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1860 VENETIAN POINT DR l�.S.6EPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION 'For�noe Company Usa: A1. Building Owner's Name CARLOTA ANA GARCIA and GUSTAVO TOVAR-ARROYO PWiCN Number -- � A2. Building Street Address(induding Apt.,Unit,Suite,andlor Bldg.No.)or P.O.Route and Bo 1860 V E N ETIA N POI NT D R 1860 VENETIAN POINT DRfVE BCPZOO9'OZZOZ � City CLEARWATER State FL ZIP Code 33755 ELEVATION CERTIFICATE A3. Property Description(Lot and Biock Numbers,Tax Parcel Number,Legal Description,etc.) PARCEL NUMBER 04/29/15/93894/001/0190 LOT 19,VENETIAN POINT PLAT BOOK 27,PAGE 26,PINELLAS COUNTY,FLORIDA A4. Building Use(e.g.,Residential,Non-Residential,Addfion,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat.N27°59'20" Long.W82°47'51" Horizor►tal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the buiiding'rf the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A8. For a building with a crawlspace or enclosure(s): A9. For a buiiding with an attached garage: a) Square footage of crawlspace or endosure(s) ►VA sq ft a) Square footage of attached garage 400+ sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permaner�t flood openings in the attached garage enclosure(s)within 1.0 foot above adjaceM grade NA within 1.0 foot above adjacerrt grade NA c) Totai net area of flood openings in AS.b IVA sq in c) Total net area of flood openings in A9.b NA sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION . 61.NFIP Community Name 8�Community Number B2.Courrty Name B3.State CITY OF CLEARWATER 125096 PINELLAS FLORIDA B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Fbod ElevaHon(s)(Zone 12103C 106 H Date Effective/Revised Date Zone(s) AO,use base flood depth) 9-3-03 5-17-05 VE 14.0 B10. Indicate the source of the Base Flood ElevaHon(BFE)data or base flood depth entered in Item B9. ❑ FIS Ptofile � FIRM ❑ Community Determined ❑ Other(Describe) B11. Indicate elevation datum used for BFE in ttem 69: ❑ NGVD 1929 � NAVD 1988 ❑ Ofher(Descxibe) ; � B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA}? Yes;- � No � Designation Date WA ❑ CBRS ❑ OPA �' = .` . -�' 3::. . SECTION C-BUILDWG ELEVATION INFORMATION(SURVEY �`� �-�" C1. Building elevations are based on: ❑ Construction Drawings' � Building Under Construdio � ' s,�,.j� Fitij�ti�d�onetruction � 'A new Elevation Certificate will be required when construction of the building is complete. ' , �a ` t -� �, C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,W-V30,V{with BFE),AR,AR/A,AR/AE,AR/At-A30;AFtlAM,AF�,��/��Ig� ms C2.a� below according to the building diagram specified in ttem A7. Use the same datum as the BFE. � �'��'►'�:��►;;i LIJ�� ` , Benchmark Utilized CITY BM I-06 CLEARWATER Vertical Datum NAVD 1988 .,,_.�. Conversion/CommeMs NONE � � \, � , . = , Check the measurerr�eM u�c# ,: ' � a) Top of bottom floor{including basement,crawlspace,or enclosure floor)5.31 �feet ❑meters(Puerto R�only)� "� � b) Top of the next higher floor NA. �feet ❑meters(Puerto Ric�_o�r);; c) Bottom of the lowest horizontal structural member(V Zones only) ON SLAB. �feet ❑meterst�(Ru�ecto F2tco only) d) Attached garage(top of slab) 4.87 �feet ❑meters(Puerto Ri�on1yj, 'i e) Lowest elevation of machinery or equipment servicing the building 5.01 �feet ❑meters(Puerto Ri�pflly)'; = (Describe type of equipment and location in Comments) �� ,�- �_. � Lowest adjaceM(finished)grade next to building(LAG) 4.60 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 4.90 �feet ❑meters(Puerto Rico only) h) Lowest adjaceM grade at lowest elevation of deck or stairs,including N/A. �feet ❑meters(Puerto Rico only) 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 law to certify elevation information. !certify that the infom►ation on this Certificate represents my best efforts to interpret the data availabfe. ;,;�i� ����y ;'-, I understand thaf any false stafement may be punishable by fine or impnsonment under 18 U.S. Code, Section 1001. ,�' -a,i• ,,,. �s �``�'•' ' ';T ❑ Check here if comme�s are provided on back of form. Were latitude and longitude in Section A provided by a , j-`1�l�!; �" licensed land surveyor? � Yes ❑ No � �±��t �f0 � �ti'! '�� .� � � Certifier's Name BILL HYATT License Number 4636 �' ;'.'���;9¢, � ��' `"�-` , *� w � T�le PRESIDENT Company Name KNOW IT NOW WC �'F�; },♦+. � �,�, yr ��f � Address 1497 MAIN ST�321 City DUNEDIN State FL ZIP Code 34698 `�"� �' ' • ' f:'" ,.s Signature -- Date 5-1-09 Telephone 727-415-8305 � �� FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: Building Street Address(including Apt.,Unit,Suite,andlor Bidg.No.)or P.O.Route and Box No. Policy Number 1860 VENETIAN POINT DRIVE City CLEARWATERState FL ZIP Code 33755 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Cop�r bath zs�de����i' �fr,�evation.Certificate for(1)community offiaal,(2)insurance agent/company,and(3)building owner. Cotn4nbMs,,•NC7P'P'� �ED FOR CONSTRUCTION OR DESIGN,IS FOR FLOOD INSURANCE USE ONLY - ,:r' . ��� !3�! y . . .. ��"` ��S �c 'J` . t �,���h�,�� � � � , � �" � '� , � Date 5-1-09 ��9� «'�'� �-� r'� ❑ Check here if attachments m . :'. � �W. ,:'`'4f < S - N� =' `QING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AfJ��t1r�i4(witt►out BFE),complete Items E1-E5. If the Certificate is irrtended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For h�ms E1-E4,use natural grade,ff available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacerit grade(HAG)and the lowest adjacent grade(LAG). feet meters ❑above or�below the HAG. a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑ ❑ feet meters ❑above or❑ below the LAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is . ❑ ❑ E2. For Building Diagrams 6-9 with permaneM flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is . ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is . ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery andlor equipment servici�g the building is . ❑feet ❑meters ❑above or�below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communiry's floodplain management ordinance? ❑Yes ❑ No ❑ 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 represerrtative 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,8,and E are correct to the best of my knowJedge. Property Owner's or Owner's Authorized Representative's Name Address Ciry State ZIP Code Signature Date Telephone CommeMs ❑Check here if attachmerrts 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 measuremeM used in Items G8 and G9. 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 Commerrts 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(ttems G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certficate Of CompliancelOccupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substarrtial lmprovement G8. Elevation of as-buift lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local Official's Name rNe Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions . � ° Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Str"eet Address(including Apt., Unit, Suite,andlor Bldg. No.)or P.O. Route and Box No. Policy Number 1860 VENETIAN POINT DRIVE Clty CLEARWATER St8t2 FL ZIP COd2 33755 �O���N� If using the Elevation Certificate to obtain NFIP flood insurance, a�x at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front VievW' and "Rear Viev�'; and, if required, "Right Side Vievd' and"Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the , reverse. 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