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132 DEVON DRU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICJ Important Follow the instructions on pages Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) SECTION A — PROPERTY INFORMATION Al. Building Owner's Name Steven G. Whitley and Monica Whitley A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route Box No. 132 Devon Drive City Clearwater State Florida A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Desaiptii Lot 13, Bayside Subdivision, Plat Book 23, Page 17, Parcel #08-29-15-04914-000-0130 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Resi IOMB No. 1660-0008 Expiration Date: November 30, 20181 RECEIVED BY: V.J.K NOV 21 2017 PLANNING & DEVELOPMENT CITY OF CLEARWATER 132 DEVON DR BCP2015-12396A ELEVATION CERTIFICATE WHITLEY, STEVE Zoning: Low Medium Density A5. Latitude/Longitude: Lat. 27 58' 26.84" N Long. 82 49' 33.09" W Horizontal Datum: 0 NAD 1927 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 6 A8. For a building with a crawlspace or endosure(s): a) Square footage of crawlspace or endosure(s) 717 sq ft b) Number of permanent flood openings in the c ra tspace or endosure(s) wthhin 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b 1,600 sq in d) Engineered flood openings? ❑x Yes 0 No A9. For a building with an attached garage: a) Square footage of attached garage 652 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b 1,000 d) Engineered flood openings? x❑ Yes 0 No sq in Atlas #: 276A ❑E NAD 1983 8 5 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 134. Map/Panel Number 12103C0102 65. Suffix 86. FIRM Index Date 08/18/2009 67. FIRM Panel Effective/ Revised Date 09/03/2003 B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 11.0 feet B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile ❑x FIRM 0 Community Determined 0 Other/Source: B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 Q NAVD 1988 0 Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ❑x No Designation Date: ❑ CBRS 0 OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE 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. 132 Devon Drive 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 A1 -A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE, Complete Items CZa-h below according to the building diagram specified in Item A7. In Puerto Benchmark Utilized: NGS "872-6742-A", PID AG7196 Vertical Datum: NAVD-1988 x Finished Construction AR/A1-A30, AR/AH, AR/AO. Rico only, enter meters. Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 IM NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, cra tspaoe, or enclosure floor) 5. 2 Check the measurement used. p feet • meters b) Top of the next higher floor 15 0 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) 4 8 p feet • meters e) Lowest elevation of machinery or equipment servicing the building 5 2 p feet • meters (Describe type of equipment and location in Comments) f) Lowest adiaoent (finished) grade next to building (LAG) 4.4 Q feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 4. 5 x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 4. 2 x feet • meters structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by I certify that the information on this Certificate represents my best efforts to interpret the data available. statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. law to certify elevation information. I understand that any false Were latitude and longitude in Section A provided by a licensed land surveyor? © Yes • No i7 Check here if attachments. Certifier's Name License Number Donald E. Armstrong Jr. PLS #5083 pp�wws77JJ��,, c i Fictr"�+ No. 5083 STATE OF/ '4i.°R1p0' Title Owner/Manager/Registered Land Surveyor Company Name Don Armstrong Land Surveying, LLC Address 2187 N. Green Ridge Place 6! /2 $'/!? / v ` /acs foes? City State ZIP Code Harbor Florida 34683 Signature Date Telephone 11/29/2017 (727) 772-8134 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (induding type of equipment and location. per C2(e), if applicable) Latitude and Longitude were determined using Google Maps. Item C2(e) is an Elevator floor, the bottom of an Electrical Service Junction Box located on the West wall of the residence is at an Elevation of 11.0', the top of a raised concrete deck for the Air Conditioner Compressor is at an Elevation of 15.1'. FEMA Form 086-0.33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE 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. 132 Devon Drive 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 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 endosure) is ❑ feet • meters ■ above or • below the HAG. b) Top of bottom floor (including basement, crawtspaoe, or enclosure) is ❑ feet 0 meters ❑ above or ❑ below the LAG. 9 (see pages 1-2 of Instructions), 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 ■ feet ■ meters • above or ■ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑below the HAG. ❑ above or ❑ below the HAG. with the community's certify this information in Section G. E4. Top of platform of machinery and/or equipment servicing the building is ■ feet ❑ 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? • Yes ❑ No ❑ 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, 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 086-433 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 • 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. 132 Devon Drive 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 G1. ❑ The information in Section C was taken engineer, or architect who is authorized data in the Comments area below.) G2 0 A community official completed Section or Zone AO. to administer the community's floodplain Certificate. Complete the applicable item(s) and meters. from other documentation that has been signed by law to certify elevation information. (Indicate E fol a building located in Zone A (without is provided for community floodplain management management ordinance can complete sign below. Check the measurement and sealed by a licensed surveyor, the source and date of the elevation a FEMA -issued or community -issued BFE) purposes. G3. • The following information (Items 04-G10) G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for ❑ GS. Elevation of as built lowest floor (inducting of the building: G9. BFE or (in Zone AO) depth of flooding at the G10. Community's design flood elevation: New Construction ❑ Substantial Improvement basement) ❑ feet ❑ feet ❑ feet ❑ meters Datum building site: ❑ meters Datum ■ 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 • ...m... v..v.. volt.. Iwvwnucl JV, .W 10 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. 132 Devon Drive 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. 74 II - -,10-11111111 3 # Photo One II Photo One Caption Front View 10/13/2017 IffilligaralaralliffiraWINNIMMIT. — r Photo Two Photo Two Caption 10/13/2017 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. 132 Devon Drive 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. is ., Photo one Photo One Caption Outside Vent 10/13/2017 Photo Two Photo Two Caption Inside Ven FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 ICC EVALUATION SERVICE `.. Innovation Most Widely Accepted and Trusted ICC -ES Report ICC -ESI (800) 423-6587 I (562) 699-0543 I www.icc-es.org Reissued 02/2017 o 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 LEICC ICC ICC -Th„ !'S- 7 PMG t�'fED Look for the trusted marks of Conformlty! "2014 Recipient of Prestigious Western States Seismic Policy Council (WSSPC) Award in Excellence' SSW 1•is ;N;ERNATsaNAI A Subsidiary of CODE caeNai ICC -ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specs. fically 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 Most Widely Accepted and Trusted ICC -ES Evaluation Report ESR -2074 FBC Supplement Reissued February 2017 This report is subject to renewal February 2019_ www.icc-es.orq 1 (800) 4234587 1 (562) 699-0543 A Subsidiary of the International Code Council® DIVISION: 08 00 00 -OPENING$ Section: 08 95 43—Vents/Foundation Flood Vents REPORT HOLDER: SMARTVENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 (877) 4418368 www.smartvent.com info(asmartvent.com EVALUATION SUBJECT: SMART VENT. AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540620; 61540621; 61540610; *1540611; 61540-570; *1540.574;11540.24; 61540614 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that Smart Vent• Automatic Foundation Flood Vents, recognized in ICC -ES master report ESR -2074, have also been evaluated for compliance with the codes noted below. Applicable code editions: IN 2014 Roride Building Code--Burkafng (FBC) ■ 2014 Florida Building Code—Residential (FRC) 2.0 CONCLUSIONS The Smart Vent* Automatic Foundation Flood Vents, described in Sections 2.0 through 7.0 of the master evaloation report ESR -2074, comply with the FBC and the FRC, provided the design and installation are in accordance with the international Building Code• provisions noted in the master report. Use of the Smart Vert• Automatic Foundation Flood Vents has also been found to be in compliance with the High -Velocity Hurricane Zone provisions of the FBC and the FRC. For products fatting under Florida Rule 9N-3, verification that the report holder's quality assurance program is audited by a quality assurance entity approved by the Florida Building Commission for the type of inspections being conducted is the responsibility of an approved validation entity (or the code official when the report holder does not possess an approval by the Commission). This supplement expires concurrently with the master report, reissued February 2017. rcCrss Evaluation Reports aro not to be coawued as representing aesthetics or any other attributes not scally add nee are they to be construed as an endorsement oftie subject oft4 report or a racommendationfor its use There la no warranty by ICC Evaluation Service, LLC or iaptlie4 as to aaypitling or otter matter in this report. oras bs any product cowered by the report Copyright 0 2017 ICC Evaluation Service. LLC. AO dgtds reserved. (ANSI Page 1 of 1 ES 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.orcj I (800) 4234587 1 (562) 899.0543 A Subsidiary of the Intemationa/ Code Council e DIVISION: 08 00 00—OPENINGS Section: 08 05 43—Vents/Foundation Flood Vents REPORT HOLDER: SMARTVENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 (877) 4414368 www.smartvent.com infonsmartvent.com EVALUATION SUBJECT: SMART VENT. AUTOMATIC FOUNDATION FLOOD VENTS: MODELS *1540620; 81540621; 81540610; 81540611; 81540670; #'1540674; *1540624; #1540514 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 ''rhe ADEC is based on the 2009 BC. 2009 BC code sections referenced in this report are the same sections In the AMC. 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 wails 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 fomes. 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° Staddng Model #1540-521 units each contain two vertically arranged openings per unit 3.2 Engineered Opening: The FVs comply with the design prindple noted in Section 2.7.22 and Section 2.7.3 of ASCE/SEI 24-14 [Section 2.6.22 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 #1540-614 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° Staddng 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 RoodVENT° 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 thidcness. In order to comply with the engineered opening design principle noted in Section 2.722 and 2.7.3 of ASCE/SEI 24-14 [Section 2.6.22 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 eadi enclosed area. ■ With a minimum of one FV for every 200 square feet (18.6 m2) of enclosed area, except that the SmartVENT° Staddng Model #1540-511 and RoodVENT° Staddng Model #154.621 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- E`ahtation Reports are not to be casabvedas representing aesthetics or any other attributes not spcafaoly addressee( nor ore they to be construed IIII as an endorsesientof the subject ofthe report or a res rnotendafion for its we There is no warranty by ICC Evaluation Service, LLC express or implied as (... m anyftadtog or other matter to this repot m pn as to any adrxt covered by the report �wr Qu Copyright 0 2017 ICC Evaluation Service. LLC. Al rights reserved. Page 1 of 3 ANSI ESR -2074 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 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 govern. 5.2 The Smart Vent' FVs must not be used in the place of 'breakaway wails' 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 MODE BER MODEL SIZE (in..) COVERAGE (sq. ft.) FtoodVENT' 1540-520 153/4 x 73/4 200 SmartVENT' 1 1 . / 153I4" X 73/4' 200 FloodVENT' Overhead Door 1540-524 153/4 X 73/4 200 SmartVENT' Overhead Door 1540-514 1531, X 73W 200 Wood Wall FloodVENT' 1540-570 14' X 834 200 Wood Wall FloodVENT' Overhead Door 1540-574 14' X 83/4' 200 SmartVENT' Stacker 1540-511 16" X 16' 400 . FloodVent' Stacker 1540-621 16' X 16' 400 For SI: 1 inch = 25.4 mm; i square foot = U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICI Important Follow the instructions on pages 1 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) i SECTION A — PROPERTY INFORMATION Al. Building Owner's Name Steven G. Whitley and Monica Whitley A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route l OMB No. 1660-0008 Expiration Date: November 30, 2018 132 DEVON DR BCP2015 12 EC FINISHED WHITLEY, STEVE ensity Zoning: Low Meditl Atlas 132 Devon Drive L "(' T L 3 LU 1 1 City State ZIP Code Clearwater Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 13, Bayside Subdivision, Plat Book 23, Page 17, Parcel #08-29-15-04914-000-0130 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 58' 26.84" N Long. 82 Accessory, etc.) Residential 49' 33.09" W Horizontal Datum: obtain flood insurance. 1.0 foot above above adjacent ■ adjacent grade NAD 1927 grade p NAD 1983 13 2 photographs of the building if the Certificate Number 6 is being used to 1,376 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 AB.b 2,600 sq or endosure(s) within in sq ft within 1.0 foot sq in 0 x Yes ❑ No garage: garage 576 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 83. State Florida B4. Map/Panel Number 12103C0102 B5. Suffix G B6. FIRM Index Date 08/18/2009 B7. F RM Panel Effective/Revised Date 09/03/2003 B8. Flood Zone(s) AE B9. (BZaosne Flood Elevation(s) f=lood Dee pBuse ase th) 11 feet B10. Indicate the source ❑ FIS Profile B11. Indicate elevation B12. Is the building Designation Date: of the Base Flood Elevation (BFE) ❑ Community Determined for BFE in Item B9: Coastal Barrier Resources ❑ CBRS data or base flood depth entered in Item B9: 0 Other/Source: p FIRM datum used located in a • NGVD System 1929 p NAVD (CBRS) area 1988 • Other/Source: or Otherwise Protected Area (OPA)? ❑ Yes p No ■ OPA FEMA Form 086-0-33 (7115) 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 No. 132 Devon Drive 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 A1 -A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE, Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Benchmark Utilized: NGS "872-6742-A", PID AG7196 Vertical Datum: NAVD-1988 AR/AO. x Finished Construction AR/A1-A30, AR/AH, Rico 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. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 5. 2 Check the measurement used. x feet • meters b) Top of the next higher floor 15 0 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) 4 8 x feet 0 meters e) Lowest elevation of machinery or equipment servicing the building 10 1 x feet • meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 4.4 ❑x feet 0 meters g) Highest adjacent (finished) grade next to building (HAG) 4. 5 p feet • meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 4 2 M feet ❑ meters structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by I certify that the information on this Certificate represents is 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 Were latitude and longitude in Section A provided by a licensed land surveyor? © Yes ❑ No l: Check here if attachments. Certifier's Name license Number Donald E. Armstrong Jr. PLS #5083 —"- °=--=--. C€9494 /%I //1Signature t,,;;Ors)* #.0F� 1110'. 5083 71 gari.A Title Owner/Manager/Registered Land Surveyor Company Name's Don Armstrong Land Surveying, LLChe Address 2187 N. Green Ridge Place �' taa /3c S /d City State ZIP Code Palm Harbor Florida 34683 Date Telephone /4/% /'. 4 10/13/2017 (727) 772-8134 Copy all pages of is Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. tl� Comments (including type of equipment and location, per C2(e), if applicable) Latitude and Longitude were determined using Google Maps. Item C2(e) is the bottom of an Electrical Panel located inside of the enclosure. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 • 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. 132 Devon Drive 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. E1. 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, LOMA or LOMB F request, used. In Puerto Rico only, the elevation is above or below ❑ above or ❑below the HAG. ❑ above or ❑below the LAG. 9 (see pages 1-2 of Instructions), ❑ above or ❑ below the HAG. or ❑ ❑below the HAG. crawlspace, or enclosure) is ■ feet ❑ meters b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ 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 ■ feet • meters E3. Attached garage (top of slab) is ❑ feet ❑ metersabove 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? ❑ Yes 0 No 0 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 onme?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 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 3 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 Budding Street Address (induding Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 132 Devon Drive 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 01. ❑ The information in Section C was taken engineer, or architect who is authorized data in the Comments area below.) 02. 0 A community official completed Section or Zone AO. to administer the community's floodplain management ordinance can complete Certificate. Complete the applicable items) and sign below. Check the measurement meters. from other documentation that has been signed and sealed by a licensed surveyor, by taw 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. 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 ❑ GB. Elation of as -built lowest floor (including of the building: G9. BFE or (in Zone AO) depth of flooding at the 010. Community's design flood elevation: ❑feet ❑ feet ❑meters Datum New Construction ■ Substantial Improvement basement) 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 (7115) 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. 132 Devon Drive 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. al w ,y 1 t II t s ^' wr Iii Photo One Photo One Caption Front View 10/13/2017 ALina„_:. k - _. �, e _ .- - `- a _.—.__- A Photo Two gild P51 Photo Two Caption 10/13/2017 FEMA Form 086-0-33 (7/15) Replaces all previous editions. 0 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 Na 132 Devon Drive 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. ,,- amt - , Photo One Photo One Caption Outside Vent 10/13/2017 �I. r Photo Two Photo Two Caption Inside Vent 10/13/2017 FEMA Form 086-0-33 (7/15) Replaces all previous editions. EVALUATION ICC -ES Report 1CC-ES 1 (800) 423-6587 (562) 699-0543 1 www.icc-es.org 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 '` �'L7C'��-L7� tLISTED Look for the trusted marks of Conformity! '2014 Recipient of Prestigious Western States Seismic Policy Council (WSSPC) Award in Excellence" % A Subsidiary of c�yc�ixcnt- ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specially 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 ® 2016 (CC Evaluation Service, LLC. All rights reserved. SERVICE ICC EVALUATION Most Widely Accepted and Trusted ICC -ES Evaluation Report ESR -2074 FBC Supplement Reissued February 2015 Revised March 2016 This report is subject to renewal February 2017. www.icc-es.org 1 (800) 423.6587 1 (562) 699-0543 A Subsidiary of the international Code Council® DIVISION: 0800 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 info(smartvent.com EVALUATION SUBJECT: SMART VENN AUTOMATIC FOUNDATION FLOOD VENTS: MODELS *1540.620; 11540.821; 41540.810; 81540511; #1540.670; #1540674; 81540624; 11540814 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that Smart Verb Automatic Foundation Flood Vents, recognized in ICC -ES master report ESR -2074, have also been evaluated for compliance with the codes noted below. Applicable code editions: • 2014 Florida Building Code—Builing (FBC) • 2014 Florida Buiidsrg Code—Residential (FRC) 2.0 CONCLUSIONS The Smart Vent1e Automatic Foundation Rood Vents, described in Sections 2.0 through 7.0 of the master evaluation report ESR -2074, comply with the FBC and the FRC, provided the design and installation are in accordance with the International Building Code® provisions noted in the master report. Use of the Smart Verde Automatic Foundation Flood Vents has also been found to be in compliance with the High -Velocity Hurricane Zone provisions of the FBC and the FRC. For products falling under Florida Rule 9N-3, verification that the report holder's quality assurance program is audited by a quality assurance entity approved by the Florida Building Commission for the type of inspections being conducted is the responsibility of an approved validation entity (or the code official when the report holder does not possess an approval by the Commission). This supplement expires concurrently with the master report, reissued February 2015 and revised May 2016. ICC -ES Evaluation Reports ore not to be consented as repasenting aesthetics or arty other attributes not specifically addressed nor are they to be construed as an endorsattent of the arbjed of the report ora recommendation for its use. There is no war msfy by ICC Evaluation Service ILC, erpressorInched ea to any finding or other natter in this report, oras to any product covered by the report Copyright ©2016 ICC Evektatiam Service, LLC_ M righla reserved. (ANSI rt. cac Page 1 of 1