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1354 BARRY ST (l U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency WE No 1660-0008 Nationatl Flood Insurance Program Exp ratfon Date, November 30 2022 m._ ._.. — . . .... ELEVATION CERTIFICATE a IImport rtt: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2) insurance agenUcompany, and(3) building owner. SECTION A–PROPERTY INFOR 71O - FOR lNSURANCE COMPANY USE Al, Building Owner's Name Policy Number: Nico Napoli A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: b Box No, I 1354 Barry St(shed) city State ZIP Code ,Clearwater FL 33756 A3. Property Description (Lest and Block Numbers, Tax Parcel Number, Legal Description, etc.) LEGAL: LAXEMEW ESTATES BILK 2, LOT 16 A,4. Building Use(e.g., Residential, Non-Residential, Addition, Accessory, etc.) NON-RE IDE TAL AS. Latitude/Longitude: Lat. 27.952951 Long. -82.7867851 Horizontal Datum: F-] NAD 1927 [Xi NAD 1983 I A . Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. I A7. Building Diagram Number A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) sq ft ) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in d) Engineered flood openings? Yes ] No j i A9. For a building with an attached garage: a) Square footage of attached garage sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ]Yes ([K No SECTION B–FLOOD INSURANCE RATE MAP (FIRM)INFORMATION 81.NFIP Community Name&Community Number B2. County Name 133. State City at Clearwater, 125696 _ I Pinellas FL l B4. Map/Panel B5. Suffix I B6. FIRM Index I B7 FIRM Panelmm m u w ! B8. Flood Zone(s) B9. Base Floud Elevation(s) Number Date Effective/ ( Gone AO. use Base Revised Date Flood Depth) 12113 9169 H 08/18/2009 05/17/2005 AE 25,9 B16. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B : ( ' FIS Profile [xJ FIRM L7 Community Determined Other/Source B11, Indicate elevation datum used for BFE iin Item B9: [ N 11D 1929 NA�/D 1988 j ) OthertSource: B12. is the building located in a Coastal Barrier Resources System(CBRS) area or Otherwise Protected Area(OPA)? Yes E No Designation Date: CBRS r� PA, l l i FEMA Form 686-0-33(7/15) Replaces all previous editions. Fara Page 1 of 6 i OMB No.1660-0008 ELEVATION CERTIFICATE Expiration Dale: November 30,2022 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. Policy Number: 1354 Barry St (shed) City State ZIP Code Company NAIL Number. Clearwater FL 33756 SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* 0 Finished 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,Vi V30,V(with BFE),AR,ARIA,ARAE,AR/Al—A30,AR/AH,ARIAO. Complete Items C2.a—h below according to the building diagram specified in Item A7.In Puerto Rico only, enter meters. Benchmark Utilized: PIN-622 Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 n NAVD 1988 p Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement, crawlspace, or enclosure floor) 27.2 ❑X feet ❑ meters b) Top of the next higher floor ❑X feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) ❑X feet ❑meters d) Attached garage(top of slab) feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building ❑X feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 26.8 ❑X feet ❑ meters g) Highest adjacent(finished) grade next to building(HAG) 26.9 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including ® feet ❑ meters structural support SECTION ID—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 hest efforts to interpret the data available. 1 understand that any false statement may be punishable by rine or imprisonment under 18 U.S Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? X❑Yes ❑No ❑Check here if attachments. Certifier's Name License Number `1```„",,,�„� CARLOS HERNANDEZ 5718 c3 E rtie PSM _ V10ENSF O �'� No.5718 Company Name FLORIDA BUILDING & LAND SURVEYING CORP ?cu� ,W Address G' PCL 12555 BISCAYNE BLVD# 934 �F�R'��f�°�A�O`�,�'1 City State ZIP Code x=01 NORTH MIAMI FL 33181 Signature Date Telephone 08/10/2021 1-877-894-8001 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) SHED HAS 4 VENTS. TOTAL.SQ INCHES IS 384. FEMA Form 086-0-33(7115) Replaces all previous editions. Form Page 2 of 6 OMB No 1660-0008 ELEVATION CERTIFICATE Expiration Date. November 30. 2x022 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. Policy Number: 1354 Barry St (shed) —di-t-Y State ZIP Code Company NAIC Number Clearwater FL 33756 1— 1 SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFI) For Zones AO and A(without BFE), complete Items El—ES. If the Certificate is intended to support a LOMA or LOMB-F request, complete Sections A, B,and C. For Items El—E4. use natural grade, if available.Check the measurement used. In Puerto Rico only, enter meters. El- Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG) and the lowest adjacent grade(LAG). a) Top of bottom floor(including basement, crawlspace, or enclosure)is 1:1 feet []meters F]above or [:]below the HAG. b) Top of bottom floor(including basement, crawlspace, or enclosure)is Pq feet E:1 meters EJ above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building is fx'j feet [—]meters F-1 above or �below the HAG. E3. Attached garage(top of slab)is K feet �meters above or E]below the HAG. E4, Top of platform of machinery and/or equipment servicing the building is J feet E]meters above or 0 below the HAG. ES, Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? EJ Yes 0 No 0 Unknown. The local official must certify this information in Section G. 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 OMB No. 1660.0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2022 INFORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit, Suite, andlor Bldg.No.)or P.O. Route and Box No, Policy Number: 1354 Barry St (shed) Cid State ZIP Code Company NAIL Number Clearwater FL 33756 SECTION G—COMMMITY INFORMAnON (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 items)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—G1 0) 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: Ej New Construction E] Substantial Improvement G . Elevation of as-built lowest floor(including basement) of the building; feet 0 meters Datum, G9. SFE or(in Zone AO)depth of flooding at the building site: Y feet E] meters Datum G10. Community's design flood elevation- nx feet 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(7'115) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No166M008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiratllon Date November 311 2W� 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. Policy Number: 1354 Barry St (shed) City State ZIP Code Company MAIC Number Clearwater FL 33756 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 ml 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. 0 "N; V, "m I its Z1' Photo One Caption FRONT VIEW 08/10/2021 ............. t 68111 lliq, Ile, 11111'1111i5� MR, qN, Wff, 7 Photo Two Caption REAR VIEW 08/10/2021 FEMA Form 08&-0-33 (7/15) Replaces aIl previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No, 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6, Expiration DateNovember 30, 2022 IMPORTANT:in these spaces,copy the corresponding Infonnation 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. Folicy Number: 1354 Barry St (shed) ............... State ZIP Code Company MAIC Number Clearwater FL 33756 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. "g q�, 0� A �A i Stu' M,1,. "77, Photo One Caption SIDE VIEW 08/10/2021 QZk*,`N "s N, o phoo Photo-Two Caption SIDE VIEW 08110/2021 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 OMB No. 1660-0008 Expiration Date: November 30. 2022 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 Nico Napoli Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1354 Barry St (shed) Company NAIC Number: City State ZIP Code Clearwater FL 33756 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LEGAL: LAKEVIEW ESTATES BLK 2, LOT 16 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. For a building with a) Square footage b) Number of permanent c) Total net area d) Engineered Residential, Non -Residential, Addition, Lat. 27.952951 Long. Accessory, etc.) NON-RESIDENTIAL -82.7807851 Horizontal Datum: obtain flood insurance. 1.0 foot above adjacent above adjacent grade ❑ NAD 1927 grade X NAD 1983 2 photographs of the building if the Number 5 Certificate is being used to 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 sq or enclosure(s) within in sq ft within 1.0 foot sq in ❑ Yes In No garage: garage openings in the attached garage in A9.b ❑ 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 FL B4. Map/Panel Number 12103C0109 B5. Suffix H B6. FIRM Index Date 08/18/2009 B7. FIRM Panel Effective/ Revised Date 05/17/2005 B8. Flood Zone(s) AE 89. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 25.9 B10. Indicate the source ❑ FIS Profile B11. Indicate elevation B12. Is the building Designation Date: of the Base Flood Elevation (BFE) ❑ Community Determined for BFE in Item B9: Coastal Barrier Resources ❑ CBRS data ❑ NGVD System or base flood depth entered in Item B9: ❑ Other/Source: x FIRM datum used located in a 1988 ❑ Other/Source: or Otherwise Protected 1929 © NAVD (CBRS) area ❑ OPA Area (OPA)? ❑ Yes F7 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, 2022 IMPORTANT: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address (inducing Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1354 Barry St (shed) Policy Number: City State ZIP Code Clearwater FL 33756 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 A1 -A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, Benchmark Utilized: PIN -622 Vertical Datum: NAVD 88 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 (inducing basement, crawispace, or enclosure floor) 27.2 X the measurement used. feet ❑ meters b) Top of the next higher floor X feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) x feet ❑ meters ci) Attached garage (top of slab) F feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building X feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 26.8 X feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 26.9 P.1 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including FN 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 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 CARLOS HERNANDEZ 5718 H ERIV,q�''-,,,, " PQM\CENSE ' ' (.i No.5718 t4- = - 77- 7/ = G). a ; - `•Q �9 OF FL��� "'� ��SOl IrS ',,'"„",,„„,"`"'s Title./°'/SCS PSM Company Name* FLORIDA BUILDING & LAND SURVEYING CORP Address 12555 BISCAYNE BLVD # 934 City State ZIP Code NORTH MIAMI FL 33181 Signature Date Telephone 08/10/2021 1-877-894-8001 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) SHED HAS 4 VENTS. TOTAL SQ INCHES IS 384. 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, 2022 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. 1354 Barry St (shed) Policy Number: City State ZIP Code Clearwater FL 33756 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 El—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 infomnation 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, 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. crawispace, or enclosure) is ■ feet ❑ meters b) Top of bottom floor (including basement, crawispace, or enclosure) is G! 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 0 feet ❑ meters E3. Attached garage (top of slab) is 0 feet ❑ meters E4. Top of platform of machinery and/or equipment servicing the building is 0 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. orm Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30. 2022 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. 1354 Barry St (shed) Policy Number: City State ZIP Code Clearwater FL 33756 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) ❑ meters Datum P 1 feet ❑ meters Datum building site: Fl feet ❑ meters Datum x feet Local Official's Name Title Community Name Telephone Signature Date Comments (inducing 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. 2022 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. 1354 Barry St (shed) Policy Number: City State ZIP Code Clearwater FL 33756 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. a tt iii 4 .. n /.•._: AI 1. KX .Y, `i "� sem` .: .." • Photo One Caption FRONT VIEW 08/10/2021 .' Al Photo Two Caption REAR VIEW 08/10/2021 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS See Instructions for Item A6. OMB No. 1660-0008 Expiration Date: November 30, 2022 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. 1354 Barry St (shed) Policy Number: City State ZIP Code Clearwater FL 33756 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. `e t — , Photo One Caption SIDE VIEW 08/10/2021 'r;f` Na �,�r`tWit At .. r 1 '1i essr ° r - ii 4 ..: ef?t v` .a aW.} T"c,. ' } ;;`.. t mac: ,!µ�# g,%.}.a.�•,t , -. �,�..b4. f'iT.?,,,,, 1� ' � Phots '4, . Photo Two Caption SIDE VIEW 08/10/2021 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6