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1034 MANDALAY AVE �1.S.QEPARTMENT OF HOMELAND SECURITY F�.E,.�:�,�.�4N CERTIFICATE OMB No. 1660-0008 � Federai Emergency Management Agency ExDires Februarv 28.2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATIOFJ For Insurance Company Use: A1. Building Owner's Name MARIN,DANIEL AND �.'UNK,JACQUELYN 'Policy Number A2. Building Street Address.(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number .1034 MANDALAY AVE.. City CLEARWATER BEACH State FL ZiP C�de 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Wumber,Legal Description,etc.) � +��� ���i y SJ 1`�1��. 1A !`� y� LOT 17, BLOCK"68",MANDALAY SUBD. BCP2�08-12269 A4. Building Use(e.g., Residential,Non-Residentiai,�ddition,Accessory,etc.) RESIDENTfAL A5. Latitude/Longitude: Lat.28 00'11" Long.82 49'33" Horizontat 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 crawl space or enclosure(s), provide A9. For a building with an attached garage,provide: a) Square footage af crawl space or enclosure(s) N/A sq ft a) 5quare footage of attached garage N/A sq ft � b) No.of permanent flood openings in the craw!space or b) No.of pe Tnanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade walls witt,�n 1.p foot above adjacent grade c) Total net area af flood npenings in AB.b � sq in c) Tota!net.�rea of flood openings in A9.b sq in SECTtON B=FLOOD INSURA ECN RATE MAP(FIRM)INFORMATION B1.N�IP Community Name 8�Community Number 62.County Name ° 63.State CLEARWATER 125096 __,_,,,, ,_PI�I�t,LAS FLORIDA B4.Map/Panel Number B5.SuTfix 66.FlE;M Index B7.F�RM Panet i3$.Flood 69. Base Flood Elevation(s)(Zone �r:te EffectivelRevised Date Zone(s) AO,use base flood depth) 12103C0064 G 9-03-03 9-03-03 AE 11.0 B10. Indicate the source of the Base Flood Elevation(8FE)data or base flood depth entered in Item B9. ❑FIS Profile I�FIRM �Comrr:unity Determined ❑Other(Describe)_ . B11. Indicate elevation datum used for BFE in Item BJ: ❑NGVD 1929 �NAVD 1988 ❑O'�,er(Describe) 872. Is the building tocated in a Coastal Barrier Resnurces System(CBRS)area or Otherwise Protected F.rea(OPA�? []Yes �No Designation Date ❑CBRS -�pPA SECTION C-BUtLDING ELEVATION INFORMATION (SURV�Y RE4UIRED) C1. Building elevations are based on: ❑Construction Drawings* ❑Building Under Cons�ruction' � Finished Construction 'A new Elevation Certificate will be required when cc,nstruction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,ARlAE,AR;.�1-A30,AR/AH,AR/A0. Comptete Items C2.a-g below according to the building diagram specified in Item A7. 8enchmark Utilized CLEARWATER i-2"`�` Verticfll Datum NAVD'88*"ELEV.4.98 Conversion/Comments Checic'he measurement used. a) Top of bottom floor(including basement,crawl sp:'�e,ar enclosure floor)_ 6.� �feet C 'neters(Puerto Rico only} b) Top of the next higher floor N/A. �feet [; •neters(Puerto Rico only) c) Bottom of the lowest horizontal structurat me.r:!�er(V Zones only) N/A. ❑feet ❑:neters(Puerto Rico oNy) d) Attached garage(top of slab) 4..96 �feet [� neters(Puerto Rico only) e) Lowest elevation of machinery or equipment:.�,vicing the building 5.03 �feet [1 meters(Puerto Rico only) (Describe type of equipment in Comments) ------ -- - � Lowest adjacent(finished)grade(LAG) 4.8 �feet �:neters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 4.� �4eet [�,neters(Puerto Rico only) SECTION D-S�JRVEYO ;:OR.�k(��ki CT,C�'�TIFICATION This certification is to be signed and sealed by a land siirveyor, b a th �� bj�I -kr.�certify elevation infortnation. I certify that the information on this Cert��i�ete►ep y 6est e�'i`a`r�sTO'fite�prel�tl+�'d�p�•,,bvailable. f understand that any false statement may be punishnb!e by fine 'sonment under 18 U.S. CadQ,`3u�ction 1001. � FEB 2 3 2009 ' � ' ❑ Check here if comments are provided on back of fcem. � - 'i( ,,,� ,; r�f , ..,.,�� _�� �"' zY� Certifier's Name WILLIAM C.KEATING , ' " �L'�8�.�e� Um�err � #�5'i8 �° �� �.���.�"+�-,�,�,. ��,,. �" CsTlr'f)F,s _�, , �.� ;- � � - -' 1.'�,• .al Title LAND SURVEYOR AND MAPPER Carnpany Name ALLIED SUR YING' '""� �•°---•-� ° = r �� Address 1275 HIGH D AVE E City CLEARWATER State FL ZIP Code�;755 '-{� �� ,�J `�, .n � ,•`.%�'' -,� �,� _ Signatur�;; �/ Date 2��-09 Telephone 727-446-1263 l�' r ;� ' � Y1Z'EYA1�.L�+'1)�+'t)Nr.: ., . '_ W.O. �.G/9b �i z. Z� DANIEL MARIN AND JACQUELYN VUNK �t'��,���R��,��� , t „s � zp �S��' . .. .-A�� _ 7 � 1� � � . .y... .. .� .. r� ��: F�No �l 3� ��No l�)3w C43> _ —,�W�, . Y y,p' EASEII�ENT Curve Number 4.J --•••r /.,...,..,�.._..- ....--------�7 Ir. �a� -------------- � � ���'p��� � $ RaGius= 165FJ.Otl' . a �B�tOa 0135�'{Q� . o+ , �y . . AR'= JrJ.79� . ro / �i � . .� 1� Tonqenta 27.90" �r � .; M3 , Fence Uae� Choid= 55.78' • 0.10' South ���13.0' � . : Chad @rg.� N.043.5'S4 E • 13.2' . ..• �.'.� • � o��Open Concrete: 11.1' • � � � � �� � ' " fu-' ... '. �o°A 5.5' ►•' " 2 13.0 . ?2.7 � cn N 5� . s. °� . o ? � . ��;' � ��! One Story C.B.S. � `��r . .3 f�, � � . _ � . ;,� Res #�034 ti o —� , 0 oi � N � <-� €��;_.' _._� _�, t � � I� . m ', ': .`Dw � "; FLOOR ELEV. 6,13 � #f.r �----^–�–�� � ;! . �;A,,R.ELEV. -, i ..!� �� ;� v ���.96 `' ,i i� ,' FEB 2 3 2009 i� i � 8.8' ? ,ti �1 4.1 ��.i� �i...11� ' �Fence Line ,y w ' 4.8 FL.�tiVIV G� `F�,�� ( 0.50' South ' p.1 12.3' ��:9 r'C�� � �qi1i+ �r � ' �,L�� �.. 13.9' Brick �... _..�. . _._.. _. Orivewoy ; I!rp _� � ' BLDG. Ll:JE ' �� w w A�,/ c„ ' -o � �, c�_,.` t �� -E_x _ Q� -� � ^i m ....._. .., _ __..__... � . m . � �� � v to- ' N . , p ` O , F M 3 z3r Q F M 3 z3" �No �) !�- :�0.✓� � °° �No �) � C42> , - � _ �.l.� N -...__:; _, . :.._ . --- – _ _-- _ _ � f?� � _ __. . . � _ _... . �.., . : �. . . . 4 `. . ' ` .. Q .,.. CQ ,. A.� . . � ' . p � � °� , ° . Curve Number 42 � 0� � Rodiuss 1768.88' `�� � �– 0 � �. Oeltaa 353'03'36� L�' CO U � Arc= 1 f054.31' �� N L� ��' ! �/�f/J I 7 �� T ��_� u� Tangent= –29.95' �' r– � Chord=' S9.89' � W � _ �� � Uw � ` • Chord Brg.a S 05'I �� Q z Z � � 0 � Q � '�f N � . � a Q Z � . . � V W � �c �"BOUNDAR.Y�URVEY" .. ,�,� _ �-' m w � N ..:, _. . �:,EGENU: x��:Fauxo�ox r:OS,F�.7R m N�UP1D�APPED IItON'BPD�SCIB:�SILT CAPPED lHJ':ROA�BIP=FOTINID 1RON PII'E:, � FGP'FOUNA�-CATPED IR�N�.Y'A'IL�.I+ND .FU�.�;'"J.�NAII.&PL4C.S1ND°SEx'�NAII:�4 A16C�.FCM��FOH3VD::+�n:RETE MONUMRNT.PRM'�1'ER�7ANEn. RlCI�1�.RENC�.M�N.UMLIVT�PCP�PERMANEI�x�fYPi't°�2r'iY;.I�r73iVh',FI�POlN�ON.INTERSECTIQN;.R/YV-k14:•°P OF WAX.ELEV.°�YATION:,CBS� GONCRETk'BLOCIC.STRUCfUA�..EQNC�C�.:.."RE7'IC,A6PH�A5PHAI:T,PVMT°PAVF.INF�NT,COV d CU��ED D AE�11,5EC�SYCTiON..TH'P� ED . .ROWNSHiP.:RGI�-:RANGP�.,P R PLA'1':��M m nsr•.;su�u;�rsritr.�,►s�..a°RAANB�::A-�AAC.GH�!'L"J8D�CBt!r CHOItD BNr1RING:BTY���STOHY� . .C11r=CHAINF.CNGL.R'FqW(10DF@ICF. �� . . � � � . � . .�,..,.. . .r+i.,w„._•re.i.w�.�..:,._,,;�—..r�ra�ardaimw�:�:�+�'- . .. . . . � A:_St�ftti'�3t `�F z . L,OT 17 , `�LOCK "b8" , MANDALAY �i . ; . A5 RFCOItAED IN'PtiAT B�C1K �`� ,�'AGE I,�OF THE PUBLTC'1Z�CCQRD�(.5�'PINELT,AS C()UNTY,FLA. I,W lL.[SAM C.YCEATING,Tii1�SIIAYEXOTt'IN TtYCS}G:VSIIiLIi.CI�:A�IiGTi.;,CERTINX TEfAT�'17IT�9iJliVEY R1�:Pi2TSL,N I'k:::HTRL:ON,AS M]tli,TING TH�bfINIMIIM. 1'F.CRN1CAi:STANAARDS SL�'Y''TORTIi HY TtiE FL.OIti!M BdDA1RA OF I.ANA 9URVEYORS;PURSUANT TO'SEGTIO:F.%:.027 OF TIiE I�1AltIDA dTSTUT�� � YRlSC421BN:1,11N CHAP7'➢�:H(rl-GI7-6�IUL�PT.ON YIES)1'i::SStONAL ItEQ'iiJ1,A9�lON. , . . � . . � ELEVATION STA7'EMENT:THIS 1S TO CEl:TiF'1'-?'L"r�'T.'41m1`u`�`.�pgTA1NED ELEVATIONS SHOWN HEit�O t,�H Tli�ABOVE DESCIil1iLD LAND.THEST,��` � ,,.., �:LCYATIOIVS SHOWN 1i1�:ItEON A1tE HASkll(J"I THl�:P101{TH AMERICAN VERTIGIL AATUM,19$$.BENCIi P t.RI�S PEIt P1NlLL1S COUNTY ENG����"s'� ` ' llL'Yl'.O$FEMA M.1PS.FLOOD'LONE DISTi�("1'JONS ARti BASED UPON Ti1E FEDERAL EMERGENCY MA1�� �b":FNT ACENCY MAF8ISSIIED, ' i1S �c,O ,p , 1NCONSIST�:NCIES FUUNll IN TIIESE M.1.Ya,'�'il:�LO:�k.''i AIIE AN API'ROXUNA`f�:kST1Pr1A'f10N TO I#L 13r�7 Ci�tiU12 AL1L1'1'Y. ,�, �{ , aeo„ ,,, , " _ ... �'"" ! � COMMUNITY N0: Pr►NL�L NO. tNA.P DATE'. `; Al`PEARS TO C°�, - •���E �',r." v �6�Q `s;,e, ,(2 g � � D �C"` � � 0,3�v IN FItPOL7U" � /,1�- ,,.+�Q� ,%� �¢-� : � dG � T - �, � ,., �,� U _ na:+wr�BY'. ��� � nwr�. �B�� p �"` • `"' ° ,� A�.I:��El�►SUR'VL�'"�TNG �r�,�r�J sx: � �w .� , _ � -.-_ i��s xq;Fu�si.arm nvEi�E� . °. , a'<.�; : .:.. . . ' ..rr �.�� R � � , sCais: ,I s CLEARIVATEIt ;1�1.ORIDA,;33755 ' ce�c�u sst; w` . . LIAM C:IC�A ^ � " �B 1'EL.727-446-1263 .. _,..�_ � ..,,.., • .,.� - ,�>`_' , , � . . ,;� ' � ... . r w..: ���. ..... . . , � . _ Building IP�atographs ! See I�structions for Item�:A6. _ For insurance�ompsny.Use: Building Street Address,�iticluding Apt,Unit,�uite,and/or Bldg.Na�or P.O.Route and Bo:[No. Policy.:Numher. 1 0 3 4 MANDALAY AVEI�UE . � Cnde CornNany NAUC Nurtiber Ci S����'ATEK BEACH FLOR IDA 3 3 7 6 7 . ;If using the Elevation Certificate ta obtain NFIP flood insurance, a�x at least iwo ��uilding photographs below according to the instructions for lt�m A6. Identify all ph�tographs with: date taken; °Front Viewr' and"Rear Vie�'; and, if required, "Rigl�ti Side View" and "Left Side View." !f sutamiLting more photographs than wiN fit o:� this page, usa the Continuation Page, fallowing. � " FRONT � �� � . � —�.,.�„ — — � � � °: �� ��. ,� �' � � ��yf .,� "! . �* �y"i��Mi y �ff...'u. : _ ��v,m�� i _ �^ '4!'4 .• 'h�\s� . A� : '� t• • .' � �,+� . � �.k" �wt'P'{ Z,�,� � � ;3,. � %�.�• � .CP? . �.�,�5 � .c4- , � � ��.�p�;`, i+�'�i.�g�4y� ,yy , . a`4 � �� h��� Sia R �� � Y l � :L :�r ,,..t �,g N?�`. °�� �# � a � �+" hy��. i. �v� �., � . dn .� �. f .... l � S1 , �i� �/t=y �i�,� � , � .J� i ..�i�+ � � � ;� �'y.i ,r� y Y9in -L' S "�'��p.,?A� t j *s, '.....; � _ 3 . . .. ��3��d - �k'ty.-��'�'y�.�. .^ � � _ v _._+..a.8"� �;,���..,G-,i:�_. . � ."+�*%'�+�. . .. — K . . � �. - �� . .._ . .,.• .>.::4` . . . . . . �... � . ' y '_a� �.j,��r3,3.. .�, �'"��,�, ,�Gs&,_� � � �:: . _ y��� - - _� � _ �'��_� �'"��`+` '�' �,:,���"`c�`'�V'='"n - - _ : �... � .,.,.. �_ .�, �r:_._ `=�3._ _ . - . _ .. � � � ��.:�� , � �i: � � j�� _,a;:..�.' t;%J.._._,.�.� . � , � . � j ��� . � ; � , �'. �1...1' FEB 2 3 Z009 �; :� � �`� .. � Ft..�±`tVi�IltvC.%��'FI���_:Jr �;'�T.:�'C5� ,.�.r,�1�r��4.� .`��tir�:r...�:_..._.W� � I PIC'�ITRI+�S TA�EN : FEB, 6 , 2 0 0 9 . '� U3� �����►�._��' .��� BCP2008-12269 . ELEVATION CERTIF�CATE MORIN, DANIEL Zoning: LMDR atlas# 238A