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1856 STEVENSON AVE ' U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATEFederal Emergency M OMB No. 1660-0008 Natid�al Flood Insurance Program Important: Read the instructions on pages 1-9. Expires March 31, 2012 SECTIONA-PROPERTYINFORMATION Ea�ir►surtmoeCarper►yUse: A1. Build�ng Or+mers Name GORDON A JAMES ��Y���` A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Compeny NAfC Number 1856 STEVENSON AVE-ELEVATED STRUCTURE NEAR ROAD Cdy CLEARWATER State FL ZIP Code 33755-1854 A3. Property Description(Lot and&ock Num6ers,Tax Parcel Number,Legal Description,etc.) PARCEL 03-29-15-8812&002-0150,LOT 15&6FT LOT 14 BLOCK B,SUNSET POI NT 2ND ADD,PLAT BOOK 008 PAGE 014,PINELLAS COUNTY A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessary,etc.)RESIDENTIAL A5. LatitudelLonytude:Let.27.9889 long. 2.� 7918 HorimMal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 phatographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number Ej� A8. For a building with e crawispace or enclosure(s): A9. For a building with an attached garage: a) S�are footage of crawlspace or enclasure(s) NA sq ft a) Squere foatage of attached gerage IVA sq ft b) No.of permanent flood openings in tlie crawlspace or b) No.of permenent flood openings in the attached garage enclosure(s)within 1.0 foot above adjecent grade IVA within 1.0 foat above adjacent grade NA c} Total net area of flood openings in AS.b NA sq in c) Tatal net area of flood openings in A9.b MA sq in d} Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B-FLOOD INSURANCE RATE MAP(FIRM}INFORMATION 81.NFIP Community Name&Community Number 82.County Name B3.State CLEARWATER CITY OF 125096 PINELLAS FLORIDA B4.MaplPanel Number B5.Suffix B6.FIRM Index B7.FIRM Panel 88.Fload B9.Base Flood Elevation(s)(Zone 12103C0106 H Date Effective/Revised Date Zone(s) AO,use base flood depth) 08/182009 OSh7R005 AE 12A FEET 810. Indicate the source of the Base Flood Elevetion(BFE)deta or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) B11. Indicate elevetian detum used for BFE in Item B9: ❑ NGVD 1929 � NAW 1988 ❑ OMer(Describe) B12. Is the huiidng Ixated in a Coastai Barrier Resources System(CBRSj area or Otherwise Pratected Area(OPA)? ❑ Yes � No Designatlon Date N/A ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Ci. Building elevations are based on: ❑ Constructio�Drawings* ❑ Building Under Construction• � Finished Constructian *A new Elevetion 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,AR/AH,AR/AO. Complete Items C2.a-h belaw according to the built�ng diagram�ecified in ttem A7. Use the seme datum as tlie BFE. Benchmark Utilized CITY 1-06 EL 11.58 Vertical Detum NAVD 1988 Conversion/Comments NONE Check the measurement used. a) Top of baltam floor(including basement,crawlspace,ar endosure floar)],�,gl �feet ❑rneters(Puerto Rico onry) b) Top aF the next higher floor NA. �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontel structurel mem6er(V Zones only) �. �feet ❑meters(Puerto Rico only) d) Attached garage(top of sleb) NA. �feet ❑meters(Puerto Rico only) e) Lawest elevetion of inechinery or equipment servicing the building AC 13.� �feet ❑meters(Puerto Rico only) (Describe type of equipmer�t and location in Comments) � Lqwest adjacent(finished)grade nc�ct to buildmg(LAG) 7.70 �feet �meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG} 7.89 �feet ❑meters(Puerto Rico only) h) Lavest adjacent grade at lavest elevation of deck or stairs,including 7.70 �feet ❑meters(Puerto Rico only) structurel suvPart SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certiflcation is to be signed and sealed by a land surveyor,engineer,ar erchitect euthorized by law to certify elevation informetion. 1 certify thaf fhe infrxr�tion on fhis Certificete represents my best efl�rts to interpret fhe data availableJ � ,�j�,^ understend that any felse stetement rr�y be punishabJa by fine ar imprisonment under i8 U.S.Code,Section 1001. &� � % ,+,� ❑ Chedc here if comments are pravided on back ofform. Were letitude and Iw►gtude in Section A pravided by a �,M r.+^F"" �`}"�,"�, licensed land surveyor? � Yes ❑ No ' 'a� �y4� u f`RT l�. ��i 3���/L �'.,y " Certifier's Name BILL HYATT License Num ber 4 6 3 6 ���� ,�O?!�-„�� �'�� , �` �.. �7 �^A��''�� �'� T�le PRESIDENT Company Name KNOW IT NOW INC -0 �,�z+�(,�R��p X ,� �'p� r�' U,'+ .�"',�r 7�'�� � Address 1497 MAIN ST#321 City DUNEDIN State FL ZIP Code 34698 ��;'� L���fti�;'.� ' ,�� Signature ��� Date 1 0/1 520 09 Telephone 727-415-8305 ��� � r}, ' �� 'fi s�- �k FEMA Form 81-31,Mar 09 See reverse side for continuation. Replaces all previous editions 6 IMPORTANT: In these spaces,copy the corresponding information from Section A. Far Ir�ance Compeny Use: Buildfng Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Pdicy Numb� 1856 STEVENSON AVE-ELEVATED STRUCTURE NEAR ROAD City CLEARWATER Stete FL ZIP Code 337551854 �Pe�Y NAIC W�►nbe� SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION{CONTINUED) Copy both sides of this Elevatian Gertificate for(1)canmunity official,(2)insurance agenUcompany,and(3)building owner. Canments NOT TO B�USED FOR CONSTRUCTION OR DESIGN,IS FOR FLOOD INSURANCE USE ONLY � � , r. ':� c'� ,.� ',� a� � � ��ap�� . Date 10/15/2009 ��,, �,�/o"�°��' Y ❑ Checkhererfattachments C I'ci�-B IL+�ING TI�N INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) �.�...,� ��� _ �� � � '�r Fa Zanes/�C�and A(+Arithad�Ffc),"�Ornplete Items E1-E5. ff the Certiflcate is iMended to support e LOMA or LOMR-F request,complete Sections A,B, end C. For Itei��'1=E4�usd�ral gade.,if available. Check the measuremeM used. In Puerto Rioo only,enter meters. E1. Provide��!a�infa'metic�#or the fdlowing and check the eppropriate boxes to show whether the elevation is above or below the highest adjecent grade(N;4t�)erldthe:bwcst adjecgnt grede(LAG). a)Top of battom floor(including besement,crawlspace,or enclasure)is ❑feet ❑meters ❑abave ar�be►a�nr the HAG. b)Top of bottom floor(inGudng basement,crawlspece,or endo�re)is ❑feet ❑me.ters ❑abwe a❑ below the LAG. E2. For Buiding Diagrams G9 with permanent fload apenings provided in Section A Items 8 and/or 9(see peges 8-9 of Instructions),the next higher floor (elevetion C2.b in the diagrems)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of sleb)is ❑feet ❑meters ❑ebove or ❑below the HAG_ E4. Top of platform aF inachinery end/or equipment servicing the building is ❑feet ❑meters ❑above or�below the HAG. E5. Zone AO oniy: If no flood dephh number is availaWe,is the top af the battom floor elevated in eccardance wiih the communit�s floodplain menegement ordinance? ❑Yes ❑ No � Unknown. The local aFficial must certify this informedon in Section G. SECTION F-PROPERTY OWNER{OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's autharized representaUve who completes Sectians A,B,and E far Zone A(without a FEMA-issued a communit�issued BFE) or Zone AO must sign here. The statements in Secfions A,B,and E are carect to the besf of my krtororledge. Property Ovmer's or Owners Autharized Representative's Name Address City State ZIP Code Signature Date Telephone Camments ❑Chedc here if attechments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The locel official who is autharized by law or ordinance to administer the communitys floodplain management ordinence can camplete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign belav. Check the measurement used in Items G8 end G9. G1.❑ The infamation in Secti�ai C wes taken fram dher documerrta6on tt�at hes been�gned and sealed by a lice,nsed surveyor,engineer,or architect who is authorized by law to certify elevation inforrrretion. (Indicate the source and date of the elevatlon data in the Comments erea below.) G2.❑ A community official completed Section E for e building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The fdlaaving iniortnation(Items G4-G9)is provided fa community floodplein management purposes. G4.Pertnit Number G5. Date Pertnit Issued G6. Date Certiflcate Of CompiiencelOccupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement G8. Elevation af as-built lowest floor(including basement)of the building: ❑feet ❑rneters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the builang site: ❑feet ❑meters(PR)Detum G10.Community's design flood elevetion ❑feet ❑meters(PR)Datum Local Official's Name Title Cammunity Name Telephone Signeture Date Comments ❑Check here if attechmer�ts FEMA Form 81-31, Mar 09 Replaces all previous editions . . _ Building Photographs See Instructions for Item A6. For Insurance Compeny Use: , Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Pa�cy Number 1856 STEVENSON AVE-ELEVATED STRUCTURE NEAR ROAD CI�/ CLEARWATER State FL ZIPCOd2 33755-1854 CornpanyNAlCNumber If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. PICS TAKEN 10-15-09 FRONT VIEW .���.� � � +�' � �',�°� `���' .�. .. : ,-,� . s" ,�° �R, ��g � X �- '�'n . � µ �. �. ���� . ,� /�� r.;c.: y �. x-,+�`. � ..'�R, �•:�a�' 8. � �1 �_� REAR VIEW R �,/ � .�. , `�` � ;�� � .� � ,.- '� � ' _ � � �i:- �/ �� �' j ,� � .sXi � �j�� ����� 1\a�� � � '�� �, � ,F .,:� � - - �'� � '� �' '� r - � � _ 4 �. _ �,._;.r,,a i ?` � . � . . a. - - ro �A,` ...i� a . . u�. a . ., l.y..r. . � _. . .._ .. - ..