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709 MANDALAY AVECJUL z, 2015 PLANNING & DEVELOPMENT DEPT TY FCLEARWATER 00° 709 MANDALAY AVE BCP2015-07081 REMODEL STANALAND Zoning: Low Medium Density Re Atlas #: 249A U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program ELEVATION CERTIFICATE IMPORTANT: Follow the instructions on pages 1-9. OMB No. 16600008 Expiration Date:July 31, 2015 V7579 SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al Budding flees Name SHARON STANALAND; RICHARD STANALAND Ow Policy Number A2. Building Street Address (including Apt., Unit, Suite and/or Bldg. No.) or P.O. Route and Box No. 709 MANDALAY AVENUE Company NAIC Number City CLEARWATER State Florida ZIP Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 3, BLK 13, MANDALAY, PB 14, PGS 32-35, PINELLAS COUNTY, FLORIDA. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude:Lat.27°59'24.99" Long. -82°49'35.34" A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b WA sq in d) Engineered flood openings? 0 Yes IN No HorizontalDatum: ❑ NAD 1927 ®NAD 1983 A9. For a building with an attached garage: a) Square footage of attached garage 231 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? 0 Yes 0 No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number CITY OF CLEARWATER 125096 B2.CountyName PINELLAS 83. State FLORIDA 84. Map/Panel Number B5. Suffix B6. FIRM Index Date 67. FIRM Panel Effective/ B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone Revised Date A0, use base flood depth) 12103C 0102 G 8/18/09 9/3/03 AE 11.0• B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: 0 FIS Profile ® FIRM 0 Community Determined 0 Other/Source: B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ® NAVD 1988 0 Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes igi No DesignationDate: 0 CBRS 0 OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings' 0 Building Under Construction* *A new Elevation Certificate will be required when construction of the building is complete. 02. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, Vi -V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized CLEARWATER BMK Vertical Datum: NAVD1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑NGVD 1929 Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (inducing basement, crawlspace or enclosure floor b) Top of the next higher floor N/A c) Bottom of the lowest horizontal structural member (V Zones only) N/A d) Attached garage (top of slab) 7 .22 e) Lowest elevation of machinery or equipment servicing the building 7 .60 (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 6 .50 g) Highest adjacent (finished) grade next to building (HAG) 6 .90 h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A structural support ® Finished Construction AR/AH, AR/AO. Complete Items ®NAVD1988 0 Other/Source: Check the measurement used. ® feet ® feet ® feet ID feet ®feet ®feet ® feet ® feet ❑ meters ❑ meters ❑ meters ❑ meters ❑ meters ❑ meters 0 meters ❑ meters SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ®Check here if comments are provided on back of form. ❑Check here if attachments. Were latitude and longitude in Section A provided by a licensed land surveyor? e Yes ❑No Certifier's Name Miguel A. Cortes License Number 5820 Title PSM Company Name V.I.P. SURVEYING, INC. Address 4034 Laurel Branch Lane Signature City Orlando State Florida ZIP Code 32817 Date 2/5/2015 Telephone (407) 810-0838 FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or PO.Route and Box No. 709 MANDALAY AVENUE Policy Number City CLEARWATER State ZIP Code FLORIDA 33767 Company NAIC Number SECTION E - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATIONS (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments BENCHMARK ELEVATION OF 5.57'. EQUIPMENT IS A/C PAD ON OUTSIDE. V7579 Signature Date 2/5/2015 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items El -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A,13, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following 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 0 feet 0 meters 0 above or 0 below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet 0 meters 0 above or 0 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 0 feet 0 meters ❑ above or 0 below the HAG. E3. Attached garage (top of slab) is 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters 0 above or 0 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? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G. SECTION F -PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The propertyowner 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 of Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments 0 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. 0 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. 0 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 0 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: 0 feet 0 meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet 0 meters Datum G10. Community's design flood elevation: 0 feet 0 meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments 0 Check here if attachments. FEMA For m086-0-33 (7/12) Replaces all previous editions. � . . � U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Iasurance Program IMPORTANT: Foilow the instructions on pages 1-9. A - PROPERTY INFORMATION A1. .,.......�.a .,....... � ........, SHARON STANALAND; RICHARD STANAIAND A2_ Building Street Address (including Apt., Unit, Suite and/or Bldg. No.) or P.O. Route and Box No. 709 MANDALAY AVENUE City CIEARWATER OMB No. 1660-0008 Expiration Date:July 31, 2015 State Florida ZIP Code 33767 A3. Property Description (Lot and Block Numbers, Tau Parcel Number, Legal Description, etc.) LOT 3, BLK 13, MANDAIAY, PB 14, PGS 32-35, PINE�LAS COUNTY, FLORIDA. p4. Buiiding Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude:Lat.27°59'24.99" Long. $2 49'35.34" HorizontalDatum: ❑ 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 1A A8. For a building with a crawlspace 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 ?�1 sq ft b) No. of permanent flood openings in the crawispace or b) Number of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacerrt grade WA within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c Total net area of tlood ) 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 B1. NFIP Community Name & Community Number 62.CountyName 83. State CITY OF CLEARWATER 125096 PINELLAS FLORIDA 64. Map/Panel Number B5. Suffix B6. FIRM Index Date 87. FIRM Panel Effective/ 68. Flood Zone(s) 69. Base Flood Elevation(s) (Zone Revised Date A0, use base flood depth) 12103C 0102 G 8/18/09 9/3/03 AE 11,p• B10. Indicate tfie source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other/Source: Bi i. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ O[her/Source: B12. Is the buildirig located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes � No DesignadonDate: � —; ❑ CBRS ❑ OPA SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' � Finished Construction `A new Efevation Certificate will be required when construction of the building is complete. p2_ Elevations — Zones At-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 according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized CLEARWATER BMK Vertical Datum: NAVD1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑NGVD 1929 �NAVD1988 ❑ Qther/Source: Datum used for buildin� elevations must be the same as that used for thP BFE a) Top of bottom floor (induding 6asemerY, crawlspace or enclosure floor b) Top of the next higher fioor c) Bottom of the lowest horizontai structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipmeni servicing the building (Desaibe 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 bwest elevation of deck or stairs, including structural support � Check the measurement used. $_.00 � feet ❑ meters N�A � feet ❑ meters N!A � feet ❑ meters � •22 � feet ❑ meters 7 .60 �feet � meters �•� �feet ❑ meters �.90 � feet ❑ meters N/A � feet ❑ meters SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed arxl sealed by a land surveyor, engineer, or architeCt authorized by law to certify elevation information. I certily that the information on this CertiBcate represents my best efforts to interpref the data available_ l understand that any false sfatemeni may be punishable by firre or imprisonment under 18 U.S. Code, Section Y007. �Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed ❑Check here if attachments. land surveyor? � Yes ❑No Certifier's Name MiAuel A. Cortes License Number 5820 Title PSM Company Name V.I.P. SURVEYING, INC. Address 4034 Laurel Branch Lane City Orlando State Florida Z�P Code 32817 �� � /��a Date 2/5/2015 Telephone (407) 810-0838 FEMA Form 086-0-33 (7/12) See reverse side for continuatlon. Replaces all previous editions. ..� ELEVATiON CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bidg. No.) or PO.Route and Box No. 709 MANDALAY AVENUE ��Y State ZIP Code CLEARWATER FLORIDA 33767 SECTION E- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATIONS (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenVcompany, and (3) buiiding owner. Comments BENCHMARK ELEVATION OF SS7'. EQUIPMENT 15 A!C PAD ON OUTSIDE �/ ��""y'� Date 2/5/2015 Signature SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE), complete items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items Et-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or bebw 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 ne� higher floor (elevation C2.b in the diagrams) of the buildi�g is ❑ teet 0 meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ teet ❑ meters ❑ above or ❑ beiow the HAG. E4. Top of piaHorm of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or Q below the HAG. E5. Zone AO only: If no flood depth number is availabie, is the top ot the bottom floor elevated in accordance with the communitys floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The proper�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 knowiedge. Property owner of Owner's Authorized Representative's Name Address Signature Comments City State ZIP Code Date Telephone ❑ Check here if attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local o�cial who is authorized by law or ordinance to administer the community's fbodplain management ordinance can complete Sections A, B, C(or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Checic the measurement used in Items G8-G10. In Puerto Rico only, enter meters. G1. ❑The in(ormation 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 AO. 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 G70. Community's design flood elevation: � ❑feet ❑ meters Datum Local Official's Name Community Name Signature Comments Title Telephone Date ❑ Check here if attachments. FEMA For m086-0-33 (7/12) Replaces all previous editions.