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157 DEVON DRU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency Natibrial Flood Insurance Program ELEVATION CERTIFICATE Important Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2022 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 KOENRAAD AND RENNEE 0. VANZANTEN Policy Number. A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 157 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.) Lot 40 & East 1/2 of Lot 41 & Land to Bulkhead line -A Replat of Bayside Sub. -PB 23, PG 17 -Parcel #08-29-15-04914-000-0400 A4. Building Use (e.g., A5. Latitude/Longitude: A6. Attach at least A7. Building Diagram A8. For a building a) Square footage b) Number of permanent c) Total net area d) Engineered A9. For a building with a) Square footage b)„Numl$r=bT perrpanent c) total net area d) Engineered Residential, Non -Residential, Addition, Accessory, etc.) Lat. 27.97372°N Long. -82.82480"W Residential Horizontal Datum: insurance. above ❑ NAD 1927 adjacent grade grade 0 CI NAD 1983 13 2 photographs of the building if the Number 7 Certificate is being used to obtain flood 2600.00 sq ft with a crawlspace of crawlspace 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 crawlspace in A8.b or endosure(s) 2600.00 sq in within 1.0 foot foot above adjacent in 0.00 sq ft © Yes ❑ No garage: garage openings in the attached garage within 1.0 in A9.b 0.00 sq ■ Yes © No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81.`.NFIP Community Name & Community Number ,Clearwater -125096 B2. County Name Pinellas B3. State Florida B4. Map/Panel Number;; 12103C01OO 85. Suffix G 86. FIRM Index Date 08-18-2009 B7. FIRM Panel Effective/ Revised Date 09-03-2003 B8. Flood Zone(s) AE 139. Base Flood E evation(s) (Zone AO, use Base Flood Depth) 11.0' B10. Indicate the source 0 FIS Profile 811. Indicate elevation 812. is the building Designation of the Base Flood Elevation ® FIRM 0 Community Determined datum used for BFE in Item B9: located in a Coastal Barrier Resources Date: ■ (BFE) data or base flood ■ Other/Source: ■ NGVD 1929 System (CBRS) CBRS ■ CPA depth entered in Item 139: 0' NAVD 1988 0 Other/Source: area or Otherwise Protected Area (OPA)? • Yes Q No FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 1 of 6 157 DEVON DR BCP2019-101005A ec KOENRAAD VAN ZANTEN Zoning: Low Medium Density Atte; ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 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. 157 Devon Drive Policy Number: City State ZIP Code Clearwater Florida33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based *A new Elevation Certificate C2. Elevations — Zones A1—A30, Complete Items C2.a—h Benchmark Utilized: Pinellas Rico an: © Construction Drawings* ■ Building Under Construction* ■ Finished Construction will be required when construction of the building is complete. AE, AR, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, below according to the building diagram specified in Item A7. In Puerto County Map #154(DE-2) Vertical Datum: NAVD 1988 AR/A1—A30, AR/AH, AR/AO. only, enter meters. Indicate elevation datum used for the elevations in items a) through h) below. ■ NGVD 1929 Datum used for building a) Top of bottom floor (including b) Top of the next higher c) Bottom of the lowest d) Attached garage (top e) Lowest elevation of (Describe type of equipment f) Lowest adjacent (finished) g) Highest adjacent (finished) h) Lowest adjacent grade structural support © NAVD 1988 5 Other/Source: elevations must be the same as that used for the BFE. basement, crawlspace, or enclosure floor) Check the measurement used. 5.3 0 feet ■ meters floor 14.8 0 feet ■ meters horizontal structural member (V Zones only) N/A Q feet 0 meters of slab) N/A 0 feet ■ meters machinery or equipment servicing the building 14.8 and location in Comments) ©feet ❑meters grade next to building (LAG) 4.4 x❑ feet ❑ meters grade next to building (HAG) 4.6 © feet ■ meters at lowest elevation of deck or stairs, including N/A x feet ■meters SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed I certify that the information statement maybe punishable Were latitude and longitude in and sealed by a land surveyor, engineer, or architect authorized by on this Certificate represents my best efforts to interpret the data available. by fine or imprisonment under 18 U.S_ Code, Section 1001. law to certify elevation information. I understand that any false Section A provided by a licensed land surveyor'? 0 Yes ■ No ■ Check% rettf%ttarr�¢jpents. r'a't Certifiers Name License Number John O. Brendla 4601 yip - jj',+,. .t 11 ) II:. ui j Place ', `'t s t'ttt � 't-.-_..-'po 1 G I� •.. 1 ` „�`` Title Surveyor Company Name John C. Brendla & Associates, Inc. Address 401582nd Avenue North City State ZIP Code'. Pinellas Park Florida 33781 Signatulre 6 0 Date Telephone Ext. II 1 a ) 12-21-2020 (727) 576-7546 None Copy ail p -_es of this Elevati n -rtificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comment (in .rding type of equipment and location, per C2(e), if applicable) C2) a. Park g & Storage, C2) b. The lowest living floor, C2) e. The NC Condenser located on the West side of the house NOTE: There will be 13 Smart Vents to be installed on the ground floor Model #1540-510 (g200 square inch per vent for a total of 2600 square Inches - 12/21/2020 Revised C2) Added comas between a,b & c Benchmark: Pinellas County Map #154 (DE -2) Elev. 5.714' NGVD adjusted to Elev. 4.92' NAVD - MSL = 0.00 FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 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. 157 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 El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items El—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 ■ feet I meters ■ above or I 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 0 feet ■ meters ■ above or ■ below the HAG. E3. Attached garage (top of slab) is 0 feet ■ meters 0 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 certify this information in Section G. ES. 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 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 (12/19) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 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. 157 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 08-010. 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. 03. ■ The following information (Items G4—G10) 04. 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 of the building: G9. BEE or (in Zone AO) depth of flooding at the G10_ Community's design flood elevation: basement) ■feet ■meters Datum building site: • feet ■ meters Datum ■ 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) 157 DEVON DR BC P2019 -101005A ec KOENRAAD VAN ZANTEN Zoning: Low Medium Density Atlas #: 276A ■ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 4 of 6 i