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125 DEVON DRU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2018 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name SALT VIEW PROPERTIES LLC Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 125 DEVON DRIVE Company NAIC Number: City State ZIP Code CLEARWATER Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL 08-29-15-04914-000-0480,LOT 48 & W1OFT LOT 47,BAYSIDE SUB,PB 23,PG 17,PINELLAS COUNTY,FLORIDA A4. Building Use (e.g., A5. Latitude/Longitude: A6. Attach at least A7. Building Diagram A8. For a building with a) Square footage b) Number of permanent c) Total net area d) Engineered A9. For a building with a) Square footage b) Number of permanent c) Total net area d) Engineered Residential, Non -Residential, Addition, Accessory, etc.) Lat. 27.97378 Long. -82.82631 RESIDENTIAL Horizontal Datum: insurance. above 0 NAD 1927 adjacent grade grade N/A 0 NAD 1983 N/A 2 photographs of the building if the Number 1A Certificate is being used to obtain flood N/A sq ft a crawispace of crawispace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? or enclosure(s): or enclosure(s) openings in the crawispace in A8.b or enclosure(s) N/A sq in within 1.0 foot foot above adjacent in El Yes Eii No garage: garage 874.00 sq ft openings in the attached garage within 1.0 in A9.b N/A sq 0 Yes 0 No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number CLEARWATER CITY OF 125096 B2. County Name PINELLAS B3. State Florida B4. Map/Panel Number 12103C0102 B5. Suffix G B6. FIRM Index Date 08-18-2009 B7. FIRM Panel Effective/ Revised Date 09-03-2003 B8. Flood Zone(s) AE B9. Base Flood E evation(s) (Zone AO, use Base Flood Depth) 11.0 FEET B10. Indicate the source 0 FIS Profile B11. Indicate elevation B12. Is the building Designation of the Base Flood Elevation 0 Community Determined for BFE in Item B9: Coastal Barrier Resources 0 (BFE) data or base flood 0 Other/Source: 0 NGVD 1929 System (CBRS) CBRS 0 OPA depth entered in Item B9: x FIRM datum used located in a Date: 0 NAVD 1988 0 Other/Source: area or Otherwise Protected Area (OPA)? 0 Yes 0 No FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 JUN 02 2017 PLANNING & DEVELOPMENT DEPT CITY OF CLEARWATER 125 DEVON DR BCP2017-05252 RTC SALT VIEW PROPERTIES LLC Zoning: Low Medium Density Atlas #: 276A ELEVATION CERTIFICATE OMB No. 1660-0008 a-AiA, aUV„ LJdle. IVUvemDer .3U, ZU123 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. 125 DEVON DRIVE Policy Number: City State ZIP Code CLEARWATER Florida 33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* *A new Elevation Certificate will be required when construction of the C2. Elevations — Zones Al A30, AE, AH, A (with BFE), VE, V1—V30, V Complete Items C2.a—h below according to the building diagram specified Benchmark Utilized: GPS Vertical • building (with Datum: Building Under Construction* is complete. BFE), AR, AR/A, AR/AE, AR/A1 in Item A7. In Puerto Rico only, NAVD 1988 x Finished Construction A30, AR/AH, AR/AO. enter meters. Indicate elevation datum ❑ NGVD 1929 used x for the elevations in items a) through h) below. NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check a) Top of bottom floor (including basement, crawispace, or enclosure floor) 6.00 x the measurement used. feet ❑ meters b) Top of the next higher floor N/A x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A x feet ❑ meters d) Attached garage (top of slab) 4.60 p feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 4.70 x feet ❑meters f) Lowest adjacent (finished) grade next to building (LAG) 4.10 x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 530 p feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 4.10 j3 feet ❑ meters SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect I certify that the information on this Certificate represents my best efforts to interpret statement may be punishable by fine or imprisonment under 18 U.S. Code, Section Were latitude and longitude in Section A provided by a licensed land surveyor? x authorized by law the data available. 1001. Yes ❑ No to I understand • certify elevation information. that any false Check here if attachments. Certifier's Name License Number BILL HYATT FLORIDASURVEYOR@AOL.COM LS 4636 ti If 4 r Title PRESIDENT•`4" `,, " r k yy 4636 CompanyName KNNOWWIT NOW INC Address 1497 MAIN ST #321 S IArF t1F tustiU4 City State ZIP Code DUNEDIN Florida 34698 4, i `t Signature Date Telephone Ext. W. rnd61 NYATT. n au. )445°4 0101.BY 1.911.d ��HYATT -p,»ss,, 05-31-2017 (727) 415-8305 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) ELEVATION ON C.2.E. IS TOP OF AIR CONDITIONING UNIT BASE THIS IS NOT FOR CONSTRUCTION OR DESIGN, IS FOR FLOOD INSURANCE USE ONLY FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 -gNnauun Lime. i ovemoer 3u, Zu113 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. 125 DEVON DRIVE Policy Number: City State ZIP Code CLEARWATER Florida 33767 Company NAIC Number 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 complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters LOMA or LOMR-F request, used. In Puerto Rico only, the elevation is above or below ■ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 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 the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters 9 (see pages 1-2 of Instructions), ❑ above or ❑ below the HAG. ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is • feet ❑ meters 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 this information in Section G. floodplain management ordinance? ❑ Yes ■ No ❑ Unknown. The local official must certify 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 ❑ Check here if attachments. MA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 GAF/II auun vale: rvovemoer 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. 125 DEVON DRIVE Policy Number. City State ZIP Code CLEARWATER Florida 33767 Company NAIC Number SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance Sections A, B, C (or E), and G of this Elevation used in Items G8—G10. In Puerto Rico only, enter G1. ❑ The information in Section C was taken engineer, or architect who is authorized data in the Comments area below.) to administer the community's floodplain management ordinance can complete Certificate. Complete the applicable item(s) and sign below. Check the measurement meters. from other documentation that has been signed and sealed by a licensed surveyor, by law to certify elevation information. (Indicate the source and date of the elevation E for a building located in Zone A (without a FEMA -issued or community -issued BFE) is provided for community floodplain management purposes. 02 • A community official completed Section or Zone AO. G3. ❑ The following information (Items G4—G10) G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ G8. Elevation of as -built lowest floor (including of the building: G9. BFE or (in Zone AO) depth of flooding at the G10. Community's design flood elevation: New Construction ❑ Substantial Improvement basement) feet ❑ feet ❑ feet meters Datum building site: ❑ meters Datum ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. orm 086-0-33 (7115) Replaces all previous editions. Form Page 4 of 6 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: 125 DEVON DR CLEARWATER, FL 33767 PICS TAKEN 05/31/2017 FRONT VIEW AND CONTINUING AROUND BUILDING U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2018 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name SALT VIEW PROPERTIES LLC Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 125 DEVON DRIVE Company NAIC Number: City State ZIP Code CLEARWATER Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL 08-29-15-04914-000-4480,LOT 48 & WI OFT LOT 47,BAYSIDE SUB,PB 23,PG 17,PINELLAS COUNTY,FLORIDA A4: Building Use (e.g., AS. Latitude/Longitude: A6. Attach at least A7. Building Diagram A8. For a building with a) Square footage b) Number of permanent c) Total net area d) Engineered A9. For a building with a) Square footage b) Number of permanent c) Total net area d) Engineered Residential, Non -Residential, Addition, Accessory, etc.) Lat. 27.97378 Long. -82.82631 RESIDENTIAL Horizontal Datum: insurance. above 0 NAD 1983 N/A • NAD 1927 adjacent grade grade N/A 2 photographs of the building if the Number 1A Certificate is being used to obtain flood N/A sq ft a crawlspace of crawlspace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? or endosure(s): or enclosure(s) openings in the crawlspace in A8.b or endosure(s) N/A sq in within 1.0 foot foot above adjacent in 0 Yes El No garage: garage 874.00 sq ft openings in the attached garage within 1.0 in A9.b N/A sq 0 Yes rj No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number CLEARWATER CITY OF 125096 B2. County Name PINELLAS B3. State Florida 84. Map/Panel Number 12103C0102 85. Suffix G B6. FIRM Index Date 08-18-2009 B7. FIRM Panel Effective/ Revised Date 09-03-2003 B8. Flood Zone(s) AE 89. Base Flood E evation(s) (Zone AO, use Base Flood Depth) 11.0 FEET B10. Indicate the source 0 FIS Profile B11. Indicate elevation B12. Is the building Designation of the Base Flood Elevation 0 FIRM 0 Community Determined datum used for BFE in Item B9: located in a Coastal Barrier Resources Date: 0 (BFE) data or base flood 0 Other/Source: 0 NGVD 1929 System (CBRS) CBRS 0 OPA depth entered in Item B9: 0 NAVD 1988 0 Other/Source: area or Otherwise Protected Area (OPA)? 0 Yes 0 No FEMA Form 086-0-33 (7 Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 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. 125 DEVON DRIVE Policy Number City State ZIP Code CLEARWATER Florida 33767 Company NAIC Number SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: fJ Construction Drawings* 0 Building Under Construction' 0 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: GPS Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 0 NAVD 1988 0 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, crawispace, or enclosure floor) 6.00 0 feet meters b) Top of the next higher floor N/A [] feet D meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A 0 feet 0 meters d) Attached garage (top of slab) 4.60 0 feet 0 meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 4.70 0 feet meters f) Lowest adjacent (finished) grade next to building (LAG) 4.10 0 feet 0 meters g) Highest adjacent (finished) grade next to building (HAG) 5.30 0 feet 0 meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 4.10 0 feet 0 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes 0 No D Check here if attachments. Certifiers Name License Number BILL HYATT FLORIDASURVEYOR@AOL.COM LS 4636 Nip" • , .. ' , • ,,i.i,.. .._ , % Title PRESIDENT Company Name KNOW IT NOW INC Address 1497 MAIN ST #321 City State ZIP Code DUNEDIN Florida 34698 • , ' .. 1 . Signature Pk onlilliffAlT,.a. Date (727) 415-8305 Ext. 4) i C.019, lined b,121. WATT Telephone 05-31-2017 C.04171631 Inaane-onsr Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) ELEVATION ON C.2.E. IS TOP OF AIR CONDITIONING UNIT BASE THIS IS NOT FOR CONSTRUCTION OR DESIGN, IS FOR FLOOD INSURANCE USE ONLY FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 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. 125 DEVON DRIVE Policy Number: City State ZIP Code CLEAR WATER Florida 33767 Company NAIC Number 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 El—E5. If the Certificate is intended to support a complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet 0 meters LOMA or LOMR-F request, used. In Puerto Rico only, the elevation is above or below 0 above or 0 below the HAG. 0 above or 0 below the LAG. 9 (see pages 1-2 of Instructions), 0 above or 0 below the HAG. Ei above or 0 below the HAG. 0 above or 0 below the HAG. with the community's certify this information in Section G. b) Top of bottom floor (including basement, craNvIspace, or enclosure) is D feet D meters E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or the next higher floor (elevation C2.b in the diagrams) of the building is 0 feet 0 meters E3. Attached garage (top of slab) is 0 feet 0 meters E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance floodplain management ordinance? 0 Yes 0 No 0 Unknown. The local official must 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 0 Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 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. 125 DEVON DRIVE Policy Number: City State ZIP Code CLEAR WATER Florida 33767 Company NAIC Number 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 G8—G10. In Puerto Rico only, enter meters. Gi. El 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 ID A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. 03. 0 The following information (Items 04—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 0 08. Elevation of as -built lowest floor (including of the building: G9. BFE or (in Zone AO) depth of flooding at the G10. Community's design flood elevation: New Construction 0 Substantial Improvement basement) El feet 0 feet []feet0 El meters Datum building site: 0 meters Datum meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) 0 Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 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: 125 DEVON DR CLEARWATER, FL 33767 PICS TAKEN 05/31/2017 FRONT VIEW AND CONTINUING AROUND BUILDING 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: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance aqenUcompanv. and (3) buildina owner. SECTION A— PROPERTY INFORMATION FOR INSURANCE COMPANY USE A1. Building Owners Name Policy Number: SALT VIEW PROPERTIES LLC � BoxdNo Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: 125 DEVON DRIVE C�tY State ZIP Code CLEARWATER Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legai Description, etc.) PARCEL 0&29-15-04914000-0480,LOT 48 8� W10FT LOT 47,BAYSIDE SUB,PB 23,PG 17,PINELLAS COUNTY,FLORIDA A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat_ 27.97378 Long. -82•82631 Horizontal Datum: � NAD 1927 0 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 endosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) wiihin 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes � No A9. For a building with an attached garage: a) Square footage of attached garage 874.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? � Yes �x No SECTION B— FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name 8� Community Number 62. County Name B3. State CLEARWATER CITY OF 125096 PINELLAS Florida B4. Map/Panel 65. Suffix 66. FIRM Index B7. FIRM Panel 68. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12103C0102 G 08-18-2009 09-03-2003 AE 11.0 FEET B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile x� FIRM � Community Determined ❑ Other/Source: 611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 Ox NAVD 1988 � OthedSource: 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? � Yes �x No Designation Date: � CBRS � OPA � uv�n rVn11 VOO�V-JJ (/! IJ� rcepiaces aI1 previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE onna rvo. �ssa000s Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (inciuding Apt., Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. Policy Number: 125 DEVON DRIVE C�tY 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' � 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: GPS Vertical Datum: NAVD 1988 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 for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6.00 �x feet � meters b) Top of the next higher floor N/A �x feet � meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A �x feet � meters d) Attached garage (top of slab) 4.60 Ox feet � meters e) Lowest elevation of machinery or equipment servicing the building 4.70 x feet meters (Describe type of equipment and location in Comments) ❑ ❑ fl Lowest adjacent (finished) grade next to building (LAG) 4.10 �x feet � meters g) Highest adjacent (finished) grade next to building (HAG) 5.30 0 feet � meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 4.10 Ox 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. I certify that the informaSon on this Cert�cate represents my best efforts to interpret the data available. ! understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? � Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number BILL HYATT FLORIDASURVEYOR@AOL.COM LS 4636 Title -" � � PRESIDENT -;r, ;e, Company Name KNOW IT NOW INC Address 1497 MAIN ST #321 , � � �i' , „• � , C�tY State ZIP Code � S' �,-,, DUNEDIN Florida 34698 ��, � �''� Signature ��� �9�Y�dbYMlLMYAR Date Telephone Ext. �o.«�.�„�n.>«. �m„�,�,°""�"°"°"';"�"°"`"'� 05-31-2017 (727}415-8305 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenUcompany, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) ELEVATION ON C.2.E. IS TOP OF AIR CONDITIONING UNIT BASE THIS IS NOT FOR CONSTRUCTION OR DESIGN, fS FOR FLOOD INSURANCE USE ONLY FEMA Form 086-0-33 (7/15) Replaces all previous editions. FoRn Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Buiiding Street Address (inciuding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 125 DEVON DRIVE City 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 availabie. 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 (induding basement, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (induding basement, crawispace, or endosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams Cr9 with permanent flood openings provided in Section A Items 8 andlor 9(see pages 1-2 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'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 coRect to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7115) Replaces all previous editions. Fortn Page 3 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2o�s 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: 125 DEVON DRIVE City State ZIP Code Company NAIC Number CLEARWATER Florida 33767 SECTION G - COMMUNITY INFORMATION (OPTIONAL) The locai official who is authorized by law or ordinance to administer the communiry'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 G8-G10. in Puerto Rico only, enter meters. G�, � 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 ((tems G4-G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate 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 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 Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-�-33 (7/15} Replaces all previous editions. Form Page 4 of 6 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: 125 DEVON DR CLEARWATER, FL 33767 PICS TAKEN 05/31/2017 FRONT VIEW AND CONTINUING AROUND BUILDING y �� �p .,. ,.fFSy ,.� _�a. ��� � . � � � �—�,., � �Y c h: �� y , ,_ . . �� �x � �., . ���N:'i�� � . � uYa � S � � , . . . . �d', ��{��'t �; N � ``� ��� iTr% d° ��� �,.. a? ig ��� _.. . .i�k-��: � �d3 }Ct ,�$ jk N -..T� . ` � d �yi•� '�' � _.� � .n " � � � � � ` .. � ' •� r. IR_� .