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1788 OVERBROOK AVEU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1 -9. OMB No. 1660 -0008 Expiration Date: November 30, 2018 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name DIANE HART MUSIC Policy Number: -- A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 1788 OVERBROOK AVENUE Company NAIC Number: City State ZIP Code CLEARWATER Florida 33755 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 26 AND A PORTION OF LOT 27, BLOCK F, 1st ADD. TO SUNSET POINT, PLAT BOOK 5, PAGE 95, PINELLAS COUNTY, FL. A4. Building Use (e.g., A5. Latitude /Longitude: A6. Attach at least A7. Building Diagram A8. For a building 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, Accessory, etc.) Lat. 27 °59'09.8" Long. 82 °47'20.6" RESIDENTIAL Horizontal Datum: insurance. above ❑ NAD 1927 adjacent grade grade x NAD 1983 13 2 photographs Number with a crawlspace of crawlspace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? of the building if the 8 Certificate is being used to obtain flood 1805.00 sq ft or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b or enclosure(s) 1808.00 sq in within 1.0 foot foot above adjacent in N/A sq ft x Yes ❑ No garage: garage openings in the attached garage within 1.0 in A9.b sq Yes ❑ 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 12103C0106 B5. Suffix H B6. FIRM Index Date 08 -18 -2009 B7. FIRM Panel Effective/ Revised Date 05 -17 -2005 B8. Flood Zone(s) AE B9. Base Flood E evation(s) (Zone AO, use Base Flood Depth) 11.0 B10. Indicate the source ❑ FIS Profile B11. Indicate elevation B12. Is the building Designation of the Base Flood Elevation ❑ Community Determined for BFE in Item B9: Coastal Barrier Resources ❑ (BFE) data ❑ NGVD System CBRS or base flood ❑ Other /Source: depth entered in Item B9: x FIRM datum used located in a Date: ❑ Other Protected /Source: 1929 x NAVD 1988 (CBRS) area or Otherwise ❑ OPA Area (OPA)? ❑ Yes x No FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 1 of 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. 1788 OVERBROOK AVENUE Policy Number: City State ZIP Code CLEARWATER Florida 33755 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. 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: CITY OF CLEARWATER H -07 Vertical Datum: ELEV. 13.116' NSVD x Finished Construction AR /A1 —A30, AR /AH, AR /AO. Rico only, enter meters. 1988 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) Check the measurement used. 8.00 x feet ❑ meters b) Top of the next higher floor 17.50 x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) N/A ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 16.00 feet meters x fee ❑ f) Lowest adjacent (finished) grade next to building (LAG) 9.00 x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 16.00 x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including feet meters structural support N/A ❑ ❑ 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 ❑ Check here if attachments. Were latitude and longitude in Section A provided by a licensed land surveyor? x Yes ❑ No Certifier's Name License Number GUY D. HALE 4626 Title PROF. LAND SURVEYOR Company Name GUY HALE, LAND SURVEYING P Here Address 406 SO. ARCTURAS AVENUE SUITE ONE City State ZIP Code CLEARWATER Florida 33765 Signature Date Telephone Ext. 10 -04 -2018 (727) 734-4266 Copy all pages of ' Elevation 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) C2(a) IS THE GROUND LEVEL ADJACENT TO THE REAR BLOCK WALLS THAT HAVE FLOOD VENTS. THERE ARE 2 SMART VENTS MODEL NO. 1540 -520. SEE PICTURE. THE GARAGE SHOULD NOT BE APPLICABLE IN FLOOD RATINGS. IT IS AT ELEVATION AN 16.80' WITH A BASE FLOOD OF 11.0' AND SEPARATED WITH FOUNDATION WALLS FROM CRAWLSPACE AND THE LIVING AREA. THE GARAGE LIES IN FLOOD ZONE X. FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660 -0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 1788 OVERBROOK AVENUE Policy Number: City State ZIP Code CLEARWATER Florida 33755 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, Band C. For Items El—E4, use natural grade, if available. Check the measurement enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters LOMA or LOMR -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. ❑ above or ❑ below the HAG. above or ❑ ❑below the HAG. with the community's certify this information in Section G. 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 ❑ meters 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 -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 Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 1788 OVERBROOK AVENUE Policy Number: City State ZIP Code CLEARWATER Florida 33755 Company NAIC Number SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 —G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO. G3. ❑ The following information (Items G4 —G10) is provided for community floodplain management purposes. G4. Permit Number -2c.)) 7.__ 0 / 3toy 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 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. FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 4 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS See Instructions for Item A6. OMB No. 1660 -0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 1788 OVERBROOK AVENUE Policy Number: City CLEARWATER State Florida ZIP Code 33755 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. Photo One Photo One Caption FRONT ( NORTH SIDE ) TAKEN 10/04/2018 Clear Photo One Photo Two Photo Two Caption REAR ( SOUTH SIDE ) TAKEN 10/04/2018 Clear Photo Two FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS OMB No. 1660 -0008 Continuation Page 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. 1788 OVERBROOK AVENUE Policy Number: City CLEARWATER State Florida ZIP Code 33755 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. Photo Three Photo Three Caption PICTURE OF SMART VENTS Clear Photo Three Photo Four Photo Four Caption Clear Photo Four FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 6 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE 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. 1788 OVERBROOK AVENUE Policy Number: City CLEARWATER State ZIP Code Florida 33755 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. Photo One Photo One Caption FRONT ( NORTH SIDE ) TAKEN 10/04/2018 Clear Photo One Photo Two Caption REAR ( SOUTH SIDE ) TAKEN 10/04/2018 Clear Photo Two 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. 1788 OVERBROOK AVENUE Policy Number: City State ZIP Code CLEARWATER Florida 33755 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. Photo Three Photo Three Caption PICTURE OF SMART VENTS Clear Photo Three Photo Four Photo Four Photo Four Caption Clear Photo Four FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 6 of 6 ES ICC EVALUATION SERVICE FlSth0.::aBS Most Widely Accepted and Trusted ICC -ES Evaluation Report ESR -2074 CBC and CRC Supplement Issued January 2017 This report is subject to renewal February 2019. www.icc - es.orq I (800) 423 -6587 I (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 info(d1smartvent.com EVALUATION SUBJECT: RECEIVED BY: V.J.K DEC 12 201 PLANNING & DEVELOPMENT CITY OF aI EAPWATr R 1788 OVERBROOK AVE BCP2017- 07364E NEW E/C & SMART VENT DIANE HART MUSIC Zoning: Low Medium Density Atlas #: 260A 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 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 evaluation report ESR -2074, have also been evaluated for compliance with codes noted below. Applicable code edition: • 2016 California Building Code (CBC) • 2016 California Residential Code (CRC) 2.0 CONCLUSIONS 2.1 CBC: The Smart Vent® Automatic Foundation Flood Vents, described in Sections 2.0 through 7.0 of the master evaluation report ESR -2074, comply with 2016 CBC Chapter 12, provided the design and installation are in accordance with the 2015 International Building Code® (IBC) provisions noted in the master report and the additional requirements of CBC Chapters 12, 16 and 16A, as applicable. The products recognized in this supplement have not been evaluated under CBC Chapter 7A for use in the exterior design and construction of new buildings located in any Fire Hazard Severity Zone within State Responsibility Areas or any Wildland -Urban Interface Fire Area. 2.2 CRC: The Smart Vent® Automatic Foundation Flood Vents, described in Sections 2.0 through 7.0 of the master evaluation report ESR -2074, comp with the 2016 CRC, provided the design and installation are in accordance with the 2015 International Residential Code® (IRC) provisions noted in the master report. The products recognized in this supplement have not been evaluated under 2016 CRC Chapter R337, for use in the exterior design and construction of new buildings located in any Fire Hazard Severity Zone within State Responsibility Areas or any Wildland -Urban Interface Fire Area. The products recognized in this supplement have not been evaluated for compliance with the International Wildland –Urban Interface Code ®. This supplement expires concurrently with the master report, reissued February 2017. 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, Page 1 of 1 E$R -2074 I Most Widely Accepted and Trusted • With the bottom of the FV located a maximum of 12 inches (305.4 mm) above the higher of the final grade or floor and finished exterior grade immediately under each opening. 5.0 CONDITIONS OF USE The Smart Vent® FVs described in this report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: 5.1 The Smart Vent® FVs must be installed in accordance with this report, the applicable code and the manufacturer's installation instructions. In the event of a conflict, the instructions in this report govern. 5.2 The Smart Vent° FVs must not be used in the place of "breakaway walls" in coastal high hazard areas, but Page 2 of 3 are permitted for use in conjunction with breakaway walls in other areas. 6.0 EVIDENCE SUBMITTED Data in accordance with the ICC -ES Acceptance Criteria for Mechanically Operated Flood Vents (AC364), dated August 2015. 7.0 IDENTIFICATION The Smart VENT'S models recognized in this report must be identified by a label bearing the manufacturer's name (Smartvent Products, Inc.), the model number, and the evaluation report number (ESR- 2074). TABLE 1 —MODEL SIZES MODEL NAME MODEL NUMBER MODEL SIZE (in.) COVERAGE (sq. ft.) FloodVENT® 1540 -520 1534" 73/4" 200 SmartVENT® 1540 -510 153/4" X 73/4" 200 FloodVENT® Overhead Door 1540 -524 153/4" X 73/4" 200 SmartVENT® Overhead Door 1540 -514 15314" X 73/4" 200 Wood Wall FloodVENT® 1540 -570 14" X 83/4" 200 Wood Wall FloodVENT° Overhead Door 1540 -574 14" X 83/4" 200 SmartVENT' Stacker 1540 -511 16" X 16" 400 I FloodVent5 Stacker 1540 -521 16" X 16" 400 For SI: 1 inch = 25.4 mm; 1 square foot = m • ESR -2074 Most Widely Accepted and Trusted Page 3 of 3 3C aY1YaffiilaT6zaHSS CF3 Y� a_ .;;;VA ✓t MM.4∎ •11593x19 6Da,ad .. 3kOHRCa a9-•.\ 8B MAACB CMV111 ■Cai11EUU 3a 8& ii �.5i6C3 @aaa8Sd3 . rI i1C8 G ®$;Sg 299dsa J ■aSo- [ C aard ®7 .t a%:: 3sa8s\'fata l Cv 4�1G 8sSi 8sasammmu I .: �a a9 w 4 i imaimmumC a3 5 araasxas sa a�ix> ywassece�zassAaa \isaaaaaeoal \usascsna,s ffia &6a 'La iak aRa Sa6 �R & alt CMpei "_t anm2maxass A'15 i9 a smuu52Y e53a,a;o 863.£ a9 aR a flsi HLi6N}i Ed 3�ai's 3f f3 a tmaa AMOE\saaraaauA w -a su�aaa a r s: _z a UAIRMq:i3daUSI &aUT.l vvs sir 1� x..sam sa,i 3� aaaramara a�3La1 a T S7 as Ind' 6 151 a:.A O2V235G16 lL3� '$ ; Sf :;.affix 3ffiaSaa \1i F3 \ \a a8ff6saffiaFO.3108aB >.i 1YCa a 3ffi @s.3 aasYRamaucariai'141memm .15 As Panan2v3zuanA4s messaaswaeraraasusas :raraasaamea$assatu rises- susasasaa.ara ,iray ;1.73.7 a ° -. suamuasau...a;a Wassueasausssss\�:. r., .0 UA7Xa.' 1..�ssiLssasEadkaiz Desna- snnassas.. A 4M11ffi.yys04.4440U021ARassKSL't1: LESMENIE FIGURE 1 —SMART VENT: MODEL 1540 -510 MODEL 15620 FIGURE 3 —SMART VENT: SHOWN WITH FLOOD DOOR PIVOTED OPEN U.S. DEPARTMENT OF HOMELAND SECURITY . rederarEmergency Management Agency National Flood Insurance Program ELEVATION CERTIFICA Important: Follow the instructions on pages 1 - Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) in: SECTION A - PROPERTY INFORMATION Al. Building Owner's Name DIANE HART MUSIC "REVISED" PLANS RECEIVED BY: B.V.F MAR 082018 PLANNING & DEVELOPMENT CITY OF CLEARWATER 1788 OVERBROOK AVE A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route ai BCP2017-07364B No. BoxELEVATION CERTIFICATE - RTC 1788 OVERBROOK AVENUE DIANE HART MUSIC Zoning: Low Medium Density Atlas #: 260A City CLEARWATER State Florida FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 26 AND A PORTION OF LOT 27, BLOCK F, 1st ADD. TO SUNSET POINT, PLAT BOOK 5, PAGE 95, PINELLAS COUNTY, FL. A4. Building Use (e.g., A5. Latitude/Longitude: A6. Attach at least A7. Building Diagram A8. For a building a) Square footage b) Number of 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, Accessory, Lat. 27°59'09.8" Long. 82°47'20.6" etc.) RESIDENTIAL Horizontal Datum: ❑ NAD 1927 insurance. above adjacent grade grade 0 x NAD 1983 13 2 photographs Number with a crawlspace of crawlspace permanent flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? of the building if the 8 Certificate is being used to obtain flood 1805.00 sq ft or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b or enclosure(s) 1808.00 sq in within 1.0 foot 1.0 foot above adjacent in 518.00 sq ft x Yes ❑ No garage: garage openings in the attached garage within in A9.b 0.00 sq ❑ 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 12103C0106 B5. Suffix H B6. FIRM Index Date 08-18-2009 B7. FIRM Panel Effective/ Revised Date 05-17-2005 B8. Flood Zone(s) AE B9. Base Flood E evation(s) (Zone AO, use Base Flood Depth) 11 B10. Indicate the source ❑ FIS Profile B11. Indicate elevation B12. Is the building Designation Date: of the Base Flood Elevation ❑ Community Determined for BFE in Item B9: Coastal Barrier Resources 1J (BFE) data ❑ NGVD System CBRS or base flood ❑ Other/Source: depth entered in Item B9: x FIRM datum used located in a ❑ Other/Source: 1929 x NAVD 1988 (CBRS) area or Otherwise ❑ OPA Protected 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 (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1788 OVERBROOK AVENUE Policy Number: City State ZIP Code CLEARWATER Florida 33755 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) ❑ Finished Construction AR/A1—A30, AR/AH, AR/AO. Rico only, enter meters. 1988 Cl. Building elevations are based on: ❑ Construction Drawings* x 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, ARAE, Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Benchmark Utilized: CITY OF CLEARWATER H-07 Vertical Datum: ELEV. 13.116' NSVD 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) Check the measurement used. 8.00 x feet ❑ meters b) Top of the next higher floor 17.50 x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) 16.80 x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building N/A ❑feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7.20 x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 16.10 x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including feet meters structural support N/A ❑ ❑ 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 may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. law to certify elevation information. I understand that any false ❑ Check here if attachments. Were latitude and longitude in Section A provided by a licensed land surveyor? x Yes ❑ No Certifiers Name License Number GUY D. HALE 4626 ��yost }Jl a / jr ti� :. •,, ,�°'i ,tee r „ e• 4; :�, -- " `' N r,, •.... ' �• �''..� '�,�1/ I tic, �\ ray Title PROF. LAND SURVEYOR Company Name COMPLETE SURVEYING SOLUTIONS LLC Address 406 SO. ARCTURAS AVENUE SUITE ONE City State ZIP Code CLEARWATER Florida 33765 Signature Date Telephone Ext. 01-31-2018 (727) 734-4266 6 Copy all pages of this levation 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) THE STRUCTURE IS STILL UNDER CONSTRUCTION. C2(a) IS THE GROUND LEVEL ADJACENT TO THE REAR BLOCK WALLS THAT HAVE FLOOD VENTS. 2 SMART VENTS WILL BE INSTALLED AT COMPLETION OF CONSTRUCTION. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 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. "REVISED" PLANS RECEIVED BY: B.V. MAR 0 8 2018 PLANNING & DEVELOPMEN CITY OF CLEARWATER 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. FDistinguishing Feature — The bottom (crawlspace) floor is below T 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 2B.) i U O 0 co m cr•< o ti'E W 0c > C N P riz!�Q ) 0 Uw<cv Atlas #: 260A * 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