(CNN) — Search and rescue teams are working before dawn to respond to hours-old calls for help that came as Ian — downgraded to a tropical storm still marching across Florida — slammed the state’s west coast as a Category 4 hurricane, its surge trapping residents and its monstrous winds and flooding rains leaving millions without power and many without drinkable water.

Collapsed buildings, flooding, downed power lines and impassable roads were reported early Thursday by survey crews in the zone around where Ian slammed the shore near Cayo Costa in southwestern Florida on Wednesday afternoon as one of the strongest storms ever to make landfall on Florida’s west coast.

Rising ocean water piled up onshore — 12 feet in some places — and 150-mph winds whipped as Ian moved deeper inland. 911 call centers in several counties were inundated.

Thomas Podgorny was trapped in his two-story home in Fort Myers with three others, watching vehicles float away outside and worrying about others who did not evacuate, he told CNN.

“I’ve lost my house. I have water and gas flowing through my bottom floor,” he said. “My neighbors have very little breathing room in their one-story house.”

Nearly 2.5 million homes and businesses across Florida have no power Thursday morning, according to PowerOutage.us, and some drinking water systems have broken down completely or have boil notices in effect.

As Ian continues trudging northwest, heavy rain and flooding has been reported in the Orlando metro area, where 8 to 12 inches of rain had already fallen and up to 4 more inches of rain was expected.

Here are the latest developments:

• Downgraded to a tropical storm: Ian was downgraded to a tropical storm early Thursday with winds of 65 mph, the National Hurricane Center said. The center of the storm was about 40 miles southeast of Orlando at 5 a.m. ET. Ian is tied with 2004’s Hurricane Charley as the strongest storm to make landfall on the west coast of the Florida Peninsula, both with 150 mph winds at landfall.

• Hurricane warnings become tropical storm warnings: Hurricane warnings along the east and west coasts of Florida were changed to tropical storm warnings when the system was downgraded. The warnings on the east coast stretched north to Cape Lookout, North Carolina.

• Record-high storm surges: The storm surge from Hurricane Ian hit up to 12 feet in some places, while multiple areas, including Punta Gorda, Port Charlotte, Fort Myers and Naples, were facing record-high storm surge of 12 to 16 feet. By Wednesday night, the storm surge along the west coast of Florida was believed to have peaked and was beginning to recede, while officials in Tampa warned residents to stay on guard.

• More than a foot of rainfall: Up to 20 inches of rain was expected in some areas, including Lehigh Acres, which received 14.42 inches of rain and Warm Mineral Springs which got 11.05 inches.

• Other states brace for Ian’s destruction: The storm is expected to exit Florida and move into the Atlantic Ocean on Thursday, where governors in Georgia, Virginia, North Carolina and South Carolina have already declared a state of emergency.

Search and rescue efforts hampered as hurricane traps residents

With Ian continuing to cut a path of destruction through Florida, the state is planning a “three-pronged” search and rescue response, with crews ready to fan out and help residents from the air, ground and sea once it is safe to do, officials said.

Calls for help were coming into several counties Wednesday.

In Fort Myers — where about 96% of the city was without power — Fire Chief Tracy McMillion told residents to stay inside, and to stay hopeful. “We’re coming for you, be encouraged,” he told residents.

The city’s downtown streets were flooded with almost 4 feet of water Wednesday, Mayor Kevin Anderson told CNN.

A couple in Fort Myers said they were trapped in their home when the ceiling caved in, sending water inside.

“Something is dripping on me,” Belinda Collins recalled her partner saying. “He got up, and the ceiling — the family room ceiling — caved in.'”

The couple said they called 911 and were waiting for a call back about when it would be safe to leave.

In Port Charlotte, the roof above an ICU at a hospital was torn off by the storm while there were about 160 patients inside, Dr. Birgit Bodine, an internal medicine specialist at the facility, told CNN.

The staff moved patients to a safe place, but they couldn’t evacuate yet because of the conditions outside, the doctor said Wednesday night, adding, “It’s actually pretty terrible.”

People in nearby Collier County were also without power and trapped in their homes, calling for help.

“Some are reporting life threatening medical emergencies in deep water. We will get to them first. Some are reporting water coming into their house but not life threatening. They will have to wait. Possibly until the water recedes,” a Collier County Sheriff’s Office statement said.

Complicating matters further, neighboring Lee County’s 911 system was down and calls were being rerouted to Collier County, Chief Stephanie Spell told CNN. “At this point the majority of our 911 calls are water rescues,” Spell added.

Elsewhere, conditions were too severe for first responders to be out.

Emergency crews in Charlotte County were not able to respond to 911 calls Wednesday due to dangerous storm conditions, county Emergency Management Director Patrick Fuller told CNN.

And in Sarasota, authorities decided Wednesday to withdraw all police officers from the street due to wind speeds and hazardous conditions, Mayor Eric Arroyo told CNN.

While other areas began rescue efforts Wednesday evening, authorities in Tampa and Orange County warned residents that the worst of Hurricane Ian had “yet to come” Wednesday night.

Curfews were in effect for residents in Collier, Lee and Charlotte counties while severe conditions continued.

Monster hurricane already leaving ‘life-changing’ mark on Florida

Even before the hurricane made landfall, officials knew the damage would be severe, and there will be a long road to recovery.

“Ian is going to be a life-changing event. This is a very powerful, catastrophic storm that is going to do significant damage,” President and CEO of Florida Power & Light Eric Silagy, said.

There will be sections of infrastructure that crews won’t be able to repair and will have to be rebuilt, which can take weeks, Silagy said.

Backup water pumps are down, town of Fort Myers Beach spokesperson Jennifer Dexter, told CNN.

“When the backup water pump system goes down, that shows you how serious it is,” Dexter said.

Lee County Utilities issued a systemwide boil water notice for all customers effective immediately due to the impacts of the hurricane, according to county officials. Residents in parts of Pasco County were also asked to boil their tap water as the water distribution system in the area lost pressure and a water main ruptured.

Punta Gorda’s water system is empty and boil-water notices are in effect, according to an update from the city overnight.

In Manatee County, residents were asked to limit flushing, showering, doing dishes and laundry due to power outages impacting the system.

In Cape Coral, authorities were getting reports of significant structural damage across the city, Ryan Lamb, the city’s fire chief and emergency management director, told CNN.

Florida Gov. Ron DeSantis has requested President Joe Biden approve a major disaster declaration for all 67 counties in the state, his office said in a news release. DeSantis is also requesting Biden grant FEMA the authority to provide 100% federal cost share for debris removal and emergency protective measures for the first 60 days from Ian’s landfall.

Where Ian is headed next

After walloping Cuba and making landfall in Florida, Ian is expected to slowly move across the central portion of the state before exiting into the Atlantic Ocean Thursday afternoon, where it could strengthen again and affect another part of the US.

The governors of Georgia, Virginia, North Carolina and South Carolina have all declared states of emergency in preparation for the storm’s potential impact.

There is a danger of “life-threatening” storm surge on Thursday and Friday along the coasts of northeast Florida, Georgia and South Carolina, according to the National Hurricane Center. Hurricane conditions are also possible in those areas.

The storm is expected to drop up to 20 inches of rain across central and northeast Florida, with some isolated areas receiving 30 inches, the hurricane center said.

Near the hurricane’s core, powerful wind gusts will continue to spread across central Florida and along the east-central coast overnight.

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