943 NARCISSUS AVEu,s.oEPnEe�e►+ro�►+owew+osecuR�nr ELEVATION CERTIFICATE
� FEOERAL EMG'it(3ElICY MANAOEMENT Af3ENCY
,\-ennyw! F7oud lnsurunce Progmni Important: Read the inst�uctions on pages 1-9.
• SECTION A - PROPERTY INFORMATION
At. Building Owner's Name JUHN rSOUi.FAS F3Ult.DiNG corvs rr�ucrio�v 1A�13120
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A2. Building Sireet Address (inciuding Apt., Unit, Su�e, andlor Bidg. No.) or P.O. Rouie a�d Box No.
943 NARCISSUS AVE �
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City CLHARWATER � � State FL �ZIPCode 33767
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OMB tVo. 1660-0008 i
Expiration Date: July 31, 2015
FOR iNSURANCE COMPANY USE
Number:
________.� _. .._____ __ _.----- ------._ .,,_._—,_.-_._ .._,._,___ .._.______, _. , _ . _ _
A3. Property Oeuription (Lot a�d Blodc Numbers, Tax Parcel Number, legal Oescripiion, etc.)
PARCEI 1D -32-28-15-1346d-256-0650 NOT FOR CONSTRUCTION, NOT FOR DESIGN
A4. Building Use (e.g., ResideMial, Non-Residential, Addiiron. Accessory, etc.) RESIDEN TIAL _
A5. latitude/Longitude: lat. 27°59'S9 0° Long. •82'a9'2$ 0" Morizontal Datum: (`] NAD 1927 X NAU 1983 •
A6. Attath at least 2 photogtaphs of the building if the Certifitate is being used to obtain flood insutance.
A7. Building Diagram Number tA
A8. For a buildiag with a crawlspace or enclosure(s)' A9. Fw a building with an attacheti garage:
a) Square footage of crawlspace or enclosure{s) N/A sq ft a) 5quare tootage ot aUached garage 35Q sq ft
b) Number ot pennane�t flqod openings in the crawlspace � b) Number ot pertnane�t flood ope�ings in the attached garage
or enclosure{s) within 1.0 foot above adjacent grade {V/A within 1.0 toot above adjacent g�ade N/A
c) Total net area of flood openings in AB.b N1A sq in c) Totat net area of flood openings in A9 b N/A sQ in
d) Engineeted flood openings? ❑ Yes X No ' d) Engi�eered flond opetiin s?
g ❑ Yes X No
5ECTION B- F�OOD INSURANCE RATE MAP (FIRINj INFORIMATION
____ ___�_.______.________._.�_______�__�__.__ ____ _
B7. NFIP Community Name 8 Cdwmunity Numbe>� B2. County Name 83. State
CITY OF CIEARVVATER- 125�J96 PINFl1AS FIORIOR
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84. Map/Panel Number B5. Suffuc B6. FIRM Index Oate B7. FIRM Panel 88. Flood 89. Base Ffood Elevation(s) (2one
121 Q3C-0102 G 02l18/2009 Effective/Re`vised Oate Zone(s) AO, use base Nood depth)
09/03l2003 AF � � l
' J-- _ - ___ _ _ _,.,___ ____- ---- ----_._�__�. _�.. _ _--- ______
810. Indicate the source ot fhe 8asa Flood E�vation (8FE) data o� base flood deplh entered in Item B9.
• ' Q FfS Prohle X FIRM ❑ Canmunity Oetermined ❑ OthedSounce:
Bi t. Indicate elevatan datum used for 8FE in �tem 89: ❑ NGVO 1929 X NAVO 1988 ❑ OtAer/Source:
812. Is the b�iWing located in a Coastal Barrier Resourc:es S�rstem (CBRS) atea or Olherv,rise Protected Area (OPA)? ~ Q Yes X No
Oesignation Date: , ❑ CBRS ❑ OPA
:+ SECTION C- BUILDING ELEVATION iNFORMATION (SURVEY REQUIRED)
C1. Building elevatans are based on: ❑ Construction Orawings• � Building U�der Constniction• X Fir►isAed Co�struction
•A new Elevation CertifiCate will De required when co�struction of the pudding � cAmplete.
C2. Elevatrons - Zones A1 �A30, AE, AH, A(with BFE), VE, Vi-V30, V(with BFE), AR, AR/A, AR/AE, AR/At-A30, ARlAH, AR/AO. Canptete items C2.a-h
below according to tAe building diagram specifred in Item A7. In PueAo Riao oniy, enter meters.
Benchmark Utilized: �C�p�q_4 '. Vertical Daturt►: NAVQ_ t��
Indicate elevation datum used for the eievatans i� dems a) through h) below, O NGVp 192g X Nqyp 1988 O OtherlSourt:a:
Oatum used for building elevaGOns must be the same as lhat used for ihe BFE. �^� y
Chedc the messurement used.
a) Top of bottom fbor (induding basemeni, crawtspete, or enGosure floor) $-� X teet ❑ meters
b) Top of the next �ig�er flaor IV( I� XQ feet ❑ meters
c) 8oltom oi the lowest horizontal stn�ctural member {V 2ones o�ty) NI.I� X feet Q meters
d) Attached garago itop of slab) �. t X feet ❑ meters
e) lowest elevation of machinery or equq�meM servicing the p��g 7, � X�� ❑�t�
(�escribe type of equipmgni and k�c,atioia i�� �ommer�isj
� Lovuest adjacent (finished) grade neut ta builditg (lAG) 4� X feet
C� meters
9) Highest adjacent (finished) grade �ent to building {HAG) �,4 - X feet ❑ meters
h) Lovv�st adjacent y�ade at lowest elevation of cleck or stairs, including struetural s�oR N!A X feet ❑ meters
' SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFlCATION .
Tfiis ceAification is to be signed arW sealed by a land suneyor, ergineer, w arc.Aitect authorized by law to certity elevation
information, ! ceRi�y thal t!� a�fqimatron on tfiis C�,fificate iepresenfs my best elfats to infeipret the data avaitable.
I un�+Sland that any la/sa stalement may be punlshabde 6y fj/ie or 6rrpris�ar��t under 18 U. S. Code, Sectia� 9001.
� Check here it comme�ts are provided on back of toan. Were latitude and bngdude in Section A provided by a
0 Checic here if attachments. licensed la�d surveyor? � Yes ❑ No
_— ______ __ _- -----
en' r's Name LELAND F. OySqRO L�ce�se Nwnber 385g
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Title P,L.S. Company Name AEC. INC
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Address 3�
Form
AVE.,
City NApLES
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Siate Fl ZIP Code 34104
i Tetephone 239-403-1600 �
�ee reverse siae tor coniinuati�n.
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Repl�ces all previous editions.
943 NARCISSUS AVE
BCP2014-12457
REMODEL
943 NARCISSUS AVE
Zoning: Low Medium Densiry Re Atlas #: 23
�
, IMPORTANT: In these spaces, copy the co�reaponding informatlon from Section A. FOR INSURANCE COMPANY USE
Buit�ling Street Address (including Apt.. Unit, Suite, and/or Bldg. No.) or PA. Route and Box No. Policy Nwnber
943 NARCISSUS AVE
City CLEARWAT[R State FLORIDA 21P Code 33767 Company NAIC Number,
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E TION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUfO)
Copy both sides of this Elevation Certificate for {1) communfry o(ficiai, (2) insurance ageoVcompany, and (3) buiiding owner.
______ _. ____ --______�_ �. __ __._ .�_..- --- _____ -__�_ _ _ _ _ _
Comments GPS COOROINA7ES WERE TAKEN FROM GOOGIF FARThi. NOT FOR CONSiRUCT10N, NOT FOR OfSIGN Ft.qOn L�N[:
DETERMINA"iION PROVIOEO BY F1000 INSIGHiS. THIS DATA WAS pRfPAREO �OR F100� INSURANCE PURPOSES ONIY.TNE Lt�UIPMENC
USEO IS GPS. TNE IS7S�j 0 2' (TWO T�FN THS) PL�1S OR MINUS PRECISION. ITEM I.IS iE0 IN C2(e� I5 THL CONCR�TE AIR CvNO1TiONINc3
PAD. DATE OF F� RK .D9129i201A / l / �--
Oate 09i?.912014
SECTION E- BUILDING EL.EVATION INFORMATION (SURVEY NOT RE�lUiRED) FOR ZONE AO AND ZOIVE A �WITHOUT BFE)
For Zones AO and A(without SFE), complete Items E1-E5. Ii Ihe Certificale is intended to support a IOAAA or LOMR-F repuest, complete SeCtions A, 6,
and C. For Items E1-E4, use natural grdde, it availaDle. Check the measurement used. In Puerto Riw onty, ente� meters.
E1. Provide elevation information for the following and chech Ihe appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and ihe lowest adjacent g�ade (lAG).
a) Top of bottom floor (including basement, crawlspace, or endosure) is ❑ feet ❑ meters ❑ above or (] bebw the HAG.
b) Top of bottom floor (1ncluding basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ helow ihe LAG.
E2. For Building Oiagrams 6-9 with permanent 800d open+ngs provided in Section A Items 8 a�dlor 9(see pages 8-9 of Instructions), ihe next hgher 800r
(elevation C2.b ie the diagrams) oi the buitding is ❑ feet ❑ meters ❑ above or ❑ l�bw thv HAG.
E3. Attached �arage (top of slab) is _„_ ____ {] feet ❑ meters ❑ a�as or � bebw the NAG.
E4. Top of platform of machinery and/or equipment senicing the building is ❑ teet ❑ meters ❑ above o� � bebw the HAG.
E5. Zone AO o�y: It no flood depth numbe� is available, is the top of the bottan fbor elevated in accorda�ce with the community's floodplain management
ordinance? ❑ Yes ❑ No ❑ Unkrrown. The local official must certify this information in Section G.
SECTION F- PROPERTY OWNER (OR OWNER'3 REPRE3ENTATIVE) CERTIFICATION
The propeRy owner a owr�er's auihorized representative wAo complctes Sectans A, B, and E for 2one A(wiihout a FfMA-issued o� commu��y-issued 13FE)
or 2one AO must sign here. The statements in Sections A, 8, and E are correct to ihe best ot my knowledge.
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roperty Owner's or Owne�'s Authonzed Representative's Name
_ __. .___ .._____�. vo-__�.m________�..__ ....____ ...�__. _ _____ ._____.___ �
_____._._._ _m .._. �_. . . __ _
.�. ���ss Cit�l State ZIP Code
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._ . _. , __._ _____.__ _��_ .__ �. _. . __ - - -_.._ , __. �....
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Signature Dafe _ Telephone
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Comme�ts __ _ _.._ __
_.---------- _.�C7 Gheck here if atRaChm$nts_
SECTION G - COMMUNITY 1NF0l2MATION (OPTIONAL)
The bcal official who is autlbrized by law or oMina� to adrninisfer the conmu�Y�s floodplain mana9emen� ardin�ce can �mppete Sections A. B, C(or E). and G
of this Elevation Ce�tificate, Corr�►lete the applicade item(s) a�d sign below. Check iAe measure�N used in ttems G8-GtO. ln Puerto Rica o�nly, enter meters.
Gt. Q The iMortnation in Section C was taken tran oiher d�wnentation that has been signed and sealed by a li�censed surveyor, enginee�, or architect who
is authorized by law to �rtifiy elevation information. (Indicate the source and date of tAe elevalron data in the Comments area below.)
G2. ❑ A community oH'�cial completed Section E for a buiWing bcated in Zone A(without a fEMA-issued or community-issued BFE) or Zare AO.
G3. ❑ The folbwing informatron (Items G4-G10) is provided for community ibodptai� ma�agement purposes.
G+i. �etmit NumDer
G3. iiate Permit Issued
G7, This permii has been issued for: ❑ New Constroctioa
____. _____ .__ _ _ .
Go Uate Cerf�fi c'�cate O# ��pl+arn�iOccupancy issued
_ ... _._ _ . _. _�
❑ Substantiai hn�xoveme�t
G8. E�vation ot as-built Irnwest floor (inclwling basement) of the buikling:
G9. BFE or (in Zone AO) depth of Aoodirtg at the bu� site:
G10. Community's design flood elevation:
Local Official's Name
Community Name
Signature
Comments
FEMA Fwm 086-0-33 (7/12)
_� .____ ❑ feet ❑ meters Datum
_____ O fcet ❑ meters Oatum
_____ � _ p feet ❑ mete�s Oatum
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Title
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Telephorte
Ddte
Check here if attachments_
ReplaCes all previous editions.
�+��v���c�� ��R�r������r�, ���� 3 Bt�ilding �'ht�tt�g�r�p�ts
• se� insiruetions fior ltern A�a.
li�lP�i�TA�Vi: ln ihese spac�s, tnpy the correspondir�g int'ormation irom Se�tion A.
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BwOding Slreet Address {includ�ng Api . Unit, 5u�te, and/or Sidg No. ) or PA. Route and S�ox No.
943 NAT2CISSt)S AVE
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Ciiy CI.FAtc1NAC�t2 State FLOl211aA 21PCca�e 33l8,�
J FpF2 iNSUi2�iN�E C{)MPJ�NY US�
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� PoliCy Nun�ber�
Gompany NAiC Number:
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if using ihe Elevatian Geriificate to ot�tain NF1P flood insurance. aii'ix at least 2 bt�i�di�� phoiographs below a�cdrding to 1he ins9ruciie�ns
fof Item A�. Identi#y all photographs with daie taken; "Front View" and "#2e�r View"; and. ;# required. `F2ight Si�ie Vietiv" and "Left Side
: View.'" When app9icabie, phalagtaphs musi show the founriafion with representativ� exa,7�ples of tl�e fionci op�niri�s or v�nds. �s
indicated i�i Seciior� A8. lf siabmidiing more phoiographs ihan wili fit on Chis page. use ihe Continuation Page.
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FEMA Form 086-0-33 (7/12j i�eplaces all previous Qditro�i$.