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1852 STEVENSON AVE . � � ' ��a=�� { U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires Februarv 28.2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION Forinsurance Company Use: Building Owners Name CARLTON HOWARD Policy Number Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O'. Route and Box No. Company NAIC Number 1852 STEVENSON AVENUE City CLEARWATER State FL ZIP Code 33755 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 16, BLOCK B,SUNSET POINT SECOND ADDITION A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. N 27.98879 Long.W 82.79172 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 7 ,t 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 1543 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 N/A walls within 1.0 foot above adjacent grade 4 c) Total net area of flood openings in AB.b N/A sq in c) Total net area of Flood openings in A9.b 1612.8 sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61. NFIP Community Name 8�Community Number B2. County Name B3.State CITY OF CLEARWATER 125096 PINELLAS FL B4. Map/Panel Number 65.Suffix B6. FIRM Index 67. FIRM Panel B8. Flood 69. Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 12103C-0106 H =�=6�" 5-17-05 AE 12 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(Describe) 611. Indicate elevation datum used for BFE in Item B9: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe) � Is the building located i�a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date NA ❑ 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 GSA#050240 Verticai Datum NAVD 88 Conversion/Comments NA Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure Floor)_ 7.58 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor 19.38 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N,A �feet ❑meters(PuErto Rico only) d) Attached garage(top of slab) 9.13 �feet ❑ meters(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) � Lowest adjacent(finished)grade(LAG) 5.74 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 7.98 �feet ❑ meters(Puerto Rico oniy) SECTION D-SURVEYOR,ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data availabfe. 1 understand that any false statement may be punishable by fine or impnsonment under 18 U.S. Code, Section 1001. �`�,r� �',� � s�• � ..,,`�,e��,� : � Check here if comments are provided on back of form. , ;r� �� :r�� .�� ,f �� . Certifier's Name GEORGE A. SHIMP III License Number 6137 JOB#060625D � ;!� �,��' ..,,, � � : VICE PRESIDENT Company Name GEORGE A.SHIMP II 8�ASSOCIATES, INC. - `:l�s�� f t�° `-� `r'A�! �� `°'' �" - � Atldress 3301 DESOTO BLVD.SUITE D City PALM HARBOR State FL ZIP Code 34683 � :1�?�� Si ure � Date 11-14-06 Telephone 727-784-5496 ..}�-/�.t3'°''� I i/�¢/� e� ,ir �v � FFMAFnrm R1_31 Fahmani�nna Coo.o�.e��e��.ae s,..,.,...��.,��.,��.,., o�.,�.,..��.�u...,...,,....._�,.+c�:....� l , , 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 1852 STEVENSON AVENUE Ciry CLEARWATER State FL ZIP Code 33755 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agenUcompany,and(3)building owner. Comments C2.a)STORAGE AREA � a �� Signature Date 11-14-06 ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑ below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the buiiding is ❑feet ❑ meters ❑above or ❑ below the HAG. E3. Attached garage(top of siab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, 8, and E are correct to the best of my knowledge. Property Owners 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, 8,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 communiry-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 Local Official's Name Titie Communify Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, February 2006 __ _ _ _ _______ _ _ Replaces all�revious editions Building Photographs See Instructions for Item A6. Forinsurance Gompany Use: ing Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Porcy Number 1 52 STEVENSON AVENUE Clty CLEARWATER State FL ZIP COd@ 33755 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. _--- _ -- - �— - Building Photographs Continuation Page for Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 1852 STEVENSON AVENUE City CLEARWATER State FL ZIP COd@ 33755 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." . U.S. L�EPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 .' Federal Emergency Management Agency Expires FebrUarv 28. 2009 - National Fiood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1 Building Owner's Name CARLTON T. HOWARD JR.&RIANNE M.HOWARD Policy Number A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number 1852 STEVENSON AVENUE City CLEARWATER State F� ZIP Code 33755 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legai Description,etc.) 1852 STEVE NSON AVE �OT 16,BLOCK B,SECOND ADDITION TO SUNSET POINT (03-29-15-88128-002-0160) BCP2005-11464 A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL ELEVATION CERT A5. Latitude/Longitude: Lat. N 27.98879 Long.W 82.79172 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 7 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) 1,543 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 pertnanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade 4 walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 1.612.8 sq in c) Total net area of flood openings in A9.b N!A sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2.County Name 63.State ', CITY OF CLEARWATER 125096 PINELLAS FL 64. Map/Panei Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 'i Date Effective/Revised Date Zone(s) AO, use base flood depth) � 12103C-0106 H 5-17-05 5-17-05 AE 12' ', 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) 611. Indicate elevation datum used for BFE in Item 69: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date NA ❑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 construdion 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. Cor�pl�terx�sGG�-a-g -- below according to the building diagram specified in Item A7. i ',� - �1 �;� Benchmark Utilized GSA#050240 Vertical Datum NAVD 88 � -- � ` ' �o~3 ��.___.,_.w..a.t c,. j.;;� Conversion/Comments NA =�;�,�� . ;�. Check the measurement used. `�,� o� ?; : �� f';' ;� a) To of bottom floor includin basement,crawl s ace,or enclosure floor_ 7.58 �feet ❑meters Puerto Rico oN � �� g ' ' ". P C 9 p ) � Y) 2'� N� f<'; ��y: b) Top of the next higher floor 19.44 �feet ❑meters(Puerto Rico only) j�"� �- ' .!'' '-'�ti c) Bottom of the lowest horizontal structural member(V Zones only) N.A �feet ❑meters(Puerto Rico only) �1'.`'�I � "' C?i �•�• d) Attached garage(top of slab) N.A �feet ❑meters(Puerto Rico only) +�� Q -`. ',��.�! (`.�/ e) Lowest elevation of machinery or equipment servicing the building 18.78 �feet ❑meters(Puerto Rico only) �. � �� (Describe type of equipment in Comments) (u�� , -, a--� � Lowest adjacent(finished)grade(LAG) 6.0 �feet ❑meters(Puerto Rico only) �� `,�; U� g) Highest adjacent(finished)grade(HAG) 8.4 �feet ❑meters(Puerto Rico only) j r;�,, � y�'� � SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or impnsonment under 18 U.S. Code, Section 1001. � Check here if comments are provided on back of forrn. � ; J r'�j' y . i��" � �,��r: � . Certifier's Name GEORGE A. SHIMP Iil JOB#060625F License Number 6137 �q� ' �� r� =d t�. �'�:"�I+ .;., - Title VICE PRESIDENT Company Name GEORGE A.SHIMP II&ASSOCIATES, INC. r,. � t; �c 4�fi��'� �}y �: Address 3301 DESOTO BLVD.SUITE D City PALM HARBOR State FL ZIP Code 34683 er '��,� ture � / J, _- � Date 3-24-2009 Telephone 727-784-5496 #�� '�i� ��9 ��L .Q�it/�/Y�� FEMA Form 81-31. February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: � - Building Street Address(including Apt.. Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number - 1852 STEVENSON AVENUE City CLEARWATER State FL ZIP Code 33755 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agenUcompany,and(3)building owner. Comments C2.e) AIR CONDITIONER ��-�1 -d'G�-,� r- Signature Date 3-24-2009 ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A, B, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or�below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, 8, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION (OPTIONAL) The local cif.ficial 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: _Q feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31. February 2006 Replaces al�previous editions e Building Photographs Continuation Page For Insurance Company Use: � Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy rvumber i 1852 STEVENSON AVENUE I Clty CLEARWATER State FL ZIP Code 33755 CompanyNAlCNumber i i i 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." .��: .,� 'Y' �'` .�..,..°..-�....�.,,,.�,�,.,,,,, Ni � E 5 ^ `j V F�� eM -�-�... k."...z �_ Y �� 3�+� Y��ax -, ��f+��'{ .. `a.'.%.».�e • �,� �° .�..-, �. ,.-. .. : ,;. a� �a �.' ',�� t .__._.., � - � r .��}� ' J_ . .._ . . wr�. 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