1749 OWEN DRDEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
ELEVATION CERTIFICATE
IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 8-16
OM Coned Number 100(0400e
Evros= tisorzom
Copy WI peps *SS Moeda. Cseilikede and al sedelswwitte far
beeneme Wilda.
waner.
(1) seleserelty anklet 4 aganNwaramoy, wel IR
BECTON A- PROPERLY INFORMATION
FORM INSURANCE COMPANY USE
Al. &Alone Owners 'dam EFIELMNI AND SPIRO DASHI
Pokey Nurriber
A2. Bulking Skeet Address Concluding Apt., Ur& Sura. sedior Bldg. No.) or P.O. Route and
Bo! Na rra owed ORM
Company NMC
Number
CaY CLEARWATER
ZIp Code
33750-1(tie
A3. Properly Deersirelon (Lot and Bbd Numbers. Teo Parcel Numb's. Lag* Desedplion. etc.)
PARZE1. 05-20-16-71424-000-01413,LOT 14. PINELLAS TERRACE,P8 40,PG 52, PINELLAS COUNTY.FLORIDA
M. Building IMS (op_ Residuals& Non-Residerdial. Addlion,Accesses y. Mt) RESIDENTIAL
A5. LalltudeLonglude:
LaI. 27.9846 Unit 8272513 Horizontal Datum:
C NAD 1927 6: NAG 19113
A6. Mace et learn 2 pholographe
of Ihe bulking 9 dm Carers:am is being used le oblein flood
insurance.
A7. Bulking Dew* Number
cudE_A
A8. For a bulking with a
aderlapice or .noes): A9. For a bulking
ala an eadsched garage:
a) Squirm footege of auedspees
ar enclosue(s) NIA got a) Square loodege
el seeclied 011111g111
442 fkl ft
b) Slumber of permanent food openings
In the b) Welber
Of perrenort food openings
crawlepeee w endure(s) Sein 1.0 loot in the detached gime vie* lb loot
above adhacent grade
NA Sane elleoent
rade
NA
c) Total net area of flood openings
area of flood openings
in Nib NA eq in
in Alb NA sq in c) Teel net
d) Engineered flood openings?
C Yee eXtra d) Engineered
loud openings?
C Yes OCNo
SECTION 8- FLOOD INSURANCE RATE MAP (FIRM) MR3RMATRIN
81. PIF Cominwety Name & Canimunky Number
02. Comity Name
83. Male
PRIELLAS COUNTY OF 125139
PINELLAS
FL
. IthetiPenel Number
135. Sulk
Mk FIRM kid= Deb
87. RRIA Panel ENselve/
136. Rood Zonti(e)
Ea. Gess Rota! Ben(s)
Revised OW
(Zone AO, use bees flood
12100126
6
0141821309
0883/2003
AE
dellill 51.OFEET
810. indkate the source al the Base HMI Eon (UFE) dale or base *nod deplh aniseed in Mon 06.
C RS Pmels IC ARM C Community Oslernened C OtheriSoureec
811. *Scale siseallon dalum used kr BEE In Pam BR C PVD
1929 4? NAVD 19811 c OthanSouros
1312. is the Miring Weed in a Comae DOM& Resources Swam (CURS) arse or Otherwise
Prelecled Area (OPA)? C Yes IC Me
Designelion Dale: NA C CURS C OPA
SECTION C - BUILDING 19.EVATION INFORMATION imitvEv REQUIRED)
C1. Bulking abalone we based on: C Construction Drip * ( Bulking Under Construction* et Rested CaterructIon
C2. Elevalions - Zones Al - A30, AE, Alt A (WM BFE), VE, VI - V30. V (41i BFE), AR, ARIA. ARM, AR/A1 - A30, ARIAN, ARA°.
hems CZa -h
below lo the building diagram
specified in Nem A7.In Puerto Rion oily, weer melees.
according
• A new Elermdlon Celeste ea be requinal when cordruclion of the bulling le compbbs.
Benchmark Meet GPS Vertical Dearnt NAVD 1980
Indictee Meted* dalum used for the eons In Mem a) trough h) below. ( NGVD 1929 X NAVD 1908
C OtheriSoures:
an used for building elevations must
be the same as fiat used for the BFE. Check leo measureeimit
used.
s) Top el beam lbw enduding beesment, craw/mem or undoes*
loor) 52.88
(i feat C meows
b) Top of the next higher
fuer
-
NA(ti
le* C melon;
c Boecen of the *met
NA -
hcrizonlel *velure!
nerds% (V Zones
only)
0' lest C mere
5237 -
c0 Attached grape (lopoteleb)
(j feet C MOWS
equipment servicing the talking
52.67 -
6 lest C melees
s) WNW abeerion of rosectatery or
(Dalai* type ol et*Pment ard localism W Comments)
1) Lowest adjacent (Medial)
grade next b Wading (LAG)
52.12 -
(6' feet C meters
g) Highest a4acent (Milled)
grade next to biding (HAG)
52.68 - ,
0 feet C moors
lowest
of deck or stank
MOM%
-
(ii feet C millers
h) Lowest mesa* grade alt elevation
52.12
structured support
BCP oZtn--1)t,3`k
�� 4/°i �w-1
ELEVATION CERTIFICATE
1749 OWEN DRIVE, CLEARWATER, FL 33759
cam coned Paanber: 1aW-000
Exegete: tigtoaat
flON D -
TNS cerlficadon Is to be signed and sailed by aIaideneer.
that the laminae' aa n he Cierticale represents my best effort s b kteginst the date M. 1 that any false statement mi,,'be
punishable by its or impitsonnient under 18 U.S. Code, Section 10(H.
Ware latitude and longitude In Section A
prd by ovidea liceneed land sunrevor?
(.- ye. (Nr,
ir: k
"
..
Name
011.1. A
License Nanber
•T *
.
PRESIDENT
Name
:.. e
OP
1497 MAIN ST #321
DtediENN
FL
34890
Siae
T
tiE
•
1-16-17
+1 (27)4l5-83(Copy
beI i8is . ,
. .
. p).
NOT TO BE USED FOR CONSTRUCTION OR DESIGN
. EQUIPMENT ON LINE C.2. (e) IS BASE OF AIR CONDITIONING UNIT
•
1-16-17
E - �W.�NO ELEV*11ONINFORM NOT 109311111214 FOR ZOI AO ANDZONE A (INFINOUT OM
A Et . Ittio CmIfic
Sealone A. Band C. Fcr Items El -EA, use mendgrado, r aba Checkthe measurementueed. In Pues � ony.
IE . Provide animation inforinsion 1 cr tha follaelng end Windt the upprowlete boxes to slider whellier the elwration Is above or below be
highest Wpm! grade (HAG) and the lowest adircent grade (LAG).
a) Top of bottom lax (including Inweettent. crealepece. - r feet ( meters album or E] below the HAG.
or endoeure) is _
b) Tap of bedlam low enduring basement, orninspece, - C Wel r rushers 0 atom cc 0 Wow tho LAG -
or enclosure) iB -
E2. For &aiding Dlegrarres 5-9 ulth pennenent flood openings provided in Section A teems 8 andfor 9 (see pages 5-9 c Inekudions). Ms neal
higher Boor (elevalion C2.b in the diagrams) of Ihe bulking b -- C feet C nwAsts E] throw ar 0 babas the HAG.
E3. Pithiched genius (top of slab) isr twit r mg= D above or 12] below die NAG.
-
E4. Top of platform of niechinen/ end for equipment
r WO r mews El above? or ri beim the HAG.
the bedding is
servicing -
Err. Zone AO only: if no load depth 'umber is evialetes, is the top of the Comm floor elevaled in acavdance eel me careissielys froodarin
nimmgement cniklaincle? C Yes r No C Woman. The load diced ;rust curtly this Infamellon In Section G.
F - PNOPERTYtOROWNERS PRESDTA1IVE
A
' EWE) Zone AO must . The sbeemunts in A. B. ;ind E ae correct to toe beet of my ieie.
Picardy Owner or Noma
Address �y State ZIP Cade
I 1 ifq Othij e• .b a or b---1°)
• - Tetepharee
..M 1110, ti, ! 14•• / 1 /•1 (A2- '(:,
OMB Control Number. 1660-0008
Expiration: 11/30/2018
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. 0 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. 0 The following information (Items G4 -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. C' New Constriction
G8. Elevation of as -bulk lowest floor (including basement)
of the building:
G9. BFE or (in Zone AO) depth of flooding at the
site:
G10. Community's design flood elevation:
i Substantial Improvement
- C' feet C meters Datum
building
C feet C' meters Datum
- r feet C meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
ELEVATION CERTIFICATE
Building Street Address (including Apt.
ADDRESS:
1749 OWEN DR
CLEARWATER, FL 33759
BUILDING PHOTOGRAPHS
CONTINUATION PAGE
, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
PICS TAKEN 01/11/2017
FRONT VIEW AND CONTINUING AROUND BUILDING
FEMA's National Flood Hazard Layer (Official)
ca Basemap I Share •oma• Print I Measure
to expand)
s
?vations
Modify Map :. Sic
Find address or place
AREA OF r.i INIh.•1AL FL:)OD_HAZARG.
Terms of Use Privacy Contact
0 50 1G4ti
irenc
OEPAIiTMENT OF H01E1/WD SECURITY
; Federal EmeKger�► M�n�ge�nent A9�Y
ELEVATION CERTIFlCATE
�
INPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES �16
a� p�ps d�it � CrA�nM atl d �tl�drrais lfor I�1 a�� �. Ri ��Y�►
$6Cf1CJNA-PRCJPEKiY' NIPOIi�A7K'�N ��
i M• 8uildn� Ow�s'"a ti�tKi �� ��p gp�p py�N
PuiicY I�Ynlber:
i
�
i
a� c�a w.� teea000e
e�� ,�r.�o�rin�a
. ad of �waro aw�.
��� C�D M�. Un% S�il� endlbr 81d�. Naj ar P.t1. RaAs ard
Baot Mla n49 OWEN dRIVE Canpe�q► fi1►IC
� t�.FJIRINAI'Eit ��'� FLQRIpIA �� C� g
�- A'eP�ti ��� i�and BlDdt 1'pmbers. TeDC P+elc�ei PMrinb�sr, �agsl Da�ea1P�. �i
P�7105�i8-T1424�006�01IO,L0T 14, PNigLAS TERRIit�,P6 49,PG 52, P'U�ELLAS COUIYTY,FLAF�A
It4. 6+�ti0 lJ�s+ (s-�y. ResiderilMil NorfResidenfal. Addtlm. At�obesarr, elc.� RESIDENTIAL
'°'S- �: �a- rr.ee.a �. �r1s+� "°''x°"�e' °■ar,r. �' w� isr► r. w�,se3
As. � er kese z pnomgra�ns ar w�s e�:�a.�g iF rr arr�s ie bair�g �ssr�a � miain nood :rsurnr�r,.
A7. B�itirr8 Die�'am FN++�rar OI�-A
AS. For a bu�ng wllh a arawlepaoe or ar�doar•e(s): A8. Far a buldirg � an aai�ctied gerags:
��'� ��� d► �(*) � sq tt a} 5qua�e ioo4�s d atla�lMd ga�gs
b) Nwnber d perntensrt /oad opari�gs in ths b) Nun6er d psrtna�aR lood apsigs
a�u�spaa ar a�x�loaru(sI �t i A ioot in � atlaCAed ger�fpb wMhL� tA ioot
abors ac�aoent yrgd° Nq ab�we a�oent 9'�de _
c) Tdal net aree d flood o�enipa in /1$_b Nq !q � � To1al net aee d flood aperinps in 14�.b
d) Etgi�eersd Aoud aperigK? C` Yas (�(Ab � Etgi�eerei} foal apenigs7 (�' Yes
442 eq A
NA
NA sq in
iCNo
6�. PFw Cotmn�rWgr tiame d� Ca�rmirrly �wn,ber az. Couay name ___ s3. Staie
Pf�ELL�IS t�0UN7Y OF 12bi99 P�ELLAS FL
BA. MaprP'anel Number Bb. .s�l16[ B6. FIRM Indea� De1B B7. FlRM Pansi Bledfval BE. Rood 2die(�) B9_ Baee Fbod Fle�aplion(s)
(tevbeid Q�e R�one A4, uae base Ilood
i21WG0126 Q 09f1Bf�00B 0�1�'1003 � �� 51AFEET �
B10. Mbr�e the aolrCe a(1he BesR Fiood E�on (�EJ da�s Or ba�e AoOd deplh enle�ed Y1 Ilem �:
(' F1S Prowis �C F1RN C' C�nrtKrYiy D�Mrarrwd (" OIMr15a�roec
871, ftdr,ate elsv�on d�Arn li0ed tar BFE pt I�n B� C" NG'HD 1829 � NAW 1896 C� OtlafSourax
B121s 1he bdd��y bc�la+d a� a Coailal Bartier Fb�earoes Syelem (� area ar Utlfeewi�e Pm1eCled Anse (OP/y? C� Yes K' No
b�aSOn De�. NA f' C9RS C' OPA
SEC�ION C- BI�LDMUi ELEYA710N INPOIi�AT10N (9l�tYEY �I
c,. B��g e�or�s are 6�ea «�: C comau��an o►awrngs• r 9uwaing unaer r,an��arr de F�+ea c;arsrucuon
c2. ee��c - zaaa w� - n3a. �, �►rt. �► twen e�. vE, v� - v3o. v{.� er-�. �, x�. �r�, �ww� - w�o. �nw, �iw.
Canplels IHenna (�.a fi baiaw axading ta Ihe bdki�8 �iapne�n spedie�d in �ern A7. In Pusb fLioo ady. �srWar melers.
' A neYr BevWion Qa�lde wi 6e teq�ied wlien ao�ueilon d A�e t�i�ng la wrtiplete.
�,�erk ut�e� c�'s v+e�, oa�rn: w►w �ges
�n�aA�s ele�tlon aewm ueee inr nre deKanons in ilems a) trougn n) below. t' NGVn 1eQe Ot w,w 1966
C OlhsfSoi�:
7e6rn tAed &x bu�d'iip � m�t be tlie vane as lfpit tA1ed fw' �e �. / Cf�lc 1he meae�re�t wed.
� 7np d Isct�cnt �ow- (fndudin9 6aoarnu�:. n»rNPeca. o' erwioaue ioarj 52.88 �_ t� iaet f' meYars
�) Top d the nmd higlwr bar NA - � iwt C r�wlers
� BoUom of 1hs bweet horiaartd strucf�rai inember lV Zones a� NA ' C� feet C'' rne�ers
$� 9�� lbP a�i 59 37 " C� feet C� rnsfeis
q Lwriet N�wiun at medir�ery or equqpmsnt saniciny �e tricfng /,, .
i�s A�Pe � equipme�x arr! localion i� Commenls� 52.67 - � feet C' msle�s
��� �� i�? 9�ad+ nao�t k► b�id�� MG) 52.12 - (. feet C me�ees
il � �r (�d� 9� � � �9 (�1 5268 ' (� feet C' n�s�ers
t� l,o+�est ayaoent {�w�ie �t la�esi ele.y�lion d d�dc ar slairs. �dudn8
sYueWrail a�ppart 52.12 - (� itbt {- malers
�vanoN c�n�►�
1749 OWEN DRIVE, c�utwA��, � ��s
ae cw,.b w.�:,eeo�aoo
� ��r�or�
aa. � n�n v� au�c�c�ve�. c��c. v�c �w�r� � ca. � a.c�c � R�a.w � ww�
i CBf�Ofl 1B ��1B �191i �Id iBB�li � 8 iifMi �; 611j�11B�'. O� 81� �lOf�'L6d:ly �H� � i�f1� �BVl�fl �0111i/�IL /(�/�
��+e ii�ObmfaGior, on ar's t�rB�aBs represei,ts a� beet �►as a:�rp►et rNe dlam a.eiaalr. � u�dY�fsnd �er any febs emin�menr mey ae
ist�aWe 6y (ite ar ir�oirrnent ur�rler 1B t/.� t�nda, 5ec8ixi f00'f.
Were fe�de �d bngibuds N► 8eclion A ��� ��{�L�
cx�a� n� ���_ v� r�,a ��, �,.,�n H, h�.
C: Yes (' Na � �
i'ri�rs Nante Lioense FMrnber s��%���
i uverr FL COM L& � � •
tiatne
NaMli NVG
1487 IYtANH ST i�i21
�Y
DUI�M�
Dt�s
1-16-17
{� �
i �,�
b'fa�Ee Zip Code
FL 348� k 1
�
Telephone
+1(7�7) 415-B306
A►r�r�`�
.
a �^ �
botl� sides of tlis Flevatian Ce�iKcsAs for (1i c�ommirig► a111cia1. i2j i�ranoe ayentluampiarry. ad (3) bu�ri9 awner-
i�D M� of oqulpmer� and loca�on . Per CZ{e). iF sPP�b�Y'
NOT TO BE USED FOR CONSTRUCTION OR DESIGN
. EQUIPMENT ON LINE C.2. (e) IS BASE OF AIR CONDITIONING UNIT
0
�
1-1fr17
o�s
IE A
6 NU 911R A(1N�MOIR l�-t). OOItI{11Bl911B1hB E7 -L5. R 018 C:6�B 6 RR91900R BD S�'101t 8 LC7MA Cr L�R-F ►tit�166t, n0111�6
/+. 6.and a r•or roa�rrs E� -E�1. use �o.al grade, r av�abia Ctieac me n�eae�r�errie�ti usea. t� Pue�Oo fibo wry. an0er mele�s_
(�aMde eieradan Yt�am�alion iar tl�e �otloirY�g and d�e�dc Me appropris� b000es b show wha�r �a eleeraYon ie abore ar beio�r 1he
t�e� at�aoe►k 9rade (FiA�G) and 1he Wwasl a�oenR ga� i�-+�i-
a) Tap d bolbrn foor ik�ludnp beoemenl �epeoa. - �' fset C` malats ❑ abone or � beiow the W1�G.
ar a►sloeue) is
b) Tap of bdbr� Aoar (ricludrg beaemerR crs�w�soe. - C" te�t r �++�s ❑� a❑�• u� u�c.
or erydoare) s
Far Buralrig ol�ran�s e-s wMn psur�,a��! �aod ap.,rgs pw�aea � sec+wn a Imms s ar�mar s{sss pag.s e-s ot �ns��mons� e» ne�a
�r iloor (eb�ton c2b Y► ine aiagrams) or me a�aing is - t' reet t' melers p abwe or ❑ bebw �e w1G.
� � � � �� � ' t' ieal �' n�1e�r � al�wg ar � baluiw tho W1�GG_
Top ot pielform af rnochinety �nd /or e�lpnleM
�g � p�y� �g - C� isat C' nwi�rs � sbow a' ❑ 6quw 1he WyG.
Zone Ad ar�ly li noi 11oad dapY� rrrn0er ea avaie6lei. a� � iop of ttie bollorn �oar eleraled in a000�dance r�ilh tl�e ao�rrnuMys Aoa�ein
�K �� C' Yes C' No (�' Unbiown. The lowl dfi�iel tnmt oe�iijr riis idarrnalian ir Sacdon G.
SEG710N F- PROPHtTY dyMNER (OR OwNERS REPR�iBiTAT1YE) CEICiFICA110N
e�fy a�Wner at pM�"s 811hoAaed tep�tlYe who ooftipfabers /� B. 811d E for Zane A(trrholt a R
haissuad �E} or z�one /►o m�wf ri� ne�e. me �ds in se�iona A. B. ana e a�e oo�e�i to me bex cr
(J�na ar Owrbr'+s AWhori�ed Rapie�ve"s I�lan�
�
���
��. �
Zip Gotie
� 3�
or
OMB Cwitrol Number. 1660-0008
E�iration: 11/30/2018
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain manageme�t ordinance can complete Section.
A, B, C(or E), and G of this Elevation Certificate. Complete the applicable item(s) and sig� below. Check the measurement used in ftems G8 -
G10. In Puerto Rico oniy, enter meters.
G1. � The infortnation in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer,
or architect who is author¢ed by law to certify elevation information. (Indicate fhe source and date of the eleva6on data in the
Comments area belowJ
G2 � A community official completed Section E for a buiiding located in Zone A(without a FEMA-issued or community-issued BFE) or Zon�
AO.
G3. � The following irrformation (Items G4 -G10) is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certifipte of Compliance/Occupancy Issued
G7. This pertnit has been issued for. (' New Construction (' Substantial Improvemerrt
G8. Elevation of as-buik lowest floor (indudi�g basement)
of the building: ' C� feet (` meters Datum
G9. BFE or (in Zone AO) depth of flooding at the building _ �- �t (" meters Datum
site:
G10. Community's design flood elevation: - (� feet (� meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS
CONTINUATION PAGE
Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No.
ADDRESS:
1749 OWEN DR
CLEARWATER, FL 33759
PICS TAKEN 01111/2017
FRONT VIEW AND CONTINUING AROUND BUILDING
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