Loading...
2880 UNION ST (REAR BUILDING)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 ELIZABETH DAWN MAURY Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 2880 UNION STREET (FRONT BUILDING) Company NAIC Number City State ZIP Code CLEARWATER Florida 33759-1618 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL ID #32-28-16-00000-430-0500 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, Accessory, etc.) Lat. 27°59'51.3" N Long. -82°43'04.8" W Residential Horizontal Datum: insurance. above ❑ NAD 1927 adjacent grade grade 0 x NAD 1983 0 2 photographs Number with a crawlspace of crawlspace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? of the building if the 1B Certificate is being used to obtain flood 2123.00 sq ft or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b or enclosure(s) 0.00 sq in within 1.0 foot foot above adjacent in 935.00 sq ft ❑ Yes x No garage: garage openings in the attached garage within 1.0 in A9.b 0.00 sq ❑ 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 B3. State Florida B4. Map/Panel Number 12103C0127 B5. Suffix G B6. FIRM Index Date 08-18-2009 B7. FIRM Panel Effective/ Revised Date 09-03-2003 B8. Flood Zone(s) X B9. Base Flood Elevation(s) (Zone AAO, use Base Flood Depth) NONE B10. Indicate the source FIS Profile B11. Indicate elevation B12. Is the building Designation of the Base Flood Elevation ❑ Community Determined for BFE in Item B9: Coastal Barrier Resources ❑ (BFE) data or base flood ❑ Other/Source: ❑ NGVD 1929 System (CBRS) CBRS ❑ OPA depth entered in Item B9: x FIRM datum used located in a Date: ❑ Other/Source: Protected x NAVD 1988 area or Otherwise Area (OPA)? ❑ Yes x No FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 RECEIVED BY: K.D. FEB 27 2020 PLANNING & DEVELOPMENT CITY OF CLEAR WATER 2880 UNION ST BCP2019-090401B ELEVATION CERTIFICATE MAURY RESIDENCE Zoning: ? Atlas #: 244B 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. 2880 UNION STREET (FRONT BUILDING) Policy Number: City State ZIP Code CLEARWATER Florida 33759-1618 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* *A new Elevation Certificate will be required when construction of the C2. Elevations — Zones A1—A30, AE, AH, A (with BFE), VE, V1—V30, V Complete Items C2.a—h below according to the building diagram specified Benchmark Utilized: CITY OF CLEARWATER "J-16.5" Vertical x building (with Datum: Building Under Construction* ❑ Finished Construction is complete. BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/A0. in Item A7. In Puerto Rico only, enter meters. 28.3144 FEET NAVD88 Indicate elevation datum ❑ NGVD 1929 used x for the elevations in items a) through h) below. NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 73.97 x the measurement feet U used. meters b) Top of the next higher floor N/A x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A x feet ❑ meters d) Attached garage (top of slab) 72.82 x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building N/A (Describe type of equipment and location in Comments) x feet meters ❑ f) Lowest adjacent (finished) grade next to building (LAG) N/A x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) N/A © feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N/A x feet ❑ meters SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized I certify that the information on this Certificate represents my best efforts to interpret the data 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? ❑ Yes x by law to certify elevation information. available. I understand that any false No ❑ Check here if attachments. Certifier's Name License Number ELIZABETH KATHLEEN MERTA LS 6113 ;!" ' ` a�. x .': ere ._ ; 21 li 240 Title PROFESSIONAL SURVEYOR AND MAPPER Company Name DEUEL & ASSOCIATES WO#2019-135 Address 565 SOUTH HERCULES AVENUE City State ZIP Code CLEARWATER Florida 33764 Si re Date Telephone Ext. / 02-18-2020 (727) 822-4151 210 Cop II pages of his ealfdrtificate 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) A5: LATITUDE AND LONGITUDE WERE DETERMINED USING GOOGLE EARTH. DATE SHOWN IS THE DATE OF THE FIELD SURVEY. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 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. 2880 UNION STREET (FRONT BUILDING) Policy Number City State ZIP Code CLEARWATER Florida 33759-1618 Company NAIC Number If using the Elevation instructions for Item A6. "Left Side View." When vents, as indicated in Section Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below Identify all photographs with date taken; "Front View" and "Rear View" and, if required, applicable, photographs must show the foundation with representative examples of A8. If submitting more photographs than will fit on this page, use the Continuation according to the "Right Side View" and the flood openings or Page. T : ;- Photo One Clear Photo One Photo One Caption FRONT VIEW (EAST SIDE) 2/18/2020 Photo Two Photo Two Photo Two Caption REAR VIEW (NORTH/SOUTH SIDE) Clear Photo Two FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2018 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name ANDREW & JAYME BROOKS, BROOKS FAMILY TRUST Policy Number: A2. Building Street Address (including Apt , Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 2880 UNION STREET (REAR BUILDING) Company NAIC Number City State ZIP Code CLEARWATER Florida 33759-1618 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL ID #32-28-16-00000-430-0500 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 permanent c) Total net area d) Engineered Residential, Non -Residential, Addition, Accessory, Lat. 27°59'52.8" N Long -82°43'04.4" W etc.) Residential Horizontal Datum: insurance. above grade [❑ NAD 1927 adjacent grade 0 x NAD 1983 0 2 photographs Number with a crawlspace of crawlspace permanent flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? of the building if the 1B Certificate is being used to obtain flood 3438.00 sq ft or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b or enclosure(s) 0.00 sq in within 1.0 foot 1.0 foot above adjacent in LI Yes PI garage: garage openings in the attached in A9.b ❑ Yes [j No No 928.00 sq ft garage within 0.00 sq SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1 NFIP Community Name & Community Number CITY OF CLEARWATER 125096 B2. County Name PINELLAS B3. State Florida B4. Map/Panel Number 12103C0127 B5. Suffix G B6. FIRM Index Date 08-18-2009 B7 FIRM Panel Effective/ Revised Date 09-03-2003 B8. Flood Zone(s) X 'B9. Base Flood E evation(s) (Zone AO, use Base Flood Depth) NONE B10. Indicate the source ❑ FIS Profile B11. Indicate elevation B12 Is the building Designation Date: of the Base Flood Elevation ❑ Community Determined for BFE in Item B9: Coastal Barrier Resources ❑ (BFE) data ❑ NGVD System CBRS or base flood ❑ Other/Source: depth entered in Item B9: x FIRM datum used located in a [1 Other/Source: Protected 1929 x NAVD 1988 (CBRS) area or Otherwise ❑ OPA Area (OPA)? ❑ Yes x No FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 N 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. 2880 UNION STREET (REAR BUILDING) Policy Number: City State ZIP Code CLEARWATER Florida 33759-1618 Company NAIC Number SECTION C – BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' *A new Elevation Certificate will be required when construction of the C2. Elevations – Zones A1–A30, AE, AH, A (with BFE), VE, V1–V30, V Complete Items C2.a–h below according to the building diagram specified Benchmark Utilized: CITY OF CLEARWATER "J-16.5" Vertical x building (with Datum: Building Under Construction* ❑ Finished Construction is complete BFE), AR, AR/A, AR/AE, AR/A1–A30, AR/AH, AR/AO. in Item A7. In Puerto Rico only, enter meters. 28.3144 FEET NAVD88 Indicate elevation datum ❑ NGVD 1929 used x for the elevations in items a) through h) below. NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 77.87 the measurement used. x feet ❑ meters b) Top of the next higher floor N/A [] feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A x feet ❑ meters d) Attached garage (top of slab) 77.14 [] feet LI meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) N/A x ❑ feet ❑ meters f) Lowest adjacent (finished) grade next to building (LAG) N/A x feet [1 meters g) Highest adjacent (finished) grade next to building (HAG) N/A x feet [] meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N/A x feet ❑ meters 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? ❑ Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number ELIZABETH KATHLEEN MERTA LS 6113 . 44— Title PROFESSIONAL SURVEYOR AND MAPPER �!2����.•' .':.. p } Company Name DEUEL & ASSOCIATES WO#2019-135 - _ -- Address 565 SOUTH HERCULES AVENUE .; 4.$1•9 City State ZIP Code CLEARWATER Florida 33764 i// 8/z(,io Signature / Date Telephone Ext. 4 i ' 02-18-2020 (727)822-4151 210 op 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) A5: LATITUDE AND LONGITUDE WERE DETERMINED USING GOOGLE EARTH. DATE SHOWN IS THE DATE OF THE FIELD SURVEY FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 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. 2880 UNION STREET (REAR BUILDING) Policy Number: City State ZIP Code CLEARWATER Florida 33759-1618 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 Caption ,ta i t s :k $ I Y� V —11111: I If . ' -1 1! y Photo One FRONT VIEW (SOUTH SIDE) 2/18/2020 Clear Photo One ( :r 1 ins j r 1 MMM i. l ...,. l tom a r kr j a _ F'hoia I Nc; Clear Photo Two Photo Two Caption REAR VIEW (NORTH SIDE) 2/18/2020 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 J 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 ANDREW & JAYME BROOKS, BROOKS FAMILY TRUST Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 2880 UNION STREET (REAR BUILDING) Company NAIC Number City State ZIP Code CLEARWATER Florida 33759-1618 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL ID #32-28-16-00000-430-0500 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 permanent c) Total net area d) Engineered Residential, Non -Residential, Addition, Accessory, Lat. 27°59'52.8" N Long. -82°43'04.4" W etc.) Residential Horizontal Datum: insurance. above grade ❑ NAD 1927 adjacent grade 0 x NAD 1983 0 2 photographs Number with a crawlspace of crawlspace permanent flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? of the building if the 1B Certificate is being used to obtain flood 3438.00 sq ft or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b or enclosure(s) 0.00 sq in within 1.0 foot 1.0 foot above adjacent in No 928.00 sq ft ❑ Yes x garage: garage openings in the attached garage within in A9.b 0.00 sq ❑ 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 B3. State Florida B4 Map/Panel Number 12103C0127 B5. Suffix G B6 FIRM Index Date 08-18-2009 B7. FIRM Panel Effective/ Revised Date 09-03-2003 B8. Flood Zone(s) X B9. Base Flood E evation(s) (Zone AO, use Base Flood Depth) NONE B10. Indicate the source ❑ FIS Profile B11. Indicate elevation B12. Is the building Designation Date: of the Base Flood Elevation ❑ Community Determined for BFE in Item B9: Coastal Barrier Resources ❑ (BFE) data or base flood ❑ Other/Source: ❑ NGVD 1929 System (CBRS) CBRS ❑ OPA depth entered in Item 89: x FIRM datum used located in a [x] NAVD 1988 ❑ Other/Source: area or Otherwise Protected 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. 2880 UNION STREET (REAR BUILDING) Policy Number: City State ZIP Code CLEARWATER Florida 33759-1618 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01 Building elevations are based on: ❑ Construction Drawings* *A new Elevation Certificate will be required when construction of the C2 Elevations — Zones A1—A30, AE, AH, A (with BFE), VE, V1—V30, V Complete Items C2.a—h below according to the building diagram specified Benchmark Utilized: CITY OF CLEARWATER "J-16.5" Vertical x building (with Datum: Building Under Construction* ❑ Finished Construction is complete. BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO. in Item A7. In Puerto Rico only, enter meters. 28.3144 FEET NAVD88 Indicate elevation datum ❑ NGVD 1929 used x for the elevations in items a) through h) below. NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 77.87 x the measurement used. feet ❑ meters b) Top of the next higher floor N/A [] feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A x feet ❑ meters d) Attached garage (top of slab) 77.14 x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) N/A x feet meters ❑ f) Lowest adjacent (finished) grade next to building (LAG) N/A E feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) N/A [] feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N/A x feet ❑ meters SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized I certify that the information on this Certificate represents my best efforts to interpret the data 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? 11 Yes by law to certify elevation information. available. I understand that any false x No ❑ Check here if attachments. Certifier's Name License Number ELIZABETH KATHLEEN MERTA LS 6113 Title PROFESSIONAL SURVEYOR AND MAPPER 1:w Company Name DEUEL & ASSOCIATES WO#2019-135 \ ' 4410 Address 565 SOUTH HERCULES AVENUE " .�$ . City State ZIP Code CLEARWATER Florida 33764 ` /6/ ///ZQ4' Signature Date Telephone Ext. 02-18-2020 (727) 822-4151 210 op all pages of this this Elevation Certificate and all attachments for (1) community official, (2) insurance agenticompany, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) A5: LATITUDE AND LONGITUDE WERE DETERMINED USING GOOGLE EARTH DATE SHOWN IS THE DATE OF THE FIELD SURVEY. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 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. 2880 UNION STREET (REAR BUILDING) Policy Number City State ZIP Code CLEARWATER Florida 33759-1618 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. tiles „ 4,.r F Cit/. s •',�L 1r - trill ont iii, ;. 11 i 1 _.. _. .i el l 4 11 7. 6 . a. 23Ci Photo One i ..a' f 9 .. ii'.. . + . -n_ E. T ., , 1 •■ - x- Photo One Caption FRONT VIEW (SOUTH SIDE) 2/18/2020 Clear Photo One . *' le, . !. / es.. a'. ■u LS tom. !y .w .c . Is IA 1 a. 4 alw Otir • 1. • ,.. .. y-4 ';^ " _NO' -..'mss; . "-. .:. ' .--fib Photo Two Photo Two Caption REAR VIEW (NORTH SIDE) 2/18/2020 Clear Photo Two FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6