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894 ISLAND WAYU.S. DEPARTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 � SECTION A - PROPERTY INFORMATION �F'�t�FP�,I��i��a_' . A1. Building Owner's Name DONNA RODRIGUEZ �iiCy��?�" ��'� �`'' F `� :t A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. G#tmp��N+�,� l�Itu�li�' °'. � �.: 894 ISLAND WAY City CLEARWATER State FL ZIP Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 50, UNIT 8 ISLAND ESTATES OF CLEARWATER A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27°59'48.66"N Long. 82°49'14.61"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) N/A sq ft a) Square footage of attached garage 494.5 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 0 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 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 & Community Number B2. County Name 63. State CITY OF CLEARWATER 125096 PINELLAS FLORIDA 64. Map/Panel Number B5. Suffix B6. FIRM Index Date 67. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12103C0102 G 8/18/09 Effective/Revised Date Zone(s) AO, use base flood depth) 9/3/03 AE 12' 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Community Determined ❑ OthedSource: 611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ OthedSource: 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes � No Designation Date: N/A ❑ 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/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: J-03.5 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. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the ne� 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 10.42 21.09 N/A. 9.91 10.40 9.4 9.7 � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters � 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 certii�r elevation information. 1 certify that the information on this Certificate represents my best efforts to infe►pret the data available 1 understand that any false statement may be punishab/e by �ne or imprisonment under 18 U. S. Code, Section 1001 ,,;' � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a x_`.�. z ❑ Check here if attachments. licensed land surveyor? � Yes ❑ No `' + -� . Certifier's Name JOHN R BEACH Title P.L.S Address 911 ST. PETERSBURG DR W License Number 2984 Company Name JOHN R. BEACH & ASSOCIATES, INC. City OLDSMAR State FL ZIP Code 34677 �ate 10/23l2013 Telephone 813-854-1276 za � �. �� • ° rr �,f�� . i� ,.�„ c . �`ti VK ,� � . � � � o�� ; � c, +� t' � � ;� 'J� , C � i ?, _ \% (7/12) See reverse side for continuation. Replaces all previous editions. �� r �� v�• v�� u�v� � �� MaaJc � 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. 894 ISLAND WAY City CLEARWATER State FL ZIP Code 33767 licy Number. �i111,]� IY/it4 IYWl1pC7(. SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community o�ciai, (2) insurance agent/company, and (3) building owner. Comments C2(e) = A/C ELEV Signature SECTION E — Date 10/23/2013 TION INFORMATIOM(SURVEY NOT REQUIRED) FOR ZONE AO AND 20NE A For Zones AO and A(without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, compiete Sections A, B, and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Pue�to 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 (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ bekow the HAG. b) Top of bottom floor (including basement, crawlspace, or enGosure) 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 ❑ below fhe 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 o�cial 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 Ciry Date State Telephone ZIP Code Ch�ck 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 Certficate. 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 ceRify 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 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 buitding: ❑ 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 O�cial's Name Community Name Signature Comments Title Telephone Date Datum Datum Datum Check here if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions. BOUNDARY SURVEY LOT 50, UNIT 8 ISLAND ESTATES OF CLEARWATER PINEL�AS COUNTY, FLORIDA. FN&D #2937 � � o � � � REf N WALL � � O � b ' "� % Z Z � � ' � � �! � o � � ➢ � o� Z � � �� J � a �N r � i° o �o '' o � � I� 4'CHAW LINK FENCE CORNER N 90'00'00" W (M) 1.6' N 00'00'00" E (M) 26" j FROM FN&D #2937 r FN&D i;qzs3� 4' METAL FENCE CORNER ' N 90'00'00� W (M) 0.7�/ N 00'00'00" E (M) 0.3' � PROM FN&D �2937 � , 1 � :n Z�� O ° ' Z ,.�C � i. � x �.� � °1� �� 1m � :D J1� � � r ��m , � 1 s�s C/5� W/POOL \ PUMP - k 18.2' . . WOOD DOCK o 2.0' o.; �n N N JET N SKI uFr ST. JOSEPH SOiTND WOOD STEPS S 89'58'18" E (M) 152.00' ;�' N 90'00'00" E (P) 152.24' � 7.5' MASONRY SEAWALL 3.O�Hx1.0�W RET WALL (�) woo� STEP! 22•a BRICK WOOD DECK DECK �/POOL o /\ N / j / u� � t a.o' Y \ I o \ � / 3 o° �� a � g � n 3 3 a n �/v � 3 m / \ 5' W � � a o rn �' vi SN&D F/C \ �_�-1 0.3' E 3.0'Hx1.0'W �,, REf WALL (TYP) J � N- � T F/C 0.3' W-� iy : 26 :6' . . . 1:� 2, • ¢' Clf �n � 0,2 � WOOD 4�. DECK 0 `� ^�.�• °' TWO STORY � �t.s•, � WOOD FRAME ^v � RESIDENCE �' cov #894 7z.s N/OOD � DECK LOT 50 0°,� `�. � COV TILE �2.g ENTRY i� ai 31.g• . /14.7' CONC ° l-'Cy t � �. PAD 1 i�: PAD ao• N 90'00�0�" W � N 89'S0'10" W �N�- 35.8' (4' ME AL F/C 2.4' S 121.52� 121.54' FlP t" - F/C NO ID 2.4' S SEC. �9 , TWP. 29 S, RNG. � 5 E. BEARING BASIS: WESTERLY LOT LINE LOT 50 BEING S 07'OS'34" E(M) � THIS SURVEY IS SUBJECT TO ANY FACTS THAT MAY BE DISCLOSED BY A FULL AND ACCURATE TITLE SEARCH. ALSO SUBJECT TO SETBACKS, �.°� EASEMENTS AND RESTRICTIONS OF RECORD. �� UNDERGROUND FOOTER, STEM WALL, AND UNDERGROUND UTILITIES ARE NOT LOCATED OR w SHOWN. v DO NOT SCALE THIS PRINT. DIMENSIONS AND N NOTES TAKE PREFERENCE. •= EASEMENT FOR INGRESS AND EGRESS TO LOT 50 LOT 49 FCM 4"z4" (N 90'D0�00' E (M) 0.53'/ N 00'00'00" E (M) 0.35' � * � ,._..�.._.---�— � ;� � /� � 1 F�P ,- �-0 � NO ID : GJ �v� � I GO?Q�a ` LOT 51 0 0 1 �y � � �� r .� ��i. o� � m m � � H ' � � ' � � � � � �0 0 . 1 O � I �„C ' FlR 1/2" I ILLEGIBLE 1 �.._.._..—.._.._..—..—.._..—..—..—'—"--'— —'•— —..—.._..—. .—..� � � � � ' LOT 52 `" � �� o � _ rn . °- 4' DESCRIPTION: °`' m"'� LOT 50, MAP OR PLAT ENTITLED "UNIT 8 ISLAND ESTATES OF =�� CLEARWATER", AS RECORDED IN PLAT BOOK 64, PAGE(S) 73 & 74, �� . OF THE PUBLIC RECORDS OF PINELLAS COUNTY, FLORIDA. �� j LINE TABLE � LINE LENGTH BEARING 1 L1 M 46.23 N47'29'53"W � L1 P 46.40 S47'29'13"E � L2 M 26.59 S07°41'50"E FfP 1°: L2 P 26.59 N07'42'29"W NOID� CURVE TABLE CURVE R ARC DELTA CH CHB C1 M 4082.75 125.00 1'45'15" 125.00 N08'46'19"W C1 P 4082.75 125.00 125.00 N08'46'19"W APPARENT FLOOD HAZARD ZONE: °AE(BFE=12)" COMMUNI- EL LEGEND: � " (C)= CALCULATED DATA, (D)= DEED DATA, (M)= MEASURED DATA, (P)= PLAT D�,iTA ��%_ ,, �i CONCRETE SLAB, CH= CHORD, CHB= CHORD BEARING, CLF= CHAIN LINK FENCE, C,ONC ;��3N6�ETE F/C= FENCE CORNER, FCM= FOUND CONCRETE MONUMENT, FIP= FOUND IRON PIP6,)'F� �fS PIPE, LFE= LOWEST FLOOR ELEVATION, MAS.= MASONRY, OR= OFFlqAL RECORD BOOl�, B� REFERENCE MONUMENT, R/W= RIGHT OF WAY, R= RADIUS, SIR=SET 1/2" IRON RQQ &;,'��AP�No � . ....�..o �� . JOHN R. BEACH & ASSOCIATES, INC. �R-� eY "� i; i � SURVEYORS AND MAPPERS Checked Bjr. �=,- • � 911 WEST ST. PETERSBURG DRIVE `r� •� r,�'��:�fl}O�G EFFECTIVE DATE: 09 r��R�iN��` �� • GSV_r �,CJ�VF. ONE OLDSMAR, FLORIDA 34677 �RB,`' ' `>^ „q WAY (813) 854-1276 FAX (813) 855-8370 Scale: : �'.;, .�e 1 "=30' - NOT VALID WITHOUT THE SIGNATURE AND Date: 10 16 2013 THE ORIGINA� RAISED SEAL OF A F�ORIDA LICENSED SURVEYOR AND MAPPER - FI ��N .� �� Feet: 18481.81 t IF: \Mortgage Surveys\31131 d for and certified to: �Rl�t; CONDITIONER, B/C= BACK OF CURB, C/S= �E�F:= EDGE OF PAVEMENT, ESM'T= EASEMENT, (&�.`t:�OUND NAIL & DISK, FPP= FOUND PINCHED RERfG}qNENT CONTROL POINT, PRM= PERMANENT NA1L $'e��,DISK, TBM= TEMPORARY BENCHMARK, P• ''TL�T�`CHIS SURVEY HAS BEEN MADE UNDER MY �R� pMD MEETS THE MINIMUM TECHNICAL Revisions: b` F.ORTH BY THE FLORIDA BOARD OF ND; $URVEYORS IN CHAPTER 61Gt7-6, FLORIDA UPDATE SURVEY, 10/16/2013 MAH )DE, �URSUANT T�CTION 472.027 FLORIDA -. � �: .. W3 "� DATE LAND SURVEYOR No. 2984 L8#4493