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766 ELDORADO AVE (2)U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1 -9. cP Os-707 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 Michael J. Williams Policy Number: A2. Building Street Address (including Apt, Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 766 El Dorado Avenue Company NAIC Number City State ZIP Code Clearwater Beach Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 4, Block 4 - Mandalay - Plat Book 14, Pages 32 -35 - Parcel #05- 29 -15- 54666-004 -0040 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5. Latitude /Longitude: Lat 27.99228° Long. - 82.82792° Horizontal Datum: ❑ 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): a) Square footage of crawlspace or enclosure(s) 2,335 sq ft Ply i'. E`. i V ~ D ? ." • " '�' b) Number of permanent flood openings in the crawlspace or enclosure(s) withir JUL Idi c) Total net area of flood openings in A8.b 0 sq in d d) Engineered flood openings? ❑ Yes x No ; r A9. For a building with an attached garage: ( a) Square footage of attached garage 0 sq ft 766 ELDOR A AVE b) Number of permanent flood openings in the attached garage within 1.0 foot a BCP2016- 057r1111 07VBV c) Total net area of flood openings in A9.b 0 sq in FINISHED EC WILLIAMS, MIKE d) Engineered flood openings? ❑ Yes x No Zoning: Low Medium Density Atlas #: 24 SECTION B — FLOOD INSURANCE RATE MAP (FII B1. NFIP Community Name & Community Number City of Clearwater - 125096 B2. County Name Pinellas 83. State 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) VE B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 13' 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)? ❑ Yes Designation Date: ❑ CBRS ❑ OPA 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. 766 El Dorado Avenue Policy Number: City State ZIP Code Clearwater Beach Florida 33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al 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: City of Clearwater 1 -02 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) 8. 21 Check the measurement used. x feet ❑ meters b) Top of the next higher floor 17 34 x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) 15 71 x feet ❑ meters d) Attached garage (top of slab) N/A x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 16 77 x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 6, 40 x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6. 78 x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 7. 95 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 may be 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? x Yes ❑ No x Check here if attachments. Certifiers Name License Number John C. Brendla 1269 ° t , , J {1 «�. 444YYY • r y' `� Ps f t r - , c :. ;, > i Title Surveyor Company Name John C. Brendla & Associates, Inc. Address 4015 82nd Avenue North City State ZIP Code Pinellas Park .., Florida 33781 1 Sig at e Date Telephone �_ 07/26/2018 (727) 576 -7546 Lh- Cop II ges of this Elev ion Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. ges C ments (including type of equipment and location, per C2(e), if applicable) C2) a. Parking and Storage area C2) b. The Lowest Living Floor C2) c. Bottom of Beam C2) e. Tankless Water Heater located on the North side of the house. Benchmark:City of Clearwater 1 -02, Atlas Page 249A Elev. 4.98' NAVD - MSL = 0.00 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. 766 El Dorado Avenue Policy Number: City State ZIP Code Clearwater Beach 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 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. 766 El Dorado Avenue Policy Number: City Clearwater Beach State Florida ZIP Code 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 basement) of the building: G9. BFE or (in Zone AO) depth of flooding at the building site: G10. Community's design flood elevation: feet ❑ meters ❑ feet ❑ meters ❑ feet ❑ meters Datum Datum 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 2? /2a //- oS707 ZONE V DESIGN CERTIFICATE Name / 1 C k e 'J ' 1 `st ct ``' S Policy Number (Insurance Co. Use) Building Address or Other Description % o E t Uo e we, Permit No.T3C;Pa5 I "QS70lCity [ 2 c�C V State F L Zip Code `3 3 7 (o 7 SECTION I: Flood Insurance Rate Map (FIRM) Information 01) I b ( Zoo t (L.J ),) C.4 .,/ c,F Cie,,rwcltr 12103«to2. I ; , Cr FIRM Date Uri (c 3/ ZUO� (`='�'4 Community Name & No. 1 15 0% Panel No. Suffix \fG., t. 4-K� FIRM Zone(s) VE Seaward of LiMWA (Coastal A Zone) ® Yes ❑ No SECTION 11: Elevation Information Used for Design (!VOTE: This section documents elevations used in the design — it does not substitute loran as -!wilt Elevation Certificate.] 1. Datum .............................. 2. Elevation of the Bottom of Lowest Horizontal Structural Member 3. Base Flood Elevation ( BFE) ................................................ ............................... 4. Elevation of Lowest Adjacent Grade .................. ............ ............................... 5. Approximate Depth of Anticipated Scour /Erosion used for Foundation Design._ 6. Embedment Depth of Pilings or Foundation Below Lowest Adjacent Grade.................. ❑ NGVD Ifi NAVD ❑ Other 6.71 feet above datum 13 feet above datum trD . Li feet above datum . 3.0 feet 2`d• U feet SECTION 111: Zone V Design Certification Statement (NOTE. This section must be certified by a Florida licensed engineer or architect.] I certify: (1) I have developed or reviewed the structural design, plans, and specifications for construction and (2) the design and methods of construction to be used are in accordance with accepted standards of practice for meeting the following provisions: • The bottom of the lowest horizontal structural member of the lowest floor (with the exception of mat or raft foundations, piling, pile caps, columns, grade beams and bracing) is elevated to or above the BFE in accordance with the requirements of the Florida Building Code or local floodpiain management regulations (manufactured homes and buildings exempt from the FBC, B); and • The pile and column foundation and building or structure to be attached thereto is designed in accordance with the Florida Building Code to be anchored to resist flotation, collapse, and lateral movement due to the effects of the wind and flood loads acting simultaneously on all building components, and other load requirements of the Florida Building Code. The potential for scour and erosion at the foundation has been anticipated for conditions associated with the base flood, including wave action. SECTION IV: Breakaway Wall Design Certification Statement [NOTE. This section must also be certified by a Florida licensed engineer or architect when breakaway walls exceed a design safe loading resistance of 20 pounds per square foot. This requirement does not apply to open wood/plastic lattice/slats/louvers or insect screening.] I certify: (1) I have developed or reviewed the structural design, plans, and specifications for construction and (2) the design and methods of construction to be used for the breakaway walls are in accordance with the Florida Building Code, Building (ASCE 24) or Florida Building Code, Residential, as applicable, and accepted standards of practice. SECTION V: Certification and Seal This certification is to be signed and sealed by a Florida licensed professional engineer or architect authgri ;ed, by law to certify structural designs. / certify the Zone V Design Certification Statement in Section 1/1 and the BceeltawityAal1©esign Certification Statement in Section IV (if applicable). 4, . •' ' ' • . • G' Certifier's Name Title -]6O Address Signature Florida License Number Knk ZvVkeiiNcAie. ••cl1.1V\( . Com1an Name `1 ft.■ A�Jtn�e S. 1-(-.. 51.4)ekrsbu.: FL 331 O i City State ZIP eli11 62-1) e96 -z2-,0 Date Telephone Florida Model Zone V Design Certificate (060915) \% ! '' NOLLO3S IIVM IVOId,LL ■ ■�I,■■■■ ; THE � a" , TYP WALL S aso e ; .__ l___. in =ME , 1.2.9111L ■11 1i14111 X". nib } RN NI F ._� mu m■ I| I Z q; $ 9i ; [; 4 | # 3 B T KOLY INTERNATIONAL, I C S TEL TRUCTURAL ENGINEERING CONSULTANTS' M \