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182 BRIGHTWATER DR #4U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFIC Important: Follow the instructions on page Copy all pages of this Elevation Certificate and all attachments for (1) community official, SECTION A — PROPERTY INFORMATION Al. Building Owner's Name BRIGHTWATER BLUE RESIDENCES, LLC A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Rot. Box No. 182 BRIGHTWATER DRIVE UNIT 4 City State RECEIVED BY: J.A.W. FEB 072018 PLANNING & DEVELOPMENT CITY OF CLEARWATER BCP2014-092088 ELEV CERT BRIGHTWATER BLUE VACAT, Zoning: Tourist 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 24, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0240 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. 27.9719° N. Long. Accessory, etc.) RESIDENTIAL 82.8236° W. Horizontal Datum: ❑ obtain flood insurance. 1.0 foot above adjacent above adjacent grade NAD 1927 grade x NAD 1983 4 2 photographs of the building if the Number 7 Certificate is being used to 1011 sq ft a crawlspace of crawlspace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b 635 sq or enclosure(s) within in sq ft within 1.0 foot sq in N/A x Yes ❑ No garage: garage N/A openings in the attached garage in A9.b N/A ❑ 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 COUNTY B3. State FLORIDA B4. Map/Panel Number 12103C0102 B5. Suffix G B6. FIRM Index Date 8-18-09 B7. FIRM Panel Effective/ Revised Date 9-3-03 B8. Flood Zone(s) AE B9. Base Flood Elevation(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 (BFE) ❑ Community Determined for BFE in Item B9: Coastal Barrier Resources ❑ CBRS data ❑ NGVD System or base flood depth entered in Item B9: ❑ Other/Source: x FIRM datum used located in a N/A 1988 ❑ Other/Source: or Otherwise Protected 1929 X NAVD (CBRS) area ❑ OPA Area (OPA)? ❑ Yes X No FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 182 BRIGHTWATER DRIVE UNIT 4 Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction* Construction x Finished *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, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: LENGEMANNS GNSS NETWORK Vertical Datum: N.A.V.D. 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. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6 . 52 x feet ❑ meters b) Top of the next higher floor 17 49 x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N A x feet ❑ meters d) Attached (top of slab) N A x feet ❑ meters garage e) Lowest elevation of machinery or equipment servicing the building 11 05 x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 6 . 0 x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6 . 3 x feet ❑ meters h) Lowest adjacent at lowest elevation of deck or stairs, including N . A x feet ❑ meters grade structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? x Yes ❑ No x Check here if attachments. Certifier's Name License Number GEORGE A. SHIMP III 6137 �`--. Title Job Number... - ,_ •, VICE PRESIDENT 140283-Q .,s. . Company Name GEORGE A. SHIMP II & ASSOCIATES, INC.,P Address •`' r 3301 DeSOTO BOULEVARD, SUITE D- # 6137 Date: 1-30-2018 City State ZIP Code (Not valid unless embossed with PALM HARBOR FLORIDA 34683 surveyor's original raised seal) SMature Date Telephone A / -784- �� 1-30-2018 727-784-5496 Copy all pages 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) SEE ATTACHMENT PAGE 7 OF 7 FOR SURVEYOR'S NOTES AND COMMENTS. THIS DOCUMENT IS NOT VALID UNLESS SIGNED AND EMBOSSED WITH THE SURVEYOR'S ORIGINAL RAISED SEAL AND MUST CONTAIN ALL 7 PAGES. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 o 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. 182 BRIGHTWATER DRIVE UNIT 4 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, 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. 182 BRIGHTWATER DRIVE UNIT 4 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: ❑ 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. 182 BRIGHTWATER DRIVE UNIT 4 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. - mil Y Iillllllh_JI- A r II �.�. Photo One Photo One Caption FRONT VIEW 1-30-2018 it 111-11- I �i ���� blies `��211111 � \"/illlillllllllt?�/11111 .,t...,,._ Iasi .::: %,,, �y■- Ai Xt : asz3 . ss it i q,,: SF, 'r kE `7 R '° 'E. t1 Photo Two Photo Two Caption REAR VIEW 1-30-2018 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 182 BRIGHTWATER DRIVE UNIT 4 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. Photo One Photo One Photo One Caption N/A Photo Two Photo Two Photo Two Caption N/A FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 ELEVATION CERTIFICATE Surveyor's Notes Attachment Page 7 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. 182 BRIGHTWATER DRIVE UNIT 4 Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION D — SURVEYOR'S CERTIFICATION (CONTINUED FROM PAGE 2) Al.) THIS ELEVATION CERTIFICATE WAS PREPARED EXCLUSIVELY FOR THE USE AND BENEFIT OF THE PARTY SPECIFIED IN SECTION A, ITEM 1, FOR THE SPECIFIC PURPOSE OF OBTAINING FLOOD INSURANCE AND/OR VERIFYING FLOOD ZONE COMPLIANCE WITH THE LOCAL GOVERNING AUTHORITY. THIS DOCUMENT SHALL NOT BE VALID AND BINDING AGAINST THE SIGNING SURVEYOR WITHOUT THE ORIGINAL RAISED SEAL AND SIGNATURE OF THE FLORIDA LICENSED SURVEYOR AND MAPPER. USE OF THIS DOCUMENT BY ANY OTHER PARTY OR FOR ANY OTHER PURPOSES IS STRICTLY PROHIBITED AND SHALL RENDER THIS DOCUMENT INVALID FOR THOSE PURPOSES. UNAUTHORIZED COPIES ARE STRICTLY PROHIBITED AND SHALL NOT BE VALID. REQUESTS FOR ANY ADDITIONAL OFFICIAL SIGNED AND SEALED COPIES MUST BE DIRECTED TO GEORGE A. SHIMP II & ASSOCIATES, INC. A4.) THE BUILDING USE WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. A5.) THE LATITUDE AND LONGITUDE COORDINATES WERE OBTAINED USING A HAND HELD G.P.S. UNIT WHICH MEETS OR EXCEEDS FEMA'S REQUIRED ACCURACY OF 66 FEET. A7.) THE BUILDING DIAGRAM NUMBER WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. CERTAIN STRUCTURAL FEATURES NOT VISIBLE TO THE SURVEYOR (PILINGS, GRADE BEAMS, ETC.) OR USE OF ANY AREAS BELOW THE BASE FLOOD ELEVATION THAT DOES NOT COMPLY WITH FEMA REGULATIONS CAN AFFECT THIS DETERMINATION. A8.) FOR THE PURPOSE OF THIS DOCUMENT, A BUILDING ENCLOSURE IS DEFINED AS THAT PORTION OF AN ELEVATED BUILDING, BELOW THE LOWEST ELEVATED FLOOR, THAT IS EITHER PARTIALLY OR FULLY SHUT IN BY RIGID WALLS. A GARAGE BELOW OR ATTACHED TO AN ELEVATED BUILDING IS CONSIDERED AN ENCLOSURE. SUCH AREAS SHALL NOT CONTAIN MORE THAN 20 LINEAR FEET OF FINISHED INTERIOR WALLS (PANELING, ETC.) OR IT WILL BE CONSIDERED A FINISHED (HABITABLE) AREA. IF APPLICABLE, THE STRUCTURE CONTAINS: 0 CRAWLSPACE 0 ENCLOSURE 0 ATTACHED GARAGE 0 N/A IF APPLICABLE, THE CRAWLSPACE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ). IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS 3 ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER 200 SQ. FT. PER OPENING (MANUFACTURER: SMART VENT — MODEL: 1540-520 ). IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS: GARAGE, STORAGE, ENTRY, DUMBWAITER AND STAIRS IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK -AWAY WALLS? 0 YES ❑D NO 0 N/A A9.) IF APPLICABLE, THE ATTACHED GARAGE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ). A8. & A9.) FOR THE PURPOSE OF THIS DOCUMENT, A FLOOD OPENING IS DEFINED AS A PERMANENT OPENING IN AN EXTERIOR WALL THAT IS NO HIGHER THAN 1.0 FOOT ABOVE THE HIGHER OF THE EXTERIOR OR INTERIOR GRADE OR FLOOR IMMEDIATELY BELOW THE OPENING. B8.) UNLESS OTHERWISE NOTED IN SECTION B, ITEM 10, THE FLOOD ZONE WAS DETERMINED BASED ON THE FLOOD INSURANCE RATE MAP. IN CERTAIN CASES WHERE AN ACCURATE DETERMINATION COULD NOT BE MADE FROM THE MAP, FEMA'S INTERACTIVE MAP OR THE COUNTY'S G.I.S. OVERLAY MAY HAVE BEEN UTILIZED TO DETERMINE THE FLOOD ZONE. NO SEARCH OF THE PUBLIC RECORDS WAS PERFORMED FOR LOMA'S, LOMR'S, ETC. WHICH MAY AFFECT THE SITE. C2.e) ELECTRIC OUTLET LOCATED ON WALL. A8.) BOTTOM FLOOR ENCLOSURE CONTAINS FINISHED (HABITABLE) AREA. Attachment Page 7 of 7 1 V9LZ :# sellY level asbuilt plans.dw ,t4 COICOX•X•X•IC422 WONG OICC011 MCA I MN 9 204 SQ.IN. FLOOD VENT W/ INSECT SCREEN FLOOD PORT CALCULATIONS AREA SF F.P. PROVIDED VESTIBULE 533 SF 632 SF GARAGE 437 SF 604 SF ENTRY 41 SF TOTAL 1011 SF GROUND LEVEL AS—BUILT PLAN — UNIT 24 SCALE: 1/8"=1'-0". JOHN PANTAZES ta t. ARCHITECT AR#92860 182 BRIGHTWATER DR — UNIT 4 0 0 JOHN PANTAZES ARCHITECT 320 CAUSEWAY BLVD DUNEDIN, FLORIDA 34698 (727) 871-2042 BRIGHTWATER VACATION TOWNHOMES BilIGHTWEITR DRIVE CLAR1FA'11M. PLOBIDA PROJECT NO.:14-01 DATE: .? 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/compan SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name BRIGHTWATER BLUE RESIDENCES, LLC Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 182 BRIGHTWATER DRIVE UNIT 4 Company NAIL Number: City State ZIP Code CLEARWATER FLORIDA 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 24, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0240 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, Accessory, etc.) Lat. 27.9719° N. Long. 82.8236° W. RESIDENTIAL Horizontal Datum: obtain flood insurance. 1.0 foot above adjacent above adjacent grade ❑ NAD 1927 grade x NAD 1983 7 2 photographs of the building if the Number 7 Certificate is being used to 970 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 1236 sq or enclosure(s) within in sq ft within 1.0 foot sq in N/A x Yes ❑ No garage: garage N/A openings in the attached garage in A9.b N/A ❑ 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 COUNTY B3. State FLORIDA B4. Map/Panel Number 12103C0102 B5. Suffix G B6. FIRM Index Date 8-18-09 B7. FIRM Panel Effective/ Revised Date 9-3-03 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 11.0' 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 ❑ NGVD System or base flood depth entered in Item B9: ❑ Other/Source: x FIRM datum used located in a N/A 1988 ❑ Other/Source: or Otherwise Protected 1929 x NAVD (CBRS) area ❑ OPA Area (OPA)? ❑ Yes x No 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. 182 BRIGHTWATER DRIVE UNIT 4 Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Buliding elevations are based on: Construction Drawings J Building Under Construction* J Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones A1—AaO.AE, AH, A(with BFs).VE, V1—va0.V(with oFs).AR, AR/x.AR/As An/A1—A30AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7In Puerto Rico only, enter meters. Benchmark Utilized: LENGEMANNS GNSS NETWORK Vertical Datum: N.A.V.D 1988 lndicate elevation datum used for the elevations in tems a) through h) below, 0 NGVD 1929 0 NAVD 1988 0Other/8oume: Datum used for buildirig elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6 . 52 Daeet Dmeoaro b) Top of the next1749 higher�oor0 feet D meters c) Bottom of the lowest horiNA zonts|a�ruoLura|membor(VZonoeon|y)D feet 0me0ery d) Attached garaN (topofa|ob) 0 feet [] meters e) Lowest elevation of machinery or equipment se11 05 thebui|din� 0*aet 0meteno (Describe type of equipment and Iocatiori in Comments) f) Lowesadjacent (finisgrade8 tobui|ding(�\G) . 0 0 feet D meters g) Highest adjacent (finished) grade next to building (HAG) 0. 3 0 feet [] meters h) Lowest adjacent gradeotlowest elevation nfdeck orstairs, indN including . A 0haot 0motora 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 law to certify elevationinhnrmaUnn. / certify that the information on this Certificate represents my best efforts to interpret the data avallable. / understand that any faise statement may be punishable by fine or imprisonment under /8 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ID Yes El No 0Cheokheneifattaohmonte. Certifier's Name License Number . GEORGE A. SHIMP \|| 6137 lace PSeal Here � ^`w Title Job Number VICE PRESIDENT 140283'G Company Name ASSOCIATES, GEORGE ASHIMP || &|NC Address 3301 DeSOTO BOULEVARDSUITED ��&��u� #6137 Date: 7-13-2018 City State ZIP Code PALM HARBOR FLORIDA 34683 (Not valid unless embossed with surveyor's original raised seal) Date Telephone �l47-13-2018 727-784-5496 4BO Copy all pages ofthis Elevati n 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) SEE ATTACHMENT PAGE 7 OF 7 FOR SURVEYOR'S NOTES AND COMMENTS. THIS DOCUMENT IS NOT VALID UNLESS SIGNED AND EMBOSSED WITH THE SURVEYOR'S ORIGINAL RAISED SEAL AND MUST CONTAIN ALL 7 PAGES. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 1-/4JIIaLIVII vdLC. rvUV FfIOer 3U, Lin ti 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. 182 BRIGHTWATER DRIVE UNIT 4 Policy Number City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (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 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 certify 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. orm 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building StreeAddress (including Apt. Unit, Sulte, and/orBldg. NoJorP.O.Route and Box No. 1828R|GHTVVATERDRIVE UNIT 4 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 08—Gb. In Puerto Rico only, enter meters. G1.-- The information in Section C was taken from other documentation that has been signedandaea|edbyo|ioenooduumeynr. engineer, or architect who is authorized by law to certify elevation information.(Indicate the source and date of the elevatiori data in the Comments area below.) G2. 1] A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) o,Zone AO. G5, 0 The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: 0 G8, Elevation of as -built Iowest floor (including ofthe building: G9. BFE or (in Zone A0) depth of flooding at the G10. Community's desigri flood elevation: New Construction 0 Substantial Improvement basement) [ll feet El feet E feet n meters Datum buliding site: El meters Datum E meters Datum Local Officials Name Title Community Name Telephone Signature Date Comments (indudinomnp"'<~'''~---' .(icob|e) ����U� DR �� 182 ��N�N�� ��w�~w`� —� �=°�°~~~'' — ���������h��33U� ��~~° =~~~. . --_ ec 8R\GH7WATERBLUE . Atlas #'2 Zmn�g:Tmmd�� � ";�,���/��i���l''�iLAN �� o^�— ^ '---- �����~��\������ BY j./\.\�/ n��—���—`,^—^^ AUG 2 O /118 PLANNING & DLVEiOPK8ENl GIP( [)F [|[E/\ L - Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces aU 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. 182 BRIGHTWATER DRIVE UNIT 4 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. 111 III UR gis;, : NIIIII .l.II I • Tr; 1 1 - Photo One Photo One Caption FRONT VIEW 7-13-2018 .. ;, x - �Ili F41 11-114P1 IIII%1111111 awl il 7111, 11111 ;I IIIIIIII %%111111 !uhuu11?IIN "' #, i'!I! . -1 Photo Two Photo Two Caption REAR VIEW 7-13-2018 FEMA Form 086-0-33 (7/15) Replaces all previous editions. orm rage b 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 No. 182 BRIGHTWATER DRIVE UNIT 4 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. Photo One Photo One Photo One Caption N/A Photo Two Photo Two Photo Two Caption N/A FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 ELEVATION CERTIFICATE Surveyor's Notes Attachment Page 7 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. 182 BRIGHTWATER DRIVE UNIT 4 Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION D — SURVEYOR'S CERTIFICATION (CONTINUED FROM PAGE 2) Al.) THIS ELEVATION CERTIFICATE WAS PREPARED EXCLUSIVELY FOR THE USE AND BENEFIT OF THE PARTY SPECIFIED IN SECTION A, ITEM 1, FOR THE SPECIFIC PURPOSE OF OBTAINING FLOOD INSURANCE AND/OR VERIFYING FLOOD ZONE COMPLIANCE WITH THE LOCAL GOVERNING AUTHORITY. THIS DOCUMENT SHALL NOT BE VALID AND BINDING AGAINST THE SIGNING SURVEYOR WITHOUT THE ORIGINAL RAISED SEAL AND SIGNATURE OF THE FLORIDA LICENSED SURVEYOR AND MAPPER. USE OF THIS DOCUMENT BY ANY OTHER PARTY OR FOR ANY OTHER PURPOSES IS STRICTLY PROHIBITED AND SHALL RENDER THIS DOCUMENT INVALID FOR THOSE PURPOSES. UNAUTHORIZED COPIES ARE STRICTLY PROHIBITED AND SHALL NOT BE VALID. REQUESTS FOR ANY ADDITIONAL OFFICIAL SIGNED AND SEALED COPIES MUST BE DIRECTED TO GEORGE A. SHIMP II & ASSOCIATES, INC. A4.) THE BUILDING USE WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. A5.) THE LATITUDE AND LONGITUDE COORDINATES WERE OBTAINED USING A HAND HELD G.P.S. UNIT WHICH MEETS OR EXCEEDS FEMA'S REQUIRED ACCURACY OF 66 FEET. A7.) THE BUILDING DIAGRAM NUMBER WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. CERTAIN STRUCTURAL FEATURES NOT VISIBLE TO THE SURVEYOR (PILINGS, GRADE BEAMS, ETC.) OR USE OF ANY AREAS BELOW THE BASE FLOOD ELEVATION THAT DOES NOT COMPLY WITH FEMA REGULATIONS CAN AFFECT THIS DETERMINATION. A8.) FOR THE PURPOSE OF THIS DOCUMENT, A BUILDING ENCLOSURE IS DEFINED AS THAT PORTION OF AN ELEVATED BUILDING, BELOW THE LOWEST ELEVATED FLOOR, THAT IS EITHER PARTIALLY OR FULLY SHUT IN BY RIGID WALLS. A GARAGE BELOW OR ATTACHED TO AN ELEVATED BUILDING IS CONSIDERED AN ENCLOSURE. SUCH AREAS SHALL NOT CONTAIN MORE THAN 20 LINEAR FEET OF FINISHED INTERIOR WALLS (PANELING, ETC.) OR IT WILL BE CONSIDERED A FINISHED (HABITABLE) AREA. IF APPLICABLE, THE STRUCTURE CONTAINS: ❑ CRAWLSPACE 0 ENCLOSURE 0 ATTACHED GARAGE 0 N/A IF APPLICABLE, THE CRAWLSPACE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ). IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS 5 ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER 200 SQ. FT. PER OPENING (MANUFACTURER: SMART VENT — MODEL: 1540-520 ). IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS: GARAGE, STORAGE, ENTRY, DUMBWAITER AND STAIRS IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK -AWAY WALLS? 0 YES 0 NO 0 N/A A9.) IF APPLICABLE, THE ATTACHED GARAGE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ). A8. & A9.) FOR THE PURPOSE OF THIS DOCUMENT, A FLOOD OPENING IS DEFINED AS A PERMANENT OPENING IN AN EXTERIOR WALL THAT IS NO HIGHER THAN 1.0 FOOT ABOVE THE HIGHER OF THE EXTERIOR OR INTERIOR GRADE OR FLOOR IMMEDIATELY BELOW THE OPENING. B8.) UNLESS OTHERWISE NOTED IN SECTION B, ITEM 10, THE FLOOD ZONE WAS DETERMINED BASED ON THE FLOOD INSURANCE RATE MAP. IN CERTAIN CASES WHERE AN ACCURATE DETERMINATION COULD NOT BE MADE FROM THE MAP, FEMA'S INTERACTIVE MAP OR THE COUNTY'S G.I.S. OVERLAY MAY HAVE BEEN UTILIZED TO DETERMINE THE FLOOD ZONE. NO SEARCH OF THE PUBLIC RECORDS WAS PERFORMED FOR LOMA'S, LOMR'S, ETC. WHICH MAY AFFECT THE SITE. C2.e) ELECTRIC OUTLET LOCATED ON WALL. A8.) BOTTOM FLOOR ENCLOSURE SHALL NOT BE USED AS HABITABLE AREA. A8.b) BOTTOM FLOOR ENCLOSURE CONTAINS 2 NON -ENGINEERED FLOOD OPENING(S) WITH A NET AREA OF 236 SQ. INCHES. Attachment Page 7 of 7 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2018 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name BRIGHTWATER BLUE RESIDENCES, LLC Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 182 BRIGHTWATER DRIVE UNIT 4 Company NAIC Number City State ZIP Code CLEARWATER FLORIDA 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 24, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0240 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, Lat. 27.9719° N. Long. Accessory, etc.) RESIDENTIAL 82.8236° W. Horizontal Datum: obtain flood insurance. 1.0 foot above adjacent above adjacent grade ❑ NAD 1927 grade x NAD 1983 7 2 photographs of the building if the Number 7 Certificate is being used to 1011 sq ft with a crawlspace of crawlspace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b 1236 sq or enclosure(s) within in sq ft within 1.0 foot sq in N/A x Yes ❑ No garage: garage N/A openings in the attached garage in A9.b N/A ❑ Yes x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number CITY OF CLEARWATER - 125096 B2. County Name PINELLAS COUNTY B3. State FLORIDA B4. Map/Panel Number 12103C0102 B5. Suffix G B6. FIRM Index Date 8-18-09 B7. FIRM Panel Effective/ Revised Date 9-3-03 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 11.0' 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 ❑ NGVD System or base flood depth entered in Item B9: ❑ Other/Source: x FIRM datum used located in a N/A 1988 ❑ Other/Source: or Otherwise Protected 1929 x NAVD (CBRS) area ❑ OPA Area (OPA)? ❑ Yes x No FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATEExpiration Date: November 30, 2018 OMB No. 106O'O0O8 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. 182 BRIGHTWATER DRIVE UNIT 4 Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl.Building elevations are based on: 0 Construction Drawings* Fl Building Under Construction* El Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones A1—A30, AE, AH, A (with BFEVE, V1—V3O.V(with BFE).AR, AR/A.AR/AE.AR/A1—AJD.4R/AH.AR/AD. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: LENGEMANNS GNSS NETWORK Vertical Datum: N.A.V.D. 1988 Indicate elevation datum used for the elevations in items a) through h) below. D NGVD 1929 El NAVD 1988 0 Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 0. 52 0 feet El meters b) Top of the next higher floor 17 49 ri feet Fl meters c) Bottom of the lowest horizontal structural member (V Zones only) N A El feet LI meters d) Attached garage (top of slab) N A El feet Fj meters e) Lowest elevation of machinery or equipment sii the building 11 05 Li feet [j] meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 0. 0 El feet El meters g) Highest adjacent (finished) grade next to building (HAG) O. 3 El feet Ell meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N . A �lfeet [�metero ntru��uno|uuppo � -- SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevationinformation. /xortify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. CodeSection 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? El Yes [11 No EjChockhovaifattochmente. Certifier's Name License Number GEORGE A. SHIMP III 6137 `- - /\ S o'''~ w `' `~ o � —�n� ^, � ' ' \ #-, O187/'Date: i7.13'2018 Title Job Number VICE PRESIDENT 140283-S Company Name GEORGE A.3H|MPU&ASSOCIATES, INC. Address 3301 DeSOTO BOULEVARDSUITED City State ZIP Code PALM HARBOR FLORIDA 34683 (Not valid unless embossed with surveyor's original raised seal) O Date Telephone 7'13-2018 727'784'5496 /4JO^^ll^ A Copy all pages of this Elevati n Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and |ncation, per C2(e), if applicable) SEE ATTACHMENT PAGE 7 OF 7 FOR SURVEYOR'S NOTES AND COMMENTS. THIS DOCUMENT IS NOT VALID UNLESS SIGNED AND EMBOSSED WITH THE SURVEYOR'S ORIGINAL RAISED SEAL AND MUST CONTAIN ALL 7 PAGES. 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. 182 BRIGHTWATER DRIVE UNIT 4 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, Band C. For Items E1—E4, use natural grade, if available. Check the measurement enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (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 182 BRIGH-TVVATER DR 4 BCP2014-09233B ec BRIGHTWATER BLUE Zoning: Tourist Atlas #: 276A "REVISED" PLANS RECEIVED BY J.A.W JUL 30 2018 PLANNING & DEVELOPMENT CITY OF CLEARWATER ❑ 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. 182 BRIGHTWATER DRIVE UNIT 4 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: ❑ 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) 182 BRIGHTWATER DR 4 BCP2014-09233B ec BRIGHTWATER BLUE Zoning: Tourist Atlas #: 276A ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 o 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. 182 BRIGHTWATER DRIVE UNIT 4 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. IIIIIHIP&.a 1 ifi •1 - Ell r =; ' Photo One Photo One Caption FRONT VIEW 7-13-2018 IIIiI �IIII II 1. 11111k III _ g t utta:�t su ':' lllF gill IN I rt .4 Photo Two �,-11101111" 1NMI aziv s:rt.: rlli��=R . Photo Two Caption REAR VIEW 7-13-2018 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 182 BRIGHTWATER DRIVE UNIT 4 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. Photo One Photo One Photo One Caption N/A Photo Two Photo Two Photo Two Caption N/A FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 Surveyor's Notes Attachment Page 7 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 182 BRIGHTWATER DRIVE UNIT 4 FOR INSURANCE COMPANY USE Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION D — SURVEYOR'S CERTIFICATION (CONTINUED FROM PAGE 2) Al.) THIS ELEVATION CERTIFICATE WAS PREPARED EXCLUSIVELY FOR THE USE AND BENEFIT OF THE PARTY SPECIFIED IN SECTION A, ITEM 1, FOR THE SPECIFIC PURPOSE OF OBTAINING FLOOD INSURANCE AND/OR VERIFYING FLOOD ZONE COMPLIANCE WITH THE LOCAL GOVERNING AUTHORITY. THIS DOCUMENT SHALL NOT BE VALID AND BINDING AGAINST THE SIGNING SURVEYOR WITHOUT THE ORIGINAL RAISED SEAL AND SIGNATURE OF THE FLORIDA LICENSED SURVEYOR AND MAPPER. USE OF THIS DOCUMENT BY ANY OTHER PARTY OR FOR ANY OTHER PURPOSES IS STRICTLY PROHIBITED AND SHALL RENDER THIS DOCUMENT INVALID FOR THOSE PURPOSES. UNAUTHORIZED COPIES ARE STRICTLY PROHIBITED AND SHALL NOT BE VALID. REQUESTS FOR ANY ADDITIONAL OFFICIAL SIGNED AND SEALED COPIES MUST BE DIRECTED TO GEORGE A. SHIMP II & ASSOCIATES, INC. A4.) THE BUILDING USE WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. A5.) THE LATITUDE AND LONGITUDE COORDINATES WERE OBTAINED USING A HAND HELD G.P.S. UNIT WHICH MEETS OR EXCEEDS FEMA'S REQUIRED ACCURACY OF 66 FEET. A7.) THE BUILDING DIAGRAM NUMBER WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. CERTAIN STRUCTURAL FEATURES NOT VISIBLE TO THE SURVEYOR (PILINGS, GRADE BEAMS, ETC.) OR USE OF ANY AREAS BELOW THE BASE FLOOD ELEVATION THAT DOES NOT COMPLY WITH FEMA REGULATIONS CAN AFFECT THIS DETERMINATION. A8.) FOR THE PURPOSE OF THIS DOCUMENT, A BUILDING ENCLOSURE IS DEFINED AS THAT PORTION OF AN ELEVATED BUILDING, BELOW THE LOWEST ELEVATED FLOOR, THAT IS EITHER PARTIALLY OR FULLY SHUT IN BY RIGID WALLS. A GARAGE BELOW OR ATTACHED TO AN ELEVATED BUILDING IS CONSIDERED AN ENCLOSURE. SUCH AREAS SHALL NOT CONTAIN MORE THAN 20 LINEAR FEET OF FINISHED INTERIOR WALLS (PANELING, ETC.) OR IT WILL BE CONSIDERED A FINISHED (HABITABLE) AREA. IF APPLICABLE, THE STRUCTURE CONTAINS: ❑ CRAWLSPACE 0 ENCLOSURE ❑ ATTACHED GARAGE ❑ N/A IF APPLICABLE, THE CRAWLSPACE CONTAINS N/A FT. PER OPENING (MANUFACTURER: N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. — MODEL: N/A ). IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS 5 ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER 200 SQ. FT. PER OPENING (MANUFACTURER: SMART VENT — MODEL: 1540-520 IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS: )• GARAGE, STORAGE, ENTRY, DUMBWAITER AND STAIRS IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK -AWAY WALLS? ❑ YES 0 NO ❑ N/A A9) IF APPLICABLE THE ATTACHED GARAGE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ). A8. & A9.) FOR THE PURPOSE OF THIS DOCUMENT, A FLOOD OPENING IS DEFINED AS A PERMANENT OPENING IN AN EXTERIOR WALL THAT IS NO HIGHER THAN 1.0 FOOT ABOVE THE HIGHER OF THE EXTERIOR OR INTERIOR GRADE OR FLOOR IMMEDIATELY BELOW THE OPENING. B8.) UNLESS OTHERWISE NOTED IN SECTION B, ITEM 10, THE FLOOD ZONE WAS DETERMINED BASED ON THE FLOOD INSURANCE RATE MAP. IN CERTAIN CASES WHERE AN ACCURATE DETERMINATION COULD NOT BE MADE FROM THE MAP, FEMA'S INTERACTIVE MAP OR THE COUNTY'S G.I.S. OVERLAY MAY HAVE BEEN UTILIZED TO DETERMINE THE FLOOD ZONE. NO SEARCH OF THE PUBLIC RECORDS WAS PERFORMED FOR LOMA'S, LOMR'S, ETC. WHICH MAY AFFECT THE SITE. C2.e) ELECTRIC OUTLET LOCATED ON WALL. A8.) BOTTOM FLOOR ENCLOSURE SHALL NOT BE USED AS HABITABLE AREA. A8.b) BOTTOM FLOOR ENCLOSURE CONTAINS 2 NON -ENGINEERED FLOOD OPENING(S) WITH A NET AREA OF 236 SQ. INCHES. Attachment Page 7 of 7 on Jul 30 12:55:53 2018 N 73 cl 03 2 Pi co I r o p03 N.m -- 70 �i 03 0 E CD'_ w '-I m IO `d9LZ :# selIV 2F. P. :SED" PLANS ti I\IED BY J.A.W JUL 3 a 2018 F.P. 533 SF ENCLOSED SPACE 0) 437 SF ENCLOSED SPACE 204 SQ.IN. FLOOD VENT W/ INSECT SCREEN F.P. 41 SF CLOS SPACE F.P. �= i_!'.NNiNC; & DEVELOPMENT ITY OF CLEARWA T ER FLOOD PORT CALCULATIONS AREA SF F.P. PROVIDED VESTIBULE 533 SF 632 SF GARAGE 437 SF 604 SF ENTRY 41 SF TOTAL 1011 SF GROUND LEVEL AS—BUILT PLAN — UNIT 24 SCALE: 1/8"=1'-0". JOHN PANTAZES ARCHITECT AR#92860 182 BRIGHTWATER DR — UNIT 4 umes/Architecture/14 001 I I, I i JOHN PANTAZES ARCHITECT 320 CAUSEWAY BLVD DUNEDIN, FLORIDA 34698 (727) 871-2042 BRIGHTWATER VACATION TOWNHOMES RRIGHTUm DMZ RUMMEL FLORIDA RIGJI {ATIR :BLUE PROJECT NO.:14-01 DATE; BUILDING DROPS A Perfect Solution in Every Drop! Certificate of Authorization: 29578 July 26, 2018 Smart Vent Products, Inc. 430 Andbro Drive, Unit 1 Pitman, NJ 08071 Attn: Michael Graham 152 BRIGH BCP2014-09 EC FLOOD VENTS BRIGHTWATER BLUE Zoning: Tourist 398 East Dania Beach Blvd. Suite 338 Dania Beach, FL 33004 954.399.8478 PH 954.744.4738 FX contact@buildingdrops.com T'f' °PLANS E1VED BY J.A.N Jt9# AO18 RE: FL5822 — New Product Testing and Florida Product Approval SubmittfdiNNIVi NG & DEVELOPMENT CITY OF CLEARWATER To whom it may concern: The purpose of this letter is to confirm that Building Drops, Inc. is in the process of updating FL5822 to incorporate new product testing performed under Blackwater Testing, Inc.'s report # BT -SVP -18-001 & BT -SVP -18-002, and to affirm that the product specifications, drawings and testing as listed on FL5582-R6 are compliant with 6th Edition FBC requirements. New product testing has been successfully performed with the Smart Vent Insulated Flood Vent Overhead Door Model #1540-524/574 installed as an integral part of an overhead door assembly to demonstrate the structural performance of the overall system. Therefore in my professional opinion the product is acceptable for installations permitted under the 6th Edition FBC for installations that meet the minimum requirements of the limitations as stated on installation drawing 1540-524 and 1540-574 and PER5792 as shown under FL5822.5-R6 and FL5822.7-R6, provided that site required ASD wind loads do not exceed the tested rating of +41/-46.3 psf. Door construction shall comply with the requirements of 1-5/16" maximum thickness, 27 gauge exterior and 29 gauge interior minimum skin thicknesses, and polyurethane foam core of minimum 1 lb. density or approved equivalent. Note that updated documentation has been posted to the Florida Building Code Information System website reflecting testing conducted under BT -SVP -18-001, and is currently set to, a status of "Pending FBC Approval" and is subject to approval at the August 15th Florida Building Commission Meeting. Upon approval FL5822-R7 will be submitted, updating the documentation to reflect the reduced gauge thickness and other aspects of door construction as per BT -SVP -18-002. I trust that this will satisfy your needs, however feel free to call if you have any questions. .�ilrrrrir Respectf •• 0• ',, ••s i OF ' tr 44/ it, 'signed by Hermes F. Norero, P.E. O 1zOon: I am approving this document ro, ' . .. \bate: 2018.07.27 09:27:11 -04'00' Florida Registered Vrb ssional Engineer #73778 Certification of Independence: Please note that I do not have nor will which this report is being issued. Also, I process of the listed product(s). I acquire a financial interest in any company manufacturing or distributing the product(s) for do not have nor will I acquire a financial interest in any other entity involved in the approval Hermes F. Norero, PE FL PE 73778 Page 1 of 1 wuuu Luu 41kt L -vitt.. V1111IIC C -b idol oar SCIS Home Log In - User Registration Hot Topics Submit Surcnaroe Stats & Facts Publications Product Approval USER: Public User Prod u t Approval PIgnu > Product or Application Search > Application List > Application Detail FL # Application Type Code Version Application Status Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Florida Engineer or Architect Name who developed the Evaluation Report Florida License Quality Assurance Entity Quality Assurance Contract Expiration Date Validated By Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code Product Approval Method FL5822-R5 Revision 2017 Approved Page 1 of 3 Contact Us BCIS Site Map Links Search 08/18/2017v. date reapply 08/23/17 Smart Vent Products, Inc. 430 Andbro Dr Unit 1 Pitman, NJ 08071 (877) 441-8368 info©smartvent.com Michael Graham info©smartvent.com Michael Graham 430 Andbro Dr Unit 1 Pitman, NJ 08071 (877) 441-8368 info©smartvent.com Structural Components Products Introduced as a Result of New Technology Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Hermes F. Norero P.E. PE -73778 Architectural Testing, Inc., an Intertek Company 12/31/2020 Locke Bowden P.E. J Validation Checklist - Hardcopy Received FL5822 RI COI Smart Vent COI SS 2017-08-18 .pdf 1612.5(1)(1.2) 1708.2 Method 2 Option B https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvMdF6zR4iH... 7/30/2018 Ivinl(1 L)L1itUILI` \�Ut.lC IJILIIU Date Submitted Date Validated Date Pending FBC Approval Date Approved Date Revised Summary of Products 08/18/2017 08/24/2017 08/28/2017 10/10/2017 06/20/2018 Page 2 of 3 FL Model, Number or Name Description 5822. SmartVent Model #1540-510 Dual Function Flood and Ventilation Vent Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 200 sq. ft. of interior space (minimum 2). Installation Instructions FL5822 R5 II 1540-510 55 2017-08-23,odf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R5 AE PER5022 SS 2017-08-23J2ff FL5822 R5 AE SmartVent - Impact Requirements 55 2017- 08-23.0df Created by Independent Third Party: Yes 5822 SmartVent Model #1540-511 Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 400 sq. ft, of interior space (minimum 2). Dual Function Flood and Ventilation Vent Installation Instructions FL5822 R5 II 1540-511 55 2017-02-28.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R5 AE PER5022 5S 2017-08-23.pdf FL5822 R5 AE SmartVent - Impact Requirements SS 2017- 08-23.piJf Created by Independent Third Party: Yes 822. SmartVent Model #1540-514 Garage Door Dual Function Flood and Ventilation Ven Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 200 sqft. o space (minimum 2). erio Installation Instructions FL5822 R5 II 1540-514 SS 2017-02-28.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5B22 R5 AE PER5022 SS 2017-08-23.pdf FL5822 R5 AE SmartVent - Impact R88 uirements SS 2017- 08-23.odf Created by Independent Third Party: Yes 5822.4 SmartVent Model r 1540-520 Insulated Flood Vent imits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 200 sq. ft. of interio pace (minimum 2). Installation Instructions FL5822 R5 II 1540-520 SS 2017-08-23.odf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R5 AE PER5022 SS 2017-C8-23.odf FL5822 R5 AE SmartVent - Impact Requirements S5 2017- 0E-23.pdf Created by Independent Third Party: Yes 22.5 Vent Model #1540-521 Insulated Flood Vent Lrmlts of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 400 sq. ft. of interior space (minimum 2). Installation Instructions FL5822 R5 II 1540-521 SS 2017-02-28.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R5 AE PER5022 55 2017-08-23 pdf FL5822 R5 AS SmartVent - Imnact Requirements SS 2017- 08-2.3.ndf Created by Independent Third Party: Yes 5822.6 SmartVent Model *1540-524 16" Garage Door Flood Vent Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 200 sq. ft. of interior space (minimum 2). Installation Instructions FL5822 R5 II 1540-524 SS 2017-02-28,odf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R5 AE PER5022 SS 2017-08-23,pdf FL5822 R5 AE SmartVeg - Impact Requirements SS 2017- a8-23.ot( Created by Independent Third Party: Yes 5822.7 SmartVent Model #1540-570 Wood Wall Insulated Flood Vent https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvMdF6zR4iH... 7/30/2018 • uui x,4,111 , vVu4 V111111f.. limits of Use Approved for use In HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 200 sq. ft. of interlo space (minimum 2). Page 3 of Installation Instructions FL5822 R5 II 1540-570 SS 2017-02-28,odf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R5 AE PER5022 SS 2017-08-23.odf FL5822 R5 AE SmartVent - Impact Requirements SS 2017- 0.1adf Created by Independent Third Party: Yes 822.8 IS Vent Model #1540-574 14.5" Garage Door Flood Vent t [m[ts of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 200 sq. ft. of interio space (minimum 2). Installation Instructions FL5822 R5 II 1540-574 SS 2017-02-28.odf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R5 AE PER5022 55 2017-08-23.pdf FL 822 R5 AE SmrrtV'nt - Im..ct ' •. irements S 2017 Created by Independent Third Party: Yes [Back I [Next] Contact Us :: 2601 Blair Stone Road, Tallahassee FL3?399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Coovrioht 2007-2013 State of Florida :: privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. °Pursuant to Section 455.275 (1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine If you are a licensee under Chapter 455, F.S., please click here . Product Approval Accepts: t J ! Credit Card Safe SCCUTityhMETRICS', https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvMdF6zR4iH... 7/30/2018