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205 PALM ISLAND SWU S DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergency Management Agency National'Flood Insurance Program Important: Read it) i str al-6ns.orr`pages 1-9. OMB No. 1660-0008 Expires March 31, 2012 Al Building Owners Name DAVID AND KRISTI LAM SECTION A PR t PEY T11614ON For Insurance Company Use: Policy Number A2. Building Street Address (including Apt.. Unit, Suite, and/or Bldg. No 205 PALM ISLAND SW City CLEARWATER State FL ZIP Code 33767 t'.L.r1I41Vribc'iFLr CP or A3. Property Description (Lot and Block Numbers. Tax Parcel Number, Legal Description, etc.) LOT 9. UNIT 6-A ISLAND ESTATES OF CLEARWATER (PARCEL ID # 05-29-15-43416-000-0090) Company NAIC Number 205 PALM ISLAND SW BCP2008-09197 A4. Building Use (e.g.. Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. N 27.98331 Long. W 82.81936 A6. Attach at least 2 photographs of the building if the Certificate is being used A7 Building Diagram Number A8. For a building with a crawlspace or enclosure(s) a) Square footage of crawlspace or enclosure(s) 2291 sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1 0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in d) Engineered flood openings? 0 Yes ® No RESIDENTIAL Horizontal Datum: 0 NAD 1927 ® NAD 1983 to obtain flood insurance. A9 For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? 0 Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name 83. State CITY OF CLEARWATER 125096 PINELLAS FL 84. Map/Panel Number B5. Suffix B6. FIRM Index 87. FIRM Panel 88. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 12103C-0102 G 9-18-09 9-3-03 VE & AE 13' & 12' ndicate the source of he Base Flood Elevation (BFE) data or base flood depth entered in Item B9. 0 FIS Profile ® FIRM 0 Community Determined 0 Other (Describe) B11. Indicate elevation datum used for BFE in Item 89: 0 NGVD 1929 ® NAVD 1988 0 Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date N/A 0 CBRS 0 OPA ❑ Yes ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1 Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* ® Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2 Elevations - Zones A1 -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE. AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE Benchmark Utilized CLWR BM 1-03.5 Vertical Datum NAVD 88 Conversion/Comments N/A a) b) c) d) e) f) 9) h) Top of bottom floor (including basement, crawlspace. or enclosure floor) 6.55 Top of the next higher floor 16.85 Bottom of the lowest horizontal structural member (V Zones only) 14.08 Attached garage (top of slab) N/A Lowest elevation of machinery or equipment servicing the building 16.43 (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) 5.91 Highest adjacent (finished) grade next to building (HAG) 6.19 Lowest adjacent grade at lowest elevation of deck or stairs, including N/A structural support Check the measurement used. ® feet ® feet ® feet ® feet ® feet ® feet ® feet ® feet ❑ meters (Puerto Rico only) 0 meters (Puerto Rico only) ❑ meters (Puerto Rico only) 0 meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 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 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes 0 No Certifier's Name GEORGE A. SHIMP III Job Number 050328H License Number 6137 Title VICE PRESIDENT Company Name GEORGE A. SHIMP II & ASSOCIATES, INC. Address 3301 DESOTO BLVD.. SUITE D City PALM HARBOR trz.4 /( .S. (, State FL ZIP Code 34683 Date 10-5-09 Telephone 727-784-5496 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.O. Route and Box No, 205 ,PALM ISLAND SW 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 agent/company, and (3) building owner. Comments C2.a) BOTTOM FLOOR ENCLOSURE CONTAINS BREAK -AWAY WALLS C2.e) AIR CONDITIONER Sig re ORGE A. SHIMP I Date 10-5-09 ® 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. 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 b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet 0 meters 0 above or 0 below the HAG. ❑ feet 0 meters 0 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 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage (top of slab) is 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ 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 ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners 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 ❑ 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 08 and G9. G1 0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. 0 The following information (Items G4 -G9) is provided for community floodplain management purposes. G4 Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7 This permit has been issued for 0 New Construction 0 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: 0 feet 0 meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet 0 meters (PR) Datum G10 Community's design flood elevation 0 feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments 0 Check here if attachments FEMA Form 81-31, Mar 09 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 Expires March 31, 2012 Al Building Owner's Name DAVID AND KRISTI LAM SECTION A =PROPERTY INFORMATION OCTU7 A2. Building Street Address (including Apt.. Unit, Suite, and/or Bldg r P.O. Route and Boox0 No )-ilNo. 205 PALM ISLAND SW f �... City CLEARWATER State FL ZIP Code 33767 r , For Insurance Company Use: Policy Number Company NAIC Number A3, Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 9, UNIT 6-A ISLAND ESTATES OF CLEARWATER (PARCEL ID # 05-29-15-43416-000-0090) A4 Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5 Latitude/Longitude: Lat. N 27.98331 Long. W 82.81936 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 6 A8 For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 2291 sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b Q sq in d) Engineered flood openings? 0 Yes ® No 205 PALM ISLAND SW BCP2008-09197 A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? 0 Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 810. Indicate the source of the 62. County Name 83. State CITY OF CLEARWATER 125096 PINELLAS FL B4 Map/Panel Number 65. Suffix B6. FIRM Index 67. FIRM Panel 68. Flood 69. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 12103C-0102 G 9-18-09 9-3-03 VE & AE 13' & 12' ase Flood Elevation (BFE) data or base flood depth entered in Item 89. ❑ FIS Profile ® FIRM 0 Community Determined 0 Other (Describe) 811. 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 (CMS) area or Otherwise Protected Area (OPA)? 0 Yes Designation Date N/A 0 CBRS 0 OPA ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1 Building elevations are based on: 0 Construction Drawings' 0 Building Under Construction` ® Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones 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 CLWR BM 1-03.5 Vertical Datum NAVD 8$ Conversion/Comments N/A Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6.55 ® feet 0 meters (Puerto Rico only) b) Top of the next higher floor 16.85 ® feet 0 meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) 14.08 ® feet 0 meters (Puerto Rico only) d) Attached garage (top of slab) N/A (3 feet 0 meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 16.43 ® feet 0 meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5.91 ® feet 0 meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 6.19 ® feet 0 meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A ® feet 0 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. / certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? CO Yes 0 No Certifier's Name GEORGE A. SHIMP III Job Number 050328H License Number 6137 Title VICE PRESIDENT Company Name GEORGE A. SHIMP II & ASSOCIATES, INC. Address 3301 DESOTO BLVD.. SUITE City PALM HARBOR 4LorLc State FL ZIP Code 34683 Date 10-5-09 Telephone 727-784-5496 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 O Route and Box No. 205 PALM ISLAND SW 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 agent/company, and (3) building owner. Comments C2.a) BOTTOM FLOOR ENCLOSURE CONTAINS BREAK -AWAY WALLS C2.e) AIR CONDITIONER Signature ORGE A. SHIMP I Date 10-5-09 05-09 ® 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 E 1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B. and C. For Items El -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 ❑ meters 0 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 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage (top of slab) is 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters 0 above or 0 below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners 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 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. 0 The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7 This permit has been issued for: 0 New Construction 0 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: G9 BFE or (in Zone AO) depth of flooding at the building site: G10. Community's design flood elevation ❑ feet 0 meters (PR) Datum 0 feet 0 meters (PR) Datum ❑ feet 0 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 U S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CER IFICATE Important: Read the instructions on pages 1-8. OMB No. 1660-0008 Expires February 28. 2009 Al Building Owner's Name DAVID AND KRISTI LAM SECTION A - PROPERTY INFORMATION For Insurance Company Use: Policy Number A2 Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 205 PALM ISLAND S.W. Company NAIC Number City CLEARWATER State FL ZIP Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 9, UNIT 6-A ISLAND ESTATES OF CLEARWATER (05-29-15-43416-000-0090) A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory A5. Latitude/Longitude: Lat. N 27.98331° Long. W 82.81936° A6. Attach at least 2 photographs of the building if the Certificate is being A7. Building Diagram Number A8. For a building with a crawl space or enclosure(s), provide a) Square footage of crawl space or enclosure(s) b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A6.b , etc.) RESIDENTIAL used to obtain flood insurance 2,291 sq ft 0 sq in 205 PALM ISLAND SW- BCP2008-09197 Horizontal Datum: 0 NAD 1927 ® NAD 1983 A9. For a building with an attached garage, provide: a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State CITY OF CLEARWATER 125096 PINELLAS FL I B4. Map/Panel Number B5. Suffix 86. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 12103C-0102 G 5-17-2005 9-3-2003 VE & AE 13' & 12' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. 0 FIS Profile CO FIRM 0 Community Determined ❑ Other (Describe) B11 Indicate elevation datum used for BFE in Item 89: 0 NGVD 1929 ® NAVD 1988 0 Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes NO Designation Date N/A 0 CBRS D OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. C2. Building elevations are based on: ❑ Construction Drawings' ® Building Under Construction* 'A new Elevation Certificate will be required when construction of the building is complete. 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 below according to the building diagram specified in Item A7. Benchmark Utilized CLW. BM "1-03.5" Vertical Datum NAVD 88 Conversion/Comments N/A ❑ Finished Construction \t/t/rv‘\QA 6•� N.A 14.0 N.A N.A a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ b) Top of the next higher floor c) d) e) 0 9) Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (HAG) Check the measurement used. Complete Items C2.a-g ® feet ❑ meters (Puerto Rico only) ® feet 0 meters (Puerto Rico only ® feet 0 meters (Puerto Rico only) ® feet 0 meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) 5.19. ® feet 0 meters (Puerto Rico only) 6.14 ® feet 0 meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. Certifiers Name GEORGE A. SHIMP III Job No. 050328F License Number 6137 Title VICE PRESIDENT Company Name GEORGE A. SHIMP II & ASSOCIATES, INC. Address 3301 DESOTO BLVD., SUITE D City PALM HARBOR State FL ZIP Code 34683 ,a ure 4zc Date 1-7-2009 Telephone 727-784-5496 TA #6137 DATE' �1 "J ?)O •Inti 14, FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: to 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 205 PALM ISLAND S.W. 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 agent/company, and (3) building owner Comments A8) BOTTOM FLOOR IS ENCLOSED BY BREAK -AWAY WALLS 4 Signature Date 1-7-2009 ® 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. 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, crawl space, or enclosure) is 0 feet ❑ meters 0 above or 0 below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is 0 feet ❑ meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is 0 feet 0 meters 0 above or ❑ below the HAG. E3. Attached garage (top of slab) is 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters 0 above or 0 below the HAG. E5 Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 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 ,4, 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 SECTION G - COMMUNITY INFORMATION (OPTIONAL) 0 Check here if attachments The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, 9, 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. 01. 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. -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 0 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: 0 feet 0 meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet 0 meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments 0 Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions Building Photographs See nstructions for Item A6 For tnsurance Company Use: | Building Street Address (inctudng Apt. Untt, Suite,and/or Bldg. No)orPORoute and Box No ; 205 PALM ISLAND SW City CLEARWATER State FL ZIP Code 33767 If using the Elevation Certificate to obtain NFIP Mood insurance. affix at least two building photographs below according to the instructions for Item 46. 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 en this page. use the Continuation Page on the reverse. Policy Number Company NAIC Number FRONT VIEW Building Photographs Continuation Page For Insurance Company Use Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 205 PALM ISLAND SW Policy Number City CLEARWATER State FL ZIP Code 33767 Company NAIC Niter If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all j photographs with: date taken: "Front View" and "Rear View and, if required. "Right Side View" and "Left Side View.' J REAR VIEW PICTURE TAKEN ON 10-5-09 Building Photographs Continuation Page Building Street Address (including Apt, Unit, Suite. and/or Bldg No ) or P.O. Route and Box No. 205 PALM SLAND SW City CLEARVVATER State FL ZIP Code 33767 For Insurance Company ooa- | Policy Number 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." REAR VIEW Building Photographs Continuation Page 1 For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. ,oP licy Number 205 PALM ISLAND S.W 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." 714aigarlr ' . e REAR VIEW PICTURE TAKEN ON 1-7-2009 Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 205 PALM ISLAND S.W. 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 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, following. FRONT VIEW PICTURE TAKEN ON 1-7-2009 MT -Erg JAN 0 9 2009 DEVELOPMENT SERVICES DEPT CITY OF CLEARWATER SURVEY ABBREVIATIONS A = ARC LENGTH A/C = AIR CONDITIONER AF = ALUMINUM FENCE ALUM = ALUMINUM MPH = ASPHALT BFE = BASE FLOOD ELEVATION BLDG = BUILDING BU( = BLOCK BM = BENCH MARL( BNDY = BOUNDARY 880 = BEARING BNF = BARBED IMRE FENCE C = CALCULATED CB = CHORD BEARING CBS = CONCRETE BLOCK STRUCTURE CHD = CHORD CL = CENTERLINE CLF = CHAIN LINK FENCE CLOS = CLOSURE COL = COLUMN CONC = CONCRETE CR = COUNTY ROAD C/S = CONCRETE SLAB COR = CORNER COV = COVERED AREA D=DEED DOT = DEPARTMENT OF TRANSPORTATION DRNG = DRAINAGE D/W = DRIVEWAY 11 OR REV = ELEVATION EOP = EDGE OF PAVEMENT EOW = EDGE OF WATER EMT = EASEMENT FOA = FOUND CONCRETE MONUMENT FES = FARED END SECTION RP = FOUND IRON PIPE HR = FOUND IRON ROD FL = FLOW UNE FlD = FIELD END = FOUND FOP = FOUND OPEN PIPE FPC = FLORIDA POKER CORP. EPP = FOUND PINCHED PIPE FR11 = FRAME F21. = FL000 ZONE UNE GAR = GARAGE G/E = GLASS ENCLOSURE HUE = HOG WIRE FENCE HWL = HIGH WATER LINE INV = INVERT LB = IAND SURVEYING BUSINESS 1FE = LOWEST FLOOR ELEV UISM = LOWEST HORIZONTAL SUPPORTING MEMBER LS = LAND SURVEYOR M = MEASURED MAS = MASONRY MIS = MITERED END SECTION MH = MANHOLE MHWL = MEAN HIGH WATER UNE MSL = MEAN SEA LEVEL NAB = NAIL AND 80111E CAP NM1 = NAIL AND 019K N&T = NAIL AND UAB NGVD = NATIONAL GE00111C VERTICAL DATUM NO = NUMBER 0/A = OVERALL CHW = OVERHEAD WIRES) OR = OFFICIAL RECORDS o/S = OFFSET P=PLAT P8 = RAT BOCK PC = PGNT OF CURVE PCC = PONT OF COMPOUND CURVE PCP = PERMANENT CONTROL POINT PG = PAGE PK = PARKER KALON PL = PROPERTY UNE P08 = PONT OF 81088)86 POC = PONT OF COMMENCEMENT P0L = PGNT ON UNE PP = POWER POLE PRC = PGNT CF REVERSE CURVATURE PRM = PERMANENT REFERENCE MONUMENT PROP = PROPERTY PSM = PROFESSIONAL SURVEYOR & MAPPER PT = POINT OF TANGENCY PWT = PAVEMENT RAD = RADIUS R = RECORD REF = REFERENCE RES = RESDENCE RL = RADIAL UNE RLS = REGISTERED LAND SURVEYOR RN0 = ROUND RNG = RANGE RRS = RAIL ROAD SPIKE R/W = RIGHT-OF-WAY SGA = SET CONCRETE MONUMENT 5/E = SCREENED ENCLOSURE SEC = SECTION SET NAD = SET NAIL AND DISK RES/ 2512 SIR = SET 1/2- IRON ROD RLS/ 2512 50 = SQUARE 911 = SPLIT RAIL FENCE 5R = STATE ROAD STY = STORY SUB = SUBDIVISION S/W = SIDEWALK TB= -r BAR 11311 = TEMPORARY BENCH MARK TC = TOP OF CURB T08 = TOP OF BANK TOS = TOE OF SLOPE TRANS = TRANSFORMER ENP = TOWNSHIP TYP = TYPICAL UG = UNDERGROUND UDL = UTIUTY WD = WOOD WF = WV00 FENCE W1F = WROUGHT IRON FENCE WIT = WITNESS WR1 = WIRE FENCE WV = WATER VALVE aw ABBREVIATIONS MAY ALSO BE CONCATENATED AS REQUIRED. .a OTHER COMMONLY RECOGNIZED AND/OR ACCEPTED ABBREVIATIONS ARE ALSO UIIUZFD BUT NOT SPECIFIED HEREON. GENERAL NOTES 1. UNLESS OTHERWISE STATED, TME PROPERTY DESCRIPTION SHOWN HEREON WAS PROVIDED BY 1HE CLIENT, OR CLIENTS DESIGNATED AGENT. 2. UNDERGROUND IMPROVEMENTS, INCLUDING BUT NOT UNITED TO BUILDING FOUNDATIONS, HAVE NOT BEEN LOCATED EXCEPT AS SHOWN HEREON. 3. INACCESSIBLE ABOVE GROUND IMPROVEMENTS (E.G. BUILDING OVERHANGS, THOSE WITHIN SECURED AREAS, ETC.), HAVE NOT BEEN LOCATED EXCEPT AS SHOWN HEREON. 4. UNLESS OTHERWISE STATED, THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF A TITLE SEARCH AND MAY BE SUBJECT TO ADDITIONAL EASEMENTS, RIGHT-OF-WAYS, AND OTHER MATTERS OF RECORD. 5. THERE ARE NO VISIBLE ENCROACHMENTS, EXCEPT AS SHOWN HEREON. 6. BECAUSE OF THE POSSIBILITY OF MOVEMENT OF THE MONUMENT/4110N FROM ITS ORIGINAL PLACEMENT BY PERSONS OTHER THAN THE SURVEYOR, IT IS RECOMMENDED THAT PRIOR TO ANY NEW IMPROVEMENTS ON THE PROPERTY 1HE POSITION OF THE MONUMENTAIION BE VERIFIED. 7. UNAUTHORIZED COPIES AND/OR REPRODUCTIONS VIA ANY MEDIUM OF THIS DOCUMENT OR MY PORTIONS THEREOF ARE EXPRESSLY PROHIBITED WITHOUT THE SIGNING SURVEYOR'S WRITTEN CONSENT. 8. BASIS OF BEARINGS IS PLAT, UNLESS OTHERWISE SHOWN OR STATED. 9. ALL BUILDING TIES, PROPERTY MARKER LOCATIONS AND OTHER SITE IMPROVEMENT LOCATIONS SHOWN HEREON ARE MEASURED PERPENDICULAR TO ADJACENT BOUNDARY UNES, UNLESS OTHERWISE STATED. 10. FLOOD ZONE DESIGNATION AND/OR 11000 ZONE UNES (IF ANY) SHOWN HEREON HAVE BEEN SCALED FROM THE REFERENCED MAP ANO ARE APPROXIMATE. THE TRUE FLOOD ZONE UNES MUST BE DE1ERMINED BY AN ENGINEER. 11. THIS SURVEY DOES NOT DETERMINE OR IMPLY OWNERSHIP. 12. THERE MAY BE ADDITIONAL RESTRICTIONS, EASEMENTS OR OTHER MATTERS OF RECORD THAT ARE NOT SHOWN HEREON THAT MAY BE FOUND IN THE PUBUC RECORDS OF THIS COUNTY. ''"/ NOTE: THIS SURVEYOR'S REPORT IS NOT COMPLETE OR VAUD UNLESS ATTAR:HELY.?t:t LE E THE'SJIRVE`f. SURVEYOR'S REPORT GEORGE A. SHIMP II AND ASSOCIATES, INCORPORATED PAONZ (727J 781-5196 FAP (727) 786-1256 EA," _Il GEORGE A. SHIMP'd,, Ft 0RIDA, R! 05 3'40 LAND SURVEYOR No. 2512 GEORGE RI.;P,♦Zf]FltSIO4:SURVEYORk MAPPER No. 6137 ID O`) JOB NUMBER DATE 1' SEAWALL C2 Ft+roor WATERWAY Y BENCH MARK CITY OF CLEARWATER B.M. 1-03.5 ELEV. = 6.54' N.A.V.D. 88 4' ar 0.62'E CURVE TABLE CURVE 1 RADIUS ARC CHORD CHORD BEARING Cl 50'R 60.90'R 57.21'R 57.62'M S8444'09 -E R S8420'27 -E M C2 150'R 104.18'R 102.09'R 102.28'M S6944'09'E R S6948'28'E M FND DRfl1 N8917'55"W 25'R FND HOLE N89'44'45"W 24.90'M LEGAL DESCRIPTION APPROXIMATE F1000 ZONE UNE LOT 9, UNIT 6-A ISLAND ESTATES OF CLEARWATER, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 60, PAGE 90, OF 1HE PUBLIC RECORDS PINELLAS COUNTY, FLORIDA. FLOOD ZONE THE ABOVE DESCRIBED PROPERTY APPEARS TO BE IN ZONES VE (B.F.E.= 13') A AE (B.F.E.= 12'), IN ACCORDANCE WITH NE FIRM MAP OF THE CITY OF CLEARWATER, PINELLAS COUNTY, COMMUNITY NUMBER 125096 (MAP NUMBER 12103C -0102-G), MAP REVISED SEPTEMBER 3, 2003. PREPARED FOR DAVID AND KRIS11 LAM CERIIFICA11ONO HEREBY'C13gy! BEST OF MY K 10111EDGE AND BELIEF THAT THE SURVEY SWAN EREON : BALLY MEETS THE MINIMUM 1EG1N CAL STANDARDS FOR 'tAND:S 4 ltiltB IB_E 4(N THE STATE OF FLORIDA RULE 61617, F.A.C. FUR ''THIO TIFICA NOT EXTEND TO ANY OTHER PERSONS OR PARTIES O1HERt: AN :111 E o1E AND SHALL NOT BE VALID AHD BINDING,AGNNST IHE,UNO RSIGNE XOR 111HOUT THE ORIGINAL RAISED SEAL AM IAIURESqe ORDk t1COSED SJRVE1'OR AND MAPPER. GEORGE A. SHIMP II, FLORIDA -REGISTERED LAND SURVEYOR No. 2512 GEORGE A. SHIMP III, PROFESSIONAL SURVEYOR & MAPPER No. 6137 THIS SURVEY IS NOT COMPUTE OR VAUD UNLESS ATTACHED TO SURVEYOR'S REPORT. JOB NUMBER: 050328H DATE SURVEYED: 10-1-; DRAWING FILE: 050328H.DWG DATE DRAWN: 10-5-200y LAST REVISION: N/A T.S. L8 1834 X REFERENCE: 050328 GEORGE A. SHIMP II AND ASSOCIATES, INCORPORATED LAND SURVEYORS LAND PLANNERS 890! OeSOIV BOUldMA SUITL' P PIM HARBOR, PLORJ0A Nat PHONE (727) 78.1-51.96 f•IX (727) 786-1256 atlas# 2588 0 Qo Q— J N SECTION , TOWNSHIP 29 SOUTH, RANGE 15 EAST, PINELLAS COUNTY, FLORIDA LEGEND • — WATER METER • — RECLAIMED WATER METER O — BOAT DAVIT OVERHEAD WIRE • PVC FENCE • CHAIN LINK FENCE RET. WALL • WOOD FENCE 0.26'N.W. 11© '4 BOUNDARY SURVEY ON SITE IBM FND. N&T ELEV. = 5.46' N.A.V.D. 88 PALS! ISLAND S.W. 60' R/W 1.0' CONC. CURB CC 0 (ASPHALT) s/W 0.0214.E. RR 5/8' (HALE) 1.5' CONC. CURB • FCM (x4' (BROKEN) PLAT PRM 604 FlR 5/B' N603. s/W 0.20'N.W. cI 0.58t 8 GROUND LEVEL PUMP EQUIP. PAD UPPER WO DECK (A/C'S & GENERATOR) FND N& 4626 RET. WALL 0.64'S.E. ``-- COLUMN 4(TYPICAL) COV. PAVERS spA 3aso' E .69 PAW� STEPS ' U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATI�2�ERTIFI�,��TE onnB ►vo. �sso-000a Federai Emergency Management Agency � ,�`� ;' ; Expires March 31,2012 National'Flood Insurance Program Important: Read h� i F tr-�cti�ns orr-`�ages 1-9. � , SECTION A •P!I'i,t PE T ON For Insurance Company Use: A1 Building Owner's Name DAVID AND KRISTI LAM � �I ` Policy Number �..E�� A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg.No P -��o. Company NAIC Number 205 PALM ISLAND SW !��''� ��'^�1( '��,y`-�'�'y- }� :tl�f�,: �..?4, �<3_�i.f City CLEARWATER State FL ZIP Code 33767 °""° ° "` "" 205 PALM ISLAND SW_ A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) BCP2008-09197 LOT 9, UNIT 6-A ISLAND ESTATES OF CLEARWATER (PARCEL ID#05-29-15-43416-000-00�0) A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude: Lat. N 27.98331 Long.W 82.81936 Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Cert�cate is bemg used to obtain flood insurance. A7. Building Diagram Number 6 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) 2291 sq ft a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the crawispace or b) No. of perrnanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 0 w�thin 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION 61. NFIP Community Name&Communiry Number 82.County Name B3.State CITY OF CLEARWATER 125096 PINELLAS FL B4. Map/Panel Number 65.Suffix B6. FIRM Index 67. FIRM Panel B8.Flood B9. Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 12103C-0102 G 9-18-09 9-3-03 VE&AE 13'&12' B10. Indicate the source of the Base Fiood 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 B9: ❑ 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 N/A ❑ CBRS ❑ OPA SECTION C -BUILDING ELEVATION INFORMATION(�URVEY 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 CLWR BM I-03.5 Vertical Datum NAVD 88 Conversion/Comments N/A Check the measurement used. a) Top of bottom floor(including basement,crawlspace, or enclosure floor)6.55 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor 16.85 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 14.08 �feet ❑meters(PueRo 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 16.43 �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) fl Lowest adjacent(finished)grade next to building(LAG) 5.91 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 6.19 �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. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Ccde, Section 1001 � Check here if comments are provided on back of form Were latitude and longitude in Section A provided by a licensed land surveyor? � Yes ❑ No ' F" ° ' ' -• Certifier's Name GEORGE A. SHIMP III Job Number 050328H License Number 5137 ;�;; - � Title VICE PRESIDENT Company Name GEORGE A. SHIMP II&ASSOCIATES, WC ,� �i� �;'� Address 3301 DESOTO BLVD..SUITE D City PALM HARBOR State FL ZIP Code 34683 #6137 DATE. �b� i tu� re - � Date 10-5-09 Telephone 727-784-5496 (1,tst�t FEMA Form 81-31, Mar 09 See reverse side for continuatior� Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding informatio�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 205 PALM ISL,4ND SW ` City CLEARWATER State FL ZIP Code 33767 Company NAIC Number SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(t)community official, (2)insurance agenUcompany,and(3)building owner. Comments C2.a)BOTTOM FLOOR ENCLOSURE CONTAINS BREAK-AWAY WALLS C2.e)AIR CONDITIONER Signature ORGE A.SHIMP I Date 10-5-09 � 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 infortnation 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 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 ❑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 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 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 perrnit 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 U.S- DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Federal Emergency Management Agency ExpifeS MBrCh 3�,2012 National Flood Insurance Program Important: Re�d the instructions on �ages 1-9. SECTION'A=�ROPERTY INFORMATION For Insurance Company Use: A1 Building Owner's Name DAVID AND KRISTI lAM 0�+� � � Policy Number l. A2. Building Street Address(induding Apt., Unit, Suite, and/or Bidg'No.)�c�r P.O. Route and Box No. Company NAIC Number 205 PALM ISLAND SW �. �".�. ; .:-::;�.;..,�„„�„ City CLEARWATER State FL ZIP Code 33767 �.__, !:;-� � .`� � y;.�� '� -� � _ � � � "=�� 05 PALM ISLAND SW A3. Property Description (Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 9, UNIT 6-A ISLAND ESTATES OF CLEARWATER (PARCEL ID#05-29-15-43416-000-0090) BG'P2��8-09197 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude: Lat.N 27.98331 Long.W 82.81936 Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at Ieast 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 6 A8. For a building with a crawlspace or enciosure(s): A9 For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 2291 sq ft a) Square footage of attached garage N/A 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 0 w�thin 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b N/A 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 FL B4. Map/Panel Number 65.Suffx 66. FIRM Index 67. FIRM Panel B8. Flood 69. Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 12103C-0102 G 9-18-09 9-3-03 VE&AE 13'&12' 810. 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) 811. Indicate elevation 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(OPA)? ❑ Yes � No Designation Date N/A ❑ 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 CLWR BM I-03.5 Vertical Datum NAVD 88 Conversion/Comments N/A Check the measurement used. a) Top of bottom floor(including basement,crawispace, or enclosure floor)6.55 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor 16.85 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 14.08 �feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) N/A �feet ❑meters(Puerto Rico only) e) Lowest eievation of machinery or equipment servicing the building 16.43 �feet ❑meters(Puerto Rico oniy) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 5.91 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to buiiding(HAG) 6.19 �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 infortnation. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any fa/se statement may be punishable by fine or impnsonment under 18 U.S. Code, Section 1001. � i � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �,.r��i ; 'r, licensed land surveyor? � Yes ❑ No '< ` ' `� ' .Y �_ � _ 1,f: - Certifier's Name GEORGE A. SHIMP III Job Number 050328H License Number 6137 " ��'"} t':':-�' Title VICE PRESIDENT Company Name GEORGE A. SHIMP II&ASSOCIATES, INC. f� .��, � ��" Address 3301 DESOTO BLVD.. SUITE D City PALM HARBOR State FL ZIP Code 34683 #6137 ";;DATE �d.�, i t�ure - � Date 10-5-09 Telephone 727-?84-5496 �l,cszQ 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. For insurance Company Use: Building Street Address(including Apt., Unit,Suite.and/or Bldg. No.)or P.O. Route and Box No. Policy Number 205 PALM ISIAND SW . City CLEARWATER State FL ZIP Code 33767 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agenUcompany,and(3)building owner. Comments C2.a)BOTTOM FLOOR ENCLOSURE CONTAINS BREAK-AWAY WALLS C2.e)AIR CONDITIONER Signature ORGE A.SHIMP I Date 10-5-09 � 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 ❑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, 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 ❑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 ceRify 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 following information(Items G4-G9)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7 This permit has been issued for: ❑ 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 _ _._ ___. __ ____ �'��1�� '�J S. DEPARTMENTOF HOMELAN�SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Exoires Februarv 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1 Building Owner's Name DAVID AND KRISTI 1�4M Policy Number A2. Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P O Route and Box No. Company NAIC Number 205 PALM ISL4ND S.W. City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) 205 PA LM IS LAN D SW LOT 9, UNIT 6-A ISLAND ESTATES OF CLEARWATER (05-29-15-43416-000-0090) BCP2��8-09197 _ A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: lat. N 27 98331° Long.W 82.81936° Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood ins�rance. A7. Building Diagram Number 6 A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) 2.291 sq ft a) Square footage of attached garage N/A sq ft b) No. of permanent filood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b N/A sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61. NFIP Community Name&Community Number B2. County Name B3.State CITY OF CLEARWATER 125096 PINELLAS FL 64.Map/Panel Number ', 65.Suffix 66. FIRM Index 67. FIRM Panel B8. Flood B9. Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 12103C-0102 ', G 5-17-2005 9-3-2003 VE&AE 13'8�12' 610. 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) 611 Indicate elevation 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(OPA)? ❑Yes �No Designation Date N/A ❑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-g below according to the building diagram specified in Item A7. Benchmark Utilized CLW.BM"I-03.5" Vertical Datum NAVD 88 � Conversion/Comments N/A � n � � ' � 1�� Check the measurement used. � � � "� ` ,� a) Top of bottom floor(including basement,crawi space,or enclosure floor)_ 6.61 �feet ❑meters(Puerto Rico only � � Z b) Top of the next higher floor N.A �feet ❑meters(Puerto Rico only T � c) Bottom of the lowest horizontal structural member(V Zones only) 14.08 �feet ❑meters(Puerto Rico only � "'i o � d) Attached garage(top of slab) N.A �feet ❑meters(Puerto Rico only) m t� � C� e) Lowest elevation of machinery or equipment servicing the building N.A �feet ❑meters(Puerto Rico only�� C � � (Describe type of equipment in Comments) D (� fl Lowest adjacent(finished)grade(LAG) 5.39 �feet ❑meters(Puerto Rico only) rn � � g) Highest adjacent(finished)grade(HAG) 6.14 �feet ❑meters(Puerto Rico only) � rn 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. !understand that any false statement may be punishable by fine or impnsonment under 18 U.S. Code, Section 1001. ' � ;kF rJd:. " � Check here if comments are provided on back of form. ,� �� ;•,-. '�° ,,;`�, ��, _. Certifier's Name GEORGE A.SHIMP III Job No. 050328F License Number 6137 ° z �is. � ;,>'� Title VICE PRESIDENT Company Name GEORGE A.SHIMP II&ASSOCIATES, INC. � ��'� ^ � �" �� l�� Address 3301 DESOTO BLVD.,SUITE D City PALM HARBOR State FL ZIP Code 34683 ., ` i:.. ure Date 1-7-2009 Telephone 727-784-5496 �s�3� aat�.� � °q n� _ . � FEMA Form 81-31, February 2006 See reverse side for continuation. ' Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Us�: Building Street Address(including Apt., Unit, Suite, and/or Bidg. No)or P.O. Route and Box No Policy Number 205 PALM ISLAND S.W. Cfty CLEARWATER State FL ZIP Code 33767 Company NAIC Number SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2) insurance agenUcompany,and(3)building owner Comments A8) BOTTOM FLOOR IS ENCLOSED BY BREAK-AWAY WALLS �� Signature Date 1-7-2009 � 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 foilowing 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,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑ below the HAG. b)Top of bottom floor(including basement,crawl space, or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher fioor (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 availabie,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 seafed by a licensed surveyor,engineer, or architect who is authorized by�aw to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The following information(Items G4.-G9.)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement G8. Eievation 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 Local O�cial's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions . ' , .. � Building Photographs See Instructions for Item A6. For insurance Company Use: i Building Street Address(including Apt., Unit, Suite, and/or Bidg. No.)or P.O. Route and Box No. Poiicy Number 205 PALM ISLAND SW Clty CLEARWATER State FL ZIP COd2 33767 CompanyNAlCNumber If using the Elevation Certificate to obtain NFIP flood insurance, affix at leas� 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." 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' . , - _ t .�� a�,.. �V b�t�� y�+�^`�"�`°�� J�, � . ,. � �� #t � +�y '�`^�.� � � ' * ;� � � � ��`��" � p-.�� , ..,� _,.,_ . . t .,� "^3r `t��s�'�,�x'" Y �,"��, '��}� ' t ��' . �`�,.b��:+a..�"' . . .L�`� ,.. , . _'" , > , .., � . . ._� . .. _ . ,. .. � .w„ . ..., , ,.. .�,. � FRONT VIEW PICTURE TAKEN ON 1-7-2009 � �_� �-� � � � I I" �a l:J L'� JAN 0 9 20D9 ��VELOPMENT SERVICE3 DEPT CITY UF CLEARWATER .` �URYEY ABBREVIATIONS A = ARC LENGTH FPP = FOUND PlNqim PIPE PROP = PROPERTY A/C = AIR OONDIl10NER FR�t = FRAAIE P51�1 = PROFESSIONAL SUR4ElfOR d� MIAPPER AF = ALUMINUM fENCE f�Il. = F100D ZONE IJNE PT = PqNT OF TANGENCY AWY = ALUMINUN GAR = GARAGE PVAI'T= PAVF]IENT ASPH = ASPHALT G/E = qASS ENCLOSURE RAD = RADIUS 8FE = BASE FLOOD EtEYAl10N HNF = H06 WIRE FENCE R = REOORD BLDG = BUILDIN6 HNI. = HIGH WATfR UNE Rff = REF�RENCE � _ �� INV= INVERT RES = R6IDENCf BM = BE�ICH YARI( LB = IAND SUR4EYING BUSINESS RL = RAOIAL UNE BNDY = BOUNDARY LFE = LOWEST FLO(1R E1.EV RlS = REqS1ERED UND SURVEYOR BRG= BEARING LHSA1 = LOYYEST HORIZONTAL SUPPORTIN6 11EWIBER RND = ROUND BWF = BMBFD NIRE FFNCE LS = UWD SUR4EYOR RNG = RANGE C = CAILUUTED M = MEASURID RR5 = RAIL ROAD SPIKE CB = CHORD BEARING IAAS = �IASONRY R/W = RIGNT—OF—WAY C8S = OONCRETE BLOq( STRUCTURE MES = AlITF1tED END SEC110N SCM = SET (�NNCRETE YpNUAtENT CHD = CHORD AIH = MANHOLE SIE = SCRfDJED ENCLDSURE CL = CEN1E%1NE MHWL = MEAN HICH WATER UNE SEC = SECTION CLF = CNAIN LJNK FENCE �ISL = MEAN SEA I.FVEL SET NdcD = SET NAIL AND DISK Rl,S� 2512 CLOS = CLOSURE NdcB = NAII AND BOTTLE CAP SR = SET t/2' IRON ROD RtS}2512 CU! = COLUI�N NdrD = NIUL AND DISK SQ = SWARE CONC = CON(�tEIE N�Ci = NAIL AND TAB SRF = SPL1T RAII FFNCE CR = COUNTY ROAD NGV4= NATIONAL GEODEiIC VERTICAL DATUAI SR = STATE ROAD C/S = CONCREIE SLAB NO = NUMBER ST1'= STURY COR = OORNER 0/A = OVERALL SUB = SUBDINSION cav= covQ�D ARfA aHw = ovERHfAO YNRE(s) s/W= SIDEWAIx D = DEED OR = OFFlCIAL RECORDS T8 = �T' BAR DOT= DEPAR111ENT OF iRANSPORTATION 0/S = OFfSET 1BAt = TE11ppRqRY BENCN �iARK DRNG = DRIUNAGE P = PLAT TC = TOP OF CURB OIW= OPoVEWAY PB = PLAT BOOK TOH = TOP OF BANK Fl. OR EIFV= ELEVATION PC = POINT OF WR4E TOS = TOE OF SL(lPE EOP = EDGE OF PAYEAIENT PCC = POINT OF OObiPWND CURVE TRANS = TRANSFORAIER EOW= EOGE OF WATER PCP = PERMANENT CONTROL PqNT T1YP = 1nWNSHIP ESI�I�T = EASEIIENT P6 = PAGE lYf' = IYPICAL FCA1 = FWNp CONCRETE MIpNUYENT PK = PARKfR KALON U6 = UNDERGROUND FES = FlJIRFD END SEC110N PL = PROPfRTY IJNE UTIL = UTIUiY FlP = FOUND IRON PIPE POB = POINT OF BEqNNING yyp = yyppp FlR = FWND IRON ROD POC = PqNT QF COAI�IENCQdENT ►yF = 1Nppp �� FL = FLOW UNE POL = PaNT ON LINE MAF= WROUq1T IRON FENCE FlD = FlELD PP = P01�R POIE WIT= VNINESS FND = FQUND PRC = POINT OF REVERSE CURVATURE WRF = MARE FENCE FlOP = FOUND OPEN PIPE PRM = PfRAIANENT RE}ERENCE �IONUNENT WV= WATER YALVE FPC = F10RIDA POM�ER (�RP. � ABBREVIAl10NS MAY AlSO BE CONCAIENAIED AS REQUIRED. *� U1HER CAMMONLY RECOGNIZED AND/OR ACCEPIED ABBRENIAl10NS ARE ALSO UTIUZID BUT NOT SPEqflED HEREON. GENERAL NQTES 1• UNLaS OiHERWISE STAlED� 1HE PROPERIY DESCRIPiION SHOWN NEREON WAS PROVIDED BY 1HE (�.1ETIT, OR CL1p�TS U�SIGNATED AGENT. 2 UNpERGROl1N0 IMPROVEMENTS, INCLUDING BUT NOT UMI7ED TO BUlLDING FOUNDAl10NS, HAVE NOT BEETI LOCATED EXCEPT AS SHQWN HEREON. 3. INACCESSIBLE ABOVE GROUND IMPROVElY11ENTS (EG. BUILDING OVERHANGSy TNOSE IMTNIN S�CURED AREAS, ETC.), HAVE NOT BEE�1 LOCAIED EXCEPT AS SNOWN HFJ�EON. 4. UNLESS OTHFRWISE STATED, iHIS SURVEY WAS PREPARED WIiHOUT 1HE BfNEFlT OF A 11i1.E SEARCH AND �IAY BE SUBJECT TO ADDI110NAL EASEMENTS� RIGHT-OF-WAYS� AND O1HER I�ATTERS OF RECORD. 5. THERE ARE NQ VISIBLE ENCROACHMENi'S, D(CEPT AS SHOMM NEREON. 6. BECAUSE OF 1HE POSSIBIIITY OF YOVF�IENT OF hiE �IONUt�ENTAPOt� FR01� ITS ORIGINAL PLACE�IENT BY PERSONS 0?HER THAN 1NE SURVEYOR, IT IS I�COMI�ENDED 1HAT PRIOR TO ANY NEW I�IPROVEZ11EW15 OM THE pRpppZTY THE POSITION OF 1HE MONU�IENTATION BE VERIFlm. 7. UNAUTNORIZED COPIES AND/OR REPRODUC110NS VIA AP1Y MEDIUM OF TFIIS OOq11�ENT OR ANY PORTIONS THEREOF ARE D(PRESSLY PROHIBIifD VYIIHOUT THE SIGNING SURVEYQIt'S WRITTEN CONSETIT. 8. BASIS OF BEARINGS IS PLAT� UNIESS 01HERWISE SHOWN OR STAlED. 9• ALL BUILDING 11ES, PROPERTY I�ARKER LOCAl10NS AND 01HER SI1E IMPROVEMENT IOCAl10NS SHOWN HEREON ARE MEASt1RED PERPENOICULAR TO ADJACa1T BCIUNDARY IJNES, UNIFSS 07HERWISE STAIED. 10. F100Q ZONE DESIGNAl10N AND/OR fL00D ZONE LINES (IF AN� SNOWN HEREpN HAVE BEEN SCALED FROM iHE RffERENCFD MAP AWp qRE ApPROXIMAlE. 1HE 1RUE R000 ZONE UNES YUST BE DET�RMINEO BY AN ENqNEER. 11. 1HIS SURVEY DOES NOT DEIERMINE OR II�PLY OWNERSHIR. 12 1}IERE MAY BE ADDIiIONAL RESIRIC110NS, EASa1p�TS pR pTHQ2 I�ATiERS OF,RECORp TFIAT ARE NOT SHOWN HfREON THAT �IAY 8E FOUND IN 1HE PUBLIC RECORDS OF 1HIS COUNTY. YS=+t;;.,,,.;"`-�.. NOTE: THIS SURVEYOR'S REPQRT IS NOT COMPLETE OR VALID UNLESS ATTI�H , a` �"�� fy . Ep;�•`�0 T1��1RW�1F: Y;� .<k r. SUR _ .�� .., VEYOR'S REP4RT �� ` j + _ GE A. SNIMP'fi�,,fL.O&ID(If R�61S 4 LAND SURVEYOR No. 2512 GEORGE A. SHIMP II e�IND GEORGE A. SHIMP (II p c ONT�L'�URVEypR �C MAPPER No. 6137 ASSOCIA?'ES, INCGIRPORATED �,r � � .' ��C��1 P80AB��',Z�'� 78�-�/•96 F��7'.P7'� 7B6-l.256 JOB NUMBER DATE S1EPS � 1' SEAWALL � � �� N pA�Rs ZONE VE `�� F 4•ar pUT�2 (B.F.E.= 13') '�� \ o.ss'E . BNp� `` . fND DRILL N89'37'55"W 25�R Fl�o "x' � . �y� n ��// H� N89'44'45"W 24.90'M � �L;1 ll �W�(,�,11! APPROXIMAiE NqpD ROOD ZONE IJNE � L.GW1L. ��7Vfllr 1 M\ BENCH MARK LOT 9, UNIT 6—A ISLAND ESTAlES OF CLEARWATER, ACCORDING TO THE PLAT CITY OF CLEARWATER TFIEREOF AS RECORDED IN PLAT BOOK 60, PAGE 90, OF 1HE PUBLJC RECORDS � B.M. I-03.5 PINELLAS COUNTY, FLORIDA. ELEV. = 6.54' N.A.V.D. 88 m � ROOD ZONE � � � � C U R V E T A B L E 1HE ABOVE DESCRIBED PROPERIY APPEARS TO BE IN ZONES VE (B.F.E.= 13') � L� � CURVE RADIUS ARC CHORD CHORD BEARING AE (B.F.E.= 12�), IN ACCORDANCE WI1H 1HE FlRM �IAP OF 1HE CITY OF Z C1 50'R 60.90'R 57.21'R S84'44'09"E R CLEARWAlER, PINELIAS COUNIY, COIdMUNITY NUMBER 125096 (MAP NUMBER J ti 57.62'M S84'20'27"E M 12103C-0102—G), MAP REVISED SEPIEMBER 3, 2003. � � C2 150'R 104.18�R 102.09'R S69'44'09"E R � 102.28'M S69'48'28"E M �P�� Q ° ° °o DAVID AND KRISlI LAM a N Q W a o � 4 � r ' c � r Q V G c � {" N m Q rv c�nFlC�na��°�tiaa�er t�E`�� =�ST OF bY KNOWLEDGE AND BEIJff JOB NUMBER: 050328H DATE SURVEYED: 10-1—; iHAT 1HE 5URV�Y SHGWM�IEREON:, 11lUJ.Y MEEIS 1HE MINIYUY iECHNICAL DRAWING FlLE: 050328H.DVYG DATE DRAVIM: 10-5-200y STANDARD$FQR''L,IWI�'ySU��1'f61��t19E'��I iHE STA1E OF FLORIDA RULE 61G17, F.A.C. FURiHE�iIAEJR�,�°��,`ti;�11FICATICI�°I� � NOT EX10�ID TO ANY OTHER PERSONS LAST REVISION: N A X REFERENCE: 050328 EX10 OR PARIIES O1H€R�st�fiW �Q$E�� o{FI S�VEY MJD SHALL NOT BE VAIJD AND BINDINC��dG/UNST 1HE�UNDERSIp��4EY0R WIIHWT 1HE ORIqNAL G E D R G E A. S H I l�l P I I RAISED SEAL AND �IAIURF�`��URHJ��;IC�ISfiD-SURVEYOR AND YAPPER. �J� ASSOCIATES, INCOXPORATED �� A"` �`k �� L4ND SURVEYORS L4ND PL4NNERS GEORGE A. SHIMP 11, FL��t1DA�. EqSTERED LAND SURVEYOR No. 2512 990I DeS01Y!BOl!!.�'P.UYD, SUIT�'!! GEORGE A. SHI�iP IIi, PROFESSIONAL SURVEYOR dc MAPPER No. 6137 T.S. P.1lJf B.lRBOR, FlORIlG! 34683 THIS SURVEY IS NOT COAIPIEIE OR VAL1D UNIFSS ATfACHm TO SURVEYOR's�ortr. LB 1834 PBON�' ��'2�'� 7'84-5496�'.LP(y2�'� y86—>,256 a 5 � 29 15 PINELLAS , , , , COUNTY, FLORIDA , � SEC110N . . . . . . , TOYVNSHIP . . . . . . SOUTH, RANGE . . . . . . EAST, . . . . . . . . . . . � . • - BOUNDARY SURVEY I � PALM ISLAND S.W. N �—_ _ _ _ _ _ �� 60� R�W � oN s�� e� `� FND. NdcT ELEV. = 5.�6' N.AV.D. 88 1.0' CONC. CURB � 0 � LEGEND \ � - WATER METER ��n � - RECLAIMED WATER METER S/� �;-';� Fc� 4'x4' 9 - 80AT DAVIT o.oz'N.E. �,� �.5' CoNC. CURB ,, ;-�^E 3�5��'R� PLA�PRM --- - OVERNEAD WIRE FlR 5/8' Aq .. ,,-6�p�,1 „�31• � � � - PVC FENCE (H�) e �s �S ..FlR 5/8' N69��36 � �—� - CHAIN LINK FENCE RET. WALL �� Pa - WOOD FENCE o.2s'N.w. � � s 0.2o w. N �,� �' � � \ •��0°� Q � N PAVERS �0 ` �j• �` N cr \ � �B�' '� c"! \ ��, �'� �a�. WALL ` ,�, ti��, COV. �lf' .�,' �— 11E 9�. � ��b` u.a' � iaar 8.02' � � �a� �� or a $� � °� ��o�A.�ti �o� ,,� � ,�� B�� o � s'� �` THREE-STORY WOOD FRAF�IE � dc C.B.S. RES. � 205 's � ��' pq\ \"^'¢ \�� $ LOWEST fL00R El.�i&85 � O SBE !�n„ \ �TiOM OF LOYiEST HptIZOlITAL \ �,. •rS �� `� ,��, suPaatnic�eot a.�t4.oe' ZONE AE (�p�ND LEVEL PU�IP EQUIP. PAD � ,��, ��. \ yA cNUC��.uaa a.=s.�� (B.F.E.= 12�) o• �,1• ♦ � �� UPPER WOOD DECK (A/C'S dc GENERATOR) � � �, '�� \�,` f� �a5o' E � ��COLUMN •69� �� FND NdtD POOL •�� (IYpICAL) COV. PAVERS � o 0 �' �628 . �� m ¶E N cV � �' � ``�"-----�-37.22'—�---- � cv '� N N � R0.64S.E�. P�`�'S _ � `�� ae�rac STEPS �