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2001 ALPINE RD #16-23U.S. DEPAkT1YlENT OF HOMELAND SECURITI' ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY NationalFloodlnsuranceProgram Important: Read the instructions on pages 1-9. SECTION A — PROPERTY INFORMATION A1_ Buitding Owne�s Name GAROEN LAKES 2010 LLC A2. Building Street Address (nd�ing Apt., Unit, Suite, andlor Bidg. No_) or P.O_ Route and Box No. 2001 ALPINE RD - UNITS 16-23 City CLEARWATER State FL ZIP Code 33755 OMB No. 1660-0008 Expiration Date: July 31, 201� FOR INSURANGE COMPANY USE � Policy Number. —� Company NAIC Number. �� A3. Property Description (Lot and Blodc Numbers, Tax Parcel Number, Legal Description, etc.) G,4RDEN LAKE COiVDO TOWNHOUSE UNIT 13 PB 73 PG 71 PARCEL #: 02-29-15-30160-pOQ-XXXX ° A4. Building Use {e.g_, Residential, Non-Residential, Addition,•Accessory, etc.) R IDEh'TIAL A5. Latitude/Longitude: Lat. 27-59'38.4"N Long. 82-46'42_4"W Horizontal Datu�: ❑ NAD 1927 Q NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. � A7. Building Diagram Idumber � A8. For a building with a crawlspace or endosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or endosure(s) jy/g sq ft a) Square footage of attached garage !�A sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or endosure(s) within 1.0 foot above adjacent grade �[g within 1.0 foot above adjacent grade � c) Totat net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N!A sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP C�nmunity Name & Cammunity Number 62. County Name B3_ State CfTY OF ClEARWATER 125096 PINELLAS COUNTY FL B10. Indiqte the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Detertnined ❑ Other/Source: 611. Indipte eleva6on datum used for BFE in kem B9: ❑ NGVD 1929 Q 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: 1� . � CBRS ❑ OPA SECTtQN 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. ElevaSons -Zones A1-A30, AE, AH, A(with BFE), VE, V1 V30, V(with BFE), AR, AR/A, AR/AE, AR1A1�430, AR/AH, ARJAO. Complete Items C2.a-h below according to the building diagram speafied in kem A7. In Puerto Rico only, enter meters_ Benchmarlc Utilized: � Vertical Datum: 19.15 Indipte elevation datum used for the elevations in items a) through h) below. �NGVD 1929 QX NAVD 1988 �Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of botiom floor (induding basement, crawlspace, or endosure flow) b� Top of the next higher floor c) Bottom of the lowest horizontal sUuctural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment serviang 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 elevation of dedc or stairs, induding structural support Chedc the measurement used. 1�f-� �feet ❑meters 24.4Si Ofeet ❑meters L�. Ofeet ❑meters lyt6•- Ofeet ❑meters 1�.4 ❑x feet ❑meters �.� �feet ❑meters 1&•� �feet ❑meters �•_ Ofeet ❑meters SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certifica6on is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation infwmation. / cefify that Hie infwmafion on this CeKif►cate r�piesents my best eliorts to irtterpret the data available. l understarrd that any fal� statement may be panisha6le by fine or imprisonment under 18 U. S. Code, Sec6on 9001. 0 Chedc here if �mments are provided on badc of farn_ Were latitude and longitude in Sedion A provided by a ❑ Chedc here ff attachments, licensed land surveyor? 0 Yes ❑ No Certifiers Name LAWRENCE E. POWERS Title PROFESSIONAL SURVEYOR Address PO BO C 4$OZ6 Signature `�, FEMA Form 086-0-33 (7/12) License Number LS 5505 Company Name LAWRENCE E. POWERS City ST. PETERSBURG Qate AUG. 4, 2014 State FL ZIP Code 33710 Telephone 727-537-9895 See reverse side for continuation. ��� �� � � G'� Replaces all previous editions.