1049 BAY ESPLANADE' U.S. ��PARTMENT UF HOMELAN� SECURITY OMB No. 1660-0008 �
Federaf Emergency Man�gement Agency Expiration Date: November 3�, 2018 i
National Flood Insurance Program
LGY �iV17 i.�GR 1 �I��LI/�"\�� 1609.0817EC
lmportant: Foliow the instructions on pages 1-9.
Copv all paaes af this Elevation Certificate and all attachments for (1) community official, (2) insurance agenUcompany, and (3) building owner.
SECTION A– PROPERTY INFORMATION FOR INSURANCE COMPANY USE
A1. Building C?wner's Name Policy N�mber:
Lee Arnold Jr.
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.} or P.O. Route and Company NAIC Number:
Box No.
1 Q49 BAY ESPLANADE
�ity State ZIP Code
CLEARWATER BEACH �LURIDA 33767
_—__..__.—_ _...__..._ _�...__. _._.__....-----__. ____----� �.
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
TAX PARCEL ID: 32-28-15-13464-271-0020 __ �_.
A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAUPAVILLION
A5. Latitude/Longitude: Lat. 2g o0 13.9 N ��n9• 82 49 32.7 W Norizontal Datum: (� NAD 1927 � NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain fiood insurance.
A7. Building Diagram Number �q
A8. For a building wi#h a crawispace or enclosure(s):
a) Square footage of crawispace or enclosure(s) N�q sq ft
b) Number of permanent flood openings in the crawispace or enclosure(s) wifhin 1.0 foot abave adjacent grade p
c} Total net area of flood openings in A8.b p sq in
d) Engineered flood openings? ❑ Yes I� No
A9. Far a building with an attached garage:
a) Square footage of attached garage N(A Sq (i
b} 1Vumber of permanent flaod openings in the attached garage within 1.0 foot above adjacent grade o
c} Total net area of flood openings in A9.b o sq in
d) Enginesred flood openings? � Yes U No
SECT60N B– FLOOD INSURANCE RATE MAP {�IRM) INFORMATION
B1. NFIP Community Name & Community Number B2. Gaunty Name 83. State
THE CiTY QF C�EARWATER 125096 PINELLAS FLORIDA
_.._......_.._ p._.._.._.._.._.._.._.........._.._........_.._.._.._.._......__........_....._.._....—.�.----....._.._.._.._.._.._.._..------,.._..----- ------._._..__.._.._.._.._......_.._......._..._.._.._._...._.._.._.._._.._........._.._.....__.._.._._._ _._._......_......_......_�_
B4. Ma lPanel B5. Suffix � B6. FIRM Index � B7. FIRM Panel B8. Flood Zone(s) B9. Base Fiood Elevation(s)
Number Date Effective/ (Zone AO, use Base
Revised Date Flood Depth)
12103C - 0064 G Si1812009 09103iQ3 AE 11
B10. Indicate the source of #he Base Flood Elevation (BFE) data or base flood depth entered in item 69:
❑ FIS Profiie � FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for 8FE in Item B9: ❑ NGVD 1929 �X NAVD 1 J88 � C}therlSource:
B12. Is the buiBding located in a Coastai Barrier Resources System (CBRS) area or Otherwise Pratected Area {OPA}? [J Yes U No
Designation Date: (J CBRS ❑ OPA
FEMA Form 086-0-33 {7/15} Replaces all previous editinns. Form Page 1 of 6
' OMB No. 1660-0008
ELEVATION CERTIFICATE 1609.0817EC Expiration Date: November 30, 20�8
lMPORTANT: 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 P.O. Route and Box Na. Policy Number:
1Q49BAY ESPLANADE
�ity State ZIP Code Company NAIC Number
CLEARWATER BEAGH FLORIDA 33767
SECTIC}N C— BUILDING ELEVATIC?N INFORMATION (SURVEY REQUlRED)
C1. Building eleva#ions are based on: ❑ Construction Drawings�` � Building Under Construction� [yl Finished Construction
"A new Elevation Gertificate 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, ARIAE, ARlA1—A30, AR/AH, AR1A0.
Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
BenChmark UtillZed: �-NET GPS NETWORK '� VertiCal DatUm: NAVD 88 ----..--------..-------_--_........--.-----___..____.
Indicate elevation datum used for the elevations in items a) through h) below.
n NGVD 1929 �) NAVD 1988 �J Other/Source:
aatum used for building elevations must be the same as ihat used for the BFE.
Check the measurement used.
a) Tap af bottom floor (including basement, crawlspace, or enclosure flaor) 3. 07 ,� feet ❑ meters
b) Top of the next higher floor 11. 17 ;� feet ❑ meters
_..... ......
c) Bottom of the lowest horizontal structural member (V Zones only) ___________NtA.. ._____________ U feet meters
d) Attached garage (top nf slab) ___________ N1A. .__________ ;� feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building _.._.._.._.._.._.._.._._..__9.. ��.._.._.._.._.._.._.._.._.. � feet ❑ meters
(Describe type of equipment and location in Comments)
f� Lowest adjacent (finished} grade next to building {LAG) 3. 04 ;� feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) _ 3. ?2 !X] feet ❑ meters
h) Lowes# adjacent grade at iowest elevation af deck or stairs, including NJA. �� feet ❑ meters
structural support
SECTION D— SURVEYOR, ENGINEER, C?R ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
1 certify that the rnformatron on fhis Certificate represents my 1�est etforts to inferprei the data available. 1 understa��d that any false
statement may be punishable by fi��e or rmprisonment crnder 9$ U. S. Code, Section 1001.
_._
Were latitude and langitude in Section A provided by a licensed land surveyor? � Yes .n No �; Check here if attachments.
__._Certifiier's Name - -----�--�-- ._._ �icense Number ___..--- ��;5� �. L `���L
RON WALLING LS6473 /C P c�,� c��� r� rr Ir
Titie ,�, �
�o. (i473
PRQFESSIONAL SURVEYOR AND MAPPER
Campany Name �,J. }
EXACTA LAND SURVEYORS, INC �p �
Address �, sr.a�rF or ,�
c . �:�
s-. s
11940 FAIRWAY LAKES DRIVE SUITE 1 l�o,� t�� x� D e- �
Gi�y State ZIP Code �z" '' �`R`''j'� �
9/19!2016
FT. MYERS FL 33913
Signa�ure Date Telephone
���.� 9119I2016 P: (866)735-1916
Copy all pages of #his Elevation Certificate and all attachments for (1 } community o�cial, (2) insurance agen�lcompeny, and (3) building owner.
Comments (including type of equipment and location, per C2(e}, if applicable)
NOTE: THIS ELEVA710N CERTIFICATE IS ONLY VALID FdR THE PERSON OR PERSONS NAMED ON THIS CERTIFICATE. THIS CERTIFICATE IS
FOR FLOOD INSURANCE PURPOSES ONLY. THE INFORMATION ON THIS CERTIFICATE SHOULD NOT BE USED FOR CONSTRUCTION OR PLP,NNING. C2E=
ELECTRICAL OUTLET.
FEMA Form �86-0-33 (7115} Replaces all previous editions. Form Page 2 nf 6
OMB No. 1660-0008
ELEVATIC3N GERTIFICATE 1609.0817EC Expiration �ate: November 30, 2018
1MPORTANT: in these spaces, copy the corresponding infarmation from Section A. �OR INSURANCE COMPANY USE
Buiiding Street Address {including Ap#., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box Na. Policy Number:
1049BAY ESPLANADE
City State Z!P Code Company NAIC Number
CLEARWATER BEACH FLORIDA 33767
SECTION E— BUILDING ELEVATION INFORMA710N (SURVEY NOT REQUIREDj
FOR ZONE AO AND ZONE A(W1THC}UT BFE)
Far Zones AO and A(withaut BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or L�MR-F request,
cnmpiete Sections A, B,end C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerta Rico anly,
enter meters.
E1. Pravide elsvation informatian for the fallowing and check the appropriate baxes ta show whether the elevatian is above ar below
the highest adjacent grade {HAG) and the lowest adjacent grade {LAG).
a) Top of bat#om floor {inciuding basement,
crawispace, or enclosure) is _. . _ � feet ❑ meters ❑ above or ❑ below ihe HAG.
_ N/A �.....__...-�------
b) Top of bottom floor {including basement,
crawispace, ar enclosure) is N/A , i� feet (_] meters ❑ above or ❑ below the LAG.
E2. For Buiiding Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions),
the next higher floar (eleva#ion 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 tv�A . ' x� feet n meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment
servicing the buiiding is rviA ._ � feet ❑ meters ❑ above or ❑ 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
fioodplain management ordinance? � Yes ❑ No ❑ Unknown. The local afficial must certify this information in Section G.
SECTION F— PROPERTY OWNER (OR OWNEF2'S FtEPFtESENTATIVEj CERTIFICATION
The property owner or owner°s authorized representative who completes Sections A, B, and E for Zone A{without a�EMA-issued or
community-issued 8FE) ar Znne AO must sign here. The statements in Sections A, B, and � are correct to the best of my knowlsdge.
Property Owner or Owner's Authorized Representative's Name
Address City State ZlP Code
----------- -------------------------- -------....--------------------------------------- ---------------------....-----...--�----....--- ------------....--------.._..-------------�-----��----��----....---------..___
Signature Date Telephone
Comments
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6
' OMB No. 166a-OOO8
ELEVATION CERTIFICATE 1609.0817EC �xpiratian Date: November 3{}, 20�8
1MPORTANT: In these spaces, capy the corresponding infarmation firom Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, S�ii#e, and/or Bldg. No.) or P.t�. Route and Bax No. Palicy Number:
1049 BAY ESPLANADE
City State ZIP Code Campany NAIC Number
CLEARWATER BEACH FLORIDA 33767
SECTION G — COMMUMTY 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, G(or E), and G af this Elevation Certificate. Complete the applicabie item(s) and sign belaw. Check the measurement
used in Items G8—G10. in Puerto Rico only, enter meters.
G1. ❑ The information in Section C was taken from ather documenta#ion that has been signed and sealed by a licensed surveyar,
engineer, or architect who is authorized by law to certify eleva#ion information. (Indicate the source and date of the elevation
data in the Comments area beiow.)
�2 ['j A community officiel completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)
or Zane AO.
�3. � The following information (Items G4—G10) is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate of
CompliancelOccupancy issued
G7. 7his permit has been issued for: [� New Construction ❑ Substantial Improvemer�t
G8. Eleva#ian af as-built lowest floor (including basement)
of the building: U feet [� meters Datum
G9. BFE or (in Zone AO} depth of floading at the building site: , ❑ feet ❑ meters Datum
G10. Community's design flood elevation: __ ,. ❑ feet ❑ meters patum
Local 4fficial's Name �� Title �
Community Name Telephone
_._._.____. ..--- _..__ _____.__..._ _ _ _ .__.
Signature Date
Comments (inciuding type of equipment and location, per C2(e), if applicabie)
� Check here if attachments.
FEMA Form 086-Q-�3 {7115) Replaces all previous editions. Form Page 4 of 6
' - UILDING �HCITOGRAPHS
ELE!lATI(� CERTIFIC�ATE S�e Instructions for It�m �6. ��os.oBt�Ec
A
IMPORTANT: In these spaces, capy the correspanding information from Section A.
Building Street Address {including Apt., Unit, Suite, andlor Bldg. No.) or P.t�. Ro�ite and Box No
1 Q49 BAY ESPLANADE
�ify State ZiP Code
TER BEACH
FLORIDA 33767
onng r�o. �6�o-aooa
Expiration Date: November 30, 2b18
FOR iNSURANCE GOMPANY USE
Policy Number:
Company NAIC Number
if using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 buiiding photographs below according to the
ir�structions for Item A6. Identify ail 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 faundation with representative examples of the flood openings or
vents, as indicated in Section A8. If submi#ting more photographs than will fit on this page, use the Continuation Page.
��" �`' . r,
�
Front View
Front view �ate: g/19/2016
1{iyht Side V;ew
���
k � �,k�
y� c
�.�N
....,hF .. ..
. . . �� � � � YI� + � �h
f�ear View
�ear view Date: 9/19/2016
�eft Side View
F+�c�r,c s�de vEew: 9I19/2016 �eft Side view: 9I1912016
�EMA Form 086-0-33 (7115} Replaces all previous editions. �orm Page 5 of 6
' ' � BUiLDING PHUTOi�`aRAPHS �Mg No. 1ggp_ppQ$
�L�VATION CERTIFICATE Continuation Page 1609.0817EC Expiration Date: November 30, 2018
IMPORTANT: In #hese spaces, copy the carresponding information from Section A. FOR iNSURANCE COMPANY USE
Building Street Address (including Apt., Uni2, Suite, and/or Bidg. No.) ar P.O. Route and Box No. Policy Number:
1 Q49 BAY ESPLANADE
�ity State ZIP Code Company NAIC Number
CLEARWATER BEACH FLORIDA 33767
If submitting more phatographs than will fit on the preceding page, affix the additional photographs below. ldentify all photographs
with: date taken; "Front View" and "Rear View"; and, ifi required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representafive examples of the flood openings or vents, as indicated in Section A8.
Photo One Photo Two
Phcto Three Phatn i�'our
FEMA Form 086-0-33 (7/15) Reptaces ali previaus editions. Form Page 6 of 6
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RECEtVED
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1049 BAY ESPLANADE
BCP2016-08532
DECK �� •
ARNOLD,LEE
Zoning: Low Medium Density Atlas #: 238A