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732 SNUG ISLANDU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FF,DERAL EMERGENCY MANACaEMENT AGENCY �Uational Flb'od Insurarice Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION A1. Building Owner's Name RONALD AND DEBRA GREGORY A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 732 SNUG ISLAND Ciry CLEARWATER State FL ZIP Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 51, ISLAND ESTATES OF CLEARWATER UNIT 7B, PLAT BOOK 64, PAGE 70, PINELLAS COUNTY, FLORI A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27°59'27.5" Long. 82°49'07.4"Horizontal Datum: ❑ NAD 1927 ❑X NAD 1983 A6. Attach at least 2 photographs of the buiiding if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A OMB No. 1660-0008 � Expiration Date: July 31, 2015 FOR INSURANCE COMPANY USE Policy Number. 732 SNUG ISLQND BCP2012-12290 RTC DEBRA S GREGORY Zoning: Island Estates Neighbor Atl 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) N/A sq ft a) Square footage of attached garage � sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 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) INFORMATIOW 61. NFIP Communiry Name & Community Number B2. County Name 63. State CITY OF CLEARWATER/125096 PINELLAS FL B4. Map/Panel Number B5. Suffix 66. FIRM Index Date B7. FIRM Panel 68. Flood 69. Base Flood Elevation(s) (Zone 12103C0102 G 8/18/2009 Effective/Revised Date Zone(s) AO, use base flood depth) 09/03/2003 AE 11 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ❑X FIRM ❑ Community Determined ❑ OthedSource: 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: 612. Is the building located in a Coastal Barrier Resources System �BRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑X No Designation Date: CBRS ❑ OPA SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings• ❑ Suilding 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. In Puerto Rico only, enter meters. Benchmark Utilized: CITY OF CLEARWATER I-03.5 Vertical Datum: 6.491' NAVD 1988 DATUM Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 �X NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (inGuding basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) � Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG} h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support $.06 8.06 N/A. 7.68 9.59 �.9 7.� NlA, Check the measurement used. � feet ❑ meters � feet ❑ meters ❑ feet ❑ meters � feet ❑ meters � feet ❑ meters ❑X feet ❑ meters � feet ❑ meters ❑ feet ❑ meters SECTION D- Sl1RVEYOR, ENGINEER, OR ARCHlTECT 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 CertiiKate represents my best efforts to interpret the data available. l understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. � Chedc here if comments are provided on back of form. Were latitude and longitude in Section A provided by a � Chedc here ff attachments. licensed land surveyor? � Yes ❑ No Certifier's Name GUY D. HALE License Number 4626 Title PROFESSIONAL LAND SURVEYOR Company Name GUY HALE, LAND SURVEYtNG Address 111 FORE i KE Signature FEMA Form 086-0-33 (7/12) City OLDSMAR State FL ZIP Gode 34677 Date 08/30/2013 Telephone 727-734-4266 See reverse side for continuation. l'.,�;,i!/r ���L�S��J � '�{F� f!' . ,4� � ; i / t .,ti.' i�-.; ��„ f' , ,,, � , : '.� a . ;,,� �` ,. -:� - ;;:-. ._ E, _ .. . 8 ' �- � J`�',�� : r�' ✓ f!� �� '+�� ;� �' Ji�'�,'^�Pr.;��� ,4'';`�'��''4 Replaces all previous editions. ELEVATION CERTIFICATE. paae 2 IMPORTANT: In these s aces, co the corres ondin information from Section A. FOR INSURANCE COMPANY USE • Building Street Add�ess (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: City CLEARWATER State FL ZIP Code 33767 � Company NAIC Number: SECTION D— SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Cert�cate for (1) community official, (2) insurance agent/company, and (3) buiiding owner. Comments THE LOWEST MACHINERY IS THE AIR CONDITIONER. Signature �" L Date 08/30/2013 SECTION E— BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(witnout 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 etevation 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 � below the HAG. b) Top of bottom floor (inGuding basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above o� ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Sedion 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 ❑ mete�s ❑ 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 andlor equipment servicing the building is ❑ feet ❑ meters ❑ above or � below the HAG. E5. Zone AO onl�lf 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 owne� or owner's authorized representative who comptetes 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, B, and E are correct to the best of my knowledge. Prope�ty Owner's or Owner's Authorized Representative's Name Address Signature Comments City State ZIP Code Date Telephone Gheck 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. Chedc the measurement used in Items G8�10. 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 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—G10) is provided for community floodplain management purposes. I G4. Permit Number G5. Date Pennit Issued G6. Date Certificate Of CompliancelOccupancy 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 Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Community Name Signature Comme�ts Title Telephone Date Check here if attachments. FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION 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.) or P.O. Route and Box No. 732 SNUG ISLAND City CLEARWATER State FL ZIP Code 33767 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number. If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 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." When applicable, 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. FRONT (WEST SIDE) TAKEN 08/30/3013 �� � � � C i�F9 .4 y: f: n ; 4y �_I{����r:r� d `� .� R � ! . �4 G . l� ; �: . ��"'-���t .. �.". FEMA Form 086-0-33 (7/12) Replaces all previous editions. .• ELEVAtION �ERTIFICATE, page 4 guilding Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. Buiiding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 732 SNUG ISLAND City CLEARWATER State FL ZIP Code 33767 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side Viev�' and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. � BACK ( WEST SIDE) TAKEN 08/30/2013 .,,..,a,, s- � ��� ���� � � ���; , : , °���° _ ._ . � � FEMA Form 086-0-33 {7/12) Replaces all previous editions.