1586 GULF BLVD (2)U.S. DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY
\auunal Flood Inrourunu' Pru,tiiu n
ELEVATION CERTIFICATE
IMPORTANT: Follow the instructions on pages 1 -9.
OMB No. 1660 -0008
Expiration Date: July 31, 2015
SECTION A - PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owner's Name
CABANA CLUB CONDO ASSOCIATION
A2. Building Street Address (including Apt.. Unit, Suite, and /or Bldg. No.) or PO. Route and Box No.
1586 GULF BOULEVARD
Policy Number:
Company NAIC Number:
City CLEARWATER State FL
ZIP Code 33767
A3. Property Description ;Lot and Block Numbers, Tax Parcel Number. Legal Description, etc.)
PARCEL 19- 29- 15- 12936- 001 -2801, CABANA CLIB CONDO PHASE 1 BLDG 2, PLAT BOOK 076, PAGE 091, PINELLAS COUNTY, FLORIDA
A4. Building Use ie.g.. Residential, Non - Residential. Addition, Accessory, etc ) RESIDENTIAL
45. Latitude /Longitude: Lat 27.9401 Long 82.8384 Horizontal Datum
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):
a) Square footage of crawlspace or enclosure(s)
b) No. of permanent flood openings in the crawlspace or
enclosure(s) within 1.0 foot above adjacent grade
ci Total net area of flood openings in A8.b
d) Engineered flood openings? ❑ Yes No
4530
2
13824
sq ft
sq in
A9. For
a)
b)
c)
d)
❑ NAD 1927 x❑ NAD 1983
a building with an attached garage:
Square footage of attached garage 0 sq ft
Number of permanent flood openings in the attached garage
within 1.0 foot above adjacent grade 0
Total net area of flood openings in A9.b 0
Engineered flood openings? ❑ Yes No
sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
CLEARWATER CITY OF 125096
B2. County Name
PINELLAS
B3. State
FL
B4. Map /Panel Number
B5. Suffix
B6. FIRM Index Date
B7. FIRM Panel Effective/
B8. Flood Zones)
B9. Base Flood Elevation(s) (Zone
Revised Date
AO. use base flood depth)
12103C0104
G
08/18/2009
09/03/2003
VE
13.0 FT
B10.Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
❑ FIS Profile :t FIRM ❑ Community Determined ❑ Other /Source
811.Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source
B12.Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes t 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
'1A 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. Complete Items
C2.a -h below according to the building diagram specified in Item A7. In Puerto Rico only. enter meters.
Benchmark Utilized: CITY BM SAN MANHOLE RIM Vertical Datum. NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988
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)
f) 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
7.0
16.7
15.5
N/A
8.0
7.0
8.4
7.0
❑ Other /Source'
Check the measurement used.
feet
feet
feet
feet
IN feet
feet
feet
feet
❑ meters
❑ meters
❑ meters
❑ meters
❑ meters
❑ meters
❑ meters
❑ 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 tine 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
❑ Check here If attachments.
licensed land surveyor? ® Yes ❑ No
Certifiers Name
BILL H. HYATT, JR
License Number
#4636
Title
PRESIDENT
Company Name
KNOW IT NOW INC
Address
1497 MAIN STREET #321
City
DUNEDIN
State
FL
ZIP Code
34698
Signature
Date
12 -17 -14
Telephone
(727) 415-8305
FEMA Form 086 -0 -33 (7/12) See reverse side for continuation.
Replaces all previous editions.
1586 GULF BLVD COMM
BCP2018-100373
REMODEL
CABANA CLUB CONDO
Zoning:
Atlas #. 311B
ELEVATION CERTIFICATE, page 2
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 P0. Route and Box No.
1586 GULF BOULEVARD
City State ZIP Code
CLEARWATER FL 33767
Policy Number:
Company NAIC Number:
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 EQUIPMENT ON PRIOR PAGE IS BASE OF ELECTRIC TRANSFORMER
THIS CERTIFICATE IS NOT TO BE USED FOR CONSTRUCTION OR DESIGN, IS FOR FLOOD INSURANCE USE ONLY
Signature
4)0*0
Date 12/17/2014
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. Band C.
For Items E1 —E4. use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
El. 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
b) Top of bottom floor (including basement. crawlspace. or enclosure) is
® feet ❑ meters
® feet ❑ meters
above or
® above or
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
E3. Attached garage (top of slab) is
feet ❑ meters
® feet ❑ meters
above or
above or
E4. Top of platform of machinery and /or equipment servicing the building is feet ❑ meters ® above or
❑ below the HAG.
❑ below the LAG.
❑ below the HAG.
['below the HAG.
❑ 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
❑ Check here 4 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 El. 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. iIndicate 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 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
CLEARWATER CITY OF Telephone
Signature
Date
Comments
❑ Check here 4 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:
1586 GULF BLVD
CLEARWATER, FL 33767
PICS TAKEN 12/12/2014
FRONT VIEW AND CONTINUING AROUND BUILDING