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781 BAY ESPLANADEU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program OMB No. 1660-0008 Expiration Date: November 30, 2018 ELEVATION CERTIFICATE 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 Kevin J. Geigle and Sue M. Geigle Policy Number: A2. Building Street Address (including Apt., Unit. Suite, and/or Bldg. No.) or P.O. Route and Box No. 781 Bay Esplanade Company MAIC Number: City State ZIP Code Clearwater Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 7 & 8, Block 38, Mandalay, Plat Book 14, Page 32, Parcel ID #05-29-15-54666-038-0070 A4. Building Use (e.g., A5. Latitude/Longitude: A6. Attach at least 2 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 59' 34.04" N Long. 82 Accessory, etc.) Residential 49' 26.57" W Horizontal Datum: ❑ obtain flood insurance. 1.0 foot above adjacent above adjacent grade NAD 1927 grade x NAD 1983 17 photographs of the building if the Certificate Number 7 is being used to 3,241 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 enclosure(s) openings in the crawlspace in A8.b 3,400 sq or enclosure(s) within in ft within 1.0 foot sq in 0 ❑x Yes ❑ No garage: garage 0 sq openings in the attached garage in A9.b 0 ❑ 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 B3. State Florida B4. Map/Panel Number 12103C0102 85. Suffix G 66. FIRM Index Date 08/18/2009 07. FIRM Panel Effective/ Revised Date 09/03/2003 B8. Flood Zone(s) AE 09. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 11.0 feet B10. Indicate the source ❑ FIS Profile 611. Indicate elevation B12. Is the building Designation Date: of the Base Flood Elevation (BFE) ❑ Community Determined for BFE in Item 69: Coastal Barrier Resources ❑ CBRS data or base flood depth entered in Item B9: ❑ Other/Source: x FIRM datum used located in a Other/Source: Area (OPA)? ■ NGVD 1929 © NAVD 1988 ■ System (CBRS) area or Otherwise Protected ❑ OPA ❑ Yes x No FEMA Form 086-0-33 (7/15) Replaces all previous editions. orm Nage 1 0 RECEIVED BY: V.J.K APR 18 2018 PLANNING & DEVELOPMENT CITY OF CARWATER 781 BAY ESPLANADE BCP2017-03272 ELEVATION CERTIFICATE GEIGLE Zoning: Low Medium Density Atlas #: 249A 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. 781 Bay Esplanade Policy Number: City State ZIP Code Clearwater Florida 33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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 Al 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 Benchmark Utilized: City of Clearwater # 1-03 Vertical Datum: NAVD-88 AR/AO. x Finished Construction AR/AH, only, enter meters. Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 x 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 (including basement, crawlspace, or enclosure floor) 5. 2 the measurement used. x feet ❑ meters b) Top of the next higher floor 18 0 p feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A x feet ❑ meters d) Attached garage (top of slab) N/A x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 11 2 x feet [] meters x❑ feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 4.4 Highest adjacent (finished) grade next to building (HAG) 4. 8 p feet ❑ meters g) h) Lowest adjacent at lowest elevation of deck or stairs, including 4. 4 x feet ❑ meters grade 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 1 certify that the information on this Certificate represents my best efforts to interpret the data available. statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. law to certify elevation information. I understand that any false ixl Check here if attachments. Were latitude longitude in Section A by a licensed land surveyor? x Yes ❑ No and provided Certifier's Name License Number Donald E. Armstrong Jr. PLS #5083 i, ,� , s Setif c Sets It �, , • :"i` •1' krA � Title Owner/Manager/Registered Land Surveyor Company Name Don Armstrong Land Surveying, LLC , . Address 2187 N. Green Ridge Place < , . A,,^ 1'" 'At-. fy City State ZIP Code Palm Harbor Florida 34683 Signature Date Telephone 04/11/2018 (727) 772-8134 Copy all pages of this Elevation Certificate and alt attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) Latitude and Longitude were determined using Google Maps. Item C2(e) is an Air Conditioner Compressor on a raised metal deck along the Southeast wall of the building. c,....., o..,... • ,.s c FEMA Form 086-0-33 (7/15) Replaces all previous editions. 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. 781 Bay Esplanade Policy Number: City Clearwater State ZIP Code 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 LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—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, or enclosure) is ❑ feet 0 meters 0 above or p below the HAG. b) Top of bottom floor (including basement, crawispace, or enclosure) is 0 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 0 meters ❑ above or 0 below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment feetmetersabove or below the HAG. servicing the building is 0 0 0 ❑ 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 ❑ 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 Signature State ZIP Code Date Telephone Comments 0 Check here if attachments_ FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 • IMPORTANT: In �"Y^ `^""' • va«. •.vvcI 1 IURI QV, Gv 10 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. 781 Bay Esplanade Policy Number: City State ZIP Code Clearwater Florida 33767 Company NAIC Number SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local Sections used G1. G2 G3. in ❑ ■ ❑ official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement Items G8—G10. In Puerto Rico only, enter meters. 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.) A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. 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. ❑ New Construction Substantial improvement G6. Elevation of as -built lowest floor (inetuding basement) of the building: ❑feet ❑meters Datum G9. BFE or (in Zone AO) depth of flooding at the budding site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: • feet • meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) Check here if attachments. i 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 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. 781 Bay Esplanade 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. 1 we Photo One Photo One Caption Front View 04/11/2018 .,.., •-,,3 .. 1, - ' r p:�. ..:;a ya' -' S Y _ _: .-. - rink �--- Photo Two *I :. Photo Two Caption Rear View 04/11/2018 FEMA Form 086-0-33 (7/15) Replaces all previous 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. 781 Bay Esplanade 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. i• 1 1 1 .yaa. y: ' *. - L i _ r N _ ..E.l _ Photo Ore Photo One Caption Outside Vents 04/11/2018 Photo Two Photo Two Caption Inside Vents 04/11/18 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Most Widely Accepted and Trusted ICC -ES Evaluation Report ESR -2074 Reissued February 2017 This report is subject to renewal February 2019. www.icc-es.orq (800) 423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council DIVISION: 08 00 00—OPENINGS Section: 08 95 43—VentsIFoundation Flood Vents REPORT HOLDER: SMARTVENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 (877) 441-8368 www.smartvent.com infaiismartventcom EVALUATION SUBJECT: SMART VENT.AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-520; #1540-621; #1540-510; #1540-511; #1540-570; #1540-574; #1540-524; #1540-514 1.0 EVALUATION SCOPE Compliance with the following codes: • 2015, 2012, 2009 and 2006 International Building Codee (IBC) • 2015, 2012, 2009 and 2006 International Residential Code® (IRC) • 2013 Abu Dhabi Intemationa! Building Code (ADIBC)t tThe ADIBC S based on the 2009 IBC. 2009 IBC code sections referenced in this report are the same sections in the ADIBC, Properties evaluated: • Physical operation 11 Water flow 2.0 USES The Smart Vent® units are engineered mechanically operated flood vents (FVs) employed to equalize hydrostatic pressure on walls of enclosures subject to rising or falling flood waters. Certain models also allow natural ventilation. 3.0 DESCRIPTION 3.1 General: When subjected to rising water, the Smart Vente FVs intemal floats are activated, then pivot open to allow flow in either direction to equalize water level and hydrostatic pressure from one side of the foundation to the other. The FV pivoting door is normally held in the closed position by a buoyant release device. When subjected to rising water, the buoyant release device causes the unit to unlatch, allowing the door to rotate out of the way and allow flow. The water level stabilizes, equalizing the lateral forces. Each unit is fabricated from stainless steel. Smart Vent® Automatic Foundation Flood Vents are available in various models and sizes as described in Table 1. The SmartVENTe Stacking Model #1540-511 and FloodVENTe Stacking Model #1540-521 units each contain two vertically arranged openings per unit. 3.2 Engineered Opening: The FVs comply with the design principle noted in Section 2.7.2.2 and Section 2.7.3 of ASCE/SEI 24-14 [Section 2.6.2.2 of ASCE/SEI 24-05 (2012, 2009, 2006 IBC and !RC)] for a maximum rate of rise and fall of 5.0 feet per hour (0.423 mm/s). In order to comply with the engineered opening requirement of ASCE/SEI 24, Smart Vent FVs must be installed in accordance with Section 4.0. 3.3 Ventilation: The SmartVENTe Model #1540-510 and SmartVENT® Overhead Door Model #1540-514 both have screen covers with 1/4 -inch -by -1/4 -inch (6.35 by 6.35 mm) openings, yielding 51 square inches (32 903 mm2) of net free area to supply natural ventilation. The SmartVENTe Stacking Model #1540-511 consists of two Model #1540-510 units in one assembly, and provides 102 square inches (65 806 mm2) of net free area to supply natural ventilation. Other FVs recognized in this report do not offer natural ventilation. 4.0 DESIGN AND INSTALLATION SmartVENT® and FloodVENTe are designed to be installed into walls or overhead doors of existing or new construction from the exterior side. Installation of the vents must be in accordance with the manufacturers instructions, the applicable code and this report. Installation clips allow mounting in masonry and concrete walls of any thickness. In order to comply with the engineered opening design principle noted in Section 2.7.2.2 and 2.7.3 of ASCE/SEI 24-14 [Section 2.6.2.2 of ASCE/SEI 24-05 (2012, 2009, 2006 IBC and IRC)], the Smart Vent. FVs must be installed as follows: • With a minimum of two openings on different sides of each enclosed area. 11 With a minimum of one P1 for every 200 square feet (18.6 m2) of enclosed area, except that the SmartVENTe Stacking Model #1540-511 and FloodVENTe Stacking Model #1540-521 must be installed with a minimum of one FV for every 400 square feet (37.2 m2) of enclosed area. • Below the base flood elevation. ICC -ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor are they to be construed as an endorsement of the subject of the report or a recommendation for its ma There is no warranty by ICC Evaluation Service, LLC, express or &viler{ ar to anyfinding or other muter in this report, or as to any product covered by the report Copyright 02017 ICC Evaluation Service, LLC. All rights reserved. Page 1 of 3 ESR -2074 I Most Widely Accepted and Trusted , • • With the bottom of the located a maximum of 12 inches (305.4 mm) above the higher of the final grade or floor and finished exterior grade immediately under each opening. 5.0 CONDITIONS OF USE The Smart Vente FVs described in this report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: 5.1 The Smart Vent® FVs must be installed in accordance with this report, the applicable code and the manufacturer's installation instructions. In the event of a conflict, the instructions in this report govem. 5.2 The Smart Vent® FVs must not be used in the place of "breakaway walls" in coastal high hazard areas, but Page 2 of 3 are permitted for use in conjunction with breakaway walls in other areas. 6.0 EVIDENCE SUBMITTED Data in accordance with the ICC -ES Acceptance Criteria for Mechanically Operated Flood Vents (AC364), dated August 2015. 7.0 IDENTIFICATION The Smart VENT® models recognized in this report must be identified by a label bearing the manufacturer's name (Smartvent Products, Inc.), the model number, and the evaluation report number (ESR -2074). TABLE 1—MODEL SIZES MODEL NAME MODEL NUMBER MODEL SIZE (in.) COVERAGE (sq. ft) FloodVENT® 14Q015 153/4" X 73/4" 200 5martVENT® 1540-510 153/4" X 73/4" 200 FloodVENT® Overhead Door - 24 153/4" X 73/4" 200 SmartVENT® Overhead Door 1540-514 153/4" X 73/4" 200 Wood Wall FloodVENT® 1540-570 14" X 83/4" 200 Wood Wall FloodVENT! Overhead Door 1540-574 14" X 83/4" 200 SmartVENT® Stacker 1540-511 16" X 16" 400 FloodVent® Stacker 1540-521 16" X 16" 400 For SI: 1 inch = 25.4 mm; 1 square foot = m Building Diagrams DIAGRAM 7 All buildings elevated on full -story foundation walls with a partially or fully enclosed area below the elevated floor. This includes walkout levels, where at least 1 side is at or above grade. The principal use of this building is located in the elevated floors of the building. Distinguishing Feature — For all zones, the area below the elevated floor is enclosed, either partially or fully. In A Zones, the partially or fully enclosed area below the elevated floor is with or without openings** present in the walls of the enclosure. Indicate information about enclosure size and openings in Section A — Property Information. 0 NINGS” ENING' DIAGRAM 8 All buildings elevated on a crawlspace with the floor of the crawlspace at or above grade on at least 1 side, with or without an attached garage. Distinguishing Feature — For all zones, the area below the first floor is enclosed by solid or partial perimeter walls. In all A zones, the crawlspace is with or without openings** present in the walls of the crawlspace. Indicate information about crawlspace size and openings in Section A — Property Information. DIAGRAM 9 All buildings (other than split-level) elevated on a sub - grade crawlspace, with or without attached garage. Distinguishing Feature — The bottom (crawlspace) floor is below ground level (grade) on all sides.* (If the distance from the crawlspace floor to the top of the next higher floor is more than 5 feet, or the crawlspace floor is more than 2 feet below the grade [LAG] on all sides, use Diagram 2A or 28.) * A floor that is below ground level grade) on all sides is considered a basement even if the floor is used for living purposes, or as an office, garage, workshop, etc. " An "opening" is a permanent opening that allows for the free passage of water automatically in both directions without human intervention. Under the NFIP, a minimum of 2 openings is required for enclosures or crawlspaces. The openings shall provide a total net area of not less than 1 square inch for every square foot of area enclosed, excluding any bars, louvers, or other covers of the opening. Alternatively, an Individual Engineered Flood Openings Certification or an Evaluation Report issued by the International Code Council Evaluation Service (ICC ES) must be submitted to document that the design of the openings will allow for the automatic equalization of hydrostatic flood forces on exterior walls. A window, a door, or a garage door is not considered an opening; openings may be installed in doors. Openings shall be on at least 2 sides of the enclosed area. If a building has more than 1 enclosed area, each area must have openings to allow floodwater to directly enter. The bottom of the openings must be no higher than 1.0 foot above the higher of the exterior or interior grade or floor immediately below the opening. For more guidance on openings, see NFIP Technical Bulletin 1. NFIP Elevation Certificate Instructions — Page 9 of 9 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 agent/company, and SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Kevin J. Geigle and Sue M. Geigle Policy Number A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 781 Bay Esplanade NAIL CompanyNumber. City State ZIP Code Clearwater Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 7 & 8, Block 38, Mandalay, Plat Book 14, Page 32, Parcel ID #05-29-15-54666-038-0070 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 59' 34.04" N Long. 82 Accessory, etc.) Residential 49' 26.57" W Horizontal Datum: obtain flood insurance. 1.0 foot above above adjacent ■ adjacent grade NAD 1927 grade x NAD 1983 0 2 photographs of the building if the Certificate Number 1B 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 endosure(s): or endosure(s) openings in the crawlspace in A8.b 0 sq or endosure(s) within in ft within 1.0 foot sq in 17 sq ❑ Yes x No garage: garage 3,241 openings in the attached garage in A9.b 3,400 x Yes ❑ No SECTION 8 — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number City of Clearwater 125096 B2. County Name Pinellas B3. State Florida B4. Map/Panel Number 12103C0102 B5. Suffix G B6. FIRM Index Date 08/18/2009 B7. FIRM Panel Effective/ Revised Date 09/03/2003 88. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 11 feet B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: • FIS Profile B11. Indicate elevation B12. Is the building Designation Date: x FIRM • Community Determined datum used for BFE in Item B9: located in a Coastal Barrier Resources ❑ CBRS • Other/Source: ■ NGVD 1929 IM NAVD 1988 • Other/Source: System (CBRS) area or Otherwise Protected ❑ OPA Area (OPA)? ❑ Yes x No 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 (induding Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box Na 781 Bay Esplanade Policy Number. City State ZIP Code Clearwater Florida 33767 Company NAIC Number SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* *A new Elevation Certificate will be required when construction of the C2. Elevations - Zones Al A30, AE, AH, A (with BFE), VE, V1 V30, V Complete Items C2.a-h below according to the building diagram specified Benchmark Utilized: City of Clearwater #I-03 Vertical p (with Datum: Building Under Construction* ❑Finished Construction building is complete. BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. in Item A7. In Puerto Rico only, enter meters. NAVD-88 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 (including basement, crawlspace, or enclosure floor) 5. 2 p the measurement feet • used. meters b) Top of the next higher floor 12 7 x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A x feet • meters d) Attached garage (top of slab) N/A x feet • meters e) Lowest elevation of machinery or equipment servicing the building N/A p feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) WA 0 feet 0 meters Highest adjacent (finished) grade next to building (HAG) N/A. x feet ❑ meters g) h) Lowest adjacent at lowest elevation of deck or stairs, induding N/A. p feet ❑ meters grade structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect 1 certify that the information on this Certificate represents my best efforts to interpret statement may be punishable by fine or imprisonment under 18 U.S. Code, Section Were latitude and longitude in Section A provided by a licensed land surveyor? MI authorized by law to the data available. 1 understand 1001. Yes ❑ No 12 certify elevation information. that any false Check here if attachments. Certifier's Name License Number Donald E. Arms PLS #5083 r , >, `Rt IF GI Title Owner/Manager/Registered Land Surveyor ..,,y>, CY NO. 5083 STATE OF m jD Company Name Don Armstrong Land Surveying, LLC ��F`,p �� lo� fir Ahro Address 2187 N. Green Ridge Place �o�s ,;ei91 City State ZIP Code Palm Harbor Florida 34683 j/��_ 6/At /t7 " `' Signature Date Telephone 06/21/2017 (727) 772-8134 Copy all pages of this E evation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) Latitude and Longitude were determined using Google Maps. Residence is under construction, engineered vents to be installed. • Form Pane 2 of E FEMA Form 086-0-33 (7/15) eplaces all previous editions. ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: 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. 781 Bay Esplanade 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 endosure) is ❑ feet ❑ meters LOMA or LOMR-F request, used. In Puerto Rico only, the elevation is above or below ❑ above or ow the HAG. ❑ b) Top of bottom floor (including 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 the next higher floor (elevation C2.b in 9 (see pages 1-2 of Instructions), the diagrams) of the building is (J 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 ❑ 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 floodplain management ordinance? 0 Yes 0 No ❑ Unknown. The local official must with the community's 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 ■ Check here if attachments. FEMA Form 086-0.33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE _IMPORTANT: Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 781 Bay Esplanade 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 Sections A, B, C (or E), and G of this Elevation used in Items G8 -G10. In Puerto Rico only, enter to administer the community's floodplain management ordinance can complete Certificate. Complete the applicable item(s) and sign below. Check the measurement meters. from other documentation that has been signed and sealed by a licensed surveyor, by law to certify elevation information. (Indicate the source and date of the elevation E for a building located in Zone A (without a FEMA -issued or community -issued BFE) is provided for community floodplain management purposes. G1. IN The information in Section C was taken engineer, or architect who is authorized data in the Comments area below.) G2 • A community official completed Section or Zone AO. G3. ❑ The following information (Items G4—G10) 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 G10. Community's design flood elevation: New Construction ■ Substantial Improvement basement) •feet ❑ feet ■meters Datum the building site: ❑ meters Datum ❑ meters Datum ■ feet Local Official's Name Title Community Name Telephone Signature Date Comments (including 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. onn Page 4 0 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. 781 Bay Esplanade - 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. is Photo One Photo One Caption Front View 06/21/2017 s Photo Two. 11111111110111111111111111 _. Photo Two Caption Rear View 06/21/2017 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 ES ICC EVALUATION SERVICE '/u Innovation L. JRESEARCH ICC -ES Report ICC -ESI (800) 423-6587 I (562) 699-0543 I www.icc-es.org Most Widely Accepted and Trusted ESR -2074 Reissued 02/2017 This report is subject to renewal 02/2019. DIVISION: 08 00 00—OPENINGS SECTION: 08 95 43—VENTS/FOUNDATION FLOOD VENTS REPORT HOLDER: SMARTVENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 EVALUATION SUBJECT: SMART VENT® AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-520; #1540-521; #1540-510; #1540-511; #1540-570; #1540-574; #1540-524; #1540-514 ICC -� ICC --.max ICC PMG LISTED Look for the trusted marks of Conformity! "2014 Recipient of Prestigious Western States Seismic Policy Council (WSSPC) Award in Excellence" A Subsidiary of CODE COMIC ICC -ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied as to any finding or other matter in this report, or as to any product covered by the report. Copyright ® 2017 ICC Evaluation Service, LLC. All rights reserved. ES Pr.11):,1 IOP, O�RVICE Most Widely Accepted and Trusted ICC -ES Evaluation Report ESR -2074 Reissued February 2017 This report is subject to renewal February 2019. www.icc-es.orcl 1 (800) 423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council DIVISION: 08 00 00—OPENINGS Section: 08 95 43—Vents/Foundation Flood Vents REPORT HOLDER: SMARTVENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 (877) 441-8368 www.smartvent.com infold smartvent.com EVALUATION SUBJECT: SMART VENT® AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-520; #1540-521; #1540-510; #1540-511; #1540-570; #1540-574; #1540-524; #1540-514 1.0 EVALUATION SCOPE Compliance with the following codes: • 2015, 2012, 2009 and 2006 International Building Code® (IBC) ■ 2015, 2012, 2009 and 2006 International Residential Code® (IRC) • 2013 Abu Dhabi International Building Code (ADIBC)t 1The ADIBC is based on the 2009 IBC. 2009 IBC code sections referenced in this report are the same sections in the ADIBC. Properties evaluated: ■ Physical operation • Water flow 2.0 USES The Smart Vent® units are engineered mechanically operated flood vents (FVs) employed to equalize hydrostatic pressure on walls of enclosures subject to rising or falling flood waters. Certain models also allow natural ventilation. 3.0 DESCRIPTION 3.1 General: When subjected to rising water, the Smart Vent® FVs intemal floats are activated, then pivot open to allow flow in either direction to equalize water level and hydrostatic pressure from one side of the foundation to the other. The FV pivoting door is normally held in the dosed position by a buoyant release device. When subjected to rising water, the buoyant release device causes the unit to unlatch, allowing the door to rotate out of the way and allow flow. The water level stabilizes, equalizing the lateral forces. Each unit is fabricated from stainless steel. Smart Vent® Automatic Foundation Flood Vents are available in various models and sizes as described in Table 1. The SmartVENT® Stacking Model #1540-511 and FloodVENT® Stacking Model #1540-521 units each contain two vertically arranged openings per unit. 3.2 Engineered Opening: The FVs comply with the design principle noted in Section 2.7.2.2 and Section 2.7.3 of ASCE/SEI 24-14 [Section 2.6.2.2 of ASCE/SEI 24-05 (2012, 2009, 2006 IBC and IRC)] for a maximum rate of rise and fall of 5.0 feet per hour (0.423 mm/s). In order to comply with the engineered opening requirement of ASCE/SEI 24, Smart Vent FVs must be installed in accordance with Section 4.0. 3.3 Ventilation: The SmartVENT® Model #1540-510 and SmartVENT® Overhead Door Model #1540-514 both have screen covers with 1/4 -inch -by -1/4 -inch (6.35 by 6.35 mm) openings, yielding 51 square inches (32 903 mm2) of net free area to supply natural ventilation. The SmartVENT® Stacking Model #1540-511 consists of two Model #1540-510 units in one assembly, and provides 102 square inches (65 806 mm2) of net free area to supply natural ventilation. Other FVs recognized in this report do not offer natural ventilation. 4.0 DESIGN AND INSTALLATION SmartVENT® and FloodVENT® are designed to be installed into walls or overhead doors of existing or new construction from the exterior side. Installation of the vents must be in accordance with the manufacturer's instructions, the applicable code and this report. Installation clips allow mounting in masonry and concrete walls of any thickness. In order to comply with the engineered opening design principle noted in Section 2.7.2.2 and 2.7.3 of ASCE/SEI 24-14 [Section 2.6.2.2 of ASCE/SEI 24-05 (2012, 2009, 2006 IBC and IRC)], the Smart Vent® FVs must be installed as follows: • With a minimum of two openings on different sides of each enclosed area. • With a minimum of one FV for every 200 square feet (18.6 m2) of enclosed area, except that the SmartVENT® Stacking Model #1540-511 and FloodVENT® Stacking Model #1540-521 must be installed with a minimum of one FV for every 400 square feet (37.2 m2) of enclosed area. ■ Below the base flood elevation. ICC -ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed 11 as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, ILC, express or implied as �(� w any finding or other matter in this report or as to any product covered by the report Copyright Cl 2017 ICC Evaluation Service, LLC. All rights reserved. Page 1 of 3 ESR- 074 1 Most Widely Accepted and Trusted ■ With the bottom of the FV located a maximum of 12 inches (305.4 mm) above the higher of the final grade or floor and finished exterior grade immediately under each opening. 5.0 CONDITIONS OF USE The Smart Vent® FVs described in this report comply with, or are suitable altematives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: 5.1 The Smart Vent® FVs must be installed in accordance with this report, the applicable code and the manufacturer's installation instructions. In the event of a conflict, the instructions in this report govem. 5.2 The Smart Vent® FVs must not be used in the place of "breakaway walls" in coastal high hazard areas, but Page 2 of 3 are permitted for use in conjunction with breakaway walls in other areas. 6.0 EVIDENCE SUBMITTED Data in accordance with the ICC -ES Acceptance Criteria for Mechanically Operated Flood Vents (AC364), dated August 2015. 7.0 IDENTIFICATION The Smart VENT® models recognized in this report must be identified by a label bearing the manufacturer's name (Smartvent Products, Inc.), the model number, and the evaluation report number (ESR -2074). TABLE 1—MODEL SIZES MODEL NAME MODEL NUMBER MODEL SIZE (in.) COVERAGE (sq. ft.) FloodVENT® 1540-520 153/4' X 73/4' 200 SmartVENT® 1540-510 153/4' X 73/4" 200 FloodVENT® Overhead Door 15 -524 153/4" X 73/4' 200 SmartVENT® Overhead Door 1540-514 153/4" X 73/4" 200 Wood Wall FloodVENT® 1540-570 14" X 83/4" 200 Wood Wall FloodVENTe Overhead Door 1540-574 14" X 83/4" 200 SmartVENT® Stacker 1540-511 16" X 16" 400 FloodVent® Stacker 1540-521 16" X 16" 400 For SI: 1 inch = 25.4 mm; 1 square foot = m2 * • �r U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expirafion Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE ImporEarrt: Follow the instructions on pages 1�. Copy atl pages of this Elevation CerGificate and all attachments for (1) community offidal, (2) insuranoe agent/company, and (3) building owner. SECTtON A— PROPERTY INFORMATION FOR INSURANCE COMPANY USE A1. Building Owner's Name Poliey Number: Kevin J. Geigle and Sue M_ Geigle A2. Building Str'eet Address (inGuding Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Comparry NAIC Number. Box No. 781 Bay Esplanade City State ZIP Code Clearwate� Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 7& 8, Blodc 38, Mandalay. Plat Book 14, Page 32, Parcel ID #05-29-15-54666-038-0070 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) Residen6al A5. latitudeJLongitude: lat. 27 59' 34.04" N Long. 82 49' 26.57" W Horizontal Datum: � NAD 1927 � NAD 1983 A�. Attach at least 2 photographs of the building if the Cectificate is being used to obtairt flood insuranoe. A7. Building Diagram Number � B A8. For a building with a crawlspace or endosure(s): a) Square fiootage of crawlspace or enGosure(s) 0 sq ft b) Number of permanent flood openings in the crawlspace or endosure(s) within 1.0 foot above adjaoerit grade 0 c) Total net area of flood openings in AS.b 0 sq in d) Engineered flood openings? ❑ Yes � No A9. For a building with an attached garage: a) Square footage of attached garage 3.24� sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 17 c) Total net area of flood openings in A9.b 3,400 sq in d) Engineered flood openings? � Yes ❑ No SECTION B— FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name & Commun'ity Number 62. County Name �• �e Ciry of Clearwater 125096 Pinellas Florida 64. Map/Panel B5. Suffix 66. 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 feet 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth er�tered in Item 69: � FIS Profile ❑x FIRM � Community Determined ❑ Otfier/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 Ox NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? �] Yes Ox No Designa6on Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all prev�0us ea�pons. rv�m raya � v� o ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding infortnation from Section A. FOR INSURANCE COMPANY USE Building Street Address (induding Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No_ Policy Number. 781 Bay Esplanade Clearvvater Florida 33767 SECTION C— BUI�DING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construdion Drawings' �x Building Under Construction' � Fnished Construdion *A new Elevation Certificate will be required when construcdon of ihe building is comptete. C2. Elevations — Zones A1—A30, AE, AH, A(with BFE), VE, V1 V30, V(with BFE), AR, AWA, AR/AE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h betow according to the building diagram specified in Item A7. In Pue�to Rico only, enter meters. Benchmark Utilized: City of Clearvvater # I-03 Vertical Datum: NAVD-88 Indicate elevation datum used for the elevations in items a) through h) below. � NGVD 1929 (�x NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Chedc the measurement used. a) Top of bottom floor (induding basement, crawtspace, or enGosure floor) 5 2 Ox feet ❑ meters b) Top of the next higher floor ��. � �x feet ❑ meters c) Bottom of the towest horizontal sWctural member (V Zones only) N�a. �x feet ❑ meters d) Attached garage (top of slab) N/A_ Ox feet � meters e) Lowest elevation of machinery or equiQmerrt servicing the building N�A. Ox feet ❑ meters (Describe type of equipment and loca�on in Comments} f� Lowest adjacetrt (finished) gcade ne� to buitding (lAG) g) Highest adjacent (finished) grade next ta building (HAG) h) Lowest adjacent grade at lowest elevation of dedc or stairs, including structural support Id/A N/A, N/A 0 feet ❑ meters Qx feet ❑ meters �x feet ❑ meters SECTION D— SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATlON This cerafication is to be signed and seaied by a land surveyor, engineer, or archited authorized by law to certify elevation information. ► certify that the +nformation on this Cefificate r�presents my best etforts to interpret the data available. ! understand ti►at any fafse statement may be punishab/e by fine or imprisonment under 18 U. S. Code, Section 100f . Were latitude and longitude in Section A provided by a licensed land surveyo�? � Yes ❑ No � Check here if attachmerrts. Donald E. Armstrong Jr. Owner/Manager/Registered Land Surveyor Don Armstrong land Surveying, LLC 2187 N. Green Ridge Place PLS #5083 ' �. �tsrR� �`"� t►Fr�4Tq�� o � � A NO. 50&3 rn STA7E OF � � � \�`j'�, �`'t�2�oQ' � J 'RFa LAh'0 �' Pk s -;°B.� State cir �.we City Florida �3 � 6 �.Z( li Palm Hafior Signature / Date Telephone 06l21/2017 (72'� 772-8134 � �� Copy all pages of this E�evaUon �fifrcate and at{ attachmerrts for (1) commurnty offic�al, (2) insurance agerrt/company and (3) bwlding awner Comments (including type of equipment and location, per C2(e), if applicable) Latitude and Longitude were determined using Google Maps. Residence is under Construction, engineered vents to be installed. FEMA Form 086-0-33 (7/15) Replaces all previous edi6ons. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2o�s IMPORTANT: In these spaces, copy the comesponding information from Section A. FOR INSURANCE COMPANY USE Building Str�t Address (induding Apt, Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. Policy Number: 781 Bay Esplanade �ity State ZIP Code Company NAIC Number Clearvvater Florida 33767 SECTION E- BUILDING ELEVATION INFORAAATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(1MTHOUT BFE) For Zones AO and A(without BFE�, complete Items E1-E5. If the Certifiqte 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 ir�formation 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 {IAGj. a) Top of bottom floor (induding basement, crawlspace, or endosure) is . ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, cxawlspace, or endosure) is . ❑ feet ❑ meters ❑ above or ❑ bel�v the LAG. E2. For Building Diagcams 6-9 with permanent ftood openings provided in Section A Items 8 and/or 9{see pages 1 2 of Instructions), the ne� 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 serviGng 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 elevat� in acoordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknawn. The local official must c�rtify this infermation in Section G. SECTION F- PROPERTY OWNER (OR OWNER'S REPRE3ENTATIVE) CERTIFICATION The property owner or owners authorized represerrtative 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 oorrect to the best of my knowledge. Property Owner or Owners Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Chedc here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous edi6ons. Form Page 3 of 6 OMB No. 1860-0008 ELEVATION CERTIFICATE Expiration Date: November30, 20�8 IMPORTANT: In these spaces, copy the comesponding 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_ Policy Number: 781 Bay Esplanade City State ZIP Code Company NAIC Number Clearwater Florida 33767 SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administe� the community's floodplain management ordinanoe can complete Sections A, B, C(or �, and G of this Etevation Certificate. Complete the applicable item(s) and sign belo�nr. Chedc the measurement used in Items GS-G10. In Puerto Rico only, er�ter meters. G� _❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who i5 authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 � A communily offiaal completed Sedion E for a building located in Zone A(without a FEMA-issued or community-issued BFE7 or Zone AO. G3. ❑ The following information (Items G4--G10) is provided for commun'ity floodplain management purposes. G4. Permit Number G5. Date Pem�it Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation oi as-buift lawest floflr (including basement) of the building: . ❑�t ❑ m�� 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 Title Community Name Telephone Signature Date Comments (inGuding type of equipment and location, per C2(e), if applicable) ❑ Chedc here if attachments. FEMA Form 086-0-33 (7/15) Replaces atl previous editions. rorm r�age a or ti BUILDING PHOTOGRAPHS oMe No. �sso-oppg ELEVATION CERTIFICATE See Instructions for Item A6. Expiraaon Date: November 30, 2o�s IMPORTANT: tn these spaces, copy the correspond�ng 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: 781 Bay Esplanade �ity State ZIP Code Company NAIC Number Clearvvater Florida 33767 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. IdenNfy all photographs with date taken; "Front vew" and "Rear vev�'; and, if required, "Right Side Vev�' and "Left Side View." When applicable, photographs must show the foundation with representative e�camples 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. �' ' r. � � � �_ �. � � �' �� -° -�.t.,�_.,.,, �«.. � ; , � � ,�_� � � � � ,� s � �`' � . .� _;��� .: , M � � � � ,� r ""' � ,,;; � �� - . � � , . � .• _ , �,� ' � � � �� � ' � �, ;. �P �� �. � � � � ,z � � ,.: : e , - � . - ,�,�,�,i, r,: �,a� �� � � _ � �. ��� $� °�� � _� � � J �,� � �� l;�. � "*�IW� � . . � �":'�r. s. �,..:. "'y'g��TP'��Jri�� �+ _� ,L, �I��� I � 1 � !s '. :.,. .,. ` a. ,, � � � ��Ad ��y 't ?3R`# .. � . e �?��. 'v,.K. . :qA f � . ..'. � � .. + a, •. �}' ... ,.':� , � .. (��''Z�; � p., '"� . . . .. ���� e _ x � � � - . . . . � Photo One Photo One Caption Front Vew 06/21/2017 ;t:•, � � f�y�k � t� � ����� �- :y:' � �' � . � �x. _.� �, � � i �� � ��� � � � � k' ♦ �M�'� � r. . �_,�'. . �E �'t �:. t . ��.;. ... ' „„ j �.. � s � " ,.��.;� ,,,,�s,.., w�,., � ��;,s ' " � � � �: i - :�� � � � . }� a � <� i,r i` � � � � � � . �F_;., v � p � � � _ �� ,, � .,�. � '�a . �"ci. . =,p^+�s�; *.,a; y �� � _�,.. � . '� . ��"`," �f"'^5' . .° "n' : k p,��:., ,�?4 � � �. � � «- .°~. � .�.. , ..p �. � , n� �v.._ ' �� � x ��Y� . . . .. . ��.2: `-� . .,� � . • .,. �, . r ��,k,�;�� ���Ii �� .. ��f .�: 3 * ,....�,.. . �__.. .. .__—.. . . _ Ptiao Two Photo Two Caption Rear View OB/21I2017 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Fortn Page 5 of 6 �/'- . � DIVISION: 08 00 00—OPENINGS SECTION: 08 95 43—VENTS/FOUNDATION FLOOD VENTS REPORT HOIDER: SMARTVENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NE1N 1ERSEY 08071 EVALUATION SUBJECT: SMART VENT� AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-520; #1540-521; #1540-510; #1540-511; #1540-570; #1540-574; #1540-524; #1540-514 ICC ICC � ICC ��� ��� ��� � �� � PMG LiSTED Cook for the trusted marks of Conformity! "2014 Recipient of Prestigious Western States Seismic Policy Counci! (WSSPCJ Award in Excellence" A Subsidiary of ICC-ES Evaluation Reports are not to be consriued as representing aesthetics or any other atiributes not "�� �"' specifically addresseci, nor are they to be construed as an endorsement of the subject of the report or a � � a•ecommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as � ��� to any finding or other matter in this report, or as to any product covered by the report. �*��� �auccr, Copyright ° 2017 ICC Evaluation Service, LLC. All rights reserved. . ICC-ES Evaluation Report ESR-2074 Reissued February 2017 This report is subject to renewa! February 2019. www.icc-es.orct �(800) 423-6587 �(562) 699•0543 A Subsidiary of the lntemationa/ Code Council � DIVISION: 08 00 00—OPENINGS Section: 08 95 43—Vents/Foundation Flood Vents REPORT HOLDER: SMARTVENT PRODUCTS, INC. 430 ANDBRO DRNE, UNIT 1 PITMAN, NEW JERSEY 08071 (877)441-8368 www.smartvent.com info(cDsmartvent.com EVALUATION SUBJECT: SMART VEN7� AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540�520; #7540521; #1540-610; #1540-611; #1540�570; #1540�i74; #1540�b24; #1540-514 1.0 EVALUATION SCOPE Compliance with the following codes: ■ 2015, 2012, 2009 and 2006 lntemational Building Code`� (IBC) ■ 2015, 2012, 2009 and 2006 Intemafional Residential Code� (IRC) ■ 2013 Abu Dhabi Intemational Building Code (ADIBC)t tThe ADIBC is based on the 20091BC. 2009 IBC code sections referenced in this report are the same sedions in the ADIBC. Properties evaluated: ■ Physical operation ■ Water flow 2.0 USES The Smart Vent� units are operated flood vents (FVs hydrostatic pressure on walls rising or falling flood waters. natural ventilation. 3.0 DESCRIPTION 3.1 General: engineered mechanically ) employed to equalize of enGosures subject to Certain models also allow When subjected to rising water, the Smart Vent� FVs intemal floats are activated, then pivot open to allow flow in either direction to equalize water level and hydrostatic pressure from one side of the foundation to the other. The FV pivoting door is normally held in the closed position by a buoyant release device. When subjected to rising water, the buoyant release device causes the unit to unlatch, allowing the door to rotate out of the way and allow flow. The water level stabilizes, equaliting the lateral forces. Each unit is fabricated from stainless steei. Smart Vent� Automatic Foundation Flood Vents are available in various models and sizes as described in Table 1. The SmartVEN'T� Stacking Model #1540-511 and FloodVEN'f� Stacking Model #1540-521 units each contain two vertically arranged openings per unit. 3.2 Engineered Opening: The FVs comply with the design principle noted in Section 2.7.2.2 and Section 2.7.3 of ASCE/SEI 24-14 [Section 2.6.2.2 of ASCE/SEI 24-05 (2012, 2009, 2006 IBC and IRC)] for a maximum rate of rise and falf of 5.0 feet per hour (0.423 mm/s). In order to comply with the engineered opening requirement of ASCE/SEI 24, Smart Vent FVs must be installed in accordance with Section 4.0. 3.3 Ventilation: The SmartVEN'i� Model #1540-510 and SmartVEN'T�" Overhead Door Model #1540-514 both have screen covers with '/a-�nch-by-'/4-inch (6.35 by 6.35 mm) openings, yielding 51 square inches (32 903 mm2) of net free area to supply natural ventilation. The SmartVEN'T'� Stacking Model #1540-511 consists of two Model #1540-510 units in one assembly, and provides 102 square inches (65 806 mm2) of net free area to supply natural ventilation. Other FVs recognized in this report do not offer natural ventilation. 4.0 DESIGN AND INSTALLATION SmartVENI� and FloodVEN'T� are designed to be installed into walls or overhead doors of existing or new construction from the exterior side. Installation of the vents must be in accordance with the manufacturer's instructions, the applicable code and this report. Installation clips allow mounting in masonry and concrete walls of any thickness. In order to comply with the engineered opening design principle noted in Section 2.7.2.2 and 2.7.3 of ASCE/SEI 24-14 [Section 2.6.2.2 of ASCE/SEI 24-05 (2012, 2009, 2006 IBC and IRC}], the Smart Vent� FVs must be installed as follows: ■ With a minimum of two openings on different sides of each enclosed area. ■ With a minimum of one FV for every 200 square feet (18.6 mZ) of enclosed area, except that the SmartVENT� Stacking Model #1540-511 and FloodVENT� Stacking Model #1540-521 must be installed with a mi�imum of one FV for every 400 square feet (372 mZ) of enclosed area. ■ Below the base flood elevation. ICGES Evaluation Reports are wt to be construed as repruenting aestherics or any o�her amibutes not specifrcally addressed �� are they to be construed � as an endarsement of the subject of the report or a recornmendarion for its use. Thert is no warrmny by ICC EvaG�ation Service, Li.C, express or implied, as � to any,�nding or other maner in this report or ar to any prodvct covered by the repor[ "� �- ,,, •• Copyright � 2017 ICC Evaluation Service, LLC. All rights reserved. Page 1 of 3 4 " ESR-2074 � Most wdely Accepted and Trusted Page 2 of 3 ■ With the bottom of the FV located a maximum of 12 inches (305.4 mm) above the higher of the final grade or floor and finished exterior grade immediately under each opening. 5.0 CONDITIONS OF USE The Smart Vent� FVs described in this report comply with, or are suitable altematives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: 5.1 5.2 The Smart Vent� FVs must be installed in accordance with this report, the applicable code and the manufacturer's installation instructions. In the event of a conflict, the instructions in this report govem. The Smart Vent� FVs must not be used in the place of °breakaway walls" in coastal high hazard areas, but MODELNAME Overhead Door Overhead Door Wood Wall FloodVENT"' Wood Wall FloodVENI'� Overhead Door SmartVENT°' Stacker FloodVent� Stacker For SI: 1 inch = 25.4 mm; 1 square foot = are permitted for use in conjunction with breakaway walls in other areas. 6.0 EVIDENCE SUBMII'TED Data in accordance with the ICC-ES Acceptance Criteria for Mechanically Operated Flood Vents (AC364), dated August 2015. 7.0 IDENTIFICATION The Smart VENI'� models recognized in this report must be identified by a label bearing the manufacturers name (Smartvent Products, Inc.), the model number, and the evaluation report number (ESR-2074). TABLE 1—MODEL SIZES MODEL NUMBER MODEL SIZE (in.) 1540-520 1540-510 15 -524 1540-514 1540-570 1540-574 1540-511 1540-521 5°/a' X 7°/a" 53�4 � X 73�4 � 53�4 � X �T3Iq � 53�� � X 73/4 � � 4n X S3I4 � 14" X 83/d' 16" X 16" 16" X 16" COVERAGE (sq. ft.) 200 200 200 200 200 200 400 400