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229 PALM ISLAND SWU.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 a ent/com an and (3) buildinQ owner SECTION A — PROPERTY INFORMATION . _ . . FOR INSURANCE COMPANY USE Al. Building Owners Name REDSTONE CAPITAL LLC Policy Number. A2. Budding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 229 PALM ISLAND S.W. Company NAIC Number. City State ZIP Code CLEARWATER, Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 05-29-15-43416-000-0050 A4. Building Use (e.g., A5. Latitude/Longitude: A6. Attach at least A7. Building Diagram A8. For a building with 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, Lat. 27 deg. 58' 59.8" Long. 82 Accessory, etc.) RESIDENTIAL deg. 49 05.9" Horizontal Datum: obtain flood insurance. 1.0 foot above adjacent above adjacent grade 0 NAD 1927 grade MI NAD 1983 0 2 photographs of the building if the Number 1A Certificate is being used to 0 sq ft a crawlspace of crawlspace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? or enclosure(s): or endosure(s) openings in the crawlspace in A8.b 0 sq or enclosure(s) within in sq ft within 1.0 foot sq in 0 0 Yes 0 No garage: garage 487 openings in the attached garage in A9.b 0 0 Yes 0 No , SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name PINELLAS 63. State Florida CLEARWA i Eli / 125096 B4. Map/Panel Number 12103 C 0102 65. Suffix G 66. 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) 11' & 12' B10. Indicate the source 0 FIS Profile B11. Indicate elevation B12. Is the building Designation Date: of the Base Flood Elevation (BFE) 0 FIRM 0 Community Determined datum used for BFE in Item B9: located in a Coastal Barrier Resources 0 CBRS data 0 NGVD System or base flood depth entered in Item B9: 0 Other/Source: 1929 0 NAVD 1988 0 Other/Source: (CBRS) area or Otherwise Protected 0 OPA Area (OPA)? 0 Yes 0 No FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Ex irati 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. 229 PALM ISLAND S.W. Policy Number: City State ZIP Code CLEAR WATER, 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 El—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 (including basement, crawlspace, or enclosure) is 0 feet 0 meters LOMA or LOMR-F request, used. In Puerto Rico only, the elevation is above or below 0 above or 0 below the HAG. 0 above or 0 below the LAG. 9 (see pages 1-2 of Instructions), 0 above or 0 below the HAG. 0 above or 0 below the HAG. 0 above or 0 below the HAG. with the community's certify this information in Section G. b) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet 0 meters 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 0 feet EI meters E3. Attached garage (top of slab) is 0 feet 0 meters E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 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? 1::] Yes • No 0 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, E3, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representatives Name Address City State ZIP Code Signature Date Telephone Comments Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 30 ELEVATION CERTIFICATE OMB No, 1660-0008 Expiration Da 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. 229 PALM ISLAND S.W. Policy Number City State ZIP Code CLEARWATER, Florida 3376 Company NAIC Number s 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. 0 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 0 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 0 Substantial Improvement basement) feet 0 feet El feet Ei meters Datum building site: 0 meters Datum El meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (includingtype of equipment and location, per C2(e), if applicable) 0 Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS See Instructions for Item A6. 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. 229 PALM ISLAND S.W. 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 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. _ k �. _:. ...._,,..4., .r•. , J Photo One Photo One Caption FRONT VIEW / 2/09/2017 tS ... 004r ' 1 ggp y "o 4 :f .+f.• itf Y yr w4'. ... Photo Two Photo Two Caption REAR VIEW / 2/09/2017 FEMA Form 086-0-33 (7/15) Replaces all previous editions. orm Nage 5 0 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Foilow the instructions on pages 1-9. Copy all pages of this Elevation Ce�tificate and atl attachments for (1) community official, (2) insurance agenUcompany, and (3) building owner. SECTION A— PROPERTY INFORMATION FOR INSURANCE COMPANY USE A1. Buiiding Owners Name Policy Number. REDSTONE CAPITAL, LLC A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number. Box Na 229 PALM IStAND S.W. City State ZIP Code CLEARWATER, Florida 33767 A3. Property Description (Lot and Bfock Numbers, Tax Parcel Number, Legal Description, etc.) 05-2&15-43416-000-0050 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL A5. LatitudelLongitude: Lat 27 deg. 58' 59.8" Long. $2 deg. 49' 05.9" 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 endosure(s) p sq fi 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 0 No A9. For a building with an attached garage: a) Square footage of attached garage �7 sq ft b) Number of permanerrt 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 dj Engineered flood openings? � Yes �x No r SECTION B— FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 62. County Name B3. State CLEARWATER / 125096 PINELLAS Florida B4. Map/Panel B5. Suffix 66. .FIRM Index 67. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Numioer Date Effecctive/ (Zone AO, use Base Revised Date Flood Depth) 12103 C 0102 G 08/18/2009 09/03/2003 AE 11' & 12' 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 Othervvise 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 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November30, 2o�s 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: 229 PALM ISLAND S.W. City State ZIP Code Company NAIC Number CLEARWATER, Florida 33767 SECTION E— BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BF�, complete Items E1—E5. If the Gertificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Chedc 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 endosure) is . ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (inGuding basement, crawlspace, or endosure) is . ❑ feet ❑ meters ❑ 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 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is . ❑ 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 servic�ng the building is . ❑ 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 managemerrt ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this i�ormation in Section G. SECTION F— PROPERTY OWNER (OR OWNER'S REPRESENTATNE) CERTIFICATION The properly owner or owner's authorized represerrtative who completes Secaons 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 corred 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 attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. rorm rage :� or ci 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 (inGuding Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 229 PALM ISLAND S.W. C�tY State ZIP Code Company NAIC Number C�EARWATER, Fiorida 3376 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) a�d sign below. Check the measu�ement used in Items G8—G10_ In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken ftom other documentation that has been signed and sealed by a licensed surveyor, engineer, or archited 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 loqted in Zone A(without a FEMA issued or community-issued BFE� or Zone AO. G3. ❑ 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/Ocxupancy Issued G7. This permit has been issued for. � New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (inGuding basement) of the building: . ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: . ❑ feet ❑ meters Datum G10. Community's design flood elevation: _ ❑ feet ❑ meters Datum Local Offiaal's Name TiUe Community Name Telephone Signature Date Comments (inGuding type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 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 Bldg. No.) or P.O. Route and Box No. Policy Number: 229 PALM ISLAND S.W. City State ZIP Code Company NAIC Number CLEARWATER, Florida 33767 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to #he instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear vew' ; and, if required, "Right Side Vew" and "Left Side Vew." When applipble, 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. K , . : �. _ �i ���� - �, _ � � � . �. - -- _�.��_ i-- �_��� L j�� Y' i . s�����3, x: � . � . � ^ . , ' � __ Photo One Photo One Caption FRONT VIEW / 2/09/2017 ; �', ` � r - � '�: _. 4 � � �.E �� s_ � - � � � ..%�� _ �� � � � ��:� :?�'s ' - t } �,,,�-., �, _ ;' � .. _, fr _, � . _��,x � � _ . � �.� e.� .�: � � Plwto Two Photo Two Caption REAR VIEW / 2/09/2017 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6