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156 MARINA DEL REY CTU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB N0. 1660-0008 � FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program IMPORTANT: Follow the instructions on pages 1-9. Expiration Date: July 31, 2015 A1. Building Owner's Name GLENN GRAZIOSE A2. Buildin� Street Addres: SECTION A - PROPERTY INFORMATION (including Apt., Unit, Suite, and/or Bldg. No.) or F0. Route and Box No. FOR INSURANCE COMPANY USE PoUcy Number: City CLEARWATER , State F� ZIP Code 33762-2947 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL 19-29-15-55303-000-0250, LOT 25, MARINA DEL REY AT SAND KEY UNIT B, PLAT BOOK 081, PAGE 054, PINELLAS COUNTY, FLORIDA A4. Building Use (e.g., Residential, NorrResidential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 2�•94�z Long. 82•8341 Horizontal Datum: ❑ NAD 1927 0 NAD 1983 A6. Attach at least 2 photographs of the building if the Certiflcate is being used to obtain flood insurance. A7. Building Diagram Number SEVEN A8. For a building with a crawlspace or enciosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 716 sq ft a) Square footage of attached garage N'°` sq ft b) No. of permanent flood openings in the crawlspace or b) Number of permanent flood openings in thNAttached garage enciosure(s) within 1.0 foot above adjacent grade �� within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b ��_ sq in c) Total net area of flood openings in A9.b N�A sq in d) Engineered flood openings? [�Yes �0�( �yy� %d) Engineered flood openings? �(j Yes �)()( REV 2-2-15 REV 2-2-15 ••-�v� SECTION B- FLOOD INSURANCE RATE MAP (FlRM) INFORMATION B1. NFIP Communitv Name & Communi� Number 62. County Name pINELI.AS B3. State FL CLFS+RwArER ciTV o �2soss 84. Map/Panel Number 65. Suffix B6. RRM Index Date 67. FIRM Panel Effective/ B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone Revised Date A0, use base flood depth) 12103C0104 G 08/18/2009 09/03/2003 AE 11.0 FT 810.Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89: ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other/Source: B11.Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: B12.Is the building located in a Coastai Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes � No Designation Date: / / ❑ CBRS ❑ OPA SECTION C- BUILDIN6 ELEVATION INFORMATION (SURVEY REQUIRED) C1. Buiiding elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* � Finished Construction *A new Elevation Certificate wiil be required when construciion 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/A0. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: CITY BM B-02 Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items 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 (inciuding basement, crawispace, 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 elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) fl Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade ne�R to buiiding (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structurai support 5_61 � feet ❑ meters 14_41 � feet ❑ meters N/A � feet ❑ meters N/A � feet ❑ meters 5.3 � feet ❑ meters 5_2 � feet ❑ meters 5_5 � feet ❑ meters 5_2 � feet ❑ meters SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFlCATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify ihat ihe information on this Certificate represents my best efforts to interpret the data available. 1 understand thai any false siatement may be punishable by fine or imprisonment under 18 U.S. Code, Section 100i. ����� �� �� �'i 1 r, \ti:l�. 4� �i`/� ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a `�� �f�,k ❑ Check here if attachments. licensed land surveyor? � Yes ❑ No w�(,;(, Certifier's Name BILL H. HYATT, JR Title PRESIDENT Address 1497 MAIN STREET #321 Signature FEMA Form 086-a33 (7/12) j� License Number #4636 Company Name KNOW IT NOW INC City State 21P Code DUNEDIN FL 34698 Date + 2-2-� 5 Telephone 6-4-13 (727)415-8305 See reverse side for continuation. tit.uL ur PIAkID:\ Replaces all previous editions. ELEVATION CERTIFlCATE, page 2 IMPORTANT: in these spaces, copy the corresponding iMormation from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P0. Route and Box No. 156 MARINA DEL REY COURT City State ZIP Code CLEARWATER FL 33762-2947 FOR INSURANCE COMPANY USE Policy Number: Comparry NAIC Number: SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFlCATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community officiai, (2) insurance agent/company, and (3) building owner. Comments Signature + 2-2-15 ADDED 4 SMART VENTS Date 06l04/2013 SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR 20NE 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 E1—E4, use natural grade, if availab►e. Check the measurement used. In Puerto Rico oniy, enter meters. E1. 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 . � 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 next higher floor (elevation C2.b in the diagrams) of the building is N� . A � feet ❑ meters � above or ❑ below the HAG. E3. Attached garage (top of slab) is . � feet ❑ meters � above or ❑ below the HAG. E4. Top of platform 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 accordance with the community's floodpiain 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 must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner 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 communitys 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. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone A0. 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-buiit lowest floor (including basement) of the buiiding: . ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: . ❑ feet ❑ meters Datum G10.Community's design flood elevation: Local Official's Name Community Name Signature Comments Title CLEARWATER CITY OF Telephone Date ❑ feet ❑ meters Datum ❑ Check here if attachments. FEMA Form 086-433 (7/12) Replaces all previous editions. EtEVATiON CERTIFlCATE� page 2 1lY1PdRTANT: ln �ese spacesT ccpy the corresponding information irom Section A. 8uildir�g Street Address (inc(uding Apt.. Ur�it, Suite, andlor Bldg. No.y ar P,O, Route and Box No. 156 MARtNA DEL REY COURT City CLEARWATER State Z1P Cade FL ' 33762-29A7 SECTiON D- SURYEY4R, ENGENEER, OR AFtGHITECT CERTIFlCATI�N Capy boih sides of this Eievation Certificate for (1) communfty offi�fal, ti�ii�ber: ::.;.. . k3fly'ZINCi: FVU!rFR@F:. . ,. .. insurance agent/'company, and (3) building owner. Comments �p EQEIIPMEPtT iS LISTEO ON PRiC1R PAGE iS BASE QF AIR CONDITIONER UNiT +2-2-15 ADOED 4 SMART VENTS Signa[ure _ I��.� M�'ar Oate 06/0412013 SECT[[!N E- BUILDIN�G ELEVATIQM INFQRMATIOlY (SURVEY M4T REQUIREDj FOR ZONE AO AND ZONE A(WITHUtJT BFE) for Zanes AO and A(without BPE), complete ttems E1--E5. If the Ceitificate is intended to support a LOMA or LOh9R-F request, complete Sections A, B,and C. For items Ei-E4, use rtaturat grade, if available. Check the me3surement used. In Puertn Rico only, er�ter meters. Ei. Provide elevation informaiion for the following and check the appropriate boxes to show whether the elevati4n is above or below the highest adjacent �rade 1HAGj and the la4vest 3d;acent grade (LA6}. a} Tnp of bottom flaar (including basement, crawlspace, or enclosure} is . � feet ❑ meters � above or ❑ below [he HAG. t�} �op af bottom flnor (inciEiding basement, crawispace, or enclosure} is . � feet ❑ meters � above or ❑ below the LAG. £2. �or Buiiding Diagrarns Cr9 with germaneni flond apenings provided in Section A Items 8 antl/ar 9{see pages 8-9 af Instructions), tile nex: higher ttoor {elevation C2.b'sn the diagrams) of the building is N� . A � fest ❑ meters � above or ❑ below the HAG. E3..4ttached garage {top af slab} is , � feet ❑ rr�ters � above or ❑ below tlie HAG. E4. Top at platform oi rnachinery and/or equipmem sen�icing the Uuilding is . Q�I f�:et ❑ meters � above or ❑ t�eiow ihe Ht1G. E5. Zone AQ onty: If no ffoad depth nurnber is availabie, is the top of the bottom flaor elevaked in accardan,e with the corrmunity'S floociplain management afdinenCe? [j Yes [� Nc� ❑ Unknowri. The locat offtc�al must certify tnis information in Section G. SECTION F- PROPERTY 4WMER (OR OWNER'S REPRESEN7"ATIVE) CERTlFICA710N ihe property awner ar owner's auttrorized representatiti�e wha cornpletes 5ectians A, B, and E for Zvne A(without a fEMA•issued or comrr+unity-issued BFE� or Zone Ap niust slgn here. The statements in Sectians A, B, and E are correct ta the best ot my knowledge. Praperty Qwner or Qwner's Authorized Re{�resentaiive's Pdame Adl�f@55 Signature Comments Gtty Date State ZIP Code Telephone ❑ Check herc if attachments. SECTION G - COMMUMITY INFORMATION (UPTIONAL) Ttzt tocal official wtio is auth�rizEd by law ar nrclinance to administer the community's floadplain management ardinance can camptete Sectians A, B, C;ur E}, �n�i G of thfs Elevatian CerLiicate. Compiete the appliCable item(s) artd sign belaw. Check the �neasurement used in Items G9,-G10. Irti Puerto Rico cnly, enter meter5. G2. [J 7he infarmation in Section C was taken from other daciamentatio� that has been signed and sealed by a ficensed surveyor, engineer, or a�chit?ct who is autharized Dy law to eertify sPevation information. tlndicate the saurce and date of the efevation data in the Comments area below.) G2. G A comm«€�ity afficial complated Section E far a building located in Zone A(wlthout a FEMA-issued or communiry�issued BFE) or Zone A0. G3. � The fat(owing information ptems G4-G9} is provided for community ffoodplain management purpases. Ga. Perrnft Num#�er �5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy IssuFci G7. This permit has been issued fnr: ❑ New Genst.ructian ❑ 5ubstantial Improvement G8. Elevatian of as-buikk Iowest floor (including basemenk} of the building: . ❑ feet ❑ meters Datum G9. BFE ar (in Zone Aai �e�th uf tlt�oding at the buildir�g site: R . ❑ feet ❑ meters Qatunl GiQ.Con�munity's design fiood etevation: . ❑ feet � meters Datum Loe,�t OffiC�al's Name Title Comm�ni[y N8tt1e Sigrraiure C�mrnents �FMA (�nr�n f1A�i-(1-�R t7/1�1 GLEARWATER CITY OF 7elephone Date [� Check here if attachments. n....i........ ..0 .,............ _.......s. SMART VENTS :,� �. _ � �r�� va� �; � .�. � � � , 0 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS CONTINUATION PAGE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. ADDRESS: 156 MARINA DEL REY CT CLEARWATER, FL 33762 ` PICS TAKEN 6/01/2013 — NEW VENTS ADDED'BY OWNER SO NEW PICS TAKEN 1-29-15 FRONT VIEW AND CONTINUING AROUND BUILDING . ��' . u� .�K ,y r .... _ . � '. k, ;� � ��4•�£��. . . ,..... � , �-,. � " � ..;.,".."°'^..w....r�.�::.�.�....r., ... ..... `;>,-, �,/ ��� ft ` 4� �' �'t. �;/ � _� . .�_.._� , � � �� , :� � �����r �t41 � � .�:: � � �� f � � ..x ' �� , <�a�,� _ � � . �4 � � - �'�4!1����,:: '� ,. , �-°--�,.. � � ��� � {�.! � ��j .�.�..� . ��;��tl �,-_ I �Z#.._. 44i.. :�'. ��'; a��..� �.�� �. . . ;� � .�-A. �->; �. ��e � � ..,x., � � � �. ` �° .�lp�, �' � � ����� '�11��. r ��� ����, ��: � � ���� ���� t..����, � �h �i,� _" _�~ � � � t' i, � ��1' _ I 1' �y � �' :��,.�% �� ,. �► � .:�,�,. ...,� , �:._ ._ .4�_ _ '€;.s•,� ayn�,,�,r�e�w�-^,�-., ` �,�. `y � • �$ . 6� f�'� � � �`, .. ,'. �" � � > � ��. . sf 4 j� 'n'` �. ,..w:��i..�i�. aL _.c�, tui+. s .._���.Rna.�e "#�S" �'#.�' '.. � �:s .�, . ,.� . � `� � �. � i ,• : k�� '� � �. �• � �=F F � � � t w t���t� Z $ �.'''� �t �,,�:'Lm�:�wi, . 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