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1245 ROGERS STU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE OMB No. 1660 -0008 Expiration Date: November 30, 2018 Important: Follow the instructions on pages 1 -9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. 230260 SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name AUSTIN CHAVEZ Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 1245 ROGERS STREET Company NAIC Number: City CLEARWATER State FL ZIP Code 33756 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lots 1, 2, and 3, Block S, HIBISCUS GARDENS, according to the Plat thereof, as recorded in Plat Book 14, Page 59, of the Public Records of PINELLAS County, Florida. A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) NON - RESIDENTIAL A5. Latitude /Longitude: Lat. 27 °57'35.51 "N Long. 82 °47'06.64 "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 1B A8. For a building with a crawlspace or enclosure(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) within 1.0 c) Total net area of flood openings in A8.b 0 sq in d) Engineered flood openings? ❑Yes No A9. For a building with an attached garage: a) Square footage of attached garage 200 • sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above c) Total net area of flood openings in A9.b 0 d) Engineered flood openings? ❑Yes No sq in 1245 ROGERS ST BCP2015- 11288B ELEVATION CERTIFICATE RESOURCE POS Zoning: Office Atlas #: 296B SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 125096 CITY OF CLEARWATER B2. County Name PINELLAS B3. State Florida B4. Map /Panel Number 12103C0108 B5. Suffix H B6. FIRM Index Date 5/17/2005 B7. FIRM Panel Effective/ Revised Date •5/17/2005 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 22.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑FIS Profile El FIRM Community Determined ❑Other /Source: B11. 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)? EYes No Designation Date: ❑CBRS ❑OPA FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660 -0008 Expiration Date: November 30, 2018 230260 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. 1245 ROGERS STREET Policy Number: City State ZIP Code CLEARWATER FL 33756 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) /AE, Rico 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 Complete Items C2.a —h below according to the building diagram specified in Item A7. In Puerto Benchmark Utilized: AG0592 Vertical Datum: NAVD 1988 AR /A1 —A30, AR /AH, AR/A0. only, enter meters. Indicate elevation datum used for the elevations in items a) through h) below. ■ NGVD 1929 /1 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) 22.4 Check the measurement used. /l feet •meters b) Top of the next higher N/A 1l feet ■meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A d) Attached garage (top of slab) 22.4 ►/feet ■meters ■ feet •meters e) Lowest elevation of machinery or equipment servicing the building 24.5 1l feet •meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 20.6 ►l feet •meters g) Highest adjacent (finished) grade next to building (HAG) 22.1 ►l feet ■meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A structural support /l 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 I certify that the information on this Certificate represents my best efforts to interpret the data available. statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. law to certify elevation information. I understand that any false Were latitude and longitude in Section A provided by a lieensed land surveyor? ∎IYes •No •Check here if attachments. Certifier's Name License Number Kenneth J. Osborne 6415 , " F q o s a t c o ? R r 1' o No.6415 F 2 ,, Digitallyslgned t< b w ° Kennetho,bo,�eth Da a Osborne 2a1te. 9.02.25 a , 12:05:54- 05'00' ,, d STATE OF b °a T 4 O R I 0 ,3 P ` ` s u R E Title Registered Professional Surveyor Company Name TARGET SURVEYING, LLC Address 6250 N Military Trail #102 City State ZIP Code West Palm Beach FL 33407 Signature , Date Telephone 11/1/2018 (561)640 -4800 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) GARAGE SQUARE FOOTAGE ROUNDED TO THE NEAREST HUNDRED. GARAGE USED FOR STORAGE ONLY. SLAB IS AT THE SAME ELEVATION OF ENTIRE BUILDING. OVERHEAD DOOR IS USED FOR SHIPPING AND RECEIVING ONLY. ELEVATIONS IN SECTION C2 -E ARE OF A/C SLAB. 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 230260 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. 1245 ROGERS STREET Policy Number: City State ZIP Code CLEARWATER FL 33756 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 —E6. 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 9 (see pages 1 -2 of Instructions), 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 •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 with the community's this information in Section G. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance 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. 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 230260 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. 1245 ROGERS STREET Policy Number: City State ZIP Code CLEARWATER FL 33756 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 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. G1. • The information in Section C was taken engineer, or architect who is authorized data in the Comments area below.) G2 ■ 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: Datum • New Construction •Substantial Improvement basement) •feet •meters Datum building site: •feet •meters Datum ■feet •meters 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 -0 -33 (7/15) Replaces all previous editions. Form Page 4 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS See Instructions for Item A6. OMB No. 1660 -0008 Expiration Date: November 30, 2018 230260 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. 1245 ROGERS STREET Policy Number: City State ZIP Code CLEARWATER FL 33756 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 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. Photo One Photo One Caption FRONT VIEW ,} - +`.. ' Photo Two Photo Two Caption FRONT /GARAGE VIEW FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018 OMB No. 1660 -0008 230260 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. 1245 ROGERS STREET Policy Number: City CLEARWATER State FL ZIP Code 33756 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. Photo One Photo One Caption REAR VIEW Photo Two Photo Two Caption SIDE VIEW FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 6 of 6