1000 MANDALAY AVEr ►
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy at pages of this Elevation Certificate and all attachments for (1) community official, (2) insuranc
OMB No. 1660-0008
Expiration Date: November 30, 2018
IS-45470EC
SECTION A— PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al, Building Owner's Name
STEVE WOLFF AND FRIEDA WOLFF
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Box No.
1000 MANDALAY AVENUE
Policy Number:
Company NAIC Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
05-29-15-54666-068-0250
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 28.00178146' Long -82.82608795 Horizontal Datum: [i NAD 1927 [x] NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 6
A8, For a building with a crawlspace or enclosure(s):
1t�
a) Square footage of crawlspace or enclosure(s) o sq ft ;
b) Number of permanent flood openings in the crawlspace or enclosure(s) withi -
c) Total net area of flood openings in A8.b 0 sq in
d) Engineered flood openings? ❑ Yes1 No
A9. For a building with an attached garage:
a) Square footage of attached garage N/A sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot ' ..
c) Total net area of flood openings in A9.b p sq in
1000 N ANDALAY AVE
BCP2O18-080499
d) Engineered flood openings? ❑ Yes `X] No
REMODEL
STEIDA HOLDINGS INC
Zoning: Low Medium Density Atlas #: 238A
SECTION B — FLOOD INSURANCE RATE MAP (F
81. NFIP Community Name & Community Number
CITY OF CLEARWATER 125096
B2. County Name ImB3. State
PINELLAS FLORIDA
B4. Map/Panel
Number
12103C - 0064
B5. Suffix
G
B6. FIRM Index � B7. FIRM Panel
Date Effective!
Revised Date
9/3/2003 09/03/2003 ;AE
i
j B8. Flood Zone(s)
B9. Base Flood Elevation(s)
(Zone AO, use Base
Flood Depth)
11.5'
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
FIS Profile E FIRM ❑ Community Determined fl Other/Source:
B11. Indicate elevation datum used for BFE in item B9: ❑ NGVD 1929 I x' NAVD 1988 ❑ Other/ Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? fl Yes No
Designation Date: [1] CBRS L] OPA
Replaces all previous editions.
Form Page 1 of 6
s
ELEVATION CERTIFICATE
BUILDING PHOTOGRAPHS
See Instructions for Item A6. iS-45470EC
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.Q. Route and Box No.
1000 MANDALAY AVENUE
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 at 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 View Date: 3/21/2018
Rear View Date: 3/21/2018
Right Side View
Right Side View: 3/21/2018
Left Side View: 3/21/2018
Left Side View
FEMA Form 086-0-33 (7/15)
Replaces at previous editions.
Form Page 5 of 6
1
ELEVATION CERTIFICATE
OMB No. 1660-0008
•
..
IMPORTANT: In these spaces, copy the corresponding information from Section A.
�....... ......... �....�,. ..,..,uci vv, cv v
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
1000 MANDALAYAVENUE
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 y 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 rxi 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 ;A feet [j meters
E3. Attached garage (top of slab) is i� feet a meters
E4. Top of platform of machinery and/or equipment
servicing the building is U 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 [1 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
Lj Check here if attachments.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 3 of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008
•
IMPORTANT: In 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.
1000 MANDALAYAVENUE
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.
Gi. ❑ 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: 7
08. 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
0 feet
feet
❑ meters Datum
building site:
] meters Datum
Ij
0 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 at previous editions.
Form Page 4 of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008
V
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.0, Route and Box No.
1000 MANDALAY AVENUE
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* [J 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 BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/A0.
Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: COUNTY DATUM ; Vertical Datum: NAVD88
Indicate elevation datum used for the elevations in items a) through h) below.
L NGVD 1929 [j NAVD 1988 L 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) 5. 03 'Y feet ❑ meters
b) Top of the next higher floor 11. 95 feet meters
c) Bottom of the lowest horizontal structural member (V Zones only) N/A [ feet Li meters
d) Attached garage (top of slab) N/A I'{ feet 0 meters
e) Lowest elevation of machinery or equipment servicing the building 10. [ feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 4. 8 EC feet [0 meters
g) Highest adjacent (finished) grade next to building (HAG) 5. [( feet [] meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A. f] feet L 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 law to certify elevation information.
I certify that the information on this Certificate represents my best efforts to interpret the data available. t understand that any false
statement maybe 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? E Yes Y No ❑ Check here if attachments.
Certifier's Name License Number
PATRICK IRELAND 6637
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Title
PROFESSIONAL SURVEYOR AND MAPPER
Company Name
IRELAND & ASSOCIATES SURVEYING, INC.
Address
1301 S. INTERNATIONAL PARKWAY. SUITE 2001
City State ZIP Code
LAKE MARY FLORIDA 32746
Signature ��!! Date Telephone 3/21/2018
V K. 3/21/2018 P: (407)678-3366 CENTERLINE ROAD ELEVATION:
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)
NOTE: C2.E = AC UNIT PAD. NOTE: THIS ELEVATION CERTIFICATE IS ONLY VALID FOR THE PERSON OR PERSONS NAMED ON THIS
CERTIFICATE. THIS CERTIFICATE IS FOR FLOOD INSURANCE PURPOSES ONLY. THE INFORMATION ON THIS CERTIFICATE SHOULD NOT BE USED FOR
CONSTRUCTION OR PLANNING.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 2 of 6
BOUNDARY SURVEY
LEGAL DESCRIPTION:
Dh'J f.
FROM if iteRWAFER SEACM, FP
FLOOD INFORMATION:
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING MUNICIPALITY OR WWW. FEMA.GOV,
THE PROPERTY APPEARS TO BE LOCATED IN ZONE AE. THIS PROPERTY WAS FOUND IN CITY OF
CLEARWATER, COMMUNITY NUMBER 125096, DATED 9/3/2003.
CERTIFIED TO:
STEVE WOLFF AND FRIEDA WOLFF; PLATINUM NATIONAL TITLE; WESTCOR LAND TITLE
INSURANCE COMPANY
1000 MANDALAY AVENUE, CLEARWATER, FLORIDA 33767
C1
R = 1658.80'(P)
A = 2°54'47"(M)
C = 84.32'(M)
L = 84.33'(M) 84.00'(0)
CB = N29°14'16"E(M)
NW Comer of
Lot 1, Block 68
Fnd. 5/8" Rebar
(No Identification)
Fnd. 5/8" Rebar
(No Identification)
Lot 2
Block 68
ti The
d,Cyec/
tee:7���
Lot 15
Block 68
62 4,-/1/24:17/0,? o f
of
''S1/2of
Lot 24
Block 68
42j <e <
F?MJ 9a7esc�4 ejo
/ O
7O990O 1 j/off k 68•
C2
R = 1768.80'(P)
A = 2°54'47"(M)
C = 89.92'(M)
L = 89.93'(M) 90.00'(C)
CB = S29°14'16"W(M)
Lot 1 C1
Block 68
7700473.,
7°00oo�/M�y(4i) A
07
o�
Fnd. 'A" Rebar ^sP7
(No Identification),
26/
Wood
Shed
Roofed
Area,
\5'
Fnd. 3" x 3" C.M.
(No Identification)
Paver_-
Wa!k
G
\ ,i•'' Lot 25
4Sq Scoot ee., / Block 68
e
2j-.esa
mew
\ \�a9e ��
\ of Hs11/204 7770 779
\ i
rs�o '5ice \
/,
\ \
S
Graphic Scale
15' 30'
Scale: 1"=30'
60'
Fnd. 3" x 3" C.M.
(No Identification)
/
Note:
All Bearings Shown Hereon
are 'ASSUMED"
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4 a. 2x a
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Field Date: 3/212018 Date Completed: 3/21/2018
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pipe., b' d p
a f Overhangs, d determined.
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f. Sorompre nny f Companies. Farallon h intended, F ! bRM
h r Rids n r y n y ha: be
<mtrued give ANY aigntsp Benefits to anyone than those Certt8e
°INTSerI,T�. 8�.
NON. VI<,3LE
I hereby aeetty mai this Boundary Survey o• me above Described Property /
True and Correct a the Best of m Kno1MM y Is,
ender em Directionon me Dare shown. Based and Belief wm�snoamM
Noted ane cnforms tom Standards tl f Practice for Land Surveying
'. hes ef Florida -n accord Chapter 5J 17 052 Florida
Ad nsha'i Codes. Pursuant 47227 Florida s'aWtcs.
EsR '
FOR
tAr {5 . THE
p
I riff THE
Drawn BY B.K. File Number s-45470
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Conc.
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F E.M.A.
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N.R.
ORB
7
1 Pu.
-Legend-
Calculated
Centers
Concrete Block
Concrete Monument
C
Description
Drainage Casemerrt
Easement
lederal Emergency
Management Agency
- Finished Flom Elevation
_Beene
-Iron Pipe
- Measured
- Nail & Disk
-Non-Radial
..Official Records Book
-Plat
mat d°°
Ience
PC -P or Curvature
- Page
P9 -P fl tersest
P.o.e.- P f Beginning
P.OL.-P L
PP -P Pd
PHM -Permanent Hefere
Monument
Pt -Pont or rangency
R -Radius
Rad - Radial
RSC -10Reber8Dap
Red. -Recovered
Set - Het fed
!F" Reber
SReber Vat � Cap "LBB 7623'
Typ. -Typical
UE - UNA, Easement
WM -Water Mates
De
lta Angle)
-0- Cai F
Patrick K.Irelan oP -6637 LB 7623
This Surveyi intende4;�40- f - use of Said Certified Parties.
This Survey i7r
y NOT VALID UNL - - :� v and Embossed vette Surveyofs Seal.
Ireland & Associ ales Surveying Inc.
1
1301 S. International Parkway Suite 2001
Lake Mary, Florida 32746
www.irelandsuiveying.com
Office -407.678.3366 Fax -407.320.8165_✓