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707 SNUG ISLAND_ .,, � a U.SnDEPARTMENTOFHOMELANDSECURITY ELEVATION CERTIFICATE -- - r. � f•°EDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 �Watia�a! Ftood /nsurance Pragrtrm Important: Read the instructions on pages 1-9. EXpifetfOit Dete: July 31, 2415 � S@CTION A - PROPERTY INFORMATtON �FOEE11+l��ANC�.�qN�f,(�.' �� � A1. Building Owner's Name Jack E. Conn & Mary L. Conn �(�r � � '.s �� A2. Buiiding Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No. ��y�j� �}� �j��:." 707 Snug Island City Clearwater State FL ZIP Code 33767 A3. Property Description (Lot and Blodc Numbers, Tax Parcei Number, Legai Description, etc.) �- lot 24, Island Estates of Cleanvater Unit 7B A4. Building Use (e.g., Residential, Non-Residentiai, Addftion, Accessory, etc.) Residential A5. Latitude/Longitude: tat. 27d 59' 24.90" N. Long. 82d 49' 05.54" W. 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 3 A8. For a building with a crawispace or enclosure{s): A9. For a building with an attached garage: a} Square footage of crawispace or enclosure(s} 756.0 sq ft a) Square footage of attached garage 814.0 sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent 800d openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade 4 within 1.0 foot above adjacent grade tVA c) Total net area of flood openings in AS,b 1748. sq in c) Total net area of flood ope�ings in A9.b NA sq in d) Engineered flood openings? ❑ Yes � No d) Engineered 800d openings? ❑ Yes � No SECTtON B- FLOOD INSURANCE RATE MAP (FIRAA} INFORMATION Bt. NFIP Community Name & Community Number I 62. County Name Clearvvater 125096 Pinellas 84. MaplPanel Number B5. Suffix B6. FIRM Index Date 87. FIRM Panei 12103C 0102 G 9!3/03 Effective/Revised Date 9l3I03 B3. State Florida B8. Flood � 89. Base Flood Eievation(s} (Zone Zone(s) AO, use hase flood depth) AE 11.0' 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FiS Profile � FIRM ❑ Community Detertnined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 � NAVD 1988 ❑ OtherlSource: B12. Is the building located in a Coastai Barrier Resources System (CBRS} area or Otherwise Proteded Area (OPA)? Designation Date: ❑ C6RS ❑ OPA ❑ Yes � No SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUiRED) C1. Building elevations are based on: ❑ Construction Qrawings' � Building Under Construction' � Finished ConsVuction 'A new Elevation Certificate will be required when construction of the bui�ding is complete. C2. Eleuations -Zones At-A30, AE, AH, A(wfth BFE), VE, W-V30, V(with BFEj, AR, AR/A, AR/AE, AR/At-A30, AR/AH, AR/A0. Complete items C2.a-h below according to the bui{ding diagram specified in Item A7. In Puerto Rico only, e�ter meters. Benchmark Utiiized: Citv oi Clearvvater Vertical Datum: NAVD 1988 lndicate etevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as fhat used for the BFE. Ghedc the measurement used. a} Top of bottom flaor (including basement, crawispace, or enclosure floor) 6.� � feet ❑ meters b) Top of the next higher floor g. � � feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) NA � feet ❑ meters d} Attached garage (top of slab) 6.3 � feet ❑ meters ej lowest elevation of machinery or equipment servicing the building 7.4 � feet ❑ meters (Describe type of equipment and location in Comments) fl Lowest adjacent (finished) grade next to building (LAG) 6.0 � feet ❑ meters g) Highest adjacent (fi�ished) grade nezt to building (HAG) 7.0 � feet ❑ meters h) Lowest adjaCent grade at lowest elevation ot deck or stairs, including structural support N.A � feet ❑ meters SECTION D- SURVEYQR, ENGINEER, OR ARCHITECT CERTIFICATiON / __- This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certity eievation information. I certify that tbe infomration on this Certificate represents my best eHorts to interpret the data avarlable. 1 understand that any false statement mey be punishable by fine or impnsonment under f 8 U. S. Code, Secfion 1001. � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. licensed land surveyor? � Yes ❑ No Certifiers Name Edward D. Murphy Title Prof. Land Surveyor Address Signature License Number 5333 Company Name Murphy's Land Surveying, Inc. N. �� � City SL Petersburg State FL ZIP Code 33790 FEMA Form 086-0-33 (7/12) Date 10/23/13 Telephone 727/347-8740 See reverse side for cantinuation. � .�� ��7't ,�rir �O Replaces all previous editions. � :., VLLYM��V�\ 4V.�\/�� IV!'�i V� _!MtPORTANT: In these spaces, copy the corresponding information from Section A. Buiiding 5treet Address {including Apt., Unit, 3uite, and/or Bldg. No.) or P.O. Route and Box No. 707 Snug istand City Clearvvater State FL 21P Code 33767 R iNSURANCE GOMPANY USE liay Numt�r. mparty NAiC Number. SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevatio� Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. Comments C2e = A/C Signature SECTION E — BUILDING ELEVA Date tO/23/13 JEY NOT REQUIRED) FOR ZONE AO AND 20NE A(WITHOUT BFE) For Zones AO and A(without BFE), mplete Items Et-E5. If th Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1-E4, use natural rade, i� availa6le. Check e measurement used. in Puerto Rico only, enter meters. E1. Provide elevation informaEion for t foliowing an the appropriate boxes to show whether the elevation is above or below the highest adjacent grade {HAG) and the lowest adjacent gra e�LAG}. a) Top of bottom floor (inciuding basement, crawlspace, or enclosure} is ❑ feet ❑ meters ❑ ahove or � below the HAG. 6) Top of botYOm floor (inciuding 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 8-9 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 slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery anti/or equipment servicing the building is ❑ feet ❑ meters ❑ above or (] below the HAG. E5. Zone AO only: if na flood depth number is availabie, is the top of the bottom floor elevated in accordance with the community's floadplain management ordinance? ❑ Yes ❑ No � Unknown. 7he Iocai officiai must certify this information in Section G, SECTION F- PROPERTY OWNER (OR OWNER'S REPRESENTATfVE} CERTIFICATION The property owner or owner's authorized representative who compietes Sections A, B, and E for Zone A(without a FEMA-issued or communfty-issued BFE) or Zone AO must sign here. The statements in Sectians A, B, and E are correct to the best of my knowledge. Property Owner's or Owner s Authorized Representative's Name Address Signature Comments City Date State Telephone ZIP Code ❑ Checic here if attachments SECTION G- COMMUNITY INFORMATION jQPTIONAL) The local officiai who is authorized by law or ordinance to administer the community's floodpiain management oMinance can complete Sections A, B, C{or E), and G of this ElevaGOn CeRficate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8-GtO. in Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or a�chitect who is authorized by law to certify elevation infortnation. (Indicate the source and date of the elevation data in the Comments area trelow.) G2. ❑ A community official completed Section E for a buiiding located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. G3. ❑ The foliowing information (items G4-G10) is provided for community floodplai� management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of CompliancelOccupancy Issued G7. This pertnit has been issued for� ❑ New Construction ❑ Substantial improvement G8. Elevation of as-built lowast floor (including basement) of the buiiding: ❑ feet ❑ meters G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters G10. Community's design flood e�vation: ❑ feet ❑ meters Local �fficial's Name Community Name Signature Comments Title Telephone Date Datum Datum Datum Check here if attachments FEMA Form 086-0-33 (7h2) Replaces all previous ediGons, r , -[.LEVATION CERTIFICATE, page 3 guilding Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) ar P.O. Route and Box No. j 707 Snug island i -- City Ciearwater State FL ZIP Code 33767 FOR INSURANCE COMPANY USE Policy Number: Campany NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below acc;ording to the instructiUns for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When app{icable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. if submitting more photographs than will fit on this page, use the Continuation Page. DATE: 10/19/13 FRONT V�EW: �EAR VIEW: Y �M �{ � *ga� ` � �. <;' � ,� � ,e� s � � ;�:� �� . � �,�,�,.. �,.,, ,, - ��;� � .r �':_ , ; ,, � . � `� � " � � ���� '���Il�pl��1 I ��������,���� �� �M� N �Il��u����ll � �:. �,r r�: ��r , ,'s � $: � � h. . . . ;. , .. ...� �:». , �»r_...-� ,.�; `_:..-.._; k . .' � ;.: � � _ �fi�� ����� �- �� � , ' "`€. p. �'�� . � �t �� � z u�� ��m y� �< � ^ �iw4�'� ` 7r. ,�;�: rs . ,. ,c i � �� �»,�+a.�: .k- ."-�.�."'"_ ��`� �. s � � ..�. . � ,.. � !� � `�� �sr., :; FEMA Form 086-0-33 (7l12) Repiaces all previous editions.