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709 BRUCE AVEU.S.DEPARTIMENTOFHOMELANDSECURfTY ELEVATIOPI CERTIFICATE OMBNo.1660-0008 FEDERAL EMERGENCY MANAGEMENT A6ENCY NationalFloodlnsurcmceProgrco� �mportant: Read the instructions on pages 1-9. �P��U� Date: Juty 31, 2015 213851 SECTION A- PROPERTY INFORMATION FOR INSURANGE COMPANY USE A1. Building Owner's Name STEPHAN CURTIS AND MARY CURTIS Pa6cy Numbet: A2. Building 5treet Address (nduding Apt., Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. Company NAIC Nurr�er; 709 BRUCE AVENUE City CLEARWATER State FL ZIP Code 33767 A3. Properly Description (Lot and Blodc Plumbers. Tax Paroel Number, Legal DescriPtion. etc•) A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27°59'24.74"N Long. 82°49'32.04"W Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Atkach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 18 A8. For a building with a crawispace or endosure(s): A9. For a buiiding with an attached garage: a) Square footage of crawispace or enclosure(s) N/A sq ft a) Square footage of attadied garage WA sq ft b) Number of perma�ent � openings in tfie crawlspace b) Number of permanent flood openirigs in the attached garage or endosure(s) within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c Total net area of fbod d) Engineered fbod openings? ❑ Yes � No d, E �nings in A9.b 0 sq in ) ngineered flood openings? ❑ Yes � No SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name & Community Number B2. County Name B3, g�� 125096 PINELLAS COUNTY PINELLAS Florida B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel 68. Fiood B9. Base Flood Elevation(sj (Zone 12103C0102 G 9f3/2003 Effective/Re�sed Date AEZo�ne(s) AO, u� base flood depth) ( 1lD88) 11 B10. Indicate the souroe of the Base Flood Elevation (BFE) data or base flood depth entered in kem B9. ❑ FIS Profile � FIRM ❑ Community Determir�ed � ptl�edSour�e: _ 811. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: _ B12. Is the building located in a Coastal Barrier Resoutces System (CBRS) area or Othervvise Protected Area (OPA)? ❑ Yes � No Designation Date: ❑ CBRS ❑ OPA SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Buildirg Under Construction' � Fnished ConsUuction 'A new Elevatlon Certificate will be required when construction of the building is compiete. C2. Elevations - Zones A1-A30, AE, AH, A(with BFE), VE, V1 V30, V(with BFE), AR, AR/A, ARiAE, AR/A1-A30, AR/Ah, AR/A0. Complete riems C2.�-h below acoording to the building d'iagram specified in Item A7. In Puerto Rico oniy, enter meters. Benchmark Utilized: BM #CITY OF CLEARWATER Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in ftems 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. Check the measurement used. a) Top of bottom floor (induding basement, crawlspace, or endosure floor) 5_4 � feet ❑ meters b) Top of the next higher floor �1/ � feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones oMy) N/A � feet ❑ meters d) Attached garage (top of slab) N/A � feet ❑ meters e) Lowest eievation of machinery or equipment servidng the building 4_5 � feet ❑ meters (Describe type of equipmerrt and location in Comments) � lowest adjaoent (finished) grade next to building (LAG) s s � reet p rr,e�ers g) Highest adjacent (finished) grade next to building (HAG) 3_7 � feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, induding stnictural support WA � feet ❑ meters SECTION Q- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certifieation is to be signed and sealed by a land survey�or ergineer or archited authorized by law to oertidy elevation information. l cefify that H�e infamation on this Certihcate represents my best effafs to inte�piat the data avaiJab/e. ! undeistand that any fa/se statement may be punisha6ie by fine or imprisonment under 18 U. S. Code, Section 1001. � Chedc here 'rf comments are provided on badc of fortn. Were latitude and b�gitude in Section A provided by a ❑ Check here 'rf attachments. lioensed land survey�? � Yes ❑ No Certifier s Name Clyde O. McNeal Lic�nse Number 2883 Title Registered Professional Surveyor Company Name TARGET SUf2VEYING, LLC Address 6250 N M�itary Trail #102 City West Paim Beach State FL ZIP Code 33407 �N � by cqae o. � DN: CN = �:AL3.�IWeal. � c�-�-�� - -t--�-.��.- � Si9�� Date 9/26/2014 Telephone (561)640-4800 FEMA Form 086-0-33 (7/12) See reverse side for continuation_ Replaces all previous editions. ELEVA710N 2 3851) IMPORTANT: In these spaces, copy the cornespondin� information from Section A Building Street Address (induding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 709 BRUCE AVENUE City CLEARWATER State FL ZIP Code 33767 FOR iNSURANCE COMPANY USE Pd'K;Y Nurnber Company NAIC Number. SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) �PY both sides of this Elevation Certificats for (1) community official, (2> ��s�ra� �u�„r. �d (3) ��s o�. Comments ELEVATIONS IN SECTION C2-E ARE ELEVATIONS OF A/C SLAB. Signature �-/� Date 9/26✓2014 uJ SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE), complete hems E1-E5. If the Cerdficate is intended to support a LOMA or LOMR-F request, comptete Sections A, B, and C. For Items E1-E4, use natural grade, 'rf available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation infortnation for the followir►g and check the appropriabe boxes to show whether U►e elevation is above w below ihe highest adjacent grade (HAG) and the laaest adjacent grade (LAG). a) Top of bottom floor (induding basemerrt, crawlspa�, or enclosure) is ❑ feet � meters � above or 0 below the HAG. b) Top of bottom floor (induding basement, crawlspace, or enclosure) is __ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams C�9 with perrnanent flood openings provided in Secdon A Items 8 and/or 9(see pages 8-9 of Instrucdons), the next higher floor (elevation C2.b in the diagrams) of the building is _❑ feet ❑ meters ❑ above or ❑ betow #he HAG. E3. Attached garage (top of slab) is __ ❑ feet ❑ meters Q above or ❑ bebw the HAG. E4. Top of platfortn of machinery and/or equipment servicing the building is __❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO oniy: If no flood depth number is available, is the top of the bottom floor elevated in acxordance with the cbmmunity's floodpiain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this infortnation i� Section G. SECTION F- PROPERTY OWNER (OR OWNER'S REPRESENTATNE) CERTIFICATION 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 oortect to the best of my krmwiedge. Property Owner's or Owner's Authorized Represenfative's Name Address Signature Comments City Date State ZIP Code Telephone Cl Check here if attad�ments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The la;al offiaal who �s authonzed by law or ordinanoe to administer the community's floodplain managerrient ordinance can canpfete Sedions A, 6, C(or E), and G of this Elevation Certificate. C�nplete tlie appiicable item(s) and sign bebw. Chedc the meawremerrt used in Rems G8-G10. In Puertfl Rico ordy, errter meters. G1. ❑ The infortnabon in Section C was taken from other documentation ihat has been sig�ed and seaied by a licensed surveyo�, engineer, or arohitect who is authorized by law to certify elevatio� infortnation. (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 crwnmunity-issued BFE) or Zone AO. G3. ❑ The following information (Items G4-G10) is provided for community floodplain management purposes. G4. Pertnit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This pertnit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-buik lowest floor (induding baseme�t) of ihe building: __ G9. BFE or (in Zone AO) depth of flooding at the building site: __ G10. Community's design flood elevation: Local Official's Name Community Name Signature Comments ❑ feet ❑ meters Datum _ ❑ feet ❑ mete►s Datum _ ❑ feet ❑ meters Datum Title Telephone Date Check here if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 g�E�ding Photographs See Instructions for Item A6. {213851) IMPORTANT: In these spaces, copy the corcesponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 709 BRUCE AVENUE City CLEARWATER State FL ZIP Code 33767 FOR INSURANCE COMPANY USE Policy Number. Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, a�x at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front Viev�l' and "Rear View"; and, if required, "Right Side View° and °Left Side View.° When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. 3 __ � � _. ,. � _.__-----'i v _-.---� ""`� -` �.- - � « ,.�'` : . '� �� ,.._ . �� _ __ � � �,_V.� � ' � � _.,_—_.�..__ � "; �� ____�____._ — r. �=� � 7 � , �W- - - - ... � �. _ �, ¢ ; , _� __ - _ � � - � _ p�, � _ - ,w�--.-- .. �.. _ s� ^__ - ._ -� . : , �.._ ":------- �_ - .-�: --�,4 �-.r�'�----. � � �. �� -..,.. - � w � .,, - '°' _ ' . °--'� .r�} • �` �`--_. _ ��:� r ; _ . � �� ,�---� _ '� ,. i �- .�,��';`�`.� . FRONT VIEW � � ° � `�� _ �'�� :. _ ;� :u': `, .. . �-�: �.� SIDE VIEW _ -- FEMA Form 086-0-33 (7/12) Replaces all previous editions. �LEVATION CERTIFICATE, page 4 guilding Photographs Continuation Page (213851) IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY usE Building Street Address (induding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 709 BRUCE AVENUE City CLEARWATER State FL ZIP Code 33767 Compa�y NAIC Number: If submitting more photographs than will fd on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; °Front View" and "Rear View'; and, if required, "Right Side View° and "�eft Side View.° When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. �, �� ', -r �� =�; ,A#� � �� ` Y ' .. . „ `� s �. �� •`�� ' < � �� . .:x�c'�€e:� .,-.�,. � F \ }� �`e � , �?� :.i �.�.; { � � � : - -- � � , �_' _ " ��' - _.��..�..,�� - _ . � � � � 1- � " +: �� n � � r. � t �. r ; s � i �� ° . � ' 3. �• �,� ; .._., _._ �, ,..._ . a »_ _ .. F+F", . rt � ' � REAR VIEW SIDE VIEW FEMA Form 086-0-33 (7/12} Replaces all previous editions. � u.s.o��TM�aFHO�uwosECURmr ELEVATION CERTIFICATE OMBNo.1660-0008 FEDERAL EMERGENCY MANAGEMENT AGENCY N�o►►�t �t�tl�,'Q,�e �,'� Important: Read the instructions on pages 1-9. �P�ration Date: July 31, 2015 213851 SECTION A- PROPERTY INFORMATION A1. Building Owners Name` STEPHAN CURTIS AND MARY CURTIS A2. Building Street Address ('induding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 709 BRUCE AVENUE City 4�iRVfiATER State FL ZIP Code 33767 A3. Property Description {Lot and Blodc Numbers, Ta�c Paroel Number, Legal Description, etc.) �S-�-q- I.� 5��- a�-z�C�c� A4. Building Use {e.g., Residential, Non-Residential, Addition, Accessory, etc.) �ESIDENTIAL A5. LatitudelLongitude: Lat. 27°59'24.74"N Long. 82°49'32.04"W Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at leasf 2 phatographs of the building if the Certificate is being used to obtain fload insurance. A7. Building Biagram Number 1B A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of cxawlspaoe or endosure(s) WA sq ft a) Square footage of attached garage N/A ft b) Number of permanent flood openings in the crawlspace b Number of rmanent flood � ) pe openings in tl�e aitached garage or endosure(s) within 1.0 foot above adjaoeM grade 0 within 1.0 fioot above adjacent grade 0 c) Total net ar+ea of flood openings in AS.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d} Enginaered tlood openings? ❑ Yes � No � Ergineered tbod openings? ❑ Yes � No SECTION B- FLOOD IMSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name 8� Communiry Number B2. County Name 63. State 125096 PINELLAS COUNTY PINELLAS F�orida B4. Map/Panel Numbe� B5. Suffix 66. FIRM Index Date 67. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12103C0102 G 9/3/2003 EffectivelRevised Date Zone(s) AO, use base flood depth) 9/3l2003 AE (NAVD88) 11 610. Indicafe the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Determined ❑ OtheNSource: _ 611. Indicate elevafron datum used for BFE in Item B9: 0 NGVD 1929 � NAVD 1988 ❑ OthedSource: _ B12. Is the building located in a Coastal8artier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes � No Designation Date: ❑ CBRS ❑ OPA SECTION C- BUILDING ELEVATION INFORMATION (StJRVEY REQUIRED) C1 _ Building elevations a►e based on: ❑ Construction Drawings"' ❑ Building Under Construction• � Finished Construdion 'A new Eleva6on Certificate will be required when construdion of the building is complete. 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/AO. Complete Items C2.a-h below acxording to the building diagram specified in Item A7. In Puerto Rico only, ent�rr meters. Benchmark Utilized: BM #CITI( OF CLEARWATER Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevafions in items a) through h) below. ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: Datum used for buiklir►g elevations must be the same as that used for the BFE. a) Top of bottom floor (induding basert�nt, crawlspace, or enGosure floor) b) Top of the next higher floor c) Bottom of the lowrest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest etevation of machinery or equipmeM serviang the building (Describe type of equipment and location in Comments) fj Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest eleva6on of dedc or stairs, induding structural suppo�t 5_4 WA WA WA � 3_6 3_,7 WA Chedc the measuremer�t used. � feet ❑ meters � feet ❑ meters � teet Q meters � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architec:t authoriaed by law to certify elevation infonnation. 1 certify fhat the infamafion on this Certificate iep►esents my best e1%rts to inte�pret the data available. _---- _ I ! undersfand ihat any false statement may be punishab/e 6y fine or imprisonmer►t under 18 U. S. Code, Sedion 1001. � 4� F_ f s,, . �� ,,r R. "�_,._ t � Chedc here if oomme�ts are provided on badc of form. W�ere latitude and lo n gitude in Sedion A prov i d e d b y a ,y� �. :`�--' .'�-. _�' ❑ Chedc here if attachments. lioensed land surveyor? � Yes ❑ No ��' �� I'=� ` - - ��_ cert�rs Na� c�y� o. Mdv�i Title Registered Professional Surveyor Address 6250 N Military Trail #102 License Number 2883 Company Name TARGET SURVEYING, LLC City West Palm Beach State FL ZIP Code 33407 _. _ - �� = _.: -_ --- -- "- 'F� � `-. sFa�e aF =�./. � .. ' a'R•r� s I./