1844 SPRINGTIME AVE_;.u. ... �FF_' � �, ._r , _�^�� ti��.0 sE� ��t1:t"
� ed�r i Fmeryunr y"�hanagem� ,t A7pn��y
Nationai F!ooti insu�ar,ce Program
A1
A2.
. . ,
Imqortant: �iead t!;e instruc±ions on pages 1-£�.
SECTION A - PRf3PERTY INFORMATION
Building Owner's Name
THOMAS WIMMER
Building Street Address (including Apt., Unit, Suite, and!or Bldg. No.; or P.O. Route and Box No.
1844 SPRINGTIME AVE
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Exr�ires FPt�ruard >8. 2t�0�
For Insurance Company Use:
Policy Number
Number
City State ZIP Code
GLEARWATER FLORIDA 33755-3375
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
PARCEL 03/29/1 5/881 1 0l005/0190 , LOT 19 BLOCK E, SUNSET POINT 15T ADD , PLAT BOOK 005 PAGE 095 , PINE�LAS COUNTY
A4.
A5.
A6.
A7,
A8.
Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL
Latitude/Longitude: Lat. 27.988° _ Long. 82.788° Datum:
Attach at least 2 photographs of the buiiding if the Certificate is being used to obtain fiood insurance.
Building Diagram Number_EIGHT
F
❑ NAD 1927 � NAD 1983
or a budding wrth a crawl space or enclosure(s), provide: A9. For a buiiding with an attached garage, provide:
a) Square footage of crawl space or enclosure(s) 1069 sq ft a} Square footage of attached garage 365 sq ft
b) No. of permanent flood openings in the crawl space or b) No. of peimanent flood openings in the attached garage
enclosure(s) walis within 1.0 foot above adjacent grade 42 wails within 1.0 foot above adjacent grade N/A
c} Total net area of flood openings in A8. 1210 sq in c) Totai net area of flood openings in A9.b N/A sq in
SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
61. NFIP Community Name & Community Ni
CLEARWATER CITY OF 125096
B4. MaolPanel Number B5. Suffix
12103C0106
66. FIRM Index
Date
05/17/2005
82. County Name
PINELLAS
B7. FIRM Panel B8. Flood
Effective/Revised Date Zone(s)
05!17/2005 AE
63. State
FLORIDA
Base Flood Elevation(s} (Zone
AO, use base flood depth)
10.0 FEET
B10. Indicate the source of the Base Flood Elevation (BFE) data or base fiood depth entered in Item 69.
❑ FIS Profile ■"fIRM ❑ Community Determined � Other (Describe)
Bi 1. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 ■ NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? � Yes � I No
Designation Date � CSRS � OPA
SECTION C- BUILDING ELEVATtON INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction` ■ Finished Construction
"A new Elevation Certificate will be required when construction 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, AWAH, AR/AO. Compiete Items C2.a-g
below accarding to the building diagram specified in Item A7.
Benchmark Utilized CITY OF CLEARWATER I-07 PUBLISHED ELEV OF 24.38676 FEET 1988 Vertical Datum
ConversioNComments NONE
al Top oi bottom floor (including basement, crawl space, or enclosure floor)
b) Top of the next higher floor
c) Bottom of the lowest horizontal structural member (V Zones only)
d) Attached garage (top of slab)
e) Lowest eievation of machinery or equipment servicing the buiiding
(Describe type of equipment in Comments)(OUTSiDE A!C UNIT)
f) Lowest adjacent (finished) grade (LAG)
g) Highest adjacent (finished) grade (HAG)
CRAW SPACE BOTTOM 10.15 FEET
LIVING FLOOR 73.72 FEET
N/A FEET
ATTACHED BY BREEZEWAY 10.32 FEET
11.70 FEET � �!� �
10.10 FEET
11.60 FEET
SECTION D- SURVEYOR, ENGINEER, OR ARGHITECT 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 informatron on this CeKificate represents my best efforts to interpret the data available.
l understand tirat any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section i001.
❑ Check here if comments are provided on back of form.
Certifier's Name License Number
BILL HYATT 4636
Titie Company Name
PRESIDENT KNOW IT NOW, INC
Address City State ZIP Code
MAIL= 1497 MAIN ST #321 DUNEDIN _ FL 34698
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Signature �� ! Date 04/13/2009 Telephone 727-415-8305
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FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces ali previous editions
tRflPQRTA(Vi. iR thnse Sp8C8S
Buiiding S'reet Address (including A�
1844 SPRINGTI(viE AVE
— ----------__ _ _ __
��ty
CLEARWATER
ihe car�responding irrformatican 3ram Sectian A
s�ir. SuiYe. and;or Bidg. Pdo.l or P.<`- Route ar,d Bor: ^1a
State
FLORIDA
Fc; lnsurance Compar,y, i�se:
Policv Number
ZiP Code � Company
33755-3375
SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner_
NOT TO BE USED FOR CONSTRUCTION OR DESIGN — IS FOR FLOOD INSURANCE USE dNLY
/�/� � ❑ ----
Signature Js ! Date 04!13/2009
Check here if attachments
SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE), compiete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items E1-E4, use natural grade, if availabie. Check the measurement used. In Puerto Rico only, enter meters.
E1. Provide elevation information for the following and check ihe appropriate boxes to show wheiher the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawl space, or enciosure) is . ❑ feet ❑ meters ❑ above or ❑ beiow the HAG.
b) Top of bottom floor (induding basement, crawl space, or endosure) is . ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see a e 8 of Instructions), the next higher floor
{efevation C2.b in the diagrams) of the building is ._ Q feet ❑ meters ❑ above or �below the HAG.
E3. Attached garage (top of slab) is � feet � meters � above or � below the HAG.
E4. Top of piatform 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 avaiiable, is the top of the bottom floor elevated in accordance with the community's 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 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 musi sign here. The statements in Sections A, 8, and E are correct to the besi of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address
Signature
Comments
City
Date
State ZIP Code
Telephone
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodpiain management ordinance can complete Sections A, B, C(or E),
and G of this Elevation Certificate. Complete the appiicable item(s) and sign below. Check the measurement used in Items G8. and G9.
Gi. � The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engi�eer, or architect who
+s 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 commu�ity-issued BFE) or Zone AO.
G3. ❑ The foilowing information (Items G4.-G9.) is provided for community floodpiain 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 (inciuding basement) of the building: ❑ feet ❑ meters (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum
Local Official's Name
Community Name
Signature
Comments
FEMA Form 81-31, February 2006
Title
Telephone
Date
❑ Check here ii attachments
Replaces all previous editions
��i������ i ��t�tc�gr����
See Instructions for item A6.
Building Street Address (including Apt., Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. Poiicy �vumberCompany Use:
1844 SPRINGTIME AVE
City State
CLEARWATER ZIP COde CompanyNAiCNumber
FLORIDA 33755-3375
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify ali photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
PICS TAKEN 4-13-09
FRONT
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