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801 SNUG ISLANDU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE OMB No. 1660 -0008 Expiration Date: November 30, 2018 Important: Follow the instructions on pages 1 -9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Jeffrey Douglas Glass, Colleen Mary Glass Policy Number: A2. Budding Street Address (including Apt.. Unit. Suite, and /or Bldg. No.) or P.O. Route and Box No. 801 Sung Island Company NAiC Number: City State ZIP Code Clearwater Florida 33767 A3, Property Description (Lot and Block Numbers. Tax Parcel Number, Legal Description. etc.) 05- 29 -15- 43457- 000 -0360 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5. Latitude /Longitude: Lat. 27 °59'34.47"W Long. 82°49'07.05"W Horizontal Datum: 0 NAD 1927 Ox NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. Al. Building Diagram Number 1B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 0 sq ft b) Number of permanent flood openings in the crawlspace or enctosure(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 0 No A9. For a building with an attached garage: a) Square footage of attached garage 576 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 3 c) Total net area of flood openings in A9.b 221 sq in d) Engineered flood openings? Ox Yes I] No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 125096 City of Clearwater 82. County Name Pinellas B3. State Florida 84. Map /Panel Number 12103C 0102 B5. Suffix G 86. FIRM Index Date 09/03/2003 137. FIRM Panel Effective/ Revised Date 09/03/2003 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO. use Base Flood Depth) 11 810, indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: 0 FIS Profile x0 FIRM 0 Community Determined 0 Other /Source: B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 0 NAVD 1988 0 Other /Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes Ox No Designation Date: 0 CBRS 0 OPA FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. 801 SNUG ISL BCP2017 -09593 KITCHEN & BATH REMODEL JEFFREY DOUGLAS GLASS Zoning: Island Estates Atlas #: 249B RECEIVED BY: T.V. SEP 2 8 2017 PLANNING & DEVELOPMENT CITY OF CLEARWATER LEVATION CERTIFICATE OMB No. 1660 -0008 Expiration Date: November 30, 2018 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. 801 Sung Island Policy Number: City State ZIP Code Clearwater Florida 33767 Company NAIC Number SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ■ Construction Drawings' 0 Building Under Construction" 0 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: FDOT Benchmark Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 0 NAVD 1988 ❑ Other /Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 11, 65 0 feet ❑ meters b) Top of the next higher floor n/a p feet [] meters c) Bottom of the lowest horizontal structural member (V Zones only) n/a 0 feet 0 meters d) Attached garage (top of slab) 10, 0 El feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 12 8 0 feet 0 meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 8, 4 0 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 10, 1 0 feet 0 meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including n/a, 0 feet 0 meters 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. I 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. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes 0 No NJ Check here if attachments. - Certifier's Name License Number f Patrick K. Ireland 6637 „1CK lI Q�aSIFic4 'O n' ` e. o NO. 8637 u STATE OF a , . . °tOROOP' ,. 4 • Rr r+HO su.*" +o Title Professional Land Surveyor Company Name LakeRidge Surveying and Mapping, LLC Address 1399 Legendary Boulevard City Clermont State ZIP Code Florida 34711 Signature Date Telephone 1_&.(7 (407) 385 -3151 Copy alp ges of this El vation cate nd all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) C2e =a /c unit job number 17 -1246 8/28/2017 Elevation certificate updated to add new a/c unit and smart vents in garage. FEMA Form 086 -0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 U.S.DEPAF2TMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name ALAN R. ELIA, JR & DONNA E. TOMKINS Policy Number A2. Building Street Address(including Apt., Unit,Suite, and/or Bidg. No.)or P.O.Route and Box No. Company NAIC Number 801 SNUG ISLAND City State ZIP Code CLEARWATER FL 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) PARCEL, 05-29-15-43457-000-0360 �OT 36, UNIT 7B, ISLAND ESTATES, BOOK 64 PAGE 70, PINELLAS A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude:Lat.27°59'34.69"N Long.82°49'07.37"W Horizontal Datum: ❑ NAD 1927 x 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 ONE-A 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) 0 sq ft a) Square footage of attached garage 576 sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d) En�ineered flood openings? ❑Yes X No d) Engineered flood openings? ❑ Yes X No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number 62.County Name B3. State TCITY OF CLEARWATER 125096 PINELLAS FL 64. Map/Panel Number B5.Suffix B6. FIRM Index 67. FIRM Panel 68. Flood B9. Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 12103C0102 � 08/18/09 09/03/03 AE 11.0 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑FIS Profile X FIRM ❑Community Determined ❑Other(Describe) 611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 X NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes x No Designation Date ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) 1. Building elevations are based on: ❑Construction Drawings' ❑Building Under Construction' x 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 GPS Vertical Datum NAVD 1988 Conversion/Comments NONE Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 11.56 x feet ❑meters(Puerto Rico only) b) Top of the next higher floor NA x feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) NA x feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 10.00 x feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building AC 9.74 X feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 8.50 x feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 10.50 x feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 7.50 x 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. I certify that the information on this Cerfificate represents my best efforts to interpret the data availab/e. . +�� ` `'P �r� . '' l understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. �`a��i�A„�f,"������ '. � -,. X Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ° ��:. ,��r xx �'� � ° licensed land surveyor? x Yes ❑No h',���,. �� � £ Certifier's Name: BILL HYATT License Number. LS 4636 b �„"`�,'�`���*�"��' ' �� � Title: PRESIDENT Company Name: KNOW IT NOW INC. 3f��(��R � Address: 1497 MAIN STREET#321 City: DUNEDIN State: FL ZIP Code: 34698 � ���� Signature Date: Telephone: 727-415-8305 ��`'� 03/01/11 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 801 SNUG ISLAND City State ZIP Code Company NAIC Number CLEARWATER FL 33767 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 NOT TO B�US��fOR CONSTRUCTION OR DESIGN, IS FOR FLOOD INSURANCE USE ONLY ;,e , � x,,^' � � „ . �, Si at � �� ���'"����' � Date 03/01/11 X Check�here if attachments u}:�° SLCTI N E-B L�IG ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND.ZONE A(WITHOUT BFE) �, �.� � � t,.r `�`,�c Zones���nd,�1'�(wi�t BFE);'�prttplete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, an�C` Fqr fterr�l�'1 �4��se naturai grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E1. '=`��vi$ekelev n i{�formati�rn For the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent g�d�(HAG}'��{the lbvi+�s't adjacent grade(LAG). a)�irf�l��t�F�tom'ff�it(iricluding basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG. b)�op�p#botto�t fl�or(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagtams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑ meters ❑above or❑below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address 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 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. 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 } r D � C� � D � � oEC � � �0�1 Pi.AN1JING&DEVELOPMENT DEPT fTY OF Cl A ER