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964 MANDALAY AVE FROM : CLEAR.WATER O��ice PHONE N0. : 813 449 9148 Sep. 21 1998 05:40PM P3 a ° ��V � � � � L � � � I► S�� L C F��H CENTRAL PERMITTING CITY OF CLEARWATER -----....�.�. 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OtlREvla�t6t�aar��_� z0'd 8t'�0z9a " (11 SJ B'11 I 1 tiQ I dt7�� WOb� 9S:ti i 866 T-`.�-d35 �t �r1 w i1�Rr 7C'CC'Ai C1�n7/A n.�rt.vnw.�v� �s�en n�rn�iun� � ...._ .. s I�.S.G'�PTiRTFiTENTOFHOMELANDSECURiTY ELEVATION CERTIFiCATE , `ederal Emergency Management Agency National Flood Insurance Program Important• Read the instructions on paqes 1 9 SECTION A - PROPERTY INFORMATION A1. Building Owner's Name JANET C. BOMBARD � MICHAEL TRAPUZZANO A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 964 MANDALAY AVENUE ( MAIN BUILDING #1) City CLEARWATER State FL ZIP Cnrfa �a�a� OMB No. 1660-0008 Expires July 31, 2015 For Insurance Company Use: Company A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 9, BLOCK 60, MANDALAY SUBDIVISION, PB. 14, PG. 32, PINELLAS COUNTY TAX # OS-29-15-54666-000-0090 . A4. Building Use (e,g., Residential, Non-Residential, Addition, Aecessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27D. 58' S7" N. Long. 82 D. 48' 48" W Horizontal Datum: ❑ NAD 1927 X 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 enGosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enGosure(s) N/A sq ft a) Square fooiage of attached garage N/A sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garege enGosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot a6ove adjacent grade c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Englneered flood openings? ❑ Yes ❑ NO d) Engineered flood openings? ❑ Yes X No SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION �� CITY OF CLEARWATER # 1 �unry rvame PINELLAS COUNTY �apiranei rvum�er ts5. suttix t36. FIFZM Index B7. FIRM Panel B8. Flooi 12103C0102 G Date Effective/Revised Date Zone(s) 08-1 &09 09-03-03 AE �s�u. inaicate tne source ot tne t3ase Hootl Elevation (BFE) data or base flood de th entered in Item 69. ❑ FIS Profile X FIRM ❑ Community Determined � Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 X NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Bamer Resources System CBRS) area or Othervvise Protected Area (OPA)? Designation Date �] CBRS ❑ OPA FLORIDA . Base Flood Elevation(s) (Z AO, use base flood depth) 12.0 ❑ Yes X No SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' X 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 CLEARWATER I Vertical Datum NGVD 1929 Conversion/Comments NONE a) Top of bottom floor (inGuding basement, crawlspace, or enclosure floor) b) Top of the ne� higher floor c) Bottom of the lowesf horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) � Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, inGuding StfUCtUfa� SUppOft Check the measurement used. 8.57 X feet ❑ meters (Puerto Rico only) N/A ❑feet ❑ meters (Puerto Rico only) N/A ❑feet ❑ meters (Puerto Rico only) N/A X feet ❑ meters (Puerto Rico only) 8.0 X feet ❑ meters (Puerto Rico only) 7.1 X feet ❑ meters (Puerto Rico only) 7.4 X feet ❑ meters (Puerto Rico only) 7.0 X feet ❑ meters (Puerto Rico onfy) 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 - :.Y � information. I certify that the information on this Certificate represents my best efforts to interpret the data available.l '� 0°° ��. `�� °°c �' understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ��" ��;�� •• �,�`+ � e' a .•• ❑ Check here if comments are provided on back of form. ' Were latitude and longitude in Section A provided by a � t�� _:'��'��1n,?� �,.A �. - iicensed fand surveyor? X Yes Q No � c� � 4 ,' ' : v�' . c� °. .. � . Certifier's Name License Number r`� ; HERE � .; ,n ° DAVID K. PREVOT LS # 4934 - PROFESSIONAL SURVOR AND MAPPER 6154-A SPRINGER DRIVE ature FEMA Form 81-31, Mar 09 Company Name BAY LAND SURVEYING City PORT RICHEY State FLORIDA ZIP Code 34668 See reverse side for continuation. �� _ � Replaces all previous editions � cGr_rinN n_ SURVEYOR. ENGINEER, OR ARCHITECT CERTIFICATION y'' �_ IMPORTANT: In these spaces, copy the 424 MIDWAY�SLAND City Code ling information from Section A. For Insurance Company Use: NoJ or P.O. Route and Boz No. Policy Number SECTION D- SURVEYOR, ENGINEER, OR ARCNITECT CERTIFICATION (CONTINUED) Copy both sides of this Efevation Certificate for (1) community official, (2) insurance agenUcompany,.and (3) building owner. Comments SECTION C2e = THE ELEVATION OF THE BOTTOM OF THE OUTSIDE AIRCONDITIONING UNIT. signature U 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 SecGons A, B, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E 1. Provide elevation infoRnation 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. bj 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 pa es 8-9 of Instructions), the next higher floor (eleva6on C2.b in the diagrams) of the building is . ❑ feet ❑ meters ❑ above or � below the HAG. E3. Attached garage (top of slab) is . ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is . ❑ feet ❑ meters ❑ above or Q 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 infortnation in Section G. SECTION F- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized represenfative who completes Sections A, B, and E for 2one A(without a FEMA-issued or communiry-issued BFE) or Zone AO must sign here. The staiements in Sections A, B, and E are correct to the best of my knowledge. Property Owners or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C(or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official compieted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone A0. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G7. This pertnit 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 b�ilding site: ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Ufficial's Name Title Community Name Telephone Check here if attachments . .. . Building Photographs Continuation Pa e. 12-716MEC 964 MANDALAY AVENUE ( BLDG. # 1) For insurance company use: Buildin Street address includin A t. Unit Suite or PO Box Polic Number Cit CLEARWATER STATE FLORIDA Zi 33767 Com an NAIC Number . If submitting more photographs than will fit on the proceeding page, affix the additional photographs below. Identify all photographs with: date taken:"front view" and "rear view" and if required ,° right side" and "left side view". DATE TAKEN 7-12-14 FRONT VIEW RIGHT VIEW REAR VIEW LEFT VIEW 964 MANDALAY AVE BCP2014-06021 TRAPUZZANO RESIDENCE Zoning: Low Medium Density Re Atlas #: 238A � �5 ! �. Se� _-lp�-- �� .. i� � F.1 �� Q � �s��E JUL 1� 2014 �� ' `� `� ____��--° ,� -'! �NfVIiVC & G�VEi_O�MENi � e�r�.�a< <-.r .ro� .-wr��wr.rn