The very best sunsets are at Driftwood Sands overlooking the Gulf of Mexico.
Driftwood Sands is a cozy beachfront 45 unit complex in Indian Rocks Beach.
About Driftwood Sands
Prestigious Driftwood Sands (DWS) is a private beachfront complex located in scenic Indian Rocks Beach, Florida overlooking the Gulf of Mexico and its timeless sunsets.
The spacious condominiums feature 2-4 bedrooms, with many master bedroom suites overlooking the Gulf of Mexico, large double or walk in closets, laundry room, garage private storage lockers and private balconies all with gulf views.
The complex is a well-managed community with an active Board of Directors, Building maintenance superintendent, grounds committee and Property Management Company.
Amenities include assigned covered & guest parking, dual elevators, library/meeting suite, shuffleboard, poolside restrooms, direct beach access, outdoor shower, a beachfront pool, sundeck with lounge chairs and tables, and a waterfront covered pavilion equipped with gas/charcoal barbeques, granite countertop, sink and serving areas for all your entertaining needs. The Pavilion may be partially reserved by owners for private or family gatherings.
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
OMB No. 1660-0008
Expiration Date: November 30, 2018
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 agent/company, and (3) building owner.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 1 of 6
A1. Building Owner's Name
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Box No.
City
State
ZIP Code
Policy Number:
Company NAIC Number:
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.)
A5. Latitude/Longitude: Lat.
Long.
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
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s)
sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b
sq in
d) Engineered flood openings?
Yes
No
A9. For a building with an attached garage:
a) Square footage of attached garage
sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade
c) Total net area of flood openings in A9.b
sq in
d) Engineered flood openings?
Yes
No
SECTION B – FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
B3. State
B4. Map/Panel
Number
B5. Suffix
B6. FIRM Index
Date
B7. FIRM Panel
Effective/
Revised Date
B8. Flood
Zone(s)
B9. Base Flood Elevation(s)
(Zone AO, use Base Flood Depth)
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
FIS Profile
FIRM
Community Determined
Other/Source:
NGVD 1929
NAVD 1988
Other/
B11. Indicate elevation datum used for BFE in Item B9:
Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Yes
No
Designation Date:
CBRS
OPA
FOR INSURANCE COMPANY USE
SECTION A – PROPERTY INFORMATION
BRUCE C AND CYNTHIA KULA
2618 GULF BOULEVARD #405
INDIAN ROCKS BEACH
Florida
33785-3142
PARCEL 01-30-14-22615-000-4050
RESIDENTIAL
27.90845
-82.84715
6
1270.00
N/A
N/A
N/A
INDIAN ROCKS BEACH CITY OF 125117
PINELLAS COUNTY
Florida
12103C0111
G
08-18-2009
09-03-2003
VE
12.0 FEET
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
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
City
State
ZIP Code
Policy Number:
Company NAIC Number
SECTION C – BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on:
*A new Elevation Certificate will be required when construction of the building is complete.
Construction Drawings*
Building Under Construction*
Finished Construction
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:
Vertical Datum:
Indicate elevation datum used for the elevations in items a) through h) below.
NGVD 1929
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)
feet
meters
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
feet
meters
feet
meters
feet
meters
feet
meters
feet
meters
feet
meters
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 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.
Check here if attachments.
Yes
No
Were latitude and longitude in Section A provided by a licensed land surveyor?
Certifier's Name
License Number
Title
Company Name
Address
City
State
ZIP Code
Signature
Date
Telephone
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)
Form Page 2 of 6
Ext.
2618 GULF BOULEVARD #405
INDIAN ROCKS BEACH
Florida
33785-3142
GPS
NAVD 1988
7.00
15.83
N/A
7.15
6.52
6.65
6.52
24.53
BILL HYATT FLORIDASURVEYOR@AOL.COM
LS 4636
PRESIDENT
KNOW IT NOW INC
1497 MAIN ST #321
DUNDEIN
Florida
34698
05-24-2019
(727) 415-8305
NOT TO BE USED FOR CONSTRUCTION OR DESIGN, IS FOR FLOOD INSURANCE USE ONLY
EQUIPMENT LISTED IS FLOOR OF ELEVATOR IN GARAGE
THIS CERTIFICATE IS WARRANTED TO THE PERSON NAMED ABOVE AND IS NOT TRANSFERRABLE
UNIT #405 - FLOOR ELEVATION =42.13
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
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
State
ZIP Code
City
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Company NAIC Number
Policy 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, 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).
b) Top of bottom floor (including basement,
crawlspace, or enclosure) is
a) Top of bottom floor (including basement,
crawlspace, or enclosure) is
feet
meters
above or
below the HAG.
meters
feet
below the LAG.
above or
SECTION F – PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
E2. For Building Diagrams 6–9 with permanent flood openings provided in Section A Items 8 and/or 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.
feet
meters
above or
below the HAG.
E3. Attached garage (top of slab) is
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
Unknown.
No
The local official must certify this information in Section G.
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
Telephone
Comments
Date
Signature
Check here if attachments.
Form Page 3 of 6
Florida
33785-3142
INDIAN ROCKS BEACH
2618 GULF BOULEVARD #405
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
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
ZIP Code
State
City
Company NAIC Number
Policy Number:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
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.
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. (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 (Items G4–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:
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
Comments (including type of equipment and location, per C2(e), if applicable)
Local Official's Name
Title
Telephone
Community Name
Date
Check here if attachments.
Signature
Form Page 4 of 6
33785-3142
Florida
INDIAN ROCKS BEACH
2618 GULF BOULEVARD #405
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
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
BUILDING PHOTOGRAPHS
See Instructions for Item A6.
Policy Number:
Company NAIC Number
ZIP Code
State
City
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
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.
Form Page 5 of 6
Photo One
Photo One Caption
Photo Two
Photo Two Caption
33785-3142
Florida
INDIAN ROCKS BEACH
2618 GULF BOULEVARD #405
FRONT VIEW 5-20-2019
RIGHT SIDE 5-20-2019
Clear Photo One
Clear Photo Two
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
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
BUILDING PHOTOGRAPHS
Continuation Page
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
Company NAIC Number
ZIP Code
State
City
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.
Form Page 6 of 6
Photo Three
Photo Three Caption
Photo Four
Photo Four Caption
2618 GULF BOULEVARD #405
33785-3142
Florida
INDIAN ROCKS BEACH
REAR VIEW 5-20-2019
LEFT SIDE 5-20-2019
Clear Photo Three
Clear Photo Four
Federal Emergency Management Agency
National Flood Insurance Program
OMB No. 1660-0008
Expiration Date: November 30, 2018
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 agent/company, and (3) building owner.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 1 of 6
A1. Building Owner's Name
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Box No.
City
State
ZIP Code
Policy Number:
Company NAIC Number:
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.)
A5. Latitude/Longitude: Lat.
Long.
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
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s)
sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b
sq in
d) Engineered flood openings?
Yes
No
A9. For a building with an attached garage:
a) Square footage of attached garage
sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade
c) Total net area of flood openings in A9.b
sq in
d) Engineered flood openings?
Yes
No
SECTION B – FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
B3. State
B4. Map/Panel
Number
B5. Suffix
B6. FIRM Index
Date
B7. FIRM Panel
Effective/
Revised Date
B8. Flood
Zone(s)
B9. Base Flood Elevation(s)
(Zone AO, use Base Flood Depth)
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
FIS Profile
FIRM
Community Determined
Other/Source:
NGVD 1929
NAVD 1988
Other/
B11. Indicate elevation datum used for BFE in Item B9:
Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Yes
No
Designation Date:
CBRS
OPA
FOR INSURANCE COMPANY USE
SECTION A – PROPERTY INFORMATION
BRUCE C AND CYNTHIA KULA
2618 GULF BOULEVARD #405
INDIAN ROCKS BEACH
Florida
33785-3142
PARCEL 01-30-14-22615-000-4050
RESIDENTIAL
27.90845
-82.84715
6
1270.00
N/A
N/A
N/A
INDIAN ROCKS BEACH CITY OF 125117
PINELLAS COUNTY
Florida
12103C0111
G
08-18-2009
09-03-2003
VE
12.0 FEET
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
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
City
State
ZIP Code
Policy Number:
Company NAIC Number
SECTION C – BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on:
*A new Elevation Certificate will be required when construction of the building is complete.
Construction Drawings*
Building Under Construction*
Finished Construction
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:
Vertical Datum:
Indicate elevation datum used for the elevations in items a) through h) below.
NGVD 1929
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)
feet
meters
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
feet
meters
feet
meters
feet
meters
feet
meters
feet
meters
feet
meters
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 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.
Check here if attachments.
Yes
No
Were latitude and longitude in Section A provided by a licensed land surveyor?
Certifier's Name
License Number
Title
Company Name
Address
City
State
ZIP Code
Signature
Date
Telephone
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)
Form Page 2 of 6
Ext.
2618 GULF BOULEVARD #405
INDIAN ROCKS BEACH
Florida
33785-3142
GPS
NAVD 1988
7.00
15.83
N/A
7.15
6.52
6.65
6.52
24.53
BILL HYATT FLORIDASURVEYOR@AOL.COM
LS 4636
PRESIDENT
KNOW IT NOW INC
1497 MAIN ST #321
DUNDEIN
Florida
34698
05-24-2019
(727) 415-8305
NOT TO BE USED FOR CONSTRUCTION OR DESIGN, IS FOR FLOOD INSURANCE USE ONLY
EQUIPMENT LISTED IS FLOOR OF ELEVATOR IN GARAGE
THIS CERTIFICATE IS WARRANTED TO THE PERSON NAMED ABOVE AND IS NOT TRANSFERRABLE
UNIT #405 - FLOOR ELEVATION =42.13
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
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
State
ZIP Code
City
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Company NAIC Number
Policy 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, 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).
b) Top of bottom floor (including basement,
crawlspace, or enclosure) is
a) Top of bottom floor (including basement,
crawlspace, or enclosure) is
feet
meters
above or
below the HAG.
meters
feet
below the LAG.
above or
SECTION F – PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
E2. For Building Diagrams 6–9 with permanent flood openings provided in Section A Items 8 and/or 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.
feet
meters
above or
below the HAG.
E3. Attached garage (top of slab) is
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
Unknown.
No
The local official must certify this information in Section G.
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
Telephone
Comments
Date
Signature
Check here if attachments.
Form Page 3 of 6
Florida
33785-3142
INDIAN ROCKS BEACH
2618 GULF BOULEVARD #405
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
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
ZIP Code
State
City
Company NAIC Number
Policy Number:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
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.
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. (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 (Items G4–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:
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
Comments (including type of equipment and location, per C2(e), if applicable)
Local Official's Name
Title
Telephone
Community Name
Date
Check here if attachments.
Signature
Form Page 4 of 6
33785-3142
Florida
INDIAN ROCKS BEACH
2618 GULF BOULEVARD #405
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
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
BUILDING PHOTOGRAPHS
See Instructions for Item A6.
Policy Number:
Company NAIC Number
ZIP Code
State
City
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
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.
Form Page 5 of 6
Photo One
Photo One Caption
Photo Two
Photo Two Caption
33785-3142
Florida
INDIAN ROCKS BEACH
2618 GULF BOULEVARD #405
FRONT VIEW 5-20-2019
RIGHT SIDE 5-20-2019
Clear Photo One
Clear Photo Two
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
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
BUILDING PHOTOGRAPHS
Continuation Page
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
Company NAIC Number
ZIP Code
State
City
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.
Form Page 6 of 6
Photo Three
Photo Three Caption
Photo Four
Photo Four Caption
2618 GULF BOULEVARD #405
33785-3142
Florida
INDIAN ROCKS BEACH
REAR VIEW 5-20-2019
LEFT SIDE 5-20-2019
Clear Photo Three
Clear Photo Four