Loading...
48 WINDWARD IS. � . � US. DEPARTMENT OF HOMELAND SECURIiY FEOERA� EMERGENCY MANAGEMEMT AGENCY �m�onal Flood fn�uc�uur Prog�am A1. Build�ng Owner's Name �'��a� �is�y�3�a -���-vo� � ELEVATION CERTIFICATE aMe Np. 1660-0008 IMPORTANT: Follow the inslruci�ons on pages 1-9. ExpiratfOn Date: July 31, 2015 SECTION A — PROPERTY INFORMATION Fnk+.ry Niimtier: . A2. 8u�lding Sireet Address {mcluding Apt.. Untt. Surte, andJor Biqg. No.) or P0. Route and 8ox No. Gompr,ny NAIC Nwapr,: 48 WINbWARD ISLAND RdAD nrr+ � w nn41. C�ry C�EARWATER 5tate ZIP Code � FL 33T67232'1 A3. Property Descnption (I.ot and 81ock Numbers. Tax Parcel Number, legal Oescripiion, etC.) PARCEL 08-29-'15 43362-000-009D, LOT 9. ISLRND ESTATES dF CLEqRWATER UNIT d, p�,qT BOOK 051, PAGE 032. PINELLAS COUNTY�Pd,�RTY APPRAISER A4. Buifding Use (e.g., Residential. Non-Residenpal, Addttion. Accessory, ete.) ENY CLEAR A5. LatitudeJLOngitude: Lat. ��•8�52 Long. $2•e�o& Honzontal Datum: ❑ NAp ig27 []x NAD 1983 A6. Atlach at least 2 photographs ot the builtlmg �f the Certificate �s be�ng used to obtain flood insurence. A7. Buiiding Diagram Number ONE-A A8. For a building wrth a crawlspace or enClosureisl: Ag. For a budding with an attached garage: a1 Square footage of crawlspace or enciosure(s) N�A sq ft a) Square tootage of attached garage � S� b) No. of peRnanent flood openings m lhe crawlspace or Q enclosure[s) wrthin 1.0 foot above ad�acent grade 1�A b) Number oi pertnanent flood openmgs In tbe anached garage wrthin 1.0 foot above adjacent g�ade NA c) Totat net area of ffoad openings in AB.b NtA S� �� c) Total net area 4f flood openings m AS.b �A sq in dj Engineered Hood opernngs? j] Yes � No d) Engineered �oop openings? ❑ Yes � No SECTION B— FLOOD INSURANCE RATE MAP (FlRM) 1NFORMAT[ON 61. NFIP Commun'�tt��� ,&�R CIT fiOF N�2sm09�sr B2• County Name p�N�� 8;�. 5tate Fl B4. Map/Panel Nurnber 65. Suff�x 66, FIRM Index Date 87. FIRM Panel E(1ECt�ve/ B8. Flood Zone{S} 69. Base Flooci E1evaUon(s) (Zone � Rev�sed pata A0, use base Aood depth) 72103CA106 H 08/18J2009 OS/17/2005 AE 11.0 FT B10.Indtcate the source ot the Base Flood Elevatlon (BFE) data or bese flood depth entered in item B9: ❑ FlS Profde � FlRM [] Community Determined ❑ Other/Source: BSi. Intl�cate elsvabon dalum used tor BFE �n Item 69: � NGVO 1929 � NAVp 1988 ❑ Other/SOurce� 812. Is the b�ildmg located in a Coas[al 9arrier ResoureeS System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes � No Des�gnaUOn Date: / / ❑ CBRS ❑ OPA SECTION C— BUllD1N{� ELEYATION fNFORMATION {SURVEY REQUIRED) Ci. Building elevations are based on: [; Construct�on Rraw�ngs• p ewtmng Under Construction• ��inished ConstrucUon •A new Elevatipn CertitiCate wIl! be required when construction of the building is compiete. C2. Elevations — Zones A1—A3Q, AE, AH, A(with BFE�, V�, VS—V30, V(with BFE1, �, AR/A, AR/AE, ARJAI—A80, ARJAH, AR/A0. Complete Rems CZ.a—h below acco�ding to the buildtng diagram speci6ed in ltem A7, ln Puerto Rica only, enter meters. 6enchmark Utitized: Yertkal Datum: N�'� �888 Indicate elevation detum used for lhe elevatlons in �tems a) through h) below. ❑ NGVD 1929 � NAVD 1988 ❑ ptherySource: Datum used for building elevetions must be the seme as that used far the BFE. Check the measurement used. a) Top of bottom floor �including basement, crawlspace, or enclosure floor) 6•� � teet ❑ meters b) Tap oi lhe next higher tloor 15-7q � feet ❑ meters �) 8ottom of the lowest horizontal slruCtural member tV Zones oNy) N�A � feet ❑ meters d) Attached garage (top of s�ab) 5.7i � fQ� � meters ef Lowest elevatron oi machinery or equipment servic�ng the buddmg 8•� � ieet ❑ meters (Describe type ot equipment and focatwn in Comments) f� Lowest adjacent 1linished) grade next to building (LAG) 5•$Z � feet ❑ melers g) Highest adjacent (finished} grade next to budding (HAG} 6•� � ieet ❑ meters ' h) Low+est adjacent gratle at lowest elevatlon of deck or stairs, including 5•s2 � feet ❑ meters structural support SECTION D— SURVEYOR, ENGINEER� OR ARCHITECT CERTlFlCA710M This certificsUOn is to be sfgned and sealed by a land surveyor, engineer, or architect authprized by law to certify elevation info�matrOn. ! cErtffy that the fnformation on thls Cert(ficate repfesenis my best eltorts to +nter pret ihe date avaF+abJe. ! understsnd that any fa1Se staierr�ent may be punlshable by line or 1mprlsonrnent ander 18 U.S. Cocie, Sectlon 2001. �� +' '� }'n r � ❑ Check here if comments are provrded o� back of io�m. Were tatitude and long�tutle �n Seccifln A provided by a �'�ci``''� vc;.�,,, k ❑ Check here if attachments. hcensed �anct surveyor? [f� Yes ❑ No �` 4636 �� l:erM�e�'s Name L�tense Number � BI�L H. HYA'1i', JR Tnte � f/4636 A PRE3IDENT 149T NWN STRBET �132'! Signature FEMA Form 086-0�33 i7/]2j / a,��cw��y Name KNOW IT NOW INC Cil. Srate ZIP Cc DUNEDIN }'� 3{8� c��° reie,;i�one 3-10-14 (727) 415-8305 5ee reverse side for continuation. 5'1 A'fL• Ut I'L(iklDn Replaces all pre�ous edrtrons. � 1 � � �� � ELEVATION CER7IFlCATE� page 2 IMPORTANT: In these spacas, copp tha corresponding information ftom Section A. Bucldtng Street Address (inolutling Apt., Unil, Su�te. and/or Bldg. No.y or P.O. Routc and Box No. 48 WINDWARD ISLAND ROAD C�ty 5tate ZiP Code CLEARWATER FL 337672327 FOR INSURANCECOMPANY uSE' ' Ro1iCyNumt�tr: : " Number SECTION D- SURVEYOR, ENGINEER, OR ARCHITfCT CERTIFICATION (CONTINUEd) Copy both sides of this Elevation Certlficate far (11 commumty offic�al. (2) insurance aQent/company, and (3j buiidfng owner. Comments EQU[PMENT �tSTED ON PRIOR PAGE IS BASE QF AIR CONDITIONER UNIT THIS CERTIFICATE IS NOT TO BE USED FOR CONSTRUCTION OR DE31GN, IS FOR FLOOO tNSURANCE USE ONLY Signature vate o��wzo�a SECTION E- BUILDIMG ELEYATiON INFORMATION �SURVEY NOT REQUIREDj FOR ZONE AO AND zONE A(WITHOUT BF£} For Zones AO and A(wiihout 6FE), complete Items Ei�-E5. It ihe Certiticate is intended to supporl a LOMA or LOMR�F request, complete SeCU�ns A. B,and C. For Items El-EA, use natural grade. if avedable. Gheak the measurement used. In Puerta Rico onty, enter meters. Ei. Prov�de elevation miormaiion tor the follow�ng antl check the appropr,ate boxes to show whelher the elevat�on is above or below the h�griest edjacent grede (HAG) and the lowest atljacent grade (LAG). a) Top of hottom flaor (inclutling basemerrt, crawlsp�e, or enclosure) is . � feet ❑ meters � abave or ❑ Below the HAG. b) 7op of bottom 800r (including basemerrt. crawispece, or enclosurel is . � feet ❑ meters � above or ❑ be[ow the LAG. E2. For Buiiding Oiagrams 6-9 witn permanent flood openings provtded in 5ection A Items 8 and/or 9{see pages 8-9 at tnstruct�ons>. the next higher floor (etevation C2.b in the tliagrams) ot the budding is �, A � feet ❑ meters � ebove or ❑ hefow the HAG. E3. Attached garage {top oi slabl �s . (� feet ❑ meters � above or ❑ beirnv the HAG. E4. Top oi plaltorm ot machinery antl/or equcpment serv�c�ng lhe buiiding �s . � feet ❑ me[ers �l above or ❑ below the HAG. E5. Tone AO only: if no flppd depth number �s available, �s the top of the bottom floor elevated �n acCOrdance wilh the communtiy's Roodplain management ordinance? Q Yes ❑ Nv ❑ Unkt►own. The loeal oRicfal must certify this informaUon fn Section C. SECTION F- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFlCATION The property owner ar owner's authorfzed representative who sompletes Seciions A, B, and E for Zone A(without a FEMAassued a cammunrty rssued BFE) or Zone AO must sign here. The statements in Sections A. B, and E are correct to the best ot my knowledge. . Property Owner or Ov�mer's Authorized Representative's Name Address S�gnature Camments c+ty Date scate zip coae Telephone ❑ Check here d attachmerrts. SECTION (i - COMMUNITY iNFORM/4TlON (OPTIONALJ The local oFhc�ai who �s authorueG by lew or ord�nanee to adm�nister the communrty's tloodplain management ordinance can complete 5ections A, 8, C{or EI, and G of th�s Elevation Certifkate. Comp�ete the apph�able item(s) and sign belaw, Check tt�e measurement used in I[ems GB-G10. i� Puerto Rico only, enter meters. G1. p The rn(ormat�on in Section C was taken from other documentation that has been signed end sealed by a ficensed surveyor, engineer, or architect wha is authonzed by law to certity elevation mformation. qnd�cate the source and date ot the elevation data in the Cpmments area below.) G2. ❑ A communily ofhciat cempleted Sectian E for a building iocated in Zone A(wilhout a FEMA�issued or communiry-iSSUetl BFE) or Zone A0. G3. ❑ The following infarmation (Items G4-G9) is provided for commun�ty floodpla�n management purpases. Number Dete Perm�t Issued G6. Date Certif�Cate �f Comphance/Occupancy lssued G7. Th�s permit has been issuetl tor. ❑ New Construction ❑ Substantia! Improvement G8. Elevat�on of as�budt lowest 800r (inciuding basemertl of tne builtlmg: . ❑ feet �I meters Datum G8. BFE or �in Zone AO) depth of tiood�ng at the building site: . ❑ feet ❑ meters Datum GSO. Comrnunity's design flootl ele�at�on: . ❑ Feet ❑ meters Datum l.ocal Of6c�aPs Name Community tJame Signature Comments T1tle CLEARWATER C1TY OP T�'�ephone Pate ❑ Check here �f attachments. FEMA Form 086�0�33 {7/12} Replaoes all prewous editlons. �. �_ , FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 � ELEVATION CERTIFICATE Im ortant: Read the instructions on a es 1 -7. SECTION A-PROPERTY OWNER INFORMATION For insurance Company Use: 1;LDING OWNER'S NAME Policy Number ' �.DI�VG STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg. No.)OR P.O. ROUTE AND BOX NO. Company NAIC Number 48 Windward Island CITCYlearwater Florida STATE PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) °'"°'""�° Lot 9, Unit 4, Island Estates BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary. 2 6 200� r Residential LATITUDE/LONGtTUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: �_�GPS(Type ( �°-�'-#�•�" o� �•��) I—I NAD 1927 (_�NAD 1983 �_�USGS Qua � CITYOFCLEARW SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. N,FIP COMMUNITY NAME&COMMU�N96 NUMBER B2PG�ellasAME FlorAda City of Clearwater 1 5 B4.MAP AND PANEL B5.SUFFIX B6.FIRM INDEX 67.FIRM PANEL B8.FLOOD 69.BASE FLOOD ELEVATION(S) 125096R D DATE F�FECTIVE/REVISED DATE �ZONE(S) (Zone i0,use depth of flooding) Auaust �`�F 9 August 19, 91 610. indicate the source of the Base Fiood Elevation (BFE)data or base flood depth entered in 69. �_� FIS Profile ��� FIRM �_� Community Determined �_� Other(Describe): B11. Indicate the elevation datum used for the BFE in 69: �.X� 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: Per Firm 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. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accucately represents the building, provide a sketch or photograph.) C . Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR1A,AR/AE,AR/A1-A30,AR/AH,AR/AO Complete Items C3.a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation s the space provided or the Comments area of Section D or Section G, as appropriate,to document the datum conversion. Datum WS�� �7 Conversion�Comments .Ti+»%�e�u,, r' Elevation reference mark used_��� Comments Does the elevation referey�ce mark used appear o�� , �� s= �;�;� N �3 a)Top of bottom floor(including basement or enclosure) , 6 .�ft.(m) � , ��k �. .� ' " ^ � ❑ b)Top of next higher floor ��A _ft.(m) �' '� �o�,�+�� - ��as..,..�, � .���� r.. :.�.. _ ❑ c) B o tt o m o f l o w e s t h o r i z o n t a l s t r u c t u r a l m e m b e r(V z o n e s o n l y) N A ft.(m) y R �i.s� �� .s '��— �0 0 -� . )` �: �i)Attached garage(top of slab) . 3 ft.(m) W� - � ~ � • p _ { �i e) Lowest elevation of machinery and/or equipment -,; ,,,, 1 ,�� 6 � _• �' ^�'`"' � �,`� . servicing the building (Describe in a Comments area.) . 1 ft.(m) E;, ,�- •, �r� ��r�- , ❑ fl Lowest adjacent(finished)grade(LAG) 5.�ft.(m) z'N � �' ' ' \ ,� , z- - ❑ g) Highest adjacent(finished)grade(HAG) 6.�ft.(m) � �• ¢�� ,>. 0 h) No. of permanent openings(flood vents)within 1 ft. above ad�acent grade 0 � �%;,:�� �a 1���� � .,.,,, ❑ i)Total:atea of all permanent openings(flood vents)in C3.h 0 sq. in. (sq.cm) � �4 a�`Y' ,,a��'' ' SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This ce�tifcatiq�i`i� e signec{'and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. 1 cecfi�}%�that\#�a��r)fo �i�nli�,f` ecfi ` A, B, and C on this certificate represents my best efforts to interpret the data avai/ab/e. p r� � _. I underst�_ iM�t fa/se staf� nt ma be unishable b fine or imprisonment under 98 U.S. Code, Section 1009. CERTIFI� NAM " �� F E � ^� '� � LICENSE NUMBER `� i� '1 �,B�l���� ' ` L� 4086 E ;� *'�, r �n , � COMPANY NAME � ��and ur � Q� �'�`-` ` Mich el B ker ssociates ` RESS � �.s�' �^ �. ,' � CITY STATE ZIP CODE \: 12' 0 h� i�e Tar on S rin s FL 3468 GNA; U�t . �E- ' `i�' DATE TELEPHONE FEMA Form 81-31,JU 00 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 Qncluding Apt., Unit, Suite,and/or Bldg. No.)OR P.O.ROUTE AND BOX NO. Policy Number 48 Windward CITY STATE�, ZIP CODE Company NAIC Number �Iearwater loiiaa 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 C3e=Air conditioner Elevation re.f.erenced to City of Clearwater Bench mark, 2' East of back of curb Winward Island Drive, 38' �Torth of center line of Winward Passage, Elevation=5.06 feet �� � � � I—I Check here if attachments SECTIOf� E-BU LDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE), complete Items E1.through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number (Select the bui�ding diagram most similar to the building for which this certificate is being completed– see pages 6 and 7. If no diagram accurately reqresents the building, provide a sketch or photograph.) E2.The top of the bottom floor(including basement or enclosure)of the building is �_�_�ft.(m) �_�_�in.(cm) �_�above or �� below (check one)the highest adjacent grade. (Use natural grade, if available.) E3. For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is �_I_�ft•�m) �_�_lin.(cm)above the highest adjacent grade. Complete Items C3.h and C3.i on front of form. E4. For 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, C(Items C3.h and C3.i only), 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, C, and E are corr�ct 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 I—I 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. G1. �_�The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the e{evat;cn dat�in ti�e Corrunents area below.} G2. �_j A commusii#y officiai completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. G3. �_�The foll��nring�nforrnatian (Items G4-G9)is provided for community floodplain management purposes. G4. PERMIT NUMBEFt 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 is: _ft.(m)Datum: G9. BFE or(in Zone AO) depth of flooding at the building site is: _ft.(m)Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS �_� Check here if attachments FEMA Form 81-31,JUL 00 REPLACES ALL PREVIOUS EDITIONS