973 MANDALAY AVEa - ��-� ^�
3 () �I���f/u1_/ pC,� '?,� C if i�J
r �
U.S.DEPARTMENTOFHOMELANDSECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
NationalFloodln.suranceProgram Important: Read the instructions on pages 1-9.
196953 SECTION A— PROPERTY INFORMATION
A1. Building Owner's Name CARL D. CRONIN
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
973 MANDALAY AVENUE
City CLEARWATER
State FL ZIP Code 33767
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL
�;�%;
OMB No. 1660-0008
Expiration Date: July 31, 2015
>URANCE COMPANY USE
umbec
A5. Latitude/Longitude: Lat. 28°00'02.61"N Long. 82°49'32.00"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 5
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) 1074 sq ft a) Square footage of attached garage N/A 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 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 B3. State
125096 PINELLAS COUNTY PINELLAS F�orida
B11
612
Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69.
❑ FIS Profile � FIRM ❑ Community Determined ❑ Other/Source: _
Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: _
Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation Date: ❑ CBRS ❑ OPA
❑ Yes � No
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. In Puerto Rico only, enter meters.
Benchmark Utilized: BM #J03 Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 � NAVD 1988 ❑ OthedSource:
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)
� 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
7_8.
N/A.
N/A.
N/A.
6.4.
3_3.
3_5.
N/A
Check the measurement used.
� feet ❑ meters
� feet ❑ meters
� feet ❑ meters
� feet ❑ meters
� feet ❑ meters
� feet ❑ meters
� feet ❑ meters
� feet ❑ meters
SECTION D— SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. I certify that the information on this Certificate represents my best efforts to interpret the data availab/e.
1 understand that any fa/se statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ,� 1 i F� c,,
� Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ��`�R r�'
No. 2083
Check here if attachments. licensed land surveyor? � Yes ❑ No
Certifier's Name Clyde O. McNeal
Title Registered Professional Surveyor
Address 6250 N Military Trail #102
License Number 2883
Company Name TARGET SURVEYING, LLC
City West Palm Beach State FL ZIP Code 33407
Signature �--"T— Date 11/15/2013 Telephone (561)640-4800
FEMA Form 086-0-33 (7/12)
See reverse side for continuation.
Digitally signed
by�y C�l�yyd�e� O.
. 'A7EAF_.,�....
65f2�20T3.17.19
16:15:09 -OS'00'
Replaces all previous editions.
��� r�+ � �v�� v��� � �� �v� � a_� Nayc �
(196953) 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.
973 MANDALAY AVENUE
City CLEARWATER State FL ZIP Code 33767
FOR INSURANCE COMPANY USE
Policy Number:
Company NAIC Number:
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 ELEVATIONS IN SECTION C2-E ARE ELEVATIONS OF A/C SLAB.
ELEVATIONS FOR MAIN RESIDENCE.
Signature �-` Date 11/15/2013
c1/
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, 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 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, B, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address
Signature
Comments
City
Date
State
Telephone
ZIP Code
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-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 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-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: __
G9. BFE or (in Zone AO) depth of flooding at the building site: __
G10. Community's design flood elevation:
Local Official's Name
Community Name
Signature
Comments
❑ feet ❑ meters Datum _
❑ feet ❑ meters Datum _
❑ feet ❑ meters Datum _
Title
Telephone
Date
Check here if attachments.
FEMA Form 086-0-33 (7/12) Repiaces all previous editions.
U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATIQN 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 For fnsurance Gom�any Use:
A1. Building Owner's Name RICHARDS,THOMAS&SALLY Policy Number
A2. Building Street Address jincluding Apt.,Unit,Sr�;te,andlor Sldg.No.)or P.O.Route and Box No. Company NAVC Number
973 MANDALAYAVENUE
City CLEARWATER BEACH State FL ZIP Code 33767
A3. Property Description(Lot and Biock Numbers,Tax Parcef Number,Legai Description,et�.)
LOT t ,BIOCK"Z63",CARLOUEL SUBD.
A4. Building Use(e.g.,Residentiai, Non-Residentiaf,Addition,Accessory,etc.) RESIDENTIAL ,
A5. Latitude/Longitude:Lat.28.00'03" Long.8Z.49'31" 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
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 N/A sq ft
b) No.of pennanent flood openings in the crawlspace or b) No.of pennanent fiood openings in the attached garage
enclosure(s)within t.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 openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No
SECTION �-FLOOD INSURANCE RATE MAP (FIRMj INFORMATION
B1.NFIP Community Name&Community Number 62.County Name B3.State �
CLEARWATER 125096 PINELLAS --� FLORIDA
B4.Map/Panel Number B5.Suffix B6 FIRM Index B7.FIRM Panel B8.Flood B9 Base Flaod E�evation(s)(Zone
12103C0064 G Date EffectivelRevised Date Zone(s) AO,use base fiood depth)
9-03-03 9-03-03 AE 11.0
B10. indicate the source of the Base Flood Elevation�BFE)data or base flood depth entered in Item B9.
❑ FIS Profile � FIRM ❑ Coinmunity Determined ❑ Other(Describe)
611. Indicate e�evation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe)
612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(dPA)? ❑ Yes � No
Designation Date N!A ❑ CBRS ❑ OPA
SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQIlIRED)
C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction• � Finished Construction '
'A new Elevation Certificate will be required when construction of the buiiding is compfete.
C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,Vt-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,ARlAH,AR/AO. Comp�ete Items C2.a-h
below according to the building diagram specifie�:in Item A7. Use the same datum as 2he BFE.
Benchmark Utilized CLEARWATER"H-02" "` Jertical Datum NAVD'88 '*'`ELEV.5.21
Conversion/Comments N/A
Check the measurement used.
a) Top of bottom floor(including basement,cra�roispace,or enclosure floor)N/A. ❑feet ❑meters(Puerto Rico only)
b) Top of the next higher floor 6.86 �feet ❑meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural me nber(V Zones only) NlA. ❑feet ❑meters{Puerto Rico only)
d) Attached garage(top of s�ab) 4.55 �feet ❑meters�Puerto Rico only)
e) Lowest elevation of machinery or equipment�ervicing the bui{ding N/A. ❑feet ❑meters(Puerto Rico only)
(Describe type of equipment and location in:.'omments)
fj Lowest adjacent(finished)grade next to buil:'ing(LAG) 4.3 �feet ❑meters(Puerto Rico ontyj
g) Highest adjacent�finished)grade next to bui'ding�HAG) 5.0 ❑feet ❑meters(Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of:ieck or stairs,incfuding N/A. ❑feet ❑meters jPuerto Rico only)
structural support
5ECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sea�ed by a fand surveyor,engineer,or architect authorized by law to certify elevation � 4fi+r�+�..�.,�_
infonnation. I cerBfy that the informa6on on this Certncate represents my best etforts to interpret the data availa6le.1 ,,��.., , '`
understand thaf any faise siatemenf may be punishable by fine ar impnsonment under 18 U.S.Gode,Sec!ion 9001.❑ M�+` '. ;i, �
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �� '�, s i� Ye F �
licensed land surveyor? � Yes ❑ No � ,��.��' �r�{�;, `�t�
�^_.
Certifier's Name WILLIAM C. KEATING License Number 1528 � �-° C;s��� f''� i';; "
; �,, �= _ � `J:
Title LAND SURVEYOR Com�,any Name ALLIED SURVEYING � -� `�r✓ _� � ��'`
-x.';
':;.^,
, :
Address 1275 NO. �QD AVE. �ity �LEARWATER State FL ZIP Code 33755 �1'
r --
Signature Date 2-28-11 Telephone 727-446-1263 •`>' "` �
�
, - � , g�9lcling P�otographs
j See instructions for item�:A6.
Forl�surance�ompany.Use.
Buiiding Street Address.(iRCiuding Apt.,Unit,��it�e,�nd/or Bidg.No.)or P.O.Routie and&.4�s N�. Policy,t�mber. . '
973 MANDALAY AVENUE �
Ctty S�-L:LF�AKWA� BEACH � FLORIDA 33767 � � �Y��
,1f using the Elevation Cariificate to ab#ai� tJF!;' flood insurance, af#°uc at least iwo �uitding photographs below according to
the instructions for ItQm A6. ldentify all pt���:to�r�phs with: date taken; "Front View" an�!°Resr View"; and, if requiresl, "Right.
Side View' �ttd "Lefit Side View.' lf stJta�;tiLti'.'� more photo�Jraphs than wi11 fit u., trz�.� page, usa the Continuation Page,
follflwing.
rxoNT ��
_—__ _ _ �
--- -�
_t� _., � ,� � � , -- -�„� � �
_ . � . � �,�.� �� � - ry��
:.
, :
, . ,� : -
.. '`
t, ,- � _ ,_ �, , �� � -
� „� � -- � ��. � ���� �r`_ � �. -� - ��,
r..� x,�,��`�,'� :�- � �"° � _ ���-: �"
'�.~. ,�"R. � � �� .� . � s a . . � � � - �f .. .�-'� � -
.., r�,. � . � ��•--
� x: ,
" r� � � "���, ;�°�sa � fl� �
� ' .." s�-
�-'�'; �':''�.,�_ .�.,... �- � -- � 3 '� 4_ `�°'m � �-•*t� rw- a� �"....:,_ ' �= a�,. .
��.,
_ ,> . � �- , . .
,< ..;...�.. . ��� _ % .� � '� "' ��_
, .� . . x .. ,�, .y, �aF -� ��v'� �.r
� _
� "�.`" y:- � . -�t�T���€� '�...,r�' _ - 3
,,, . . � �=�� `*_ � L.,,,,d..: _r.d.�...,.,��'='°"�, .����f�-�
�,;; _- ° : i, � .�
;� ; _e.:...z .w.. ����..�,n:,a»,.� ���?.�r'' ��������
.-'.�,!` - . . . . . ' . . __. .__. _� ,?- ...__ . ._.,. �. _.,_. _..
PIC`�'UR�'��'�AKG'N : FEB. 2 8 , 2 01 1