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946 BAY ESPLANADEU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICA1 Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insu SECTION A — PROPERTY INFORMATION Al. Building Owner's Name TOM & SHERRY SULTENFUSS A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 946 BAY ESPLANADE City CLEARWATER BEACH State Florida 946 BAY ESPLANADE BCP2020-060212 REMODEL SULTENFUSS, SHERRY W Zoning: Low Medium Density a Atlas #: 2` FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 32-28-15-13464-256-0100 A4. Building Use (e.g., A5. Latitude/Longitude: A6. Attach at least A7. Building Diagram A8. For a building with a) Square footage b) Number of permanent c) Total net area d) Engineered A9. Fora building with a) Square footage b) Number of permanent c) Total net area d) Engineered Residential, Non -Residential, Addition, Lat 27° 59' 59.1" Long. Accessory, etc.) RESIDENTIAL 82° 49' 24.3" Horizontal Datum: ❑ obtain flood insurance. )scent JUN 0 5 2020 & DP' !_F r OF �; �;'A1, above adjacent grade NAD 1927 rade ' OPS , r x NAD 1983 0 2 photographs of the building if the Certificate Number 1A is being used to 0 sq ft a crawlspace of crawlspace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b 0 sq or endosure(s)ve in PLANNING ft CITY within 1.0 foot sq in iNT 0 sq ❑ Yes © No garage: garage 483 openings in the attached garage in A9.b 0 0 Yes p 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 84. Map/Panel Number 12103 C 0102 B5. Suffix G B6. FIRM Index Date 08/18/2009 87. F RM Panel Effective/ Revised Date 09/03/2003 B8. Flood Zone(s) AE 89. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 11.0' B10. Indicate the source of the Base Flood Elevation (BFE) 0 Community Determined for BFE in Item 89: Coastal Barrier Resources data or base flood depth entered in Item B9: • FIS Profile BI 1. Indicate elevation B12. Is the building Designation Date: El FIRM datum used located in a ■ Other/Source: Area (OPA)? ■ NGVD System 1929 p NAVD (CBRS) area 1988 • Other/Source: or Otherwise Protected [] Yes X No • CBRS • OPA 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. 946 BAY ESPLANADE Policy Number: City State ZIP Code CLEARWATER BEACH, Florida 33767 Company NAIC Number SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Rico Cl. Building elevations are based on: ■ Construction Drawings* D Building Under Construction* El 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, Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Benchmark Utilized: P.I.D. # AL 0119 Vertical Datum: 5.40' AR/A1-A30, AR/AH, ARIAO. 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) 5. 9 Check the measurement used. p feet ❑ meters b) Top of the next higher floor 15 0 p feet • meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A Q feet 0 meters d) Attached garage (top of slab) 5 8 x feet 0 meters e) Lowest elevation of machinery or equipment servicing the building 6 5 p feet 0 meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7. 1 In feet ■ meters g) Highest adjacent (finished) grade next to building (HAG) 7. 5 p feet ■ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 5. 8 p 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 maybe 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? © Yes ■ No p Check here if attachments. Certifiers Name License Number LARRY L EVANS FL LS No. 2937 Place Seal Here Title LAND SURVEYOR Company Name EVANS LAND SURVEYING, INC. Address 1460 BELTREES STREET STE. 9 City State ZIP Code DUNEDIN, Florida 34698 Signature+/ c3( Date Telephone 02/03/2020 (727) 734-3821 Copy all pag o is Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) budding owner. Comments (inclu ' g type of equipment and location, per C2(e), if applicable) C2.b): FRONT ENTRANCE IS AN 8" HIGHER, (6.6'), FLOOR LEVEL THAN THE REST OF THE HOUSE. C2.e): IS AN EXTERIOR NC COMPRESSOR, ON ELEVATED PAD, ALONG SOUTH PROPERTY LINE. 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. 946 BAY ESPLANADE 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. 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. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ■ 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. 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. 946 BAY ESPLANADE Policy Number: City State ZIP Code CLEARWATER BEACH, Florida 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: ❑ 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: New Construction ❑ Substantial Improvement basement) ❑ feet ❑ feet ❑ feet ❑ meters Datum 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) ❑ 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. 946 BAY ESPLANADE Policy Number: City State ZIP Code CLEARWATER BEACH, 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. •.• :"., l illii 111 i Pry ter I - , l we �'L •J k� 4ir :W t ',1JS,y Photo One Photo One Caption FRONT VIEW - 02/03/2020 I. <y, dila _AIM 1 1 11 Vis/ • .Fyt �- r'..-" 42.x...7'. i il '. Photo Two Photo Two Caption REAR VIEW - 02/03/2020 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. 946 BAY ESPLANADE Policy Number: City State ZIP Code CLEARWATER BEACH, 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 One Photo One Photo One Caption Photo Two Photo Two Photo Two Caption FEMA Form 086-0-33 (7/15) Replaces all previous editions. orm rage ti o