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262 BAYSIDE DR• U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Helen Furfari Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 262 Bayside Drive Company NAIC Number: City State ZIP Code Clearwater Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot L, Block 1, Unit A Bayside Subdivision Parcel ID #08-29-15-04986-001-0120 A4. Building Use (e.g., A5. Latitude/Longitude: A6. Attach at least A7. Building Diagram A8. For a building a) Square footage b) Number of permanent c) Total net area d) Engineered A9. For a building with a) Square footage b) Number of permanent c) Total net area d) Engineered Residential, Non -Residential, Addition, Accessory, etc.) Lat. 27°58'10.7" N Long. 82°49'14.6" W Residential Horizontal Datum: insurance. above ❑ NAD 1927 adjacent grade grade N/A x NAD 1983 10 2 photographs Number with a crawlspace of crawtspace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? of the building if the 7 Certificate is being used to obtain flood 3550.00 sq ft or endosure(s): or enclosure(s) openings in the crawlspace in A8.b or endosure(s) 2304.00 sq in within 1.0 foot foot above adjacent in N/A sq ft x Yes ❑ No garage: garage openings in the attached garage within 1.0 in A9.b N/A sq D Yes x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number City of Clearwater 125096 B2. County Name Pinellas (Independent City) B3. State Florida 84. Map/Panel Number 12103C102 B5. Suffix G 86. FIRM Index Date 08-18-2009 B7, FIRM Panel Effective! Revised Date 09-03-2003 B8. Flood Zone(s) AE B9. Base Flood E evation(s) (Zone AO, use Base Flood Depth) 11 B10. Indicate the source ❑ FIS Profile B11. Indicate elevation 812. Is the building Designation of the Base Flood Elevation ❑ Community Determined for BFE in Item B9: Coastal Barrier Resources ❑ (BFE) data or base flood ❑ Other/Source: 1929 :'CBRS) ---"� depth entered in Item B9: x FIRM datum used located in a Date Other/Source Protected r NGVD x NAVD 1988 System CBRS area or Otherwise Area (WA)? 0 Yes X No FEMA Form 086-0-33 Replaces ali s editions. Form Page 1 of 6 2,2a /s'- 067-7 'Fgd fsi -J kyc,d, R,E10E VE [1 9Y- B MAY 9 2O1 CITY OF SNERgl ELEVATION CERTIFICATE OMB No. 1660-0008 IMPORTANT: In --.,-.•�...... vaaw. ..v. cn II., I JV, cv IU 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. 262 Bayside Drive Policy Number: City State ZIP Code Clearwater Florida 33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under 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, ARAE, AR/A1—A30, Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, Benchmark Utilized: "AURAL A" PID AG0298 Vertical Datum: NAVD 1988 x Finished Construction AR/AH, AR/AO. enter meters. Indicate elevation datum ❑ NGVD 1929 used x for the elevations in items a) through h) below. NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check a) Top of bottom floor (induding basement, crawispace, or enclosure floor) 5.9 x the measurement used. feet ❑ meters b) Top of the next higher floor 16.1 x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) N/A ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 4.6 x feet ❑ meters f) Lowest adjacent (finished) grade next to building (LAG) 5.3 x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 5.8 x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 5.2 x feet ❑ meters SECTION D — SURVEYOR, ENGINEER, 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under /8 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. Certifier's Name License Number Dennis J. Eyre 2865 Title Professional Surveyor and Mapper _ Company Name Geodata Services, Inc. Address 1166 Kapp Drive City Clearwater State ZIP Code Florida 33765 Signature Date Telephone Ext. ..4�/111. 05-25-2018 (727) 447-1763 Copy all p• rs levationA ficaa . d all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type o ...up (art and location, per C2(e), if applicable) A5. Determined with GIS program "Google Earth". A8.d) 10 total engineered flood vents. "Smart Vents", 8 model number 1540-521, each providing 400 square feet of coverage, and 2 model number 1540-520, each providing 200 square feet of coverage, for a total of 3600 square feet of coverage. C2.e) Bottom of elevator pit elevation, located in ground floor enclosure. The air conditioning platforms <&ievations are: Right side of house = 13,0 €_et ;ide of house = 12.9. The bottom of electric meter': _ x. _eft side of house, elevation = 12.1. FEMA Form 086-0-33 (7/151 Replaces all previous., ,,a s Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30. 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (induding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 262 Bayside Drive Policy Number. City State ZIP Code Clearwater Florida 33767 Company NAIC Number SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE 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 complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (induding basement, crawlspace, or enclosure) is ❑ feet ❑ meters LOMA or LOMR-F request, used. In Puerto Rico only, the elevation is above or below ❑ above or ❑ below the HAG. or ❑ below the LAG. 9 (see pages 1-2 of Instructions), ❑ above or ❑below the HAG. ❑above or ❑below the HAG. ❑ above or ❑below the HAG. with the community's certify this information in Section G. b) Top of bottom floor (induding basement, crawlspace, or enclosure) is ❑ feet ❑ metersabove E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ■ meters E3. Attached garage (top of slab) is ❑ feetmeters ❑ E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must 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 City State ZIP Code Signature Date Telephone Comments ❑ Check here if attach; Form 086-0-33 (7/15) Reolaces all previous editions Form ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 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. 262 Bayside Drive Policy Number: City State ZIP Code Clearwater Florida 33767 Company NAIC Number SECTION G — COMMUNITY 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, 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 AO. G3. ❑ The following information (Items 04—G10) 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: ❑ G8. Elevation of as -built lowest floor (including of the building: G9. BFE or (in Zone AO) depth of flooding at the G10. Community's design flood elevation: New Construction ❑ Substantial Improvement basement) ❑ feet ❑ feet ❑ feet ❑ meters Datum building site: ❑ meters Datum ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) FEMA h..33 (7/151 aces all previous editions. Check here d attachments. Form Page 4 of e. ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS See Instructions for Item A6. OMB No. 1660-0008 Expiration Date: N 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. 262 Bayside Drive Policy Number: City State ZIP Code Clearwater Florida 33767 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 budding photographs below according to the instructions for Item A6. Identify all 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 fit on this page, use the Continuation Page. 10* -vr - ;RR, Photo One Photo One Caption Front View 05/24/2018 Clear Photo One e �[' lel �'.gS-b I Clear Photo Two Pnotu Two _ Photo Two Caption Rear View 05/24/2018 FEMA Form 086-0-' > 7(15) Replaces all r re;vious editions. Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660-0008 Expiration Date: November 30, 2018 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. 262 Bayside Drive Policy Number: City State ZIP Code Clearwater Florida 33767 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all 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. . f { Photo Three Photo Three Caption Left Side View 05/24/2018 Clear Photo Three i fir/ _ y .-<._‘-_, Photo Fax Photo Four Caption Right Side View and Typical Flood Vent 05/24/2018 Ciear Photo Four Pate Pram tlRfLfLRA 17t1F,1 Reniacrac ail nrt?vini Mitinns Form Pane 6 of 6 .. . � 2fi2 BAYSfQE DR BCP2015-0C7$8 E/C FURFARI, HELEN Zoning: Low Medium Density Atlas #: 2766 0 „, ., U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 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 ownec SECTION A— PROPERTY INFORMATION FOR INSURANCE COMPANY USE A1. Building Owner's Name Policy Number: HELEN and MARIO FUFARI A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 262 BAYSIDE DRIVE Ci� State ZIP Code CLEARWATER Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT L, BLOCK 1, UNIT A OF BAYSIDE SUBDIVISION (PLAT BOOK 36, PAGES 57 & 58) A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat.27°58'10.4” Long.82°49'15.5" 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 � A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 4,905 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 16 c) Total net area of flood openings in A8.b 2,247 sq in d) Engineered flood openings? ❑ Yes 0 No A9. For a building with an attached garage: a) Square footage of attached garage Sq � b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes ❑ No SECTION B— FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name & Community Number B2. County Name B3. State CITY OF CLEARWATER 125096 PINELLAS Florida 84. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel 68. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12103C0102 G 08/18/2009 09/03/2003 AE 11' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: � FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes � 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. 1660-0008 FYnirafinn 1'l�tc• Hln..e.,,�,s� �n �n� n _"r.._..._.. � ...... .......���..v� ., �v 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. 262 BAYSIDE DRIVE ��h' State ZIP Code Company NAIC Number C�EARWATER Florida 33767 SECTION C— BUILDING ELEVATION 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, 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: AURAL "A" Vertical Datum: Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 Ox 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 (including basement, crawlspace, or enclosure floor) 5. 85 0 feet ❑ meters b) Top of the next higher floor 14. 81 � feet � meters c) Bottom of the lowest horizontal structural member (V Zones only) N�A. �x feet � meters d) Attached garage (top of slab) 5. 85 ��et � meters e) Lowest elevation of machinery or equipment servicing the building ❑x feet ❑ meters (Describe type of equipment and location in Comments) � Lowest adjacent (finished) grade next to building (LAG) 5 � �X feet � meters g) Highest adjacent (finished) grade next to building (HAG) 5 4 � feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 5� �x feet ❑ meters structural support SECTION D— SURVEYOR, ENGINEER, 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. I cerfify that the information on this Certificafe represents my best efforts to interpret the data available. I 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? � Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number ^� EDWARD C. ELLIOTT 3g$3 4���9 ;�` p� ��3 �j`� f` ,� ; Title R ,<'3 .• ' PROFESSIONAL SURVEYOR AND MAPPER � ¢"�, � • (. t'•• , ;a ��•• � ' �4 {%" �•/l Company Name �° • � �g � . -� - ARCTURUS GROUP, LLC �° � : — : c'' t�� . ix � � . Address �= � � e ' • = 2328 U.S. HIGHWAY 19 � � t� � .' c�� , . t��".'� City State ZIP Code o ,••' • � ' � � �' HOLIDAY Florida 34691 �'r�� ,� �� Q� f:g�`, .' Signature �/�� Date Telephone � � , 08/17/2016 (727) 940-8888 Copy all ages of this Elevation Certificate and all attachments for (1) communiry official, (2) insurance agenUcompany, and (3) building owner. Comments (inGuding type of equipment and location, per C2(e), if applicable) 1. THERE IS NO MACHINERY OR EQUIPMENT SERVICING THE BUILDING AS OF THE DATE OF THIS CERTIFICATE 2. THE GARAGE IS NOT AN ATTACHED GARAGE BECAUSE IT IS LOCATED BENEATH THE ELEVATED FLOOR OF A SECOND STORY. r��v�H rvrm �ao-u-o3 �rna� Keplaces all previous editions. �- Form Page 2 of 6