1581 MAGNOLIA DR. -ti _
DEPARTMENT OF HOMELAND SECURITY See The Attached O.M.B. No. 1660-0040
FEDERAL EMERGENCY MANAGEMENT AGENCY Instructions Ezpires December 31, 2011
STANDARD FLOOD HAZARD DETERMINATION
SECTION I - LOAN INFORMATION
1. LENDER NAME AND ADDRESS 2. COLLATERAL(Building/Mobile Home/Persoxal Property) PROPERTY ADDRESS
JEFFERSON BANK OF FLORIDA Ste han & Wiebke Koenig
3711 TAMPA ROAD 1581 Magnolia Dr
OLDSMAR, FL 34677 Clearwater, FL 33756
Requestor: KATIE INGLE r.oT: sLOCx: susDrnsioN:
Fax # 8138557510 Phone # 8138557500 rfixa: sECTiorr: �-wP: xnrrcE:
DESCRIPTION: 14-29- l 5-227 16-000-0 1 5 0
3. LENDER ID. NO. 4. LOAN IDENTIFIER 5. AMOUNT OF FLOOD INSURANCE REQUIRED
58672 GSG
SECTION II
A. NATIONAL FLOOD INSURANCE PROGRAM NFIP COMMUNITY JURISDICTION
1. NFIP Community Name 2. County (ies) 3. State 4. NFIP Community Number
CLEARWATER, CITY OF PINELLAS COUNTY FL 125096
B. NATIONAL FLOOD INSURANCE PROGRAM NFIP DATA AFFECTING BUILDING/MOBILE HOME
�' NFIP Map Number or Community Panel Number Z' NFIP Map Panel 3. 4. 5. No NFIP
(Community name, if not the same as "A") Effective/Revised Date LOMA/LOMR Flood Zone Map
�� X
12103C0109 H 05/17/2005
Elev.
at�
C. FEDERAL FLOOD INSURANCE AVAILABILITY Check all that a I
1. � Federal Flood insurance is available (community participates in nfip). � Regular Program Q Emergency Program of NFIP
2. � Federal Flood insurance is NOT available because community is not participating in the NFIP.
3�Building/Mobile Home is in a Coastal Barrier Resource Area (CBRA) or Otherwise Protected Area (OPA), Federal Flood insurance may not be
available.
CBRA/OPA designated date:
D. DETERMINATION
IS BUILDING/MOBILE HOME IN SPECIAL FLOOD HAZARD AREA � yes � No
(ZONES CONTAINING THE LETTERS "A" OR "V")?
If yes, flood insurance is required by the Flood Disaster Protection Act of 1973.
If no, flood insurance is not required by the Flood Disaster Protection Act of 1973.
E. COMMENTS (Optional)
last Revision: 08/26l2013
Vertical Datum:NAVD1988
Reference#:E0640FL5R005385
Eia. SUBMITTED ADDRESS FOR CERTIFICATION
1581 Magnolia Dr
Clearwater, FL 33756
CERTIFY TO: TYPE OF COVERAGE: Life of Loan RUSH:
HMDA INFO: ST: 12 CO: 103 SMSA: 45300 CT: 0265.00
This determination is based on examining the NFIP map, any Federal Emergency Management Agency revisions to it, and any other information needed to locate the
building/mobile home on the NFIP map. This flood determination is only for determining the flood status of the listed property. It is not to be used to decide whether to purchase a
property or determining the value of a property. Use of determination deems acceptance of conditions.
F. PREPARER'S INFORMATION
NAME, ADDRESS TELEPHONE NUMBER (if other than Lender) DATE OF DETERMINATION: 08/26/2013
Factual Data Flood 1-800-730-6374 CERTIFIED BY: 999B
5200 Hahns Peak Drive FAX 1-800-216-5663 NFR#: 3133191-17770666
Loveland, CO 80538 www.krollfactualdata.com
ttMA FORn tS'I-93, DEG OS