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18675 US HWY 19 N #238U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 Important: Follow the instructions on pages 1-9. 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 DENIS MAGNE, NANCY DAWN MAGNE, GREGOIRE R MAGNE AND BRIAM MORIELLO Policy Number: A2. Budding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 18675 US HIGHWAY 19 N - LOT 238 Company NAIC Number: City State ZIP Code CLEARWATER Florida 33764 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL 20-29-16-03290-000-2380, LOT 238, BAY ARISTOCRAT VILLAGE MOBILE HOME PARK, UNPLATTED 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 a) Square footage b) Number of c) Total net area d) Engineered Residential, Non -Residential, Addition, Accessory, Lat. 27.94304 Long. -82.72541 etc.) RESIDENTIAL Horizontal Datum: insurance. above grade ❑ NAD 1927 adjacent grade N/A x NAD 1983 N/A 2 photographs Number with a crawlspace of crawlspace permanent flood of flood openings flood openings? with an attached of attached permanent flood of flood openings flood openings? of the building if the 5 Certificate is being used to obtain flood N/A sq ft or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b or enclosure(s) N/A sq in within 1.0 foot 1.0 foot above adjacent in No N/A sq ft • Yes X garage: garage openings in the attached garage within in A9.b N/A 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 COUNTY B3. State Florida B4. Map/Panel Number 12103C0128 B5. Suffix G B6. FIRM Index Date 08-18-2009 B7. FIRM Panel Effective/ Revised Date 09-03-2003 B8. Flood Zone(s) AE 69. Base Flood E evation(s) (Zone AO, use Base Flood Depth) 9.0 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 ❑ Other/Source: Protected 1929 x NAVD 1988 (CBRS) area or Otherwise Area (OPA)? ❑ Yes © No R OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 "REVISED" PLANS RECEIVED BY JAW NOV 1.9 2019 PLANNING & DEVELOPMENT CITYOFCLEjj L- 18675 US HIGHWAY-I BCP2019-070584A FINISHED EC BAY ARISTOCRAT Zoning: AtIr 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. 18675 US HIGHWAY 19 N - LOT 238 Policy Number: City State ZIP Code CLEARWATER Florida 33764 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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 A1—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, ARAE, AR/A1 Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, Benchmark Utilized: GPS Vertical Datum: NAVD 1988 x Finished Construction A30, AR/AH, AR/AO. enter meters. 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) 11.35 p the measurement feet ■ used. 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 ❑ feet • meters d) Attached garage (top of slab) N/A ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building feet 12.15meters (Describe type of equipment and location in Comments)❑ 0 f) Lowest adjacent (finished) grade next to building (LAG) 5.20 x feet • meters g) Highest adjacent (finished) grade next to building (HAG) 5.85 x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 5.20 x feet • meters SECTION 0 — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect I certify that the information on this Certificate represents my best efforts to interpret statement may be punishable by fine or imprisonment under 18 U.S. Code, Section Were latitude and longitude in Section A provided by a licensed land surveyor? x authorized by law to certify elevation information. the data available. I understand that any false 1001. Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number BILL HYATT LS 4636 e'- is ' z•� Title PRESIDENT ?� �. .r r� 4636 Company Name KNOW IT NOW INC �1►�r Address 1497 MAIN ST #321 4 r', 1 r of riaekii)'. City State ZIP Code DUNDEIN BILL H HYATT Florida 34698 2019.11.19 Signature ' 10:52:50 Date Telephone Ext. -05'00' 11-18-2019 (727) 415-8305 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) C2E ELEVATION IS TOP OF BASE OF THE AIR CONDITIONING UNIT THIS CERTIFICATE IS WARRANTED TO THE PERSON NAMED ABOVE AND IS NOT TRANSFERRABLE HOME IS ON BLOCKS WITH FOUR ROWS OF PERFORATED SIDING ON THREE SIDES OF HOME - TYPE 5 NON -LIVING AREA UTILITY ROOM IS 234 SQ FT- ELEVATION 1S 6.10 - HAS 2 VENTS WITH 256 SQ INCHES BOTTOM OF SUPPORT I -BEAM ELEVATIONS = 9.68 FEET 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. NujmP.{lRoute and Box No. 18875U8HIGHWAY 1gN'LOT 238 Policy Number: City State ZIP Code CLEARWATER Florida 33764 Company NAIC Number SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOWTBFE) For Zones A0 and A (without BFE), conpletehamsE1-E5.|f\heCertifioo0uioinoandod»owuppurtmUOMAnrLOMF-F complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement enter meters. El. Provide elevation inforrnation for the following and check the appropriate boxes to show whether the highest adjacent grade (IIAG) and the Iowest adjacent grade (LAG). a) Top of bottom floor (ir,cluding basement, crawlspace, or enclosure) is []*pet 0metes request, used, In Puerto Rico only, the elevation is above or below • above or [1] below the HAG. 0above or0 below the LAG, 9 (see pages 1-2 of Instructions), 12above ur LJ below the HAG. 0 above or LI below the HAG. [1] above or [] below the HAG. the community's certify this information in Section G. b) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 f 0metero E2. For Bi|din 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 buildirig is Eheet []metes E3. Attached garage (top of slab) s E feet 0metem E4. Top Top of platform or machinery and/or equipment servicing the building is 0feet []metas E5. Zone A0 only: If rio flood deptti number is available, is the top of the bottom0oorw|evooed)nwcoundancnvith floodplain management ordinance? Yes 0 No [] Unknown. The Iocal official must SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections AB, and E foA out 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 knowiedge. Propei-ty Ownei- ar Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments Lil Check here if attachments, FEMA Form O86-0-33(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 spacescopy the corTesponding Information from Section A. FOR INSURANCE COMPANY IJSE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No, 18675 US HIGHWAY 19 N - LOT 238 Policy Number: Qty State ZIP Code CLEARWATER Florida 33764 Company NA]CNumber 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 on!y, enter meters. G1. 0 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 dato in the Comments area below.) G2. [] Acommunity official completed Section Efor abuilding located inZone A (without a FEMA -issued or community -issued BFE) or Zone AO. Ga 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 Complionme/Oocupanny|nsued G7This permit has been issued for. G8. Elevation of as -built Iowest fioor (including u«�hobui�dinQ� G9. BFE or (in Zone A0) depth of flooding at the G10. Communitys design flood elevation: New Construction jJ Substantial Improvement basement) [� feet 0 feet 0 feet []me�na Datum building site: 0 meters Datum [] meters Datum Local Officials 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) Repla�s 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, andfor Bldg No.) or P.O. Route and Box No. 18675 US HIGHWAY 19 N - LOT 238 Policy Number: City State ZIP Code CLEARWATER Florida 33764 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 VIEW 11-02-2019 Clear Photo One A } 3"i"'" `*^^^-rte "w..; Photo Two Photo Two Caption LEFT SIDE 11-02-2019 Clear Photo Two 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. 18675 US HIGHWAY 19 N - LOT 238 Policy Number: City State ZIP Code CLEARWATER Florida 33764 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. ".�� � +y� . MA .� ..y � • F Three �{ f .• w.M Photo Photo Three Caption REAR VIEW 11-02-2019 Clear Photo Three �,1 t ,•�!-'{yam • TY` .i fit,♦ u� ` M y[ Photo •:%Ld r ;" $F' "�*" •a , a \ \� \.N\. Four •el � , . '' ^ :: Photo Four Caption RIGHT SIDE AND DOOR 11-02-2019 Clear Photo Four FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6