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2738 TERRACE DR NJ.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 agent/company, and (3) building owner. SECTION A— PROPERTY INFORMATION FOR INSURANCE COMPANY USE A1. Building Owner's Name Policy Number: Steven Nedik A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 2738 N. Terrace Drive City State ZIP Code Clearwater Florida 33759 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 10, Block 3, Virginia Grove Terrace 2nd Addition A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) Addition A5. Latitude/Longitude: Lat. 27d 59' 09.72" N. Long. $2d 43' 24.34" W. Horizontal Datum: ❑ NAD 1927 0 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 enciosure(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 0 No A9. For a building with an attached garage: a) Square footage of attached garage � sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade p c) Total net area of flood openings in A9.b 0 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 63. State Pinellas County Pinellas Florida 64. Map/Panel 65. Suffix 66. FIRM Index 67. FIRM Panel B8. Flood Zone(s) 69. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12103C / 0126 G 09/03/2003 09/03/2003 X& AE 53.0' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ 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: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? � Yes �x 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 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. Policy Number: 2738 N. Terrace Drive City State ZIP Code Company NAIC Number Clearwater Florida 33759 SECTION C— BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' Ox 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: Courtney V 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. a) Top of bottom floor (including basement, crawispace, or enclosure floor) 54 2 b) Top of the next higher floor N/A c) Bottom of the lowest horizontal structural member (V Zones oniy) N/A, _ d) Attached garage (top of slab) 53. 7 e) Lowest elevation of machinery or equipment servicing the building 54 1 (Describe type of equipment and location in Comments) � Check the measurement used. _ � feet ❑ meters _ � feet ❑ meters . � feet � meters . � feet ❑ meters . Ox feet � meters fl Lowest adjacent (finished) grade next to building (LAG) 53 3 �x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 53 7 Ox feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N�A � 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 certify that the information on this Certificate represents my best efforts to interpret the data availab/e. / understand thaf 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 Edward D. Murphy Title Professional Land Surveyor Company Name Murphy's Land Surveying, Inc. Address 5760 11th Avenue N. St. Petersburg Signature Copy all pages of this Elevation Certificate and al att Comments (including type of equipment d location, C2e = A/C License Number #5333 State Florida Date 01 /27/2016 :a ; �.4 0. , ��Placa � ,_, _ . . . _ Se�j ,_ ; ^j� i-IP..I�� . � -.`F -. ZIP Code � ' �`," 33710 Telephone (727) 347-8740 for (1) community official, (2) insurance agenUcompany, and (3) building owner. (e), if applicable) FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. 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 Bidg. No.) or P.O. Route and Box No. Policy Number: 2738 N. Terrace Drive ��tY State ZIP Code Company NAIC Number Clearwater Florida 33759 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 buiiding 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 wiil fit on this page, use the Continuation Page. �. ��'- �Q'�. �9 Y i . _ ��`��.j+. -,��H' ..�r E` `rr� --- M,. t H �� : . . . __` - `T :�k= . .i.._ .. . . . __ ... _ .' . . -_�--____.,�.�? _ : J�' .... n. ` ' - _ ; I r " — 7 )! , �a� _ � �� ,�"�`..�ti�.L`L..�' F �. J"' r l ��¢ A ,� 1 � � ��N �� _ ' f: I KL._u�.. --'.- / '�'� � —, 1.l:�i " . ! • _. 'j � ... .. �. �; - ' !t F �a,'w�y,. +� .. — _ < . 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Terrace Drive C�tY State ZIP Code Company NAIC Number Clearwater Florida 33759 If submitting more photographs than wiil fit on the preceding page, affix the additional photographs below. 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. ��r _. I. _ �� ,�, � : I li . � � �:�, 'r - _. � � � � � �b� ., � - .. . . � � . � ,� - , ^�%: ✓ it : � s' � _ ! . �- + -_ _______. . �— � � k"�ry;' Y , ' , � � ' j -� 'r�c' � ;., � �:' s� . .. ��* � .„� t �}� . q � r y '. , �� . _ �_ " 1<. , ^ ` . �°.'� ri� � ��2 �^^ . .'e��. � �� , . S .4..� ,,., . ( .._�",_` �1. _ � ;.�?s_ �� y'�",` � j �Gl,. � '�#" y `—�' - t F � �� = �° - � . �. �". fiF �e S >�, �' �� ;.�., - ,, s-' `" ' � ,� �_ �� _ � _ _ , ` F?, � �, � � � _ y Y 4iy � �� . . '� a �� „_� � � �.. . 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