819 HARBOR ISLAND �� ��,��p� � -Gf��� l�
U.S.DEPAI��MENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
Federal Emergency Management Agency Expires March 31,2012
National Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A-PROPERTY INFORMATION � �,�` „ _�` �'� ~"
A1. Building Owner's Name Michael J.Sovie 8 Leah J.Sovie ` � �� 3 ;�1 �
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A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. � � , , , , '�`' ?
819 Harbor island ��
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City Clearwater State FL ZIP Code 33767
A3. Property Description(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.)
Lot 39,Island Estates of Clearvvater Units 6D,7A,7C Unit 7C
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential
A5. Latitude/Longitude:Lat.27. 41 2 Long.-82.817275 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 16
A8. For a building with a crawispace or enGosure(s): A9. For a bu(Iding with an attached garage:
a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage 472 sq ft
b) No.of permanent flood openings in the crawlspace or b) No.of pertnanent flood openings in the attached garage
enclosure(s)within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade Q
c) Total net area of flood openings in AB.b N/A sq in c) Total net area of flood openings in A9.b Q 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&Community Number B2.County Name B3.State
City of Clearwater 125096 Pinel�as FL
64.Map/Panel Number B5.Suffix B6.FiRM Index 87.FIRM Panel BS.Flood 69. Base Flood Elevation(s)(Zone
12103C0102 G Date Effective/Revised Date Zone(s) AO,use base flood depth)
&18-09 9-3-03 AE 11'
810. 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 Othervuise Protected Area(OPA)? ❑ Yes � No
Designation Date N/A ❑ CBRS ❑ OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Buiiding 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 CITY CLW ISLAND WAY#736Vertical Datum ELEV=6.61'(N.A:V.D.)
Conversion/Comments N/A
Check the measurement used.
a) Top of bottom floor(induding basement,crawlspace,or enclosure floor),�.� �feet ❑meters(Puerto Rico only)
b) Top of the next higher floor LI.A �feet ❑meters(Puerto Rico only)
c) Bottom of the lowest horizonta�structural member(V Zones only) IV.A �feet ❑meters(Puerto Rico only)
d) Attached garage(top of slab) 4.� �feet ❑meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 4.� �feet ❑meters(Puerto Rico only)
(Describe type of equipment and location in Comments)
� Lowest adjacent(finished)grade next to building(LAG) 4.Q �feet ❑mete�(Puerto Rico only)
g) Highest adjacent(finished)grade next to building(HAG) 4.� �feet ❑meters(Puerto Rico only)
h) Lowest adjacent grade at towest elevation of dedc 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 elevaaon ` '` r 1
information. I certify that the information on this CertilTcate represents my best efl�rts to Interpret the data avallable. n �j'��,.-�:��;;�''•-, �"�- :
l understand that any/alse statement may be punishable by rne or imprisonment under 18 U.S. Code,Secfion 100L :•�;;� �1��•.
� Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a y � � � ' � �
licensed land surveyort � Yes ❑ No �i����3�
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Certifier's Name Philip C.Stock License Number RLS#3035 ' �';���`�- �,
Title President Company Name Target Land Surveying,�nc. L�-�.�����.,Y�"`
= '�/y�<'f�:�+, `' ,`
Address 516 Lakeside Place City Largo State FL ZIP Code 33771 �:f ;'�!d�;�t�y�
Signature Date 2-4-11 Telephone (727)784-0573 ° ' �
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FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces ail previous editions
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IMPORTANT: In these spaces,copy the corresponding tnformation from Section A. „ .: ,.p2f '` l�:.n
Building Stu3et Addr�ss(inGuding Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. ' `� ' �:
819 Harbor Island � �,,� ,° „�Y",,,�. �
City Clearwater State FL ZIP Code 33767 ,� , �r>' •,
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SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)communiry official,(2)insurance agenUcompany,and(3)building owner.
Comments
Job#110203.02 � }
C.2.e)=A/C Unit. '�
According to the Pinelll,as��b�l�ty 1�Yop�rty Appraiser,this house was built in 1969. At that time,FEMA Flood Maps did not exist.
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Signature . ; ' � 'Y Date 2-4-11
-���,• .�� / ❑ Chedc here if attachments
SECTIOK&=�kJ1L'�INC3 fLEYlAtd019 INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(1MTHOUT BFE)
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For Zones�AO eriq A.�v�;fic�t BF��) EBmpfete Items E1-E5, �f the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,
and C. For lteri�`��1 E�,:'vs�natu�l,grade,if availab�e. Cfieck the measurement used. In Puerto Rico oniy,enter meters.
E1. Provide,ele'va�iot�.infdrmatiofi�q`r,the follo�g and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(NAG)ah�th"e'�c�c,e�t adJ�a�nt grad (LAG). '
a)Top of bottbm t�dor�{irNGudirlg basement,crawlspace,or endosure)is ❑feet ❑meters ❑above or❑below the HAG.
b)Top of bottom floor�(including basement,crawlspace,or enGosure)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&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 platfoRn of machinery and/or equipment servicing the bu(Iding 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 irNormatlon in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who compietes 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 Sectfons A,B,and E are correct to the best o/my krrowledge.
Property OwnePs 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. Compiete the applicable item(s)and sign below. Check the measurement used in�tems GS and G9.
G1.❑ The information in Sectlon C was taken from other doaimentation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is authorized by law to certfy elevadon infortnation. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑ A community official completed Sectfon E for a building located in Zone A(without a FEMA-issued or oommunity-issued BFE)or Zone AO.
G3.❑ The following information(Items G4-G9)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Pertnit Issued G6. Date Certificate Of Compliance/Occupancy Issued
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G7. This pertnit has been issued for: ❑New Construction ❑Substantial Improvement
G8. Elevation of as-built lowest floor(inGuding 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
❑�heck here if attachments
FEMA Form 81-31, Mar 09 Replaces all previous editions
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