The URL can be used to link to this page

1352 SPRINGDALE ST U.S. OE°ARTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE oMB No. �sso-000e Federa!tmergency Management Agency Expiras Februarv 28,2009 National Flood Insurance P:ogram Important: Read the instructions on pages 1-8. �_ A-PROPERTY INFORMATION �. p(��- ,. � N For insurance Company Use: t • A1. Building Owner's Name WILKS CONST. Policy Number .2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number 1352 SPRINGDALE STREET City CLEARWATER State FL ZIP Code33755 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Lega�Description,etc.) LOT 13,BLOCK"C", PINEBROOK HiGHLANDS A4. Buiiding Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude'Lat. 27 58'49" Long. 82 46'51" Horizontal Datum: NAD 1927 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain f�ood insurance. A7. Building Diagram Number 1 A8. For a building with a crawf space or enclosure(s),provide: A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walis within 1.0 foot above adjacent grade_ walls within 1.0 foot above adjacent grade_ c) Total net area of flood openings in A8.b _ sq in c) Total net area of flood openings in A9.b _ sq in SECTION B-FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name&Community Number . 82.County Name B3.State • CLEARWATER 125096 PINELLAS F� B4.Map/Panel Nu 65.Su�x B6. FIRM Index B7.FIRM Panel B8.Flood Zone 89. Base Flood Elevation(s)(Zone 12103C0107 G Date Effective/Revised Date (s) AO, use base flood depth) 9-03-03 9-03-03 "X" NONE 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69.<''�� ' r`',.� ; r �� ` FIS Profile X(FIRM) Community Determined Other(Describe)_ B11. Indicate elevation datum used for BFE in Item B9: NGVD 1929 X(NAVD 1988) Other(Describe)_ :12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Yes X(No) Designation Date CBRSO SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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-g below according to the building diagram specified in Item A7. Benchmark Utilized CLEARWATER H-08*"Vertical Datum NAVD'88`*'ELEV. 17.72 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor) 20.05. feet meters(Puerto Rico only) b) Top of the next higher floor N/A. feetmeters(Puerto Rico only) � Gj c'v2tGii'iAf fh@ lOW2St fC�IZGfit81 SYiUC�lJ�B�rrcamber(V Zoncs oNy) N/A ._ fee; meters(�JciiG iVCG Ofiiy� d) Attacheii garage(top of slab) N/A . feetmeters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building N/A._ feet meters(Puerto Rico oniy) (Describe type of equipment in Comments) (A.C.) � Lowest adjacent(finished)grade(LAG) 19.0._ feet meters(Puerto Rico only) g) Highest adjacent{finished)grade(HAG) 19.8._ feet � meters(Puerto Rico oniy) SECTION D-SURVEY�JR, EIvGINEER, 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 informafion on this Certificate represents.my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fi�e or imprisonment under 18 U S. Code,Section 1001. . Check here if comments are provided on back of form. Certifier's Name License Number • WILLIAM C. KEATING 1528 Title :Company'Name • PROFESSIONAL SURVEYOR ALLI�D SURVEYING �ddress City>� State ZIP Code i 275 NORT ND AVENUE CLEARWATER FLORIDA 33�55 • Signature , Date6-28-07 Telephone - 727-446-1263 --- - I NT: In these spac 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 CitV State ZIP Code Rmm�anv NAI( Nnmhcr U.S. DFPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO.16fi0-0008 Federa:Emergency Management Agency Expires Februarv 28,2009 Natioflal Flood lnsurance P;ogram Important: Read the instructions on pages 1-8. ,A-PROPERTY INFORMATION � N For Insurance Company Use: A1. Building Owner's Name WILKS CONST. Policy Number • .�2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number 1352 SPRINGDALE STREET City CLEARWATER State FL ZIP Code33755 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 13, BLOCK"C", PINEBROOK HIGHLANDS A4. Buiiding Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude'Lat. 27 58'49" Long. 82 46'S1" 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 A8. For a building with a crawl space or enclosure(s),provide: A9. For a buiiding with an attached garage,provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood 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_ walls within 1.0 foot above adjacent grade_ c) Total net area of flood openings in A8.b _ sq in c) Total net area of flood openings in A9.b _ sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION 61. NFIP Community Name&Community Number . 62.County Name B3.State • CLEARWATER 125096 PINELLAS Fi 64.Map/Panel Nu B5.Suffix B6. FIRM index B7. FIRM Panel 68.Flood Zone 69. Base Flood Elevation(s)(Zone 12103C0107 G Date Effective/Revised Date (s) AO,use base fiood depth) 9-03-03 9-03-03 "X" NONE B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. FIS Profile X(FIRM) Community Determined Other(Describe)_ 611. Indicate elevation datum used for BFE in Item B9: 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_ CBRSO SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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-g below according to the building diagram specified in Item A7. Benchmark Utilized CLEARWATER H-08"*Ve�tical Datum NAVD'88"'*ELEV. 17.72 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor) 20.05. feet meters(Puerto Rico only) b) Top of the next higher fioor N/A. feetmeters(Puerto Rico oniy) c) Bottom of the lowest horizontal structural member(V Zones only) N/A ._ feet meters{Puerto Rico oniy) d) Attacheii garage(top of slab) N/A . feetmeters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building NfA'. feet meters(Puerto Rico only) (Describe type of equipment in Comm�nts) (A.C.) fl Lowest adjacent(finished)grade(LAG) ;19.0._ feet meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 19.8._ feet � meters(Puerto Rico only) SECTION D-SURVEY�JR, EfvGINEER,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 thaf the information on this Ceitificafe represents my best effqrts to interpret the data available. � I understand that any false statement may be punishabie by fine or imprisonment un'der 98 U.S. Code,Section 1001. Check here if comments are provided on back of form. ' Certifier's Name License Number � WILUAM C. KEATING 1528 Title Company Name •PROFESSfONAL SURVEYOR ALLIED SURVEYING )ddress City State ZIP Code � i275 NORT ND AVENUE CLEARWATER FLORIDA 33755 `Signature , Date6-2S-07 Telephone - 727-446-1263 I NT: In these spac he 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 CiItV � �tat? 710l�...L. r'�..............��nin.�...y�__ U.S. DE.PARTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE �MB No. 1660-OOOB _ Federal Emergency Management Agency Expit'es Februarv 28.2009 National Flood Insurance P;pgram Important: Read the instructions on pages 1-8. . .A- PROPERTY INFORMATION , � N For Insurance Company Use: A1. Building Owner's Name WILKS CONST. Policy Number • 12. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number 1352 SPRINGDALE STREET City CLEARWATER State FL ZIP Code33755 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 13, BLOCK"C", PINEBROOK HIGHLANDS A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/longitude'Lat. 27 58'49" Long. 82 46'S1" 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 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) N/A sq ft a) Square footage of attached garage N!A sq ft b) No.of permanent flood 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_ . walls within 1.0 foot above adjacent grade_ c) Total net area of flood openings in A8.b _ sq in c) Total net area of flood openings in A9.b _ sq in SECTION B-FLOOD iNSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name&Community Number . 62.County Name 63.State • CLEARWATER 125096 PINELLAS Fi B4.Map/Panel Nu B5.Suffix 66. FIRM Index B7.FIRM Panel B8.Flood Zone 69. Base Flood Elevation(s)(Zone 12103C0107 G Date Effective/Revised Date (s) AO,use base flood depth) 9-03-03 9-03-03 "X" NONE 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 B9: NGVD 1929 X(NAVD 1988) Other(Describe)_ •812. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Yes X(No) Designation Date CBRSO SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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 Iterns C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized CLEARWATER H-08""Vertical Datum NAVD'88"`*ELEV. 17.72 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor) 20.05. feet meters(Puerto Rico only) b) Top of the next higher floor N/A. feet meters(Puerto Rico only) c) Bottem of the lowest herizo��tal strucYura;rember(V Zones only) N/A ._ feet meters(?uerto Rico oriy) d) Attached garage(top of slab) N/A . f2etmeters{Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building N/A. feet meters(Puerto Rico only) (Describe type of equipment in Comments) (A.C.) � Lowest adjacent(finished)grade(LAG) 19.0._ feet meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 19.8._ feet � meters(Puerto Rico only) SECTION D-SURVEY�R, 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 inferpret the data availab/e. 1 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. Certifier's Name License Number • WILLIAM C. KEATING 1528 Title Gompany Name � •PROFESSIONAL SURVEYOR ALLIED SURVEYING �ddress City , _ State ZIP Code . i275 NORT ND AVENUE CLEARWATER FLORIDA 33755 � Signature , Date6-2S-07 Telephone 727-446-1263 I NT: In these spac , 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 Citv State �iP r.��A (:mm��n,�tin�n n�,,,,,ho. U.S.D�pARTMENTOF HOMEIAND SECURITY ELEVATION CERTIFICATE OMB No.1660-0OOB Federa�Emergency Maz►age►rlent Agency Expires Februarv 28,2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. A-PROPERTY INFORMATION � �-�- .. � For Insurance Company Use: 1. Building Owner's Name WILKS CONST. Policy Number �2. Building Street Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Company NAIC Number 1352 SPRINGDAL�STREET City CLEARWATER State FL ZIP Code33755 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) � LOT 13,BLOCK"C",PINEBROOK HIGHLANDS , . A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude'Lat. 27 58'49" Long. 82 46'S1" Horizontal Datum:NAD 1927 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain ftood insurance. A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s),provide: A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage N!A sq ft b) No.of permanent flood ope�ings 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_ walls within 1.0 foot above adjacent grade_ c) Total net area of flood openings in A8.b _ sq in c) Total net area of flood openings in A9.b _ sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name 8�Community Number . B2.County Name B3.State . CLEARWATER 125096 PINELLAS Fi 64.Map/Panel Nu 65.Suffix 66.FIRM Index 67.FIRM Panel 68.Flood Zone 69.Base Flood Elevation(s)(Zone 12103C0107 �6�-►1 Date Effective/Revised Date (s) AO,use base flood depth) r� -a-ea-a3 ��a `- �x" NONE B10. Indicate the source of the Base Flood Elevation B data or base flood depth entered in Item 69. r' �. _ FIS Profile X(FIRM) Community Detertnined Other(Describe)_ Indicate elevation datum used for BFE in Item 69: NGVD 1929 X(NAVD 1988) Other(Describe)_ Is the building located in a Coastal Barrier Resources System(CBRS)area or Othenroise Protected Area(OPA)? Yes X(No) Designation Date CBRSO SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIREO) C1. Building elevations are based on: Construction Drawings' Building Under Construction• X(Finished Construction) •A new Elevation Cert�cate 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 CLEARWATER H-08""Vertical Datum NAVD'88�"ELEV. 17.72 Conversion/Comments Check the measuremsnt used. a) Top of bottom floor(including basement,crawl space,or enclosure floor) 20.05. feet meters(Puerto Rico only) b) Top of the next higher floor N/A. feetmeters(Puerto Rico only) c} 6ottom�of the lowest hcrizontal structurs�r��aenber(V Zones only} N/A ._ fee; mete��(?ua7o Riw uNy} d) Attached garage(top of slab) N/A . feetmeters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building N/A. feet meters(Puerto Rico only) (Describe type of equipment in Comments) (A.C.) � Lowest adjacent(finished)grade(LAG) 19.0._ feet meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 19.8._ feet ' meters(Puerto Rico only) SECTIO D-SURVEY�R, ENGINEER, R AR HITE T CE TIFICATION This certification is to be signed and sealed by a land sunreyor,engineer,or architect authorized by law to certify elevation information. l certify that the infamation on this Certificate represents my best efforts to inte►pret the data available. � 1 understand that any fa/se statement may be punishable by fi►►e or imprisonmenf unde�18 U.S. Code,Section 1001. . • Check here if comments are provided on back of form. Certifier's Name License Number � LLIAM C.KEATING �52g Company Name � ESSIONAL SURVEYOR ALUED SURVEYING lddress City State ZIP Code ' i275 NORT ND AVENUE CLEARWATER FLORIDA 33755 Signature , Date6-2S-07 Telephone 727-446-7263 -- -- I : In these spac he corresponding information from eCtion 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 rc►.. -- - - . ► . ��$``�� q` ;s, �� CITY OF CLEARWATER 4Vw . . � �, �, �� ,;� DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT �, O+�__�._ ��1 POST OFFICE BOX 474H� CiLEA[tWATER� FLO�DA 33758-4748 y ��Qa ��/4 rsYJ � �P,/Qr�pp��q�� MUNICIPAL SERVICES BUILDING, ZOO SOUTH MYRTLE AVENUE,CI.EARWATER,FLO�uDA 33756 TELEPHONE�7Z� 5�2-4567 Fnx(72� 562-4576 MEMO OF REVIEW FOR CORRECTNESS 8� COMPLETION In accordance with participation in the NFIP/CRS program,all elevation certificates are required to be reviewed for correctness and completion prior to acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of elevation certificates. The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community The attached elevation certificate is complete and correct X Minor corrections have been made in the below marked sections by Community Official SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name Policy Number A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number City State ZIP Code A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) A5. Latitude/Longitude:Lat. Long. 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 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) sq ft a) Square footage of attached garage sq ft b) No. of permanent flood 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 walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION 61. NFIP Community Name&Community Number 62.County Name 63.State 64. Map/Panel Number B5.Suffix 66. FIRM Index 67.FIRM Panel 68. Flood 69.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) A0,use base flood depth) H 5/17/05 5/17/05 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. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 ❑ NAVD 1988 ❑Other(Describe) B12. 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 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 Vertical Datum Conversion/Comments Check the measurement used. e) Lowest elevation of machinery or equipment servicing the building ❑feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) C0111111@I1tS: Second naae of e/evation certificate was not submitted for review Prouertv/ocated in llood zone `X" �e of Review: Community O�cial: levafion certi�icates sha//6e maintained by the community and copies with the attachedmemo made availa6le by request FRANK HIBBARI),MAYOR GEORGE N.CRE'I'EKOS,COUNCILMEMAER JOIIN DORAN,COUNCILMEMBER PAUL F.GIASON,COUNCILMEMAER � CARI.EN A.PE1'ERSEN,COUNCILMEMBER ��EQUAL EMPLOYMENI'AND AFFIItMATIVE AC1'ION EMPLOYER�� U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO.1660-D008 Federa!tmergency Management Agency Expires Februarv 28.2009 IVational Flood Insurance Program Important: Read the instructions on pages 1-8. A-PROPERTY INFORMATION �Q�- : , For Insurance Company Use: A1. Building Owner's Name WILKS CONST. Policy Number .2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 1352 SPRINGDAL�STREET City CLEARWATER State FL ZIP Code33755 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 13, BLOCK"C",PINEBROOK HIGHLANDS A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAI A5. Latitude/Longitude'Lat. 27 58'49" Long. 82 46'S1" Horizontal Datum: NAD 1927 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain f(ood insurance. A7. B�ilding Diagram Number 1 A8. For a building with a crawl space or enclosure(s),provide: A9. For a buil��ing with an attached garage,provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Squara footage of attached garage N!A sq ft b) No.of permanent flood 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_ walls within 1.0 foot above adjacent grade__ c) Total net area of flood openings in A8.b _ sq in c) Total ret area of flood openings in A9.b _ sq in SECTION B-FLOOD INSURANCE RATE MAP (FIRM) INFORMATION � 61.NFIP Community Name&Community Number . B2.County Name 63.State • CLEARWATER 125096 PINELLAS Fi 64.Map/Panel Nu B5.Suffix 66.FIRM Index B7.FIRM Panel B8.Flood Zone B9.Base Flood Elevation(s)(Zone 12103C0107 G Date Effective/Revised Date (s) AO,use base flood depth) 9-03-03 9-03-03 "X" NONE 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69.E'�t./ �' Ea,,� ,-j y�" ,' FIS Profile X(FIRM) Community Determined Other(Describe)_ B11. Indicate elevation datum used for BFE in Item 69: NGVD 1929 X(NAVD 1988) Other(Describe)_ 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Yes X(No) _ Designation Date_ CBRSO SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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-g below according to the building diagram specified in Item A7. Benchmark Utilized CLEARWATER H-08""Vertical Datum NAVD'88'"*ELEV. 17.72 Conversion/Comments Check the measuremsnt used. a) Top of bottom floor(including basement,crawl space,or enclosure floor) 20.05. feet meters(Puerto Rico only) b) Top of the next higher floor N/A. feetmeters(Puerto Rico only) c) oattom.of the lowest i��crizcntsl structura,rrambzr(V Zones only) N/A ._ fee, mete,s(Pue��o nica only) d) Attached garage(top of slab) N/A . feetmeters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building N!A._ feet meters(Puerto Rico only) (Describe type of equipment in Comments) (A.C.) fl Lowest adjacent(finished)grade(LAG) 19.0._ feet meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 19.8._ feet � meters(Puerto Rico only) SECTION D-SURVEYJR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land suroeyor,engineer,or architect authorized by law to certify efevation '�� eti information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. ,, `��,�h�� ,, '' � `� �� ' �� ; r, �. 1 understand that any false statement may be punishable by firie or imprisonment under 18 U.S. Code, Section 1001. .�' , ' +`{� f ✓... . Check here if comments are provided on back of form. "' {s'� t;; ,, �= ��' ,,: ��, � .,,', : ; }.. t i �:�,� Certifier's Name License Number ' �t r,� 1.. �r : •' WILLIAM C.KEATING 1528 r�. ss ' i•r- , i. •r . Title Company"Name, �' ' "' ,� ,,;>��-� PROFESSIONAL SURVEYOR ALLI�D SURVEYING ',:< '� ` • �275NORT NDAVENUE CL�EARWATER SFLORIDA ZIPC33�55 //,��iil��i ��,�1� • Signature , Date6-26-07 Telephone _ 727-446-1263 I NT: In these spac he corresponding information from Section A. For Insurance Company Use: 8uilding Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number Citv State , ZIP Code Companv NAIC Number • • • 8 ��_ � � :a� -� AUG o 9 2007 PdANNiNG& DEVELOPMENT SVCS . CITY OF CLEARWATER U.S. DF;PP�RTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No.1660-QOOB� Federa!Emergency Management Agency Expires Februarv 28,2009 IVational Flood Insurance Program Important: Read the instructions on pages 1-8. A-PROPERTY INFORMATION , For Insurance Company Use: A1. Buiiding Owner's Name WILKS CONST. Policy Number 2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. CompanyNA1C Number 1352 SPRINGDALE STREET City CLEARWATER State FL ZIP Code33755 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 13,BLOCK"C",PINEBROOK HIGHLANDS A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude'Lat. 27 58'49" Long. 82 46'51" 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 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) N/A sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood 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_ walls within 1.0 foot above adjacent grade_ c) Total net area of flood openings in A8.b _ sq in c) Total net area of flood openings in A9.b _ sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION � 61.NFIP Community Name 8�Community Number . 62.County Name 63.State • CLEARWATER 125096 PINELLAS Fi B4.Map/Panel Nu B5.Suffix B6.FIRM Index 67.FIRM Panel 68.Flood Zone 69.Base Flood Elevation(s)(Zone 12103C0107 G Date Effective/Revised Date (s) AO,use base flood depth) 9-03-03 9-03-03 "X" NONE 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 B9: NGVD 1929 X(NAVD 1988) Other(Describe)_ 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Yes X(No) - Designation Date CBRSO SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: Construction Drawings` Building Under Construction* X(Finished Construction) `A new Elevation Ce�tificate wi�l 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 CLEARWATER H-08*""Vertical Datum NAVD'88***ELEV. 17.72 � Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor) 20.05. feet meters(Puerto Rico only) b) Top of the next higher floor N/A. feetmeters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/A ._ feet meters(Puerio Rico only) d) Attached garage(top of slab) N/A . f8etmeters(Puerto Rico only) : e) Lowest elevation of machinery or equipment servicing the building NfA._ feet meters(Puerto Rico only) (Describe type of equipment in Comm�nts) (A.C.) � Lowest adjacent(finished)grade(LAG) 19:0._ feet meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 19.8._ feet � meters(Puerto Rico only) SECTION D-SURVEY R, EfvG NEER, AR HITECT 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 Certifieate represents my best e,ff.qr�s to interpret the data available. `��'�� . � I understand that any false statement may be punishable by fine or imprisonnlenf under 18 U.S. Code, Section 1001. �'°��` "� • �''�, f :; � � �'% Check here if comments are provided on back of form. � °' ��'�.,, . f' �' � �� , ,(y� , ,,- . f ,�.�_ .,:( .Mt• �f) , . Certifier's Name License Number � WILLIAM C. KEATING 1528 �3; •{' �' '''� ii': !��' , Title Company Name � ` ' �� '�� '�' " � ROFESSIONAL SURVEYOR ALLIED SURVEYING �� '��,,>,, dress City State ZIP Code �'�,�� ' � �`' 29 5 NORT ND AVENUE CLEARWATE ate6-26-07 TelephoneA 33�55 %,�,,f�„'+{'�+,,`ltl"�� ' Si nature 727-446-1263 I : In these spac he corresponding information from Section A. For�nsurance Company Use: Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number Citv State . ZIP Code Comoanv NAIGNumber � i � • �._� ¢ � ad � AU G 0 9 2007 PI,ANNING&OEVELOPMENT SVCS CITY OF CIEARWATER � U.S. DEIPARTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No.1660-0008 Federa,l Emergency Management Agency Expires Februarv 28,2009 . National Flood Insurance Program Important: Read the instructions on pages 1-8. A-PROPERTY INFORMATION , For insurance Company Use: A1. Building Owner's Name WILKS CONST. Policy Number 2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number 1352 SPRINGDAL�STREET City CLEARWATER State FL ZIP Code33755 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 13,BLOCK"C", PINEBROOK HIGHLANDS A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude'Lat. 27 58'49" Long. 82 46'51" 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 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) N/A sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood 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_ walls within 1.0 foot above adjacent grade_ c) Total net area of flood openings in A8.b _ sq in c) Total net area of flood openings in A9.b _ sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION � B1.NFIP Community Name&Community Number . 62.County Name 63.State • CLEARWATER 125096 PINELLAS F� --- 64.MaplPanel Nu 65.Suffix 66.FIRM Index 67.FIRM Panel 68. Fiood Zone B9. Base Flood Elevation(s)(Zone 12103C0107 G Date Effective/Revised Date (s) AO,use base fiood depth) 9-03-03 9-03-03 "X" NONE B10. 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)_ 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othen�vise Protected Area(OPA)? Yes X(No) • Designation Date_ CBRSO SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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-g below according to the building diagram specified in Item A7. Benchmark Utilized CLEARWATER H-08""Vertical Datum NAVD'88"**ELEV. 17.72 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor) 20.05. feet meters(Puerto Rico only) b) Top of the next higher floor N/A. feetmeters(Puerto Rico only) c) Bottem of the lowest herizontal strucYura�r�ember(V Zones only) N/A ._ feet meters(Puerto Rico oniy) d) Attached garage(top of slab) N/A . feetmeters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building N/A._ feet meters(Puerto Rico only) (Describe type of equipment in Comments) (A.C.) � Lowest adjacent(finished)grade(LAG) 19.0._ feet meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 19.8._ feet � meters(Puerto Rico only) SECTION D-SURVEYJR, 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 - z�x� '� � information. I certify that the information on this Certificate represents my best efforts to interpret the data available. `(a �r -'r��';�� 1 understand that any false statement may be punishable by fine orimprisonment under 18 U.S. Code, Section 1001. '4`±��.� <,•= ' • t,'° -• Check here if comments are provided on back of form. � � c`'� 5 � 4t t�� , ir� i : � . )� 1!a ',�r, � } ��'�:t , r' Certifier's Name License Number ',� a r, � '",' i>;.; WILLIAM C.KEATING 1528 � � ,��. _: ,rr�,y�.�:��,� Title f x � Company Name �� ., PROFESSIONAL SURVEYOR ALLIED SURVEYING '",fi'f ,� `� ,�.;;`:� 275 NORT ND AVENUE CL�EARWATER SFLORIDA Z'P C 33�55 �f��l� �'��?\`�� Signature , Date6-26-07 Telephone '`�;�,;��"'�"'�� 727-446-1263 ' -- - I : In these spac he 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 Citv State ZIP Code Comaanv NAIGNumber . ti • . ��. w �� 6, <J AU G � 9 2007 p6pNNING&DEVELOPMENT SVCS CITY OF GLEARWATER • Ti� �4'�$�a�aFC� g �� .� CITY OF CLEAR �XTATER � �v�� i �w h�y—L�- Qk ��; =�� 4 DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT � `��_ �� PosT OFFicE Box 4748, C�.Enxwn�x, Fr.otunn 33758-4748 ��/�, .��,�� i.I��¢i� MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,FLORIDA 3375� rr�� TELEPHONE�72� 562-4567 Fnx(72� 562-4576 MEMO OF REVIEW FOR CORRECTNESS 8� COMPLETION In accordance with participation in the NFIP/CRS program,all elevation certificates are required to be reviewed for correctness and completion prior to acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of elevation certificates. The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community The attached elevation certificate is complete and correct X Minor corrections have been made in the below marked sections by Community O�cial SECTION A-PROPERTY INFORMATION Forinsurance Company Use: A1. Building Owner's Name Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number City State ZIP Code A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) A5. Latitude/Longitude: Lat. Long. 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 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) sq ft a) Square footage of attached garage sq ft b) No.of permanent flood 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 walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61. NFIP Community Name&Community Number B2.County Name B3.State B4. Map/Panel Number 65.Suffix 66.FIRM Index 67.FIRM Panel 68.Flood 69.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) H 5/17/05 5/17/05 610. 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 69: ❑ NGVD 1929 ❑NAVD 1988 ❑Other(Describe) B12. 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 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 Vertical Datum Conversion/Comments Check the measurement used. e) Lowest elevation of machinery or equipment servicing the building ❑feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) ♦ C01T1�121115: Second a e of e/ vat' n certihca n mi for review.Pro erf loc ed in flo d zone "X". � �e of Review: Community Official: levation certificates shall be m intained 6y the community and copies with the attached memo made available by request FRANK HIRBARD,MAYOR GEORGE N.CRE'CEKOS,COUNCILMEMBER JOIIN DORAN,COUNCIIMEMBER PAUL F.GIRSON,COUNCILMEMAGR � CARI.EN A.PE7'ERSEN,COUNCILMEMAER ��EQUAL EMPLOYMEN7'AND AFFIItMATIVE AC1'ION EMPLOYER'� U.S. DE�ARTMENT OF HOMELAND SECURITY ELEVATION CERTI FICATE OMB No. 1660-OOOB . FP.;�!era!Err,�rgency Management Agency Expires FebruaN .2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. � � A- PROPERTY INFORMATION ��- .. , For Insurance Company Use: Building Owner's Name WILKS CONST. Policy Number . Building Street Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Company NAIC Number 1352 SPRINGDAL�STREET City CLEARWATER State FL ZIP Code33755 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 13, BLOCK"C", PINEBROOK HIGHLANDS A4. Building Use(e.g., Residential,Non-Residentiai,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude°Lat. 27 58'49" Long. 82 46'S1" 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 A8. For a building with a crawl space or enclosure(s),provide: A9. For a builc�ing with an attached garage,provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Squara footage of attached garage N/A_ sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enciosure(s)walls within 1.0 foot above adjacent grade_ walis within 1.0 foot above adjacent grade__ c) Total net area of flood openings in A8.b _ sq in c) Total ret area of flood openings in A9.b _ sq in SECTION B-FLOOD INSURANCE RATE MAP (FIRM) lNFORMATION B1. NFIP Community Name&Community Number . B2.County Name B3.State • CLEARWATER 125096 PINELLAS F� B4.Map/Panel Nu B5.Suffix B6. FIRM Index 67. FIRM Panel 68. d Zo B9. Base Flood Elevation(s)(Zone 12103C0107 G Date Effective/Revised Date (s) AO, use base flood depth) 9-03-03 9-03-03 "X" NONE 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9., , � ��: ' ' ' FIS Profile X(FIRM) Community Determined Other(Describe)_ 611. tndicate elevation datum used for BFE in Item B9: NGVD 1929 X(NAVD 1988) Other(Describe)_ �Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Yes X(No) Designation Date CBRSO SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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-g below according to the building diagram specified in Item A7. Benchmark Utilized CLEARWATER H-08"*Vertical Datum NAVD'88*"*ELEV. 17.72 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor) 20.05. feet meters(Puerto Rico only) b) Top of the next higher floor N/A. feet meters(Puerto Rico only) c) oottom.o'the lowest t-�crizcntsl struc,ura�rramber(V Zones only) N/A ._ feei meters(PU8ii0 r�ICG OIIIY} d) Attachetl garage(top of slab) N/A . feetmeters(Puerto Rico oniy) e) Lowest elevation of machinery or equipment servicing the building N/A._ feet meters(Puerto Rico only) (Describe type of equipment in Comments) (A.C.) fl Lowest adjacent(finished)grade(LAG) 19.0._ feet meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 19.8._ feet � meters(Puerto Rico only) SECTION D-SURVEY�R, EIvGINEER, 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 punishab/e by fine or,imprisonment under 18 U.S. Code, Section 1001. Check here if comments are provided on back of form. `. Certifier's Name License Number ' WILLIAM C. KEATING 1528 ' e Company'Name FESSIONAL SURVEYOR ALLIED'SURVEYING ress Gity: . State ZIP Code �275 NORT ND AVENUE CLEARWATER FLORIDA 33�55 Signature . Date6-2S-07 Telephone ___ __ 727-446-1263 IM NT: In these spac , the corresponding information from Section A. For Insurance Company Use: Suilding Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number Citv State ZIP Cn�iP (�mm�anv NAIf Ni�mhar ' � ` +� . • � � _�_.� � G �r � , v� � :�UC �� ?t��7 P�ANNING & DEI�ELOPMENT SVCS CITY OF C��ARWATER � U.S. DFPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 F�ciera.!Emergency Management Agency Expires Februarv 28.2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. A- PROPERTY INFORMATION , For Insurance Company Use: uilding Owner's Name WILKS CONST. Policy Number . Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 1352 SPRINGDAL�STREET City CLEARWATER State FL ZIP Code33755 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 13,BLOCK"C", PINEBROOK HIGHLANDS A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude"Lat. 27 58'49" Long. 82 46'S1" 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 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) N/A sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walis within 1.0 foot above adjacent grade_ walis within 1.0 foot above adjacent grade_ c) Total net area of flood openings in A8.b _ sq in c) Total net area of flood openings in A9.b _ sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION � 61.NFIP Community Name 8�Community Number . 62.County Name B3.State • CLEARWATER 125096 PINELLAS FI 64.Map/Panel Nu B5.Suffix 66.FIRM Index B7.FIRM Panel 68.Flood Zone 69.Base Flood Elevation(s)(Zone 12103C0107 G Date Effective/Revised Date (s) AO,use base flood depth) 9-03-03 9-03-03 "X" NONE B10. 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)_ B11. Indicate elevation datum used for BFE in item B9: NGVD 1929 X(NAVD 1988) Other(Describe)_ �Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Yes X(No) Designation Date CBRSO SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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-g below according to the building diagram specified in Item A7. Benchmark Utilized CLEARWATER H-08""'Vertical Datum NAVD'88*'"`ELEV. 17.72 Conversion/Comments_ Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor) 20.05. feet meters(Puerto Rico only) b) Top of the next higher floor NlA. feetmeters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/A ._ feet meters(Puerto Rico only) d) Attachecl garage(top of slab) N/A . feetmeters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building N!A._ feet meters(Puerto Rico only) (Describe type of equipment in Comments) (A.C.) � Lowest adjacent(finished)grade(LAG) 19:0._ feet meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 19.8._ feet � meters(Puerto Rico only) SECTION D-SURVEY�R, E(vGINEER, R 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. 1 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. Certifier's Name License Number WILLIAM C. KEATING 1528 �e Company Name FESSIONAL SURVEYOR ALLIED SURVEYING ress City State ZIP Code ' i275 NORT ND AVENUE CIEARWATER FLORIDA 33�55 Signature , Date6-26-07 Telephone ____, __ .,. 727-446-1263 I NT: In these spac he 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 Citv State 21P C�dP (:mm�anv NAI('.N�imhAr • • .._�.. � � - �'^ �. � v AUG � � 20�7 P�ANNING& DEVELOPMENT SV�S CITY OF CLEARWATER � U.S. DEPARTMENTOFHOMELANDSECURITY ELEVATION CERTIFICATE OMBNo. 1660-0008 � Feder2i Emergency Management Agency Expires Februarv 28.20�9 National Flood Insurance Program Important: Read the instructions on pages 1-8. A- PROPERTY INFORMATION , For insurance Company Use: uilding Owner's Name WILKS CONST. Policy Number � . uilding Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number 1352 SPRINGDAL�STREET City CLEARWATER State FL ZIP Code33755 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 13,BLOCK"C", PINEBROOK HIGHLANDS A4. Buiiding Use(e.g.,Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude'Lat. 27 58'49" Long. 82 46'51" Horizontal Datum: NAD 1927 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain F1ood insurance. A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s),provide: A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood 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_ walls within 1.0 foot above adjacent grade_ c) Total net area of flood openings in A8.b _ sq in c) Total net area of flood openings in A9.b _ sq in SECTION B-FLOOD INSURANCE RATE MAP (FIRM) INFORMATION � 61. NFIP Community Name&Community Number . B2.County Name B3.State • CLEARWATER 125096 PINELLAS F� B4.Map/Panel Nu B5.Suffix B6. FIRM Index B7.FIRM Panel B8. Flood Zone B9.Base Flood Elevation(s)(Zone 12103C0107 G Date Effective/Revised Date (s) AO,use base flood depth) 9-03-03 9-03-03 "X" NONE B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. FIS Profile X(FIRM) Community Determined Other(Describe)_ 611. Indicate elevation datum used for BFE in Item B9: NGVD 1929 X(NAVD 1988) Other(Describe)_ Sris the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Yes X(No) �Designation Date_ CBRSO SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: Construction Drawings" Building Under Construction* X(Finished Construction) *A new Elevation Certificate wiil 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,AWAE,ARlA1-A30,AR/AH,AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized CLEARWATER H-08**"Vertical Datum NAVD'88"*"ELEV. 17.72 Conversion/Comments Check the measurement used. a) Top of bottom floor{including basement,crawl space,or enclosure floor) 20.05. feet meters(Puerto Rico oniy) b) Top of the next higher floor N/A. feetmeters(Puerto Rico only) c) Bottcm�of the lowest herizontal str�ctura�r�ember(V Zones only) N/A ._ �eet meters(Puerto Rico oniy) d) Attacheii garage(top of slab) N/A . feetmeters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building N/A.! feet meters(Puerto Rico only) (Describe type of equipment in Comments) (A.C.) fl Lowest adjacent(finished)grade(LAG) 19.0._ feet meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 19.8._ feet � meters(Puerto Rico only) SECTION D-SURVEY�JR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyoc,engineer,or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to inferpret the data avaifable. � 1 understand that any false statement may be punisha6le by�ne or imprisonment under 18 U.S. Code, Section 1001. . Check here if comments are provided on back of form. Certifier's Name License Number � WILLIAM C.KEATING 1528 ' Company Name � �FESSIONAL SURVEYOR ALLIED SURVEYING ess City State ZIP Code . . ' �275 NORT ND AVENUE CLEARWATER FLORIDA 33�755 � Signature , Date6-26-07 Telephone _ _ 727-446-1263 I NT: In these spac , 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. Rolicy Number CItV State ZIP Code Cnmoanv NAIC Niimhar • . _. ----�------��-'°"�"'� . . �� . � � �' � AUG �� ?.�`?7 � �lANN(NG&DEVELOPMENS SVCS CiTY OF CLEARWATER„_..,. � . . ; ` ��,� �� f�� CITY OF CLEARWATER �� ¢,�g�� -�.� ,��E� � �� "'��'� „d,, �. '�� , < _�� DEVEI.OPMENT & NEIGHBORHOGD SERVICES DEPARTMENT �',g' �y � Y�1'�� POST OFFICE BOX 474H� CLFiARWATF.R� Fr.ok�r�A 33758-4748 ��Rxar-��,�� ,/,��, �� MUNICIYAI.SI:RVICES BUI[,DING, 1�0 SOU'CEi MYRT'LE L�VF.NUF,,CI.EAItWA't'ER, F'LORIDA�3756 �"��°�-�� TFiE�xoNF (727) 562-4567 Ffix(72� 562-457C MEMO OF REVIEW FOR CORRECTNESS S� COMPLETION In accordance with participation in the NFIP/CRS program,all elevation certificates are required to be reviewed for correctness and completion prior to acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of elevation certificates. The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community The attached elevation certificate is complete and correct X Minor corrections have been made in the below marked sections by Community O�cial SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name Policy Number A2. Building Street Address(including Apt., Unit,Suite,and/or Bidg. No.)or P.O. Route and Box No. Company NAIC Number City State ZIP Code A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983 A5. Latitude/Longitude:Lat. Long. A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number For a building with a crawi space or enclosure(s),provide A9. For a building with an attached garage,provide: �) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft b) No. of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)wails within 1.0 foot above adjacent grade walis within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION 61. NFIP Community Name&Community Number 62.County Name 63.State L 64. Map/Panel Number B5.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) H 5/17/05 5/17/05 610. 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) 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 ❑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 Vertical Datum Conversion/Comments Check the measurement used. e) Lowest elevation of machinery or equipment servicing the building ❑feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) � COfT1ft'1@f1tS: Sec nd a o/elevat� n c ifi a e s n t mi for 2view.Pro located in flo d zon "X". � �of Review: Community O�cial: alevation certificates shall be m intained 6y the community and copies with the attached memo made available 6y request FwwK HiH»nxn,Mnvc>k CiEORC;E N.CfiE'fF.KOS,COUNC(IMHMAER JOI1N DORAN,COUNCII.MEMBI:R PAl1L F.GIBSON,COUNCILMfMF�ER � C.ARI.EN A. PE"l'BRSEN,C,OfINC;l1�A1EMHER ��EQIIAI.EMI'I.OYMF.N7'AND AFFIKMA'1'IVF.AC'I'lON�:MPLOYER�