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1651 SHERWOOD STU.S. DE'PARTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE � FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National F/ood InsurmzceProgram �mportant: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A- PROPERTY INFORMATION F.OR INSURANCE'GOMPANY USE ;% A1. Building Owner's Name Jamie Francis Po�icy Hym4ef �� . � A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Gorrlparly ��1C Nur;►ber 1651 Sherwood Street City Clearwater State FL ZIP Code 33755 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 3, Block 29, Highland Pines 5`h Addition A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 27d 58' 49.39" N.. Long. 82d 46' 03.48" W. Horizontal Datum: ❑ NAD 1927 � 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 1A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) NA sq ft a) Square footage of attached garage 521.5 sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade NA within 1.0 foot above adjacent grade NA c) Total net area of flood openings in A8.b NA sq in c) Tota� 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 B1. NFIP Community Name & Community Number I B2. County Name Clearwater 125096 Pinellas 64. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel 12103C 0107 H 5/17/05 EffectivelRevised Date 5/17/05 63. State Florida B8. Flood B9. Base Flood Elevation(s) (Zone Zone(s) AO, use base flood depth) AE & X 60.0' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: 612. is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: ❑ CBRS ❑ OPA ❑ Yes � No 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/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: Citv of Clwtr E-10 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 building elevations must be the same as that used for the BFE. a) Top of bottom floor (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) � Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 61.8 IV.A N.A 61.3 61.5 61.0 61.1 N.A Check the measurement used. � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION aA;�;;�� at }r 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 this Certificate rep�esents my best efforts to interpret the data available. :� �;� .� .�,LiF; . r'• I understand that any fa/se statement may be punishab/e by fine or imprisonment under 18 U.S. Code, Section 100L ,� r�:� Gs�� � � 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 Edward D. Murphy Title Prof. Land Sunreyor Address 5768�11`h License Number 5333 Company Name Murphy's Land Surveying, Inc. City St. Petersburg State FL ZIP Code 33710 Date 4/24/14 Telephone 727/347-8740 e` � ry �'' ' °'�i,' .,. '%i,; ���'t-�,• • • -, �v l• j'� +� L r �'.� �' ,+1� f'r��tr,t�tiE3'.o`' FEMA Form 086-0-33 (7/12) `� > See reverse side for continuation. Replaces all previous editions. ��� r �� �vi� ��.n � u w� � �., Na_yc � IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1651 Shervvood Street City Clearwater State FL ZIP Code 33755 SECTION D— SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. Comments C2e = A/C SECTION E — BUILDING ELEVA' For Zones AO and A(without BFE), � and C. For Items E1—E4, use natural Date 4/24/14 )I�„11VFOR TION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) e Items E1—E5. If th Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, if available. Check the easurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the folla �ing and check the ap ropriate 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 ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top 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 ❑ 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 0 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 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 knowledge. Property Owner's 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 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 G�G10. In Puerto Rico only, enter meters. G1. ❑ The information in Sec6on 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 elevaUon data in the Comments area below.) G2. ❑ A communiry 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: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building: ❑ feet ❑ meters G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters G10. Community's design flood elevation: ❑ feet ❑ meters Local Official's Name Community Name Signature Comments TiUe Telephone Date Datum Datum Datum Check here if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CER7IFICATE, page 3 guilding Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. 1651 Shen,vood Street City Clearwater State FL ZIP Code 33755 FOR INSURANCE COMPANY USE Policy Number: 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 Viev✓' and "Rear Vie�'; and, if required, "Right Side VievW' 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. DATE: 4/21 /14 � FRONT VIEW: I REAR VIEW: I,� g �, g�, a" ,�" � -� ' ° �'.=� � t � �� ��'� � � � x � : �. �{ � � �� ���':t �, . r "'�.. r '��G'��llc�4 � -�—�°,�,�' ' *at � � �� �• _ �ti = ,f -�.Y #� ���.; ,� �� �- ��� ��r �. . ��,' � � � � �: � � R f � '"Y p�� � Y, �. � �� R ' , � � ;�r� . a � � - -'�,�� ;� �� � � �.� � .� � �4 �� � .._ , � „�, : � ,f . •: __... ¢ _�,,_ �� ... � _.. ,��� ',�-. �- ��° F �Y�; �� �� � - —;� Vi-� �'�s.,; -� �,� ` � � � _ <. ,� _ f. S x � _ �r« _� �i' � ..+A� � _ �.� �# — �� �:�� � . - ' � � _ _ _ . .. . -.i� „yw � � . .. . . . .. .. . {+a�.�_-,.� ' .. � . - - .. . . -..— � - � - � r ' /(G� Gy 5� *" , . � `` ._ar+ , r �I e U LS� QLS(� L �.�7 __ _ _ . _ _ ' �,q-'�°�.. �. FEMA Form 0$6-0-33 (7/12) Replaces all previous editions.