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649 SNUG ISu.s.o���a�rsr�ro�won���.aNns�cu���rv El..EVATION CE�iTIF1CATE FEO�RAL EM�RGENCY MANAGEMENT AGENCY N�tlir�iur! F[iux!lns�cnzuic�i f'rc�4r�tin �fflpOYtBflt' R@8[� 'tile It1SfCtIC�ItitiS 011 pBg�S 'i—�. SEGTION A — PROAERTY iNFORMATiON At. Building Owner's Name SEAN AND CHRlSTINA CORDNER-JAMES A2: Buiiding Street Address (inciuding Apt., Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. 649 SNUG IS�E C'tty CLEARWATER State F� ZIP Code 33767 OMB No. t660-ao�s Expiration Date: July 31, 2015' A3. Propetty Description (Lot and Block Numbers, Tax Parcel Number, �egal Description, etc.j LQT 14, UNIT 7B ISLANO ESTATES OF CLEARWATEf3; PARCEL I:D. #05-29-15-43457-000-0140 A4. Building Use �e:g., Residential, Non-Residential, Addition, Accessory, e[c.j RESIDENTIAL A5. latitude/l.ongitucle: Lat 27°a9'17.1" Long. 82°49'03.5"Horiaontal Datum; ❑�1A0 1927 � NAD 1983 A6: Atiach at least 2 photographs of the building if the Certificate fs being used to obtain fiood insurance. A7. Buiiding Diagram Number 1A A8, For a building with a crawispace or enclosure(s): A9. For a buiiding with an attached;garage: a) Square footage of crawlspace or enclosure{s} Q sq ft a) Square foofage of attached garage 4�,Q sq ft b) Number of permanent flood openings in the crawispace b) Number of perrnanent ilood openings'in the attached garage or enclasure(s) within 1,Q toot above adjacent grade 0 within 1.0 toot above adjacent grade Q c) Total net area ot flood openings in AB.b 0 sq in c) Tfltal �et area of floQd openings in A9b 0 sq in d) Engineered fiood openings? ❑ Yes � No d) Engineeredfiood openings? ❑ Yes � Nq SECTION B— FLOOD INSURANCE RATE MAP (FIRM) I�+lFORMATION B1. NFIP Community Name & Community Number B2. County Name 83. State G#7Y OF CLEARWATER 125096 PINELLRS FLORIDA ( B4. MapJPanel Number I 65. Suffix I 86. FIRM Index Date I B7. FIRM Panel I B8. Flood I 69. Base Fiood Elevation{s) (Zone � 121 d3C0102 G 8/1 H/09 EffectivelRevised Date Zone(s) AQ use base ilood depih) 9/3/03 AE 11 ^ 610. Indicate the source of the Base Flood Eievation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile � F}RM ❑ Community Delermined ❑ OtheriSource: Bt t. Indicate elevatian datum used for BFE in Item 8,9: ❑ NGVD t928 � NAVD 1988 ❑ OtherlSources 612. Is the building located in a Coastal Barrier Resources System (GBRS) area or ptherwise Protected Area (OPAj? ❑ Yes � No Designation Date: N!A ❑ CBRS ❑ OPA SECTI{3N C— BUlL[�INC� ELEVATION It+IFORMATION (StlRVEY REL1UlRED� CL Building elevations are based on: ❑ Gonstructian Drawings' � Building Under Construction* � Finished Construction 'A new Elevation Gertificaie wilf be raquired when cqnstructian of the building is cornplete. C2. E(evations —zones A1—A30, AE, AH, A(with BFE}, VE, V1—V30, V(wiih BFEj, RR, ARIA, AR/AE, AR/A1—A3Q AWAH, ARfRf3. Complet� items C2.a-fi below accarding to the building diagram specified in Item A7. In Puerto Rico onty, entermeters. Benchmark Utitizeds I-04 Vertical Datum: NkVD 1988 Indieate elevation datum used for the elevations in items a) through h) below: ❑ NGVD 1929 � NAVD 1988 0 OtherlSource: Datum used for buiiding elevatians must be the same as thai used for the BFE. Check the measurement used. a) Top of bottom fiioor (inciuding basement, crawlspace, or enclosure tloor) 7.�6 � feet � meters bj Top of the ne� higher fioor 7.21 � feet ❑ meters c) Bottom of the lowest hor+zontal siructural:member (V Zones onlyj N.A ❑ feet ❑ meters d) Attached garage {top of slab) N.A ❑ feet ❑ meters e) Lowest elevati4n oi machinery or equipment servicing the building 7.46 � feet ❑ meters (Deseribe iype of equipment and locatian in Comments) f) Lowes[ adjacent (finishedj grade next to buiidi�g (LAG) 6.$ � feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 7.6 � feet ❑ meters h) towest adjaoent grade at lowest elevation of deck or stairs, including structurai support N.A ❑ feet ❑ meiers SEC'TIQN D— SURVEYOR, ENGINEER, OR ARCHITECT CERT1fICATION Th3s certilicaGon is to be signed and seaied kay a la�d surveyor, enginaer, or archiiect aulhorizeci by law ta certify elevation infarrriation. I certify thai the in/ormat�t�n or� tMis Gertiflcat� represerris my bsst elt�arfs ta ir�terpret the data available. / understand that any laise sla#ement may be punishable by /ina or imprisnnmenf under 18 U:S. Code, Section 1001. � Check here if comments are provided on back of form. Were iatitude antl-longitude in Section A provided by a � Check here ii attachments. licensed land surveyor? O Yes ❑ No Gertific�r's Name EL2ABETH KATHLEEN MERTA Tiile P:S.M. Company Name EMME LAN� Address 105A KAPF DRIVE City CLEARWATER Signature FEMA Form 086-0-33 (7it 2) License Number LS6113 RVEYING, �LC State FL ZIP Code 33765-2111 4121/15 Telephone {727)474-3751 See reverse side for continuation. � �� _ _ � - P�.AGE 5��� "; H��� Replaces all previous editions. � � �� ��u� ►sL BCP2�� 5�7 503 CpRDNER-�AMES e� hbor Zonm9. Island Estates N 9 In #hese spaces, copy the carresponding [ni�wmation irom Sectinn A. 649 5tJUG iSLE Gity CLEARWATER Rpt., Unit, Suite, andtor Bldg. No.) or P.O. Rout� and Box No. State FL 21P Code 33767 SECTfON D- SURVEYOR, E(VGINEER, OR ARCNITECT CERTIFICATION (CONTINUED) - Copy both sides of this Etevation Certiiicate for (1) community official, j2} insurance agenUcompany, and (3) buiiding owner. Comments 1) THE ELEVA7I�N SHOWN IN ITEM G2e) IS THE 70P OF THE SLAB OF THE AtR CONDITIONING UNIT. 2) p:S.M. IS THE ABBREUTATION FOR PROFESSIONAL SURVEYL'�R-AND MAPPER (STATE OF FLORIDA). 3} BENCHMARK USED WAS CITY OF CIEARWATER "i-04" AND HAVING-A PUBLISHED ELEVATION-0F 5.25' N.A.V.D. 88 (NORTH AlNERICAN VERTICAL DATUM 1988) Signature �y,�'`� ,j'�,�y,� f`/'""�,,;';',,�,..-- Date 4/21/15 SECTION �� �UILDIPIG{EL.EVATION INFORMAfiION ($URV�Y NqT REQUIRED) FOR ZONE AO AND ZON� A{WITHOlJT BFE) For Zones AOand A(without BFE), camplete ttems E1-E5. If 1he Certificate is intentled to support a LOMA or LOMR-F request, complete Sectfons A, B, and C.;For ltems E1-£4, use natu�at grade, if available. Check the measurement used. ln Puerto Rico oniy, ente� meters. E 1. Prnwide elevation information for the fallowing and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAC) and the lowest �djacent grade (LAGj. aj Top of bottom 11oor (including basement, crawispace, or enclosure) is . ❑ feei ❑ meters ❑�bove or Q below the HAG. b) Top ofibottom Eloo� (inciuding basement, crawispace, or enciosurej is . ❑ feet ❑ melers ❑ above or ❑ 6elow the LAG. E2. For Buiiding Diagrams 6-9 with permanent ftood openings pravided in Section A Items 8 andJor 9{see pages 8-9 af Instructions), ihenext higher floor (etevation G2.b in tne diagrarns) of ihe building is . ❑ feet ❑ meters ❑ above or ❑ beiow the HAG: E3: Atiached garage (top of slab) is . ❑ feet ❑ meters ❑ above or ❑ belowthe HAG. E4. Top of platform of maehinery andtor equipment secvicing the building is ❑ feet ❑ meters ❑ above or � below the HAG. E5. Zone AO only: If no #lood deptfl number is avaiiable, is the top of the bottom iloor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown: The Iocai official musF certify this infprmation in 5ection G. SEGTION F- PROPERTY OWNER (OR dWNER'S REPI?ESENTATIVE) CERTIFICATION The prope�ty owner or owner's authorized represenlativP who completes Sections A, B, and E for Zone A(wiihout a FEMA-issued or community-issued BfEj ar Zone AO must sign here. The statements in Sections A, B, and E are correct to 1he best of my knowledge. Owner's or Owner's Authorized Representative's Name 5ignature Comments City Date State ZIP Gode Teiephone �Cfis��C her���� if� attaehrnenta. G1. ❑ The informalion in Section C was.taken from other documentaiion that has been signed and sealed by a Iicensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate ihe source and date of ihe elevation data in the Comments area below.) G2. ❑ A community official cQmpieted Section E#or a building locateci in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. G3l ❑ The foilowing information {Items G4-G10) is provided for communityfloodpiain management purposes. i G5. Date Permit Issued G6. Date Certificate G7. This permit.h8s been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-builtJowe&Cfloor (including basement) of the 6uiiding: ❑ feet ❑ meters G9. S�E or (in Zone AO} deptfi of flaoding a1 the buiiding site: ❑ feet ❑ meters G10, Gommunity's design fi4od eievation: . ❑ ieet ❑ meters Local Officiat`s Name Gommunity Nama Signature Comments Tiile Telepho�e Date Datum Datum Datum Check here if at4achments, FEMA Form 486-0-33 (71i2) Replaces ali previc�us editions. EL�VATION CERTIFICATE, page 3 guilding Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 649 SNUG ISLE 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, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" 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. FRONT VIEW — PHOTO TAKEN 4/21/15 _ FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 guilding Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. FoR INSu Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Nun 649 SNUG ISLE City CLEARWATER State FL ZIP Code 33767 Companv 1 ( If submitting more photographs than will fit 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 "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. REAR VIEW — PHOTO TAKEN 4/20/15 FEMA Form 086-0-33 (7/12) Replaces all previous editions.