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411 GULFVIEW BLVD S .._', .---p•w-...___.._..�:_.�__.,,,.. `� , i �; � i� t " ��rj ls �� �� a 1�` � �'/ ��y ���:�� ;�� �� � �'�'� � �� Q.M.B.Na.3067-0077 � FEDEAAL EMERGENCY MANAGEMENT AGENCY E�����y at, i v9s j:�� NC�V � � � NATiONAL FLOOD IN$URANCE PFiOGRAM ;,y },�I� � , ��DPR�UF'fNG CERTIFICATE � � S:'...0 �.�,?9�±:::_;��; .�g(��� �FOR NON-RESIDENTIAt,37qIJCTUR�$ �fj��)— �/� '�'...����F ii��( e r i�-i .r�-I�' � �wW �V10� '°� burldmys may be permined as an alt�rnabve te elevatfng td ar abave th�Base Flood�levadon; however, a floodproo�ing deslg»canification�s�equired. Thls/arm is ta b6►us�al fa�that cert!licatian. Flc�proofirrg of a resrdentia! building does nof a!t r a cnmmunity�s Na�plain management elevatlan requJrements or affecr the insurence r�ting unlass fhe cammuniry has been�issuad an except,on by FEMA to allaw floadprQOled resldentfa/basemenis. The perm/tNrrg of a Naodpranfed resrdentia!basement requlres a seperato r:�rtihcatfon spacilyiny that ttre�asign complies with the loca!floodplaln menagement ordinance. I � FOR INSURANGE C�MPANY USE BUILDING OWNER'6 NAM� POLICY NUMBER STREET ADQFESS(IncludfnQ Apt.,ltnil,3ulce andJpr QIdO,Numberf Op P.O.ROUTE ANQ BOX NUM6ER COMPANY NAlC NUM6ER � OTNE DESCF(PTtON(Lof and Block Numpsra,etc.) G�TY - - ..� ;-�-r-�--�' _s�-11 !�� �t/ ���T -._ �� ✓ STAT£ 2tP CODE � SE ION I FLOO�IN$URANG�aA7E MAP{FIRM)INFORMATlON Prnvide the following from the proper F1RM: COMMUNtTY Ni1MBEFj PANEL NUMBER &UFFIX DATE OF FiqM INOEX FIFiM ZONE 8A&E fL00D ELEVATION �2�'0°1�,• r,�ao7 1� 8-IS•�1'.2 A�E ft joZ�,se,���«, 3ECTI�N II P�pODPROOFING INFORMAT{ON (By e Reglstered Profe�slonal Englneer or Arahltect} Floodprooffng Desl�n �levetion Informailon: y • Building is fl odpronfed to an eleva#ion af I 1 I I��k�feet NGVD. (�levation datum used must be the same as that on the FIRM} Height of flo�dprqofing an the buil�fing above the lowast adjacent grade is j�,�feet. (NOTE,-for i�psurance rsting purpos�as, the build+ng's floodprooled design e/evatian must be at 1B2st ona foat ebove the Base Flood�levation tv recerve rating credrt. !f the bufl�ing is floodproofed only fo the Base Fl�od Elevafion, then fhe buildrng s insuranca ratirra will result In a hJsher premlum.) I S�C7iON ul CfRTIFlCATION (By a Reglstered Proteaalonal Engineer or Archlteci) Non-Resldentlsl Flo4dproatetl Censtructton Cenificatlon: 1 ceniJy that�ased upon develbpment and/or reviaw o1 sCructural design, specificatr�ns, and pls»s fo�construcdon thgt the dasign�,hd methods of constru�tion are rn accordance with accepted standards af pr�ctice fer meeNnq the lollowing provisions: i The�structure,together wlth attendant utilities and san;tary iscllitfes, !s watertight to the ftoodproof�design eleulation indicated above,wlth wglls that are substantially impermeable to the passage of water. All�tructural components�re capable of resistinp hydrostalic and hydrodynamic flood forces, fncluding the effe�ts ot buoyancy,and ant(clpated debris impact forces. !cerNly fhat tf►e InJormatian on thJs certffic�te rapresents my best elforis fo interpref the data avsFl�hle, 1 understand that e�ny false statement may be punish�6le by flne nr fmprisonment under 18 U,S. Code, Sectlon 1409. CERTEFIER'S NAME I LICEN�E NUMBER(or Aifix Bae�t) �TFTLE ����Ll �""'T7G?.�LI� ��J ( (',bMW1NY NAME aW���--� �oop�ss cm� st�'t� z�r ��R�(� t�,�-� ��,��- �-+-� �-- ��.�",�' � DATE pw�p�,� 2 -�G/- Cople9 ould be m�d�of thl�Certl r,�rte:fqr:�t)community of[lcial.2}I�aurance eflent/rompany,and 3]bul3dtng ownsr. FEMA Fortn 81•�S,', fE6.97 R�PLACES A!1 PREVlOU5 EbITION5 pQQQjb(2/9]� � 88-780 � ELEVATiON CERTIFICATE °"'B ,� Expires�:, � FEDEAAL EMEAGENCY MANAGE3VIENT AGENCY '-^� NATIONAL FLOOD INSURANCE PROGF�AM P.�i�Z��' ���T�/ :A7TENT10N: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used onfy ., �� �ie elevation information necessary to ensure comptiance with applicable communiry floodplain management ordinances, t� nine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA c, ' �M;�,.. Instruciions for completing this form can be found on the following pages. SECTION A PROP�ATY INFOFiMAT10N FQR INSUFiANCE COMPANV U : a(JILOING OWNER'S NAME POUCY NUMBER - � CLARA B $TAEET AODFESS(Indudinq Apt.Unit,Suite ana/or 81dg.Number)OFi P.O.ROUTE AND BOX NUMBER COMPANY tvAiC NuMeER � 411 GULFVIEW BLVD. ._.� O'fiiER DESCAIPTION(Lot and 81odt Numbers,etc.) LOT 74 AND THE' NORTH 1 n (� FFFT (1F r nm � �S, �rL� 7� • i.I.OYD—WHTRF.—�KTNNF.R �m STATE � ZIP CODE CLEARWATER BEACH, FLORIDA SECTION B F1.00D INSURANCE RATE MAP(FlRM) INFORMATION � provide the following from the proper F1RM (See Instructlons): • � 1.COMMUNfTY NUMBER 2 PANEL NUMBER 3.SUFFIX 4.DATE OF FlRM INOEX 5.FlRM ZONE 8.�'BASEO��D��j N . 125096 0007 D �� � � 7. Indicate the elevatian daturrti system dsed on the FIRM#or Base Flaod Elevation.$.(BFE): Cl NGVD'29 ❑Other(descnbe on bacic) 8.For Zones A or V,where na BFE is provided on the FiRM,and the communiry has established a BFE for this building site, indicate t�e communiry's BFE:� I � I I I.(�feet NGVD (ar other FIRM datum—see Section 8, Item 7). SE�T10N C' BUILDING ELEVATION INFaAMAT10N t.Using the Elevation Certificate Instruciions, indicate the diagram number from the diagrams.found on Pages 5 and 6 that best •4scnbes the subject building's reference levei 1 . . F1RM Zones A1-A30,AE.AH,and A(with BFE}.'The�top of the reference level floor from the selecied diagrar7l is at an elevatio�i of ��__�__��•��feet NGVD (or other FIRM datum—see Section B, Item�. (b). F1RM Zones V1-V30,VE, and V(with BFE). The bottom of the lowest horizontal structurat member of ttie reference level from the selected diagram, is at an elevation of I I I I,�feet NGVD(or other FIRM datum—sae Section B, Item 7). (c). FIRM Zone A(without BFE). The floor used as the reference level from the selected diagram is �.'�feet above❑ or below l� (check one) the highest grade adjacent to the auilding. (d). F1RM Zone AO. The floor used as the reference level from the selected diagram is � � �.��feet abave i..� or below C (che-�.: one)the highest grade adjacent to the building. If no flood depth number is available. is the building's lowest floor(reference level) elevated in accordance with the community's floodplain management ordinance? l' Yes [ Na ,. Unknown 3. Indicate the elevation datum system used•in determining the above reference level elevations:.rXl� '� ' i ��4-���� under Comments on Page 2). (NOTE: If the e/evaiion datum used in measurin the e/evations i i/(e e �i�-�h �u h '� � � 1� the F/RM (see Secfion B. ltem 7j, then conven the elevations to the datum sysrem used on the l�1 st�w f�@���er�S�od � �' � �equation under Commenis on Page 2.) .- F ' , �'� �� A� �j 4. E l e v a t i o n'r e f e r e n c e m a r k u s e d a p p e a r s o n F1RM:,i,T Y e s � N a (Ses Instructions on Pa ge 4) ;; �� ���f � 1 20 0 Q r� �� �, 5.The reference level elevation is based on: L�9 actual construction � construction drawings l� � � (NOTE: Use of consirucfion drawings is onty valid if the building does noi yet have the referenca Q� ,��n P�s�r1�F��, �, �.. i case this csrtificate will only be valid for the building during ihe course of consiruciron. A post-con � �§�'reJaho�'�arti�rcar�"; ��a will be required once consiruction is compleie.) � 6.The elevation of the lowest grade immediately adjacent to the building is:� ' S ..2.3feet NGVD (or other FiRM datum-see � Section B. Item.�. . . . _. . . __. � SECTION D COMMUNITY INFORMATION � .'the community official responsibfe for:verifying building elevations specifies that the reference level indicated in Section C, iiem s not the"lowest floor" as dsfined in the communiry's floodplain management ordinance,the elevation af the buildirtg's"fowest floor"as defined by the ordinar.ce is: ' � I I ,J feet NGVD (or other FiRM datum—see Section 8, Item 7). 2. Date of the start of construction or substantiai improvement FEMA Form 81-31�MAY 90 ` REPLACE$ALL PREVIOUS EDITIONS SEE REVERSE SIOE FOR CONTINU.>�":' R ..a �� SECTION E CERTIFICATION i ' ! This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones A1—A30,AE,AH,A(with BFE),V1—V30,VE, and V (with BFE) is required. Community officiafs who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A(without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—It the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use,wall openings,.or unfinished area Feature(s),then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must stilt be entered. !certify that the information in Sections B and C on fhis certificate represents my best efforts io interprei ihe data available. !undersiand that any fals�staiement may be punishable by fine or impnsonment under 18 U.S. Code, Seciion 1001. CEATIFIER'S NAME ' LICENSE NUMBEA(or Attix Seal) GCRDQN FY KILLION PLS # 3138 � TITLE COMPANY NAME OWNEFt - - -�KILLION &� ASSOCsIATE�'" `� ADORESS• CtTY STATE ZIP 25 A OUTH HI HLAND�. AVE -- �CLEARWAT�ER; FL'ROIDA ' 33756 " SIGNATUR DATE PHONE .. ._ ._ . .._ .. .. _ . 7 7 Copie Id be made of�this Certlficate for i)community official,2j�insurance agenUCOmpany,and 3)building owner. COMMENTS: BENCHMARK USED PINELLAS COUNTY LP-15 (f3�S�E 1968 ) EL. 4. 981 _. .-_. -�,..m..,.�.�,..._..<. . _ . �._... .�.-.-..a.._.._...,__�..__..__�..w..� _ _....T, I � . �� ,�,_�y� `„� � , _l 2 r �? �. � D . .._ , _ i 4 < f� , �, ..._ .__ . s _p_;' �- �-- -- ° . . . . . � a ;. , t�°��3 °�` � 7� 6�°'(�ll�',-• .. ._ ._ . . . .. . . . . .....� ���+r s i ,.�' cr ✓: ON WITM ON PILES, SLAB BASEMENT � PIERS.OR COLUMNS A V A . A V • 20NES `� 20NES ZONES 20NES 20NES � . . . .... MEFERENCE REFERENCE .. .. �E . LEVEL fiEFERENCE LEVEI ' .. �� ., �_EVEL ELEVATION :!tij. � . _ • ' -�;�5"•- '>;it;' ii�r�;'w:i'a,�`'r•:. �:i,�.'�" — . ,� .. ':+y::;.:;; . 9�SE ty , .'. FL�OOED ::.'�i:•:. ���p,y�r,��:':.'.'• ' „ � REFERENCE..` ,....�- ' ELEVA�TION ELEVATION ..—�_ NEFEfIENCE .��,AD.IACENT .._ ORAOE � LEVEL,. LEVEL ONnOE� '?'F;re'bt�`etfi;�.� �..— � J.t l. _�.t� �1f�.i��%11 � .':✓.•!�' :t':::.'.�. �',�'_ .-,'/.:...... ;.�. ��': �:�j'l.•:�.::'.:.�:���.'�Ir�:.�.: .:�,�'.. .:..i.;i:.:::�'.i...:.:�:ii.�::�. .:'ij:AQlACEHT�;. � w,�1 GMOE .....''�.�`•i:�.`:�'.::'t::.`::�:i.�,::?�ii71111:�:>: . The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for aII A�ones should be measured at the top of the reference level floor. •� Elevatioris for aII V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 � - � U.S. DEP�IRTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program A1. Building Owner's Name ALANIK ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION A2. Buiiding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 411 S. GULFVIEW BOULEVARD City CLEARWATER BEACH State FL ZIP Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 74 AND PART OF LOT 75, LLOYD-WHITE-SKINNER SUB. - PARCEL # 07-29-15-52380-000-0740 OMB No. 1660-0008 Expiration Date: July 31, 2015 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) NON-RESIDENTIAL A5. Latitude/Longitude: Lat. 27.9708°N Long. 82.8296°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 1 B A8. For a building with a crawispace 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) 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 N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name & Community Number B2. County Name B3. State CITY OF CLEARWATER 125096 PINELLAS FLORIDA B4. Map/Panel Number 65. Suffix B6. FIRM Index Date B7. FIRM Panel 68. Flood Zone(s) 69. Base Flood Elevation(s) (Zone Effective/Revised Date AO, use base flood depth) 12103C0102 G 8-18-09 9-3-03 VE 13' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ OtheNSource: 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Othervvise 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. In Puerto Rico only, enter meters. Benchmark Utilized: BROOKSVILLE CORS Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher Floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) � 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 5.83 N/A N/A N/A 5.91 5_2 5_8 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 available. ,, l understand that any false statement may be punishable by fine or impnsonment 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 , Y,�G�, �.�...Sf��`;P�,�„� . � C h e c k h e r e i f a tt a c h m e n t s. l i c e n s e d l a n d s u rv e y o r? � Y e s ❑ N o -�t�,-{ N 5� h'�✓��' ti, ,� Certifier's Name GEORGE A. SHIMP III Job Number 130350-C 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 Date 1-27-15 FEMA Form 086-0-33 (7/12) Telephone 727-784-5496 See reverse side for continuation. . ' ��6 Qt,.,• i , y � �� �� I A �` � • �.- . �?Atf OF' ;• .�' - ' �`ii�••�'• �lOr^sk[tA . �s;�'b�a:..����`. � , � �t����.� , {� Replaces all previous editions. ELEVATION CERTIFICATE, page 2 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. 411 S. GULFVIEW BOULEVARD City CLEARWATER BEACH State FL ZIP Code 33767 SECTION D— SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Eievation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. Comments SEE PAGE 5 FOR SURVEYOR'S COMMENTS (THIS DOCUMENT IS NOT VALID WITHOUT ALL 5 PAGES) Date 1-27-15 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 andlor 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 Signature Comments City Date State Telephone ZIP Code 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 orclinance 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 infoRnation 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 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: ❑ feet G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet G10. Community's design flood elevation: Local Official's Name Community �lame Signature Comments FEMA Form 086-0-33 (7/12) ❑ feet Title Telephone Date ❑ meters Datum ❑ meters Datum ❑ meters Datum ❑ Check here if attachments. Replaces all previous editions. ELEVATION CERTIFICATE, page 3 guilding Photographs See Instructions for Item A6. 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. 411 S. GULFVIEW BOULEVARD City CLEARWATER BEACH State FL ZIP Code 33767 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number. If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View° and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. \_ � �:a� �1 � ; : ,, �� �� ��ti,,�_ _ :� ,�.�. � � fi� _ : r� ... . 4tr *, *?, .. , 7'.` . ; F £� i 't.: . . . . 4 >.._:.fF'AB.�' ( :. � , ' � ., ..,a . t , '. � � �. �� � #�' ` _ '� '.. .... . ., ...�� �1 �.. 1 ..+t�Y „...: � .. ; , �. . _ , i �«.:.�.. �_�� . . y' �� ,cx�"� :=.. 5 „�'!'9?�� ,� FRONT VIEW Picture taken on: 1-27-15 FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 guilding Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 411 S. GULFVIEW BOULEVARD City CLEARWATER BEACH State FL ZIP Code 33767 Company NAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. � �-_-__ -- � �. �...�" � - ��. � � } " �� : � � � �` s _'�='. '�. ��c-�..,� _ , ib�* _ ��+��pv� .. " . REAR VIEW Picture taken on: 1-27-15 FEMA Form 086-0-33 (7/12) RECEIVED MAY 2 1 2015 PLANNING & DEVELOPMENT DEPT. CITY OF CLEARWATER 4'! 1 S GULFVlE1l1l BLVQ BCP2015-01423 TIKI BAR Zoning: Tourist Atlas #: 276A ELEVATION CERTIFICATE, page 5 IMPORTANT: In these spaces, copy the Surveyor's Notes Continuation Page ng information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 411 S. GULFVIEW BOULEVARD City CLEARWATER BEACH State FL ZIP Code 33767 SECTION D— SURVEYOR'S CERTIFICATION (CONTINUED FROM PAGE 2) �. ._� _ A1. ) THIS ELEVATION CERTIFICATE WAS PREPARED EXCLUSIVELY FOR THE USE AND BENEFIT OF THE PARTY SPECIFIED IN SECTION A, ITEM 1, FOR THE SPECIFIC PURPOSE OF OBTAINING FLOOD INSURANCE AND/OR VERIFYING FLOOD ZONE COMPLIANCE WITH THE LOCAL GOVERNING AUTHORITY. THIS DOCUMENT SHALL NOT BE VALID AND BINDING AGAINST THE SIGNING SURVEYOR WITHOUT THE ORIGINAL RAISED SEAL AND SIGNATURE OF THE FLORIDA LICENSED SURVEYOR AND MAPPER. USE OF THIS DOCUMENT BY ANY OTHER PARTY OR FOR ANY OTHER PURPOSES IS STRICTLY PROHIBITED AND SHALL RENDER THIS DOCUMENT INVALID FOR THOSE PURPOSES. UNAUTHORIZED COPIES ARE STRICTLY PROHIBITED AND SHALL NOT BE VALID. REQUESTS FOR ANY ADDITIONAL OFFICIAL SIGNED AND SEALED COPIES MUST BE DIRECTED TO GEORGE A. SHIMP II & ASSOCIATES, INC. A4.) THE BUILDING USE WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. A5.) THE LATITUDE AND LONGITUDE COORDINATES WERE OBTAINED USING A HAND HELD G.P.S. UNIT WHICH MEETS OR EXCEEDS FEMA'S REQUIRED ACCURACY OF 66 FEET. A7.) THE BUILDING DIAGRAM NUMBER WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. CERTAIN STRUCTURAL FEATURES NOT VISIBLE TO THE SURVEYOR (PILINGS, GRADE BEAMS, ETC.) CAN AFFECT THIS DETERMINATION. A8.) FOR THE PURPOSE OF THIS DOCUMENT, A BUILDING ENCLOSURE IS DEFINED AS THAT PORTION OF AN ELEVATED BUILDING, BELOW THE LOWEST ELEVATED FLOOR, THAT IS EITHER PARTIALLY OR FULLY SHUT IN BY RIGID WALLS. A GARAGE BELOW OR ATTACHED TO AN ELEVATED BUILDING IS CONSIDERED AN ENCLOSURE. SUCH AREAS SHALL NOT CONTAIN MORE THAN 20 LINEAR FEET OF FINISHED INTERIOR WALLS (PANELING, ETC.) OR IT WILL BE CONSIDERED A FINISHED (HABITABLE) AREA. IF APPLICABLE, THE STRUCTURE CONTAINS: ❑ CRAWLSPACE ❑ ENCLOSURE � N/A IF APPLICABLE, THE CRAWLSPACE CONTAINS N/A SMART VENT(S) CERTIFIED TO COVER N/A SQ. FT. PER VENT. IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS N/A SMART VENT(S) CERTIFIED TO COVER N/A SQ. FT. PER VENT. IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS: N/A IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK-AWAY WALLS? ❑ YES ❑ NO � N/A A9.) IF APPLICABLE, THE ATTACHED GARAGE CONTAINS N/A SMART VENT(S) CERTIFIED TO COVER N/A SQ. FT. PER VENT. A8. & A9.) FOR THE PURPOSE OF THIS DOCUMENT, A FLOOD OPENING IS DEFINED AS A PERMANENT OPENING IN AN EXTERIOR WALL THAT IS NO HIGHER THAN 1.0 FOOT ABOVE THE HIGHER OF THE EXTERIOR OR INTERIOR GRADE OR FLOOR IMMEDIATELY BELOW THE OPENING. 68.) UNLESS OTHERWISE NOTED IN SECTION B, ITEM 10, THE FLOOD ZONE WAS DETERMINED BASED ON THE FLOOD INSURANCE RATE MAP. IN CERTAIN CASES WHERE AN ACCURATE DETERMINATION COULD NOT BE MADE FROM THE MAP, THE COUNTY'S G.I.S. OVERLAY MAY HAVE BEEN UTILIZED TO DETERMINE THE FLOOD ZONE. NO SEARCH OF THE PUBLIC RECORDS WAS PERFORMED FOR LOMA'S, LOMR'S, ETC. WHICH MAY AFFECT THE SITE. C2.e) AIR CONDITIONER LOCATED ON A CONCRETE PAD.