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739 BAY ESPLANADEU.S. �EPAR7MEN1'Of NOMELAND SECURlTY ELE1lAT1�1� CERT[FICATE FEDERAl. EMERGENCY MANAGEMENT AGENCY taiionel �lee�i Luurncxe i�rogra;u FMROR'ikNT: Follow the instructions on pages 1-9. SECTIOFY A — PRQPERfY IIVFUFIMiA'ftO1V A2_ Building owner's tvam� CARDY, THOMAS W, CARDY, El7GENIA C A2. Buiid�n Street Address {inoiuding Apt., Unit, Suife, and/or Bldg. Np 1 ar P.Q. RouY� and 8ox No. -� r,--- r'--'--- '- Clearwater State FL QR4B No. 1660-OOQS Expiratian Date: July 31, 2a15 �aa tnssuRaNCE can�P,�wv us� Policy iVumber: ztP coas 33767 A3. Property Description (Lot and Block Nurnbers, Tax Parcei NumbPr, legal Description, eic.) MANDALAY SUB SLK 36, N 48FT OF LOT 3& 5 32FT OF LQi' 4& RiP RTS A4. Building Use (e.g., Residentiai, Non-Residentiai. Addition, Ac.cessory, etc.) R� � enti8t __ ___ A5. Latitude/Longitude: Lat. �7,°�9,�2.8"=�1 ..�._. Long, $�4�'_��.n�..__,.�.,,_�.,k� Horrzontal Datum: �NAD 3927 [[�NAD 1�8� A6. Attach at least 2 photographs of tl�e building if the CertificatQ is beir�g u$ed to obtain flood insuranee. A7. Buildi�ig [3iageam Number $ r'�8_ For a buiiding with a craw•ispace or enciosurs(sj: �9. For a building with an attached garage: a} Square iootage of cra:vfspace ar enclosure(s) �gg2 sq ft aj Square footage of aYtached garage 62fl sq ft b) Nurnber of permanent ��ood opennigs in the craevlspece 4 b� Nurnber of p€rrr�nent flapd openings in the attached garage or enctosutz(s) tiuithin 1.0 faot above adjaceni grade �12 within 1.� foot above adjaceni grade ,� c) Totai net area ot flopd openings in �S.b sq in c) Total net area of flaed apenin�s in A9.b 256 sq tn d) Engineered flood openings? � Yes ❑ Nn d} Engineered fload openings? � Yes � No SECTION S— FLU(3D INStlRANCE RA?E MA� {�i�tfYi} IN�OFi(1+IAilON B1_ NFIP C�rnmunity Ptame & Community Rumber Ciearwater. Cifv of 925096 0102 G B4. hlap/Panei NumbEr � 95. Sufiix j S6. FkRM lndex Qate 92iO3C0102 ( G y D9103/2Ci03 Pinellas B7. FIR�Id Panet Effe ReviseB DaEe 08/18/2009 B8. Flood AE B3. Sta�e FL B9. Sase Fl�nd Elevation(s} AO, use base flood depi 11 810. Indicate ihe source of the Base Flood Etevatian �BFE) data or base flaod depth �ntered in Item B9: ❑�75 Pratite � F7RM ❑ C�mmunity DstermineU � Other/Sovrce: B11. Indicate elevation datum used for BFE in iten� B9: � NGVD 1929 � NAVD 1388 � Other/Source: B12. Is the building [ocated in a Coastal Barrier #7esources System (CBRSj area or Othenvise Pratected Area (OPA)? ❑ Yes � No Designation Date: 1 I ❑ CBRS ❑ OPA SECTlQN C— BUILDfNf ELEVATFON t1VFORMAFiON (SllRVEY REQUIRED} C1. Buiiding e{evaiions are i�ased on: ❑ Constr�ction Drawings� ❑ Buiiding Under Construction* � Finished Cansiructian "A new Elevafian Certatieate tvill Ue required +Hhen construction of the building is campiete. C2. �levations — Zones Ai—A30, AE. AH, A#uaith B�}. VE. Vi V30. V(:kixh BFE), �R, AR,�A, ARJqE. ARJA1—A30. ARIAH. AR/��. Complete Items C2.a—h below according to the building diagram specified in !`,em A7. In Puerto f2iCa only, ent�r meisrs. 8enchmark Utilized: CitV of Clearwater BM 1-03 Veriical Datum: EL=2.674=NGVD 1988 lndicate eievation da#um used for the elevations in iter,�s a} through h} bela�v. �; N6V� 1929 � NAVD 198$ !`t OtherJSource: Datum used for building elevations must be the same as t}iat i�sed ior the BFE. a) iap o( 6otiom floor (including basement, crawlspace, or enctasure tloor) b1 Top of the nex# higher fioor c) 8otiom of #he lo�vest horfzontal structural memt�er (V Zones onlyj d) Attached garage {tap of slab) e) Lowest elevatson of machinery or equipmenl servicing tf�e Uuilding (Describe type of equi{�men# and location in Cornments) fj �o�vest adjacent tfinished) grade next to build€ng {I.AG) g) Highest adjacent (finishedJ grade next to buslding (HAG} h) Lowest adjacent grade ai lo�vest eieuation of deck or stairs, inclu�ing structural support 6_4 N/A N/A � 4 6 6 5 4•2 - 5.1 N/A , Check the measurement used. � feet ❑ metscs � teet ❑ meters ❑ feet � meters � feet ❑ meters 0 feet ❑ meters � feet � meters � feeE � met�rs � feet � metErs SEGTIQN D— 5tlRVEYOR, ENGtNEER, OR ARCHITfCT CERTIFlGA'fidN This certificatic�n is to be signed and sealed by a land surveyor engineer, ar architect acRharized by iah :o c�:rtify eleuadion informaYion. t certify tttat the ir2forrnafion on thfs CeKificate represents my besf etforis to rnter7sret [t;e d�ta avaitabf2_ 1 under-stand that any fatse statement ma}� be punfshabfe by fine o� �mprisonment uncier 18 i.'.5. Cocie, SecFfott IODi. � Check here if conaments are provitled on back af fama. ❑ Check here if attachments. Cerrifier's Name Georqe R. Martin Tatle President Address 4590 Ulmerton Rd, Suite 715 signateare }r? � �FMA Fnrni (1RA_(1-�� lRavicori 77175 LYere tatitude and longitude in Sect�nn R provided by a licertsed iand surveynr? 5� Yes ❑ No L:cease l�umber LS 6019 CamFarry �lam,e Inc. State i Z1P Cade FL `33762 Cf?y Glearwater D22e osi�4�za�s �nc+ rc v�rca cirin #nr rnntiniiatinn 47�-8088 e4� ,,.- � �T �� RanEar.vc al! nrwvinnc arlitinnc . � � , D k� - � . E�C�1 � , �� . �' � � . �,i 739 BAY ESPLANAD�- ', BCP2016-12487 """ REMODEL III THOMAS W CARDY i Zoning: Low Medium Density Atlas#: 249A�� ELEVATION CERTIFICATE, page 2 IMPORTANT: En these spaces, copy ihe sorrespanding intormation irom Seciion A. Building Street AdcirESS {inctuding ApL, Uni#, Suite, and!or 61dg_ N�.j or Fd_ Rot�te and Bcx 3Vo_ Cliy Clearwa#sr St2ie ZIP Cede FL 33767 FOR iNSURANCE C4MFI�NX U5E ?c{icy Nurnber: Cc!nparry NA1C N�mber: SEC710N D- SURVEYt)ft, �NGINEER, DR ARCHIT�CT CERTI�ICA7lON (CONTINU��) Copy both sides of this €tevation Certificate for (1j �ommur,zty officiai, {2i insurance agentjcompany, and (3) buiiding awrer. Catnments My iegal authority through ihe state of Flordia to certify elevation information is reprQSented by my signature and seal. My cestifipfion in Sec(ion D of this form covers nnlv elevation infarrttation as oer FEMA's stated ourpnse for this certification in tt+e insUvcflons aitached to fhe Elevation Signature �/� ____ �___--�-.,_-___._.w_,.. -- - � - _ _- ��._ � � � , �° e� ; �� Date �5/141201 � SECTION E- BUItAIi+IG ELEiIATiON !NF<3RMATI�N {SllRYEY NflT ftEQUtRED) FOR �ONE Afl ANQ ZBNE A{W17'HOilT BFfi) For 2ones AO and A{wi:hout SFE), compleYe ILems E1-E�_ if the Certifrcate is intencied ta support a L�R�A flr L�MR-F request, compiete Sectians A, 8.and C. For ftems El-f4, use natura� gr�de, �T auailabie. Checls U�e measurement usEd. In Puerio Ri�.a only, enter rn�ters. E2. Provfde elevalion ir�formaiion [or ihe fqil4v.�inb and cneck ihe apprapriate boxes ta stiUev vrEiet�ier ttre e9ev�tion ls 2b�ve or t�eica�v the highest atliacerii �rade (HAG) and ihe lowest �djacent grade (�AGi. a) Top of bottam fioor (including basement, crawispace, or encl�sure} fs , ._______„ C feet ❑ meters ❑ above or ❑ betow the NAG. b) Top of bottom fioor {inctuding basement, crawis��ace, or enclos:�re; is . (.; feet ❑ meYers 0 above or � beiow ihe LAG. E2. For Buitding Diagrams 5-G �vith pe�rnanent f?ood Dpenin�s pro+�ided ir� 5ectian A ltenis 8 and/or 9{see pages 8-9 of instructions), the next higher Floor (elevatian C2.b in the oiagrams) of t}ie buii�in� is . � feet ❑ meters ❑ above or ❑ below the NAG. E3. Attached garage (top of slah} is . C feet ❑ meters ❑ above or ❑ belorl Yhe HAG. E4. Top of piatiorm af machinerr andJorequipment servicin� the building is . C feet ❑ mQters ❑ aboue or ❑ below th� HAG. �5. Zone AO only: If no flood depth num}�er is availabie, is tfi8 top of the bottom tloor elevated in accordanee with the community's floodplain management ordinance? 0 Yes ��lo � Unknown. The Iocal officiai must certify Yhis information in Ssction G. SEC'flON F- PROP£RTl' UWNE#� (OR OWNE1t'S REPRESENTATIVE) CERTIFlCATION The properry ou��ner or ov�ner's authorized representaLave �;�ho cornptetes Sections A, B, anti E€ar Zflne A{avit#�ouc a�EktA�ssued Qr communiry-issued BFE} or Zane AO musY sign iierz. The sta#emen#s ir� Sections A, B, and E are c�rrect to the best of my kno�vied��. Aropertv (hvner or Qvaner's Auihprized Reprssenia#ive's Name Address Signature Comments City Date SECTIDN G - C�MM11N17Y INF4R�VIAi1t?N {OPTIONALj 5tate ZiP Code Telephone � Gheck here if attachmen#s. ihe locai afficiat vlho iS atrtharizecj by taw Qr c,rdinance to admir':ster the rommun:r;'s floodplain m�oagement ordinance ean canYplete Sections �A. B, C(or Ey, and G oi this Etevatson CErtiicate. Gomplete �he applicable item(s} and sign freiccv_ Check th2 measu2anent used in Items GS-G10. In Puerio Rico oniy, enter meLers_ Gl. ❑ The inforrfiiation in Section C was taVen fr�m oth�r documenta�.ion that has be¢n signed arid seated hy a licensEd s-�trv�yor, enginesr, or architect v�hn is 3uThorized by iaLV to certify elevation infom�aifon. {Indicate t�e source and r#aic oiihe �1e�ation data in the Comn�enES atea belor�.) G2. ❑ A comrnunity offieial enmpleted Seciion E for a buiiding tocated ir Zone A(without a FEN1,A-issued or cornmunitv issued BFE) or Zone A0. G3. � The fallawin�s inforsnation {Items G4-G10t is pro�rided for community filoodpla+n mana�emeni ourpases. G4. Permit Number G5. Oate Fermit lssu�d (�p. Qate Certifieat� Of Compliance/OccupanGy #sst�eci i i G7. This permii has been issued far: p NE�v Construction ❑ Substarttiai lmprovem�nt G8. Elevalion of as•built lowest floor (inciuning basem�ni) of the t�uilding: . � feet ❑ rnEters Datum G9. BFE or (in Zone AO) depth of flooding at ths buildinp siie: . ❑ feet ❑ rneters Daium G10. Communiiy's design ilood eievation: . Ct ieet ❑ me[ers t�atum _ _ _ . ---.-- _ �ncai Officia3'S Name TE�� Cornmunity f�anie Telepnone Signature Comrnents Date � Check here if attachments. ELEVATIdN CE�ifFFCATE, page 3 BUILDING PHOTUGRAPHS See Instructions for ltem A6. [h7PORTANT: In these spaces, copy the correspanding irrFormation from Sectian A. 13uilding StreeL AddrBSS (incluciing Apt., Unit, Suite, atta�or @Edg. No_j ar PO RoutE and Box fVo. 739 Say Esplanade Cit � � ��rz� . �- ��' State �� ZIP Code C�earwater FL 33767 FQR INSURARiCE COMP�NY USE Palicy hurnber. Campany NAtC Alumber: If using the Elevation Certifrcate tfl obtain NFIP filood insurance, affix at least 2 i�uilding phatographs beivw accordng to the instr-uctions far Item A6. idenkify aIl photogfaphs with date taken; "FrohY View" and "Rear 1%ietv"; and, if requir�d, "Right Sid� View" and "Left Side Vietv." iNhen app(icabie, photagraphs ntusi show the fou�id�iion �vith representative exampi�s of the f(oad openings or vents, as indicated in Section A8. IF subn3itting rnore photographs than �vilt fit on ti�is page, use the Continuation Page. v' "S °'C2.f : ��` " ,A7l.".' .. .--. _ . � _ 'o . .. ''�; , .'-.. 3C2 d C2.a, � '�r.r; 5/121i5 "Front View° II N� p �� f ��€'�� § �w �` ��r � �' S �� E y �-� -�r z � ' ��r �� ' 3a t� � � �r_v d ✓ � �� y-�� ^` � n� a 5!'t2115 "Rear View" 5!'l2115 "Right View" � .� � �; , > � , � _ � ' � �y� � � � � k ��l�.�i! �� - �� a �',�> �:�' Y�� r „&?�5��, _ _ - --- - � 5f12115 "Rear Vie�v" �� . � t �Ji2l15 °Left View" 5112115 'Right �ew•, ELEVAT�Q�1 CERTiFiCATE, Rage 4 BUILDlNG PHO'iOGRAPHS C�ntinuatian Page ilVfPORTANT: In these spaces, copy the cotrespanding it�furmatian from Seciian A. Buolding 5treet Addeess jinciutiing Apt.. Unii, Suite, andlor Bidg. I�a.) or PO. Route and Box I�c_ 739 Bav Esc�lanad� Ciearwater st�te zip cod� FL 33767 FOR IIVSURANCE C�NiPANY USE 'cticy h:�mtrer: Cempany If subrnitting mare photographs than v,9!! ii# on the �recedrng page� a�ix the adailicnal photographs t+e1�r.: identify aN photographs vyith: date taken; "Front Vi��v" and '�Rear l�iew`'; arid. if rec�uired, "Rigl�rt Sid� Vle�v" and "L�ft Side Vie�l" When appiicable, photographs must sliow! ti�e foundation with representative ex�mples of the fl�ccl o�et�ings or v2nts, as indicated ii� S��:ti�n A8. � ;- - - ••— - • i�►u�ur Y�uf�� I� �YVfi��' ��i , y, , , � ��-: ��r � ,� �,a , �� , ., i'�1'�] �� 111'i'-a93�?1if° , � u 'a ., ; �. �� s n.. � •. � , _. „ . . ��..�. ...� _ , _._ �. , ,.:_ � � � , ' � . ... . ... . .. .. � � n..., sr,.:a •u � .�a s^r, ,.. �,. ��.�,� , ...., r., �� , '��, � � s� w �. � �. : . ��yty� ' yz f ` :�rF �'4,��'�+s. +a�'� . .. ,� � �i 5f9 2/15 �/12/15 Nt3hJ-EGN6lNEERED VEIUTS ARE NOT INCLt1DED IN A8.b AND AB.c °�� n � �" � � '� �' �� :_,�.. �;��'' � " "-�;�� , �� .��;�� " : =, � ,-� �` � � �� n. � � �� '�; �, �.,� �� g, � , ,�s,_ .:. � �,,.._ �^��.. : �� , n...a:: �.:....�,'��c_. _ � �r� `�'- � � �,��r�z I � _ a°` �> �� ..-�. � � \ U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY NarionalFloodlnsuranceProgram Important: Read the instructions on pages 1-9. 201374 SECTION A- PROPERTY INFORMATION A1. Building Owner's Name A2. Building Street Address (induding Apt_, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 739 BAY ESPLANADE City CLEARWATER State FL ZIP Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) OMB No. 1660-0008 Expiration Date: July 31, 2015 FOR INSURANCE COMPANIf USE Number A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27°59'28.06"N Long. 82°49'27.14"W Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 8 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) 1.599 sq ft a) Square footage of attached garage 200 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 187 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 3315 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 125096 PINELLAS Florida 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: _ 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected 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 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, ARlA1-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. � Benchmarlc Utilized: CITY OF CLW J-03 Vertical Datum: NAVD 1988 � 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 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 locabon in Comments) fl Lowest adjacent (finished) grade next to building (LAG) 8_5. 10.3. N/A. 8_5. 10.2. 8_1. � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters �� g) Highest adjacent (finished) grade next to building (HAG) 8_4. � feet ❑ meters v 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. I certify that the information on this Cert�cate rep►esents my best efforts to interpret fhe data available_ I understand that any false statement may be punishable by fine or imprisonmenf under 18 U. S. Code, Section 1001. -� t� F� C q T � R � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ��' � Na. 2883 ❑ Check here if attachments. licensed land surveyor? � Yes ❑ No Certifier's Name Clyde O. McNeal Title Registered Professional Surveyor Address 6250 N Military Trail #102 License Number 2883 Company Name TARGET SURVEYING, LLC City West Palm Beach State FL ZIP Code 33407 FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 (201374) 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. 739 BAY ESPIANADE City CLEARWATER State FL ZIP Code 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 agenUcompany, and (3) building owner. Comments GARAGE SQUARE FOOTAGE IS ROUNDED TO THE NEAREST 100 SQUARE FEET. ACCESS UNAVAILABLE. ELEVATIONS IN SECTION C2-E ARE ELEVATIONS OF A/C SLAB. Signature �` _� Date 3/3/2014 c.r�-/ 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 (including basement, crawlspace, or enclosure) is __ ❑ feet ❑ meters ❑ 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 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 Owners 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 w ordinance to administer the community's floodplain management ordinance can complete SecLons 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 (i�cluding 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 Title Telephone Date Datum _ Datum _ Datum _ Check here if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions. U.S. DEPARTMENTOf HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAI EMERGENCY MANAGEMENT AGENCY l.ucanat Flaod Insurance Pro�ram IMPQRTANT: Follow the instructions on pages 1-9. SECTION A — PROPERTY INFURMATION Ai. Buiiding Owner's Name CARDY, THOMAS W, CARDY, EUGENIA C A2. 8uiidin� SVeet Address (including Apt., Unit, 5uite, and/o� Bldg. No.) or F0. Route and Box No. 7 C1 Q...• C....1...�_�_ c'�' Clearwater State FL A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) MANDALAY SUB BLK 36, N 48FT OF LOT 3& S 32FT OF LOT 4& RIP RTS A4. A5. A6. A7. A8. OMB No. 1660-0008 Expiration Date: July 31, 2015� FOR INSURANCE COMPANY USE Policy Number: Code 33767 Building Use (e.g., Residential, Non-Residential. Addition, accessory, etc.) Residential Latitude/Longitude: Lat. �7°Sq'?R" N Long. 82°49'27" ]Qr Horizontal Datum: ❑ NAD 1927 � NAD 19$3 Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. Bulltling Diagram Number 8 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) i 9g2 sq ft a) Square footage of attached garage 620 s f{ 4 b) Number of permanent flood openings in the crawlspace 4 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 � c) Total net area of flood openings in AS.b 512 sq in �} Total net area of flood openin�s in A9.b 25B in sq d) Engineered flood openings? � Yes ❑ No d) Engineered flood openings? � Yes ❑ No SECTION B— FLOOD INSURANCE RATE MAP {FIRM) INFdRMAT10N BS. NFIP Community Name & Community Number Clearwater. Citv of 125096 0102 G 84. Map/Panel Number 85. 5uffix B6. RRM Index Date 12103Cd102 f G � 09/03/2003 B2. County Name Pinellas H7. FIRM Panel Effective/ Revised Date 08/18/2009 FL 88. Flood Zonels) B9. Base Flood Elevati� AO, use base flood AE � � B10.Indicate the source of the Base Flood Elevation (BFE) data or base flood deptn entered in Item BS: ❑ FlS Profile � FIRM ❑ Community Determined ❑ Other/Source: B11.Indicate elevation datum used for 8FE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: 812.IS the building located in a Coastal Barrier Resources System (CBRS� area or Otherwise Protected Area (OPA)? ❑ Yes � No Designation Date: / / ❑ CBRS ❑ OPA SECTION C— BUILDING ELEVATION INFORMATION [SURVEY REQUIRED) C1. Building elevatians are based on: ❑ Construct+on Drawings* ❑ 8uilding Under Construction* � Finished Construction *A new Elevation Certiflcate 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/Ai-A30, AR/AH, AR/A0, Complete Items C2.a-h betow according to the building diagram specified in Item A7. In Puerto RiCO only, enter meters. Benchmark utilized: Citv of Clearwater BM I-03 vertical Datum: EL=2.674=NGVD 1988 Indicate elevation datum used for the elevations in items a) through h) belaw. ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: Datum used for building elevations must he the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure flaor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural mernber (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 (flnished) grade ne� to building (LAG) gy Highest adjacent (finished} grade next to bu�lding (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structurel support 6,4 N/A N/A 4 6 6 5 4,2 5,1 N/A Check the measurement used. � feet ❑ meters � feet 0 meters � feet [j meters � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters SECTION D— SURVEYOR, ENGINEER, OR ARCHITECT CERTIFlCATION This certification is to be signed and sealed by a larxi surveyor, engineer, or architect authorized by law to certify elevation " information. 1 certify that the information on this Certifrcate represents my best efforts to rnterpret the data avaifable. � a ( ,� f understantl tha[ any false statement may be punishable by frne or imprrsonment under 18 U.S. CQtle, Section 1001. ��'' �� -;� n � Check here if comments are provided an back of form. Were latitutle anp longrtude in SecLOn A providetl by a �� ! ��'•, C"r p Check here if attachments. licensed land surveyor'? � Yes ❑ No � a •' '_� " C'•' Certifier's Name George R. Martin rit�e President Rd, Suite 115 signacure Lice�se LS 601 I nc. Date Telephone 05/14/2015 (727) 475-8088 ZIP Cade 33762 � ,� � � � �. cta c- et; �,� . �(�i,f� � . � � Cj f �, e,, \ : �� a.. 1 r�� . � '` . . . . �:. � �� „.._..n'� �� . -� FFMA Fnrm (1RC.f1.�3 lRnvicad 7/19� ReP ravPrcP ci/ita fnr enntini iatinn Ranlacc�c all �revirn.�a eriitinnc ELEVATION CERTIFlCATf, page 2 IMPORTANT: In these spaces, copy the corresponding tnformatlon hom Sectbn A. FOR INSURAN6E COMFANY 11SE Building Strest Address (including Apt., Unit, Suite, and/or Bldg. No.) or E0. Route and Bo�c No, PWi+cy Numaer. 739 Ba Es lanade Compary NAIC Ntanber: ��fy State ZIP Code Clearwater FL 33i67 SECTION D— SURNEYOR, ENGINEER, OR ARCF#iTECT CERTIFlCATION (CON1"INUEQj Copy both sides of this Elevatian Certificate For {1) cammunity pfficial, (2j insurance agent/company, and (3) building owner. Commerits My Iega1 authority through the state of Flordia to certify elevation information is represented by my signature and sea1. My certification m Sectton D of th�s form cOvers oMy elevation information as per FEMA"s sRated quraose for this certificatiun in the instructions attached to the Etevatian Signature �� atQ 05/14/2015 SECTION — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(YVITHOUT BFE) For Zones A� and A(without BEE), complete ltems E1-E5. tt the Certificate is intended to suppart a LOMA or LOMR-F request, complete Sectiorts A. B,and C. Far Items Ei-E4, use natural grade. 'rf availabte. Check the measurement used. In Puerto Rico on1y, enter rneters. Ei. Provide elevaUOn information tor the foliowing and check the appropriate boxes to show whether the elevatYon Is above or befow the hi�est adJacent grade (HAG) and the lowest adjacent grade (LAG}. a) Top of bottom iloor (including basement, crawlspece, or enclosure) is . � feet ❑ meters [] above or ❑ below the HAG. b) Top of bottom floor (including basement, crawispace, or enclosure) is . .%� feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A iteros 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 ihe HAG. E3. Attached garage {top of slab) is . C'., feet ❑ meters ❑ above or ❑ 6elow the HAG. E4. Top of platform of machinery and/or equipment servicing the building is . ['i feet ❑ rneters 0 ahove or ❑ below the HRG. E5. 2one AO only: If no flood depth number is available, is the top of the bottom tioor elevated in accordance with the commUnity's floodplain management ordinance? � Yes � No � Unknown. The bcal official must certify this information in Section G. SECTION F— PROPERTY OWNER (OR OWNER'S REPRESENTATIYE) CERTIFlCATtON The property owner or owner's authonzed representative who carnpletes Sections A, B, and E for Zone A(wfthout a FEMA-issued or community-issued 6FE) or Zo�e AO must sign here. The statements in Sections A, B, and E are correci to the best of my knowfedge. ------ Property Owner or Owner's Authorized Representative's ame Address 5ignature Cornments City Date Siate ZIP Code TBIBphorlB [] Gheck he�e if attachments, SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by taw or ordinance to administer the cammunity's floodplain management ordinance can complete 5ections A, B, C(or E), and G of this Etevation Certificate. Compiete the applicabie item(s) and sign below. Check the measurement used in Items 68�10. in Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken #rom other documentation that has been signed and sealQd by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date o# the eleaation data in the Comments area below.) G2. ❑ A community offlelal completed Section E for a building located in Zone A{wfthvut a FEMA-issued or community-issued BFE) or Zone AO, G3. ❑ The foilowing information (ttems G4-G10) is provided for community floo�iplain management purposes. Permft Number Permit Issued Date Certiflcate ___ _ _ G7. Th�s permit has been issued for. p New Construction ❑ Substant�al Improvemen G8. Elevation of as-built lowest floor (including basement) af the building; . C7 feet ❑ meters G9. BFE or (in Zona AO) depih of flooding at the building site: . � feet ❑ meters G10. Gommunity's design Aood ele�aiian: . � feet ❑ meters Local Official's Name Community Name Signature Comments Titie Telephone Date patum Datum Datum �ssued � Check here if attaehments. � � ELEVATIQN CERiIFICATE, page 3 BUILDING PH01`OGRAPHS See Instructions for item A6. fMPORTANT: fn these spaces, copy the corresponding informatlan from Sectlon A. FOR INSURANGE COMPANY lJSE Building Street Address (including Apt., Urit, Suite, andjnr Bldg. No.j or PO. Raute and Box No. Palicy Number: 739 Bay Esplanade __�n_ r__�_� _ _.�._,... __.,,�_� ..,___ _____, __._.._. .._�n.._..�_____...�r ,_m�_�_._ __�.______ �'tY FLte 33�67 Company NAEC Number. Clearwater If using the Elevation Certificate to obtafn NF1P flood insurance, affix at least 2 building photographs below according to the instructions for Item AC. Identify all photographs with date taken; "Front ViBw" and "Rear View"; and, if required, "Right 5ide View" and "Left 5ide View."' When applicable, phatographs must show the foundation with representative exampfes of the fload openings or vents, as , indicated in SecEion A8. If submitting more photographs fhan will fit on tMis page, use the Continuatian Page. t" . ��.. � �.� , � ,� � �. ��. �� ,u >; � 1 . _._ _ ._ C2.f � C2 d C2.a � � � 5112/15 "Front View" � '� . . : �-.._ 5/12/15 "Rear View" � ��, �.; � � � � ..� � � � � e,.� �� x F � �:,. n ` �� ' - _ : � 5/12/15 "Rear View" 5/12/15 "Left View" ELEVATiON CERTIFICATE, page 4 BUlLDiNG PHOTOGRAPHS Continuation Page IMPORTANT: In these spaces, copy the corresponding Infarmatlan from Sectlon A. E3ufltling Street Address lincluding Apt., Unit, Suite, aridJor Bidg. No.j or PO. Route and Box No. 739 Bay Esplanade ._ aty Clearwater State ZIP Code FL 33767 FOR 1NSURANCE COMPANY U5E Poiicv Number. Company If subrnitting more photographs than will fi# on the prece�l+ng page, affix the additional photographs k�elow. Identify all photographs with: date taken: "Front View" and "R�ar View": and, if requir€�cl, "Righf 5ide V�ew" and "Left Side View." When �pplicable, phatagraphs must show tt�e foundatiar� with represer�i�tive ex�rrkp4es r�f ih� flou�i openings or vents, as indicated ir� Section A8. y,�� t� ,.�� a� ,o �� ,�,�. , i, �,,.� #,- � �...ri \f+-Fil�;IflY'% �� .,. . �� "J �. � »uaA �Y i, n Y. l+1 < ^-. ._. : � �m fiC �� w � _ : ._ . g'�P� • ..*_9i'HaFEmo+�.+.x.`uS.+�-a F t x. .. . . . ,'.Fa.._::. � .. • . � � � � �� .� �`{�.�3��: x �� .� � m. a �� . _ 5I'12/15 5,'12;' 7 NON-EGNGINEERED VENTS ARE NOT INCLUDED IN A8.b ANC As'_ z ��,., i,: ��^.,,w �:-;, .� 'e� � ��` '�i�A �jg �_ �" �t a�i �� g � _�`� ,� ��'�� ` �� Kv �..� a ,, � � :� �t..� r ° , �. .w = 4 — '�- – ,,:.�:.. �� # �. , ` ' � � � � �" :�' � ,�f � � ; b .� :�. � � ,�, �!+ti•w � �� `� � f. �,. .� � � , .,,�'% � ;_,. .� �: - �...�..� _ � � �:; � � . , � �� `1� �` � ``, € � "� v,� } � � � ,�. •.� ,,� � : .� .,_�� , '�`�� -� . ,�,� • ,T� � � '`" _ � �� ° . . � ;i� �" � �� '� �� , .� x �, � � �