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813 ISLAND WAYU.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 For Insurance Company Use: Al. Building Owner's Name Brian P. O'Sullivan amd Barbara A. O'Sullivan Policy Number A2. Building Street Address (including Apt., Unit, Suite. and/or Bldg. No.) or P.O. Route and Box No. 813 Island Way Company NAIC Number City Clearwater State FL ZIP Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 35, Island Estates of Clearwater Unit 8, Plat Book 47, Pages 73-74, Parcel ID #05-29-15-43458-000-0350 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. 47 59' 37.50" K Long. 82 49' 12.40" W A6. Attach at least 2 photographs of the building if the Certificate is being used A7. Building Diagram Number 1 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade Q c) Total net area of flood openings in A8.b Q sq in d) Engineered flood openings? 0 Yes ® No Residential Horizontal Datum: ® NAD 1927 0 NAD 1983 to obtain flood insurance. A9. For a building with an attached garage: a) Square footage of attached garage 903.7 sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade Q c) Total net area of flood openings in A9.b Q sq in d) Engineered flood openings? 0 Yes JO 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 FL 84. 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) 8/18/09 9/3/03 AE 11 & 12 B10. Indicate the source of he Base Flood Elevation (BFE) data or base flood depth entered in item B9. 0 FIS Profile ® FIRM 0 Community Determined 0 Other (Describe) N6 B11. Indicate elevation datum used for BFE in Item 89: 0 NGVD 1929 ® NAVD 1988 0 Other (Describe) f/q B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date N/A 0 CBRS 0 OPA El 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 A1 -A30, AE, AN, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, 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 NGS 872.6727 -A -TIDAL Vertical Datum NAVD-1988 Conversion/Comments PID #AG7196 a) b) c) d) e) f) 9) h) Top of bottom floor (including basement, crawlspace, or enclosure floor) 12.¢ 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 to building (HAG) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support Check the measurement ® feet ® feet ® feet ® feet ® feet ® feet ® feet ® feet ❑ meters (Puerto RM ❑ meters (Puerto RN ❑ meters (Puerto Rir ❑ meters (Puerto Rir ❑ meters (Puerto Ric i3cp .2oit' - oYooq 52 - 27?-�jgs� ❑ meters (Puerto Ric ❑ 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. / 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. 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 Donald E. Armstrong, Jr. License Number 5083 Title Owner Company Name Don Armstrong Land Surveying, LLC Address 2187 North Green Ridge Place City Palm Harbor State FL ZIP Code 34683 Signature Date 8/31/11 Telephone 727-772-8134 ,toollta1I;,1r�J ••• tiiFOE 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. 813 Island Way For Insurance Company Use: Policy Number City Clearwater State 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 agent/company, and (3) building owner. Comments Elevation Certificate issued for Residence under construction only. Latitude and Longitude were determined using the Pinellas County Property Appraisers GIS Map. Signature A A, Date 8/31/11 p 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), complete Items E1 -E5. N the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, 9, 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 (induding basement, crawlspaoe, or enclosure) is 0 feet 0 meters 0 above or 0 below the HAG. b) Top of bottom floor (including basement crawtspace, 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 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is • 0 feet 0 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 0 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, end 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 he 11 att is 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 items) 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. ❑ 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. 0 New Construction 0 Substantial Improvement 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 11 Chedc here If attachments I.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE EDERAL EMERGENCY MANAGEMENT AGENCY lationiil Flood Insurance Program important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION OMB No. 1660-0008 Expiration Date: July 31, 2015 FOR INSURANCE COMPANY USE Al. Buiidi . Owner's Name Brian P. O'Sullivan and Barbara A. O'Sullivan ddress (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. State FL ZIP Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 35, Island Estates of Clearwater Unit 8, Plat Book 64, Page 73, ID #05/29/15/43458/000/0350 Policy Number. Company NAIC Number. 813 ISLAND WAY BCP2011-04009 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 27 59' 37.50' N Long. 82 49' 12' 40" W Horizontal Datum: 0 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 budding with a crawtspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) WA sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade Q c) Total net area of flood openings in A8.b 0 sq in d) Engineered flood openings? ❑ Yes ® No A9. For a building with an attached garage: a) Square footage of attached garage 904 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 6 c) Total net area of flood openings in A9.b 1256 sq in d) Engineered flood openings? ® Yes 0 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 FL B4. Map/Panel Number 0102 B5. Suffix G B6. FIRM Index Date 8/18/09 B7. FIRM Panel Effective/Revised Date 9/3/03 B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 11 & 12 110. 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/Source: WA 111. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ® NAVD 1988 0 Other/Source: N/A 112. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ® No Designation Date: N/A ❑ CBRS 0 OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) :1. Building elevations are based on: 0 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, All, 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. In Puerto Rico only, enter meters. Benchmark Utilized: NGS #872 -6727 -A -TIDAL Vertical Datum: NAVD-1988. PID #AG7196 Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 El NAVD 1988 0 Other/Source: N/A Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawtspace, or enclosure floor) 12.6 b) Top of the next higher floor 2.Z4 c) Bottom of the lowest horizontal structural member (V Zones only) N/A. d) Attached garage (top of slab) $,6 e) Lowest elevation of machinery or equipment servicing the building 111.8 (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7.7 g) Highest adjacent (finished) grade next to building (HAG) 11.4 h) Lowest adjacent grade at lowest elevation of dedc or stairs, including structural support 8.4 Check the measurement used. ® feet ® feet ® feet ® feet ® feet ® feet ® feet ® feet O meters ❑ meters ❑ meters ❑ meters D meters ❑ meters ❑ meters D 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 certify elevation information. / 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 ® Check her, if attachments. licensed land surveyor? ® Yes 0 No Certifier's Name Donald E. Armstrong, Jr. License Number 5083 Title Owner Company Name Don Armstrong Land Surveying, LLC Address 2187 N. Green Ridge PL. City Palm Harbor State FL ZIP Code 34683 Signature Date 3/1/13 Telephone 727-772-8134 IMPORTANT: In these s aces, co p PY the corresponding information from Section A. Building Street Address includin 813 Island Way ( g APt' Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. City Clearwater SECTION D - SURVEYOR,(CONTINUED) FOR INSURANCE COMPANY USE Policy Number State FL ZIP Code 33767 Company NAIC Number. ENGINEER OR ARCHITECT CERTIFICATION Copy both sides or this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Lowest Machinery in hem C 2 e) is •an Air Conditioner on a metal pedestal adjacent to the South wall of the Residence. Latitude and Longitude were determined using the Pinellas County Govemment GIS Map. Engineered Flood Vent openings Certification attached, Models #1608-D and #3208-D 'were used on this residence. >19nature Date 3/1/13 SECTION E - BUILDING ELEVATION TION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) . 1dor Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, P or or E1 -.E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. 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 a) Top of bograde (LAG). ttom floor (including basement, crawlspace, or enclosureis ' b) Top of bottom floor (including ) 0 feet 0 meters 0 above or 0 below the HAG. For Building Diagrams 6-9 with basement crawlspace, or enclosure) is 0 feet 0 meters 0 above or 0 below the LAG. (elevation C2. in the diagrams) henent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor t. I• Attached garage (top of slab) is building is ❑ feet ❑ meters ❑ above or below the HAG. Top of platform of machinery and/or❑ feet 0 meters 0 above or 0 below the HAG. equipment servicing the building is ❑ feet 0 meters 0 above or ❑ below the HAG. Zone AO only: If no flood depth number ber is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ❑ Yes ❑ No 0 Unknown The local official must certify this information in Section G SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION ane qOr owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) must sign here. The statements in Sections A, Brid rty Owners a E are correct to the best of my knowledge. re r s or Owner's Authorized Re "---- Presentative's Name 'ess ature rnents City State ZIP Code Date Telephone levbo I Ce ' h4 Who is authorized by leu, or oP3lnance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G Complete thea 'able item(s) and sign below. Check the measurement used in items G8 -G10. In Puerto Rico only, enter meters. The information in Section C was taker, 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.) A community official completed Section, E for a building located in Zone A (without a FEMA -Issued or community -issued BFE) or Zone AO. The following information (Items G4—G10) is provided for community floodplain management purposes. andNumber G5. pate Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued 0 Check here if attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) s permit has been issued for. vation of as -built lowest floor (inclua New Construction E or (in Zone AO) depth of flooding at the b of the building: lmunity's design flood elevation: building lding site: ficial's Name ❑ Substantial Improvement ❑ feet 0 meters Datum ❑ feet 0 meters Datum ❑ feet 0 meters Datum rity Name is Title Telephone Date 0 Check here if attachments. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. 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. 813 Island Way 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 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. Front and South Side View 3/1/13 Front and North Side View 3/1/13 ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page 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. 813 Island Way Policy Number City Clearwater State FL ZIP Code 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. Rear and North Side View 3/1/13 Rear and South Side View 3/1/13 ELEVATION CERTIFICATE, PAGE 5 813 Island Way Clearwater, FL 33767 Engineered Flood Vent Outside View 3/1/13 Engineered Flood Vent Inside View 3/1/13 CERTIFICATION OF ENGINEERED FLOOD OPENINGS (FEMA TB -1 August 2008) I do hereby certify that the FLOOD .SOLUTIONS LLC Flood Vent properly installed and sized in accordance with Federal Emergency Management Agency's (FEMA's) National Flood Program regulations is designed to automatically equalize hydrostatic flood forces on exterior walls by allowing for entry and exit of floodwater during floods up to and including the base 100 -year flood. I also do hereby certify that I calculated the Non Engineered Net Free Air and Engineered Opening size for each model and size of FLOOD SOLUTIONS LLC flood vents. The results of the calculations are recorded in the table below. The Engineered size opening calculation was performed using the formula in FEMA Technical Bulletin 1 - August 2008, Openings in Foundation Walls for Buildings Located in Special Flood Hazard Areas in accordance with the National Flood Insurance Program (NFIP) and ASCE/SEI 24-05, Flood Resistance Design and Construction. I measured the Non Engineered Net Free Air by calculating the minimum distance between the top blade and the top of the vent times the clear opening width of the vent; plus the minimum distance between the bottom blade and the bottom of the vent the clear opening width of the vent; plus the minimum distance between each blade times the number of spaces between the blades in vent times the clear opening width of the vent. I used the formula in TB 1- August 2008 (A° = 0.033 (1/C) RAS) to determine the Engineered Opening size for each model listed below. I used the following assumptions: A° = total net area of openings required (in9; 0.033 = coefficient corresponding to a factor of safety of 5.0 (int hr/ft3); c = 0.40 opening coefficient (ASCE 24 Table 2-3 "rectangular, long axis horizontal, short axis vertical unobstructed during design flood") or C = 0.35 (square unobstructed during design flood); R = 5 ft/hr worst case rate of rise and fall; and Ae =1 ft2 total enclosed area. Note: When the horizontal dimension is twice or more the vertical dimension, use 0.4; as the dimensions approach a square, interpolate from 0,4 to 0.35. A° / Ae = 0.033 [1/C] R = 0.033 [1/0.40 for rectangle, long axis horizontal] 5 = 0.4125 int per ft2 or A° / Ae = 0.033 [1/C] R = 0.033 [1 / 0.35 for square] 5 = .4719 int per ft2 Each individual opening, and any louvers, screens, or other covers, shall be designed to allow automatic entry and exit of floodwaters during design flood or lesser flood conditions; there shall be a minimum of two openings on different sides of each enclosed area; if a structure has more than one enclosed area below the DFE, each area shall have openings; openings shall not be Tess than 3 inches in any direction in the plane of the wall; the bottom of each required opening shall be no more than 1 ft. above the adjacent grade; the difference between the exterior and interior floodwater levels shall not exceed 1 ft. during base flood conditions; in the absence of reliable data on the rates of rise and fall, assume a rate of rise and fall _of 5ft/hr; where data or analysis indicated more rapid rates of rise and fall, the total net area of the required openings shall be increased to account for the higher rates of rise and fall. - - " . SIG NATURE: NAME: DANIEL G. FARABAUGH TYPE OF LICENSE: PROFESSIONAL ENGINEER STATE : FLORIDA LICENSE NUMBER: 48349 MODEL Number Flood Solutions: SIZE of OPENING: (WIDTH X HEIGHT) Net Free Air (square inches): ENGINEERED OPENING Each vent covers: (square ft.) 14124 14" x 12" 67 145 1608-F 16" x 8" 51 124 1608-D 16" x 8" 51 124 1608-C 16" x 8" 65 158 1616-F 16" x 16" 104 221 1616-0 16"x 16" 102 216 2412-F 24" x 12" 113 274 2412-D 24" x 12" 110 267 2416-F 24" x 16" 156 362 2416-13 24"x 16" 154 357 3208-F 32" x 8" 104 252 3208-D 32" x 8" 104 252 U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program Important: Read the Instructions on pages 1-9. ELEVATION CERTIFICATE a? 2 C1\ 1- 0400°1 SECTION A - PROPERTY INFORMATION OMB No. 1660-0008 Expiration Date: July 31, 2015 FOR INSURANCE COMPANY USE Al. Building Owner's Name Brian P. O'Sullivan and Barbara A. O'Sullivan Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 813 Island Way Company NAIC Number: City Clearwater State FL ZIP Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 35, Island Estates of Clearwater Unit 8, Plat Book 64, Page 73, ID #05/29/15/43458/000/0350 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. 27 59' 37.50' N Long. 82 49' 12' 40"W A6. Attach at least 2 photographs of the building if the Certificate is being used A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade Q c) Total net area of flood openings in A8.b 0 sq in d) Engineered flood openings? ❑ Yes ® No Residential Horizontal Datum: 0 NAD 1927 (a NAD 1983 to obtain flood insurance. A9. For a building with an attached garage: a) Square footage of attached garage 904 sq ft b) Number of pemlanent flood openings in the attached garage within 1.0 foot above adjacent grade 6 c) Total net area of flood openings in A9.b 1256 sq in d) Engineered flood openings? ® Yes 0 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 FL B4. Map/Panel Number 0102 B5. Suffix G 86. FIRM Index Date 8/18/09 B7. FIRM Panel Effective/Revised Date 9/3/03 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 11 & 12 810. 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/Source: N/A B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ® NAVD 1988 0 Other/Source: N/A B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: N/A 0 CBRS 0 OPA ❑ Yes ® 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, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: NGS #872 -6727 -A -TIDAL Vertical Datum: NAVD-1988. PID #AG7196 Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 ® NAVD 1988 0 Other/Source: N/A Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 12.6 b) Top of the next higher floor 27.Q c) Bottom of the lowest horizontal structural member (V Zones only) N/A. d) Attached garage (top of slab) 8.6 e) Lowest elevation of machinery or equipment servicing the building 11.3 (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7.7 g) Highest adjacent (finished) grade next to building (HAG) $.8 h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 8.4 ® feet ® feet ® feet ® feet ® feet ® feet ® feet ® feet ❑ meters ❑ meters ❑ meters ❑ meters ❑ meters 0 meters ❑ meters ❑ 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 certify elevation information. / 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 U comments are provided on back of form. Were latitude and longitude in Section A provided by a ® Check here if attachments. licensed land surveyor? ® Yes 0 No Certifier's Name Donald E. Armstrong, Jr. License Number 5083 Title Owner Company Name Don Armstrong Land Surveying, LLC Address 2187 N. Green Ridge PL. City Palm Harbor State FL ZIP Code 34683 Signature Date 3/1/13 Telephone 727-772-8134 • ELEVATION CERTIFICATE, page 2 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. 813 Island Way FOR INSURANCE COMPANY USE Policy Number. City Clearwater State 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 agent/company, and (3) building owner. Comments Lowest Machinery in Item C 2 e) is an Air Conditioner on a metal pedestal adjacent to the South wall of the Residence. Latitude and Longitude were determined using the Pinellas County Government GIS Map. Engineered Flood Vent openings Certification attached, Models #1608-D and #3208-D were used on this residence. Signature Date 3/1/13 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 LOMA or LOMR-F request, complete Sections A, B, and C. For Items Et -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 ❑ feet ❑ meters 0 above or 0 below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet ❑ 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 ❑ feet 0 meters ❑ above or ❑ 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 0 feet 0 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? ❑ 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, 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 -G10. In Puerto Rico only, enter meters. 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. 0 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 -G10) 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: 0 New Construction 0 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet 0 meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet 0 meters Datum G10. Community's design flood elevation: 0 feet 0 meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments 0 Check here if attachments. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for ftem A6, IMPORTANT: In these spacescopy the corresponthng inforrnation from Section A. FOR NSURANCE COMPANY USE Building Street Address (including Api,, Unit, Suite, and/or Bldg. wu)o,pn.Route and Box No. 813 Island VVay Policy Number: City Clearwater tate FL ZIP Code 33767 CompanymA/Cwvmu=r If using the ElevatioCertficate to obtain NFIP floodinsurance, affix atleast 2building photographs below acc/di/g to the instruction for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and. if required, "Right Side View" and 'Left Side Wm*.~ When app|icab|e, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8If submitting more photographs than will fit on this page, use the Continuation Page. Front and South Side View 3/1/13 Front and North Side View 3/1/13 ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page 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. 813 Island Way FOR INSURANCE COMPANY USE Policy Number: City Clearwater State FL ZIP Code 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. Rear and North Side View 3/1/13 Rear and South Side View 311/13 ELEVATION CERTIFICATE, PAGE 5 813 Island Way Clearwater, FL 33767 E :ineered Flood Vent Outside View 3/1/13 En eered Flood Vent Inside View 3/1/13 CERTIFICATION OF ENGINEERED FLOOD OPENINGS (FEMA TB -1 August 2008) I do hereby certify that the FLOOD SOLUTIONS LLC Flood Vent properly installed and sized in accordance with Federal Emergency Management Agency's (FEMA's) National Flood Program regulations is designed to automatically equalize hydrostatic flood forces on exterior wails by allowing for entry and exit of floodwater during floods up to and including the base 100 -year flood. I also do hereby certify that I calculated the Non Engineered Net Free Air and Engineered Opening size for each model and size of FLOOD SOLUTIONS LLC flood vents. The results of the calculations are recorded in the table below. The Engineered size opening calculation was performed using the formula in FEMA Technical Bulletin 1 — August 2008, Openings in Foundation Walls for Buildings Located in Special Flood Hazard Areas in accordance with the National Flood Insurance Program (NFIP) and ASCE/SEI 24-05, Flood Resistance Design and Construction. I measured the Non Engineered Net Free Air by calculating the minimum distance between the top blade and the top of the vent times the clear opening width of the vent; plus the minimum distance between the bottom blade and the bottom of the vent the clear opening width of the vent; plus the minimum distance between each blade times the number of spaces between the blades in vent times the clear opening width of the vent. I used the formula in TB 1— August 2008 (A° = 0.033 [1/C] RAA) to determine the Engineered Opening size for each model listed below. I used the following assumptions: A° = total net area of openings required (in2); 0.033 = coefficient corresponding to a factor of safety of 5.0 (int hr/ft3); c = 0.40 opening coefficient (ASCE 24 Table 2-3 "rectangular, long axis horizontal, short axis vertical unobstructed during design flood") or C = 0.35 (square unobstructed during design flood); R = 5 ft/hr worst case rate of rise and fall; and A@ = 1 ft2 total enclosed area. Note: When the horizontal dimension is twice or more the vertical dimension, use 0.4; as the dimensions approach a square, interpolate from 0,4 to 0.35. A° / Ad = 0.033 [1/C] R = 0.033 [1/0.40 for rectangle, long axis horizontal] 5 = 0.4125 inZ per ft2 or A° / Ad = 0.033 [1/C] R = 0.033 [1 / 0.35 for square] 5 = .4719 inZ per ft2 Each Individual opening, and any louvers, screens, or other covers, shall be designed to allow automatic entry and exit of floodwaters during design flood or lesser flood conditions; there shall be a minimum of two openings on different sides of each enclosed area; if a structure has more than one enclosed area below the DFE, each area shall have openings; openings shall not be less than 3 inches In any direction in the plane of the wall; the bottom of each required opening shall be no more than 1 ft. above the adjacent grade; the difference between the exterior and interior floodwater levels shall not exceed 1 ft. during base flood conditions; in the absence of reliable data on the rates of rise and fall, assume a rate of rise and fall of 5ft/hr; where data or analysis indicated more rapid rates of rise and fall, the total net area of the required openings shall be increased to account for the higher rates of rise and fall. SIGNATURE: NAME: DANIEL G. FARABAUGH TYPE OF LICENSE: PROFESSIONAL ENGINEER STATE : FLORIDA LICENSE NUMBER: 48349 MODEL Number Flood Solutions: SIZE of OPENING: (WIDTH X HEIGHT) Net Free Air (square inches): ENGINEERED OPENING Each vent covers: (square ft.) 1412-F 14" x 12" 67 145 1608-F 16" x 8" 51 124 1608-D 16" x 8" 51 124 1608-C 16" x 8" 65 158 1616-F 16" x 16" 104 221 1616-D 16" x 16" 102 216 2412-F 24" x 12" 113 274 2412-D 24" x 12" 110 267 2416-F 24" x 16" 156 362 2416-D 24" x 16" 154 357 3208-F 32" x 8" 104 252 3208-0 32" x 8" 104 Z52 ,r is1*I41to,Is, 4. • ;No 48349 �: ar i `STA E '' . U.S.'DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE •MS Na 1660-�Ni Federal Emergency Management Agency Expires MarCh 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owners Name Brian P.O'Sullivan amd Barbara A.O'Sullivan Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 813 tsland Way City Clearwater State FL ZIP Code 33767 A3. Property Description(Lot and Blodc Numbers,Tax Parcel Number,Legal Descrip6on,etc.) Lot 35,Island Estates of Cleanvater Unit 8,Plat Book 47,Pages 73-74,Parcel ID#05-29-15-4345&000-0350 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Aooessory,etc.) esidential A5. Latitude/Longttude:Lat.�7 59'37.50"N Long.82 49'12.40"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 1 B A8. For a building with a crawlspace or enGosure(s): A9. For a building wdh an attached garage: a) Square footage of crawlspace or e�closure(s) WA sq ft a) Square footage of attached garage 903•7 sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openinga in the attached garage enGosure(s)within 1.0 foot above adjacent grade Q within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b Q sq in c) Total net area of flood openings in A9.b Q sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Bi.NFIP Community Name&Community Number 62.County Name B3.State Ciry of Clearwater 125096 Pinellas FL B4.Map/Panel Number 85.Suffix 66.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 12103C0102 G Date Effedive/Revised Date Zone(s) AO,use base flood depth) 8/18/09 9/3/03 AE 11 8 12 810. Indicate the souroe of the Base Fbod Elevation(BFE)data or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe)� 811. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe)N/A 612. Is the buikJing located in a Coastal Barrier Resources System(CBRS)area or Otherwise ProteCted Area(OPA)? ❑ Yes � No Designation Date N/A ❑ CBRS ❑ OPA SEC710N C-BUILDING ELEVATION INFORMA710N(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construdion Drawings" � Building Under Construction' ❑ 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. Compleie Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmadc Utilized NGS 872-6727-A-TIDAL Vertical Datum NAVD-1988 ConversioNComments PID#AG7196 '3 C p .<O l� - Cj�(�tU� Chedc the measurement a) Top of bottom floor(induding basement,crawlspace,or endosure floor)�.¢ �feet ❑meters(Puerto RH ,2 _ ,2 '7�'f_ �5 �%5rsy b) Top of the next higher floor 1 A. �feet ❑meters(Puerto RG c) Bottom of the lowest horizontal structurat member(V Zones oNy) WA. �feet ❑meters(Puerto Ri� r1, I d) Attac�ed garage(top of slab) $.f �feet ❑meters(Puerto RN �� l �{ �� e) Lowest elevation of machine or ui merrt servicin the buildi N/A. E �Y �4 P 9 �9 �feet ❑meters(Puerto Rk (Descnbe type of equipment and location in Comments) �� Lowest adjacent(finished)grade next to building(LAG) 1�/A. �feet ❑meters(Puerto RK g) Highest adjacent(finished)grade next to building(HAG) 1�! . �feet ❑meters(Puerto Rico only) h) Lowest adjaoent grade at lowest elevation of dedc or stairs,induding WA. �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,englneer,or archited authorized by law to certify elevation infoRnation. l cetify that the infoimation on this Cer6ficate►epreseirts my best efl`orts to inteipret the data available.! ��Ll4?Pi1t�l+�y,i� u�Chedc ere if comments ae providedo pba of formy��Werenta�t'dudenand long�itude n Sedion A p ovided�b�y a ,;`°��,A`��-•-°°,..;��r��s. �"- Y � ❑ No .� �'�,��9�0�'��''� : .k licensed land surve orT Yes �; � ,��> �:� Certifiers Name Donald E.Artnstrong,Jr. License Number 5083 P '� ;`�. �g�� ; � z C;:, ��/�� . '�' Trtle Owner Company Name Don Armstrong Land Surveying,LLC � �F�. ':`°' Address 2187 North Grean Ridge Place City Palm Harbor State FL ZIP Code 34683 ��%;�,��.�� , �a,i t`�� ' Signature Date 8/31/11 Telephone 727-772-8134 ��'' ,,,,, �� _ _ ___ _ __ _ __ _ _ _ . IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: . Building Street Address(inGuding Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number 8131s1and Way City Clearvwater State FL ZIP Code 33767 Company NAIC Number SECTION D-SURVEYOR, ENGiNEER,OR ARCHITEC7 CERTIFICATION(CONTINUED) Copy both sidas of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments ElevaUon CertiFicate issued for Residence under construction only.Latitude and Longitude were determined using the Pinellas County Property Appraisers GIS Map. Signature Date 8J31/11 ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMA710N(SURVEY NOT REQUIRED)FOR 20NE AO ANQ ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is irrtended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Chedc 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 o�below the highest adjacent grade(FU1G)and the lowest adjaoent grade(LAG). a)Top of bottom floor(induding basement,crawlspace,or endosure)is ❑feet ❑meters ❑above or 0 below the HAG. b)Top of bottom floor(inGuding basemerrt,crawlspace,or endosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Sedion A Items 8 and/or 9(see pagea&9 of InsUudions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meteis ❑above or ❑below the HAG. E3. Attad�ed 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 0 below the HAG. E5. Zone AO only: If no flood depah number is available,is the top of the bottom floor elevated in acxordanoe with the community's floodplain management ordinanoe? ❑Yes ❑ No ❑ Unknown. The local official must oertify fhia information in Secxion G. 3ECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sedlo�A,B,and E for Zone A(without a FEMA-issued or community-issusd BFE) or Zone AO must sign here. The statements in Sedions A,B,and E are corred b the best of my knowledge. Property Owners or Owner's Authorized Represe�tative's Name qddress City State ZIP Code Si�nature Date Telephone Commenffi ❑Chedc here ff attachments �...�...��..� SECTION G-COMMUNITY INFORMATION(OPTIONAL) The bcal official who is authorized by Iaw or ordinance to administer the oommunity's floodplain managemerrt ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicabb item(s)and sig�below. Check the measuremeM used in Items G8 and G9. G1.❑ The iMormation in 3edion C was tsken irom other doauneMatlon that has been aigned and sealed by a lioer�sed surveyor,engineer,or archited who is authorized by law to oertiy elevation infom�ation. (Indicate the souroe and date of the alevation data in the CornmeMS area below.) G2.❑ A community official completed Section E for a building bcated in Zone A(wittwut a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The following iMortnation ptems G4-G9)is provided for oommuniqr floodplsin management purpo�es. G4.Permit Number G5. Dete Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for. ❑New Construdion ❑Substantial Improvement G8. Ebvation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in 2one AO)depth of flooding at the building site: ❑feet ❑meters(PR�Datum G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local O(ficial'a Name� � T� Community Flame � Telephone Sipnature �� Comments n cn�nere;��drnen� � d �-,��l'd 4�v I.S.DEPARTMENTOFHOMELANDSECURITY ELEVATION CERTIFlCATE EDERAL EMERGENCY MANAGEMfNT AGENCY OMB NO. 1660-0008 latiorral Flood Insurance Program �mportant: Read the instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION FpR tNSURANGE Cf?�APANY t�.SE A1. Buitdin Owner's Name Brian P.O'Sullivan and Barbara A.O'Sullivan Policy Number. A2. Building Street ddress(including Apt.,Unit,Suite,andlor Bldg.NoJ or P.O.Route and Box No. Company NAtC Number. 813 Island Way ' Cle r State FL ZIP Code 33767 A 3. P ro p e t t y Descri ption(Lot and Blodc Numbers,Tax Parcel Number,L e gal Descri ption,etc.) 813 ISLAND WAY Lot 35,Island Estates of Clearwater Unit S,Plat Book 64,Page 73,ID#05/29/15/43458/000/0350 B C P 2 0 11-04009 A4. Building Use(e.g.,Resider�tiai,Non-Residerrtial,Addition,Aocessory,etc.)Residential A5. LatitudelLongitude:Lat.27 59'37.50'N Long.82 49'12'40"W Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attac:h 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 enctosure(s} WA sq ft a) Square footage of attached garage 904 sq ft b} Number of permaneM flood openings in the cxawlspace b) Number of permanent flood openings in the attached garage or enGosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 6 c) Total net area of flood openings in AS.b 0 sq in c) Total net area of flood openings in A9.b 1256 sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? � Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 81.NFIP Community Name 8 Community Number 62.County Name B3.State City of Clearvvater 125096 Pinellas FL B4.Map/Panel Number 65.Suffoc B6.FIRM Index Date B7.FIRM Panel 68.Flood B9.Base Flood Elevation(s)(Zone 0102 G 8/18l09 Effective/Revised Date Zone(s) AO,use base flood depth) 9/3/03 AE 11 8�12 t10. Indicate the souroe of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Communiry Determined ❑ OthedSource:N/A t11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ OthedSource:N/A t12. Is the building located in a Coastal Barrier Resour�es System(CBRS)area or Othervvise Protected Area(OPA)? ❑ Yes � No Designation Date:WA ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) :1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construdion* � Finished ConsVuction '�i�ciii�ia�TaliOfi�o�w'`K:at2�ii�i�yuiiai'r�'w'zii fAiiSiiuuiGii�i.u��uiwiiiy i5 wl7iati�e. :2. Elevations-Zones A1 A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1�130,AR/AH,AR/A0.Complete Items C2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. Benchmark Utilized:NGS #872-6727-A-TIDAL Vertical Datum: NAVD-1988,PID#AG7196 Indicate elevation datum used for the elevations in items a)through h)below. ❑NGVD 1929 �NAVD 1988 �OthedSource:N/A Datum used for building elevations must be the same as that used for the BFE. Chedc the measur�emeM used. a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 12.6 �feet ❑meters b)Top of the next higher floor 27.0 �feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones ony) WA. �feet ❑meters d)Attached garage(top of slab) 8.6 �feet ❑meters e)Lowest elevation of machinery or equipmerrt servicing the building 11.3 �feet ❑meters (Describe rype of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 7.7 �feet ❑meters g)Highest adjacent(finished)grade next to building(HAG) 8.8 �feet ❑meters h)Lowest adjacent grade at lowest elevation of dedc or stairs,induding structural support 8.4 �feet ❑meters SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is tq be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.l certily that the info►mation on this Certificate►ep�esents my best efl'r�rts to interpret the data available. I undersfand that a�ry fa�se statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. � Chedc here�comments are provided on badc of form. Were latitude and longdude in Section A provided by a � Check herg if attachments. licensed land surveyor? � Yes ❑ No Certifier's Name Donald E.Armstrong,Jr. License Number 5083 Title Owner Company Name Don Armstrong Land Surveying,LLC `��/�'� Address 2187 N.Green Ridge PL. Cit�r Palm Harbor State FL ZIP Code 34683 P�f �S0�'� Signature Date 3/1/13 Telephone 727-772-8134 IMPORT � �-�-� ANT: In these spaces,copy�e corr+�sponding information from Section A. FOR INSURANCE COMPANY USE B��d�ng StreetAddress(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Policy Number. 813 Island Way ��ty CleanNater State FL ZiP Code 33767 Company NAIC Wumber. SECTION D-SURVEYOR,ENGINEER,OR ARCFfITECT CERTIFICATION(CONTINUED) ''�y ootn sides of th�s Etevation Certificate for(1)communiry official (2)insurance agenUc�mpany and(3)building owner. Comment� � ° ��..w�macnmery m ttem C 2 e)i�an Air Conditioner on a metal pedestal adjacent to the South wall of the Residence.Latitude and Longitude were deterrn��e�using the Pinellas County��mmerrt GIS Map.Engineered Flood Vent openings Certification attached,Models#1608-D and#320&D +vere used on��S residence. �ignature Date 3/1/13 SECTIpN E-BUILDING ELEVAT�ON INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) 'or 2ones Ap and A(without BFE,com nd C.For It � plete Items E1-E5.If the Certficate is intended to support a LONW or LOMR-F request,complete Sections A,B, ems E1-E4,use natural grade, if available.Chedc the measurement used.In Puerto Rico onfy,enter meters. �• Provide e�yation information for the followiny and chedc the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HqG)and the lowest adjacent grade(LAG). a)Top of�tt�floor(inGuding base�pent,crawlspace,or enclosure)is ❑feet ❑meters ❑above or Q below the HAG. ' b)Top of bottom floor(includiny base�ent,crawlspace,or endosure)is ❑feet ❑meters ❑above or❑ below the LAG. • For Building Diagrams 6-g wi�h pe�panent flood openings provided in Sedion A Items 8 and/or 9(see pages 8-9 of Instrudions),the next higher floor (elevation C2.b in the diagrams)of the building is s• Attach . ❑feet ❑meters ❑above or ❑below the HAG. ed garage(top of slab)is _� '•• Top of platform of machinery and/or ��t ❑meters ❑above or ❑below the HAG. • Zone A ��Pment servicing the building is . ❑feet ❑meters ❑above or❑below the HAG. O only: If no flood depth numbe�is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? �yeS ❑ No � U�k nown The local officiat must certiy this information in Section G SECTION F-pROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION r1M r'�W'�y owner or owner's authorized re one AO rr�ust sign here.The statements pre�ntative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) �erty p��pr �,, �n Sections A B and E are co�to the best of my knowledge �� "~��O►�eu RePresentative's Name •ess City State ZIP Code ature Date Telephone ments —�_ ❑Check here if attachments. a��Ga��ti �` SECTION G COMMUNITY INFORMATION(OPTIONAL) :�v�� _.-��, ��y aw w ortl�nance to administer the community's fbodplain management ordinance can complete Sec;tions A,B,C(or E),and G �rt��a��ab�e item(s)and sign bebw.Chedc the measurerneM used in Items G8-G10.In Puerto Rico only,enter meters. The information in Section C was taken�.�other documeMation that has been signed and sealed by a licensed surveyor,engineer,or architect who �a�honzed by law to certiy elevatio� in��ation. (Indicate the source and date of the elevation data in the Comments area belowJ A�munity officia�comp�;t�S��o� E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. The followi�g information(Items �'�10)is provided for c�mmunity floodplain managemeM purposes. �'mit Nurp�r G5, pate Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued S Permit has been issued for. vation of � NeW Construction ❑Substantial Improvement as-built lowest floor(inGuding basement)of the building: =or(in Zone AO)depth of flooding at th ❑�et ❑meters Datum �muni e building site: ❑feet ❑meters Datum tY's design flood elevation: ❑feet ❑meters Datum �cia�s Name --� Title ��y rvame �-� Telephone _ �— � Date ❑Check here if attachments. ELEVATION CERTIFICATE, page 3 guilding Photographs See Instructions for Item A6. �, 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: 813 Island Way City Clearwater State FL ZIP Code 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 Viev✓' and "Rear View"; and, if required, "Right Side Viev�' 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. Front and South Side View 3/1/13 �� Y� � � ��.�: � �� , �� .��, � <-� a �..-�� . ,kr� � � �� _ ;� e.w�+.-,..��... -, �� ':� � :�.� .�.- � . � �t.� ,r.� ti r� � t,;r I � '�(q �;. � ��,._i . � �..,-:� .; � � �� , � 1° � ; ""'y� � '� ��}.^ � :r .,`_ ,�� y � �� "' �•<.°a �. :.,w , ,`� Y �. �r � �=c t � �.�t X S�P'.�„r�:; �''�+" � 4 ��'. �' � �� : ge _ � ' �� .� �� . - _�,. .� � _ �� - -- �.�-°''''�..� .��A� i „ .. �n. . ,.�,,,.. � - :- :#:�:��m� _ _ � _ _ _ .._�. Front and North Side View 3/1/13 ,�. � .w�-. x�«�- ,�+ !ri��"',�rW ` ,_ s=�� n.�- ' t�� a`-. ��,.-i:?a. � { �_ k �' /�''-^"a�-�'..',`. . ". �^" ?+is rr' -�t�� - Yx� �xt �*�+ � �� E� �.'�' sn, ''-� �� .�' Y 2'4;:.3t.. y.� � wi�r. �� • .y ��„ � : �. � � � 3 ..,.r-�.,� i� �� ,+ r .r-e � �6 ! � r . a r ��A '� .� �� ... 7 �6�� i�i9��' ' H r�Me 4h.,u t'� 1y. �Sl4ik-+ Eµ .�v .Rk [y .R:� � �{R�Y t �'p ».,'�.�5 .:#�� .g.�.JP- . _ -.si� _4�"'� . ,..�o. �'a. �# t� w � ��p � l�e �4 :�-.�' . . . - ' �}� ' .. �f..... .' =LEVATION CERTIFICATE, page 4 guilding Photographs Continuation Page 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: 813 Island Way City Clearwater State FL ZIP Code 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 VievW' and "Rear View"; and, if required, "Right Side VievW' 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. Rear and North Side View 3/1/13 �� '` : . -� �„, `. * -._.��...Y..�-V ��;' _ .--,...—�"' :.a�'�� i,�. . �'�_.._.,�.--�_�.�.— .: . �, �, � S � � r�„ a r � �� :�� y�rt� � �� ; ,� � , - �� -� tr� �___.__ �` _ � �� ,� �y�- � -� �w�-, �-s,.�, . _, � �.,��. „ � s�qs:,�.�� ' T.' i ��I''A �:' r'` `�» �' �'. z�..a t .,��, � " : �� i�,�`y ',f � �.' � �' � � t., �G, ,f. i`a;.�' � `-: ¢, 4 ��. � � : � <: �� ; ��'`:� �.,iY ti..� ' .1=' :�°: Rear and South Side View 3/1/13 ��' � '�„- -� �' � :�� ; � - "r �.. �� \ ^,+A � 3 :'�.. �' � �� -.^'°�-'`�t �•'�",°`{�,a , r i - , . . A„ . .�, » .. � � ` � i .."'�. � s; . . c- -..�_'V��- �- � ' � i t ,` �iv'^'� _ � � �'� _�� t�� :k^1.� 1 ��. � . �r� � � �'� -�'�. i . , i t,� � _.. � e "`+ 1 {� �"� ,t ^�a"K " �.��. �a �"�'��_ ��..,.�� i.� ::�;;.�. �.� F �-- ,,,r.��- -�` . . _ � - `'-�+.� - j - „, � , , . � � � .�» ,_ Ft e.. _ �� -% ' \, . �_T� ,�� ,� ,, � ____ ��, _� ELEVATION CERTIFICATE,PAGE 5 813 Island Way Clearwater,FL 33767 Engineered Flood Vent Outside V�ew 3/1/13 ��,� � � � 4 a z '^..�. ..Y� Y_.�a"*� ,w w�,, ti �?�,�,r"-�,'`�� ' � � '� �� 'L. �. vata��r� �' ;,�': s il �'� -- y, ,,,,,:�_ ��%� ,�,� a .. �,.�f f°-+' � J�5 ; 3C� r.` "+.� t 'w t 7,,�., ^ �t� AY�� i� � �' �� lq i �'� *�..� s �` �,� „c� r' £ +,,', x ��'"� ;��r �Sa+��, ,�+�", . , , �' f �y i�.,'1 � �3 �°� '�. r+'��? ""�i6 ,, �' i�+{� �'t ��y,T`2'�'� "1 4 � � $ ""r`=, ;'`--r�.'S rY•`"t��r `S �s#��'i��-�``a l . �� t � ,m��rr -e � � `� ti ; �"�'6a,4."-s . 'J� b � ��3��3'i�5 �� ' ' �c+1°' tx i�s '-H�� n&P �� }4 t�'r• � xf�^�- "7'S�1^�, _ �� n �, , ��SS#�� . ��: F .._R `' .. �*✓ r $ +� •:;f �`. � �,„,, r , � . R R �9t ;J' C. �h" '�T?'�� - �� ' �' #-,"�'"1'�.�,j�' �" � s.r� �Csi�".,_ .r� �Pw ; , ,� � . '� . t+` ...F1�+�� 4J.� �� ;.�', � �, °, , �.�s�' _ t� "�e�'. �t'+�{t �y'�'�]�k . � ...w�Y�`.. $°'�� ' :�.,�J`?L . '�{,,..$€�" ' "' � . . . . . ,�,� ;, _ ��,n�� +�t.,�e � �r..- . .. ' . . . . . ��'��`�{ �� " � q , � . �" � �:� s':• � �.,.::L .-:,;. .��.a * ',�r .l�. � �,a �.:Y k.;i 4` � '� �,,,,a�'�, .�e �� .:_�N"•+'A�Y�. ..f - , � � _ .. t `�-M. f ngineercd Fl�od Vent Inside View 3/1/13 � �[ ... ..��ew�"� ��'� at `°'�`��'�t�c�1�„? �t-ry�,�� b,p.�y - € � � � A $ �` ai � { �?��5�..� � F il _� ��': >.a�".� ,��:�1✓�t�'�'�� r r ��'"�iYA,i' d..��..�, - r., ��"_ �_ ��a�' +w��' �t�,��''�; :�y,"'+�> '�'"±u' S � � # ' � '�� '��#�� r�¢ y��.: e�b i, '�:� .# �� '. �t: .a,� _� � �� , � q R � � �.. � n��,:�. a�- � z I . «r.�.. ....�..�.�» �; I , . . .� . , z . . _ � �.� : , . . . ,. � � l, � ...,-._.>.-....�. . . -:. ,__. . . ..' �.. �i �� II I` i i �� . , �. i ,. .. ' , ":��-:� �-"�'� ��u� .,�,��°"� , , .. .„,. ; �; ,; .,: � �_ � ERTIFICATIONt Q� ENGINEERED FLO�D 4PENINGS (FEMA TB-1 August 2008� C � do hereby certify that the FLOOD .SOLUTIQNS LLC Fiaod Vent properly installed and sized in accordance with Federal Emergency Management Agency's(FEMA's)National Flood Program regulations is designed to automatically equalize hydrostatic flood forces on exterior walls by allowing for entry and exit of floodwater during floods up to and including the base 100-year flood. I aiso do hereby certify that I calculated the Non Engineered Net Free Air and Engineered Opening size for each model and size of FLOOD SOLUTIONS lLC flood vents. The results of the calculations are recorded in the table below. The Engineered size opening calculation was performed using the formula in FEMA Technical Bulletin 1–August 2008, Openings in Foundation Walls for Buildings Located in Speciai Elood Hazard Areas in accordance with the Nationa{Flood Insurance Program(NFIP)and ASCE/SEI 24-05,Flood Resistance Design and Construction. 1 measurect the t�on Engineered Net Free Air by calalating the minimum distance between ihe mp blade and the top of the vent times the ciear opening width of the vent;plus the minimum distan�e between the bottom blade and the bottom of the vent the clear opening width ofi the vent; plus the minimum distance between each blade times the number of spaces between the blades in vent times the clear opening width of the vent. I used the formula in TB 1–August 2008(A°=0.033[1/C]RAe)to determine the Engineered Opening size for each model listed below. I used the following assumptions: A°=total net area of openings required(in2); 0.033=coefF'icient corresponding to a factor of safety of 5.0(inZ hr/ft3);c= 0.40 opening coefficient(ASCE 24�nTabie 2-�3=��h gworrst ca earate of rise an,d fall and Aee 1'ft2 totabenclo ed area.g design flood") or C= 0.35 (square unobstructed ciuring desi flood); Note: when the horizontal dimension is twice or more the vertical dimension,use 0.4;as the dimensions approach a square,interpolate from 0,4 to 0.35. A°/Ae=0.033[1/CJ R=0.033[1/0.40 for rectangle,long axis horizontal] 5 =0.4125 in2 per ft2 or A°/Ae=0.033 [1/C] R=0.033[1/0.35 for square] 5=.4719 inZ per ft2 Each individual opening,and any louvers,screens,or other covers,shall be designed to ailow automatic entry and e�ut of floodwaters during design flood or lesser fiood conditions;there shall be a minimum of two openings on differer►t sides of each enclosed area;it a structure has more than one enclosed area below the DFE,each area shall have openings;openings shall�ot be less than 3 inches in any direction in the plane of the wall; the bottom of each required opening shall be no more than 1 ft. above the adjacent grade;the difference between the exterior and interior fioodwater levels shall not exceed 1 ft. during base flood conditions;in the absence of reliable data on the rates of rise and fall,assume a rate of rise and tall of 5ft/hr, where data or analysis indicated more rapid rates of rise and fali,the total net area of tfie required openings shall be _ ---- _ __ _ _ ---- - __ . increased to account for the higher rates of rise and fell. ENGINEERED OPENING MODEL Number SIZE of OPENING: Net Free Air Each vent covers• Flood Solutions: (WIDTH X HEIGHT) (square inches): ' (square ft.) 1412-F 14"X 12" 67 145 1608-F 16"x 8" 51 124 160&D 16"x 8" 51 124 1608-C 16"x 8" 6� 158 1616-F 16"x 16" 1�4 221 1616-D 16"x 16" 102 215 2412-F 24"x 12" 113 274 2412-D 24"x 12" 110 267 2416-F 24"x 16" 156 362 2416-D 24"x 16" 154 357 3208-F 32"x 8" 104 252 � '`'�� •' �. '•�. 3208-D 32"x 8" 104 252 �;;��"� �'.� � �*: �. ''�r, H' .�� 4��•�r� �' 3� ` .� SIGNATURE: � '��;}`. � � ;�`•-� �. ; �� ,. `t► : . NAME: DANIEL G.FARABAUGH '" ' � — ��;�, -.�'�� '. . � !��:�:�► r� TYPE OF LICENSE: PROFESSIONAL ENGINEER •�°� �`, � � :, �,t �,� '}' �. . � , . . STATE: FLORIDA LICENSE NUMBER: 48349 4� �yt . �3�' Z��, - c��oo U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 NationalFloodlnsuranceProgram Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE A1. Building Owner's Name Brian P.O'Sullivan and Barbara A.O'Sullivan Policy Number. A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number: 813 Island Way City Clearwater State FL ZIP Code 33767 A3. Property Description(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.) Lot 35,Island Estates of Clearwater Unit 8,Plat Book 64,Page 73, ID#05/29/15/43458l000/0350 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential A5. Latitude/Longitude:Lat.27 59'37.50'N lo�g.82 49'12'40"W Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Cert�cate 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) N/A sq ft a) Square footage of attached garage 904 sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 6 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 1256 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 62.County Name B3.State City of Clearwater 125096 Pinellas FL B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood 69. Base Flood Elevation(s)(Zone 0102 G 8/18/09 Effective/Revised Date Zone(s) AO,use base flood depth) 8/3/03 AE 11 &12 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/Source:N/A B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source:N/A 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-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C7. 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,AR/AH,AR/AO.Complete Items C2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. Benchmark Utilized:NGS #872-6727-A-TIDAL Vertical Datum: NAVD-1988,PID#AG7196 Indicate elevation datum used for the elevations in items a)through h)below. ❑NGVD 1929 �NAVD 1988 �OthedSource:N/A Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a)Top of bottom floor(inGuding basement,crawlspace,or enclosure floor) 12.6 �feet ❑meters b)Top of the neut higher floor 27.0 �feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A. �feet ❑meters d)Attached garage(top of slab) 8.6 �feet ❑meters e)Lowest elevation of machinery or equipment servicing the building 11.3 �feet ❑meters (Describe type of equipment and location in Comments) fl Lowest adjacent(finished)grade next to building(LAG) 7.7 �feet ❑meters g)Highest adjacent(finished)grade next to building(HAG) 8.8 �feet ❑meters h)Lowest adjacent grade at lowest elevation of dedc or stairs,including structural support 8.4 �feet ❑meters SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is tQ be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation �� '° information.I certify that the information on this Cert�cate represents my best efforts to interp►et the data available. - '�' �.�•••.��`�',�y`'•, I understand that a/�y false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. �� s��••�'i�f 1 C„�';.�>` " � Check here�comments are provided on back of form. Were latitude and longitude in Section A provided by a =� �:�:"r�' <r`�•.`=� ' � Check herg if attachments. licensed land surveyor'? � Yes ❑ No = ''' � - ;;�: 9�f3£:i Certifier's Name Donald E.Armstrong,Jr. License Number 5083 �t r4,i� C1= . �� = . ,. . �> . . ,. �, •. , Title Owner Com an Name DonArmstron LandSurve in LLC � � `�'��"•'�� p Y 9 Y 9, ,, < r�.. � Address 2187 N.Green Ridge PL. City Palm Harbor State FL ZIP Code 34683 �I?''�, �'�`��'��'� � �, ,.;,,,,,-,��'� Signature Date 3/1/13 Telephone 727-772-8134 ELEVATION CERTIFICATE, page 2 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: 813 Island Way City Clearwater State 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 agent/company,and(3)building owner. Comments lowest Machinery in Item C 2 e)is an Air Conditioner on a metal pedestal adjacent to the South wall of the Residence.Latitude and Longitude were determined using the Pinellas County Government GIS Map.Engineered Flood Vent openings Certification attached,Models#1608-D and#3208-D were used on this residence. Signature � Date 3/1/13 s 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 LOMA or LOMR-F request,complete Sections A,B, and C.For Items E1-E4,use natural grade,if available.Chedc 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(incfuding 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 seroicing 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 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 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 Certficate.Complete the applicable item(s)and sign below.Chedc the measurement used in Items G8-G10.In Puerto Rico only,enter meters. 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 infortnation. (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-G10)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 Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters Datum G10.Community's design flood elevation: ❑feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments. � ELEVATION CERTIFICATE, page 3 guilding Photographs See Instructions for Item A6. 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: 813 Island Way City Clearwater State FL ZIP Code 33767 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at teast 2 buitding 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. Front and South Side View 3/1/13 i�— � �''�.� � '_ wY � � � � * r ,� � �� _ . � : . _ �. � _ �� . � � . . �~�...� . �,�� .- . �� . � . . r� �� :�� f. �� .. -.. . ._ . .` _ --• . ` �•':"+.... ^ �v f� �..... , ,,, � � � -1� - w,�'- .. - .. -`� 4��'; .. ..: ��r��MM�.,s. ..,._.�'` / , -. . �+ � � ~ n .. . _.�'+Y,_...�. . `,., . .`� ..' Front and North Side View 3/1/13 � .:�t� �� _ �� , � ��.�.� � ��. . � „��i � . � ��9 '' � `� � �, . y - i � • .._. q x� �."m`�K �ll...: 4 $ "�^�`'�� . ��,.. � �' '^�...,, � �;. -. .�. . 4.,a ... ...� . ° p ' . •. -'�.. .. ��* y� .�,.� , .. ° ...� .�. . . . , . .a �'... � . . +,.�' ' ` "'� .. t° °�c« _ yc. w-� — ' •W:�,,�.,, _`�. .�� '.. .. �. ELEVATION CERTIFICATE, page 4 guilding Photographs Continuation Page IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Policy Number: 813 Island Way City Clearwater State FL ZIP Code 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 VievW' 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. Rear and North Side View 3/1/13 � �� - � . :, .. � .=�.a. � ., � �� 3_ . - , , _. �,r�.�. , �. A�-. � � . . m_ .�-- ,v ,. �� ' "" � .► � . � , �'�`�. ��t�lE�:�*s 4 j ;� � � � � �a �s, �y � _�� ,�� `� �� ,�.�� s , r, � — � � � � M_ ..�. _ . , � p � � -�-� � . �,,�' M� , , . w � I , ' , � � -�; �:� ,� ,�� x��j,��`� �'`�'-� .,�. � �� ., �,� .. ., � �� ,.�.,�,e,. _ ._�m. .;_"` �*-{,�;.. ` .�,��"�. . . � '�-� ' .'•�*, �!:�� ,, ' #p�=,,�,a�, * �� Fm� . . ��' � � Rear and South Side View 3/1/13 �� v ,�;� ��s�' �, i � r _ ...- i . �� i �� , .� , .��. . .��. ,.. . ��. � �� 'w�� "`€�— " . � ,.,9�a �a �:�� '` il ' __ �k�i� �-e, �T,. � � ��. � �� A %Ff i� � �, �'� k � � a ` x �`� ._ .s� � � . . ��. s.�iw.': ° i .: �� #.� �W�� ...��r'. 5 _ cs.nrr n .s.:. � � . .......a . . ..... ' , f?� ELEVATION CERTIFICATE,PAGE 5 813 Island Way Clearwater,FL 33767 En ineered Flood Vent Outside View 3/1/13 . . . .. {�*i 1 .::�:..y�*�• ;.��YM�S.td. . Y�. ,� •.�;A I ;;y ..,, . ,. . _ . �._---""�-`__ .� _.a�� .------_„""r--- .�r� �t � - .�r+�'�c+.i Ty.��. F �.. "1 !}� �. S� . ��,��,.�� y Q. .. . M•�� r�, r a..� y.,.. �`� �. . �„�. ' . , � . .. �' '��y+., 4��, " "' r [ -*,,. �J. � ! . �:=:' .� ��K � �'"��*"�,�.��..... �'..p��: ! . � � :'i�, ',�� ^�� ' ` ��. I . ,u.» ; � , .� . �° ., . ` En ineered Flood Vent Inside View 3/1/13 : �. -,;t; . , ,.._ ��. . ._ .�,__�,�.�H.�.�u ;�, r, �.. �._.�., �W..... _�_.._ . ��r.--.. ..`.,�.--- '� M�.�� - . . .% . _ � � ,. ; � �=: yxr �-i CERTIFICATION O� ENGINEERED FLOOD OPENINGS (FEMA TB-1 August 2008) I do hereby certify that the FLOOD SOLUTIONS LLC Flood Vent properly installed and sized in accordance with Federal Emergency Management Agency's(FEMA's)National Flood Program regulations is designed to automatically equalize hydrostatic fiood forces on exterior walls by ailowing for entry and exit of fioodwater during floods up to and including the base 100-year flood. i also do hereby certify that I calculated the Non Engineered Net Free Air and Engineered Opening size for each model and size of FLOOD SOLUTIONS LLC flood vents. The results of the calculations are recorded in the table below. The Engineered size opening calculation was performed using the formula in fEMA Technica) Bulletin 1—August 2008, Openings in Foundation Walls for Buildings Located in Special Flood Hazard Areas in accordance with the National Flood Insurance Program(NFIP)and ASCE/SEI 24-05,Flood Resistance Design and Construction. I measured the Non Engineered Net�ree Air by calculating the minimum distance between the top blade and the top of the vent times the clear opening width of the vent;plus the minimum distance between the bottom blade and the bottom of the vent the clear opening width of the vent; plus the minimum distance between each blade times the number of spaces between the blades in vent times the clear opening width of the vent. i used the formula in TB 1—August 2008(A°=0.033[1/C�RAe)to determine the Engineered Opening size for each model listed below. I used the foilowing assumptions: A°=tota�net area of openings required(inZj; 0.033=coefficient corresponding to a fador of safety of 5.0(in2 hr/ft3);c= 0.40 opening coefficient(ASCE Z4 Table 2-3"rectangular, long axis horizontal,short axis vertical unobstructed during design flood") or C= 0.35 (square unobstructed during design flood);R=5 ft/hr worst case rate of rise and fall;and Ae=1 ft2 total enclosed area. Note: When the horizontal dimension is twice or more the vertical dimension,use 0.4;as the dimensions approach a square,interpolate from 0,4 to 035. A°/Ae= 0.033 [1/C] R=0.033 [1/0.40 for rectangle, long axis horizontal] 5 =0.4125 inZ per ft2 or A°/Ae= 0.033 [1/C] R=0.033 [1/0.35 for square] 5=.4719 inZ per ftz Each individual opening,and any louvers,screens,or other covers,shall be designed to allow automatic entry and exit of floodwaters during design flood or lesser flood conditions;there shall be a minimum of two openings on different sides of each enclosed area; if a structure has more than one enclosed area below the DFE,each area shall have openings;openings shall not be less than 3 inches in any direction in the plane of the wall; the bottom of each required opening shall be no more than 1 ft. above the adjacent grade;the difference between the exterior and interior floodwater levels shall not exceed 1 ft. during base flood conditions;in the absence of reliable data on the rates of rise and fall,assume a rate of rise and fall of 5ft/hr, where data or analysis indicated more rapid rates of rise and fall, the total net area of the required openings shall be _ _ __ _ _ ----- _ ____ _. increased to account for the higher rates of rise and falL ENGINEERED OPENING MODEL Number SIZE of OPENIN6: Net Free Air Flood Solutions: (WIDTH X HEIGHT) (square inches): Each vent covers: (square ft.) 1412-F 14"x 12" 67 145 1608-F 16"x 8" 51 124 1608-D 16"x 8" 51 124 1608-C 16"x 8" 55 158 1616-F 16"x 16" 104 221 1616-D 16"x 16" 102 216 2412-F 24"x 12" 113 274 2412-D 24"x 12" 110 267 2416-F 24"x 16" 156 362 2416-D 24"x 16" 154 357 3208-F 32"x 8" 104 252 ; �N��Iti��'� 3208-D 32"x 8" 104 252 �� , ��.••��g�`'�.� � �' �. �, '4��;'.� '�'�, '�� w� �lo � `,' � SIGNATURE: �, r�r '•:.,; . �� i �" r;r . , . � � Vi��t �' � � i �.� NAME: DANIEL G.FARABAUGH ,. ��; g7'IITlr � � :i��''' , � ..,� �. TYPE OF UCENSE: PROFESSIONAL ENGINEER •r�� . �� ,�� ' + . .. , It STATE : FLORIDA LICENSE NUMBER: 48349 ,�� 4` ��•