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1270 GULF BLVDU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Progmm IMPORTANT: Follow the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION A1. Building Owner's Name HARBOUR LIGHT TOWERS ASSOCIATION INC A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or F0. Route and Box No. OMB No. 1660-0008 Expiration Date: July 31, 2015 FOR INSURANCE COMPANY USE Policy Number: Clty CLEARWATER StBte F� ZIP COde 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL 20-29-15-36700-000-0000, HARBOUR LIGHT TOWERS CONDO, PLAT BOOK 018, PAGE 001, PINELLAS COUNTY, FLORIDA A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDEN7IAL A5. Latitude/Longitude: Lat. 2�•9515 Long. 82•83�8 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number SIX A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enciosure(s) 800 sq ft a) Square footage of attached garage NA sq ft b) No. of permanent flood openings in the crawlspace or b) Number of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade N�A within 1.0 foot above adjacent grade NA c) Total net area of flood openings in A8.b N�A sq in c) Total net area of flood openings in A9.b N�A 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 & Communitv Number CLEARWATER CITY OF 125096 84. Map/Panel Number B5. Suffix 66. FIRM Index Date 12103C0104 I G I 08/18/2009 B2. CounTy Name P�NELLAS 87. FIRM Panel Effective/ Revised Date 09/03/2003 B3. State FL B8. Flood Zone(s) I 89. Base Flood Elevation(s) (Zone A0, use base flood depth) VE&AE VE=13.0 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FlS Profile � FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Othenvise Protected Area (OPA)? ❑ Yes � No Designation Date: / / ❑ CBRS ❑ OPA SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* � 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, AR/A1-A30, AR/AH, AR/A0. Compiete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: P�AT Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: Datum used for buiiding elevations must be the same as that used for the BFE. Ch k h d a) Top of bottom fioor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest e�evation of deck or stairs, including structural support ec t e measurement use . 5.5 � feet ❑ meters 15•7 � feet ❑ meters � � •� � feet ❑ meters N�A � feet ❑ meters 5'7 � feet ❑ !ll@t@fS 5_4 � feet ❑ meters 6•? � feet ❑ meters 5_4 � feet ❑ meters 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. 1 certify that the Information on thls Certlficate represents my best efforts to Interpret the data avallable. I understand that any false statement may be punlshable by flne or imprlsonment under IS U.S. Code, Sectlon 1001. ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. licensed land surveyor? � Yes ❑ No Certifier's Name BILL H. HYATT, JR 7itle PRESIDENT Address 14971N/\:"! STREET #321 Signature FEMA Form 086-Q33 (7/12) I Company Name KNOW IT NOW INC DUNEDIN Date 9-18-2013 License Number #4636 State ZIP Code FL 34698 Telephone - (727)415-8305 See reverse side for continuation. ��NSE N�;�\ w 4636 � STATG OF PLORIDA Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or F0. Route and Box No. 1270 GULF BOULEVARD City State ZIP Code CLEARWATER FL 33767 FOR INSURANCE COMPANY Policy Number: Comparry SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Signature Date 09/18/2013 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 LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use natural grade, if 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 adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (inciuding basement, crawlspace, or enclosure) is . � feet ❑ meters � above or ❑ below the HAG. b) 7op of bottom floor (including basement, crawlspace, or enclosure) is . � feet ❑ meters � above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent 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 N� . A � 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 and/or equipment servicing the building is . � feet ❑ meters � above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is availabie, is the top of the bottom floor elevated in accordance with the community'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 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 knowiedge. Property Owner or Owner's Authorized Representative's Name Address Signature Comments City Date State ZIP Code Telephone ❑ Check here if attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can compiete 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 A0. G3. ❑ The following information (Items G4—G9) 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: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest fioor (including basement) of the building: . ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: . ❑ feet ❑ meters Datum G10.Community's design flood elevation: Local Official's Name Community Name Signature Comments Title CLEARWATER CITY OF Telephone Date ❑ feet ❑ meters Datum ❑ Check here if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS CONTINUATION PAGE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. ADDRESS: 1270 GULF BLVD CLEARWATER, FL 33767 PICS TAKEN 9/15/2013 FRONT VIEW AND CONTINUING AROUND BUILDING � ,�w�- ,� � �- ���; � � � �"" � � � �: � � r�'"�� �`" � +� � � �`°�� ,�r � , -,,�" r� , :�� . � � �' � � �� � � �' ` � R` � � t� � ,� � � �� �� �I � � � � `�`� t,� � � � ,; �, _ �, -- ;�� ;��,; �1 ��� � '� . �: , ,� x�, �� , .,: kw� �'-��� , �*-., �� � � . b � .._..,,.._.....N..,-...,.... . .... . ..� .. ..` .. .... . � � F_ . ..... �, . ....... � m� M.. ,,......A .... 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