744 HARBOR ISLAND ,
744 HARBOR ISLAND
BCP2012-07608
775 SQ FT 2ND STORY ADDITION
BYERS RESIDENCE 2ND STORY ADDITION
Zoning: Island Estates Neighbor Atlas#:249B
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.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE onns No. �sso-aoos
'=ederal Emergerrcy Manageme�Agency Expires Ma►'Ch 31,2012
,�Nationl�t Flood InsuraAce Program Important: Read the instructions on pages 1-9.
�,.;'F SECTION A-PROPERTY INFORMATION for Insurance Company tJse:
A7. Building Owner's Name KENNETH W.BYERS Policy�fumber
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number
744 HARBOR ISL.
City Ciearvvater State FL 21P Code 33767 ,
A3. Property Description(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.)
ISLAND EST OF CLEARWATER UNITS 60,7A,7C UNIT 7C,LOT 75,Plat Book 64 Pgs 1 8 2
A4. Buiiding Use(e.g.,Residerrtial,Non-Residential,Addition,Aocessory,etc.)Res' n ial
A5. LatitudelLongitude:Lat.N27°59'31" Long.W82°49'03" Horizontai Datum: ❑ NAD 1927 � NAD 1983
A6. Attach at least 2 photographs of the buiiding if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1
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/� sq ft a) Square footage of attached garage �1,� sq ft
b) No.of permaneM flood openings in the crawlapace or b) No.of permanent flood openings In the attached garage
enciosure(s)within 1.0 foot above adjac�nt grade ,N� within 1.0 foot above adjaceM grade M�
c) Totai net area of flood openings in A8.b n!a sq in c) Totel net area of flood openings in A9.b n/a sq in
d) Engineered flood openings? ❑ Yes � No d) Engineered flood openin ?
gs ❑ Yes � No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number 62.County Name 63.State
Clearvvater 125096 Pinellas County FL
B4.MaplPanei Number 65.Suffixx 66.FIRM Index B7.FIRM Panei 68.Fiood B9.Base Flood Elevation(s)(Zone
12103C0102 G Date Effedive/Revised Date Zone(s) AO,use base flood depth)
9l03/03 9/03/03 AE 11'
B10. indicate the source of the Base Flood Eievation(BFE)data or base flood depth entered in Item B9. �
❑ FIS Profile � FIRM ❑ Community Detertnined ❑ Other(Describe)
611. Indicate elevatior►datum used fw BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe)
B12. Is the building located in a Coastai Bamer Resouroes System(CBRS)area or Othervvise Protec�ed Area(OPA)? ❑ Yes � No
Designation Date N�. ❑ CBRS ❑ OPA ,
SECTION C-BU{LDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construdion 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,ARlAE,AR/A1-A30,ARfAH,AR/AO. Complete Items C2.a-h
below according to the building diagram spec�fied in Item A7. Use the same datum as the BFE.
Benchmark Utilized I-04 Vefical Datum NAW'SS
Conversion/Comments Na
Chedc the measurement used.
a) Top of bottom floor(induding basement,crawispace,or enGosure floor)$.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 oniy) M�. ❑feet ❑meters(Puerto Rico only)
d) Attached garage(top of siab) 7.4 �feet ❑meters{Puerto Rico oniy)
e) Lowest elevation of machinery or equipment serviang the building 7.7 �feet ❑meters(Puerto Ric�only)
(Describe type of equipment and location in Comments)
f} Lowest adjacent(fin�shed)grade neut to building(LAG) 7.4 �feet ❑meters(Puerto R'�co only)
g) Highest adjacent(finished)grade next to building(HAG) 8.0 �feet ❑meters(Puerto R'�co only)
h) Lowest adjaoent grade at lowest elevation of dedc or stairs,inciuding �. �feet ❑meters(Puerto Rico only)
structural support
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION �",,;.
This certification is to be signed and sealed by a land surveyor,engineer,or architect authoriz�by law to certiy elevation
information. 1 certify ti►at the ir►formation on this CerhBcate�presents my best effo►ts to interpret the data availeble. ���.••�"'r•'� � '�-�,,�
I understand that any fa/se statement may be punishable by t)ne or imprisonment under 18 U.S. Code,Section 1001. ,.• � , ,��'��f'%,
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� Check here if comments are provided on badc of fortn. Were latitude and iongitude in Section A provided by a 'a� �! • ..��''�,,�'�,%•,
licensed land surveyor? � Yes ❑ No ., �'� �;'�'�� ��.
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CeRifier's Name Michael D.Hutchinson License Number 6280 � � y�
Tdle Professional Surveyor and Mapper Company Name HUTCHINSON SURVEYING AND MAPPING LLC ." ' V��'� ; � �.
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Address 2313 Ray Rd. City Valrico State FL ZIP Code 33594 ,��t';�/��a�l�� :� �
SignaturQ-� ,�/. � Date 7/24/2012 Telephone 813-817�151 'r;���,�'••�....•-'��aa, �`
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IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use:
_� __ __ -
Building Street Address(inciuding Apt.,Unft,Suite,and/or Bidg.No.)or P.O.Route and Box No. Policy Number
744 HARBOR ISL. , ,� '� -
City ClearwatertState FL ZIP Code 33767 Company NAIC N�mber „�
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certficate for(1)community official,(2)insurance agenUcompany,and(3)building owner.
Comments lowest equipment is an A/C unit.
.
7
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Signat � ., _ _---_'- ___._� _ _ - Date 7/24/2012
0 Chedc here if attachmerrts
SECTION E-BUILDING ELEVATION INFORMATlON(SURVEY NOT REQUIRED)FOR ZOAIE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFEj,complete ftems E1-E5. If the Ce�tificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,
and C. For Rems E1-E4,use natural grade,if availabie. Chedc the measurement used. In Puerto Rico only,enter meters. �
E1. Provide elevation infoRnation for the following 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 bottan floor(including basement,crawispace,or endosure)is ❑feet ❑meters ❑above or[J below the HAG.
b)Top of bottom floor(including basement,crawlspace,or endosure)is ❑feet ❑meters ❑above or❑ below the LAG.
E2. For Bui�ding Diagrams 6-9 with permanent flood openings provided in Sedion A ftems 8 and/or 9(see pages&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 ❑ UnknoHm. The local offlcial must csrtify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized represeMative 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 Sectrons A,8,and E a►e comect to fhe best of my knowledge.
Property Owners or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
Cl Check here ff attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The locai official who is authorized by law or ordinance to administer the community's floodpiain management ordinance can complete Sections A,B,C(or E),
and G of this Elevation Certificate. Compiete the appiicable item(s)and sign below. Chedc the measurement used in Items G8 and G9.
G1.❑ The infoRnation in Section C was taken from other documeMation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is authorized by law to certify elevation infortnatioa. (Indicate the source and date of the elevatittn data in the Comments area below.)
G2.❑ A community official completed Section E for a buiiding Iocated in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3.❑ The following information(Items(34-G9)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Permit Issued G6. Date Certficate Of Compiiance/Occupancy Issued
G7. This pertnit has been issued for: ❑New Construction ❑Substantiai Improvement
G8. Elevation of as-built lo�st floor(induding 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
Locai Official's Name Tdie
Cammunity Name Telephone �
Signature Date
Comments
I�l(;hec�c here,if atFar.hments
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' . � 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
744 HARBOR ISL
Clty Clearwater State FL ZI P 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 on the
reverse.
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'� � For Insurance Company Use:
Building Street Address(including Apt, Unit, Suite, and/or Bldg. No.)or R.O. Route and Box No. Poiicy Number
744 HARBOR ISL
City Clearwater State FL ZIP COd@ 33767 CompanyNAlCNumber
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."
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