117 DEVON DROMB No. 1660-0008
ELEVATION CERTIFICATE Expiration oate: ►vovember 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. Policy Number:
117 DEVON DRIVE
City State ZIP Code Company NAIC Number
CLEARWATER, Florida 33767
SECTION C— BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings"' ❑ Building Under Construction* Ox 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: P.I.D. No. AG0481 Vertical Datum: 4.92'
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:
Datum used for building elevations must be the same as that used fo� the BFE.
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 4 8 ❑x feet ❑ meters
b) Top of the next higher floor � 5. 8 x❑ feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) N�A. � feet ❑ meters
d) Attached garage (top of slab) 4. 8 � feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building � 2. 8 �x feet ❑ meters
(Describe type of equipment and location in Comments)
� Lowest adjacent (finished) grade next to building (LAG) 4 4 X❑ feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 4 � x� feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including 4 8 �x feet ❑ meters
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.
I certify that the information on this Certificate represents my besf efforts io interpret the data available. 1 understand that any false
statement may be punishab/e by fine or imprisonment under 18 U. S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? ❑X Yes ❑ No ❑ Check here if attachments.
Certifier's Name License Number
LARRY L. EVANS FL. LS No. 2937
Title ` _
�,4�" ::
LAND SURVEYOR
Company Name '��lace �.
EVANS LAND SURVEYING, INC. ' Seal
Address Here ,
1460 BELTREES STREET STE. 9
City State ZIP Code , _ '
DUNEDIN, Florida 34698
Signatur ;2 � '� Date Telephone '
i��' � � '� ' 07/05/2016 (727) 734-3821
Copy all pag s ofi is Elevation Certificate and all attachments for (1) community official, (2) insurance agenUcompany, and (3) building owner.
Comments (incl d ng type of equipment and location, per C2(e), if applicable)
A8.c): FLOOD TS ARE "FLOODFLAP" BRAND, AND ARE LABELED TO BE RATED FOR 220 SF/ EACH.
C2.b): THERE IS A 290 SF ENCLOSED STAIRWELL/ ELEVATOR WITHIN THE GROUND FLOOR ENCLOSURE, AT ELEVATION
5.1'.
C2.e): ARE EXTERIOR A/C COMPRESSORS ON ELEVATED PLATFORM.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. rorm rage � or b
U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30, 2018
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Foilow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for (1) community offcial, (2) insurance agenUcompany, and (3) building owner.
SECTION A— PROPERTY INFORMATION FOR INSURANCE COMPANY USE
A1. Building Owner's Name Policy Number:
BAY TO BAY PROPERTIES, LLC
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number:
Box No.
117 DEVON DRIVE
City State ZIP Code
CLEARWATER, Florida 33767
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 50, REPLAT OF BAYSIDE SUBDIVISION
A4. Buiiding Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 27deg. 58' 26.7" Long. 82deg.49' 35.8" 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 7 '
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 3,906 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 42
c) Total net area of flood openings in AS.b 9,240 sq in
d) Engineered flood openings? � Yes ❑ No
A9. For a building with an attached garage:
a) Square footage of attached garage � sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot �bove adjacent grade 0
c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? � Yes ❑x No
SECTION B— FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
CLEARWATER / 125096 PINELLAS Florida
8�1. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation{s)
Number Date Effective/ (Zone AO, use Base
Revised Date Flood Depth)
12103 C 0102 G 08/18/2009 09/03/2003 AE 11'
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69:
� FIS Profile x0 FIRM � Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 �x NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes �x No
Designation Date: � CBRS ❑ OPA
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6
onng No. �ssa000s
ELEVATION CERTIFICATE Expiration Date: November 30, 20�8
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:
117 DEVON DRIVE
C�ty State ZIP Code Company NAIC Number
CLEARWATER, Florida 33767
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 (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 Cr9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions),
the ne� 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 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 or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
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❑ Check here if attachments.
rtMA F-orm 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30, 20�8
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:
117 DEVON DRIVE
City State ZIP Code Company NAIC Number
CLEARWATER, Florida 33767
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 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 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 Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: . ❑ feet ❑ meters Datum
G10. Community's design flood elevation: _ ❑ feet ❑ meters Datum
Local O�cial's Name Title
Community Name Telephone
Signature Date
Comments (including type of equipment and location, per C2(e), if applicable)
❑ Check here if attachments.
rtMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6
ELEVATION CERTIFICATE
IMPORTANT: In these spaces, coav the
BUILDING PHOTOGRAPHS
See Instructions for Item A6.
information from Section A.
Building Street Address (inciuding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
117 DEVON DRIVE
City
CLEARWATER,
OMB No. 1660-0008
Expiration Date: November 30, 2018
FOR INSURANCE COMPANY USE
Policy Number:
State ZIP Code I Company NAIC Number
Florida 33767
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 View" and "Rear View"; and, if required, "Right Side View" 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.
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Photo Two Caption REAR VIEW / 07/05/2016
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:
117 DEVON DRIVE
City State ZIP Code Company NAIC Number
CLEARWATER, Florida 33767
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and "Rear View" and, if required, "Right Side vew" 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.
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Photo One
Photo One Caption TYPICAL DOUBLE FLOOD VENT
t'i�oto Two
Photo Two
Photo Two Caption
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6
-�—
DIVISION: 08 00 00—OPENINGS
SECTION: 08 95 43—VENTS/FOUNDATION FLOOD VENTS
REPORT HOLDER:
FLOOD FLAPS�, LLC.
2707 WATERPOINTE CIRCLE
MT. PLEASANT, SOUTH CAROLINA 29466
EVALUATION SUBJECT:
FLOOD FLAPS� FLOOD VENTS: MODELS FFWF12; FFNF12; FFWF08; FFNF08;
FFWF05; FFNF05
ICC �GC � ; ICC �
� t�;� ��� 1��
� �� �.
PMG USTED
Look for the trusted marks of Conformity!
"2014 Recipient of Prestigious Western States Seismic Policy Council
(WSSPCJ Award in Excellence" A Subsidiary of
ICGES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not � �0�
specifzcally addressed, nor are they to be construed as an endorsement of the subject of the report or a �
recommendation for its use. There is no warranty by ICC Evaluation Serv�ce, LLC, express or implied, as
to any finding or other matter in this report, or as to any product covered by the report. �{� �� H
Copyright �O 2015
ICC-ES Evaluation Report ESR-3560
www.icc-es.orq �(800) 423-6587 �(562) 699-0543
DIVISION: 08 00 00—OPENINGS
Section: 08 95 43—Vents/Foundation Flood Vents
REPORT HOLDER:
FLOOD FLAPS�, LLC
2707 WATERPOINTE CIRCLE
MT. PLEASANT, SOUTH CAROLINA 29466
(843) 849-8031
www.floodflaps.com
info(aafloodflaas.com
EVALUATION SUBJECT:
FLOOD FLAPS� FLOOD VENTS: MODELS FFWF12;
FFNF12; FFWF08; FFNF08; FFWF05; FFNF05
1.0 EVALUATION SCOPE
Compiiance with the following codes:
■ 2012 and 2009 Intemational8uilding Code� (IBC)
■ 2012 and 2009 Intemafional Residential Code (IRC)
Properties evaluated:
■ Physical operation
■ Water flow
■ Weathering
2.0 USES
Flood Flaps� are used to provide for the equalization of
hydrostatic flood forces on exterior walls.
3.0 DESCRIPTION
3.1 General:
Flood Flaps� flood vents are engineered mechanically
operated flood vents (FVs) that automatically allow flood
waters to enter and exit enclosed areas. The FVs are
constructed of ABS plastic which serves as the FV's
housing, and a front grill that contains an anodized metal
screen imbedded in polypropylene plastic. On contact with
rising flood water, the grill will disengage from its secured
position, allowing flood water and debris to flow through in
either direction.
The sealed series models contain two rubber flaps that
close the FV to the passage of air when using with
conditioned areas or sealed crawl spaces. In the same
manner as the grill, the two rubber flaps are pushed open
by water pressure, allowing water and debris to flow
Reissued September 2015
This report is subject to renewal September 2017.
A Subsidiary of the International Code Council�
through the FV in either direction. See Figure 1 for an
illustration of the Flood Flaps� FV.
3.2 Engineered Opening:
The Flood Flaps� FVs comply with the design principle
noted in Section 2.6.2.2 of ASCE/SEI 24 for a rate of rise
and fall of 5 feet per hour (0.423 mm/s). In order to comply
with the engineered opening requirement of ASCE/SEI 24,
Flood Fiaps� FVs must be installed in accordance with
Section 4.0.
3.3 Model Sizes:
The Flood Flaps� FV model designations and sizes are as
follows:
MODEL WIDTH HIGHT DEPTH
in in in
FFNF12 155/8 73Iq 12
FFNF08 155�8 73�4 8
FFNF05 155�8 �3�4 5
For Si: 1 inch = 25.4 mm.
The FFWF series include two rubber flaps for the
prevention of air flow. The FFNF series omit the rubber
flaps.
3.4 Ventilation:
Flood Flaps� FV models FFNF12, FFNF08, FFNF05, and
FFNF02 have metal screens with �/4 inch by '/4 inch
(6 mm by 6 mm) openings and provide 37 square inches of
net free opening to supp� natural ventilation for under-floor
ventilation. Flood Flaps FV models FFWF12, FFWF08,
and FFWF05 have not been evaluated for use as openings
for under-floor ventilation.
4.0 DESIGN AND INSTALLATION
Flood Flaps� FVs are designed to be installed into walls of
existing or new construction. Installation of the FVs must
be in accordance with the manufacturer's instructions, the
applicable code and this report. Flood Flaps� FVs can be
installed in wood, masonry and concrete walls up to a
thickness of 12 inches (305 mm). In order to comply with
the engineered opening design principle noted in Section
2.6.2.2 of ASCE/SEI 24, the Flood Flaps� FVs must be
installed as foliows:
■ With a minimum of two openings on different sides of
each enclosed area.
/CGES Evalualion Reporrs are not 10 be construed as representrng aestherres or any other auribures not specifica[[y addressed, nor are they to be conslrued
as an endorsement oJ1he subject ojthe reporl or a recommendalion for its use. There is no warranty by ICC Eva[uarion Service, LLC, express or implred, as
to any frnding or other matter in thrs report, or as �o any produc( covered by Ihe report.
Copyright � 2015
e� `�
uoi�carrci �..:rn�
Page 1 of 2
ESR-3560 I Most Wdely Accepted and Trusted Page 2 of 2
■ With a minimum of one FV for every 220 square 5.2 The Flood Flaps� FVs must not be used in place of
feet (20 m2) of enclosed area. "breakaway walls" in coastal high hazard areas, but
■ Below the base flood elevation. are permitted for use in conjunction with breakaway
walls in other areas.
■ With the bottom of the FV located a maximum of
12 inches (305 mm) above grade.
5.0 CONDITIONS OF USE
The Flood Flaps� flood vents described in this report
comply with, or are suitable alternatives to what is
specified in, those codes listed in Section 1.0 of this report,
subject to the following conditions:
5.1 The Flood Flaps� FVs must be installed in
accordance with this report, the applicable code and
the manufacturer's installation instructions. In the
event of a conflict, the instructions in this report
govern.
6.0 EVIDENCE SUBMITTED
Data in accordance with the ICC-ES Acceptance Criteria
for Mechanically Operated Flood Vents (AC364), dated
October 2013.
7.0 IDENTIFICATION
The Flood Fiaps models recognized in this report are
identified by a label bearing the manufacturer's name, the
model number, and the evaluation report number
(ESR-3560).
FIGURE 1—FLOOD FLAPS� FLOOD VENT
ICC-ES Evaluation Report ESR-3560 FBC Supplement
Reissued September 2015
This report is subject to renewal September 2017.
www.icc-es.orq �(800) 423-6587 �(562) 699-0543 A Subsidiary of the International Code Council�
DIVISION: 08 00 00—OPENINGS
Section: 08 95 43—Vents/Foundation Flood Vents
REPORT HOLDER:
FLOOD FLAPS�, LLC
2707 WATERPOINTE CIRCLE
MT. PLEASANT, SOUTH CAROLINA 29466
(843)849-8031
www.floodflaps.com
info�floodflaps.com
EVALUATION SUBJECT:
FLOOD FLAPS� FLOOD VENTS: MODELS FFWF12; FFNF12; FFWF08; FFNF08; FFWF05; FFNF05
1.0 REPORT PURPOSE AND SCOPE
Purpose:
The purpose of this evaluation report supplement is to indicate that Flood Flaps flood vents, recognized in ICC-ES master
evaluation report ESR-3560, have also been evaluated for compliance with the codes noted below.
Applicable code editions:
■ 2010 Florida Building Code—Building
■ 2010 Florida Building Code—Residential
2.0 CONCLUSIONS
The Flood Flaps flood vents, described in Sections 2.0 through 7.0 of the master evaluation report ESR-3560, comply with
the 2010 Florida Building Code—Building and the 2010 Florida Building Code—Residential, provided the design and
installation are in accordance with the Intemational Building Code� provisions noted in the master report.
Use of the Flood Flaps flood vents has also been found to be in compliance with the High-Velocity Hurricane Zone
provisions of the 2010 Florida Building Code—Building and the 2010 Florida Building Code—Residential for structures not
subject to Section 2326.1 of the 2010 F/orida Building Cod�Building or Section R4409.13.3.1 of the 2010 F/orida Building
Code—Residential, as applicable.
For products falling under Florida Rule 9N-3, verification that the report holder's quality assurance program is audited by a
quality assurance entity approved by the Florida Building Commission for the type of inspections being conducted is the
responsibility of an approved validation entity (or the code official when the report holder does not possess an approval by
the Commission).
This supplement expires concurrently with the master report issued September 2015.
ICGES Evaluation Reparts are nor ro be consrrued as representing aesthetics or any other atlributes na specifrcally addressed, nor are they to be construed ���,�y
as an endorsement ojthe subject of the report or a recommendation for its use. There is no warranty by !CC Evalualion Service, LLC, express or imp[ied, as \��%
to any frnding or other matter rn this report, or as !o any product covered by the report '�'pE�i �w�.-
Copyright � 2015 Page 1 of 1
U.S. DEPARTMENT OF HOMELAND 8ECURITY
FEDERAL EMERGENCY MANA(iEN1ENT Af3ENCY
National Flood Insurance Program
BAY
ELEVATION (;ERTIFICATE
Important: Read the instructions on pages 1-9.
SECTION A - P'ROPERTY INFORMATION
i. LLC
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
117 DEVON DRIVE
City CLEARWATER, ,
A3. Property Description (Lot and Block Numbe
LOT 50, REPLAT OF BAYSIDE SUBDIViSION
State FL ZIP Code 33767
OMB No. 1660-0008
Expiration Date: July 31, 2015
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A4. Building Use (e.g., Residential, Non-Residential, Addftion, Accessory, etc.) RESIDENTIAL L CIIY OF CLEARWATER �
A5. Latitude/Longitude: Lat. 27dea. 58' 26.7" Long. 82deg. 49' 35.8" Horizontal Datum: ❑ NAD 1927 � NAD 1983
A6. Attach at least 2 photographs of the buliding if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 7
A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 395� sq ft a) Square footage of attached garage IVL 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 -22- within 1.0 foot above adjacent grade -0-
c) Total net area of flood openings in A8.b � sq in c) Total net area of flood openings in A9.b -0- sq in
d) Engineered flood openings? ❑ Yes � No d) Enginee�ed flood openingsT ❑ Yes ❑ No
SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name 63. State
CLEARWATER / 125086 PlNELLAS FLORIDA
B11.
B12.
Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile � FIRM ❑ Community Determined ❑ OthedSourcz:
Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source:
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: P.I.D. # AG0481 Vertical Datum: 4.92 -- �
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. � N
a) Top of bottom floor (inGuding basement, crawispace, 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
4.8
15.8
N/A.
4•�
N/A.
4.0
4.4
4.0
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
This certification is to be signed and sealed by a land suroeyor, enginee�, or architect authorized by law to certify elevation
information. 1 certify that the information on fhis Certificate represents my best eiforts to interpmt the data available.
I understand that any false statement may be punishable by �ne or imprisonmenf 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
� Check here if attachments. licensed land surveyo� � Yes ❑ No
Certifier's Name LARRY L. EVANS
Title LAND SURVEYOR
Address 1460 BEL� E.S S,T EE1
Signature s ' t
FEMA Form 086-0- (7/12)
License Number FL. LS #2937
Company Name EVANS LAND 5URVEYING, Inc.
City DUNEDIN, State FL ZIP Code 34698
Date 11-20-15 Telephone (727) 7343821
See reverse side for continuation.
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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 P.O. I�oute and Box No.
117 DEVON DRIVE
City CLEARWATER, State FL ZIP Code 33767
SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community o�cial, (2) insurance agenUcompany, and (3) building owner.
Comments A8.c) & d): Building is under construction. Vents are not yet installed.
C2.e): Building is under construction. Machinery is not yet installed.
Signature
SECTION E -
r l .- C _ �J
3 ELEVATION INFORMATION
Date 11-20-2015
NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT
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 foliowing a�d 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, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or 0 below the HAG.
b) Top of bottom floor (inciuding 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 � 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'3 REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who comptetes 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 OwnePs Authorized Representative's Name
Address
Signature
Comments
Ciry
Date
State
Telephone
ZIP Code
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 �em(s) and sign below. Check the measurement used in items G8-G10. In PueRo Rico only, enter mete�s.
G1. ❑ The information in Section C was taken from other documentatlon 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 AO.
G3. ❑ The following information (Items G4-G10) is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Cert�cate Of CompliancelOccupancy 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 N9me
Signature
Comments
Title
Telephone
Date
Datum
Datum
Datum
Check here if attachments.
FEMA Form 086-0-33 (7/12) Replaces ali previous editions.
ELEVATION CERTIFICATE, 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 Bldg. No.) or P.O. Route and Box No.
117 DEVON DRIVE
City CLEARWATER, State FL ZIP Code 33767
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 View"; and, if required, "Right Side View" 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.
FRONT VIEW 11/20/2015
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FEMA Form 086-0-33 (7/12) Replaces all previous editions.
ELEVATION CERTIFICATE, page 4 guilding Photographs
Continuation Page
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.
117 DEVON DRIVE
City CLEARWATER State FL ZIP Code 33767
FOR INSURANCE COMPANY USE
Policy Number:
Company NAIC Number:
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" 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.
REAR VIEW 11/20/2015
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FEMA Form 086-0-33 (7/12) Replaces all previous editions.
Certification of Engineered F!o
In accordance with NF[P, FEMA TB 1-08, a
I hereby certify that the Crawl Space Door Sys#ems flood vents 816CS, 1220CS, 12
and 2436CS are designed in accordance with the requirements of the NFIP "Flood
equalization of hydrostatic fiood forces by a{lowing for the entry and exit of flooi
CA=p r�i�� s �
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:S, 1616(�; 7�6���5, 1�632(�''.`��32(�, 2424CS;�i
urance M�nuai�"-{2011) tQ-�+"�vide autot� i�c ��
� ers, wher� prpperty installed, ��a'� is set
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forth below. This certification fo�lows the design requirements and specifications e ab{ished in FE(ylA ��t��n,�7(�'ih 1-08, ;
�,_:
"Openings in Foundation Walls and Walls of Enclasures Be{ow Elevated Buildings in �eaat_,F,�c���°N��a�d Ar�"e�� , and t E
� �-�;Y . � �---
Standard for "Flood Resistant Design and Construction" (ASCE/SEI 24-05). The actual vent��p�mng`�r�asurements�veTe determined
and certified by Mr. Christopher Mark Loney, Vi�ginia PE Na. 029000. Calculations are �pased on the-spreadsheet formulas, and
"Review of certification of Engineered Flood Openings, dated lanuary 16, 2012" prepared b�r f�r_'Georg Reichard, Associate Professor
of Building Construction, Virginia Tech.
Design Characteristics
Section 2.6.2.2 af ASCE 24 provides an equation to determine tne required net area of engineered openings (Aa) for a given enclosed
area (Ae). This equation is based on the hydraulic formula far the flow rate across sharp edged orifices. I have utilized this equation
to calculate ij the respected flow rate through the individuat openings between louvers; 2) the flow rate through the main frame
opening in case the louver is blown out during a flood event; and 3) the flow rate of water flowing through louver blades following
hydraulic short tube theo�y. The ultimate maximum total enclosed area (Ae) that can be serviced by a single vent has then been
determined by utilizing the �owest fiow rate of the three assessed scenarios for each vent and is listed in Tabie 1.
These values are based on the following assumptions: H x W Ao ,qe
• In absence of reliable data, the rates oF rise and fall have been `1 Model
assumed with 5 feet/hour; [�n] [inZ] [ftZj
0 816CS 8 x 16 106 205
• The (maximum) difference between the exterior and interior
floodwater levels has been assumed with 1 foot during base
flood conditions;
• A factor of safety of S has been assumed, which is consistent
with design practices related to protection of life and property;
• The net area of openings (Ao) as provided by the manufacturer.
Installation Requirements and Limitations
This certification will be voided if the following installation
requirements and fimitations are nat enforted:
• There shall be a minimum of two openings on different sides of
each enclosed area;
❑ 1220CS 12 x 20 237 5pp
❑ 1232CS 12 x 32 306 645
❑ 1616CS 16 x 16 184 395
Q 1624CS 16 x 24 312 670
C� 1632C5 16 x 32 408 835
❑ 2032CS 20 x 32 630 1240
O 2424CS 24 x 24 57Q 1230
� 2436CS 24 x 36 852 1765
Tab(e 1 Maximum total enclosed area (Aej that can be
served by each individual model based on the
• The bottom of each required opening shall be no more than 1ft g�ven net area of engineered openings (Ao)
above the adjacent graund level;
• No temporary (e.g. during cold weather) or permanent solid cover may be ptaced into or over the f600d vent that woutd block
the automatic entry or exit of ftoodwaters at any time;
• Where analys'ss indicates rates of rise and fal4 greater than 5 ft/hr, the total enclosed area as given in Tab4e 1 shall be reduced
accordingly to account for the higher rates of rise and fall.
Certifying Design Professional ,1��ifiifl�,.
Name, Trtle Steve A. Geci, President, Geci & Associates Engineers, lnc.
Address 2958 N 12`h Avenue, Pensacola, FL 32503
ticense Florida Professional Engineer, L',ce�,�lo. 33658
Signature ,/ , _� __..-- / ./`
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Identification of the Buitding and [nstalled Flood�Vents �(By Others) ��i, �NAL�,����
The flood vent models marked in Table 1*j are being installed at the folloti ��.� ����� ��
Building Address � '
B�P2015-07084 �
SFR
QEVON DRIVE PROJEGT JOB 0117
Zon�ng: Low Medium Density Re Attas #: 276A