1531 ROSEMERE RDU.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
ROSEMERE2 LAND TRUST
Policy Number:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Box No.
1531 ROSEMERE ROAD
Company NAIC Number:
City State ZIP Code
CLEARWATER Florida 33755
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
PARCEL 11.29.15.31194.000.1030
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. Fpr a building with
a) Square footage
b) Number of permanent
c) Total net area
d) Engineered
Residential, Non -Residential, Addition, Accessory, etc.)
Lat. 27.972310 Long. -82.73530
RESIDENTIAL
Horizontal
Datum:
insurance.
above
❑ NAD 1927
adjacent grade
grade 2
0 NAD 1983
8
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
8
Certificate is being used to obtain flood
1586.00 sq ft
or enclosure(s):
or enclosure(s)
openings in the crawlspace
in A8.b
or enclosure(s)
1587.00 sq in
within 1.0 foot
foot above adjacent
in
491.00 sq ft
❑ Yes x No
garage:
garage
openings in the attached garage within 1.0
in A9.b 832.00 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 COUNTY
83. State
Florida
B4. Map/Panel
Number
12103C0107
B5. Suffix
H
B6. FIRM Index
Date
08-18-2009
B7. FIRM Panel
Effective/
Revised Date
05-17-2005
B8. Flood
Zone(s)
AE
B9. Base Flood Elevation(s)
(Zone AO, use Base Flood Depth)
49.0 FEET
B10. Indicate the source
❑ FIS Profile
B11. Indicate elevation
B12. Is the building
Designation
of the Base Flood Elevation
(BFE) data
0 NGVD
System
CBRS
or base flood
❑ Other/Source:
depth entered in Item B9:
Q FIRM • Community Determined
datum used for BFE in Item B9:
located in a Coastal Barrier Resources
Date: ❑
❑ 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
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.
1531 ROSEMERE ROAD
Policy Number:
City State ZIP Code
CLEARWATER Florida 33755
Company NAIC Number
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on:
*A new Elevation Certificate will be required
C2. Elevations — Zones A1—A30, AE, AH,
Complete Items C2.a—h below according
Benchmark Utilized: GPS
■
A
Construction Drawings* ❑ Building Under Construction*
when construction of the building is complete.
(with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30,
to the building diagram specified in Item A7. In Puerto Rico only,
Vertical Datum: NAVD 1988
x
Finished Construction
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) 45.80
x
the measurement used.
feet ❑ meters
b) Top of the next higher floor 50.00
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) 46.16
x
feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 49.62
type of equipment and location in Comments)
x
feet ❑meters
(Describe
f) Lowest adjacent (finished) grade next to building (LAG) 45.80
x
feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 45.90
x
feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support 45.80
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
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 FLORIDASURVEYOR@AOL.COM LS 4636
Title.
PRESIDENT
.4r; it,
Company Name
KNOW IT NOW INC
I !�
Address
1497 MAIN ST #321
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CityState
DUNDEIN
ZIP Code
BILL H HYATT Florida 34698
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2019.07.26
Signature
15:40:18 -0400' Date Telephone Ext.
07-26-2019 (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)
CENTERLINE OF ROAD ELEVATION 44.20 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. No.) or P.O. Route and Box No.
1531 ROSEMERE ROAD
Policy Number:
City State ZIP Code
CLEARWATER Florida 33755
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 E1—E4, use natural grade, if available. Check the measurement
enter meters.
E1. 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.
1531 ROSEMERE ROAD
Policy Number:
City State ZIP Code
CLEARWATER Florida 33755
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
❑ feet
❑ feet
❑ feet
❑ meters Datum
G7. This permit has been issued for: II New Construction ❑ Substantial Improvement
G8. 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:
basement)
building site:
❑ meters Datum
❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments (including type of equipment and location, per C2(e), if applicable)
N Check here if attachments.
FEMA Form 086-0-33 (7/15)
Replaces 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, and/or Bldg. No.) or P.O. Route and Box No.
1531 ROSEMERE ROAD
Policy Number:
City State ZIP Code
CLEARWATER Florida 33755
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.
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Photo One
Photo One Caption FRONT VIEW 07-23-2019 Clear Photo One
II
1 .
Photo Two
Photo Two Caption GARAGE VENTS VIEW 07.23.19 Clear Photo Two
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 5 of 6
1531 ROSEMERE RD
BCP2018-05223B
ELEVATION CERTIFICATE
ROSEMERE LAND TRUST
?oning:
Atlas #: 279A
RECEIVED BY: K.D.
AUG 232019
PLANNING & DEVELOPMENT
CITY OF CL..y.^R,,W.TER
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.
1531 ROSEMERE ROAD
Policy Number:
City State ZIP Code
CLEARWATER Florida 33755
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.
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Photo Three
Photo Three Caption 07-23-19 REAR VIEW Clear Photo Three
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Photo
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Four
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Photo Four Caption SIDE VIEW 07-26-19 Clear Photo Four
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 6 of 6
FINAL SURVEY OF
1531 ROSEMERE ROAD
CLEARWATER, FLORIDA
C#2
RADIUS=277.68' 4
LENGTH=68.24'
CHORD=68.07'
BEARING=S62°53'09 "E
C,Z
pGSillFR
AR��ANF CgDrF)
NCF
PP
\"
LOT 104
NOT INCLUDED
0100
LOT 107
FIR
LOT 108
BEING LOT 103, GLENWOOD RESTRICTIONS, ACCORDING TO THE MAP OR PLAT THEREOF AS RECORDED IN PLAT BOOK 8, PAGE
14, OF THE PUBLIC RECORDS OF PINELLAS COUNTY,, FLORIDA.
UNLESS STATED 0 THIS SURVEY IS AN AS—BUILT SURVEY SHORTING ON
SITE VISIBLE ABO1E GROUND IMPROVEMENTS IN RELATION TO SURVEY MARKERS
FOUND, SMD MARKERS ARE NOTED ON SURVEY DRAWING.
THIS SURVEY IS MADE FOR THE EXCLUSIVE USE OF THE CURRENT OWNERS OF THE
PROPERTY AND ALSO THOSE WHO PURCHASE. MORTGAGE OR GUARANTEE THE 717LE
THERETO WITHIN ONE HEAR OF THE FIELD DATE NOTED ON THIS SURVEY.
(C) 2019
COVERED
ENTRANCE
SCREEN
ENCLOSED
AREA
SCREEN
ENCLOSED
WITH POOL X CHAIN LINK FENCE
0 15 30
60
SCALE: 1 "=30'
WOOD FENCE
NOTES: (1) IN COMPUANCE WITH FLORIDA ADMINISTRATIVE CODE IF LOCATION OF EASEMENTS OR RIGHTS—OF—WAY OF RECORD, OTHER THAN
THOSE ON RECORD PLATS, 15 REQUIRED. TINS INFORMATION MUST BE FURNISHED TO THE SURVEYOR AND MAPPER. (2) F APPUCABLE,
FENCES SHOWN MEANDER ON OR OFF UNS.(APPROX.) (3) NO EXCAVATION OR MAPPING OF UNDERGROUND IMPROVEMENTS HAS BEEN
PERFORMED. (4)CORNER MARKERS ARE 1/2" DIAMETER UNLESS NOTED OTHERWISE.
BASIS OF BEARINGS 15 R/W UNE (USING PLAT BEARING OR ASSUMED) UNLESS NOTED OTHERWISE
LEGEND: (0) - CALCULATED. Cj - CURVE NURSER . CS- CABLE BOK LP- UGIT POLE. C/S - =KNEW sus. ay - CHAIN MK FENCE. CCM - CONCRETE
CSW - CONCRETE SIDEWALK (D) - DEED, DE - DRAINAGE EASEMENT. EMT- ELECTRO 80(. COW - EDGE OF WATER, VP - EDGE OF PAVEMENT, (F) - FELD.F/C - FOIE CORNER.
FCR - FR CAPPED. FXC - FOUND X OUT FCM - FOUND CONCRETE MONUMENT, FP - FOUND IRON PPE, FIR - FOUND IRON RCD. FN - FOUND NEL, RID - FOUND NAL a PSC
OA - GUY ANCHOR D - £EN1P1OATICW. (M) - MEASURED. MSI - MANHOLE, NOF - NO MARKER FOUND. OHM - MERMEN) WRE. 0/A - OVER All. (P) - PLAT. P/E-POOL EQUP.
PP - POMP POLE. POB - POUT OF BEGINNING. POC - PORT CF COMEIICO,E1IT, PRM - PERMANENT REFERENCE MONUMENT. R/W - RIGHT Cr WAY, SR - SET 1/r IRON ROD
LSI Ga12. SID - SET NAIL AND DISK LB OI1Z. INF- 1RN19FORIMR. TOS - TOP CF BARK. 1P- PHONE PEDESTAL. UE - UILMTY EASEMENT. NM - WATER MEIERNOF - WOOD FENCE
Know It Nov, Inc.
Florida Business Certificate Of LOCATION - 2011 HEIDELBERG AVENUE, DUNEDII. FL
Authorization Number LB 6912 VOICE 727-415-8305 FAX 727-736-2455
CERTIFIED EXCLUSIVELY TO THE BELOW PARTIES
ROSEMERE2 LAND TRUST
1 HEREBY CERTIFY THAT THIS SKETCH OF SURVEY WAS MADE UNDER
MY RESPONSIBLE CHARGE AND 10 THE BEST OF MY KNOWLEDGE AND
BELEF SAID SURVEY MEETS THE MINIMUM TECHNICAL STMOAROS SET
FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS
NN CHAPTER 5J-17 FLORIDA ADMINISTRATIVE 000E FURTHER, THIS
DOCUMENT IS ELECTRONICALLY SIGNED AND SEALED PURSUANT TO
SECTION 472.027. OF THE FLORIDA STATUTES N40 CHAPTER
5J-17 OF THE FLORIDA ADMINISTRATION CODE.
Surveyor & Mapper Number 4636
IE _0F FIELD WORK: 07-23-2019
BILL HYATT
FLORIDASURVEYOR@AOL.COM