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2424 SHARKEY RDU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program IMPORTANT: follow the inStrUCtions on pages 1-9. SECTION A - PROPERTY INFORMATION A1. Building Owner's Name DAVIO M HATTEY A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P0. Route and Box No. OMB No. 1660-0008 Expiration Date: July 31, 2015 FOR INSURANCE COMPANY USE Policy Number: Company NAIC CiTy CLEARWATER State F� ZIP Code 33765 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL 07-29-16-00000-420-0700, 2424 SHARKEY RD VACANT LOT, UNRECORDED PLAT, PINELLAS COUNTY, FLORIDA A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. z�•9��6 Long. $2•7376 Horizontal Datum: ❑ NAD 1927 �x 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 ONE-A A8. For a building with a crawispace 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 400 sq ft b) No. of permanent flood openings in the crawlspace or b) Number of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade N�A within 1.0 foot above adjacent grade NA 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�P` sq in d) Engineered fiood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B- FLOOD INSURANCE RATE MAP (FlRM) INFORMATION 81. NFtP CommunCLFN4RWATER�CiTYOF 125096r B2• County Name pINELLAS B4. Map/Panel Number 85. Suffix B6. FIRM Index Date 87. FIRM Panel Effective/ 68. Revised Date 12103C0126 G 08/18/2009 09/03/2003 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: Zone(s) AE 63. State FL 89. Base Flood Elevation(s) (Zone AO, use base flood depth) 29.0 FT 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 Designation Date: / / ❑ CBRS ❑ OPA SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* � Building Under Construction* *A new Elevation Certificate will be required when construction of the building is complete. Finished Construction 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: SITE BM FROM GPS ON SITE 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. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) c) d) e) fl g) h) Top of the next higher fioor Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) 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) Highest adjacent (finished) grade ne� to building (HAG) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support Check the measurement used. 31.00 � feet ❑ meters N/A � feet ❑ meters N/A � feet ❑ meters 30.50 � feet ❑ meters 31.0 � feet ❑ meters 29•8 � feet ❑ meters 30.4 � feet ❑ meters 29•$ � feet ❑ meters SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveVOr, en�ineer, or architect authorized bv law to r.Prtifv alavatinn ELEVATION CERTIFICATE, page 2 IMPORTANT: in these spaces, copy the corresponding iMormation from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P0. Route and Box No. 2424 SHARKEY ROAD City State ZIP Code CLEARWATER FL 33765 FOR INSURANCE COMPANY USE Policy Number: Compa�y NAIC Number: -SECTIOM D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevatipn�,GA�ificate for,-�.1) corrlmt�n.ity official, (2) insurance agent/company, and (3) buiiding owner. Comments ``� ' ' IF EQUIPMENT IS' LISTED ON P�tld � AG THIS CERTIFICATE IS NQT�08� U� f ,. � w � 0 .� �` '`" !i�, r• w !� OFELEVATED AIR CONDITIONER UNIT iRUCT10N OR DESIGN, IS FOR FLOOD INSURANCE USE ONLY Signature , /�+� � �R� ���5���,C / �/y� Date 01/17/2015 �i�%.�`lv SECTION E- BUIL� EL£VAt�hl INFO�tMAT10N (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) w �;� For Zones AO and A(without BFE}, complete Items �4—E5. If the Certificate is intended to support a �OMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use natural grade, if availabte. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the foilowing 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 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 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) CERTIFlCATION 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 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 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 A0. G3. ❑ The following information (Items G4—G9) 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: . ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: . ❑ feet ❑ meters Datum G10.Community's design flood elevation: Local Official's Name Community Name Signature Comments Title CLEARWATER CITY OF Telephone Date ❑ feet ❑ meters Datum ❑ Check here if attachments. FEMA Form 08CrQ33 (7/12) Replaces all previous editions. U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTI FICATE FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program IMPORTANT: Follow the instruCtions on pages 1-9. SECTION A - PROPERTY INFORMATION A1. Building Owner's Name DAVID M HATTEY A2. Building Street Address (including Apt., Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. �MB No. 1660-0008 Expiration Date: July 31, 2015 FOR INSURANCE COMPANY USE Policy Number: NAIC Number: ���y CLEARWATER State F� ZIP Code 33765 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL 07-29-16-00000-420-0700, 2424 SHARKEY RD VACANT LOT, UNRECORDED PLAT, PINELLAS COUNTY, FLORIDA A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 2�•97�6 Long, -82.7376 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 �NE-A A8. For a building with a crawispace 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 400 sq ft b) No. of permanent flood openings in the crawispace or b) Number of permanent fiood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade N�A within 1.0 foot above adjacent grade NA c) Total net area of flood openings in A8.b N�p` sq in c) Total net area of flood openings in A9.b N�A sq in d) Engineered fiood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B- FLOOD INSURANCE RATE MAP (FlRM) INFORMATION 81. NRP Community Name & Community Number R�. County Name a� cr�.o CLEARWATER CITY OF 125096 B4. Map/Panel Number B5. Suffix 66. FIRM Index Date 12103C0126 � G � 08/18/2009 PINELLAS FIRM Panel Effective/ Revised Date 09/03/2003 88. Flood AE B10. 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: B11.Indicate elevation datum used for BFE in Item 69: ❑ 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 Designation Date: / / ❑ CBRS ❑ OPA SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* � Building Under Construction* ❑ Fini� *A new Elevation Certificate will be required when construction of the buiiding is complete. C2. Efevations - 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/A C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: SITE BM FROM GPS ON SITE Vertical Datum: NAVO 1988 indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 � NAVD 1988 ❑ Othe Datum used for buildinF elevations must be the same as that used fnr the RFE. 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 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 eievation of deck or stairs, including structural support � FL Base Rood Elevation(s) (Zone A0, use base flood depth) 29.0 FT � No �c �° �o i� -d,5� a7 c �� �`�� Check the measuren _ _ _ _ 37.00 � feet ❑ meters N�'A � feet ❑ meters N/A � feet ❑ meters 30.50 � feet ❑ meters NA � feet ❑ meters 27�0 � feet ❑ meters 30.3 � feet ❑ meters NA � feet ❑ meters SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFlCATION 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 available. 1 undersiand that any faise siatemeni may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ��� N H ya rr� ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a O�LFNSE �vUMe,� � ^� ❑ Check here if attachments. licensed land surveyor? � Yes ❑ No w 4636 Certifier's Name BILL H. HYATT, JR PRESIDENT Address 1497 MAIN STREET #321 Signature FEMA Form 08fro-33 (7/12) Company Name KNOW IT NOW INC City DUNEDIN Date 8-24-2014 License Number #4636 State ZIP Code FL 34698 Telephone (727)415-8305 See reverse side for continuation. STATE OF 8��1��4 Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding irrtormation from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or F0. Route and Box No. 2424 SHARKEY ROAD City State ZIP Code CLEARWATER FL 33765 Copy both sides of this Ele Comments �F EQUIPME�IT' THIS CEftT.I�ICI `�� ffi Signature � � � , ,� FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: �ECTION D— SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINI ition Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. � EtS7ED C)A1 k? fOR PAGE 15 BASE OF AIR CONDITIONER UNIT E IS N� �TO�E�SHD`FOR CONSTRUCTION OR DESIGN, IS FOR FLOOD INSURANCE USE ONLY � a.. � � �R �- � Y . .r , , ;�," —� ,,.,e '� t . Date 08l14/2014 SECTION E— B�JILDINGFFLCVb�N INFORNl�1TION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(wi�hout ��)�,��omplefe jlte�ns 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 n�tural �rade�•if availa�e: Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevatidr� infiormation-for ttY�.following�nd check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjaceni grade (LAG). a) Top of bottom floor (including baseinent, 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 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 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 officiaf must certify this information in Section G. SECTION F— PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFlCATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A(without a FEMA-issued or communit�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 Tetephone ❑ 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 docume�tation 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 A0. G3. ❑ The following information (Items G4—G9) 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: . ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: . ❑ feet ❑ meters Datum G10.Community's design flood elevation: . ❑ feet ❑ meters Datum Local Official's Name Community Name Signature Comments Title CLEARWATER CITY OF Telephone Date ❑ Check here if attachments. FEMA Form 086-Q33 (7/12) Repiaces all 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: 2424 SHARKEY RD CLEARWATER, FL 33765 PICS TAKEN 8/12/2014 FRONT VIEW .�, o � `�'1'. �r�'`� '�: . " :� , �� �Y`.��y� i i � � `�. � ',�. .. �� �,,. " + -,�.°'��` _ . +„ � ��'k'�' 'Y�t'�3 �° .� �.�,'. � ;� � M ,: ,� . .� � � ����%Y ��;n � ._ � _ � •. -. � � ' _ �.i+- ' ,. r e �` �' ��` ,` � � �. �'�' . '����- -`; �" �=' REAR VIEW �-�� �: . : . .._. _ . , .,� . -.�.,. �, ��r:° � � . � � ��; � '� F n�°: