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710 ELDORADO AVE (2)P©f g-- 04313 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insuranoe Program OMB No. 1880-0008 Expiration Dame: November 30.2022 ELEVATION CERTIFICATE important Follow the instructions on pages 1-5. Copy ail pages of this Elevation Certificate and al attachments for (1) community official, (2) insurance and (3) buicfmg otmo SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Budding Owner's Name THE MARTHA POSEY BURL TRUST Policy Number A2. Building Street Address (iindudrg Apt.. Unit. Suite, and/or Bldg. No.) or P.O. Route and Box No. 710 ELDORADO AVENUE Company NAlC Number City State ZIP Code CLEARWATER, Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number. Legal DeacIPfton. etc.) 05-29-1 . M. Building Use (e.g.. A5. Latitude&Longitude: AB. Attach at least A7. Balding Diagram A8. For a bung 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. Accessary, etc.) Lat. 27* 59' 232' Long. 82' 49' 39.6" RESIDENTIAL Horizontal Daum insurance above • NAD 19127 adjacent grade grade 0 NAD 1983 0 2 photographs Number with a cambiums of crarMspaoe tool of flood openings flood openings? an attached of attached food of flood openings flood openings? cite) budding lithe 6 Certificate is being used to obtain flood 2090.00 sq ft or endoscre(s): or endostre(s) openings in the crawlspece in A6.b or endosure(s) 0.00 sq in within 1.0 foot foot abate adjacent in 0.00 sq ft • Yes '� No garage: garage openings in the attached garage wain 1.0 in A9.b 0.00 sq • Yes No SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Commix* CITY OF CLEARWATER Number B2. County Name PINELLAS B3. Strata Florida /125096 B4. Map/Panel Number 12103 C 0102 B5. Suffix _ G B6. FIRM Index Date 09182009 I37. FIRM Panel Revised Date 0903-2003 B8. Flood Zone(s) VE 89.Berate Rood tea) (Zone /W, use Base Food DepYhj -4,2$& 14.01 / 3t® B10. Indicate the same of the Base Flood Elevation (BFE) data or base flood depth entered in Mem B9: ■ FIS Profile B11. Indicate elevation 812. Is the budding Designation Dale: FIRM datum used located in a • CommunityCo Determined for BFE in Mem BB Coastal farrier Resources ■ OfhedSource: hedSourdx ■ NGVD System CBRS 1929 (CBRS) �i NAVD 1988 • Ot area or Otherwise Preceded Area (OPA)? ■ Yes No • • OPA FEMA Form 0860-33 (12/19) Replaces al previous editions Form Page 1 of6 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 Butting Street Address (ndud'ug Apt. Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No, 710 ELDORADO AVENUE Poicy Number. City State ZIP Code CLEARWATER, Florida 33767 Company NAIC Number SECTION C - BUILDING ELEVATION DIFORMATION (SURVEY REQUIRED) Cl. 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, ARAE, Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Benchmark Utlzed: CITY OF CLEARWATER 1-02 Vertical Datum: 4.98' AR/A1-A30, AR/AH, AR/AO. Rico only, enter meters. Indicate elevation datum used for the elevations in Items a) though h) below. • NGVD 1929 in NAVD 1988 ■ Other/Source: Datum used for buichg elevations must be the same as that used for the BEE a) Top of bottom floor (including basement, crawtapace. or enclosure floor) Chedc the measurement used 67 in feet ■ meters . b) Top of the nerd higher floor 173 i feet ■ meters c) Bottom of the lowest horizontal structural member (V Zones only) 15.6 in feet ■ meters d) Attached garage (fop of slab) N/A ■ feet ■ meters e) Lowest elevation of machinery oreceipment servicing the building (Describe type of equipment and Iodation in Comments) 28.1 ,1 feet ■ meters f) Lowest adjacent (finished) grade next to bulling (LAG) 5.8 feet ■ meters g) Ifighest adjacent (Snitched) grade next to building (HAG) 62 M feet ■ meters h) Ladjacent ai grade at lowest elevation of deck or stairs, inducting WA ■feet • meters SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIRCATION This certification is to be signed and sealed by a land surveyor, engineer. or architect authorized by I candy that The intonnatio t on this Certificate represents my best efforts toe data auailabb. statement may be punishable by tine ori prisomnent under 18 U.S Code; r�tin1001. lawn to certify elevation information. understand derstand that any false Were latitude and longihrde in Section A provided by a licensed land surveyor? r, Yes ■ No in Chedc he Nittadmen ts. . -itip..r .ti., • - Certifier's Name License Number'.', LARRY L EVANS FL LS No. 2937 A _ ...,. *a 4 ' ..� _ ; .�' , •4} .• g • IAi , ` 1. ;�• ` � $ E 0 ._ = LAND SURVEYOR Company Name EVANS LAND SURVEYING. WC• Address 1460 BELTREES STREET SUITE 9 City Stale ZIP Code DUNEDIN. Honda 34698`g- Signature Date Telephone Ext 4-10- 2,0 (727)734 1 Copy al pages of this Elevation Certificate and ail altadineds for (1) coroner* official. (2) insurance agent/company, and (3) bulling owner. Comments (inducing type of equipment and location, per C2(e). I8ppiceb's) C2b.): ENTRY LEVRL FLOOR ELEVATION IS 7.7'. C2.e): IS A WATER HEATER LOCATED ON THE THIRD FLOOR - FEMA Form 088.033 (12/19) Replaces all previous millions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiation Date: November 30, 2022 IIIIPORTANT: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Bulking Street Address (including Apt., Unit, Suite, and/or Bldcg. No.) or P.O. Route and Box No. 710 ELDORADO AVENUE Poky Number City State ZIP Code CLEARWATER, Florida 33767 Company NAIC Number SECTION 0 — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordnance Sections A, B. C (or E), and G of this Bevation used in Items G8 -G10. In Puerto Rico only. enter b administer the canmunity's floodplain management ordnance cart complete Cedificate. Complete the applicable item(s) and sign below. Check the measurement meters. from other documentation that has been signed and sealed by a loaned surverr, by law to certify elevation information. (Indicate the source and date of the elevation E for a building located kaone A (vAlhout a FEMA -issued or community4ssued BFE) is provided for commit, loodpbin management purposes. 01. • The information in Section C was taken engkmer, or architect who is authorized data in the Comments area below) 02. • A commis* official completed Sedion or Zone AO. Ga • The following information (Items 04-G10) G4. Permit trunber 05. Date Permit Issued 06. Date Celtics* of CompliancelOccupency Issued 0 feet G7. This permit has been issued for • New Construction • Substardal Improvement G13. Elevation of as-bult lowest floor (inducing of the buildirg G9. BFE or (in Zone AO) depth of flooding at the 010. Community's design flood elevation: basement) • meters Datum building site: • feet • meters Damn • feet • meters Dakar, Local Ofliciars Name Title Community Name Telephone Signature Date Comments (including type i - .... . • . - . .• .t•-•). if aPPlicehle) . . , _ -•,: --,--- - _- 4 1- - '.- ."- '-- - , A ' ' _ . ' :• • , - . '" ' '; * --... _ , W. -,.2- '''.,. 710 ELDORADO AVE L BCP2018-043738 ELEVATION_ CERT BURJCE.. MARTHA zoninw Low medium Dangly peas fik 258A ,. .„. _ ,....,-,. --,- — ,-1,7--...-w...-.;.g•--- • Check here ifseachments. FEMA Form 0866-33 (12/19) Replaces al previas action& Fam Page 406 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiation Date: November 30, 2022 PORTANT: Whose spaces. copy the corresponding Intone Ion from Section A. FOR INSURANCE COMPANY USE nuking Street Address (inducing Apt. Unit, Slate, andicr Bldg. No.) or P.O. Route and Box No. 710 ELDORADO AVENUE Poky 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 LOMA or LOMR-F request complete Sections A, Band C. For Items E1 -E4, use riskier' Bade, 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 ) Is ■ feet ■ meters 0 above or ■ below the HAG. b) Top of bottom floor (inducing basement. aawlspeoe, or enclosure) is ■ feet ■ meters ■ above or 0 below the LAG_ 9 (see pages 1-2 of Instructions), EZ For Bulking Diagrams 6-9 with permanent flood openings provided 'n Section A Items 8 and/or the need higher floor (elevation Cab in the diagrams) of the bulking 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 bulking is ■ feet ■ meters ■ above or ■ below the WAG. with the community's certify this information in Section G. E5. Zone AO only: If no flood depth number is available, is the top of the bdtom floor elevated in acoondanoe floodplain management ordnance? g Yes 0 No ■ thnianoen The local clidal must SECTION F - PROPERTY OWNER (OR OWNERS R SENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sodium 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 Owners Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments • Check hem if attachments. FEMA Form 0660-33 (12/10) Replaces ell previous ediona Form Page 3 of BUILDING PHOTOGRAPHS See Instructions for Item A6. 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. 710 ELDORADO AVENUE Policy Number: City State ZIP Code CLEARWATER, Florida 33767 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insuranceaffix 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. lieL sl /s Photo One Photo One Caption FRONT VIEW - 04/20/2020 Clear Photo One I .,, U 111 11R g. g be Photo Two Photo Two Caption REAR VIEW - 04/20/2020 Clear Photo Two FEMA Form 086-0-33 (1119) Replaces all previous editions. Form Page 5 of 6 V ZONE DESIGN CERTIFICATE Name 144 1901 f�lrvkL Trig9t• Policy Number (insurance Co. use) Building addressor Other Desatption 710 F ( )taalo ilvc. Permit No. BCPZo1B— O'1373 coy Clem wJ* or Sok 614 stat•ft. code 3370 SECTION I: Flood Insarance Rate Map (FIRM) Information community No. /Z/o3C Panel No. 0101* SuffcerRM Delelr3/03F1wM Zone(s) VE t3 SECTION II: Elevation Information Used for Design (MOTE This aider delouse* Os odevalleissiielle seed or wedged g d b as design — 1 doss not document surveyed eievadocs and b dot aguMMrrt b Me Nabs* alarollbes uegried b bamboo/1W during orMar construction,' 1. FIRM Base Flood Elewlion (BFE) 13 tsar 2. Community's Design Flood Elevation (DFE)... e 4 leer 3. Elevation of to Bottom of Lowest Horizontal Structure Member IC blear 4. Elevation of Lowest Adjacent Grade Meer 5. Depth of Anticipated ScoudEroeion used for Forsdion Design. 3:5 teat 6. Embedment Depth of Pugs of Fandaion Below Lowest Ad scerd Grade 2‘ feet * Indicate devotion dabhm used in 1-4: 0 NGVD29 NIAVD88 0 Other SECTION III: V Zone Design Certification Statement I oerliy that (1) I have developed or maimed the eanrcbral design, plans, and specifications for construction of the above - referenced building and (2) est Nue design and methods of construction peed to be used are in accordance with accepted standards of practice" for meeting the Mowing provisions: • The bottom of the band horinoodal abudural member of the lowest floor (excluding pies and columns) is elevated to or above the BFE • The pits and column foundation and structure unread thereto is anchored to racist flotation, collapse, and blest movement due too the effects of the wind and weir bads autirg rim uieneouuy on at bolding components. Water loading values used are those associated wth the base flood**. %Med loading tiles used ars those required by the apptceble Stab ar local building cods. The poles! for scour and erosion at to fou dsion hes been anticipated for conditions associated with the bas flood, including wave action. • SECTION W: Breakaway Wall Design Certification Statement (MOTE flub seam aunt he catalog by a nglelrsd angina ar arohNea time b oliaro ► weals are striped to have a railmerroa afaore Mae 211ps►!111111 bANwfy detrmbedcsbg aliewshie aims *NW I certify that (1)1 have developed or reviewed the structural design, piens. and epsa7aions for construction of breakaway walls b be constructed under the building and (2) that the design and methods of oonsbucton epertlled to be used are in accordance with accepted atendards of practice" for meeting the following provisions: • Breakaway tat collapse shell result *on a water load Its than that which would occur during the base Hood"'. • The elevated pocket of the buidig and supporting foundMion system dal net be subject b collapse, displmcemenl; or other abucbural damage due to the elects of Pled and water loads acting a neineaus y an at building components (see Section It). SECITON V: Certification and Seal This ceriication is to be signed and seated by a registered professional engineer or arcbibct authorized by pew to certify structural designs. 1 codify the V Zone Design CntYhcaion Slimmest Median NI) and ✓ the thresicerciftWaill Design Cerci — 00 Statement Medial IV, check if applicable). canners Name/r7IF114 1 goV/tKMA& license Number 73046 g ,a *VOA,* company NemeA lydl ffiltdvi4 1 Address 730 4. 4k11i AJL • 5a1$. lot Cid► ''71 /L Z4 cede pp33boa / a signs D.te Tatephone03) (ra-0711 4/30/2021 New Automation GIS Viewer Clearwater Automation GIS Viewer msb-gis-prod/AccelaViewer/?PI D=05-29-15-54666-002-0030 1/1