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1024 DUNCAN AVE SU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. oMg No. �ssa000s Expiration Date: November 30, 2018 Copy all pages of 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 Owner's Name Policy Number: JOHN KING A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1024 SO. DUNCAN AVENUE City State ZIP Code CLEARWATER Florida 33756 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 58, LIVE OAK ESTATES PARTIAL REPLAT, PLAT BOOK 62, PAGE 30, PINELLAS COUNTY, FLORIDA. A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) residential A5. Latitude/Longitude: Lat. 27°57'13.6" Long. 82°46'01.9" Horizontal Datum: ❑ NAD 1927 �x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 0 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in d) Engineered flood openings? ❑ Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage 462 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes �x No SECTION B— FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name & Community Number B2. County Name 63. State CITY OF CLEARWATER/125096 PINELLAS . Florida 64. Map/Panel B5. Su�x B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) 69. Base Flood Elevation(s) Number Date Effective/ �Zone AO, use Base Revised Date lood Depth) 12103C0109 H 08/18/2009 05/17/2005 AE 32 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other/Source: 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 �x NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Ox No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE oMB No. �ssa000s Expiration Date: November 30, 2018 IMPOQTANT: 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 No. Policy Number: 1024 SO. DUNCAN AVENUE �� State ZIP Code Company NAIC Number CLEARWATER Florida 33756 SECTION C— BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings"` ❑ Buiiding 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, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: CITY OF CLEARWATER D-10 Vertical Datum: NAVD 1988, ELEVATION 41.43' Indicate etevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 �x NAVD 1988 � Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 32 0 b) Top of the next higher floor 32 46 c) Bottom of the lowest horizontal structural member (V Zones only) N/A_ d) Attached garage (top of slab) 31 54 e) Lowest elevation of machinery or equiPment servicing the building 32 24 (Describe type of equipment and location in Comments) � � Lowest adjacent (finished) grade next to building (LAG) 30 3 g) Highest adjacent (finished) grade next to building (HAG) 32 0 h) Lowest adjacent grade at lowest elevation of deck or stairs, incfuding N/A structural support Check the measurement used. Ox feet � meters ❑x feet � meters � feet ❑ meters x�] feet ❑ meters �x feet � meters � feet (] meters � feet � meters �x feet � meters SECTION D— SURVEYOR, E(VGINEER, OR ARCHiTECT CERTIFICATiON This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information on this Certifrcate represents my best efforts to interpret the data available. / understand that any fa/se statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑ No ❑ Check here if attachments. GUY D. HALE PLS Title PROFESSIONAL LAND SURVEYOR Company Name GUY HALE, LAND SURVEYING Address 1166 KAPP DRIVE City CLEARWATER Signature License 4626 State Florida Date 10/12/2016 ZIP Cc 33765 Telephone (727) 734-4266 e er y Copy all pages of this Elevatia(Certificate and all attachments for (1) community official, (2) insurance agenUcompany, and (3) building owner. Comments (including type of equipment and Iocation, per C2(e), if applicable) THE LOWEST EQUIPMENT IS THE AfR CONDITIONER C2(A) = 32.04' FORM WILL NOT ALLOW 2 DECIMAL PLACES. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 LEVATION CERTIFICATE See Instructions for �tem A� �....:__.:__ �_._ ., __ ��N��a�� VGIC. IVUVCIIIUC( JU, Nlu IMPORTANT: 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 No. Policy Number: 1024 SO. DUNCAN AVENUE City State ZIP Code Company NAIC Number CLEARWATER Florida 33756 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 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 foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will flt on this page, use the Continuation Page. . �'��` r � .,� y ' �, _ . ,.�. .�.�.. �� Y � � . _,, .. . .� ' , , . � � ;`k"� �� t� . �. sx ` "`'s' . .�-.n9 f � . , x � �- � " � ' . ' *� ' �C 4r'. � . . ,, �� - � �'= - �� . w�"'C"i'�"e. _ __ _..R�,,�„" ...a �� ^' -.:, �. Photo One � Photo One Caption FRONT EAST SIDE TAKEN 10/1?J2016 �R . ,��r�.� " _ � - , � . �� ;'� a - � — �""�_:— �„�.- - � �;; . �, 'r;: afi .. .� ` _ , -'aw �, .. . � _ . . .. .. .. . �: . _ _ � .� - . . _ _ �. -_ _ �.,.�;�,. � ,Q,, � �� 4 ., , . ._ .. , : .� : � ;� . Photo rwo Photo Two Caption REAR WEST SIDE TAKEN 10/12/2016 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6