buitding oHiciat,a propeiiy ow�e�,or an
owner's represantative may also sfgn the certi�ication_ •
Reterence(evel dtagrams 6,7 and 8-�istinguishing Features—If the certife�is unable to certiiy ta breakaway/non-breakaw�y wail,
enclosure sfze,Io�aUon ot'servlcfng equipment,a•ea use,wall openings,or unfinisfied area Feature{s),then(ist the Feature(s)not
Included in the certlficatlon under Comments below_ The diagram numher,Sectton C,Item 1�must still be errtered.
J certl�y that the lnlormatlon in S6Cfions 8 and C an lhis Gerti�cate represents my best elforts ta�nterpret the 4�[a availa$le.
!underst�nd that�ny ralsa statement may be pur�ishable by firre ar Imprisonrrrenf under 18 U.S. Code.Sectlon '1 p01.
CER7�FIEH'S NAME UC@NS�NUMBEq far AHIx 3eaq
Pk�ilip �. S�.ock R.L.S. $3035 - - -
T1TLE pOMPANY NAME
president Target .L,�nd Surveying Inc.
a8o��ss ' cisv �ars ZtP
' P.O. Box 6£� � _�...�'� . .,.,., Flar�da_ 34697
610AIA'1'URE • OATE~ PIiON�
� �,a 05.04.99 7$4-0573
Coples�hcuid bs m�de oi this Certiflcate tar:1)communtty vifEciet�2},Insurance agent/compar�y,end 3)buliding owner.
Cf�MM�NTS:��p427.01 Benchmark= T.B.M."Cit_y_of Clearwat�x Island Wav"
. • Map#736 E].evation=7_275'
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uacw ihis properly iies wilhin flood Zone AE as depicted on Flood Insuronce
� er-eMC� ce-ce�...w.san a-c.M.�. c�r-cer.w.wa.n�e
acv-rw.w:e� rw-r..w o-w� w-►e�p.s �sr-,wn.M Rofe'Mo Communif Panel 125096 00070 Dofed: 8—19-91
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canr-c�,+a aa -nMw ar cv.ww. ►•�-r.a�a r�w BENCNMARK:T.B.M. Cl7Y OF CLfARWATER ISUND SYAY; MAP ,I'7J6, £L£V.=7.275'
I.R.6-ANnI a IMw�e turwlwv P.G6-/biM p f�M CF.-LMM
,,._o,..,Po„ ..,,. -.�.,,M„ RR.S-11MeN. MD -MNw BASE FLOOD ELEVATION: 12.0'
� R-RrtM D-Dw/ Y-WmYrN C-G1[WMN D. DeiN!eN
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ccNC�MoRS:
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SCALE: 1"=20� ��'"�°"�^^�"�^�"�1N0"•�nd""N°a'"°'11°""""�'�^'�"� PLAT BOOK 64, PAG£S f AND 2, PUBLIC RfCOR05 OF P/NELLAS
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LOWfST FINISH FLOOR fLEVATION = 8.53'
LOWEST AA/ACENT 6ROUND ELfI�ATlON = 7.9' ��.��
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CW�VE TA6[£(A/)
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M0. RApUS DELTA ARC TANGENT !�lARD CMOlRD 6�ARNNC
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? iB�0.00' 02'17T7' 7892' J9.47' 78.9f' S2l'?3b11�
J 1970.00' 02'2727' 84.50' �T.26' 84.49' �2348'19�: ""D1�°
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CURVE Tii�.f(R)
ND. RAqUS D£LTA ARC TANGENT CHORO f�IORD BEVPIIVC �
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OFFICE LOCAiION: CLEARWAiER, �oR�33�56-3508 � """� TARGET L4ND SURVEYING. INC.
NOT VALID WITHOUT THE SIGNATURE AND P.O. 80X 663
TNE ORIGINAL RAISED SF�1L OF A FLORIDA DUNEDIN FL 34697-0663 PH:(727) 784-0573
LfCENSED SURVEYOR ANO MAPPER.
PREPARED FOR AND CERTIFIED T0: I hereby certiJy that this survey was mode under my iesponsible
chorge and meefs the minimum Technicol Stondards os set /o�'
ARTHUR dc JEANNE ABBO by the Florido Board of Pro/essional Land Surveyors in Chopte
PROPERTY TITLE & CLOSING SERVICES INC. 61 G 17. Florido Administrotive CoOe, pursuant to Secfion 472.02i,
STEWART TITLE GUARANTY C0. Florida stotufes Field Survey: 4-28-99
AMSOUTH BANK ���,_.o� FB� 392—A py 25
Philip C. Stock Jobj� 990427.01
� RLS �3035, LB #5570
5-4-99 Drown By: D. MARISCAL
D�1E OF CERTIFICATION Surveyed By: P._STOCK
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