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1925 CALUMET STU.S.1uPARTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE �EDE�AL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 Narional Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A- PROPERTY INFORMATION � tN�� y � A1. Building Owner's Name INSTRUMENT TRANSFORMERS INC '�; A2. Building Street Address (including Apt, Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. rr��i (s�4C£ � 1925 CALUMET ST Ciry CLEARWATER State FL ZIP Code 33765 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL ID #01-29-15-00000-340-1500 LOCATED IN SECTION 1-29-15 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) NON-RESIDENTIAL A5. Latitude/Longitude: Lat. N 27°59'03.0" Long. W 82°45'28.0" Horizontal Datum: ❑ NAD 1927 � 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 7A 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 N/A 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 N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name & Community Number B2. County Name 63. State CITY OF CLEARWATER 125096 PINELLAS FL B11. 612. Indicate the source of the Base Fiood Elevation (BFE) data or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Community Determined ❑ OthedSource: Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: WA ❑ CBRS ❑ OPA ❑ Yes � No 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. In Puerto Rico only, enter meters. Benchmark Utilized: PINELLAS COUNTY I-11 Vertical Datum: NAVD 88 Indicate elevation 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 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 rype 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 55.02 69.04 N/A. N/A. 51.37 50.5 55.0 N/A. Check the measurement used. � feet ❑ meters � feet ❑ meters ❑ feet ❑ meters ❑ feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters ❑ feet ❑ meters 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. l certify that the information on this Certificate represents my best efforts to interpret the data available. Q�G y,� E� �! p��`�� I understand that any fa/se statement may be punishable by �ne or imprisonment under 18 U. S. Code, Section 1001. �$' � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a � r� rT. �� Check here if attachments. licensed land surveyor? � Yes ❑ No �;`�� @•�`; r� �l'�''•,. �;' ; Certifier's Name Gregory D. White Title Project Manager Address 3409 W on ree Signature ,C License Number PLS 4466 Company Name Hamilton Engineering 8 Surveying, I City Tampa State FL ZIP Code 33609 "� Date 09-22-2015 Telephone 813-250-3535 s� ��c�:' ��' , " � �� - ��, � � ai � �/ . ' : . L� . : � :��. � : -., v ' ,.�„ � v� f . �/ _. �l�\ - _ .•��• FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. GLGY/11�IV1\ VGRIIrIVM1 dMP�RTANT: In these spai G the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1925 CA�UMET ST City Clearwater State FL ZIP Code 33765 FOR INSURANCE COMPANY USE Poticy Number: SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) communiry official, (2) insurance agenbcompany, and (3) building owner. Comments Published benchmark elevations .. Not valid without raised surveyor's seal. N/A indicates "Not Applicable". C2.e) is the lowest elevation machine e ici he building: pumps located in mechanical pit area - see photo. Note: the mechanical pit area has been floodproofed per the floo o ng certi t r ar by Alexander M. Long, AIA, AR # 0015104, see attached "Floodproofing Certificate". Signature Date 09-22-2075 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 infortnation 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 (inGuding basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (inGuding basement, crawispace, or enGosure) is ❑ feet ❑ meters ❑ above or ❑ below the IAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of InsVuctions), 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 offiaal must cerdfy 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 Sections 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 SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the con of this Elevation Certifiqte. Complete the applicable item(s) and sign below. G1. ❑ G2. ❑ G3. ❑ ZIP Code Check here if attachments. s floodplain management ordinance can complete Sections A, B, C(or E), and G the measurement used in Items G8-G10. In Puerto Rico only, enter meters. The information in Section C was Naken from other documentation that has been signed and sealed by a iicensed surveyor, engineer, or architect who is authorized by law to certify elevation infortnation. (Indicate the source and date of the elevation data in the Comments area below.) A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. The following information (Items G4-G10) is provided for community floodplain management purposes. �. P ' Numq�r -�� G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued � G7. This permit has been issued for: ❑ New ConsVuction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (inciuding basement) of the buiiding: ❑ feet G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet G10. Community's design flood elevation: ❑ feet Local Official's Name Title Community Name Telephone Signature Comments Date ❑ meters Datum ❑ meters Datum ❑ meters Datum Check here if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions. • EL*VATION 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. 1925 CA�UMET ST City Clearwater State FL ZIP Code 33765 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 Vievd' and "Rear View"; and, if required, "Right Side Vievd' 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 VIEW DATE TAKEN 06/10/2015 � : ,� � �� 1� _ �.� ■� REAR VIEW DATE TAKEN 06/10/2015 ,�. - :> �, � � � ., � �- � � :� ■, ��.� � I � , i G. .,.._ ..-.� . - . —�� ._..�.-- - � �.. $ � ,,,�,.. ,� - .. 'r.-- .`.£-�--..�. _„ _ � R � ��c�t� � �� a. ,�' .w �� -� a`�: .., ,, , .y , � ...z .. ,- : - ': y� a , ,� �.�',� � � „ v ., _.a.� _ �r.. -- �_ �_ ��. � .��. �, . /,, �. . , � ,e FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELC+�/ATION CERTIFICATE, page 4 guilding Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1925 CALUMET ST City Cleanvater State FL ZIP Code 33765 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 VievW' and "Rear Viev�'; 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. RIGHT VIEW DATE TAKEN 06/10/2015 f - � ,.� , �.,.� ,, �,,� �� c�� I � � '- =4 � - �,�a ��- .�-.:. _ ___ .� � LEFT VIEW DATE TAKEN 06/10/2015 �� r � ��I°� .�- _ - - � � *- �� „�, �' ; � , � _ ��- �:�� £ y�� °, � `�� :�� ' ��r. �� o. __. � � ,�.t MEC�Af�iCAL �IT AR�A — DATE TAKEN 06/10/2015 � �� -, � �� , �, �� .-� "�, �� ! ,� i � � �� _ � 3 t � :�� ,�z. � "� �'� �� { �� * i� � '� � � ; � ` -� .� �� .� � � �- `� �� , ,,� �� , � .° �, « :�, � �� ' � �.� �a _ �� - � �� , � i- . . "`. x„ Y . , , .f �� '" .... +r. �;: i4�i�ii+ . . . ��.� -°-^.c . � � � � . � z, �� . . � � � . " ".� .+ � �..._ ' . � �� . � ��$ . ��c� � � �} � � �� s F �- : � �- _' � }'' �� u � :" � ` � �"� '� � � .,,...,,,,A" ��...-> � � `.�'' � � FEMA Form 086-0-33 (7/12) Replaces all previous editions. � � . , ' . U.S. DEPARTIMENT OF HOMELAND SECURITY F�OODPROOFING CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY FOR NON-RESIDENTIAL STRUCTURES Naioml Fbod Insumna Progmm OM8 No. 1660-0008 Expiration Date: July 31, 2015 The floodproofing of non-residential buildings may be permitted as an aiternative to elevating to or above the Base Flood Elevation; however, a floodproofing design certification is required. This form is to be used for that certification. Floodproofing of a residential building does not alter a community's floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow fioodproofed residential basements. The permitting of a floodproofed residential basement requires a separate certification specifying that the design complies with the local floodplain management ordinance. BUILDIN6 OWNER'S NAME J-+�stl'vMe n STREEi ADDRESS (Induding ApL, it, Sulte, and or Bld; I� 2.� G a�urti e�� OTNER OESCAIPTION (lot and Block Numbers, etc.) �� Number) OR P.O. gOUTE ANO 80X NUMBER �� STATE ZIP CODE G �,e�c- wq � e r fi�.. 33 � bS� _ _ SECTION 1- FLOOD INSURANCE RATE MAP (FlRM) INFORMATION Provltle the following from the proper FIRM: COMMUNRYNUMBEN PANELNUMBER SUfFUI DATEOFfIXMINDEX FIRMZONE BASEflA00ELEtlATION � aso � b �� 0••7�•►� �� r� $ r� ��`", j� fln AO 2onss. Use Deam) ir 5 Indlcate elevaUon daWm used for Base flood Elevatlon shown above: ❑ NGVD 1929 �PIAYD 1988 ❑ Other/Source: SECTION II - FLOODPROOFlNG INFORMATION (By a Reglstered Professlonai Engineer or Architect) Elevatlons are based on: ❑ Construcdon Drawings ❑ Bufiding Under ConsWctlon � Finished Constructlon Floodprooftng Deslgn Elevatlon informatlon: Bullding fs iloodproofed to an elevation oi s3 .� feet (In Puerto Rico only: _._ meters). ❑ NGVD 1929 �NAVD 1988 ❑ Other/Source: (Elevation datum used must be the same as that used for the Base Flood Elevatlon.) Helght of floodprooflng on the building above the lowest adJacent grade is �.s._ feet (In Puerto Rico only: meters). For Unnumbered A Zones Only: Htghest adJacent (finished) grade next to the building (HAG) . feet (In Puerto Rico oMy: . meters) ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: (NOTE: For insurance rating purposes, the building's floodproofed design elevation must be at least 1 foot above the Base Flootl ElevaGon to receive rating credil. If the building Is Aoopproofed onry to the Base Flood Elevatlor�, then the bullding's insurance rating will result in a higher premium.) . SECTION 111- CERTIFICATION (By a Registered Professional Engineer or Architect) Non-Resldentlal Floodproofed Constructlon Certlflcatlon: 1 certify that, based vpon development and/or �evlew of structural design, specl8catlons, and pfans lor constructton, the design and methods of constiuctlon are in accordance wlth accepted standards ofp�acdce formeeting the following provlslons: The structure, together with attendant utllities and sanitary faciBtles, Is watertlght to the floodproofetl tlesign elevaUon indicated above, with walls that are substantialiy impetmeable to the passage of water. All structural components are capable of resisting hydrostatic and hydrody�amic flood forces, including the effects of buoyancy, and anticipated debris impact forces. I certfty that the lniormatron on this cerii8cate represents my best eflorts to interpret the tlata available. ! untlersiarM tAat any false statement may be punishabie by fine orlmprisonment under 18 U.S. Code, Section 1001. nA++�¢ _ ,� • ,� � I ' — I , , � � � LICENSf NUM�ER (or � ;5�� ti�'�( `r�„' � (.O 1�(.b .1 »., /H i/t/ v TR4E.t � ADD ESS � S2S' SIGNATURE -� FEMA Form OP COMPANY NA ��b � 'a-� 7�d�� /� DATE /•/J. �� r�SSoLt�4T�S �/2�f�Ct�6 /�'C L STATE � 3 b �� 21P CODE s� PHONE - v.S�p Copies should be made of this Certiflcate for: 1) community offlcfal, 2) insurance agent/company, and 3) building owner. 7/12) REPLACES ALL PREVIOUS EOITIONS F•056 U.S `DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION MERSINC A2. Building Street Address (including Apt., Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. 1925 CALUMET ST - Chemical Storage Buiiding City CLEARWATER State FL ZIP Code 33765 OMB No. 1660-0008 Expiration Date: July 31, 2015 rvoc:y s�werwa�. , _.. mpar►Y �64 iYumC�er: A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Oescription, etc.) PARCEL ID #01-29-15-00000-340-1500 LOCATED IN SECTION 1-29-15 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) NON-RESIDENTIAL A5. Latitude/Longitude: Lat. N.27°58'59.2" Long. W.82°45'23.4" Horizontal Datum: ❑ NAD 7927 � 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 1A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawispace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A 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 N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A 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 62. Counry Name CITY OF CLEARWATER 125096 PINELLAS B4. Map/Panel Number 65. Suffix 66. FIRM Index Date 67. FIRM Panel 12103C0107 H 8/18/2009 Effective/Revised Date __ 5/17/2005 63. State FL 68. Flood B9. Base Flood Elevation(s) (Zone Z AE�S� AO, use base flood depth) 52 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Determined ❑ OthedSource: B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes � No Designation Date: N/A ❑ 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/A0. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: PINELLAS COUNTY I-11 Vertical Datum: NAVD 88 Indicate elevation 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 that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enGosure floor) 54.35 � feet ❑ meters b) Top of the next higher floor NlA._ � feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A._ ❑ feet ❑ meters d) Attached garage (top of slab) N/A._ ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 58.18 � feet ❑ meters (Describe type of equipment and location in Comments) � Lowest adjacent (finished) grade next to building (LAG) 54.2 � feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 54.4 � feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N/A. ❑ feet ❑ meters 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. l certify that the information on this Certificate represents my best efforts to interpret the data available. s`�' t� i � f I understand that any fa/se statement may be punishable by fine or imprisonment under 18 U.S. Code, Section >001. r�, f ; � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �� ri�,s� �.�, � Check here if attachments. licensed land surveyor? � Yes ❑ No � '' �' • `� . T '� '�``� ' � �, � Certifier's Name Gregory D. White Title Project Manager Address 3409 e on e Signature � License Number PLS 4466 Company Name Hamilton Engineering 8 Surveying, i Ciry Tampa State FL ZIP Code 33609 Date 8-5-2015 Telephone 813-250-3535 � �„ � ��i =�-� C' .S-��s - ��-� � �,;� �{�., :;r w •• � 6i.. .'�/�/�� • C�,p�.�� C f .¢r,�. r � o . .. . . :.. � -<<�r+►�� FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. GLGYMI IVI\ VGf�11rIVM1 'ANT: In these spaces, L the corresponding information from Section A. Building Street Address (inciuding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1925 CALUMET ST - Chemical Storage Building City Clearwater State FL ZIP Code 33765 SECTION D— SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. Comments Published benchmark elevations .. Not valid without raised surveyor's seal. N/A indicates "Not Applicable". Lowest elevation of machinery or equipment is bottom of fuse box located near the northwest comer of the building. Signature Date &5-2015 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 (inGuding basement, crawlspace, or enGosure) is ❑ feet ❑ meters ❑ above or � below the HAG. b) Top of bottom floor (inGuding basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams Cr9 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 o�cial 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 communiry-issued BFE) or Zone AO must sign here. The statements in Sections 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 Ciry Date State ZIP Code Telephone ❑ 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 appiicable item(s) and sign below. Check the measurement used in Items G&-G10. 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 infortnation. (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 communiry floodplain management purposes. C��Q` bgr � D�� I I G5. Date Permit Issued 1 L� G6. Date Certificate Of Compliance/Occupancy Issued G7. This pertnit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-buiit lowest floor (inGuding basement) of the building: ❑ feet ❑ meters G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters G10. Community's design flood elevation: ❑ feet ❑ meters Local Official's Name Community Name Signature Comments Titie Telephone Date Datum Datum Datum Check here if attachments. FEMA Form 086-0-33 (7/12) 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. 1925 CALUMET ST - Chemical Storage Building City Clearwater State FL ZIP Code 33765 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 VievW' 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 wil� fit on this page, use the Continuation Page. FRONT VIEW DATE TAKEN 06/10/2015 � �� :_ �>, �� ° .. � REAR VIEW DATE TAKEN 06/10/2015 ,� _ _ �,„„' �� rr .� :� a �,��j _. `1�Y � � C�� ;d `$� � ��:. � �., ��.... � ��elr��i FEMA Form 086-0-33 (7/12) Replaces all previous editions. �ELEVATION CERTIFICATE, page 4 guilding Photographs . Continuation Page 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. 1925 CALUMET ST - Chemical Storage Building City Clearwater State FL ZIP Code 33765 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 Vievd' and "Rear Vievd'; 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. RIGHT SIDE VIEW DATE TAKEN 06/10/2015 FEMA Form 086-0-33 (7/12) Replaces all previous editions. U.S. DEpi4RTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE -fEOERAL EMERGENCY MANAGEMENT AGENCY OMB NO. 1660-0008 National Flood Insurance Program �mportant: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION A1. Building Owner's Name INSTRUMENT TRANSFORMERS INC : �� y�n"� �"� � .; r �. :; A2. Building Street Address (including Apt., Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. 1925 CALUMET ST > �` • � ` City CLEARWATER State FL ZIP Code 33765 �� A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL ID #01-29-15-00000-340-1500 LOCATED IN SECTION 1-29-15 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) NON-RESIDENTIAL A5. Latitude/Longitude: Lat. N 27°59'03.0" Long. W 82°45'28.0" 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 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 enGosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the crawlspace b) Number of pertnanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name & Community Number B2. County Name CITY OF CLEARWATER 125096 PINELLAS 64. Map/Panel Number B5. Suffix B6. FIRM Index Date 67. FIRM Panel 12103C0107 H 8/18/2009 Effective/Revised Date 5/17/2005 B3. State FL 68. Flood I 89. Base Flood Elevation(s) (Zone Z AE�s) AO, use ba 52flood depth) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Community Determined ❑ OthedSource: 611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ OthedSource: 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Othervvise Protected Area (OPA)? Designation Date: N/A ❑ CBRS ❑ OPA ❑ Yes � No 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. In Puerto Rico only, enter meters. Benchmark Utilized: PINELLAS COUNTY I-11 Vertical Datum: NAVD 88 Indicate elevation datum used for ihe elevations in items a) through h) below. ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enGosure 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, inGuding structural support 55.02 69.04 N/A. N/A. 51.37 50.5 55.0 N/A. Check the measurement used. � feet ❑ meters � feet ❑ meters ❑ feet ❑ meters ❑ feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters ❑ feet ❑ meters 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. `� �,� s � r� �� I understand that any false statement may be punishable by �ne or imprisonment undei 18 U.S. Code, Section 100L � , ,�r f �,� � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ' 4 ' � Check here if attachments. licensed land surveyor? � Yes ❑ No ,_ �`"'_',.� ��•• ��> Certifler's Name Gregory D. White Title Project Manager Address 3409 West Lemo�e Signature � Form 086-0-33 (7/12) License Number PLS 4466 Company Name Hamilton Engineering 8 Surveying, I City Tampa State FL ZIP Code 33609 Date 6-10-2015 Telephone 813-250-3535 See reverse side for continuation. �_� : � ,r,� G. ' ��Y•' .�� Replaces all previousedibbr�s. GLGYMI IVI\ {,►Lf111r1�rM1 G� F7AaV i - r 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. 1925 CALUMET ST City Clearvvater State FL ZIP Code 33765 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 Publish nchmark elevations .. Not valid without raised surveyor's seal. N/A indicates "Not Applicable". C2.e) is the lowes ev on of machi�servici�the building: pumps located in mechanical pit area - see photo. Date 6-10-2015 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 infortnation 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 endosure) is ❑ feet ❑ meters ❑ above or � below the HAG. b) Top of bottom floor (inGuding basement, crawlspace, or endosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams Cr9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions), the next higher floor (elevaGon C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or E3. Attached ara e to of slab is ❑ below the HAG. 9 g( p ) ❑ 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 wkh the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local offiaal must certify this infortnation in SecGon 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 Sections 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 Ciry Date State Telephone ZIP Code Check here if attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the commun�y's floodplain management ordinance can complete Sections A, B, C(or E), and G of tliis Elevation Certificate. Complete the applicable item(s) and sign below. Chedc the measurement used in Items G8-G10. In Puerto Rico only, enter meters. 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 infortnation. (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. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This pertnit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (induding basement) of the building: ❑ feet ❑ meters G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters G10. Community's design flood elevation: ❑ feet ❑ meters Local Official's Name Communiry Name Signature Comments Title Telephone Date Datum Datum Datum Chedc here if attachments. FEMA Form 086-0-33 (7/12) 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 Bidg. No.) or P.O. Route and Box No. 1925 CALUMET ST City Cleanvater State FL ZIP Code 33765 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 VievW'; and, if required, "Right Side Viev�i' 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. � V � : irt, �� -,c._ FRONT VIEW DATE TAKEN 06/10/2015 REAR VIEW DATE TAKEN 06/10/2015 :��. a,� , � � � �� -� �� T , � � ,, � . � . � �� I . -. , ,,, . � '� , � - ----_—� , _ a _ w__ , _- ._ . �,. _ � _: _ R � � � . �� `�� r � °�" �� -�� "'v, -�"° �,� 1 �' �= ��,z.., ��«�..:.. '��,_�._ , / ,: i /> � 4at FEMA Form 086-0-33 (7/12) Replaces all previous editions. EL'EVATION CERTIFICATE, page 4 guilding Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Bui�ding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1925 CALUMET ST City Clearwater State FL ZIP Code 33765 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 Vievd' and "Rear VievW'; and, if required, "Right Side Vievd' 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. � � _. . 5 �� . � � ,, � ��` � P � ��. ��. �� -,_ _ _. �, ��r�rz �:-�'� ��=" �� -._:.: � LEFT VIEW DATE TAKEN 06/10/2015 / �� . . . §� � � - � � - � � � ,��' �� . � � ��,�: . �; . . `ry . '� -��-' � , a:. - - � �`�� ', ' � � � --- __.� ��,,:. �: �� r _� - � ._.�. t�.�� . - ,. _ �-a''i .�-s�_4 " �' 3 �� o , . e ..'�}x�"� % . . . w�e�d '4, m`�:-a MEC�iAf�BC�`,F �'i° ,�,RE� — �ATE TAKEN ��,�1 J/2�15 a� 1�: � �� °� � � t�i'�°� �� . � 4� �i � � '� R � ' . � � ,;�" r> � %^ t � � � �f rv � � �� . _ -a � y. . � �^ � x ' �"'� . ��; � � ' �� # � �� . .E!' �y y..� �*� ` '� y ° � . �'" e�..«.� � � �V ^ � ��. `� _ r � � F � � �t _ � j� � . . . � ' � A 4. .. . . i.�w..� M _ * _^ > _ �^ � "..' . � "� . �,_ f�k�R �...,. �, � v �� . � ...: ., , , .: � .. .. i _ � �<.." 4 . �+' . �t � � �� ...w, .°.�a,.�.. � ,�-�. � �� . � ::.••�""`°'_'.. 4 }� �, �� # U -y� � �,. " �' � a', �� , � ' $� �9 �' � ;�... �y �� ;- .. ��rl�, � � r�. ''�.�;� " . .. ',�.,.,,.a.. t� µ, � � � ,� . , . ,= a � . , ' �, �. � . , _..__ `�.-.. __ . _-_. __ _. _.._ .. .' __.<: _ _.:. :. �._. ._. :.d.1 _��. . �.._.�-.: FEMA Form 086-0-33 (7/12) Replaces all previous editions. � � July 23, 2015 City of Clearwater Planning and Development Department 100 S. Myrtle Avenue, Second Floor Clearwater, Florida. 33756 Re: Site Permit BCP2014-03522 Response to G.O. Conditions remaining open To whom it may concern, Please see attached documentation in fulfillment of C.O. conditions listed on the above referenced permit. The list below describes the document attachments being submitted at this time. 1. As requested, see copy of the final elevation certificate to replace previously submitted `Under construction elevation certificate'. 2. As required, payment in the form of check for the outstanding permit fees is also included in this package. Please feel free to contact me directly should you have any questions regarding the documentation submitted. Si M Senior rro�ect tngineer The Beck Group mariorodriquez _beckqroup.com M: 813-335-8981 ,.::t:l `.;'E`i � r'"'i f� .".t=`( 3di;�:; :z't.11'i'k :'C)tl, 1"ti��Ff1, FI_i;R[CiA3 �?;�EfiJ2 I�'(3 2�2 w 9f)�l U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 Nationa! Flood /nsurance Program �mportant: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A- PROPERTY INFORMATION �� +��;�, ��,� . =:�'�.:' A1. Building Owner's Name INSTRUMENT TRANSFORMERS INC i�ii�l�i' '`� �` `�`�� `� ^ � � k pG. A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box Na ^orhp�l� �f �:, �#1�W""� ^�� ' z... 1925 CALUMET ST (BUILDING #3 ON PROPERTY APPRAISERS SITE) `" City CLEARWATER State FL ZIP Code 33765 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL ID #01-29-15-00000-340-1500 LOCATED IN SECTION 1-29-15 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) NON-RESIDENTIAL A5. �atitude/Longitude: Lat. N 27°59'04.4" Long. W 82°45'25.2" 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 1 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawispace or enclosure(s) 0 sq ft a) Square footage of attached garage 0 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 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 & Community Number 62. County Name 63. State CITY OF CLEARWATER 125096 PINELLAS FL 64. Map/Panel Number B5. Suffix B6. FIRM Index Date 67. FIRM Panel B8. Flood 69. Base Flood Elevation(s) (Zone 12103C0107 H 8/18/2009 Effective/Revised Date Zone(s) AO, use base flood depth) 5/17/2005 AE 52 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other/Source: 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: � B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes � No V� Designation Date: N/A ❑ CBRS ❑ OPA 1 �� SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) � o � 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. In Puerto Rico only, enter meters. � Benchmark Utilized: PINELLAS COUNTY I-11 Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 � NAVD 1988 ❑ OtherlSource: � Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. � a) Top of bottom floor (including basement, crawispace, 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) f) 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 49.1 N/A. N/A. N/A. 49.6 49.9 51.7 N/A. � feet D meters ❑ feet ❑ meters ❑ feet ❑ meters ❑ feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters ❑ feet ❑ meters 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 availab/e. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided b a < � Check here if attachments. licensed land surveyor? � Yes ❑ No � Certifier's Name RICHARD C. HINSON, PSM -� � �� r�� 1_n�l -��-` -� �\�� 1:• 1 License Number LS3840 Company Name HAMILTON ENGINEERING & SURVEYING AVE City TAMPA , Date 2-5-14 State FL ZIP Code 33606 Telephone 813-250-3535 See reverse side for continuation. : O � � �.�,�- � �. � �s;�,�C% . .�c��. . ✓ � . q, : ^. �� E QF � �:.m � �, : � r. . ` . ••� • � �. �Gy O �'','';; ,J u r=.fi i`,,a`, Replaces all previous editions. ��vr�� v�� .�r�� irwr�� , NayC � 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. 1925 CALUMET ST (BUILDING #3 ON PROPERTY APPRAISERS SITE) City CLEARWATER State FL ZIP Code 33765 SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. Comments LAT/LONG OBTAINED BY GPS METHODS. FLOOD STUDIES WERE NOT RESEARCHED. ELEVATIONS SHOWN HEREON ARE BASED ON PINEL OUNT ICAL CONTROL POINT "I-11" HAVING A PUBLISHED ELEVATION OF 60.8051 NAVD88. THE ELEVATION OF C2a WAS TAKEN A BOTTOM OF . AIN FLOOR ELEVATION IS 50.9 FEET NAVD. THE LOWEST MECHANICAL EQUIPMENT IS THE MECHANICAL EQUIPM T ON THE EA SID OF T�BUILDING. NOT VALID WITHOUT EMBOSSED SEAL. PHOTOS ATTACHED. BUILDING EXHIBIT ATTACHE . (\ Signature Date 2-5-14 SECTION E�BUILDING ELEVATIdN�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 ❑ 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 Sections 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 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. Check the measurement used in Items G8—G10. 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. G4. Permit Number 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: G9. BFE or (in Zone AO) depth of flooding at the building site: G10. Community's design flood elevation: Local Official's Name Community Name Signature Comments ❑ feet ❑ meters Datum ❑ feet ❑ meters Datum ❑ feet ❑ meters Datum Title Telephone Date Check here if attachments. FEMA Form 086-0-33 (7/12) 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. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1925 CALUMET ST (BUILDING #3 ON PROPERTY APPRAISERS SITE) City CLEARWATER State FL ZIP Code 33765 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. ��,,-._ � �. o- ��',✓•� �. '�. R, � . � `� �aa� �r.x � � �� r �. �. WEST SIDE OF BUILDING 4 '9`"�a� �:, i 'S. 3'E Je- . �' � �" �� '. � � ��V �� "^��"'�`�§,�`"� `�» � . �� 4 -*"k r ' p� . � . �. � �� s�y' : Y& �„�,` ,��, F' � � �? � j �,�. 'Ya..*x 8 � �' � f �\< EAST SIDE OF BUILDING ✓ � j � � �'� t ,. � }. I ��yyy 4 a _ SOUTH SIDE OF BUILDING �� ...�.. �.: ., nt� �w , w,,� SIDE OF BUILDING FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 guilding Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1925 CALUMET ST (BUILDING #3 ON PROPERTY APPRAISERS SITE) City CLEARWATER State FL ZIP Code 33765 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 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. , �, • � . �� _ _ '��; r�-- * t � ` �i� iY '� � �J f s ��;: , � w� . - �y � � ; 5��, � : r� � m , > � ,. . r,.'.."� � • 11�i � .,� � r « i .d� ,� r(y; '� • � � ' � � � f, {a �Y �� ,: �� _ _�-•� � � � '$, �� 3 � _, � ` � + � �''�' . ...,..__..r,.._.�,__�- _ �, , ir �', ;t,e�� 4',�r � ti ��__ __ _ ,a ,. .�.;� a , ,?� `" � �`� r F� y , � ��- v . . � ,�� ' : ; �.� ,� �._ �.� ��.�� . _ �. � �.��:.� � � �. _� . ;��t�,�.rv �� ^ . < `� �• "` �. '� ,,j `i _ ,-''� �„�� , r '� ° "� . � ��, ,. rt~� i� �..�'`� " _ . - � .�. �;. ��:�'%> '•> a�i� MECHANICAL EQUIPP��Y� t)N EAST SIDE OF BUILDING RAMP ON SOUTH INSIDE OF BUILDING FEMA Form 086-0-33 (7/12) Replaces all previous editions. U.S. DEPARTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 NationalFloodlnsuranceProgram Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A- PROPERTY INFORMATION Ft3ti. i�EStaF'E�� C�;�Y �: , A1. Building Owner's Name INSTRUMENT TRANSFORMERS INC poli�y�Yt,i�; A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. �t�r�-t�b�' ;': 1925 CALUMET ST (BUILDING Permit #BCP2014-03522) City CLEARWATER State FL ZIP Code 33765 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL ID #01-29-15-00000-340-1500 LOCATED IN SECTION 1-29-15 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) NON-RESIDENTIAL A5. Latitude/Longitude: Lat. N 27°59'03.0" Long. W 82°45'28.0" 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 1 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 0 sq ft b) Number of permanent flood openings in the crawispace b) Number of permanent flood openings in the attached garage or 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 B3. State CITY OF CLEARWATER 125096 PINELLAS FL B4. Map/Panel Number B5. Suffix 66. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12103C0107 H 8/18/2009 Effective/Revised Date Zone(s) AO, use base flood depth) 5/17/2005 AE 52 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes � No Designation Date: N/A ❑ 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. In Puerto Rico only, enter meters. Benchmark Utilized: PINELLAS COUNTY 1-11 Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 � NAVD 1988 ❑ OthedSource: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the ne� 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 neut 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 55.0 N/A. N/A. N/A. N/A. N/A. N/A. N/A. Check the measurement used. � feet ❑ meters ❑ feet ❑ meters ❑ feet ❑ meters ❑ feet ❑ meters ❑ feet ❑ meters ❑ feet ❑ meters ❑ feet ❑ meters ❑ feet ❑ meters 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. l certify that the information on this Certificate 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. `.\� ,..•'. H� � Check here if comments are provided on back of form. Were latitude and longitude in Section A provid y a �y � Check here if attachments. licensed �and surveyor? � Yes ❑ N r •, . Title 3409 W. C. HINSON, PSM License Number LS3840 Company Name HAMILTON ENGINEERING & SURVEYING City TAMPA State FL ZIP Code 33609 Date 1-14-15 Telephone 813-250-3535 � � � , i �St��.�� ,o. � ��•.r'oe ' . \R ' ' � �c ,� nd� $l1tVd'+,. �`�:_ ��`, FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. GLGYMI IV19 {.rGR11rIVM1 G� NayC c 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. 1925 CALUMET ST (BUILDING Permit #BCP201403522) Ciry CLEARWATER State FL ZIP Code 33765 SECTION D— SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy bo ��p� �f �his Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. ON INELLAS COU� �N P CE AT THIS Signature d C. AINED BY GPS METHODS. FLOOD STUDIES WERE NOT RESEARCHED. ELEVATIONS SHOWN HEREON ARE BASED 2TICAL CONTROL POINT "I-11" HAVING A PUBLISHED ELEVATION OF 60.8051 NAVD88. NO MECHANICAL EQUIPMENT � VALID �THOUT EMBOSSED SEAL. PHOTOS ATTACHED. Date 1-14-15 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 infortnation for the foliowing 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 ❑ 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 0 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 communiry's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local o�cial 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 Sections 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 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 Sectlons A, B, C(or E), and G of this Elevation Certificate. Complete the appiicable item(s) and sign below. Check the measurement used in Items G8--G10. In Puerto Rico only, enter meters. G1. ❑ G2. ❑ G3. ❑ 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 infortnation. (Indicate the source and date of the elevation data in the Comments area below.) A community official completed Section E for a building located in Zone A(without a FEMA-issued or communiry-issued BFE) or Zone AO. The following information (Items G4—G10) is provided for communiry floodplain management purposes. G4. Permit Number 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: G9. BFE or (in Zone AO) depth of flooding at the building site: G10. Community's design flood elevation: Local Official's Name Community Name Signature Comments ❑ feet ❑ meters Datum ❑ feet ❑ meters Datum ❑ feet ❑ meters Datum Title Telephone Date Check here if attachments. FEMA Form 086-0-33 (7/12) 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. 1925 CALUMET ST (BUILDING Permit #BCP2014-03522) City CLEARWATER State FL ZIP Code 33765 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. SOUTH SIDE OF BUILDING ,� . �. . �`� ' � : `� �.(�� i ; � NORTH SIDE OF BUILDING � . �. FEMA Form 086-0-33 (7/12) Replaces all previous editions.