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734 BAY ESPLANADEU.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 Anthony J. Esposito and kathlyn M. Esposito Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 734 Bay Esplanade Company NAIC Number: City State ZIP Code Clearwater Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A portion of Lot 2 ad Unplatted Block 25 - Mandalay Subdivision - Plat Book 24, Page 63 - Parcel #05- 29 -15- 54774 -002 -0020 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5. Latitude /Longitude: Lat. 27.99140°N Long. - 82.82471 °W Horizontal Datum: ❑ NAD 1927 x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obt, A7. Building Diagram Number 7 A8. For a building with a crawlspace or enclosure(s): r - N D BY: K.D. a) Square footage of crawlspace or enclosure(s) 1,470 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within JAN 0 3 2019 c) Total net area of flood openings in A8.b 1,600 sq in T d) Engineered flood openings? x A9. For a building with an attached garage: a) Square footage of attached garage � Yes ❑ No i 0 sq ft 734 B AY ESPLANADE BCP2017- 11317A b) Number of permanent flood openings in the attached garage within 1.0 foot at = LEVATION CERTIFICATE c) Total net area of flood openings in A9.b 0 sq in ANTHONY J ESPOSITO d) Engineered flood openings? ❑ Zoning: Low Medium Density Atlas #: 24! Yes x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number Clearwater - 125096 B2. County Name Pinellas B3. State Florida B4. Map /Panel Number 12103C0102 I C35. Suffix G B6. FIRM Index Date 08/18/2009 B7. FIRM Panel Effective/ Revised Date 09/03/2003 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 11' B10. Indicate the source ❑ FIS Profile x of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: FIRM ❑ Community Determined ❑ Other /Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 x NAVD 1988 ❑ Other /Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: ❑ CBRS ❑ OPA I 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. 734 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 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 Rico Benchmark Utilized: Clearwater Map #H -03 Vertical Datum: NAVD -1988 x Finished Construction AR/A1 —A30, AR/AH, AR/AO. 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) 4, 16 Check the measurement used. x feet ❑ meters b) Top of the next higher floor 12 88 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 12 94 x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 3. 61 x feet • meters g) Highest adjacent (finished) grade next to building (HAG) 3. 87 p feet • meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 3. 53 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 x Check here if attachments. Certifier's Name License Number John O. Brendla 4601 �50°¢, 5. ,.., • � Q, �'�• . : t ,' 4" , , Pie s > i ,,, 14 _ dial .' 1.;5:. `- Herd_ c e,.,4 9 , d.� '��* • " 4 .':c &te1`�y9' Title Surve Y Company Name John C. Brendla & Associates, Inc. Address 4015 82nd Avenue North City State ZIP Code Pinellas Park Florida 33781 Signature © Date Telephone 12/28/2018 (727) 576 -7546 Aj) ge Copy all p of this 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. Garage and Storage area C2) b. The lowest living floor C2) e. NC Landing located on the south side of the house NOTE: The photos are the attachments - There are 8 Smart Vents Model #1540 -520 for a total of 1600 square inches Benchmark: City of Clearwater Map #I -03 Elev. 2.67' NAVD 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. 734 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 El—E5. If the Certificate is intended to support a complete Sections A, B,and C. For Items El—E4, use natural grade, if available. Check the measurement enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ 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. 734 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. 01. • 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 ❑ feet ❑ meters Datum the 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. 734 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. FRONT BACK Photo Two Caption 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. 734 Bay Esplanade Policy Number: City Clearwater State ZIP Code 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. iT FEMA Form 086 -0 -33 (7/15) 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. 734 Bay Esplanade Policy Number: City Clearwater State ZIP Code 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. -1.2/ 2 4 /20.1=8 C,2-O 3 P1`,1-7.-!-;::"r" FRONT BACK 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. 734 Bay Esplanade City State ZIP Code Clearwater Florida 33767 Policy Number: 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. . D24/20b0 02:0304 Photo One Captio Photo Two Caption FEMA Form 086 -0 -33 (7/15) Form Page 6 of 6 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, an SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Anthony J. Esposito ad kathlyn M. Esposito Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 734 Bay Esplanade Company NAIL Number: City State ZIP Code Clearwater Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A portion of Lot 2 ad Unplatted Block 25 - Mandalay Subdivision - Plat Book 24, Page 63 - Parcel #05-29-15-54774-002-0020 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 c) Total net area d) Engineered Residential, Non -Residential, Addition, Lat. 27.99140°N Long. -82.82471°W Accessory, etc.) Residential Horizontal Datum: obtain flood insurance. 1.0 foot above above adjacent adjacent grade • NAD 1927 grade MI NAD 1983 8 2 photographs of the building if the Number 7 Certificate is being used to 1,470 sq ft with a crawlspace of crawlspace permanent flood of flood openings flood openings? an attached of attached permanent flood of flood openings flood openings? or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b 1,574 sq or enclosure(s) within in sq ft within 1.0 foot sq in 0 ❑ Yes © No garage: garage 0 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 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. F RM Panel Effective/ Revised Date 09/03/2003 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 11' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: • FIS Profile x FIRM • Community Determined • Other/Source: B11. Indicate elevation B12. Is the building Designation Date: datum used located in a for BFE in Item B9: Coastal Barrier Resources ■ NGVD 1929 MI NAVD 1988 • Other/Source: System (CBRS) area or Otherwise Protected Area (OPA)? ■ Yes MI No • CBRS ■ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 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. 734 Bay Esplanade Policy Number: City State ZIP Code Clearwater Florida 33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) ❑ Finished Construction AR/AE, AR/A1—A30, AR/AH, AR/AO. Rico only, enter meters. Cl. Building elevations are based on: x 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, Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Benchmark Utilized: Clearwater Map #H-02 Vertical Datum: NAVD - 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. floor basement, crawlspace, or enclosure floor) 4. 0 Check the measurement used. x feet ❑ meters a) Top of bottom (including floor 14 56 p feet • meters b) Top of the next higher (V Zones only) N/A p feet ❑ meters c) Bottom of the lowest horizontal structural member N/A p feet • meters d) Attached garage (top of slab) servicing the building 11 10 p feet ■ meters e) Lowest elevation of machinery or equipment (Describe type of equipment and location in Comments) to building (LAG) 3. 80 p feet ❑ meters f) Lowest adjacent (finished) grade next Highest (finished) next to building (HAG) 4, 50 p feet • meters g) adjacent grade lowest of deck or stairs, including N/A. p feet ■ meters h) Lowest adjacent grade at elevation 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 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. by law No to certify elevation information. I understand that any false Were latitude longitude in Section A by a licensed land surveyor? x Yes ❑ ■ Check here if attachment- and provided ,.tsafrtr kid 3(.,,,i. Certifier's Name License Number John C. Brendla 1269 p r!,2' ' F gee - Plc 17/John 4 •/ m + Title Surveyor Company Name C. Brendla & Associates, Inc. Address 4015 n Avenue North / Ci :fate ZIP Code ' nella ' ark Florida 33781 • ign_ ure re, % Date Telephone 10/30/2017 (727) 576-7546 •.py all •age of thi�€on ertificate and all attachments for (1) cornmunity official, (2) insurance agen co pany, and (3) building owner. Corn ents (including type of equipment and location, per C2(e), if applicable) C2 e. A/C Condensor Benchmark: City of Clearwater Map #H-02 Elev. 5.21' NAVD FEMA Form 086-0-33 (7/15) Replaces all previous editions. 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. 734 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 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 ■ meters • above or • below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) 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 U 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 with the community's certify this information in Section G. floodplain management ordinance? U 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 734 BAY ESPLANADE BCP2017-11317 new sfr ESPOSITO, ANTHONY Zoning: Low Medium Density Atlas* 249 RECEIVED BY: J.A.W. NOV 1 3 2017 PLANNING & DEVELOPMENT CITY OF CLEARWATER FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 • 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. 734 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. • 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 ❑feet meters❑Datum G7. This permit has been issued for: • New Construction ❑ Substantial Improvement 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: basement) ❑ meters Datum the building site: ■ feet ❑ 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. orm Pag ELEVATION CERTIFICATE OMB No. 1660-0008 • �..y..0 c.uvn voac. FIJVV111UC1 JU, GV 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. 734 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: Clearwater Map #H-02 Vertical x building (with Datum: Building Under Construction* ❑ Finished Construction is complete. BFE), AR, AR/A, AR/AE, AR/A1 A30, AR/AH, AR/AO. in Item A7. In Puerto Rico only, enter meters. NAVD -1988 Indicate elevation • datum NGVD 1929 used MI 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) 4, 16 MI the measurement feet • used. meters b) Top of the next higher floor 12 88 MI feet • meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A p feet • meters d) Attached garage (top of slab) N/A M feet • meters e) Lowest elevation of machinery or equipment servicing the building N/A IM feet • meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 3. 0 p feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 3. 30 p feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A. p 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 I 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? x authorized the data 1001. Yes • by law to certify elevation information. available. I understand that any false No ❑ Chkk here if attachm - Certifier's Name License Number John C. Brendla 1269 '' h.' ,,,, 1j 't ,.• K • l ' • Title Surveyor ` °r • �/, � „, f 14 - • Company Name John C. Brendla & Associates, Inc. M4 : ... c _ *. •. e Address + 4015 venue North r • • • " • Ci. State ZIP Code �� nellas •-rk Florida 33781: , t c n ��,rl I.` ; ` 6._ a Date Telephone igna e 02/15/2018 (727) 576-7546 ► e C..y all p -!es of this - - on Certificate and all attachments for (1) community official, (2) insurance agent/coMp: ny, and (3) building owner. omments (including type of equipment and location, per C2(e), if applicable) 1 C2) e. N/A Benchmark: City of Clearwater Map #H-02 Elev. 5.21' NAVD FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 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 Anthony J. Esposito ad kathlyn M. Esposito Policy Number. A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 734 Bay Esplanade Company NAIC Number: City State ZIP Code Clearwater Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A portion of Lot 2 ad Unplatted Block 25 - Mandalay Subdivision - Plat Book 24, Page 63 - Parcel #05-29-15-54774-002-0020 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 c) Total net area d) Engineered Residential, Non -Residential, Addition, Lat. 27.99140°N Long. -82.82471°W Accessory, etc.) Residential Horizontal Datum: obtain flood insurance. 1.0 foot above adjacent above adjacent grade 0 NAD 1927 grade 0 NAD 1983 0 2 photographs of the building if the Number 7 Certificate is being used to 1,470 sq ft with a crawlspace of crawlspace permanent flood of flood openings flood openings? an attached of attached permanent flood of flood openings flood openings? or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b 0 sq or enclosure(s) within in sq ft within 1.0 foot sq in 0 0 Yes X No garage: garage 0 openings in the attached garage in A9.b 0 Ei Yes x No SECTION 13 — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number Clearwater - 125096 B2. County Name Pinellas 83. State Florida B4. Map/Panel Number 12103C0102 B5. Suffix G B6. FIRM Index Date 08/18/2009 87. F RM Panel Effective/ Revised Date 09/03/2003 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 11' B10. Indicate the source 0 FIS Profile B11. Indicate elevation B12. Is the building Designation Date: of the Base Flood Elevation (BFE) 0 FIRM 0 Community Determined datum used for BFE in Item 89: located in a Coastal Barrier Resources 0 CBRS data 0 NGVD System or base flood depth entered in Item B9: 0 Other/Source: 1929 0 NAVD 1988 0 Other/Source: (CBRS) area or Otherwise Protected 0 OPA Area (OPA)? 0 Yes 0 No FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 • .-...r+...+av1. vuac. IwvcInuCI JV, LU 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. 734 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 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 G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: • New Construction • Substantial Improvement 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: basement) • feet ■ meters Datum building site: ■ feet ■ 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. Form Page 4 of 6 ELEVATION CERTIFICATE OMB No1600-0008 Expiration Date: November 3D.2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building StreeAddress (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 734 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 A0 and A BFE), complete Items E1—E5.|f the Certificate is intended to support a complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measuremerit enter meters. El. Provide elevation information for the foflowingand checkU` ropriate boxes to show whether the highest adjacent grade (HAG) and the Iowest adja�nt grade (LAG). a) Top of bottom floor (including basement, oaw|opace.o,enclosure) ie 0 f 0 meters LOMA or LOMR-F request, used. In Puerto Rico only, the elevation is above or below 0above or 0 below the HAG. above or [] below the LAG. 9 (see pages 1-2 of Instructions), 0 above or 0 below the HAG. above or 0 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 0 feemeters E2. For BuildinDiagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or the next higher floor n C2.b in the diagrams) of the building is 0 feet 0 meters E3. Attached garage (top of slab) is 0 fee0 meters E4. Top of pfatform of machinery and/or equipment servicing the building is 0 feet 0 meters E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance floodplain management ordinance? EjYoa No • Unknown. The Iocal official must SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who com/uyoSecdonoA, 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 0 Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6