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1650 GULF BLVDU.S. DEPARTIYIENT OF HOMELAND SECURtTY FED@RAL EkiERGENGY NiANAGEAAENT AGENCY Nariorat Fl�ad Insurr,�rce Progri�nr . . , A2. Building StneetAddress (induding 1650 GtJLF BLVD ELEVATI�N CERTtFICATE lmportanit: Read the instructions on pages 1-9. SECTION A - PROPERTY INI CONDO ASSOGlAT10N nit, Suite, and/or Bldg. No.) or P.Q: Route and State FL ZIP Gode � OMB No. 1660-00p8 Expiration Date: July 31, 209 5� A3. PropeRy Descxipfion (Lat and Bbdc Numbers� Tax Paroet Number, Le�Ja� Llescription, etc.) PARCEI # 30-29-1S-2Q262-000-0001 (F'ARCEL # IS FOR COMMON Ei.EMENTS OF GONDO ASSOCIATION) A4, Building Use {e.g., Resideniiat, [don-Residential, AddiG'on, Accessoty, etc.) ACCESSORY A5. LatitudetLongitude: Lat. 27 5617.46 N Long. 82 50 22.45 W Horizontai Datum: ❑ NAD 1927 � HIAAD 1983 Afi. Attach at least 2 photogrsphs of the buiiding iF tl�e Certifu:ate is beiag us� to obtain flood insurance. A7. Building Diagram Wumber � A8, For a buikfing with a cxawispace or endosure(s): A9. Fw a buitding with an aftached garage; a) Squa►e footage of cxawtspave or endosure(s) N!A sq it a) Square footage of attached garage WA sy ft b) Number of permar�nt flood openings irr the crawLsP� b Number af ) Perrnanent fbod openings in the a#tacfied garage or enc�osure(s} within 1.0 foa# above adjac�nt grade � within 1.0 foot above adjacer�t gr�e 0 c) Total nef area of 1�Od openings in A8,b D sq in c} Total net 8rea of flood openings u� A9.b g sq in c� Eng'meered flood opeeings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SEGTION B- FLQOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Gommunity Name & Gammunity Number B2. CouMy,Name Gity t?F Ciearwabe� 125096 Pinellas County B4_ Map/Panei Number B5. Suf�ix B6, FIRM fndex Date B7. FIFtM Panel 12103C0104 G 09/03/2003 EfFedive/Revised Date 09/03/2003 B8. F►ood Zo� s} 810. Indicate the soure� af fhe Base Fbod Elevation (BFE) data or base flood depttt errtered in It�n 69. ❑ FIS P'ofile � FiRM ❑ Commun�}r Determined ❑ Other�/Sourc:e: 811. Ind�ate elevatian datum used for BFE in item 89: ❑ NGVD 1929 � NAVD lggg ❑ Q#herlSource: B12. Is the building focated in a Coastal Barrier Resources System (CBRS) area or Othervvise P�oteded Area (OPA)? Designation Date: WA ❑ CBRS ❑ OPA c- 63. State FL B9. Base �iood Elevation(s) (Zone AO, use base flood deptft? 13.0' ❑ Yes � Mo G1. Buifding etevatiuns are based on: [] Construction Drawing,s' ❑ Buibing Under Gonst�uciion"` � Finished Construclion 'A new Elevation Cettificate will be required when construction of the bui�ing is 4romplete. C2. Efevations - Zones A1-A34, AE, Atl, A(with BFE), VE, Vi-V30� V(with B�E}, AR, ARlA, ARfAE, AR/A1-A30. AR/AN, AWAO. Complete Items G2.a-h bek>w acxording ta the buikiing diagram specc�fied in tt�n A7. !n Puerto Ricp oniy, errter meters. Benchmark Utilized: � Vertkal Datnm: NAVD 88 Indi�ate elevati0n datum used for the �levations in items a) through h) below. C1 NIGW 1 S29 �I NAVD 1888 ❑()therlSource: �atum used far building elevations must be the same as �rat used fa' the BFE. a) Top of battom floor �nduding basemerit, c;rawlspace, or enc�ure floor) b) Top of the ne�d h�her flaor c) Bottarr► of the lanrest horizo�tal stru�ral member (V 2nnes oniy) d) Attached garage (top of slabj e) Lavw�st e�on of machinery or equipment senricin� #he building {Describe type of equipmeM and bcation in GommeMs) fl lowest adjaceM (finished) grade next to buiiding (LAG) 9) Highest ad'�acent;(finishedj grade nezt #o buiidin9 (HAG) h) Lawest �fjacerrtgrade atdowest elevation of dedc or stairs, induding structural support SEGTlON D - � ¢.70 4_1.3Q N1A. N/A. '( 0.2� �-$Q 9_70 6! 8l} Chedr�►e rr�asuremerrt used. � teet ❑ meters � feet ❑ meters ❑ feet [] meters ❑ feet ❑ meters � feet ❑ meters � fast ❑ mete[s � feef ❑ meters � fieet � meters This certification is to he sigrr�! and sea�d by a land sunreyor, engineer, or architect authorized by lawr to �rtify elevatiO� infonnation, J aertify that the infamafion on this Certificate r�sp�eser�ts my best e� to interFuet the data ava�7ab/e. � unrlerstand that any false statemertt may be punishable by firae orimprisonment under 18 U.S Cocle, SecSon 1001. � Chedc here if canments are provid�l on back of form. Were latitude and iongitude in Section A provided by a �I Check here if attachments. ti�nsed land surveyort � Yes ❑ No Certifrer's Name ER{C S SMRH License Number PSM # 6929 Trtle OWNER Companyr Name 'TI_S Surveyors and Mappers, ING Address 1460 ALADDIN RD Gity BROOKSVIILE State FL 7JP Code 34509 Signature Date �, Felephone 352-277-6550 � "==�� ,��zy'� _ ;� l..�G /� � FEMA Form 086-0�33 (7/12) See reverse side for cor�ti�uation. Reolaces atl orevious editions ELEVATION CERTIFICATE, page 2 iMPORTANTc In �ese spaces, copy the corresponding information from Section A. FOR il Buiic�mg S�' Acklress (induding Apt, Unit, Su�e, andlor Bidg. No_) w P.O. Route and Bwc No. po��y 1650 GULF BLVD City CLEARWA'iER State FL ZIP Code 33767 �m� �nber: SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTiFICATION {CONTINUEDj Copy both sides of this E(ewation Certif�ate fior (1) c5ommunity offiaai, (2) insurance agerrttcompany. ac�d (3j buikiing owner. Commerrts LOWEST UTILITY SERVlCtNG TtiE BUIl.DtNG IS AN OUTlE7' LOCATED ON THE LOWEST FLOOR LEVEL AND (T SERVES A SUNKEN RACQUETBALL GOURT INSIDE THE B1JtLDING. Signaiu�� ,r,,,' - � l�� Dat� / �✓ � -� � .k Ci C/ 1,? ,µ SECTiON E- BUILDING ELEVATION INFORMATION (SURVEY N�T REQUtRED) FOR ZONE AO AND 20NE A m: m � (1MTHOUT BFEj For Zonss A0 and A(�writf►out SFE), cwmplete ttems E1-E5. If the Certif�ais is inte�ed to support a LOMA or LOMR-F re4uest, complete Sec�ions A, B, and•C. �Fo"r°tte� E4=�4, use natural9rade, if ava7ab�. Chedc the measqrement used. in Puerto Rico only, er�ter meters_ E1. Pci�vit�e eieva�on.informatian for the foliowing and check the appropriate boxes ta show whether the eievation is above or belaw the highest adjac�rrt grade (htAG}°and the low�est adjacetit grade (LAG). a) Top of bottom floor (induding baserrtent, crawhspace, or enciosurie) is ❑ feet � meters � abova ar� [] belaw the NAG. b) 'Cop of bott�rt ftoor (induding basement, crawtspace, or endosure) is . ❑ feet ❑ meters � above or ❑ below tt►e LAG. �2. Far Bttikling �agrams 6-9 with permanerrt flood openings prov�d in Sedion A I�ms 8 andtor 9(see pages 8 9 of InsUvdiorts), the nezt higher fbor {elevation G2.b in the diagr�ns) of the building is ❑ feet ❑ meters ❑ above or ❑ l�elow the HqG. E3. Attached garage (top of stab) is ❑ feet ❑ meters �] above or ❑ below the HAG. E4. Top of platfarm ofmachinery andlor �{ui�nent serviang the building � ❑ feet ❑ me�rs ❑ above or � be[ow the HAG. E5. Zone AO only: If na flood depth number is availabie, is the top of th+e bottom }►aor elevated in accordance with #he community's floodpla�► managemerit ordinance? ❑ Yes ❑ tVo ❑ llnknavm: The ixal officia! mtist certify thi� infonnation in Section G. S�CTi�N F- PROPERTY OWNER (OR OWNER'S REPRESEN'FATIVE} GERTIFIGATION The property owner or owner's autho�ized representatnre who complete.s 8ectiorrs A, B. and E for Zone A(withaut a FEMA-isssued or commun�y-issued BFE) or Zone AO must s�n here. The statements in Sechons A, 8, and E are co�rect tq the best of my knowiedge, P�e�tY C?wner's or Owner's Authorize� Representative's Name Address City State ZIP Code Signature Oate Te�phone Gorrtmerrts Gheck here if attachmenfs SECTION G - COMMUNITY iNFORMAT70N (OPTIONAL) The tocai offiaal wiw is authorized by taw or o�nance to administer the oarxr�unity's floodplain man�qemer�t ordinance can comptete Sedions P+. B, C(� E7. and G of this Etevatian Certificate. GamPie�e the applicabie iGem{s) ar� sign bebw. Check the measurement used i� Items G8-G10. tn Puerto Rico only, � meters. G1. ❑ The infortnation in Sectiqn G was taken fram other documentation th� fias been signed artd sealed by a lir,ensed surveyor, engirieer, or architeet who is authorized by law to certify elevation information. (indicate tt�e source snd dafe of the-elevation data in the Carnrrter�ts area be1�v.3 G2• � A c�mn'�uniiY off�ial o�aplet� Sedian E for a buiiding bcated in Zone A(witha�t a FEAAH-issued o� cammunity-issued gpEj orZone AO. G3. ❑ The fMlowing infortnation ({tems G4-G1pj is provided for r;ommun�y floodpiain managemer►t purposes, G4. G5. G6. Dat�e Cer#ific:ate Qf Complianoe/Occupancy issued G7. This �rtniE has been issued for. ❑ New Construction ❑ Substantial lmprovemerrt G8. Elevatiw► of as-baitt to�st floor (i�duding bas�nent) of the buikling: Q feet ❑ mefers Datum G9. BFE or (in ZoneAOj dep#i of floodi�g at the building site: Q feet ❑ meters Datum G10_ Cammunity's design ftood e�vatiom . ❑ feet ❑ meters Oatum Laxl'OfficiaCs Name Community Name Signature Colranerrts � Telephona Date Chedc here if attachmer,� FEMA Form 086-0-33 (7N2) ReDIaC�s ali arPViro�� ariitinnc ELEVATION CERTIFICATE, page 3 guiiding Photographs . � � See Instructians for Item A6. IMPOR7ANT: in these spaces, copy the corresponding information from Section A Buildi�g Street Address (includiag Apt, Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. 1650 GULF BLVD Cify CLEARWATER State FL ZIP Code 33767 FOR INSURANCE GOMPANY USE Policy Number. Company NAIC Number. !f using the Elevation Certificate to o6tain NFIP flood insurance, affix at least 2 buitding photographs below according to the instructions for item A6. Identify all photagraphs with date taken; `Frorrt Vew�' and °Rear Vew"; and, if required, "Right Side Vev�' and "LeR Side vew." When applicable, photographs must show the foundation with reptesentative exampies of the flood openings or vents, as indicated in Sedion A8. If submittir�g mare photographs than will fit on this page, use the Continuation Page. SOUTH S[DE VIEW 2-JUNE-20'15 EAST SlDE VIEW 2-JUNE-2015 FEMA Form 086-0�-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 guilding Photographs , � � Continuation Page EMP4RTANT: In these spaces, copy the corresponding informa#ion from Section A. 8uilding Street Address (including Apt, Unit, Suite, and/or Bidg. No.) or pA_ Route and Box No. 1850 GULF BLW City CLEARWATER State FL ZIP Code 33767 F(7R INSURANCE COMPANY U Poticy Number. Gompany NAlG Number. li submitting more photographs than will fit on the preceding page, aifix fhe additional photographs below. ldentify a!1 photographs with: date taken; °Front VevJ' and `Rear Vew"; and, if required, `Right Side Vie�' and "Left Side Uew." When applicable, photographs must show the foundafio� with representative euamples of the flood openings or vents, as indicated in Section A8. � r v � .. -�. .� � � � � � � i'� v, y5 �T �Y ,.: �"` ��: . . i � � f ,. � �� .., 3 �•. :.:. , , . � �. i ��. � � �` � �,��- � .: ,,,: � - , � �� "��s�= `- � �°� � � . ; � , � „ ��:� =;. - `�' - � � . � ;. ._� .. a , s. �� < < � � _�_. ��_.,,.. - . , , � , -� - � , ,, � � �,�� : z �� , �, . .: ,� � � , �� „ . „ - � �_. � , � NORTH S{DE VIEW 2-JUNE-2015 WEST SIDE VIEW 2-JUIdE-2015 FEMA Form �86-0-33 (7/12) Replaces all previous editians. U.S_DEPART�IAENTOFHOMELANDSECURITY ELEVATION CERTIFICATE FEDERAL EIYIERGENCY MANAGEMENT AGENCY National Flood I»suronce program OMB NO. 1660-0008 Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A- PROPERTY INFORMATION FOR INSURANCE COMPA�VY USE " A1. Building Owner's Name DAN'S ISLAND CONDO ASSOCIATION Policy Numb�r. A2. Buifding StreetAddress (including Apt., Unit, Suite, and/orBldg. No.) or P.O. Route and Box Na 1650 GULF BLVD Compan}i NAIC Number. ' City CLEARWATER State FL Z!P Code 33767 A3. Property Description (Lot and Blodc Numbers, Tax Parcel Number, Legai Description, etc.) PARGEL # 30-29-15-20262-000-Opp1 (pARCEL # IS FOR COMMON ELEMENTS OF CONDO ASSOCIATION} A4. Building Use (e.g., Residential, Non-Residential, Addidon, Accessory, etc.) ACCESSORY A5. Latitude/Longitude: Lat. 27 56 97.46 N Long. 82 50 22.45 W A6. Attach at least 2 h Horizontal Datum: ❑ NAD 1927 � NAD 1983 p otographs of the building if the Certificate is being used to-obtain flood insurance. A7. Building Diagram Number 3 AS For a bwitl�ng with a crawlspace or enGosure(s). A9. For a buiiding with an attached garage: a) Square footage of crawispace or enclosure(s) N/A sq ft a) Square foo#age of attached garage N/A Sq � b) Number of permanent flood openings in the crawispaoe b) Number of or enctosure(s) within 1.0 foot above adjacent grade p �anent flood openings in the attached garage within 1.0 foot above adjacent grade p c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood o nin d) Engineered flood openings? ❑ Yes � No Pe 9s in A9.b 0 sq in d} Engineered flood openings? ❑ Yes � No SECTION B -_FLOODJNSURANGE-RATE MAP (FIRM) INFORMATION - 61. IVFIP Community Name & Communiry Number 62. County Name Gity Of Ciearwater 125096 Pinellas County B4. Map/Panei Number B5. Suffoc 66. FIRM lndex Date 67. FIRM Panel B8. Flood 12103C0104 G 09/03I20Q3 Effective/Revised bate Z VE s} 09/03/2003 810: Indicate the saurce of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89. ❑ FIS Profile � FIRM ❑ Community Determined ❑ C7ther/Sou�ce: 81 i. Indicate elevation datum used for BFE in item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: 312. Is the building {ocated in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA}? Designation Date: N/A ❑ CBRS ❑ OPA 63. State R 89. Base Flood Elevation(s) (Zone AO, use base flood depth) 13.0' ❑ Yes � No SECTtON C- BUILDING ELEVATtON INFORMATION (SURYEY REQUIRED) �1: Buitding elevafions are based on: ❑ Construction Drawings* ❑ Building Under Construction' *A ne+n Elevation Certificate will be required when construct+on of the building is complete. � Finfshed Construction �2. 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 according to the building diagram specfied in ftem A7. In Puerto Rico only, enter meters. Benchmark Utilized: �� Vertical Datum: NAVp 88 Indipte elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 � NAVp � ggg ❑ p�}��Source: Datum used for building elevations must be the same as that used for the BFE. Chedc the measure.rnent used. a) Top of bottom floor (inGuding basement, crawlspace, or enGosure floor) 7.50 b) Top of the next higher floor �� ❑ meters c) Bottom of the louwest horizontal structural member (V Zones onty) N�� feet � meters d) Attached garage (top of slab) - ❑ f� ❑ meters �'°`- � meters e) Lowest elevation of machinery or equipmerrt servicing the building � � �� t (Describe type of equipmerrt and location in Comments) ��t ❑ meters fl Lowest adjacent (finished) grade next to building (LAG) 7.60 g) Highest adjacent (finished) grade ne�d to building (HAG) ��t ❑ meters h) Lowest adjacent grade at lowest elevation of dedc or stairs, inGuding structural support 7 60 ��t ❑ meters � feet ❑ meters SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or archited authorized by law to certify elevation information. I certify that the informafion on this Certificate repiesents my best efforts to interpret the data available. l undeistand that any false stateme»t may be punishable by flne or imprisonment under 18 U. S. Code, Section 10U1, � Check here ff comments are provided on back of form. Were latitude and tongitude in Sec;tion A provided by a � Check here if attachments. licensed land surveyor? � Yes C�1 No Certifier's Name ERIC S SMITH Title OWNER Address 1460ALADDIN RD Signature � / EMA Form 086-0-33 (7/12) License Number PSM # 6929 Company Name TLS Surveyors and Mappers, INC City BROOKSVt�LE State FL Z�P Code 34609 Date Telephone 352-277-6550 See rP.vP.rRA Cit-la fnr rnniim,�i;�,,, � �� ;� Gq? 9: i� .• y �1/l� n.,-�---- -�� _. .. . -- EL,EVqT1AN CERTIFICATE, page Z 1MPORTANT: !n these spaces, copy the corresponding information from Section A. Building Street Address (induding Apt, Uni� Suite, and/or Bldg. No.) or P.O. Route and Box No_ FOR INSURANCE COMPANY USE 1650 GULF BLW Policy Number. City CLEARWATER State FL ZIP Code 33767 Company NAIC Number. SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Gopy both sides of this ElevaGon Certificate for (1) community official, (2) insurance agent/company, and (3j buiiding owner. Gomments C0INEST UT'ILITY SERVICING THE BUILDING IS AN OUTLET LOCATED ON THE LOWEST FLOOR LEVEL AND IT SERVES A SUNKEN RACQUETBALL COURT INSIDE THE BUILDING. SignatWre � Date � - '�'G9z %�.r/.r.t''r _ S�G'fIf�IV E�- BUILDING ELEVATIQN INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND 20NE A(1MTHOUT BFE) For Zori�s AUandA (witF�out BF�, c.ompiete R�r�s E�.-E5. If the Certificate is intended to su and C. For_I4ems E'i=�d, use naturai grade, if available_ Chedc the measurement used. In p� �rt� onty ent �r mete �UeS�' �P� Sec�ons A, B, E7 . Provide"elev�ti,on information for the following and chedc the appropriate boxes to show whether the elevation is abwe or below the hiyhest adjacent grade (HAG) and the lowest adjaceMgrade (LAG). a) Top of bottom floor (inGuding basement, crawispace, or endosure) is ❑ fi�et ❑ meters b) Top of bottom floor (induding basement, crawlspace, or endosure) is ❑ aboye or � below the HqG. E2. For Building Diagrams 6-9 with • ❑� ❑ meters ❑ above or ❑ below the LqG. pertnanent flood openings provided in Sedion A items S arxi/or 9(see pages 8-9 of Instructlons), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters E3. Attached garage (top of slab) is . ❑ abave or ❑ beiow the yqG. E4. Top of platform of machine and/or � f�t ❑ meters ❑ above or ❑ below the HqG. �Y equipment servicing the building is ❑ feet ❑ meters E5. Zone AO onty: if no flood depth number is available, is the top of the bottom floor elevated in accordance vn't❑h t be comm�unity�g floodp�� management ordinance? ❑ Yes ❑ No ❑ Unknown. The Iocai offipal must certify this information in Section G. SECTION F- PROPERTY QWNER (OR OWNER'S REPRESEN7ATIVE) CERTIFICATION The property owner or owner's authorized represerrtative 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 Sectians A, B, and E are correct to the best of my knowiedge. Property Owner's or Owner's Authorized Representative's Name Address City Signature Date Comments State ZtP Code Telephone Chedc here if attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) 'he local official who is authorized by laW � orciinance to administer the communit�s floodplain management ordinance qn compl�� g�p�s,q B, C(or E), and G f this Elevation Certificate. Complete the applicable item(s) and sign below: Check the measurement used in Items G8-G10. In Puerto Ri�o on�yr, eriter meters. �� •❑ 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 oertify ele�ation information. (Indicate the source and date of the elevation data in the Commerrts area below.) �2• ❑ A community officia� completed S�tion E for a building bcated in Zone A(without a FEMq_issuec� or community-iss�ed gFE) or Zone AO. �3- ❑ The following infortnation (Items G4-G1pj is provided for community floodplain management purposes. G4. Pertnit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Oocupancy Issued �7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement �8. Elevation of as-buift lowest floor (induding basement) of the building: �9. BFE or (in Zone AO) depth of flooding at the building site: ��t ❑ meters Datum 10_ Community's design flood elevation: ��et ❑ meters Datum ❑ feet ❑ meters Datum Local Official's Name Title Community Name Signature �omments =MA Form 086-0-33 (7/12) Telephone Date Check here if attachments. ELEVAi1�N CERTIFICATEr page 3 guitding Photographs See Instructions for Item A6. lMPORTANT: In these spaces, capy the corresponding information fram Section A. Building Street Address (including Apt., Un�, Suite, and/at Bkig. No.) w P.Q. Route and Box No. 1650 GUL.F BLVD FOR (NSURAtJCE GC}MPANY USE Poiicy Number. Gity CIERRWATER State Ft ZIP Gade 33767 � Gompany NAfC Nurrrber. ff using the Eleuation Certific,�rte ta c�btain NFIP flvod insurance, affrx at le�st 2 building pho#ographs below accorcl'mg to the instructions for item A8. Identify aii photographs with date taken; "Front VievJ' and `Rear �ev�'; and, if required, °Righ# Side Vrew" and "Leti Side View.° When appiicabte, photagraphs must show the faundation with representative eacamples af the fioad openings or vents, as indicated in SediQn A8. If suamitting more photographs than wilt fit on this page, use ttte Gontinuation Page. SOUTH SIDE VIEW 2-JUNE-201� EAST SIDE V1EW 2-JUNE-2015 ---�- ---, F�MA Form 086-fl-33 {7112} '" places r�ii pr�vit�us �r,�fi, „< „� ,, „ E�EVATK?N GERTIFtGATE, page 4 guilding Photographs Continuation Page iMPORTANT: In these spaces, copy the corresponding information frc:rn� Section A. FOR lNSURANCE COMPAAiY USE Buiiding SVeet Address (induding Apt., Unit, Suite, andlor Bklg. No.} or P.O. Raute and Box No. Policy Number. 'tfi50 GULF SLVD City CLEARWATER State FL ZIP Code 33767 Company NAfC Numbes; fi submitting more phatographs tfian wiU fit on the preced'mg page, affix the addi#ional pfiatographs befaw. Identify all photographs with: date taken, "Frorot Vie�' and 'Rear Vew"; and, if required, `Right Side View" and "Left Side Visw." When applicabie, photographs must show the foundation with representative e�mpies of the flood openings or vents, as indicated in Seciion A8. � _.��,��3 "� � f��° � � � f. ,, � � � � . , : � �,�� n . _ � ,. _� . _ � �. � �• �`,� , � �,� tt. � � >. �� .� ,,r r: y.�,� �;�� , . "�,"; �. �" �,�� _�r-� `�_�� F '_� ,. �e..�� FEMA Form Q86-4-33 (7J12) td�RT4-i SiD� ViEVV 2-Ji1NE-2C�15 WEST StDE V{EW 2-JUNE-20'!5 Rep(aees ai! previc�us edi#irsns_ ['