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839 BAY ESPLANADEU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATI4N CERTI FICATE fEDERAL EMERGENCY MANAGEMENT AGENCY �ational Floo�( Insurance Progrom IMPORTANT: fvilow the insVUCtions on pages 1-9. SECTION A - PROPERTY INFURMATION A1. Building Owner's Narne ELBRIDGE F. BILLS, II �2. Buiiding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P0. Route and Box No. OMB No. 1660-000& -� Expiration Date: July 31, 2015 � FOR WSURANCE COMPANY USE Policy Number: NAIC Number: City CIEARWATER State F� ZIP Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.} PARCEL 05-29-15-54666-039-0050, BLOCK 39, LOT 5, MANDALAY SUB, PLAT BOOK 014, PAGE 032, PINELLAS COUNTY, FLORIDA A4. Building Use (e.g., Residential, Non-Residentiai, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27•9954 Long. $2•$235 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 phoiographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number ONE-A 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�P` sq ft a) Square footage of attached garage 340 sq ft b) No. of permanent flood openings in the crawispace or b) Number of permanent flood openings in the attached garage enclosure{s) within 1.0 faot above adjacent grade N�A within 1.0 foat above adjacent grade NA c) Total net area of fload openings in AB.b N�A sq in c) Totai net area of flood openings in A9.b N�A sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � Na SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATIUN B1. NFIP Community Name & Community Number CLEARWATER CITY OF 125096 B4. MapJPanel Number B5. Suffix B6. FIRM Index Date 12103C0102 � G � OS/18/2009 B2. County Name pINELLAS B7. RRM Panei Effective� Revised Date 09/03l2003 B8. Flood Zone(s) AE IB3. State FL B9. Base Flood Elevatior�{sj (Zone A0, use base flood depth) 11.0 FT 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 B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: � 812. Is the buiiding located in a Coastai Barrier Resources System {CBRS) area or Otherwise Protected Area (.OPA)? ❑ Yes � No Designation Date: / / ❑ CBRS ❑ OPA � SECTION C- BUILDING ELEVATION INFORMATIQN (SURVEY REQUIRED} 1./� C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* � Finished Construction Q *A new Elevation Certificate will be required when construction of the buiiding is compiete. � C2. Elevations - Zones A1-A30, AE, AH, A{with BFE). VE, V1-V30, V{with BFE), AR, ARJA, 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. J � Benchmark Utilized: �PS Vertical Datum: NAVD 1988 `1 I�dicate 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 ihe same as that used for the BFE. Check the measurement used. � a) Top of bottom floor (including basement, crawispace, or er�ciosure floor) �•>> � feet ❑ meters b) Tap of the next higher floor N�'4 � feet ❑ meters � c) Bottom of the lowest horizontal structurai member (V Zones oniy) N�p' � feet ❑ meters d) Attached garage (top of slab) 6.25 � feet ❑ meters v e) Lowest elevation of machinery or equipment servicing the building 8 23 � feet ❑ rneters _/� {Describe type of equipment and location in Comments) � Y �� , � � Lowest adjacent {finished) grade next to buiiding (LAG) 6 2 � feet ❑ meters gj Highest adjacent {finished) grade neut to building (HAG) �� feet ❑ meters h) Lowest adjacent grade at lowest eievation of deck or stairs, inciuding NA � feet ❑ meters structural support SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation inforrnation. 1 certify that the information en this Certificate represents my best efforts to interpret the data avaifable. 1 understand that any faise statement may be punishabte by frne or imprrsonment under 18 U.S. Code, Section 1001. \��>-` �: �� }\l ��,,k ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a \�`` 4j!r,�, ❑ Check here if attachments. licensed land surveyor? � Yes ❑ No ��; ;�, Certifler's Name BILL H. HYATT, JR Title PRESIDENT Addr2ss 1497 MAIN STREET#321 Signature FEMA Form 086-0-33 (7/12) / Company Name KNOW IT NOW INC City DUNEDIN 5-1-2014 License Number #4636 State ZIP Cod FL 34698 Telephone (727)415-8305 See reverse side for continuation. S1.1I1_(�� I�Lnitil>.1 Repiaces all previous editions. � �� ;-: �. �� _�, �. � � �-��., �_�. ,,�. . ��". -µ� �- ��-,_. � �� r..�.. .- ;� �.==— �� .<. ,� _ ,, ._. _ � �,..-�„.-„. • , ��;�. � � F�r- - • � :i��{ . _ : ,-.n. _ �� _� � e � � -� -� .. � �� . � �'�#:- 3 . . . .- - :. _� .z'� �. ....:.::.: 839 BAY ESPLANADE BCP2014-05020 BILL, ELBRIGE Zoning: Low Medium Density Re Atlas #: 24gq ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding Informatlon from Sectlon A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P0. Route and Box No. 833 8AY ESPLAfVADE City State ZIP Code CLEARWATER FL 33767 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: 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 Signature f��'�� Date 05/01/2014 SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zanes AO and A(without BFE), complete items E1-E5. If the Certiflcate 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 e(evation is above or below the highast adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom fioor (including basement, crawlspace, or enclosure) is . � feet ❑ meters � above or ❑ below ihe HAG. b} Top of botiom floor {including basement, crawlspace, or enclosure) is . � feet ❑ meters � above or ❑ belaw the LAG. E2. For Building Qiagrams 6-9 with permanent flood openings provided in Section A Items S and/or 9(see pages 8-9 of instructions), the next higher floor (elevation C2.b in the diagrams) of the building is N� . A � 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 Yhe building is . � feet ❑ meters � above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is availabie, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes ❑ No ❑ Unknown. The local official must certify ihis information in Section G. SECTIQN 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 4(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 or Owner's Authorized Representative's Name Address Signature Comments City Date State ZIP Code Telephone ❑ Check here if attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official wha is authorized by law or ordinance to administer the community's floodplain management ordirance can complete Sections A, B. C{or E), and G of this Eievation 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 hy 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 compieted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone A0. G3. ❑ The following information {Items G4-G9) is provided for community floodpiain 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 ❑ Substantiai improvement GS. 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 flaod elevation: Lorai Of(icial's Name Community Name Signature CommeMs Title CLEARWATER CITY OF Telephone Date ❑ feet ❑ meters Datum ❑ feet ❑ meters Datum ❑ feet ❑ meters Datum ❑ Check here if attachments. FEMA Form 086-433 (7/12} Replaces aii previous editions. ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS CONTINUATION PAGE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. ADDRESS: 839 BAY ESPLANADE CLEARWATER, FL 33767 PICS TAKEN 4/30/2014 FRONT VIEW AND CONTINUING AROUND BUILDING � _ �; .,� �_. . � �� ^ ;� ,�: � 4 � , . . P � � ..- . - �� M� '� e �a� �` � � '. ' � �+� �� . . r � � •� �.�, � '`�a ; x > > .. _ ��: �' �' , -�# `t �* r ;, .. .. ,.�.,� '. i? �',f-..:�_,`�,..� �. � � ��.,. �� - '.^� �: �� _� � � - � :w, �� .:� E= �°. � � � '�: , _ �; AS't �.. ��:: i� �.� �".�`��` � � ��a ` .�� £,, ��- _ � .. �.��: _ * �� , � �� I�J � � . rv.� . e M , � � � � . �� `"e, j I' �' q°, � . � ��F ��a� � ��'�� " � a � x � �� r� ° ;-� < } , �w. ,��': � � A'�� ,� �.�� t __ __ � Y� � �� i �� "� V� , ��_ -.: c � �_ —_ � � _�� _,�. R� k � �y � /"^" k,�,:, � � �� 4 � ... �� ix . � "�:�. �, , F ,` � ��.; � Y MAY O 1' 2014 PLANNING & DEVELOPMEN' CITY OF CLEARWATER