1414 SUNSET DR .�`�C,P�1�G--r,�37�1
U.S.DEPAR�TMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008
F'ederal Emergency Management Agency Expires March 31,2012
National Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A-PROPERTY INFORMATION For Insaranee��ntp�ny_�ls�:
A1. Building Owner's Name CARLOS AND COLLEEN LOPEZ Policy Numb+�r I � F.�,"
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box Na Company NAIC Number °
1414 SUNSET DRIVE
City State ZIP Code
CLEARWATER FLORIDA 33755
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
PARCEL 09-29-15-80442-000-0170 LOT 17 8 N 10.5 FT OF LOT 18&SUBMERGED LAND 17692&17784,J.T.SHARP'S SUB,PB 8 PG 33
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude:Lat._N27°58'47.66" Long._W82°47'S7.42" 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 EIGHT
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) 2780 sq ft a) Square footage of attached garage 400 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 22 within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in AS.b 2950 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑Yes X No d) Engineered flood openings? ❑ Yes X No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
B1.NFIP Community Name 8 Community Number 62.County Name 63.State
PINELLAS 12103C CLEARWATER 125096 PINELLAS COUNTY FL
64.Map/Panel Number 65.Su�x 66.FIRM Index B7.FIRM Panel B8.Flood B9. Base Flood ElevatioFl(s)(Zone
Date Effective/Revised Date Zone(s) AO,use base flood depth)
12103C 106 H 08/18/09 5/17/05 AE AND VE AE= 12.0 VE = 14.0
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 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 ❑CBRS ❑OPA
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
1. Building elevations are based on: ❑Construction Drawings` x Building Under Construction* Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized _CITY OF CLEARWATER BM G-05 Vertical Datum NAVD 1988
Conversion/Comments NONE Check the measurement used.
a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 15.80 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) 13.50 x feet ❑meters(Puerto Rico oniy)
e) Lowest elevation of machinery or equipment servicing the building AC=14.50_ x feet ❑meters(Puerto Rico only)
(Describe type of equipment and location in Comments)
� Lowest adjacent(finished)grade next to building(LAG) 13.10 x feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade next to building(HAG) 14.10 x feet ❑meters(Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs,including 13.10 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 Certificate represents my best efforts to interpret the data available. ,„�r�,;"'L"y�i
I 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. Were latitude and longitude in Section A provided by a � ,�,� �7 j`���� -�
� � � � .
licensed land surveyor? x Yes ❑No r,;�'"`�� � ��'y ,� "�
Certifier's Name: BILL HYATT License Number: LS 4636
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:;�' X`'�F F' ' �
Title: PRESIDENT Company Name: KNOW IT NOW INC ; p�c
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, ,�^ ��� �NI��
Address: 1497 MAIN STREET#321 City: DUNEDIN State: FL ZIP Code: 34698 ,y�/.'�; r��j�; ' \f '
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Signature �d--�"'�j� Date: 4-8-11 Telephone: 727-415-8305 ' `,- '."'`����� �"''
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FEMA Form 81-31, Mar 09 See reverse side for continuation. ep�� p����� �h 5 �
__. ... is�<��TP37��.. ._�..i �t'.
'IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Comparry Us�:
8uilding Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number
1414 SUNSET DRIVE
City State ZIP Code Company NAIC Number
CLEARWATER FLORIDA 33755
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.
COry�71���,,,',
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�,�"��O�STEf1UIPI�N'T LfSTED IN C2.E=OUTSIDE AIR CONDITIONING UNIT
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'. ,e SSgna�ire �A�°�;;;�. Date 4-8-11 ❑Check here if attachments
����°} y� S,E tON,,6�-; LDING'ELEVATION INFORMATION (SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
��� o����t'` ` �`> .�, �� �� ; ,� � �
.�� �,Fqr Zorles"�O�.an�i"A�(Without BF�),complete Items E1-E5. If the Certificate is intended to suppoR a LOMA or LOMR-F request,complete Sections A,B,
`e �d� .a�d.C.F•orRe,�sE1,-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters.
f`" Et�,±Pro�iid��el�v8tion information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
"`f'���,grdde+{H11G)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG.
b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 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 o�cial must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here. The statements in Sections A,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 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(inc�uding 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
. . +
Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Buiiding Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Poiicy►vumber
1414 SUNSET DRIVE
City State ZIP Code CompanyNAiCNumber
CLEARWATER FLORIDA 33755
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 on the
reverse.
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�� TIE-IN AS-BUILT SURVEY OF 1414 SUNSET DRIVE,CLEARWATER,FLO�IDA,USA
LOT 17 AND THE NORTH 10.5 FEET OF LOT 18 AND SUBMERGED LAND,J.T.SHARP'S SUB,ACCORDING TO THE MAP OF
PLAT THEREOF AS RECORDED IN PLAT BOOK 8,PAGE 33,OF THE PUBLIC RECORDS OF PINELLAS COUNTY,FLORIDA
SUBJECT PARCEL IS SHOWN ON THE FEMA FLOOD INSURANCE MAP 12103C 0106H
AS BEING IN ZONES AE, VE AND X
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FEMA � :�:: ��:�:�:�: ZONE��X„
ZONE ��X�� I "'� w'� � UNDER a
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................ CURB �
86.30'(D) 86.33'(M � PP
TO FXC
S O'I°59'55° E(ASSUMED) FEMA ZONE LINES ARE
107.30'(P)(D) 'I O7.ZZ��M� SHOWN AS SCALED
FROM FEMA FLOOD INSURANCE RATE MAP.
_ _ __ -- --------
SUNSET DRIV� -
FLOOR ELEVATIONS SHOWN ARE LOWEST ,
- ' LIVING FLOOR ELEV.BASED ON NAVD 1988
• DATUM,USING CLEARWATER BM G-05 . '
' �COVERED SCREEN SCREEN
ENTRANCE E ENCLOS� p ENCLOSm
� ^R�r` � wiiH roo� - X - 4'CHAIN LINK FENCE " 6'WOOD FENCE .
NOTE: THIS SURVEY WAS PERFORMED NATHOUT THE BENEFlT OF A TITLE COMMITMENT.
NOTES: (1) IN COMPUANCE NATH F.A.C. 61G17-6.0031-4—E, IF LOCATION OF EASEMENTS OR RIGHTS—OF—WAY OF RECORD. OTHER THAN
THOSE ON RECORD PLATS, IS REQUIRED, THIS INFORMATION MUST BE FURNISHED TO THE SURVEYOR AND MAPPER. (2) IF APPLICABLE,
FENCES SHOWN MEANDER ON OR OFF LINES. (APPROX.) (3) NO EXCAVATION OR MAPPING OF UNDERGROUND IMPROVEMENTS HAS BEEN
PERfORMED. CORNER MARKERS ARE 1/2' DIAMETER UNLESS NOTED OTHERWISE.
BASIS OF BEARINGS IS R�W LINE (USING PLAT BEARING OR ASSUMED) UNLESS NOTED OTHERWISE
LEGEND: (c) � CALCULATED, C/� CURVE NUMBER , CB� CABIF BOX, LP� LIGHT POLE, C/S � CONCRE7E SLAB. CLF � CHAIN UNK FENCE, CONC � CONCRE7E
CSW� CONCRETE SIDEWALK, (D) � DEm, DE � DRAINAGE EASEMENT, EB� 0.ECTRIC BOX, EOW� EDGE OF WAiER. E/P � EDGE OF PAVEMENT, (� � FlELD,F/C� FENCE CORNER,
FGR = FIR CAPPED, F%C = FWND X WT, FCM = FOUND CONCREIE MdJUMENT, FlP = FOUND IRON PIPE, FlR = FOUND IRON ROD, FN = FWND NAIL, FND = FWND NAIL
GA� GUY ANCHOR, ID � IDENIIFICATION, (M) � MEASURED, MH = MANHOLE, OHW� OVERHEAD NARE, 0/A � OVER ALL, (P) � PLAT, PC � PdNT OF CURVE, P/E�POOL EfiUIP.
PP = POWER POLE. POB = POINT OF BEGINNING. POC = PqNT OF COMMENCEMENT, PRM = PERMANENT RffERENCE MONUMENT, R/W= RIGHT OF WAY, SIR = SET 1/2'IRON ROD
LB 6912, SND � SET NAIL AND DISK LB 6912, TNF� TRANSFORMER, TOB : TOP OF BANK, TP= PHONE PEDESTAL. UE � Ul1LITY EASEMENT, WB � WATER BOX, WDF� WOOD FENCE
Know It. NOW� I11C. LOCATION = 1569 MAIN STREET, DUNEDIN, FLORIDA I CERTIFY THAT THIS SURVEY WAS MADE UNDER
Fbrida Business Certificate Of MAIL = 1497 MAIN ST, BOX 327 — DUNEDIN, FL 34698 MY DIRECTION AND TFIAT IT MEETS THE MINIMUM
AuthorizationNumberl66912 VOICE 727-415-8305 FAX 727-736-2455 �CHNICAL STANDARDS SET FORTH BY THE BOARD
OF PROFESSIONAL SURVEYORS AND MAPPERS IN
CERTIFIED EXCLUSIVELY TO THE BELOW PARTIES CH.4PTER 61G17-6. FLORIDA ADMINISiRAi1VE CODE.
�""''"�� PURSUANT TO SECTION 472.027, FLORIDA STAiUTES.
0�,H.NYq�
CARLOS AND COLLEEN LOPEZ ::;� c�T ` 2-18-11TIEINSURVEYOFUNDERCONSTRUCTI01
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''��RVEY�� BILL HYATT
Surveyor&Mapper Number 46
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U�;��DEPARTMENT OF HOMELAND SECURITY ELE�/ATION CERTIFICATE onnB No. �sso-000s�
r #`e�leral Emergency Management Agency
Expires Februarv 28. 2009
�"�ationaf Flood Insurance Program Important: Read the instructions on pages 1-8. � _ �' �,
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
A1. Building Owner's Name Policy Number
RLOS AND COLLEEN LOPEZ
. Building Street Address(including Apt.,Unit,Suite,and/or Bidg. No.)or P.O.Route and Box No. Company NAIC Number
1414 SUNSET DRIVE
City State ZIP Code
CLEARWATER FLORIDA
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legai Description,etc.)
LOT 17&N 10.5 FT OF LOT 18&SUBMERGED LAND 17692&17784,J.T.SHARP'S SUB,PLAT BOOK 8 PAGE 33
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude:Lat.N27°58'47.66"Long.W82°47'57.42" 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 8_
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) 2200 sq ft a) Square footage of attached garage 400 +- 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 41 walls within 1.0 foot above adjacent grade NA
c) Total net area of flood openings in A8.b 3150_ sq in c) Total net area of flood openings in A9.b NA sq in
SECTION B-FLOOD INSURANCE RATE MAP{FIRM)INFORMATION
B1.NFIP Community Name&Community Number 62.County Name 63.State
PINELLAS 12103C CLEARWATER 125096 PINELLAS COUNTY FLORIDA
B4.Map/Panel Number 65.Su�x B6.FtRM Index 67.FIRM Panel B8.Flood B9.Base Flood Elevation(s}(Zone
Date Effective/Revised Date Zone(s) AO,use base flood depth)
12103C 106 H 9-3-03 5-17-05 A1E AND VE AE=12.0
VE=14.0
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑FIS Profile �FIRM ❑Commu�ity Determined ❑Other(Describe)
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 �NAVD 1988 ❑Other(Describe)
� 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. ---._ - ,w.. q
l� /1'�.y j
Benchmark Utilized CITY OF CLEARWATER BM G-05 Vertical Datum NAV ,�I�M n c�r�n n n � r�,� ; c
Conversion/Comments `�=% i
Check he meas u � � ;
�
a) Top of bottom floor(including basement,crawl space,or enclosure floor 15.80 f t
b) Top of the next higher floor NA fee ���� � � +g��g�p �
c) Bottom of the lowest horizontal structural member(V Zones only) NA fe � ��r '
d) Attached garage(top of slab) (UNDER CONSTRUCTION) 13.50 fe
e) Lowest elevation of machinery or equipment servicing the building 14.5 t D E V E L C�p� E�� &
(Describe type of equipmeM in Comments)(OUT5IDE AC UNI� N E 1 G H B O F3 Ei J p D S E R V!C �:�
fl Lowest adjacent(finished)grade(LAG) 13.1 fe C I T Y (J F C L E,4�W 1�T E R
g) Highest adjacent(finished}grade{HAG) 14.1 f __ �.�M m���
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. t certify that the information on this Ce�fificate represents my best efforfs fo interpret the data available.
I understand that any false statement may be punishable by fine orimprisonment under 18 U.S. Code, Section 1001. BILL HYATT
�Check here if comments are provided on back of form. PLS # -�636
Certifier's Name License Number
BILL HYATT FLORIDA LICENSE#4636 04-0 3-07
Title Company Name
FSIDENT KNOW IT NOW.INC. �
�ess City State ZIP Code
L=1497 MAIN STREET#321 DUNEDIN FLORIDA 34698
Signature
��`� DATE: 04-03-07 TELEPHONE: 727-415-8305
FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
IMPORTAiVT: in these spaces,copy the corresponding information from Section A. For lnsurance Company Gs :�.,,
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number
1414 SUNSET DRIVE ' '
City State ZIP Code Company NAIC Number
CLEARWATER FLORIDA
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official,(2}insurance agent/company,and(3)building owner.
Comments-
OLD GARAGE NOW ROOM-BEING CONVERTED BACK INTO A GARAGE
Si nature ��� �
9 Date 04-03-07
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 Dabove 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 pa e 8 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is _ Qfeet ❑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 Ometers Qabove or �elow 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 lopl o�cial must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or ownePs authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or communiry-issued BFE)
or Zone AO must sign here. The stafements in Sections A,B,and E are correct to the best of my knowledge.
Property Owners or Owner's Authorized Representative's Name
Address City State ZIP Code �
S�gnature 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 o�cial 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
l.ocal Official's Name Title
Communiry Name Telephone
Signature Date
Comments
❑ Check here if attachments
FEMA Form 81-31, February 2006 Replaces all previous editions
.�- ' '
� _•AS-BUILT SURVEY OF 1414 SUNSET DRIVE,CLEARWATER, FLORIDA, USA
• LOT 17 AND THE NORTH 10.5 FEET OF LOT 18 AND SUBMERGED LAND,J.T,SHARP'S SU6,ACCORDING TO THE MAP OR
• PLAT THEREOF AS RECORDED IN PLAT BOOK 8, PAGE 33, OF THE PUBLIC RECORDS OF PINELLAS COUNTY, FLORIDA
SUBJECT PARCEL IS SHOWN ON THE FEMA FLOOD INSURANCE MAP 12103C 0106H
AS BEING IN ZONES AE, VE AND X
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�� CLEARWATER HARBOR Z_ z
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N 02°44'26" E(C) �°~~� SCALE: 1"= 30'
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a~o o�o I o AoN a ��� 34.7 �; LOT 17 : ���s.a � � °
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Z � I PARCEL 33A � �o ��P/E �.5 ���� � �
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I Z � � RESIDENCE M 'vC W 1�� U
<C w �> � #�1414 � � �' �t w a
� Z = mo C/S ^ y.5 9.75 �� � 0.6 � Z = �
W
� � Q I `� NTS 7�0 E TRANCE 14.3 �-j- � ¢ �
� •• ����� � �
� rn � CO -----°"""_...-
� �26.6:•: 8.1 N r-
� I ���� / � � 12.3 � �
iN � BRICK 20.3 4.5 Q° ¢ ¢
WALL 0.1' W � O Q Q �
I PARCEL � I 20� o Z = a
26. 5/ ��::.. �EM�
��N�A I/ .. •,•;,,.,,. ,. DECO WALL
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ZOI�E ��X„ ��� �� :::�.�.�>.�.�:.�.�.�,... .. :: � M ZONE X
:.�.��.�:.�.�.�. � ����
.�:.�o.�:.�:.� c� �.::::: °�
I O/ I `� �.�...:.�c�.::�.•.• v,... FIP
'.':.'Z.'.':.'.' U.':.' O Y
I FCM � � �.•.••o.�.�:.�.� �- �
...�.� ..... 1 114" ,� ¢
4X4 10.5(D) 96.80 P) � �� �
FXC� �_� -
86.30'(D) 86.33'(M} � o WALK
............... ..
TO FXC PP CURB �
S O'I°59'55�� E(ASSUMED) FEMA ZONE LINES AND BASE FLOOD
• 107.30'(P)(D) 'I OT.ZZ��M� ELEVATIONS ARE SHOWN AS SCALED
FROM FEMA FLOOD INSURANCE RATE MAP.
SUNSET DRIVE
n�ss�rannrmeeusEVawcausrnucrtowpraES�co�; NOT VALID WITHOUT THE SIGNATURE AND THE
nassuev�'a�uoF�avngExa.usn�ts�oFn�cc�vrow�esoFniE ORIGINAL RAISED SEAL OF A FLORIDA UCENSED
�Y'uDA����������� SURVEYOR AND MAPPER
�ow�vo�r�wQ`n��¢°a°�M°r�awnuss�Y 7HEFlNANCl4L LIABILITYOF7HESURVEYORANDSURVEY/NGCOMPANY
�COVERED � SCREEN � SCREEN /SWARRANTFDONLYT07HEAhfOUNTPAlDFORTHESfRVICEHEREON.
ENTRANCE E AR��� P ENCLOSED
wirH aoa - X - 4'CHAIN LINK FENCE �� 6'WOOD FENCE
NOTE: THIS SURVEY WAS PERFORMED WITHOUT THE BENEFIT OF A Ti7LE COMMITMENT.
NOTES: (1) IN COMPLIANCE WITH F.A.C. 61G17-6.0031-4-E, IF LOCATION OF EASEMENTS OR RIGHTS-OF-WAY OF RECORD, OTHER THAN
THOSE ON RECORD PLATS, IS RE�UIRED, THIS INFORMATiGN iviUST BE FURNISHED TU THE SURVEYOR AND MAPPER. (2) IF APPLICABLE,
FENCES SHOWN MEANDER ON OR OFF LINES. (APPROX.) (3) NO EXCAVATION OR MAPPING OF UNDERGROUND IMPROVEMENTS HAS BEEN
PERFORMED. CORNER MARKERS ARE 1/2" DIAMETER UNLESS NOTED OTHERWISE.
BASIS OF BEARINGS IS R/W LINE (USING PLAT BEARING OR ASSUMED) UNLESS NOTED O7HERNASE
LEGEND: (c) � CALCULAiED, C/ = CURVE NUMBER , CB� CABLE BOX, LP= LIGHT POLE, C/S � CONCRETE SLAB, CLF � CHAIN UNK FENCE, CONC e CONCRETE
CSW s CONCRETE SIDEWALK, (D) � DEED, DE s DRAINAGE EASEMENT, EB� ELECTRIC BOX, EOW� EDGE OF WATER, E/P = EDGE OF PAVEMENT, (F) e FIELD,F/C = FENCE CORNER,
FCIR s FlR CAPPED, FXC � FOUND X CUT, FCM = FOUNO CONCRETE MONUMENT, FIP = FOUND IRON PIPE, FlR = FOUND IRON ROD, FN = FWND NAIL, fND � FOUND NAIL
GA = GUY ANCHOR, ID � IDENiIFICAiION, (M) = MEASURED, MH � MANHOLE, OHW� OVERHEAp Niif�E, 0/A �Y OVER ALL, (P) = PLAT, PC � PqNT OF CURVE, P/E=p00L EQUIP.
PP = POWER POLE, POB = POINT OF BEGINNING. POC = POINT OF COMMENCEMENT, PRGys PERMqj�NT REFERENf� MONUMENT, R/W= RIGHT OF WAY, SIR = SET 1/2' IRON ROD
LB 6912, SND = SET NAIL AND DISK LB 6912, iNF= TRANSFORMER, TOB = TOP OF 8�1C, �F= pF�qE pEU�7f�4, � = UTLITY EASEMENT, WB = WATER BOX, WDF = WOOp FENCE
• Kn ow It. NOW� I11 C. LOCATION = 1569 MAI �?�� T D�v�AI���I A•,,��n:. ,I CERTIFY THAT THIS SURVEY WAS MADE UNDER
Florida Business Certificate Of MAIL = 1497 MAIN ST,�OX������ar"�UNEDIN, FC�6,�8� ^MY DIRECTION AND THAT IT MEETS THE MINIMUM
AuthorizationNumberL66912 VOICE 727-415-8i30� ; F7�1 . 727-736 4� TECHNICAL STANDARDS SET FORTH BY THE BOARD
CERTIFIED EXCLUSNELY TO THE BELOW P� ' 's OF PROFESSIONAL SURVEYORS AND MAPPERS IN
� ' �" CHAPTER 61G17-6, FLORIDA ADMINISTRATIVE CODE.
' �"' w+3 : ��' FXURSUANT TO SECTION 472.027, FLORIDA STATUTES.
CARLOS AND COLLEEN LOP,� ¢��,��,� ,�� ~ :� DATE OF FIELD WORK: 07-21-06
,•� ;ce.. a DATE SIGNED: 7-26-06
}l r"�'�� .� ;�,¢ . ,� 5-3-2007 ADDED FEMA ZONE LINES
rs �,�,�E���a �� �
BILL HYATT
` Surveyor&Mapper Number 4636
�.
U���DEPARTMENT OF HOMELAND SECURITY ELE�/ATION CERTIFICATE onna No. �sso-000s
� �e�7erai Emergency Management Agency EXpires FebruaN 28,2009
;Jational Flood Insurance Program Important: Read the instructions on pages 1-8. � _ 0' �
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
A1. Building Owner's Name Policy Number
�RLOS AND COLLEEN LOPEZ
Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number
1414 SUNSET DRIVE
City State ZIP Code
CLEARWATER FLORIDA
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 17&N 10.5 FT OF LOT 18&SUBMERGED LAND 17692&17784,J.T.SHARP'S SUB,PLAT BOOK 8 PAGE 33
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude:Lat.N27°58'47.66"Long.W82°47'57.42" 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 8_
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) 2200 sq ft a) Square footage of attached garage 400 +- 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 41 walls within 1.0 foot above adjacent grade NA
c) Total net area of flood openings in A8.b 3150_ sq in c) Total net area of flood openings in A9.b NA sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County Name 63.State
PINELLAS 12103C CLEARWATER 125096 PINELLAS COUNTY FLORIDA
B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
Date Effective/Revised Date Zone(s) AO,use base flood depth)
12103C 106 H 9-3-03 5-17-05 A1E AND VE AE=12.0
VE=14.0
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)
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 �NAVD 1988 ❑Other(Describe)
� 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 REQUtRED)
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 CITY OF CLEARWATER BM G-05 Vertical Datum NAV ,�f�M fl c�r�n n n f f�'��'M� i
Conversion/Comments �i:u �:J �
Check he meas u � �
a) Top of bottom floor(including basement,crawl space,or enclosure floor 15.80 fe `
b) Top of the next higher floor NA fee ���3a � � ���-y �
c) Bottom of the lowest horizontal structural member(V Zones only) NA f � C
d) Attached garage(top of slab) (UNDER CONSTRUCTION) 13.50 f
e) Lowest elevation of machinery or equipment servicing the building 14.5 f D E V E L C7 P�rt E N T &
(Describe type of equipment in Comments)(OUTSIDE AC UNIT) N E I G H B O t3 Fi J p D S� r'3 V I C L:
� Lowest adjacent(finished)grade(lAG) 13.1 fe C I T Y Q F C L E A �W F�T E R '
g) Highest adjacent(finished)grade(HAG) 14.1 f ��� �����
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a fand surveyor,engineer,or architect authorized by law to certify elevation
information. 1 certify that the information on this Certifcate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by iine or imprisonment under 18 U.S.Code, Section 1001. B I LL HYATT
�Check here if comments are provided on back of form. P LS # �6 3 6
Certifier's Name License Number
B�LL HYATT FLORIDA LICENSE#4636 0-�-0 3-0 7
Title Company Name
FSIDENT KNOW IT NOW,INC. �
ess City State ZIP Code
L=1497 MAIN STREET#321 DUNEDIN FLORIDA 34698
Signature
��� DATE: 04-03-07 TELEPHONE: 727-415-8305
FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces,copy the corresponding informatian from Section A. For lnsurance Company i,s :�..
Building Street Address(including Apt.,tJnit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number
1414 SUNSET DRIVE ' '
City State 21P Code Company NAIC Number
CLEARWATER FLORIDA
SECTION D-SURVEYOR, ENGiNEER, OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community o�cial,(2)insurance agenUcompany,and(3)buiiding owner.
Comments-
OLD GARAGE NOW ROOM-BEWG CONVERTED BACK INTO A GARAGE
Si nature ��� �
9 Date 04-03-07
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 oniy,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 pa e 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 Ometers Qabove or �elow the HAG.
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes ❑No ❑Unknown. The local o�cial must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here. The statements in Sections A,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 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 Cert�cate. 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
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
❑ Check here if attachments
FEMA Form 81-31, February 2006 Replaces all previous editions
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_•AS-BUILT SURVEY OF 1414 SUNSET DRIVE,CLEARWATER, FLORIDA, USA
• LOT 17 AND THE NORTH 10.5 FEET OF LOT 18 AND SUBMERGED LAND,J.T.SHARP'S SUB,ACCORDING TO THE MAP OR
• PLAT THEREOF AS RECORDED IN PLAT BOOK 8, PAGE 33, OF THE PUBLIC RECORDS OF PINELLAS COUNTY, FIORIDA
SUBJECT PARCEL IS SHOWN ON THE FEMA FLOOD INSURANCE MAP 12103C 0106H
AS BEING IN ZONES AE, VE AND X
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S O'I°59'55�� E(ASSUMED) FEMA ZONE LINES AND BASE FLOOD
• 'I 07.30'(P)(D) �07.22��M� ELEVATIONS ARE SHOWN AS SCALED
FROM FEMA FLOOD INSURANCE RATE MAP.
SUNSET DRIVE
n�usu�'an�arroeEUSm�owcarsrnt�nava+t+�s�cn! NOT VALID WITHOUT THE SIGNATURE AND THE
n�ssurv�r,s�uosFaan��tan�t�o�n�a,�ev�ow�so�n� ORIGINAL RAISED SEAL OF A FLORIDA LICENSED
°�O�n"'1AOA�O�����+��� SURVEYOR AND MAPPER
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ENlRANCE E AR��� P ENCLOSED
wirH voa - X - 4'CHAIN LINK FENCE �� 6'WOOD FENCE
NOTE: THIS SURVEY WAS PERFORMED WITHOUT THE BENEFIT OF A T1TLE COMMITMENT.
NOTES: (1) IN COMPLIANCE NATH F.A.C. 61G17-6.0031-4—E, IF LOCATION OF EASEMENTS OR RIGHTS—OF—WAY OF RECORD, OTHER THAN
THOSE ON RECORD PLATS, IS REOUIRED, THIS INFORMATiGN MUST BE FURNISHED TO THE SURVEYOR AND MAPPER. (2) IF APPLICABLE,
FENCES SHOWN MEANDER ON OR OFF LINES. (APPROX.) (3) NO EXCAVATION OR MAPPING OF UNDERGROUND IMPROVEMENTS HAS BEEN
PERFORMED. CORNER MARKERS ARE 1/2" DIAMETER UNLESS NOTED OTHERWISE.
BASIS OF BEARINGS IS R/W LINE (USING PLAT BEARING OR ASSUMED) UNLESS NOTED OTHERNASE
LEGEND: (c) = CALCULATED, C/ � CURVE NUMBER , CB� CABLE BOX, LP� LJGHT POLE, C/S � CONCREiE SLAB, CLF : q{AIN L1NK FENCE. CONC � CONCRElE
CSW� CONCRETE SIDEWALK, (D) : DEED, DE = DRAINAGE EASEMENT, EB� ELECTRIC BOX, EOW� EDGE OF WATER, E/P = EDGE OF PAVEMENT, (F) = FlELD,F/C = FENCE CORNER,
FCIR � FlR CAPPED, FXC = FWND X CUT, FCM = FWND CONCRETE MONUMENT, FIP = FOUND IRON PIPE, FlR s FWND IRON ROD, FN = FOUND NAIL, FND = FOUND NAIL
GA � GUY ANCHOR, ID = IDENiIFICAiION, (M) : MEASURED, MH � MANHOLE, OHW= OVERHEAA 1WRE, 0/A � OVER ALL, (P) = PLAT, PC = PqNT OF CURVE, P/Emp00L EQUIP.
PP = POWER POLE, POB = POINT OF BEGINNING, POC = POINT OF COMMENCEMENT, PRMys�PERM �NT REFEREN MONUMENT, R/W= RIGHT OF WAY, SIR = SET 1/2' IRON ROD
LB 6912, SND = SET NAIL AND DISK LB 6912, iNF= TRANSFORMER, TOB = TOP OF B�IC, T,P=,P�E PE'D�SY�,,� = UTIl1TY EASEMENT, WB = WATER BOX, WDF = WOOp FENCE
• Know It NOW� II1C. LOCATION = 1569 MAlly,?��T D�h��l�tf�l Ar;`�a�. ,l CERIIFY THAT THIS SURVEY WAS MADE UNDER
FloridaBusinessCertificateOF MAIL = 1497 MAIN ST,�O)f� �2���,"ISUNEDIN, F��6,�8� ^MY DIRECTION AND THAT IT MEETS THE MINIMUM
AuthorizationNumberLB6912 VOICE 727-415-8#0� ; F'A . 727-736� 4; TECHNICAL STANDARDS SET FORTH BY THE BOARD
CERTIFIED EXCLUSNELY TO THE BELOW PR1 �' " �' " OF PROFESSIONAL SURVEYORS AND MAPPERS IN
' �" CHAPTER 61G17-6. FLORIDA ADMINISTRATIVE CODE,
' � ' � ; k' f�URSUANT TO SECTION 472.027, FLORIDA STATUTES.
CARLOS AND COLLEEN LOP,� �����,� ,�� ..=� a�� DDATE�SIGNED: �°26=06-2'-°6
� "�'� . ��,�S . � � 5-3-2007 ADDED FEMA ZONE LINES
,• � � •, . .
°�. �J BILL HYATT
' Surveyor&Mapper Number 4636
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