The URL can be used to link to this page

625 ISLAND WAY (2) U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 National Fiood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION A1. Building Owner's Name CHAD GAGNON A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. 625 ISLAND WAY City CLEARWATER State F� ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 3 ISLAND ESTATES OF CLEARWATER UNIT 8 PB.64, PG.73 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude: Lat.N 27-59-12 Long.W 82-49-09 Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certiflcate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 0 sq ft a) Square footage of attached garage 576 sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name 8�Community Number 62. County Name 63.State CITY OF CLEARWATER 125096 PINELLAS FLORIDA B4. Map/Panel Number 65.Suffix B6.FIRM Index 67.FIRM Panel B8.Flood 69.Base Flood Efevation(s)(Zone 12103C0102 G Date Effective/Revised Date Zone(s) AO,use base flood depth) 8-18-2009 9-3-2003 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) B11. Indicate elevation datum used for BFE in Item B9: ❑ 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-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized PIN.CO.DISK AURAL A Vertical Datum NAVD 1988 ELEV=11.82 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)9.4 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor N/A. ❑feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontai structural member(V Zones only) N/A. ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 9.0 �feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 9.0 �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 8.9 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 9.2 �feet ❑meters(Puerto Rico oniy) h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A. ❑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. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. ��,___ 1 understand that any fa/se statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. p'`""''-""" �1,9��b� � � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �a�� ,r�� ;� licensed land surveyor? � Yes ❑ No `"" �,��1�. `f " ,` .. c. € Certifier's Name LAUREN R.PENNY,P.S.M. License Number #4931 px;+ ry` :'` ' ��` � :�� r��.y �r =;n � �h Title LAND SURVEYOR Company Name L.R.PENNY AND ASSOCIATES, INC. °' �� 6�,:�� ;;; �"'� ,¢,�. Address 10730 102 .AVENUE NORTH City SEMINOIE State FL ZIP Code 33778 ,i` •Fr;;;��±t�� , ;$'; '- Signature Date 8/17/2012 Telephone 727-398-4360 '��'. T'�%'i,�x�f rt FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous�editions IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. 625 ISLAND WAY City CLEARWATER State FL ZIP Code 33767 SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides ofthis Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building ownet. Comments LOWEST ELECTRIC IS AN AIR CONDITIONER ON THE NORTH SIDE OF THE HOUSE. Signature Date 8/17/2012 � 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,crawlspace,or enclosure)is ❑feet ❑meters ❑ above or 0 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 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 Secfions A, B, and E are correct to the best of my know/edge. 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 floodpiain 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 infortnation 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 perrnit has been issued for: ❑ New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local O�cial's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces ali previous editions • � r` ' r� ' � � �'( ��\��4� ��, .,�� l �� (' j �� r �� 1�� _ (�(' , �� ' ��-��'��(r{i��I(�I�;�,�1,1�l�<�<,1�i�`t!i��,��'�;��;�fif�;��,�u��-..��.� ,;�Cl� � �,�,.�; ��v��'��J��P��I(�' ��1,t�\��1��+.,1�A!�°��j,�<��;�p�,n� ,��COs�si.:.`�'�`w�.sts,Gt��C��.u.a �� k ��4. „ J� � �� > �� '�"�'�� i hu horne has been prct"essfonally irs.�!ated'Vv't� � �sg+ z l' �: f G �� l 1 S � ,4��a��j��5� �'�.t vC;,� � CsE"E"k6e"!t� '� L �`� '` ��i i L .� [�'.__t� ". .._�., Z� < e : �I �i 1j;�' �, r;"t s s�;i ��;� s�`t F� . h>�>�.,,�..,v,�,�., .�.�,e.�„�,,.w,A,.,.. _,wva,,.�.�,� � r� Irl'CtITIOhl(OR LII�'.G' � t ,,,.� ..,,,,�,,..�...>�m.��yy......, .. � �J �� ,. ,��»�....�.,.,��.�a,a..�.,.,_„_.,,..,.x_,,,.�=�an.��n.,,:�n... ��on';i[cA��;i_s>) �) ..�i� `/{` �h __—_ �—_� rt 3 ` �-- - � < >y � l% �"� ' rJCr17� �. C`�� "� _----- _:� _. .� � �. � AQG''.��5 S[Ofe .—._--- L��— � /�),,� ' `~ CiCy-----�✓t-ts--__ _ G rt� '" f'R�PINK'� Loosefill Insulation <1 ;�- oWt'fl5 Gorning �„iidedbyin�tallin3therzGuir>_d O��ens Co�'nln3 will ar.'z?t ne e po��s�bliity•.vhen.he piod��ct is�ot ins'zlled in ac_o�danc'-Nith-he orodud Izbel 52a;ed R-�nlue u p"` L--�` . �h a n t he�zbelzd minimum thickn°>s.Installation c��h 5 W i I�esul*nn oL•ve onbu3;��'��`ellde�ere than the specified minimum ihickneis. � numoe�Ot baES a[a[hicknzs�no`.less� -� Fzilure by[he installer:o prcvide both the re�uireJ bag�anJ at least the minimwn thickne. `� 5pecification for Open ow Attics 1 Retrofit ❑ ` ' ��ew Construction ' r , , E �nmuni Y�t � ` � �4� Maximum'a Minimum�`��gh�� M�n'mum � �1�� iled i '� o. fBahRe�1000 ih�cknesi �. � � {. �S [t �'r :; ThidmesS ,s ... _>•. -+ ? .� � � „ r i 1 Nel Co4erage_... .., . �._ . .-. x _...� � � $ F�..,�.f.�.,i 22 2' i.<<R valu ' .. _, q . ,7.(.; 0-.98 _ ; { L . � . � �.bp,�; '�369 — .. ,IBZ — . �� Number of bags used . �a 33� o e ��Z' . _ . % . , , . _; R 49 ; . -26� 376 . I(4 ;- - :169 ' �' � =��.072 � ,. :� .' . . � . -. �. .. � . .,; 1_ ' 4 44��' _ ,; b .' � ��3 �i5 3._. -�. " '' �. � Z�q' r -13 7. �., .0 b2' . �_ �; � R39.�. ,-'pag h.5�-� �� 5 _ IB 557. � Estimated R-value of , �o, �o f. �� . . . ' � 6 . 15 5 ' b,�5 , �'0 42 � T-} prevrous insulauon ,� •. 867 :�, �8� 0 35 , ' P22��. ��. 13 ' , .767:` . 7F2 ` '?6�. ,' R93 '03 . k IS ' It 1 0� S 52 ` 5.52 .�. . ; ,, . . � . .�:�5 ` I i 3 - . . r Area of coverage� � � tt-�� ,o I� a.st. �. 4ez . � �� 6 3 , � . I 59 �. ) (sq ft) a=li. � -, '. � 'R".mans resiztance to heat flow The hioher the R value,the,greater the insu(atind ' �� power � � . ,� . � �' � r . Other type(s)o( , A Unisol Volu Matic II mach�ne was used to determine the covera�e mfoi maUOn insulacion in attic ' S The machine was set up�n 3rd gear,;wrth,a 12' gate ope�ing 2 6 psi hose pi Essure and 3"diaineter,,150'long Mark 2 hose Thickness o( , `� i�sulation f j/J � . Depth of previous; : 1 %insulacion. ! � � r � ,�.' � - � . � .,>:: ';:'�. - � . �_ . , ._ .. . .. .. .. .. _ ..... . i ( ?�. � �� ' =.;. ..��. :.. . �..�:; . ..: .� .. � nvecbo i moisture ab>o ptien and im[allaaon variation. �< 2 �loosenll insulauons va�y�n thermal pe (ormanc ue to�ctors wch as aging.me n temperature,se:demen: o -' en a'_io can reduce ils the�iral performance in eztr_me w'm[er temp°-�ature�during.he hea.i i�sea�on Cpnvecticn in glass loo,efll insul;tion installed i op =� � � ,�� ` `� Do[e `i , � pa� uilder � �y . _ : Centrccror �i� u � _____.______----- ; : �. . Company---- rs:;,:��„�; Compon/ _L�950 Danicl Drivc _ % -�: Clcarwatct.k��:'�3?62 ------- r': .�' (727)572•8990(8l3)223-5094 ddress -------- Y 5 —_----- • , Addr ess.�-- --�— �-'� ;i�one >�� - Phone ---- � �--,� �r OWENS GORNtf.3 WSULATING SYSTEMS, �I-C \ � , Pub:No.10�15682.Printed in U.S.A.Au9ust 2011. Oi�IE OWENS C0�`JING P�RKWFl�� '. . , TOLE00,vHlO,U>A43659 Thecolor?INKisareg�steredtrademarko�OwensCorning. �` � ' ,z • ' ° 1.H00-GET-PINK9� y , '. C�2011.OwensComing. w-owenscorning.com • , � ' ' s .�" . IXN01AilOX1 f04 lllie� wtv ,.� ' .. _ .. . ._ . . (. . . � . � , . ...�.._y f � ,I( � _ � � , ,�, � This home has be�lh professionally insulated with : � Owens Corning INNOYATIONS FOA LIYINGry PROPINK�Unbonded Loosefill Insulation (Red Bag) (Job Site Address) Name Address Crty State Zip Owens Corning PROPINK Unbonded Loosefill Insulation(Red Bag) Owens Corning will accept no responsibility when the product is not installed in aaordance with the product label.Stated R-value is provided by inrtalling the required number of bags at a thickness not less than the labeled minimum thickness.Installation of the required number of bags may yield more than the specified minimum thickness. Failure by the installerto provide both the required bags and at least the minimum ihickness will result in lower insulation R-value. Nominal net weight of;inwlation is 33 Ibs. 5pec�cation for Qperr Blow Attics Maximum Miaimum initial MinimumSettled Minimum Bags Goverage per h4inimum Weight ' Installed Thick- Thickness in Nevv Gonstrucfion R-Value* per I.000 sq.ft. Bag in sq.R in Ibs.lsq.ft ness in inches'.x 'inches' �Retrofd � � � To��.obtain an � �No.of bags per �� Contents of each�. Weight.in Ib.per �Installed�ifuu�ation Ins[alled insulation: u Nurl'1beY.Of bdgS uSQd � . � ��sulation � .I,000 sq.ft.of net bag should not.. sq.ft.pf�installed should:not 6e�ess should not be less resistance(Rj of: � area shall not be cover more than; insulation should �. ...:than: �� than:� EStim8ted R-value Of . . . � .. . � less than: �� not be less than6� � � � � - � . previous insulation 13 bb I S I A 0.2 f$ 5;00 5.00 Area of coverage(sq,ft.) I 9 9.4 106.3 0310 7.50 7.54 Other s of 22 ��•� 899 0367 8.50 8.Sa �� 26 13.2 75J 0.436 10.00 10.00 insulationsin attic 30 I5.3 65.4 0.504 II:50 11.50 Thickness of insulation 38 I9S 51.4 Q.642 d qS0 I�S0 Depth of previous 44 23.0 43b 0.757 16.50 I 6.50 insulation 49 25.8 38.8 4.850 1$.25 18.25 60 321 31.1 I.ObO 22.00 22.00 `Tne higher the R-value,the ereater the insidating power,Ask your zeller forthe fad sheet on R-values. Looseflll insulations vary in ther'mal performance�lue to factors such as aging,mean temperature,settlement,corrvection.moisture absorption and installation variation. Convection in glass loosef II inwlation in;talled in open attia can reduce its thermal performance in extreme winter temperatures during the heating season. Blanket Insulation Blanket and batt f ber glass insulation,when installed according to the manufacturers recommendatioris,will provide the s[ated R-Value. R-VA W E To obtain an insulation resistance (R) of: R-38 R-3$C R-30 R-30C R-25 R-22 R-21 R-19 R-15 R-13 R-Id MINIMUM THICKNESS Installed insulation should be: 12" 10.25" 9.5" 8.25" 8.0" 6J5" 5.5" 6.25"� 3.5° 3.5" 3.5" 'R-I 8 in a 5.5"cavity THE FOLLOWING PRODUGTS HAVE BEEN INSTALLED AS SPECIFIED ASOVE: kraft unfaced foil FS-25 R-Vatue Thickness No.pkgs. Coverage Area Ceilings ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Floors ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ YValls ❑ ❑ ❑ ❑ ❑ � ❑ ❑ Basement ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Crawlspace ❑ ❑ O ❑ � ❑ ❑ ❑ Contractor Date Builder Date (�lgnatur j j�ienc,u�e) Company Company Address Address Phone Phor,e OWENS CORNING INSULATING SYSTEMS, LLC ONE OWENS CORN�NG PARY.WAY � • TOLEDO,OHIO, USA 43659 • � Pub.No.45145-C.Printed in U.S.A.January 2007.THE PINK PANTHERT'"& 1-800-GET-PINK'" OO 1964-2007 Metro-Goldwyn-Mayer Studios Inc.All Rights Reserved. \ INNOYATIONS FOR IIYING" www.owenscorning.com ThecolorPlNKisaregisteredtrademarkofOwensCorning.�020070wensCorning. � ��^� _. , ., .,� , , . �. �_ ,_ .,. , , .. ,� _...� ,...�, ., ,. . . .�. , ., , . �, ,,. _ _ � . . ., ., � _,.,. , _. ,