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534 MANDALAY AVE(� DEPPAAR MENT OF M LANDS TY Federalmergency Management Agency ELEVATION CERTIFICATE IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 9-16 OMB Control Number: 1660-0008 Expiration: 11/30/2018 bopy 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 FORM INSURANCE COMPANY USE Al. Building Owner's Name CITY OF CLEARWATER Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 534 MANDALAY AVENUE (MAINTENANCE BUILDING) Company NAIC Number: City CLEARWATER State FL Zip Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Parcel ID# 05-29-15-16362-000-0160, CLEARWATER CITY PARK, REVISED MAP OF CLEARWATER BEACH, PB 11, PG 5 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Non -Residential A5. Latitude/Longitude: Lat. 27°59'04.3" N Long.82°49'37.7..wHorizontal Datum: rt NAD 1927 A 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 1B A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawispace or enclosure(s) 1091 sq ft a) Square footage of attached garage 0 sq ft b) Number of permanent flood openings in the b) Number of permanent flood openings crawispace or enclosure(s) within 1.0 foot in the attached garage within 1.0 foot above adjacent grade 8 above adjacent grade 0 c) Total net area of flood openings in A8.b 1099 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? 0 Yes 0, No d) Engineered flood openings? 0 Yes (A No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number CITY OF CLEARWATER 125096 B2. County Name PINELLAS B3. State FL B4. Map/Panel Number 12103C0102 B5. Suffix G B6. FIRM Index Date 08/18/2009 B7: FIRM Panel Effective/ Revised Date 09/03/2003 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use base flood depth 12 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ( - FIS Profile ( FIRM O Community Determined 00 Other/Source: B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 (A NAVD 1988 0 Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? (5 Yes (A No Designation Date: C CBRS 0 OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl . Building elevations are based on: 0: Construction Drawings* (j' ; Building Under Construction* el, Finished Construction C2. Elevations - Zones Al - A30, AE, AH, A (with BFE), VE, V1 - V30, V (with BEE), AR, AR/A, ARAE, 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. * A new Elevation Certificate will be required when construction of the building is complete. Benchmark Utilized: H-02 CITY OF CLEARWATER Vertical Datum: 5.21 FEET NAVD88 Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 (. NAVD 1988 0 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 - 6 M feet r meters b) Top of the next higher floor N/A - (A feet 00 meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A - (: feet 0 meters d) Attached garage (top of slab) N/A - ('r feet 0, meters e) Lowest elevation of machinery or equipment servicing the building 13 - 1 feet n meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 4 - 6 P feet (5 meters g) Highest adjacent (finished) grade next to building (HAG) 5 - 4 ( feet 0 meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A -A feet ('A meters structural support FEMA Form 086-0-33 (7/15) Replaces all previous editions. Page 3 of 15 ELEVATION CERTIFICATE OMB Control Number: 1660-0008 Expiration: 11/30/2018 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 18 U.S. Code, Section 1001. Were latitude and longitude in Section AA' 14 Check here if attachments. provided by a licensed land surveyor? (Z Yes ( No c ^ �C V l Certifier's Name DANA A. WYLLIE License Number LS 5874 ` ' Title SURVEY MANAGER Company Name DEUEL & ASSOCIATES V `�` � pl;f :n, f' Address 565 S. HERCULES AVE. City CLEARWATER State FL Zip Code 33764I/ k Si e � e ��%//,��" Date Field: 9/07/2016 Telephone (727) 822-4151 9 Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location , per C2(e), if applicable)" A5: Latitude and longitude were determined using Google Earth. ABa: included exterior storage enclosed area. A8c: Flood openings consist of 4 Smart Vents Model #1540-520 on exterior walls and 4 non -engineered openings on exterior storage enclosed area. Smart Vents cover 200square feet of enclosure space per the attached ICC -ES Evaluation Report. A 5th Smart Vent exists between the building wall and exterior storage enclosed area and was not used for A8c calculations. FLOOD OPENINGS CALCULATION: 4 Smart Vents at 200 square inches each = 800 square, Inches plus 4 non -engineered openings = 299 square inches, Total Flood Openings =1099 square inches C2e: There is no equipment servicing building. Elevation shown is bottom of electric meter. Lowest electric outlet elevation 10.2 feet. M �%� /� J Si nature s Date � -2O/(, 9 ,a s a W _1(Aa• SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A ( TH UT BFE) For Zones AO and A (without BFE), complete Items El -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items El -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. 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, - (^' feet (' meters ❑ above or ❑ below the HAG. or enclosure) is b) Top of bottom floor (including basement, crawlspace, - ❑ above or ❑ below the LAG. feet C. meters or enclosure) is 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), higher floor (elevation C2.b in the diagrams) of the building is - m feet 0 meters ❑ above or ■ the next below the HAG. E3. Attached garage (top of slab) is - C; feet () meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and /or equipment C (/�� - meters ❑ above or ❑ below the HAG. the building is feet C, servicing 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 floodplain management ordinance? (! Yes 0 No C 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 City State ZIP Code Signature Date Telephone Comments 4 Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Page 4 of 15 • BUILDING PHOTOGRAPHS See instructions for Item A6 OMB Control Number: 1660-0008 Expiration: 11/30/2018 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. 534 MANDALAY AVENUE (MAINTENANCE BUILDING) Policy Number: City CLEARWATER StateFL zip Code 33767 Company NAIC Number: 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 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. FRONT VIEW (NW SIDE) 9/07/2016 REAR VIEW (SE SIDE) 9/07/2016 LEFT VIEW (NE SIDE) 9/07/2016 SMART VENTS ON NE & SW WALLS 9/07/2016 RIGHT VIEW (SW SIDE) 9/07/2016 NON -ENGINEERED OPENINGS ON SW SIDE 9/07/2016 (Exterior enclosed storage area) FEMA Form 086-0-33 (7/15) Replaces all previous editions. Page 6 of 15 ri. . . DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency ELEVATION CERTIFICATE IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 9-16 OMB Control Number: 1660-0008 �.,..:..,,:,..,. , , ,�,,,.,,,, o ..,.....�..... . ,,., opy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenUcompany, and (3) building owner. SECTION A- PROPERTY INFORMATION FORM INSURANCE COMPANY USE " A1. Building Owner's Name CITY OF CLEARWATER Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC 534 MANDALAY AVENUE (MAINTENANCE BUILDING) Number: City CLEARWATER State FL Zip Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Parcel ID# 05-29-15-16362-000-0160, CLEARWATER CITY PARK, REVISED MAP OF CLEARWATER BEACH, PB 11, PG 5 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) Non-Residential A5. Latitude/Longitude: Lat. 27°59'04.3" N Long.82°49'37.7"WHorizontal Datum: � NAD 1927 �•'; 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 1 B A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1091 Sq ft a) Square footage of attached garage 0 sq ft b) Number of permanent flood openings in the b) Number of permanent flood openings crawlspace or enclosure(s) within 1.0 foot in the attached garage within 1.0 foot above adjacent grade $ above adjacent grade 0 c) Total net area of flood openings in A8.b 1099 Sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? t�' Yes (t" No d) Engineered flood openings? C�° Yes (•` 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 FL 64. MaplPanel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ 68. Flood Zone(s) B9. Base Flood Elevation(s) Revised Date (Zone AO, use base flood depth 12103C0102 G 08/18/2009 09/03/2003 AE 12 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: B11. Indicate elevation datum used for BFE in item B9: (' NGVD 1929 �` NAVD 1988 �" Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? t�`' Yes l�' No Designation Date: �" CBRS (", OPA SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: �'" Construction Drawings" �" Building Under Construction* �! Finished Construction 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. A new Elevation Certificate will be required when construction of the building is complete. Benchmark Utilized: H-02 CITY OF CLEARWATER Vertical Datum: 5.21 FEET NAVD88 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 (including basement, crawlspace, or enclosure floor) 5- s t:= feet (' meters b) Top of the next higher floor N�A ' r feet ('` meters c) Bottom of the lowest horizontal structural member (V Zones only) N�A - C�` feet ('` meters d) Attached garage (top of slab) N�A - (: feet ('� meters e) Lowest elevation of machinery or equipment servicing the building 13 - 1 (Describe type of equipment and location in Comments) %' feet � meters f) Lowest adjacent (finished) grade next to building (LAG) 4- s (•' feet i' 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 N/A - structural support � feet �'` meters FEMA Form 086-0-33 (7/15) Replaces all previous editions. Page 3 of 15 ELEVATION CERTIFICATE OMB Control Number: 1660-0008 Expiration: 11 /30/2018 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 availab/e. ! understand that any false, statement may be punishab/e by fine or imprisonment under 18 U. S. Code, Section 1001. Were latitude and longitude in Section A � t • � Check here if attachments. provided by a licensed land surveyor? "�� ` j��Y '��,: � (•' Yes (", No '� y 3 _ �- ,�� Certifier's Name License Number ��, °„`��� '' � °•�, DANA A. WYLLIE LS 5874 �:' � �'�'✓- �� �` .� p` Title SURVEY MANAGER Address 565 S. HERCULES AVE. Company Name DEUEL 8� ASSOCIATES City State Zip Code CLEARWATER FL 33764 Date Telephone Field: 9/07/2016 (727) 822-4151 � � -.._ , f �F �� m s,,n p`� �: . r ,;�_ � ° �,q �z' � _ - � � !r' � o �''� �i;,' '... � C�� • �, �� �?'`''.'� �' .� , � r. �, _ �,r�• r s � � �� f� � . ,��X ,;�rr � ��} � , � � �;' � � � , � � � Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. Comments (including type of equipment and location , per C2(e), if applicable)" A5: Latitude and longitude were determined using Google Earth. A8a: included exterior storage enclosed area. A8c: Flood openings consist of 4 Smart Vents Model #1540-520 on exterior walls and 4 non-engineered openings on exterior storage enclosed area. Smart Vents cover 200 square feet of enclosure space per the attached ICC-ES Evaluation Report. A 5th Smart Vent exists between the building wall and exterior storage enclosed area and was not used for A8c calculations. FLOOD OPENINGS CALCULATION: 4 Smart Vents at 200 square inches each = 800 square inches plus 4 non-engineered openings = 299 square inches, Total Flood Openings = 1099 square inches C2e: There is no equipment servicing building. Elevation shown is bottom of electric meter. Lowest electric outlet elevation 14.2feet. Signature� �(� � U��• Date S�� 3/2c SECTION E- BUILDING EL I N INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A( ITH UT BF For Zones AO and A(without BFE), complete items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, comple Sections A, B,and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. in Puerto Rico only, 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 b) Top of bottom floor (including basement, crawlspace, or enclosure) is - (" feet lP' meters ' (C' feet (" meters � above or � below the HAG. ❑ 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 - (t" 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 ' R" 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 floodplain management ordinance? � Yes ('" No (t'' 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 FI community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of Property Owner or Owner's Authorized Representative's Name: Address Signature Comments FEMA Form 086-0-33 (7/15) City Date State Telephone Replaces all previous editions. ZIP Code or � Check here if attachments. Page 4 of 15 • . r • BUILDING PHOTOGRAPHS See instructions for Item A6 OMB Control Number: 1660-0008 Expi ration: 11 !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. Policy Number: 534 MANDALAY AVENUE (MAINTENANCE BUILDING) City CLEARWATER State FL Zip Code 33767 Company NAIC Number: 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 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. ,; �-,,, .,� �.� � �_.;,� ��� � FRONT VIEW (NW SIDE} 9/07/2016 . } �.. , • . � . .. .�--- � . LEFT VIEW (NE SIDE) 9/07/2016 � � � �,:� 4 _ c . REAR VIEW (SE SIDE) 9/07/2016 ��e..... '� ,rn .��,,..< '� "� . . . . .�� , �� ,� , � ,� ,�� , ��� �s���� � �.��� � �� �, � ���� � �.� � �r. < <_ --�-�,» ��« SMART VENTS ON NE & SW WALLS 9/07/2016 RIGHT VIEW (SW SIDE) 9/07/2016 NON-ENGINEERED OPENINGS ON SW SIDE 9/07/2016 (Exterior enclosed storage area) FEMA Form 086-0-33 (7/15) Replaces all previous editions. Page 6 of 15