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1608 SAND KEY ESTATES CT U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE � onnB No. �sso-000s Federal Emergency Management Agency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. , � �.._ 165278 SECTtON A-PROPERTY INFORMATION ��� ��� A1. Building Owner's Name ERNST AND PETRA WILL �' ����� ' � �� �� �� �-������k r A2. Building Street Address(induding Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. �`� �� ��F 1608 SAND KEY ESTATES CT � �' � � "`�� City CLEARWATER State FL ZIP Code 33767-2978 A3. Property Description(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.) A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat.27°56'17.16"N Long.82°50'12.06"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 3 A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or endosure(s) N/A sq ft a) Square footage of attached garage 400 sq ft b) No.of permanent flood openings in the crawispace or b) No.of permanent flood openings in the attached garage enGosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Community Name&Community Number B2.County Name 63.State 125096 PINELLAS Florida 64.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Fiood Elevation(s)(Zone 0112 G Date Effective/Revised Date Zone(s) AO,use base flood depth} 9/3l2003 9/3/2003 AE 11/12(NAVD 88) B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) B11. Indipte 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 ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construdion* �Finished Construdion �n i�ciiJ��g�S:.'0^..r+..°�'.�'�w:��'::���1°r°""'rai whcr�ennctnicfinn nf thg hlikii��ic rmm�lgtg_ y,.....,....._. 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 PINELLAS CO.#172-HALL-6 Vertiql Datum NAVD 1988 Conversion/Comments N/A Check the measurement used. a) Top of bottom floor(induding basement,crawlspace,or enGosure floor)10.0 �feet ❑meters(PueRo Rico only) b) Top of the next higher floor M/A �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal sUuctural member(V Zones only) WA �feet ❑meters(Puerto Rico onty) d) Attached garage(top of slab) 7_9 �feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment serviang the building 10.0 �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 7_5 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 7�. �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of dedc or stairs,inGuding N/A �feet ❑meters(Puerto Rico only) strudural support SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTtFICATION This certification is to be signed and sealed by a land surveyor,engineer,or archited authorized by law to oertity elevation information. 1 certify that the information on this Cert�frcate represents my best efforts to interpret the data available.l N understand that any fa/se statement may be punisha6le by fine or imprisonment under 18 U.S.Code,Section 1001. ,� T i F�c,, ❑ Check here if comments are provided on back of form. Were latitude and longitude in Sedion A provided by a ���� r`� No.2863 licensed land sunreyor? � Yes ❑ No Certifiers Name Clyde O.McNeal License Number 2883 Digitalry si Tdle Registered Professional Surveyor Company Name TARGET SURVEYING,fNC. ciyde M`t�e `" e oN:�- sT� :� � � S,o Address TARGET SURVEYING,INC. City West Palm Beach State FI ZIP Code 33407 C Ta � eying, _�rIP : , Date:2011.02.01 ��f Date 1/31/2011 Telephone (561)640-4800 i2=42:zs'a5�°°� Signature ' FEMA Form 81-31,Mar 09 See reverse side for continuation. Replaces all previous editions -� ,x� --_ i k�_" o- ; _ 1¢5278 IMPORTANT: In these spaces,copy the corresponding infortnation from Section A. �i� : Building Street Address(induding Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. �� Y � �;� ���,�,��'��� a 1608 SAND KEY ESTATES CT ��� ����� � � ��� ` City CLEARWATER State FL ZIP Code 33767-2978 `� � " ��.� �� � �f�����,�� � � z*- y.r r`r- ru SECTION D-SURVEYOFt,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. Comments GARAGE SQUARE FOOTAGE IS ROUNDED TO THE NEAREST 100 SQUARE FEET.ACCESS UNAVAILABLE. Signature Date ❑ Chedc 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. Chedc 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 ot bottom floor(including basement,crawlspace,or endosure)is ❑feet ❑meters ❑above or�below the HAG. b)Top of bottom floor(induding basement,crawlspace,or endosure)is . ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with pertnanent flood openings provided in Sedion A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in Uie 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 offiaal must certity 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 RepresentaGve'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 Sedions 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.) �2.❑ A community offidal completed Sedion E for a building loqted 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 Certficate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New ConsVuction ❑Substantial Improvement G8. Elevation of as-built lowest floor(inGuding basement)of the building: ❑feet ❑meters(PR)Datum G9. 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