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3083 OAK CREEK DR NU.S. �PARTMENT OF HOM�LANd SECURITY FEDERAL EMERGENCY 111ANA�NT AGENCY Nanovrvt Ftood Ixswm�ce Progmm A ELEVATfON CERTIFICATE Importarrt: Read the instructions on pages 1-9. SECTI�N A - PROPERTY INFORMATION A2. Buil�ng Sheet Address Cux�u�n9 A�-, U�. Su�e, and/ar Bidg. No.) a� P.O. Rarte and Box No. 3083 OAK CREEN ONE NpRTH City CLEAWATER �� � �P � �. OMB No. 1660-OpOg E.��ratihon Date: July 31, 2015 FOR tNSURANCE GCNNPANY USE �.,�. �.r..,�.. A3. Pr�tY D�d�tion (Lot and Blodc i�kmbers. Tax Paroei l�hmber, Lc9a� pe�iption. ¢�c.) LOT 26, OAK CREEK AT COUNTI/gipE / PARCEL IDiR 16-2&16-82133-000-026p A4. B�ng Use {e_g., Residenlial. Non-Re�l, A�ddi6on, Aooe�ory. etc.) RESIDENTlAL A5. Latitudell.ongitude: L.at 28.04606Q N l.tu�g. 82.710691 W HorizoMai Datutn: ❑ NAD 1927 � WAD 1983 A6. Attach ffi least 2 PhotograPhs of the birikiing if tl�e Cettifica� is being �ed to obta� flood insurance. A7. Building Diagr�n N�xnbel' 1 A8. For a building with a pawlspace or endo�xe(s)_ A9. For a bw7d�g with an attad�ed e) �9� �ot�e of cxawlspaoe or en�une(s) N/A 9�� b) Number of peimar�ent flood s9 ft a) Sq�re fiootage of attached garage §�Q sq ft ��� ) P�n�t flood openings in Ute attached 9a►a9e or enc�ur�s) wAhin 1.0 foot abov�e adjaoent g��� WA b Nunber of c) T� net area of fload oper�ngs in A8.b wA within 1A foort above ad'�aCent 9rade .4 d� En9ineered flood � s4 in c) Total net anea of flood operrvangs in A9.b Q sq in �' � Y� � NO d) Engi�eered itood openingg? ❑ Yes � No SfCTION B- FLOOD It�URANCE RATE MAP (FIRM) INFORNIATION B7. NFIP Commuroty Name & Cqmmunj�y Number g� UNICORPORATED PINELLAS COUNTY / 125139 PINEL�LAS � B4. MapJF�anel Number B5. Sui�oc B6. FIRM Irxiex Date B7. FlRM Panei 12103C0087 G g�lg2ppg Eflective/Revised Date _ 9l03t2003 B3. State FLORIDA 68. Flood 69. Base Flood Elevador�(s) (Zone evado Z� s) AO, use base flood depth) 810. Indir,ate the souroe aF U�e Base Fiood Elevahon FE daia � ba�e flood � (B ) depth e+rter+ed m !�m B9. ❑ FlS Prof�e �I FlRM ❑ Commurriiy De6ertnined ❑ pthedSouroe: B11. Indicaie elevation datum used for BFE in ltem 69: ❑ NGVD 1929 � NAVD 1988 ❑ oa�erisou�oe: B 12. is the bu�d'mg Mcated m a Coastal Bartier Resaxoes S�rste�n (CBRS) anaa or OB�en�rise Protecbed Area (OPA)? Q Yes � No Designation DaGe: WA ❑ CBRS ❑ OPA SECTION C- BUILDING ELEVATION INFOIiMpTlpN (SURVEY REQUIRED) c1. swlding de�►atia�s ane nased on: ❑ co�,on Drawrt�s` O Buiiamg ur� Co�uctlon- � F� consrrudion *A ne�nr Elevetion Certificate w� be required when oonstru�ion af the bu�d'mg � oomplete. C2. Elevations-Zaies A1-,A30, AE. AH, A(with BFE). VE. V1-V30, V(with BFEj, AR, AR/A, AWqE, qR/A1�q3p� p�R/qH, qR/AO. Complete Items C2.a-h ���9 �� b�n9 diegram speafied in Item A7. In Puerto Rioo oNy, e� meters. Ber�marlc UtiGzed: CITY CLE�►RWATER 1�-16 Vertiql Dahxrr. IWqyp gg ELFV=24_31 indicaie elevation dahm us�! for the elevations m items a} tlxou� h) betow. 0 NGVD 1929 � NAVD 1988 ❑ Q�r/Souroe_ Datixn used for building �leva6ons must be the same as that used for ttie BFE. Chedc the measu�emerrt used. a) ToP of b�tom floor ('mdud'a�g basement, cra�dspaoe. or endosune floor) 11-¢ � feet ❑ meters b) TaP of ttie nexk higher floor N!A ❑ feet ❑ meters c) Bottom of ihe lowest hor3zontal s6�u�ural r�mber (V Zones only) �A Q feet ❑ meters d� At�c� sera� (top °f siab� 14•� � eeet p meters e) Lowest eievation of machinery pr eq�ent servi�g �e c�esaibe irpe af eqtripment and �ocaGo� in co�,�me�s) �'ms 10.9 � feet O rt�ters � Lowest ad)aoent (firu,at�ed) grade ne�d to bu�d'ng (LAG) 10. 9) H�9� �1Ja� (�mshed) 9rade next to buibin9 EHAG) 1.Q ��t ❑ meters n) Lowest aajacern gr�e ac bw�t e�e+►ation or aedc or staas, inaud� �,�p„� �_ � reet ❑ mecers �9 support _1Q•4_ � tcet ❑ meters SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT Cqt71FICATION This cerUfication +s to be signed and se�ed by a hand se�veyor> �, or ard�i�ect a�horized by law to certit�r elevatlan � information. / aemfy tltat the ivdbr►n�on an this Cer6�iCete reprasents my be� eNo�rts to i►terprat Ehe data avaiable_ / una�erstand th�at arry false s�lbm�ent maY ae P�bAa by fine or impisor� w�der ?8 U S Cod�e, Seclion J00�J."' ,, - � Che�k her�e if c�nxnents are provided on badc of form. Were I�hide and �gitude in Section A provided py a.� ❑ Chedc her�e if �. Goensed IarW surveya? � Yes ❑ No ' cer�rg n� euc�NE r crauoEU. License Nunber PLS 4821 , Tit� LAND SURVEYOR Addr�ess 2321 PIN OAK LAI� EAST Signatur+e y.q������ _�C! FEMA Form 086-0�,33 (7/12) CamParry Narree SEI_F Cdy CLEAitWATER U�e fil032014 S�� �. Z1P Code 33759 Teieptane 727 459-9186 See reverse side for oordinua6on. `f`{ ��1Ryd�a��✓✓}�`i� .'�' �: G` �4�'��-;j���'ac : � r�. � - ����� . � ,�3 �� �� _ yl. � . . � �1� ,�� '�'.- ::.i. - ✓��'���. ��' "�� '� � �'y�'' - ',, � A .... _ �Ew..`. Replaces a11 prevw�s ELEVATION CERTIFICATE, page 2 IMPORTANT: in Uiese spac�. coPY the correspond'm9 information fmm Se�tion A. Buiiding Streei Address ("mduding Apt-, Unft, Suite, anci/� Bldg. No.) or P.O. Rarte and Bo�c No- 3083 OAK CREEK DRIVE NORTH City CLEARWATER State FL ZIP Code 33761 FOR INSURANCE COMPANY USE poGcy Nunber: Compa�y NAIC Pitanber: SECTION D- SURVEYOR, El�M�NEER, OR ARCHITEGT CERTlFlCATION (CONTINUED) Copy both sides � th� Elevatia► Gertificate for (1) commurrity oifiaal. (2) insura°ce a9e��Pa�Y� and (3) building owr�r. Commetrts 1. GARAGE SQUARE FOOTAGE CALCULTEO FROM PROPERT�' AF'PR�SER INFO_ 2, IOWEST MECHN�CAL BEING THE A!C UNIT ON THE EAST AND WEST SIDE OF STRUCTURE• BOTH BEING THE SAME ELFVATION. Signatur�e SECTION E Date INFORMATION (SURVEY NOT RE(�UIRED) FOR ZONE AO AND ZONE A e items E1-�5_ If tt� Ce�tificate is irrtended to support a LOMA or LOMR-F request, compiete Sedions A B. For Zones AO and A(wi�a� BFE), complet and C. For Rems E1-E4, use nat�xal grade, if availabte_ Chedclhe measuremerrt used. in Puerto Rico ony, enter meters- E1. Provide elevation i►�formation for the following and d�edc the approPriate bo�ac�s to show whether the elevation is above or below the highest adjacent grade iHAG) and the lowest ad)aoer►t 9rade MG)• fcet ❑ meters ❑ above a� � below the HAG. a) Top of bottom floor (induding basen►ent. c�awlsPace, or endosure) is �� � m� � abowe or � 6elanr the LAG. b) Top of bottom floa� ��ducing basement, c�sPace, or end�ure) is •- ❑ E2. For Buiid'mg Diagrams G 9 v�ith Permar►ent R°°d openi�9$ P�'O�� in Sec�ion A Items 8 andlor 9(sce pages 8--9 of Ir�tr►�lions). the nead hi9her floor teet m�ers ❑ above or ❑ below the HAG. (elevation C2.b in the diagrams) of the biril�ng is - ❑ � E3. Attached garage (top of slab) is . ❑ feet ❑ meters ❑ ab°ve a❑ b�� ��G. E4. Top of platform of machinery anNor equipmerrt senrian9 the buiiding is . ❑ feet ❑ meters ❑ abo�e or � bebw the MAG. E5. Zone AO oniy: If no flood depth r►umber is available, is the top of tt�e bottom floor elevated in accordance with the �mmunity's flood�ain management ordinance? ❑ Yes ❑ No ❑ UnknoNm. The �ocat offiaai must certify this infortnation in Section G. SECTION F- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The proper►y owner or owner's authorized representative who canPietes Sectioris A, B. and E for Zone A(wikhout a FEMA-issued or corr►municYassued BFE) or Zone AO must sign here. The stat� in Secdons A, B, and E are comed to the best of my knowled9e• Property Owners or Owne�'s Authaized Repr�esentateve's Name Address Signature Cornrr�erris City Date State ZIP Code Telephone ❑ Chedc t�ere if attachments. SECTION G - C�MMMUNITY INFORMATION (OPTIONAL) The Iocai otficial wFro is authorized by iaw or ordinance to administet'the comm�s floodplain management orcfinance can com�te Se�s A. B, C(or E}, and G of this Eleva6on Cer6ficate• ComPiete the a�plicable �rt►is) and s�n bdaw. Chedc the measurement used in Ifierns G8-G10. tn Puerto Ric� only� errter meters. G1. ❑ The infortnation in Sedi� C was taken from other doaanentation tl�at has been signed and sealed by a dc�ensed surveYor. entJmew. or archited who is authorized by law to certifj+ elevation i�ormation. (Indicate the source and date of the elevation data in the Commerrts area below.) G2. ❑ A comm�ity of�ial oom�ted Section E fa a building located in Zone A(without a FEMA-issued a' c�ommurity-issued BF� a Zone AO. G3. ❑ � �onowirx� in€wmation pcems ca--�� o) is arnviaed ror canmuniry tioodp�a�, managemern w,rposes- G4_ Permit Niunber C5. Date Pe�rnit issued G6. Date CeftifiCa� Of Compl"ianae/Oocupancy Issued G7. This P� � been issued for: ❑ New ConsUuction ❑ SubstaMia� Improv�nent G8. Elewdtion of as-bui7t lowest tloor (induding basement) of U�e bui�din9: ❑ feet O�ers G9. BFE or (n Zone AO) dePth ai floodm9 at the buitdi►�g si�e: ❑ feet ❑ meters G10. Communiqt's design flood elevation: �� ��t� Local Offidafs Name Community Name Signature Title Telephone Date �. �. , �. , Comments ❑ �hedc here if attac�ur►eMs. FEMA Form 086-0-33 (7��2) Replaces afl previous editions. ELEVATION CERTIFICATE, page 3 guilding Photographs See Instructions for item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Addness (induding Apt., Unit, Suite, andlor Bidg. No.) or P.O. Route and Box No. 3083 OAK CREEK DRIVE W. City CLEARWATER State FL ZIP Code 33761 FOR INSURANCE COMPANY USE Policy Number. Company NAIC Number. tf using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; 'Frorrt VevJ' and "Rear vevw; and, if required, °Right Side VieW and °Left Side Vew." When applicaWe, photographs must show the founda6on with representative examples of the flood openings or vents, as indicated in Section A8. If submit6ng more photographs than will fit on this page, use the Continuation Page. I �4 � _ �, � � � �„4 a� -��- -���`<�. ; � '�,�, '' � ; =� � � ��' �� °# 7 ��� �y��"�� $�` _ ` : ���,,�`^; - ' '�`^�`'� � �"�..�„� �`_+A� ��°' � - a. �� r�� �- � _� � . � -�..- , �'�, �� .' � ��� � ..�t .. � � _. FRONT VIEW (6/OZ/2U14) � �� . � I� t _ _ .�.` -_ _ � REAR VIEW (6/02/2014) FEMA Form 086-0-33 (7/12) Replaces all previous edifions. ELEVATION CERTIFICATE, page 4 gu�Iding Photographs Continuation Page IMPORTANT: In these spaces, copy the corr�ponding information from Section A. Building Street Address (induding Apt., Unit, Suite, and/or Bldg. No.) or P_O. Route and Box No. 3U83 OAK CREEiC DRIVE N. City CLEARWATER State FL ZIP Code 33761 FOR INSURANCE COMPANY USE Policy Number. Company NAIC Number. If submitting more photographs than will fit on the preceding page, affix the addifional photographs below. ldentify all photographs with: date taken; "Front Uew" and "Rear vev�'; and, if required, 'Right Side Vev� and `Left Side vew.' When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. � ���� ��� � �-� - �a � 1. � - -�_ .� �.,. v.� _.,�� ,.�,��' � i� t - -_� �'.�..,. . ^+.�- _ �. _ n., - i� ___� X.. RIGHT SIDE (6/02l2Q14) � ._._-.___. LEFT SIDE (6/02/2014) FEMA Form 086-0-33 (7/12) Replaces all previous ediiions.