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821 MANDALAY AVE (2)U.S. ?7EPARTMENT OF HOMELAND SECURITY FFxaeral 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 CATHY AND JAMES DEES Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 821 MANDALAY AVENUE Company NAIC Number: City State ZIP Code CLEARWATER Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 5 AND 6 AND NO. 56 FT. LOT 7, BLOCK 16, MANDALAY SUB., PLAT BOOK 14, PAGE 32, PINELLAS COUNTY, FLORIDA. A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude /Longitude: Lat.27 °59'39.0" Long. 82 °49'36.6" Horizontal Datum: ❑ NAD 1927 © 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 7 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1057.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 c) Total net area of flood openings in A8.b 1200.00 sq in d) Engineered flood openings? Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage 330.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above c) Total net area of flood openings in A9.b 600.00 sq in d) Engineered flood openings? p Yes ❑ No RECEIVED BY: MAR 1 9 2019 PLANNING & DEVELOPMENT CITY OF CLEARWATER 821 MANDALAY AVE BCP2017 -06458 EC JAMES E DEES Zoning: Low Medium Density Atlas #: 2 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number CITY OF CLEARWATER/125096 B2. County Name B3. State PINELLAS Florida B4. Map /Panel Number 12103C0102 B5. 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 E evation(s) (Zone AO, use Base Flood Depth) 11.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile © FIRM ❑ Community Determined ❑ Other /Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 El NAVD 1988 ❑ Other /Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Designation Date: ❑ CBRS ❑ OPA 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. 821 MANDALAY AVENUE Policy Number: City State ZIP Code CLEARWATER Florida 33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* x 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/AO. Complete Items C2.a —h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: CITY OF CLEARWATER 1 -2 Vertical Datum: ELEV. 4.87' 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. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6.20 x feet ❑ meters b) Top of the next higher floor 17.35 x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) 6.20 x feet ❑ meters e) Lowest elevation of machinery (Describe type of equipment or equipment servicing the building and location in Comments) 11.70 feet meters x fee ❑ f) Lowest adjacent (finished) grade next to building (LAG) 4.80 x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 5.60 x feet ❑ meters h) Lowest adjacent grade structural support at lowest elevation of deck or stairs, including feet meters N/A ❑ ❑ SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 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 ❑ Check here if attachments. Certifier's Name License Number o, �i d i i d 1 i ii/i GUY D. HALE 4626 \\\\� `�� n w. , /, %/, \�` ,. 11,1 ',, Title PROF. LAND SURVEYOR `� '• ' • 2• Company Name GUY HALE, LAND SURVEYING 't `J Address t ; S'�° TE f; 406 SO. ARCTURAS AVENUE, SUITE ONE -i ), ': ' City r J State ZIP Code .'' J. CLEARWATER / / Florida 33765 �1% D �l f,.4:1`�O �7``,,,, . Signature `/ % .:.0:' 415:12:19 Date Telephone Ext. ba' -o• oo' i" 03 -13 -2019 (727) 734 -4266 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) THE FLOOD VENTS ARE SMART VENTS, MODEL NUMBER 1540 -520, ICC ESR -2074 THE LOWEST MACHINERY IS THE GENERATOR. THE ELEVATOR PIT IS 10" LOWER OR 0.83' LOWER THAN C2(a). THE LOWER ENTRY LEVEL HAS 367 SQ. FT. AND HAS NO FLOOD VENTS, WHICH THE CONTRACTOR SAID THEY WERE NOT REQUIRED AND IS NOT INCLUDED IN A8(a). FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 2 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. OMB No. 1660 -0008 Expiration Date: November 30, 2018 FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 821 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 all photographs with date taken; "Front View" and "Rear View "; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo One Photo One Caption FRONT (WEST SIDE) TAKEN 02 -15 -2019 Clear Photo One Photo Two Photo Two Caption REAR (EAST SIDE) TAKEN 02 -15 -2019 Clear Photo Two FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS OMB No. 1660 -0008 Continuation Page Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No, 821 MANDALAY AVENUE 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 Three Photo Three Caption TYPICAL FLOOD VENT MODEL 1540 -520 Clear Photo Three Photo Four Photo Four Caption ASSORTED FLOOD VENTS AND MODEL NUMBER Clear Photo Four FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 6 of 6