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36 LAUREL STU.B. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION A1. Building Owner's Name Daniel Fedrizzi OMB No. 1660-0008 Expiration Date: July 31, 2015 N; A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 36 Laurel Street City Clearwater State FL ZIP Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 13, Block 59, Mandalay Sub M. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat 27-9995461 Long. -82.8259888 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 19 A8. For a building with a crawlspace or endosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or endosure(s) NIA sq ft a) Square footage of attached garage NWS/ sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings In the attached garage or endosure(s) within 1.0 foot above adjacent grade Q within 1.0 foot above adjacent grade Q c) Total net area of flood openings In A8.b Q sq in c) Total net area of Rood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes El No d) Engineered flood openings? 0 Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFU,' Community Name & Community Number City of Clearwater 125096 82. County Name Pinellas B3. State FL B4. Map/Panel Number 12103C0102 B5. Suffix G B6. FIRM Index Date 9-3-03 B7. FIRM Panel Effective/Revised Date 9-3-03 88. Flood Zone(s) AE 89, Base Flood Elevation(s) (Zone AO, use base flood depth) 11' 910. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89. 0 FIS Profile ® FIRM 0 Community Determined ❑ Other/Souroe: Eli 1. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ® NAVD 1988 0 Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: 0 CBRS 0 OPA ❑ Yes ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Budding elevations are based on: 0 Construction Drawings* 0 Building Under Construction* ® Finished Constriction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1 -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: j.P-15 #155 Vertical Datum: j;IJ:V= 4.19' (N-A.V.D.3 Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 ® NAVD 1988 0 Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, Including structural support 44 4.4 N.A Check the measurement used. ® feet 0 meters ® feet 0 meters ® feet 0 meters ® feet 0 meters ® feet 0 meters ® feet ® feet ® feet ❑ meters ❑ meters 0 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. 1 certify that the Information on this Certificate represents my best efforts to Interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Eg Check here If comments are provided on back of form. Were latitude and longitude In Section A provided by a El Check here if attachments. licensed land surveyor? ® Yes 0 No Certifiers Name Philip C. Stock License Number RLS#3035 Title President Company Name Target Land Surveying Address 516 Lakeside Place City Largo State FL ZIP Code 33771 Signature Gieyd 6 ..2 Date 12-11-13 Telephone (727) 784-0573 Cf/4444 eJi) FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. 36 LAUREL ST BCP2020-010206 RTC GARAGE ADDITION Zoning: Low Medium Density AtIaE L�,vL r A le ,Vt* 111 1 VO -.1 U V, .au4 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. 36 Laurel Street City Clearwater State FL ZIP Code 33767 FORxiNSURANGE COMPANY 415E icy Num 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 Job# 131206.04 C2.e= NC Unit Signature Date 12-11-13 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 E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet 0 meters 0 above or 0 below the HAG. b) Top of bottom floor (Including basement, crawlspace, or enclosure) is 0 feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is 0 feet ❑ meters ❑ above or 0 below the HAG. E3. Attached garage (top of slab) is 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 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, 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. 01. ❑ 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. 0 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 foe 0 New Construction 0 Substantial Improvement 68. Elevation of as -built lowest floor (including basement) of the building: 0 feet 0 meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet 0 meters Datum 010. Community's design flood elevation: 0 feet 0 meters Datum Local Officals Name Title Community Name Telephone Signature Date Comments 0 Check here if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions. 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. 36 Laurel Street 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. "Rear view" FEMA Form 066-0-33 (7/12) Replaces all previous editions. 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. Policy Number. 36 Laurel Street 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. FEMA Form 086-0-33 (7/12) Replaces all previous editions. U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL. EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION Al. Building Owners Name Daniel Fedrizzi A2. Building Street Address (inducting Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 36 Laurel Street Cty Clearwater State FL ZiP Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 13, Block 59, Mandalay Sub A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 27.0995461 Long. -82.8259888 Horizontal Datum: 0 NAD 1927 ® NAD 1983 AB. Attach at least 2 photographs of the building If the Certificate Is being used to obtain flood insurance. A7. Building Diagram Number 2 A8. For a building with a crawispace or endosure(s): a) Square footage of crawlspace or endosure(s) jy/B sq ft b) Number of permanent flood openings In the crawlspace or endosure(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 A9. For a building with an attached garage: a) Square footage of attached garage Mil sq ft b) Number of permanent Hood 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 ® 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 55. Suffix 56. FIRM Index Date 97. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12103C0102 G 9-3-03 Effective/Revised Date Zone(s) AO, use base flood depth) 9-3-03 AE 11' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. 0 FiS Profile ® FIRM 0 Community Deterrnlned 0 Other/Source: BI 1. Indicate elevation datum used for BFE In Item B9: 0 NGVD 1929 ® NAVD 1988 0 Other/Source: B12. Is the bulding located in a Coastal Barrier Resources System (CBRS) area or Otherw$se Protected Area (OPA)? Designation Date: ❑ CBRS ❑ OPA ❑ Yes ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings` 0 Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations- Zones A1 -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified In Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: LP -15 #155 Vertical Datum: J..EV= 4.19' (N.A.V.D.) Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 ® NAVD 1988 0 Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 4,@¢ b) Top of the next higher floor 11 c) Bottom of the lowest horizontal structural member (V Zones only) N.A d) Attached garage (top of slab) jy,A e) Lowest elevation of machinery or equipment servicing the building Q.�$ (Describe type of equipment and bcation in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 4.1 g) Highest adjacent (finished) grade next to building (HAG) 4.4 h) Lowest adjacent grade at lowest elevation of dedc or stairs, Including structural support N$ ® feet ® feet ja feet ® feet ® feet ® feet ® feet ® feet ❑ meters ❑ meters ❑ meters ❑ meters ❑ meters ❑ 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. r 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 here If attachments. licensed land surveyor? ® Yes 0 No Certifier's Name Philip C. Stock License Number RLS#3035 Title President Company Name Target Land Surveying Address 516 Lakeside Place City Largo State FL ZIP Code 33771 Signature y_ Date 12-11-13 Telephone (727) 784-0573 RLS #3035 l',Zyc e 2 FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. RECEIVED BY: J.B.S. JAN 0 8 2020 PLANNING & DEVELOPMENT CITY OF CLEARWATER 36 LAUREL ST BCP2020-010206 GARAGE ADDITION -2 STORY GARAGE ADDITION Zoning: Low Medium Density Atlas #: 238A • VLv *%"l• w•• vVI% • SI SWIMS Vi a IMPORTANT: In these spaces, copy the corresponding Information from Section A. Building Street Address (induding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 36 Laurel Street City Clearwater State FL ZIP Code 33767 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Job 131206.04 C2.e= NC Unit Signature Date 12-11-13 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 E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El . Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or endosure) is 0 feet 0 meters ❑ above or Q below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet 0 meters 0 above or ❑ below the HAG. E3. Attached garage (top of slab) is 0 feet 0 meters ❑ above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the b uiidng is ❑ 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 communitys 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, 8, 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 offldal who is authorized by law or ordnance to administer the community's floodplain management ordnance can axthplete Sections A, 8. C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items 68-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. 04. 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 Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet 0 meters Datum 010. Community's design flood elevation: 0 feet 0 meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments Jl Check here If attachments, FEMA Form 086-0-33 (7/12) Replaces all previous editions. 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. 36 Laurel Street Policy Number City Clearwater State FL ZJP 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. FEMA Form 086-0-33 (7/12) Replaces all previous editions. 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.,'Jnit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 36 Laurel Street 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. Ri • ht side view FEMA Form 086-0-33 (7/12) Replaces all previous editions. U.S: DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program JEFF ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION 1RIA CIFRESE A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 36 LAUREL STREET City CLEARWATER State FL ZIP Code 33767 OMB No. 1660-0008 Expires March 31, 2012 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) MANDALAY SUBDIVISION LOT 13 BLOCK 59, PB 14 PG 32 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. N 27 59 57 Long. W 82 49 32 Horizontal 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 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) sq ft a) Square footage of attached garage sq ft b) No. of permanent flood openings in the crawispace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openingsl ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community CITY OF CLEARWATER 125096 B2. County PINELLAS 63. State FLORIDA 64. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel 68. Flood 69. Base Flood Elevation(s) (Zone 12103C0102 G Date Effective/Revised Date Zone(s) AO, use base flood depth) 8-18-09 9-3-03 AE 11' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other (Describe) 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes � No Designation Date ❑ CBRS ❑ OPA SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* � Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30, AE, AH, A(with BFE), VE, V1-V30, V(with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/A0. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized PIN C.O. DISK AURAL A Vertical Datum NAV DATUM 1988 ELEV=11.82 Conversion/Comments Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 4.5 � feet ❑ meters (Puerto Rico oniy) b) Top of the next higher floor 13.¢ � feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structurai member (V Zones only) N/A. ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of siab) N/A. ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 9.7 � feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent (finished) grade next to building (LAG) 4.2 � feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 4.3 � feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A. ❑ 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 authorized by law to certify elevation °- information. 1 certify that the information on this Certi�cate represents my best efforts to interpret the data available. �?�� _ I understand that any false statement may be punishab/e by fine or imprisonment under 18 U. S. Code Sar.tinn �nn� o`zG""""'-° ��,� � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ' licensed land surveyorl � Yes ❑ No `r Certifier's Name LAUREN R. PENNY License Number #4931 Title LAND SURVEYOR Company Name L.R. PENNY 8 ASSOCIATES, INC. Address 10730 102 AVE N City SEMINOLE State FL ZIP Code 33778 Signature FEMA Form 81-31, Mar 09 8- 9- 2d10 i eiepnone See reverse side for continuation. '�i`i�y.N 4�`�� ,,� . ��. * � _ - - . ..�� v �*«;��: # i �' � • - ,� , `,�. * t3:rF �{g 8^��,-Zo'%u, ., ' Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 36 LAUREL STREET City CLEARWATER State FL ZIP Code 33767 SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. Comments LOWEST ELEVATED MACHINERY IS AN AIR CONDITIONER LOWEST FLOOR ELEVATION IS FROM THE BACK ENTRANCE - y- 2d i� Date ❑ 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. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the foliowing 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, crawispace, 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 piatform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or � below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who 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 Signature Comments City Date State ZIP Code Telephone ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local o�cial who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C(or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community o�cial completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. G3. ❑ The foilowing information (Items G4-G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the buiiding: ❑ 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 Local Official's Name Community Name Signature Comments ❑ feet ❑ meters (PR) Datum Title Telephone Date ❑ Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 36 LAUREL STREET Clty CLEARWATER State FL ZIP COd2 33767 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. SEE ATTACHED SHEET OF PHOTOGRAPHS 36 LAUREL ST BCP2010-08138 NON SUBSTANTIAL IMPROVEMENT GARBER,JEFF Zoning: Atlas #: 238A o ��.�suu�� 7 201�t PLANNING t� JE1lELOPMENT tl�� ►'i'+r �y LEARWATER � :w . ^ � ,��b �i� �'.�,,�n, "� � ,4�,,. � �, �h, ,�� r � • � .� .i.`p � ��, �y�� R ', .!' c � � � �` '��'��.' �+" t'•! • �� t ��,::' �J� : � �, �� y.� � �'` , .,,' ... r � <�;i:� w'',r"� � i f ";. Y. i - �a�.•. �i L ,?i' �' � +o�� -��. ✓�� " �. '` R`' <A. �r. _ . . ,M_ i��,�Ill�'"(�'�� ..., ` k :�q� �y ''�'1�.11 '. '� F t y , � � �� ' �3' i :. ,t �k��yl � �� •4�;, r � � �, � �' � t � �; � ' k " � i. .w ,. w � � 3 ' r � ', ��'� ; a`j M ` � '�:: -� . �: � ^SF, � , � � � , � �_ �,� , r � �y.A' � �}+' : }., .r �.�.' '� � . ., .� �,. �r .� �,' � t � � ` ,�'� � *t ` 't�t`�0 +,� a ��.� � �� s: i : � - ''��;� � Y �: �'.� �, . cs ;�f �� ;,�r � k � �.,,, ,;�,,y r � ,� . '.N �'h �r° y b � p ,; r,, �,� _ � � � ��.�. � � . V y x� . N . . . _ � �, �. 4j,: �'�`�,. .� .. . . . ... I�J..i... � �5y,�. , ... f �" ... . . . �.4 . � ,. . �� '.. � �. . . d�� . . � � . . � � � �� . .. � � �� a i w t� u�.Al�'F ✓-�i'k�r �V^+ 1Yf : .�.1 �i 0 y �� " ��n � �}1 �� \ � 'f� � a�d, .. _ �. ` q� '#� E F� �� ± �.. '��' '�f: Y ..��. *!4l 'y�h� , f.t�/.. . � �� °��;� �,� ,:. < '� $ ' ;;. � r �` � +'S 'I aisl ra�l"��•�I I�;;�� i ' �=� � t "` \,�� / Y 4's. ; � , �; . t � - �i� f . � x ":.y � rs r�. � ��Pr> , >` � , �'/ �� '' . , .Y^r � m,� k � a�_A.' qv �.er�` 5r� �eJ � r%' `+y . �. � .., • ; r��, :ry` �' �_,��°,��` "° �� ° '�' a,; �, �31 �. �R�,°— , � �,,�{ r�� fi . � ! i � . ��; . � sTw�. � ° . n �; ,�� '�• � . ; � � a. 3 � . y%.." s'��,i` � , ��,',c `f;, � d; � � `Er, ��r ��,\ ;�v', N � i�'" s �; � O °,� � ��;�, �a�:�ywti� � �' ' ,I�.; , '� � �O � . 4' t.. ��'.,.. ` �ti ., � j �� s Mt1 ` �� n�� 4r _ � �� b . *t� � � f°"r��+ M ��a cr�� e�� • R' . o y , �"i'+ ♦• , A%i � �� : ��• � �� , .: �. �+�.. . a i�i • w �� ': ' �� . �@ d,N�a, ii vl�t.nL..,.,s�, y�M1 � �. fl.s'k�i. , . , . ,. "� � � F �y.� K :j:�'�'S�,l� Z {. � �v�J'"`+u.�� i�� v �� t rz �,r' � � � t � � ��'a � �� € „ ��y��t�1� �+�w�� !�� {��s�t� .�, ": � �'� ��u��,�� , fi�� , ��. �� , �u�.�� r'�� .:' fi� � I��^ .�.�r±w�..±!r�!�',+.+aw.. �, � MMMMn �� ,. �,,'.� ' �;.�. �� <�� na��r ��,a��r ��c� r'Vationaf Fl� insurrince Program �� "��"� ��'i�: �� $�� i�� £�€i �� `�,�� .�� ,� __ �.=a�_.. ��+�. �5 r^�3 �,,i:?��''�. �Yr aT3� �}�.�?ii4..'1 �'�;�.?'� . ._ . . ........ . .. . ... ._,,: # e��s;2�4 �".i`,.�� tv.tS,:.Ff;`�� ( id#.�'t"i� �!� , .l�g. ..:.,it,�Z �f;.fi>�� i` ti. ��BC�., ''�t t`yi'r � ��.I$�y�"'u��'+ t'n'�� " '�'�°£.T��' � �,z� .C'.�.�.�, ��1��'�'" ..,�" A`�. %:i`� .zL�-;� �.� �R.. ; �� .��;,z�� w_m..��.,x `�,��r��.;��r�� . ,��.�� =� °`� w...� �., � � . �a .._..,m.�.y � -., .x�.- -�.,:�,. �;,... ..,_ ...... ... .. •__..�.��..�..� ...............�,........,._.,.,�.,.�.,,._..,w_..�..,.,,........_, -..,........ ,�:5:.. s_,;�fSY�;{ ��.ri�€a�xais;t'; s;,L�� E<�.i... �4f��. §`':.3z"S''� ra?,., ..� F,Yr rt. f:;�n( la,�i'."a'c?" taC�.:3k��.`�`�_ .,if�r_5� f?€�:. F '. i � t�3�7+:?c: ��. �.f-3r,�tiz�',..�+ ��z��. ...�.Fa....r..,�,.,A,.�»� . . .. . . . . . . � .. . . A4. B�ilding Uss (e.g., Resideniial. tda�-F2esKlential, AddiSan. Accessor}+. e�.) ' er�tiat �5. LatitudefLnngiktW�: l.a� 27.�985481 tar�g. -82.8259888 Horiza�#ai Datam: [] �b 1927 � NAD 1983 a.Fa. A±L?ch at least 2 phsrtc�graphs of the building i# the Certifi�ate is beit�g ussti to obtain flood insurance. A7. Buikiing i?iagram NfUmbe�r i� A8, For a bu€iding urith a crawlspace C}r endosure(S): A9. F� 8 buitdirrg with an at�adted g8rage: a) Square fioot�ge af crawfspace or er�tosu�s) � s� ft a} sq,�� toa�e ot a�tac�ea sa�e nria, s� � h� Number of pem►anent flood openings in the erasMs�Saos bj tVumber of pertnanen# flc�od aper�rx�s in the attaehed ga�g� or enctosure(s) wiH�ir� 1 A Foat abave adjaceni grade � vYI1j1IfY 1.4 SOO� 3bOYE BS�J�Cef1! �P�1CI@ � oj Tota[ net area of Nopd openfngs in AS,b g sq in c} Totaf n�t area af ftoad openings in A9.b Q sq in d) Engi�eerea floert op�ir�s? O Yes � N� a} Engineerea noa�a operain�s? p Yes � i+Jo �; �'�li�i� � — ��.��[# 1��G� �°�'� AA�1#� {F1��i1� Efii��k�A�i#��i s�"� � ��-1� ��;!�:rtt�rrs#`y fi��':c� � �^�r��r:!� Pat�n�� f ��. ��:[��s� �asre �`s�;` c�? �e��rtS�t�r 1'�5�� t �'irt�,'i�i – — --- —_..�_�L__. : ._.� �.��--- -- � r, P�t�h =:�r��a tv��;�� € ��. ��ix ' ��. �I�F�? Inu$x s �te �i. �1Etkt �'�r,e's 1�. ��:��v; �2 i a^� r �3-3-�� _`".� �{f�v�i�t�;t�s-�' C3a�e , . i 9"�.i E3�. �t�t� ��, ��3. �k�;�4 � fl� 6as� ��a� �i�ra%t�� i.xi�~� �v�ds� ��, �s� ��e fl�ti ��#�� Pi� , { < �� i �� ;��c<,te ?�2 S��:r� �; tt,� ��s� �i��d �ievaiscn (9�3 Q�ia �r ��*�e ��;a� de�i�'? �ntere;: �� ?t� �3�. �7 FRS ProSie t8f F�RM �] carnnun,tyr.'�errn;ned Q OlNer/sowee: �n_��.: 811. 1rnelicai� elevation ciate�m uSed fior BFE i� Item 69: [] NGVD 1929 � NAVD 1988 � 4�erlSaurce: .�y_as, B12, IS the buildi� iaCated in a Coasfal 8arrier Resources 3ystem (CBRS) area or Olhervu`sse Ptokecf�! Rrea (OPA)? [] `!es � No Designatit�n Date: ❑ CBRS (;� OPA .� ��'��3� � ... �t��f s�t�d� ��V�T��3 �l�i��lA"��+1 �5i�f�1!'�Y ��fl�ta'�,�Lt} �� C"6. Building e3�va6ons are basad on: �] C.4n�n Dra�vings` ❑ Buhfing ttnd� Cnnsbructinn� � F'x�shed Ca�lructian 'A n�nr Elewation Certif+c�te witi be reQuired wh!�t constructior� oF the builcGrsg � c�mptete. C2. �levatforts — Zones Ai�i30, AE. AH. A(with BFE� UE, V'1 V30, li (via#h BFE� AR, ARfA, ARIA�. AF�tAf-:A3�, Ai2%AH, AR1AQ C.em�fleia ilems C2.a-h bslow according to th� buit�fing diagra►n spec+fied in item A7. In Puetki f2icao onfy, �ker meiers. B�nchmatfc Utilized: L,�-iS #i55 Verfica! [�dharr. ELEV= 4.19' (M.A.V.D.? Indicate elevatian dahstt used for fhe eRevatiorss in itertss a) Uemugh h} b�aw. ❑ NGVC► 1329 � IVAVD 19$8 ❑ Other(Savrce: Datum used far t�uElding �ievations must be �e same as that used far ihe BFE. G}teck #he tneasurement i3sad. a) Top ofi bottom ffaor (inctud'� basemem, crawlspace, ar e�ciasure floar} d.Q¢ � feet ❑ ms#ers �) Tap ai khe ne� higher flaor 13.�5 � feet ❑ meters c} Bc�itom of the lowesf horizs�ntal sfructurat rt�nher (V Zones �►Y} (�.� � f�t ❑ m�ters dj Atias.hed garage {tap af s}a6} Ld.A � feet ❑ m�fers e) Lowesi e[evati�n of ersachinery or equiprnent Servicing th� building �.]� � feet [1 meter:� (t7escribe type of equipmenf end Iacation in Comments} f} [.�west adJse2nt (finishedj grade r�xt to btsitding (LAGj 4.,� �j feet ��ete�s g} Highest adjacer�t {fi�i5hed) r�ratf� n9Xt !� btsfMin9 {FFAG} d.4 � fieet 0 m8t6r5 h} Lowest ad'}a�t gr�e at Iawesk elsvati�n nf deC'Jc cx stait5. inciudtt� sltucUxal support ,�1,� � teet �] met�s �, . ��3N � -- � ��, ��r��. �� A��°r��'i ��33��c,�°�f�'� ��„tt ��, This certi�'ication is [o be si�ned and �e318d by a Iand surveyor. eng's�. rn archik�t authori�� ky t�vV tts certit�r elewati�an �-°��°°°°° ��' informati4n. t taerfify #hat ttte informatrort ort Ehis Certifrcate rspresenl's rny best efiarfs to lnterpref N►e dat8 avade6le. ' t understand thatar�y iat5a sfaterr�nt �nay t�e puMshable by t7ne or 6�rprisonment under 1B U.� C6de. 5ectfoa f�f, � � � Check h�e if camments are provided an badc of fcum. V4'ere ta�tude and [ongitude a� Sectian A prov�ded by a ; � � Check here if attachments. lic�sed tand sifrveyo� � Yes ❑ Wa j �'_��i�� °�;� �§!"�±�5 � s+ ;..� . � .tr� ��; ..,..�m n.._.... L�;�� 9+3�rrs�er �i.��£€.s� �rra�z�ry �aa�� i �=��t r�� 5��''r� �� 3 v� �"� �� i��,:�� r{�';� �i�y t�otgs� ��I�d� �i� �:il� f:� s:�77 s �_� _.� .�..._ �---__s_�_��.,.._�„ � __. _..�m...:,...._ �r -� _.T�=�.��. _._.f , _M ~'��`--�� .._� � --�� .,��.� �- �� e.>�;En�� T�e�rwne j�2��sa-osr3 ✓ -7 d G ��..i.i' ��,�.�� [ � p .e,� �° a i �.? f?�� ., a ��"�'� § ��c i� ��: ��' Ci�� `S�' ,''.'.f3�i$�i��3v'?, ��i3's;:if�5 �3i� t°aY�?d�,"`£,� .,.<t�i-�aP ��. a., �s.,�.a�.�: e a�-s z.�o�w: ��...sa�a es sv�,r�. ��.a:..> �c+�ta �, ��T��'�; i� �h�� s��, �� ,� ��rr��irs� ir��a�t��c�;� f�� r� �. `?w �.�rs� �,::$Y�� i:�,�,€3Y IL�=I�� asc„'�34<!, � �:{�s� t�;"t;�F�t �+il�, :'�t�;l+�# � is'. �d�3�r��it7 Csi'7�±tit?. „::�tAi�� ii��" . . . : e�..�...... --- ._�:_....�..,».�,..,,.,._.-.. �..�:.....,.._.,.,..�:..��.... ,..-_...,:,,��.::,.�.:.�:._:...e: �.�:�--, � :�.._�....-_ �_�a Gity Clearvuater ;�t.;� �6. �4� �'�� P�= ��"� �� .k ��; ��4�t��, �?� �� "`��C�,�'��f+� ��h$��? Copy txtth siti� � this Elevatian Certificate f�r {t) cornm�mity off�ial, {2) insurance agenticampany, arni {3j htrilding �m�, w,_.__ .�_._ _� _. ^_.�.�.��,�_..�__. _. �..�,,K_.<_. ,... . __,. �_..... .. -, .. .._-... �:,�nrr,..�t� .e€c��;� a3;��c.,��t .: r' ,m r :'�.. �r�;i � ay�{� '�� u `�� ::�iJ � � �;.�,` � °---� - Oate 12-t 1�'f3 ,�.�«�,�.�, ��"� �� -_ ��?��3�� `�� '=.`�"3".'�� ,�;��'` i�€�9"� ��1�� a �C3�:�. �t'3 ��5� ��3�� , ��'�3'��.5"; ��; Far Z�nes A�? arnd A(wiihtrut B�E}. carnpi�te Items L3-E5. if ihe Gertificate is in��►ded to �upport a�i3MA or Li3MR•F requesl, r:c�mplete Set�ians A, B, anc �. �c�r Items E1-E4, use naiur�i gradar, ii ae+ailable, Check the mess�,semerrt use�l, in Ps�erto Rioo oniy, enter meters. E 1. Provi�ie talevat�n infc�tmauon %.� tl�e fadlowirx,� and check the a�prosriale baxes to �w ►,�e2tr� th� eis�«ali�s ;s abnv$ � below the hi�est asi��errt grade {'riAG) ��ed ihs 6owesi adjac�t grade (LAG). a� i`c�p af bo�tom floar {inctudtng ba�nerrt, cxawlspace. or e€sdasure} is C� feet ❑ mete.�s �,] atrove or � betow fif�s Ht�G. b) Top ai �t�cxn ftaar (inGudi€x,� trase+ment, craudsPace. or encfosure� i� Q feei ❑ meters � abov2 ar � kx;law the �AG. E�. For Bu�dirr� ��a�rams 6-9 awfh permanent �oqcE c�nings ps�videCi in Sec4ian A ItemS 8 andlvr 9{s� ages 8-8 of lnstn�crions}, the neut higher �i��e {elew��ott G2,b in the diagrams) �the buildiru� � _ ❑ feat �j met8t5 � above dr �betOw the HAG. �3. Ri�act� �rage {tQp oi �iah} is _„�,�_. � f�t [1 me#ers C� abova vr C] � ihe HAG. �4. 7op oi pia#to�n of ma�hinery aa�Ua �quiprr[ent S�rveGir� tha twl4�ng is 1� teet ❑ m�ers ❑�ove or �] below itie HAt�. E5. Zone At� �rfy; if no flt�od rf�th t�umber i� �+ailabl�, is tfse tAp o€ the t�ottom fl�r elevated in aocwdance �+wth the tx�mmunii}�s flaculpiain managemerrt csrcifnan�e? [� Yes C3 kVa {� Unknawri. Tha bcal o�titaai rsn�st e�tify th15 ir�Tarmatinn in S�tinn G. SEC'�fON F— PRflPERTY t�Wt+tER �OR tiilU(��R'S R�PR��Et+iTAT[Y�� CEEF2Tt�6GA�t,�N T3�� prope?ty owner ar owrrer's authorized represenf�tive wlw axnple[�;s Sa�tians A, B, and E for Zo� A(withao�t a�Ett�A-issued ar camrnunity-issued ��.) �r Zon� AQ mu54 sign here. The stat��fs in 8ectiQns A, B, arxl � ar� c�rreci :o xhe besi oS my kn�aeniedge. �roperly t��errre�s �sr tlwne�s ,�uiharized Repres�niative's Name ��;,�s�:�s `� z�r=.:ttii:-r� Y.+4�i�`1iT:iv."'.��a°�'. Gity S;�t� �!� �;�� A,_,�.�... �.�.. __._.__ Oate T'efephone �:�i€ �'!@E'Q if ��C:�1!'i'�:i�� — ��v�� c��a �z��r��.� ��'��6 �fFrat v� i� �ii#t�at9z� by i�m c�r �r�� $� astrrvrr;s'� :t:e t�rarr�-r�?�s �in rr€��;�err�ent �rlin2r�2 ca^ ��!�I�t�: �e�cti:.� ?�, 8, �{t�r c}, a� �� E.� �Sj'F� �$�V+',�`x�lb3.: �''�'t�f-�7G'e3�'E, �7'; t�'£4�.' � �t�.&��M� :��5� $(ti'� 5� �09i?.. 'v.�ic C�4 �2£ !'R�Sdf�:'if�� G':� f(S v'�°R3 �-�`i ��. $^ �(,t�?�'f4 t+1CQ E+'�S€�1; '�,`!I�'i a ,'7��2�.. IP"�s'. �1. ❑ 1"h� is�form2�ti�in ir� Seetion C vras taken frflm a�r dotxxmersia#ion �t has bsen signad ami seatsd by a iice�ed surv�r. �tineer, c�r ar�hi�sct w�� is �t;iYroriz�d bY taw t6 cerrtifp elevation inf�xmatian, (Indicate ttse saurce ared date of the slevation tiafa in U�$ Canmemts area befpw.� G2. [� A r�mmun�ty official ccxs�pl9ted Sectks� e fe�r a buikii►� IoGatad in ione A(without a FEAAA-issa�d or cDrnrnurti�issu�si BF�} oi Zon� A{�. G3. [� The fotls�w'sng "ae7formatian {ltesns G4-�1bj is �iravid�d far c�mrrwnity ftoocfplain �ag�ertt pu�ses. �� -� �., � , �,��. ��r�i.t �i=,r,nt-�r ? ��. t�a�? i'��xit i�ssse� �6, Lia#e G��#ifi;;�t� C?[ �Qm�i,�..�ai�a�rara� 3�� , , , _ , `. . . __.. ,...�.e.' � _...J � ,.� .._.�.�... :...�..�.».r... . . _...., . ... _ . GT. rnss per�it nas b�err i�SUeo £or: � r+F�iv Carr�tn�tion p suE�star�ar ImExoverr�nt G8. El�vatiore af as-buitt is�west ft�r {irx:EtKiing basemertt} pf itee btliiding; .__w_�_ .`..� � f88f � meters G�atum .. , _ .... G9. �FE or (in Zone A(]� cfepth s�fls�adin� ai the f�iEd'er� s'ste: ._..�, ,.. ..�„_,n,�,. � fe�t 0 meters Datum ._ _.. ._ GiD. �rnCnunity`s d�ign flQOd el�va#iCSn: _,�_._q- ❑ feet � metfxs Datum ,_. ..��, Lt>ral s�icial`s ti}ame Cpmmur3ity ritarne S�c�nature tdomments Title Telephone Date Che�k t!�r� �# �tt��m�,. �,,.�. � _,... �..,,�.�,.-��_�,.,�_ � �,.��r'�^'*, �",FS"Y"',-•'3,1 �' ,�i;� �'°"` ."��. . . .... .. . .. . �?,�,�;��ii�� <"��. ��.ds �v �v a�!C;�',. 36 L�►UREL ST BCP2010-08138 NON SUBSTANTIAL IMPROVEMENT GARBER,JEFF Zoning: Atlas #: 238A o I��uu� � �B Z 7 20�i ' p�p�IN� G DEVELOPMENT DEP1' r..G�� ;, �� i�� t�� Inst��el�n� f�r l��r� ��. ':-?'3��°t"AP�'�: 1� �� e�, �� the �+�sres��a�#�� nfe�rn�a�ivs� frc�rn S��"s� �, �=�f� � w,.,�vFs�. ��,:, v �.�� .,� � ,�a`;' � �� »�,�..,,�� ..,r,:�==q �tr�set A�dr�� (�nc�uding �� , J�*�f, ��e; artdPar Swdg. ho.� Qr P`.CJ. Rots`e ar:d �ax �i�. �� .,, �<.s .� v � ��? L��xr�i atre�# ...� , _� - ,�. � � �,�ty �i��-��te� 5��,e �t 7�iP�e �3T�i ��..�.�:' 4��r r�.��>,a:a. , , ...�.�...��.�..::._.. w ��.�:.��_ _ ,��: _, . __,__.;.:�. ' If using #he Elevativn Certiflcate to obtain t�F�P flood insuranCe, a!'fiu at least 2 buil�ng phatographs below according E� the inskructians for ltem A6. Identify a!1 phatagraphs with date taken; "FronE View" and "Rear 11iew", and, if required, 'Right Side Visu�i' artd "Leit Side ' View" When applicabte, F�hotogra�s must show the taundation w�h representa#ive exampies �sf ihe ftood �nings ar vents, as indicated in Sectlon A8. If svbm'siting more phatograpi3s than w1li flt on �s page� use the Coniinuatia� I'age. � ��.��z'e 4..�,.z.. «......-..,s... - . ._. . .. . . - - - . .. a, n .� -� -. � . .,�...a,._...,_. ., , r`. ,ri.'�f � �.�� f.� ..'1 �"' ..� _� , .. .., _ . ,_ ��.�v��t�� r��rc�� i�di��I �'ht�to��phs ��;�►ua�� ,� ��Fi"��1�1�: �ti $�i$St 5��$, �D�3�/ ��l$ C��f�3�fl[1�iit� �ilf#TOE13#�097 f!'01Tt �`s$C#iOti A. � �-��}w }�� ,�'� �1=*iut �i9¢dF�F.�i�' :JSa �uAkis`r� S#eeet Ad�r�ss (i€�^„luding Apl. %�niF, �uite, an�7cr Sl��a No.} t�r R.Oe Rcs�,�e aru7 9a�x h�. � �`� . x�� ..s;-�k��r: �� 3u��t Sto'eet i - — ----� ._ _ — —�--- '' ` �dily i:t�an,�tE:r 3fate FL 2iPCOde '�3767 ��:,t�r,��r.�r,i�3:�,�;�t��t; 1� ��rs�rlt€�� mc�sp phatcu�raphs tttan �+tilt fit vn tit� preC�ding PacJe, affix the additionai phot€�gr�phs �e3t�vy. 1de��i�; a!B phc�tt�yrapP�s ��#�: d�t� ��k��> �Frot�t Vi�' a�sd "R��r �li�'; antl, if r�uir�dd, �F�h# Sfcl� 1liev,� anti "i+� �id� 'J�," '1V3�n �pptic�bf�, �,�h�t�rsp�:� must show Y�Se �r,da#t�n t�'s�r r��s�enf�tive �sc�rn�tes af the flc� �nan� �r uents. � indicat�d in �et�s A�. .�� ' � a, ��'�� ;� ��x :�., � �h �� + , �;», ,.<. �,<� �: � ��a . � .� . ��,, ��" . . �� . e' �. � � „ .. ` � �: � .____��_. � .. . � .. � ti j`I ca'� � �.1� ��.,, ��`�1 Z,c'�]� --p� !`�� c�� p "�. 4 � � ��.��.�►.r, �� . �/'�'s-� � ��F-i i'� ...�-.1 t `�� ''i..: . �...�� q,. �fiE j�a' .. • f;� ��n��"c,�, +; s' � � �� - M� ;_� °�� AN 2 � Zail �;�-�d�� € � � �5 `ep�T � �tkJ� �t��`Y.i`�Y Y,_ � L� .�rPC:9�t1 � �� _ �(_`A l � �_,�, f:;�,��` `-"P_�.._� �eS �rt `�":{...�_- C� � -�� ; l;.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires MarcM 31, 2012 �Nati+�na�Flood Insurance Program Important: Read the instructions on pages 1-9. �y SECTION A-PROPERTY INFORMATION A1. Building Owner's Name JEFF GARBER / GLORIA CIFRESE A2. Building Street Address(including Apt., Unit,Suite,and/or Bidg.No.)or P.O. Route and Box No. 36 LAUREL STREET City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 13,BLOCK 59, MANDALAY PB. 14,PAGE 32 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat.N 27-59-58 Long.W 82-49-33 Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawispace or enclosure(s) 0 sq ft a) Square footage of attached garage 0 sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood opEnings7 ❑ Yes � No d) Engireered flood openings? ❑ Yes � No SECTION B -FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name 8�Community Number B2.County Name B3.State CITY OF CLEARWATER 125096 PINELLAS FLORIDA i B4.Map/Panel Number B5.Suffix 66. FIRM Index B7. FIRM Panel B8.Flood 69. Base Flood Elevation(s)(Zone 12103C0102 G Date Effective/Revised Date Zone(s) AO,use base flood depth) 8/18/2009 9-3-2003 AE 11 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) 611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No Designation Date ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings" � Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized PC DISK AURAL A Vertical Datum NAVD 1988 11.82 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawispace,or enclosure floor)4.0 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor 4.6 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V'Lones only) N/A. ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) N/A. ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building NOT YET. ❑feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 4.2 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 4.4 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A. ❑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 authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. o�ztira�^� � peF ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ��3 '` M��° � ° licensed land surveyor? ❑ Yes ❑ No � �� ;.�� Certifier's Name LAUREN R.PENNY License Number #4931 � �`�}��$'�� ' Title LAND SURVEYOR Company Name L.R.PENNY AND ASSOCIATES, INC. � �:' ,�t ," ., , ,�� Address 10730 102 .AVENUE NORTH City SEMINOLE State FL ZIP Code 33778 ` '�.� Signature Date 1/18/2011 Telephone 727-398-4360 -� �,��} �/= FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions U.3.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION A1. Building Owner's Name JEFF GARBER / GLORIA CIFRESE A2. Building Street Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O. Route and Box No. 36 LAUREL STREET City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 13,BLOCK 59, MANDALAY PB. 14,PAGE 32 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat.N 27T59-58 Long.W 82-49-33 Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 0 sq ft a) Square footage of attached garage 0 sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name&Community Number B2.County Name 63.State CITY OF CLEARWATER 125096 PINELLAS FLORIDA 64.Map/Panel Number B5.Suffix B6. FIRM Index 67.FIRM Panel B8.Flood 69.Base Flood Elevation(s)(Zone 12103C0102 G pate Effective/Revised Date Zone(s) AO,use base flood depth) 8/18/2009 9-3-2003 AE 11 610. Indicate the source of the Base Flood Elevation(BFE)data cr base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No Designation Date ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* � Building Under Construction* ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized PC DISK AURAL A Vertical Datum NAVD 1988 11.82 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)4.0 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor 4.6 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural memb��r(V"Lones only) N/A. n feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) N/A. ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building NOT YET.. ❑feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 4,2 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 4.4 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A. ❑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 authorized by law to certify elevation information. I certi(y that the information on this Certificate�epresents my best efforfs to interpret the data availab/e. -�� I understand that any false statement may be punishable by fine or impnsonment under 18 U.S. Code, Section 1001. �^�s��.�?'"`� ♦ ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �.�'��'� �� >.��L:.i��''4�,, " licensed land surveyor7 ❑ Yes ❑ No � �. ,.�� Certifier's Name LAUREN R.PENNY License Number #4931 ��.�� •f - ;w�.r - Title LAND SURVEYOR Company Name L.R.PENNY AND ASSOCIATES, INC. `° " " �� , �"�' ` _ Address 10730 102 .AVENUE NORTH City SEMINOLE State FL ZIP Code 33778 `' �, . � �� e Signature p Date 1/18/2011 Telephone 727-398-4360 Y_� _ �y� / FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.p. Route and Box No. 36 LAUREL STREET C:ty�LEARWATER State FL ZIP Code 33767 SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agenUcompany,and(3)building owner. Comments NOTE AREA INSIDE HOUSE IS SUNKEN .�� ...�m"7/ Signa�ure Date 1/18/2011 � 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. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom fl�or(including basement,crawlspace,or enclosure)is __ ❑feet ❑meters ❑above or Q 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 T ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or�below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,8, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by iaw 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 b«ilding 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. pate 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(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local O�cial's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions , , • Building Photographs See Instructions for Item A6. Building Street Address(inciuding Apt., Unit, Suite, and/or Bidg. No.)or P.O. Route and Box No. 36 LAUREL STREET Clty CLEARWATER State FL ZIP COd@ 33767 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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N t '� { C.. �'-� ! ar , .� ' '4�'1a. � �, � � ��, �r �Ia��• �� :;�� ,Z �, �,.r ` ; Y�,+,� !,t�' a „; �.,;��t ��, � E�`10� ..iDa.,�+ �4 ��•, d� �,�.. � ��r ,�� ,"�; . ,v,�. �...► - ' r/r ,• � ..: . . � , �Q � �� .. �• �� ^"x + � - �� j � � �� su '� .a.r . '1M- r . �� ' �i . � �� ( �4�5� �� V�' �� C �� , ``•�;�,��:sr ��'�(_ � . �'� e��; � ��°•r��"`� � �,, � j.�� 93 �•.�. '�. ..i'/%��y� �,� . �e r� �. �Ta�w 1 ri I�i�!)�.�''� �-�'i��^ Fli !,�J, ��' .�,,, ,,�� ,4/l�i��` r�� ,"1, "�;�s�� 3 �" "+� � � �`« ` '•�,��\,�, '� '�� "��'' '4��' :�' �- . S , `;`. ;.i• lMPORTANT: 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. 36!AUR�L STREET City-CLEARWATER State FL ZIP Code 33767 SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agenUcompany,and(3)building owner. Comments NOTE AREA INSIDE HOUSE IS SUNKEN ��C1..C.�-r.v.�_ �.-Ii+�-`7/ Signa�ure Date 1/18/2011 � 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. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade, if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is T ❑feet ❑meters ❑above or ❑ below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or�below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local o�cial must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,8, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local o�cial who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This peRnit has been issued for: ❑New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions � ". ' Building Photographs See Instructions for Item A6. Building StreetAddress(including Apt., Unit, Suite, and/or Bidg. No.)or P.O. Route and Box No. 36 LAUREL STREET Clty CLEARWATER State FL ZIP COd@ 33767 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. SEE ATTATCHED SHEET OF PHOTOGRAPHS ( �7 A .�� '� �hd t�a.t ld�C � �.i ,�r+ r�'�d t �1 t �t,�� fi� ��,'� w� �t� �.r. � � . �� Y�rc�� . � J� , ,,, a, d ��mi �� ,y � �4 ��. �� s �F �. � �,�t t i ' [� ,x. � \y��,�y»�`! t r ��f f� / �+ ,,a�r� �" y$ ��.� �+r ar't ��.�i µ ?'d s��d �q�.�'� ��` �h f . ��", 4j>�'tlf.e. � .r< � ¢!, �1��ut � � :t�' ,^:;�.. 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