908 EARLHAM DRU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
Federal Emergency Management Agency
Naborud Rood Insoneear Program
important Read the instructions on peges 1-8.
OMB No. 1660-0008
Exotres February 28.2009
SECTION A - PROPERTY INFORMATION
For insurance Company Ilse:
A2 Rumple Street Address pmiudina Apt., (MMI. Snits. andlbr Bldg. No.) or P.O. Route and Box No.
908 FLHAM IiRIW
Ci.EAFdVATER
Slate
FL.
A. Property m :tom (1.01 and Muck Nunibdrs, Tax Road FMurnber, rogerarea f omZ )
LOT 2 VARSITY ESTATES, c.7- 2 9. -JG - 937 S"' �O `( 2.
A4. 8ulld1n0 Ike (e.g.. Re:Ideas!. Mon.Rasi0en al. Addtiort Aoraaaory, etc.) RESIDENTIAL
Ab. LadtdeeLorglkidalac. 27°58'25" Long. 82°44 19" Horizontal Dakin: D NNAD 1827 g NAD 1983
A8. Atiadl at least 2 photographs al the buidig If the CarlBlcafe Is tleilg used to attain flood knakxanoe.
A7. Bulking Dtepram Number 1
A8. For a Maldbig skin a crawl space or el sere(s). pronWde A9. Foe a banding elan en elfecfed game. provide:
a) Square footage of vest space or encloe ref e) N/A eq 8 a) Square bohge d attached garage S71 sq fl
b) No. of permenert geed openkga In its crawl apace or b) No. of pennarreot lead openings In Rha adladrad wage
eysieue(s) wale within 1.0 foot above agaoent Smola NIA wets warn 1.0 loot above adjacerd grade. A
c Total net area of flood op :new m Atlb N/A sq 1n a) Total net oma of good openings In nab 4 sq In
Policy Number
401A- cn SECTION B . Ft.00D INSURANCE RATE MAP (RRM} INFORMATION
f31. NFIP Comma* Mann. i Corenauaty Number 1Tf q G
rig Cowry Name
PTNF'f,j;AS
03. 'Fr,
134. MaplPsnet Number
1 21 03001 26
U5. Softs
G
M. FIRM Index
d14a 3 a
07. FIRM Panel
Egad Date
9-03-03
8A Rood
Zones)
AE
Be. Base Flood EHavadon(.) (Zone
AO. use base flood depth)
26
B10. Menem the source or the Bass Flood EMvd6n (W ) data or Use boort depth entente In them t49.
0 FIS Rolle 0 FIRM ® co nsul y Dswmind 0 Other (Describe)
011. Indicate elevation datum used for SFE in Mem Bg ®NGVD 1829 0 NAVO 1M8 ❑ Oils (D.aalom)
812. Is the build kip located in a Candid Bonier Resources Systeme (CBRS) area or Otherwise Protected An. (OPA)? 0 Yes
Destgration Date 0 MRS 0 OPA
[sift
SECTION C . BUILDING ELEVATION INFORKATIOI1(UVEY REQUIRED)
C1. 8uldkdg elevations are based on: 0 Construction Dmwkegs- g3 Building Under Construction' 0 FWahed Construction
A new Govatlon Cornea% wee be rogedned when construction or the building k oorrpleta.
C2. 6wa.tims - Zones A1 -A30. AE, AH. A (wilt► WE). VE. V1.V30. V C0 11 BFD. AR AREA. ARAE AR/A1-A38. AR/AH. ARIAO. Corn** NITS Mal
balm acctrdktp 10 tis biding aim spedted Y1 bern A7.
Bench, urk Ut3ind Sri: COMMENTS VeNe.! Dago NGVD 29
a)
b)
c)
d)
e)
1)
4)
Top of babas Soar (=fading basement, paid space. Or enclosure goof)
Top Of the next nigher door N/A: ---E] meet
Bottom of the lowest hodapntai structural member (V Zoned Only) -.A
Attached Swage Ow of deb)
Lowest elevation of rnadtilry or equlpMerd ear IWI) tuts bubbb9 TJ `,❑ feet
(Describe type of equipment M Commerdn)
Lowest akgacend (teethed) grade (t,Ar3)
Highest a ljucerd Ribbed) grade (HAG)
Check k the measurement used.
31 1 (S lest ❑ meters (Pumas Rico ort')
feet
feet
N/A fee:
NIA
❑ meters (Redo Rico WO
(� alters (Puerb Rico any)
❑ moats (Puerto Woo arty)
❑ meters (Puerto Rico arty)
8 milers (Puerto Rico Bray)
meters (Puerto Rico orgy)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This aellikatlan b to be sgrsd and sealed by a land aesreyar. engineer. or entitle* aaamltmd by taw to Dotty Newton
Information. I cerfxy that the Ldenna0an an thus C reikeie rupr Bente ray Mat sabots re iatrri+rat the data avaible.
1 understand trial an' false stetenrant may be pt. .bee by Me of Imprisonment under 18 U.S. Code. Se fico 1001 -
al Check here d contrarian ere provided on back or tam
iyrt10J. Marshall UMOrn
professional Surveyor Aro per
Marshall -Peirce And Assoc. Inc.
Address slate ZIP Cede
FEMA Form 81-31. February 2000
12-10-.09 T7Z7-738-8321
See r s eerie side for continuation.
SCC L4!
I... -1v
QD
00
-0CO
tV M
oD
0
tU
�r
CD
o =
CO
Replaces al) previous edlt ata
IMPORTANT: In these spaces, copy the corresponding information from Section A.
For Insurance Domain Use:
Bolding Street Address (including Ad, UM. Shite. rndlor Bldg. No.) or P.O. Rale and Bos No.
908 EARLIiAM
City Clearwater
Shaba FL.
ZIP Code
Policy Number
Company MAIC
J
SECTION D - SURVEYOR ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED'
Copy both sides alms B.vaean Cer1lteata for (1) oarrenuney onkel, (2) Insurer= agordkmnpa►y. and (3) building ottref
corsnents
a� r•!u C:ii. :111 e' 1"
= 30.57NGVD 29
bit l/ a s•*_aq 1 IPS_I►
Signature
Osie
12-10-09 0 Check hers Y ettadw*M,
SECTION E - BUILDING ELEV$'PON INPORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT SPE)
For Zetas AO are A (mahout BFE). onroYie thews El -EL. lithe Cereleals le hflonded to support a LAMA ar LOiIRF request oompie a Seemmns A. 8.
and C. Far bans E1.F4, use refund oracle, N avalL-'leC iedt fie rneesureMent USW. to Amite Rano only, enter meters.
El . Provide demean Inhumation for the faiotei g end cheek to appropriate bares 10 stem stainer the atevafian Is above or below the highest adjacent
grade (HAG) and the Wrest el pasirt grade (LAGS-).
a) Top of bottom floor (frctudrg basement, vena space, or ends -use) Is , ❑ feet ❑ rehab ❑ above or }rc below Me HAG.
b) Top of bottom roar (Including bat -mem aswl speak a endow* Is — 0 roe meters 0 above or L Leine the u0.
E2. For Building Dtag,vne b6 nth pommel; nand ope,dros provided In SereigLA Itmro 8 eusatir B (awe gege!f d lestrudlend. the next higher now
(dtvaton Cab In the diagrams) d the balding Is. ❑ i eters above or U b01ow Yue MAG.
E3. Attached Owego (bpd stab) Is , ❑ lest 0 meters 0 above or 0 beiow the HAG.
E4. Tap of platform of rnarlmehery srdior equipment ee&th g the boding le — 0 feel 0 meters 0 above Or 0 below tete HAG.
E5. Zan» AO only: lino load depth number le amiable. b the top of the botlom loos elevated In acoofaarre *AM Vie cot mrnty's noodplsdn mansgerrere
ordinance? ❑ Yes 0 No 0 Unknown. The local onlc101 none certify this Information In Section (3.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) C+ERT(FZGATiON
The aopo*y owner or owner's anther old representeeve who completes Smilers A B, and E for Zorn A (sitrase a FMA-isered or tornnaaitrhaued
or Zara AO nest cian hare. The d rtsmonts h Swann, A. 8i and E a,. =owed loran lest of my k oelerg..
Property Come or Owrre'. Milanese Representation's lams
Address
Oty
State ZIP Code
Date
Tetepnone
Common!,
N G - COMINU? TY INFORMATION (OPTIONAL)
omtnaree can template Sect
end 0 of des Ebvatfory CerbTll®te c:arhplals to bop iicebte tern(.) end sign blow. Cha.4t Y,a measrarnst Wee In Imus Ga. and Gr.
Gi 1. ❑ The beams/elm In Scotian C wee taken nom other documentation that hes been stored and seated by a kensed surveyor. engineer, or =Idea who
Is ardhertzed by taw to orrery etwraton Yibnrta, (Indicate t e coons and dein of Ma al.vadoe dot in rhe Comrnents area bdnw_)
G2. 0 A oorrrrvr*y official oartfll.tad Section E for a boectkre located In Zone A (merlon a FEl4A.4s.w0 or oamrnwhi-iswrd BFE) or Zone AO.
Gs. 0 The wowing Imams Ion (mane 04. -Ga.) Is provided es mooniesty nmdplaln management purposes.
G4. Pemnl Nhrnbei
Gd. Data Peeing Issued
G8. Cab Certicats Of ComphnaJOmrpancli Issued
G7. The pernN hes been Issued for 0 New CaneVhrtbn 0 Substantial Improvement
G8. Elevation of ow-budt loose floor (Including basement) nn one busdinta ❑ feet 0 meters (PR) Dauil
GO. BFE a (15 Zone AO) depth Of loosing el the building site 0 feet 0 maters (PR) Oaten
Local OfDdars Mame
Tete
Cowardly Nene
Telephone
Sign/Mune
0 Cheg two It attachments
FEMA Farm 51-31, February 2008
Replaces ell previous editions
U.S. DEPARTMENT CF HOMELAND SECURITY
Federal Emergency Management *Joni
Nrbond Rood boom= Program
ELEVATION CERTIFICATE
important Read the instructions on peps 1-8.
OMB No. 1680-0008
Expires February 28.2009
SECTION A - PROPERTY INFORMATION
For Insurance Company Vas:
M. Suiting Nanta
A2 Burdtrg Shear Address OnoWing Apt, Lintl. Sues. orator Bide. No.) or PA_ Route and Box No -
908
0.
908 EARLHAM DRIVE
Pdiry Number
Company NAIC Number
a EARWATE R
Stale
FL.
A3. Properly Mastodon (Loi and deck Numbers, Tux Parcel Number. Legit DeacWIon, dc.)
ice 4 VARSITY FATES
A4. Building Use (e.g.. Rs/Menke, Non s idltidM1. Addison. AocesartY, etc.) RESIDENTIAL
A. Lat WWUmgnutta tat. 27°58'2_5" Lana. 82°44'19" Horticrid Dstitn 0 NAD 1927 t'ijnow rw..
AB- Atfadn at few 2 photographs of the bulldog 9 tie Card/loft b being used to obtain flood Munroe.
A7. Bulking Otspram Number 1
A8. For a h6Arig weh a crave space or enclose rets). p►otiMac AO. For a hiding salt an aghciied game. provide:
a) Square foouge of creed space or enclosure(s) N/A sq e a) Square Image of afhrhed swage ri71 sq It
b) No. of prmaraart food oparinsp In the crawl apace or b) No. of permanent fleod uporings in the .dads d prop
e rJamaas) web wain 1.0 tool above el‘aoent prate N/A walla wain 1.0 loot above adjacent trade , A
c) Total net area of flood apenirgs In A3.b --IVA aq in c) Total nal area of food Molise In Atib A sq is
908 EARLHAM DR
BCP2009-10038
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
tat. NFP Canvnw*y Name 8 Community nity Number
PTN ELAS 125139
82 Carty Name 1 133. Beate
PTNF'tJJAR
S4. MapdPPiel Number
1 21 03001 26
BS. Subs
G
MI FIRM index
oats
- 67. FIRM Parol
� oveiR�ed Dae
R11. Rood
Zgne a)
AE
119. Base Flood lBavationTs) (Zone
O.usebase flood)
A9-03-03
810. Indicate the scum of the Base Flood Bsvaion (WE) data or Nese food depth ordered In Ran Bel.
ORS Profile 0 FIRM ® Community Dewmined 0 Other ( ibe)
6t 1. Indicate elevation datum used for BFE in Itemlift ® NGVO 1828 0 WAW atlas 0 Other (Describe)
912. Is the building located in a Coastal Barrier Resources System (CBRS) area or Olherwrise Protected Ana (OPA)? 0 Yea
Desigmdio n Oats 0 CBRS o OPA
®No
SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REARED)
CI. Bulking aevetbne rue based on: 0 Construction Drawings' Striding Under Carter cion' 0 Finished Construction
'A now 6ava0on Csrelleals cif ba required whin construction or One building k canticle.
C2. Elevations - Zones Al -A30. A. AN. A (wish BEE). VE. V1 -V313.1/ Nab B,FE). AR. AR/A. ARIAS AR/A1-A30. AR)AH. ARAM CarnplMe netts C2.. -g
beim ormordinp to tela b1619111epesifed h Ilene A7.
Benthnwt United SEE Ca ''lEN1.'S Vertical Dawn NGVD 29
a)
b)
c)
d)
e)
1)
g)
Top of bottom floor (iriduding basement. creme spare. or endostae Row)
To Of tele nest Ngthet Poor
Bottom of the lowest horizontal *tumoral member (V zones only)
Attached garage (top of ahib)
Lowest elevation of machinery or equipment servicing Ste bWdkg
(Deaatbo type of equipment in Cemnerta)
Lowest adjacent (bashed) Bade (LAG)
Highest aajaoem (tribhed) grade (NAG)
Check the msasuromati uset
311--�[—�1 feet
N/A. U feet
D feet
- N/ rest
N/A reel
N/A neat
❑ meters (Puerto Rico ori&r)
❑ melees (Puerto Rico alt)
❑ meters (Puerto Rim oath
❑ meters (Puerto Rico oily)
D n (so Rico any)
Bmaters (Wert Rico arty)
masers (Puerto Rico only)
SECTION D - SURVEYOR, ENGINEER. OR ARCHITECT CERTIFICATION
This cntifcation Is to be signed and sealed by a land surveys. engineer. or architect autlrottked by low to certify elevation
Informa fan. few* that etas inion attar an 401e dab rgevsenb my bast Warts Ia tit mmtlhs data avaibb.
I walaratend that any Who statement may be pnnttable by rife or tatorlsorarrenl under 18 US Code. 9ectdf0a1001.
® Check here rf comments are provided on back of Corm.
TiT�eircogg J. Marshall uTertert
tomo
Professional Surveyor Aid M3� er a Marshall—Peirce And Assoc. Inc.
areasSlate ZIP Cade
2194
S { _ � TamAdin� T�Folr� 34698
11p-7 O-09 4 /-738-8321
FEMA Farm 81.31. February 2008 See reveres skis for continuation.
Replaces an previous editions
ni
IMPORTANT: In those spaces, copy the cameo* ng InteentotIon front Section A.
Building Strom Address (Vi g eat, Unit. State. orator Bldg. No.) or P.O. Route and Bar No.
For908 EAPLaAM DRIVE
trouranos
City Clearwat-c.r
Stela FL. ZJP Code
Cowpony }RIC Number
SECTION - SURVEYOR. ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED
Copy both sides or this EirsatIon Carillons ter (1) aemmunibr anklet (2) IratirenCe agora/employ. and (3) buklino owner.
Commits
BENCHMARK: NCIRTS RThtQF SANTTARY MANnOLE AT VARSITY DRIW AND DPEELTN DRIVE
ELEVATION= 30.57' NGVD 29
Signature
Gals
12-10-09 0 Chaco hens attacilunano
SECTION E - OUILDINO ELEV ON INFORMATION (SURVEY NOT REQUIRED) POR ZONE AO AND ZONE A (WMMAOFE)
For Zones AO and A (vithous corrplale bens El -ES. If the Cantle:0e Is Intended to support a LOMA or LOLOSF moue* complete Sections A. B.
and C. For hems E1 -E4. use ratted 8i-M..12mM*. Cho* Vis rnestasement used In Rano Rho only. sew meters.
Et . Provide alsvalion information es the foaming Iasi chedt the spanks/lets boxes to slim whether the alaindion is above or below the lashed ailment
grade ()WG) and the Iowa adlacert grade (LAG).
a) Teo of bon= Star (Including basement, crawl space. or endaiUTO)13 0 teat 0 meters 0 above or B beim Me HAG.
01b) Top bottom We (Including Idwernerd, crawl opece, or antiosurs)ls — 0 feet 0 meters 0 aor bove below the LAG.
E2. For Sultana Magma 84) seat perntarcent float openingsuM 18.dji ttems 8 fatIlar 8 (see gage a al Instructions). the nod higher Roof
(elevation C2.b In the ding:arra) of the budding kt. U U Ireton U above or U below Me HAG.
E3. Attached garage (lop 01 arab)* , 0 kW 0 meters 0 above or 0 below the HAG.
E4. Tap al plationn of machinery ormilltv equipment servicing the hiding Is . keel 0 mesa 0 above Cr 0 WOW the HAG.
ES. Zana AO way: Ono food deptt number Is /sellable. la the top of the Mont floor sloveled 111 aoccotance vain mi convourates feenelaill rholistiorrowl
otdinance7 0 Yes 0 No 0 Unknown. The loved official mad cartly thls inionsition In Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property Meer or owner's atelhanzedottensertenve who conpistee Seelions A, B. an clE (3r2one A tatted • MIA -Issued or conorstrilly-isaued BFE)
Ur Zarmi AO Mai WWI Nile. The stotranents k, Snaking A. 8, end E ere cowed le olo halt a "V latogiftda&
Property Owner* or Ones Autleatted Representathwis Wino
Addrete
Oty
Stale ZJP Cods
Sigrialue
Date
Teinphone
Comments
• cOMMUNITV UORMAfl
The IOC" oft:Weft 13 aullicatzod by Ira of onlhaficsto*Mar the commie** floalplain
and 301 des Elevation cc:eau/am 0013131313 1h3 apprcabas Imm(s) and skip Whew. Check Me measwement used tn Ltisme 08. end GO.
Gl. E] The Intormation In SoctiOn C was When tom Whet docurneidalicn that hap been signed and sassed by a lconsed surveyor, engineer, or milieu vast
1.1 autiortzed by taw to wetly elevation Inforrrodloot (intncste Viemama mid 6.13 01 the ohokaon dale in Me Cconments wee below.)
G. 0 A oonwnunty official completed Section E kw a boading located In Zona A (wahoot • FEW -Issued ar otevenunay-baued BFE) or Zoos AO.
G. 0 The rocovAing intornediosi (ban(34,-Gs.) Is provided tor community flaxiptain trartegernant purposes.
G4. Perna NuMbor GS. Ditto Permit Issued I GS, Dale Certificate Of ConadanceiOccupency Issued —1
GT. This genre has been Issued tor 0 New COnetruction 0 Substarilial inswaremenl
68. Eievallat as-bufa lowest floor (Iieluding toceement) id the bierfelly 0 feel 0 meats (PH) 011IUM
GP. BFE � (10 Zona AO) depth of loading el ow balding Nte • 0 fee 0 meters (PR) Dakan
Local Oars Nano
Cannon* Name
Telerhone
signature
Contreras
0 Chack,,bpieji attschinents
FEMA Farm 81-31, Fetellery 2008 Replaces ell previous edltforts
Property Appraiser General Information
I999
1998
1997
1996
No $311,700
No $311,700
No $309,300
No $309,300
$31 1.700
$311,700
$309,300
$309,300
2009 Tax Information
(:'lick 1 lere for 2009 'lax Bill Tax District: CW
Taxes without any
exemptions:
A significant change in taxable value may occur
when sold due to changes in the market or the
removal of exemptions. Click here for more
information.
$16,654.73
Seawall: No
Land Use
Vacant (00)
Rights -Of -Way (94)
Rivers And Lakes (95)
$311,700
$31 1,700
$309,300
$309,300
N/A
N/A
N/A
N/A
Page 2 of 3
N/A
N/A
N/A
N/A
Ranked Sales See all transactions
Sale Date Book/Page Price Q/U V/I
07 Aug 16668 / $660,000 Q V
2009 0301 Li
31 Dec 16461 / $2,048,500 U V
2008 0455 LI
06 Dec 14782 / $1,500,000 Q V
2005 0493 m
09 Mar 13423 / $900,000 Q V
2004 1277 VA
Land Information
Frontage: None
View:
Land Size Unit Value Units Method
0x0 120000.00 3.5000 AC
0x0 1.00 28500.0000 SF
0x0 1000.00 3.0000 AC
(click here to hide] Extra Features
Description Value/Unit Units Total NewValue Depreciated Value Year
No Extra Features on Record
(click here to hide( Permit Data
Permit information is received from the County and Cities. This data may be incomplete and may exclude permits that do not result in field
reviews (for example for water heater replacement permits). Any questions regarding permits should be directed to the permitting office in
which the structure is located.
I
Permit Number
Description
Issue Date
Estimated Value
BCP2009-10038
NEW RESIDENCE
12 Nov 2009
$275,275
Radius
to
?hi
erials: 12009 Color
Transparency:10.5
Update Map I
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http://www.pcpao.org/general.php?strap=162907000004200200 12/11/2009
1
J'726 Y Z �j — (c 3/ ec_.
C/ v' .- (is f,/. .
ELEVATION SERTIFICATE CHECK LIST
City of Clearwater
FOR O.M.B. No. 3067-0077 — THAT EXPIRES DECEMBER 31,2005
SECTION A
✓ Y)S
✓ NO
.47,
Building owner's name
A2. i
Complete building address
A3/"
Complete property description
0
" A4.
Building use (Resident/Commercial)
Latitude/Longitude
AS.
A6.
Photographs (for flood insurance only)
A7.
Building diagram number
ION B
131. j'
Community name & number (125096 -,- ()tl ot (lrar‘, A1& r)
if
\g2-.--"
County name (Pinellas)
B3.
State (Horida)
B4.
Map/Panel # (see map) Sample: l_107(0l02
B5.
Suffix (see map) Sample: "G "
B6.
Firm index date (see map) Sample: 12/03C11/02G-- 5,1"/1)5
G
B7.
Firm panel effective/revised date (see map cover) 9-3-U$
B8.
Flood zone(s) (see map)
B9.
Base flood elevation
B10.
Source of base flood
B11.
Elevation datum
B12.
Located in a CBRS area or OPA area
SECTION C
C1.
Elevation information base
C2.
Attached garage (base on diagram #)
C3.
Elevations (crawl spaces or enclosure(s) from diagram #)
SECTION D
D1.
Check comment box (if applicable)
D2.
Surveyor, engineer or architect certification & seal
PAGE
A2.
Complete building address
1/
—SECTION D
;"
D3.
Comments (if applicable)
--=
SECTION E
El.
Elevation information (if applicable)
E2.
Building diagram (if applicable)
E3.
Attached garage (if applicable)
E4.
Platform of machinery/equipment (if ap•licable)
Zone (AO) (if applicable)
E5.
SECTION F
Fl.
Owners representative information (if applicable)
--
SECTION G (optional)
G1-9
Completed all section in section "G"
----
Miscellaneous:
Elevation certificate is complete and correct
,✓/
61- -ft tvA- (. P; L)Yhc S
Mt„}:n 00,,h4 C , r(fc ! t `Le c7 -s-(/
� _ _ _ _ _ _
u.s.��r�rr���mr ELEIIAT{�N CERTIFICATE o�++a r�o.�sstt-0oos
�xplre�Februarv 28.2049
Federal E�r+engeneY MA�+r�Agen� -
Nas�m�od�.�,�Pro�rmR► fmportsn� Re�ad the i�trudions or�pages 4-8.
• sECno��-wso�nr�t��u►nori Fa►��o«,�ry u�+:
at. e�,ftdrg I�ame Pau�y t�u,mber
A2.. Bupd"wg St�a�oer+ees�91tpt.ttMi.suiia.andlbr�dq-No.1 ar P.O-Route ar�d Bocc No- N1UC Plut� � C�
9 8 � ��� � �
�C .�'A1�iAT�f2
,�. ������.T���.�+°�'��`'' �� oD
LOrl' 2 VARSI'I'�t �'I'AT�S d 7- 2 9'-/G- �"3�7 s'� -'
A4. BWidy+o l�e{e.p..FLeslden�l.I�R�aiderdlal.Addtiort.AaC�arY.etc.} RESIDENTIAL C�U �
A5. Lah�.or�i.at 77'�-'-��2�*�� �•
o + }�p�p�yp; 1�lAD 19R7 �.NAQ te8;f � r
A�- 114t�d�at ieaet 2 phaloarspta�d►e bulidng�lhe Certlf�e ts De�g used 1u ob1�h eood�xenae. O =
A7. Bui�[t�Ot�ra�n�r O
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b} N�s.ot P�r�rt�eod�er�M�t�N�e e:aaA apane ot h) Pto-of pennaner�t.Hnod opsning!y►it�e atla�hed�e
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cctJ' v� BECttOi�9-FLOOD[I�URAl�E RATE IIIAP tF'�1}NrGRMA7IQN
ef.��c�r+,�.�y r�s co�xy hurn�.�1�-`�� e�carr�r�ne e3.s�a
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8l2. Is ffi,.butd4►►g bcated in a Cwstal Ba�tiar Resawroea 5ystr�re(CBR��a 4Y�wiea Proteded Ar.rp(CyP+�?? �]Yes (,� No
p��p� �CBRS []OPA
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•A nwr�awfian GAIIr�Es wN he raqetr�sd wt�r�aotntludion W the 6�Idlrip k cortP�r-
C2_ �m�oro-Z�orres At-A.�D:AE.11H_w(with BFE#.VE.Y1-�f3D.Y(wllh BFEI.AR.lU�1A AR/JkE AEt►A1-l�D.ARtAH.AR1A0. Campteie f#�ns CZag
bdio�u eo�rdlnp iD t)1e 1�rtg�I�Ep6df�d�4 tien+AT.
Ben��nnrk tit�ed SEE C�1TS Vertieal Datum NGVD 29
G7ted�ttrs rneas�etnert u�d.
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c} HciEEOrn ofi 1he lawest ho�iZOrrta1 slnichirsl men+ber(V Zane1�aliy) �est ❑rttEten(Pue�Rlta ard�)
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el �et�lom m��d�Y�y ar e�a sen�ng me euB�g Rr n._.D� ❑�������n
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7tJs ae�ti�r�lfon b ta be al�ried end ierled b�r a land s�sreYar,aqs�snr,ar�a�or�nd by Isw to ceNty ele�raik�+
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eui�efrq sireei Adanxa iind�dtno Aac.Urit.s�Ge.and�or BidA.Flc.)cr P.o.Route mfd Box Na PnNcy Number
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GomnEnig
i3'E7�IQ�MARff: NdRTH ��„QE,��Ti''i' RY MAI�IQLE T VARS�TY l]RIVE AND t}�LIN DRIVE
II.EtTATION= 30.5?' NGVD 29
51gna�ure t______. � Oaffi
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SE�CTION E-BIff1.t�Nti ELEV �N IMpOR1YlATtON(SUitYE7 NOT RFAUTAED�fOR 24NE d0 At�iD ZONE A�WiTFiC!!'P'BFE}
For Za�ss Ad ane A{w�hnd BF�.Qomplele t�ems E1-E5. If tl�e Ce�ie k ird�tnded ta suppoA a L4tdA or L�IR�rrauast,aomDie�e Seetlom A.8.
aM C_ Far 11err�E1-St,tna�ur�gr�d�e.ff�+raYa6le. C.t�edt t�e rt�easuertlBM u66�d. �P�erb I�Ca orf�►.6�r rtMt�rs.
E1. Aovfds alavatlon ktonmBon Aor tAeioN�ng srd d�erh ffie 9ppcopri�a hoxes fo�wr wtlelher thY e�afi0tl i:abOYe 0t 6eWw UIe 1�1�6t�nt
erade tt�}�na 8►e�ad�a�,t g�e{t�•
ay rop of bod�om Iba(in�rding Ces�men;vewt:pace,a encbsure}is ❑icet ❑a�eiera�aeo�re or �uebw tlte FfAG.
t��rop o�tot�om naor�r�u�oasement,�s�aca.a anaoai,re)�s w O r� p me�ers D aeove ar eeww me u�o.
E2. for 9Wmrg��ems B-8 wiits pemrar�ent tload ape�s prvrided In 9ediqp jl Ite�8�lor e{aee�8 d Ins6vc6a�»).ihe next hiphet Atwr
(ele+ration C2.b In tl�e diagrams}d fhe Duiiding is,,,,,,�._[}iaat L,.�m�ert {...j�6wi ar �+r I►rs HA�.
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ea. rop a��am o��ey a�o►�t se�d,r�tt►e tx�,o�s .�.Q rr.�t ❑meters p a�ove« p�dow u�e HA�.
E5. Zone AU ord�r_ !f no Qcod�pl�n�ard�er ia aYailablC.ie tTlt toD Ot Uf�!bOtlOm 1lo0r elera6ed UI ea�tlelroe Wqh!hs�tNrdt�s Aoodpl�ln m�re+e�4
armrt�eeT p Yes ❑KQ �ur�tnown. �'he ro�e+�rtu�eorWy mrs E,�iOrm�oe►In sectian o.
s�c�r�a�r F-r�to�Rr�r aw�r�toR o�vn��s�s�rr�nv�}c�xr�;c�na'v'-._.,._._._,_..
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or Zone A[}m�t si0n here. 7�e�M See�o�ns/��and E aro coi+ad�ihe A�t d mY�-
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AdCresa {�hY StH� IJP C.c�dE
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G1.� The i�om�ellon tn SeCt�n G wea laken 6an c�her�vme�lia�thet t�ee Geen slpned a�x!�eeted bp a 9o�n�1 suCve�or.eng'm��cx anctulact.rahv
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G2� ❑ A�r pl�'►a�f ootryie�d Sedion E tor a 4v�'g�otaUad in 2ane A(w8houl a PEMIt-iseu�d cr oomrMp�iiy-�ed 8FE}ar Zane AO.
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Gt.Pam�lt�Inrnber Ca. Date Permft lssued GB. Qale Ceitl�r Qf C.ompbrs�fOmp�anq Issued
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u.��„��,�-e����nr EtEVAT1�N CERTIFlCATE oru�a n�o.tsso�lo8�
�ros Februanr 2s.2009
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A1. �t�fdirp M�1ne Pdlq Numbeir
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A8- aua�h alleatt 2 phaloprepte d nre buAd�rg 1[No Cerrfl�ts bei�g�ned b obt�ln eoae tnu�enoe.
a7. Bu�ep D�r�M�mber 1
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a) sa�r+r�foal�e�aawl sp�e ar endo�uets) ■�_s9� � saue�a bo�a�ram�ai+ee g�ta�e � w R
b) Na of P���in tlae oswi aPaue a 6j No_oI permane��t Aood opsnir�gS*t{he alladfed patepB
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c) TOi81 net atea of lfood apen��gs�A8b _�,�(,j�a9 in c� Tdi�nat�es ot Aood ope�gs in A�b t'�-- a4 D+
SECTtO�i 9-Ft000�URAt�CE ttATE MAf�'�FtRll}��tt=0R11Alt7lQN
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9-03—U3 AE 26'
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II.EtIATION= 3Q.57' NGVD 29
gnalure �� � OaLe
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SECTtON E-B1lIt�iN4 EL�V ON tMPORMATtON($uitYElf NOT REQElIAED)fOR ZQNE AO Jtt+ID ZOI�IE A�WiTF10UF BFE�
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FEAAIt Farm Bi-31.Febrvary 2ppg �.�_. ,_._,..�..,,�a!I previot�a ailtior�s
Property Appraiser General Information Page 2 of 3
' 1999 No $311,700 $311,700 �311,700 N/A N/A
1998 No $311,700 $311,700 $311,700 N/A N/A
1997 No $309,300 $309,300 $309,300 N/A N/A
1996 No $309,300 $309,300 $309,300 N/A N/A
2009 Tax Information R�nked Sales See all tran5actions
Clicl: I�-Iere f�:or 2009 ��I'ax Bill_ Tax District: CW Sale Date Book/Page Price (�IU_V/I
Taxes without any $16,654.73 07 Aug 16668 / $660,00� Q V
exemptioils: 2009 0301 �
A significant change in taxable value may occur 31 Dec 16461 / �2,048,500 U V
when sold due to changes in the market ar the 2008 0455 �
removal of exemptions. Click here for more
information, 06 Dec 14782 / $1,500,000 Q V
2005 0493 �
09 Mar 13423 / $900,000 Q V
2004 1277 �
Land Information
Seawall: No Frontage: None View:
Land Use Land Size Unit Value LJnits Meth�cl
Vacant (00) Ox0 120000.00 3.5000 AC
Rights-Of-Way (94) Ox0 1.00 28500.0000 SF
Rivers And Lakes (95) Ox0 1000.00 3.0000 AC
[click here to hide] Extra Features
Description Value/Unit Units Total NewValue Depreciated Value Year
No Extra Features on Record
click here to hide Permit llata
Permit information is received from the County and Cities.This data may be incomplete and may exclude permits that do not result in field
reviews(for example for water heater replacement permits).Any questions regarding permits should be directed to the permitting office in
which the structure is located.
Permit Number Descri tion Issue llate ��Estimated Value
BCP2009-10038 NEW RESIDENCE 12 Nov 2009 $275,275
Radius
= Aerials: 2009 Color -� Transpare�icy: 0.5 Update Map�
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If you d� r�ot�ee rna�, tt�f_> SV'C� v;�:tv:Yr 1-�a�s nat i�e��i ir�sta?le�cl. Click here for information and installation.
How to eopy and paste� static map using Internet Explorer: Right-clicl< on the map; Select°Copy SVG"; Open a Word
documenr Select "Paste Special° from Edit menu on toolbar; Select Bitmap, then O[<
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Frame in New Window"; Print fcom the new window.
http://www.pcpao.org/general.php?strap=162907000004200200 12/11/2009
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ELEVATION SERTIFICATE CHECK LIST
, •' ' ' � City of Clearwater ��� j z���. .�
FOR O.M.B.No.3067-0077— THAT EXPIRES DECEMBER 31,2005 /,✓ �
!f
SECTION A ✓ Y S ✓ NO
1�.., Building owner's name `�-�`�`
A2. Complete building address �-�� �
� A3 Complete property description r V �=°`"���-��"��=���j
�° A4. Building use (Resident/Commercial)
A5. Latitude/Longitude
A6. Photographs (for flood insurance only) —
A7. Building diagram number -
ION B
B1. Community name &number(�w�t��t,-,�'�c;����€�'t���������t��-) ��
County name (4'ie��6�aa) �
B3. State (��1ts�-ic��a)
B4. Map/Panel# (see map) �4�cirrz�!alc:l?.l���C:�'�11 t)�
B5. Sufftx (see map) �'ar��l�l��: "Cr" �
B6. Firm index date (see map) Sccrri��c;: ����i:>C`�1�i���; -5%1;:��5
B7. Firm panel effective/revised date (see map cover) - >-.;-,:.�
B8. Flood zone(s) (see map)
B9. Base flood elevation
B10. Source of base flood
B11. Elevation datum ����,
B12. Located in a CBRS area or OPA area
SECTION C
Cl. Elevation information base
C2. Attached garage (base on diagram#)
C3. Elevations (crawl spaces or enclosure(s) from diagram #)
SECTION D
Dl. Check comment box (if applicable)
D2. Surveyor, engineer or architect certification & seal
PAGE '
A2. Complete building address ��� j
�CTION D ��
D3. Comments (if applicable) --'
SECTION E
E1. Elevation information(if applicable)
E2. Building diagram (if applicable)
E3. Attached garage (if applicable)
E4. Platform of machinery/equipment (if applicable)
E5. Zone (AO) (if applicable)
SECTION F
Fl. Owners representative information (if applicable) -----
SECTION G (o tional)
Gl-9 Completed all section in sectiori"G" -��
Miscellaneous:
Elevation certificate is complete and correct
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