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1006 GRANADA ST (2)�.... � � f. 1, f� � `' LP �v �.:� ` " `)! _ � U.S. DEPARTMENTOF HOMEIAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency ExpireS MarCh 31, 2012 Nationai Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION Name ANNE LEWIS AZ. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.j or P.O. Route and Box No. 1006 GRANADA STREET City CLEARWATER State FL ZIP Code 33755 A3. Property Description (Lot and Biock Numbers, Tax Parcel Number, Legal Description, etc.) LA JOLLA, LOTS 3 8� 4, BLOCK A, P.B. 10, PG. 76 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL A5. LatitudelLongitude: Lat N-27-59-41 Long. W-82-47-38 Horizontal Oatum: ❑ 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 Numbe� $ A8. For a building with a crawlspace or enclosure(s): A9. For a bui�ding with an attached garage: a) Spuare footage of crawlspace or enclosure(s) 1454 sq ft a) Square footage of attached garage 0 sq ft b) No. of pertnanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached gerage enclosure(s) within 1.0 foot above adjacent grade 1� within 1.0 foot above adjacent grade Q cj Total net area of flood openings in AB.b 1298 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 Bi. NFIP Community Name & Community Number 62. County Name 83. State CITY OF CLEARWATER 125096 PINELLAS FLORIDA 64. Map/Panel Number 65. Suff'uc B6. FIRM Index B7. FIRM Panel B8. Flood 69. Base Flood ElevaGon(s) (Zo�e 12103C0106 H Date EffectivelRevised Date Zone(s) AO, use base flood depth) 8/18/2009 5/17/2005 AE 13' B10_ Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69. ❑ FIS Profiie � FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other (Describe) 812. Is the building located in a Coastal Barrfer Resources System (CBRS) area or Othervvise Protec�ed Area (OPA)? ❑ Yes � No Designation Date ❑ CBRS ❑ OPA SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Const�uctfon' � Finished Construction � "A new Elevation CerGficate 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, ARlA1-A30, AR/AH, AR/A0. Complete items C2.a-h � below according to the building diagram specified in Item A7. Use the same datum as the BFE. ,� Benchmark Utilized PIN CO DISK AURAL F Vertical Datum ELEV=22.41 NAVD1�88 � Conversion/Comments Check the measurement used. a) Top of bottom floor (inctuding basement, crawlspace, or enclosure floor) �.7 � feet ❑ meters (Puerto Rico only) /✓� b) Top of the ne?� higher floor Z.$ � feet ❑ metars (Puerto Rico onry) � c) Bottom of the lowest horizuntal structural member (V Zones only) WA._ ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) N�/ ._ ❑ feet ❑ meters (Puerto Rico only) � e) Lowest elevation of machinery or equipment servicing the building $.4 � feet ❑ meters (Puerto Rico only) r'�5 (Describe type of equipment and location in Comments) � lowest adjacent (flnished) grade next to buflding (LAG} 6.0 � feet ❑ mete�s (Puerto Rico only) � g) Highest adjacent (finished) grade next to building (HAG) 6.4 � feet ❑ meters (Puarto Rico onlyj h) Lowest adjacent grade at lowest elevation of dedc or stairs, including 6.� � feet ❑ meters (Puerto Rico only) � structurat support � SECTION D- SURVEYOR, ENGINEER, OR ARCHITEC7 CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authodzed by law to certify elevation information. 1 cenify fhat the intormatlon on thls Certi�cate represenfs my best efforts to Interpret the data availab/e. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1009. � Check here ff comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes � No Ce�er's Name LAUREN R. PENNY, P,S.M. License Number #4931 Title LAND SURVEYOR Company Name L.R. PENNY AND ASSOCIATES, INC. Address 10730102 AVENUE NORTH City SEMINOLE State FL ZIP Code 33778 Signature � FEMA Form 81-31, Mar 09 2/12/2013 Telephone 727-3 See reverse side for continuation. �r -• _ �.-� :. . :'"�s.�'Y'' °A `,'�;�L'��r� �4 `� �- � ` t'�HExFtE ., i: ":� �4 i��.. = �� y; :;1k' ' • „ � ,:.'• � . ; ,, rf �. ,oy �_ t �* j.v s s seo-. ., ��M�a�e�a3st�a�ob��e Replaces all previous editions IMPORTANT: In these spaces, copy the cor�esponding information from Section A. Buiiding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P:O. Route and Box No. 1006 GRANADA STREET City CLEARWATER State FL ZIP Code 33755 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 LOWEST EQUlPMENT IS AM ELECTRICAL OUTLET. � ❑ Chedc here if attachments SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO a�d A(without BF�, complete liems E1-E5. If the Certificafe is intended to support a LOMA or LOMR-F request, compiete Sections A, B, and C. For Items Ei-E4, use natural grade, if available. Check the measurement used. In PueRo Rico only, enter meters. E1. Provide elevation infortnation for the folbwing and check the appropriate boxes to show whether the eievation is above or below the highest adjacent grade (HAG) and the fowesl adjacent grade (LAG). aj iop of bottom floor (including basement, c.�awlspace, or endosure) is ❑ feet ❑ mete�s ❑ above or Q 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 &9 with pe�manent flood openings provided in Section A items 8 and/or 9(sae pages 8-9 of Inst�uctions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ balow the HAG. E3. Attached garage (top of stab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platfortn 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 oMinance? ❑ Yes ❑ No ❑ Unknown. The local offlciai must certify this information in Section G. SECTION F- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owne►'s authorized representative who completes Sections A, B, end E for Zone A(wlthout a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are corr�ct to the best of my knowledge. PropeAy Owners ar Owners Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local o�cial who is authorized by 1aw or orclinance to administer the communitys 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. Chedc the measurement used i� Items G8 and G9. G7. ❑ 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 offlcial compl�ted Sedion C for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. G3. ❑ The following infortnation (Items G4-G9) is provided for community floodplain management purposes. G4. Permit Number G7. This permit has been issued for. G5. Date Permit Issued ❑ New Construction Date Certificate Of O Substantial improvement G8. Elevation of as-buiit lowest floor (including basement) of the building: G9. BFE or (in Zone AO) depth of flooding at the building s(te: G10. Community's design flood elevation Local Off'�cial's Name Community Name Signature Comments ❑ feet ❑ meters (PR) Datum ❑ feet ❑ meters (PR) Datum ❑ teet ❑ meters (PR) Datum Title Telephone Date issued ❑ Check here if attachments FEMA Form 81-31, Mar 09 Replaces ali p�evious editions