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69 BAY ESPLANADE U.S. D�PARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Exqires Februarv 28. 2009 National Flooc�Insurance Program Important: Read the instructions on pages 1-8. , SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name CIIY OF CLEARWATER Policy Number A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or .O. Route and Box No. Company NAIC Number #69 BAY ESPLANADE - City CLEARWATER State FLORIDA zIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) DEED BOOK #706, PAGE #386, OF THE PUBLIC RECORDS OF PINELLAS COUNTY, FLORIDA A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) A5. Latitude/Longitude:Lat. 27° 59� 04.26�� N. Long. 82° 49' 26.56�� 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 1 A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number 62.County Name 63.State CITY OF CLEARWATER 125096 PINELLAS FLORIDA 64. Map/Panel Number B5.Suffix 66.FIRM Index 67.FIRM Panel 68.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 0102 G 09-03-03 09-03-03 AE 11 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(Describe) 611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 �NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date ❑CBRS ❑OPA SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 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/AE,ARlA1-A30,AR/AH,AR/AO. C a�fterr� below according to the building diagram specified in Item A7. � aenchmark Utilized N.O.A. TIDAL B.M 872 6724 A vertical Datum N.A.V.D. 1988 � p� Conversion/Comments EQUIPMENT IN C2E IS AN AIR CONDITIONER ON A RAISED DECK � W �.W.. Check the measurement used. � 3 a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 4.98 �feet ❑meters(Puerto Ri � � a b) Top o f the ne�higher floor ❑fee t ❑me ters(Pue rto Ri � � J c) Bottom of the lowest horizontal structural member(V Zones only) ❑feet ❑meters(Puerto Ri �- � V d) Attached garage(top of slab) . ❑feet ❑meters(Puerto Ri � w LL. W � O e) Lowest elevation of machinery or equipment servicing the building 10.26 �feet ❑meters(Puerto Ri � G�. (Describe type of equipment in Comments) 0 � � Lowest adjacent(finished)grade(LAG) 4.76 �feet ❑meters(Puerto Ri � V g) Highest adjacent(finished)grade(HAG) 5.32 �feet ❑meters(Puerto Ri � 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. k�t`��, :� ' ^ . s�.^ � � � �sv� �.�E!�: �;., �� e..�i � � �� F. ❑ Check here if comments are provided on back of form. �,ti°��4��``!�d�' P v s c �4" �� , �' i�j `dV Certifier's Name RICHARD R. HAMILTON �icense Number 3659 ��+ a'-;� ;;�,�'�`� v ;;�. � Tit�e REGISTERED LAND SURVEYOR Company Name CITY OF CLEARWATER .��` `.r,r,�y-� �w� Address #410 MYRTLE AVE N. City CLEARWATER State FLORIDA zIP Code 33755 ° �,,�, �;� � ,,�'y:, Signature��J � f Date 09/08/O8 Telephone 727-462-6127 '; y'� �, .��„'r,�u `' .,. . � _� :'. .� 4 FEMA Form 81-31, February 2006 c See reverse side for continuation. ReplacL��ll.p[eviqus e�fitions IMP�RTANT: 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. Policy Number ;�69 BAY ESPLANADE City'CLEARWATER State FLORIDA ZIP Code 33767 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. Comments Signature ��Q,�� ,Q., , Q,,,,`�-�,,`,, oate 09/08/08 � Check here if attachments 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). a)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),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. 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 ❑ No ❑ Unknown. The local official must certify this information in Section G. 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,8, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name RICHARD R. HAMILTON / CITY OF CLEARWATER Address #410 MYRTLE AVE N. City CLEARWATER State FLA. ZIP Code 33755 Signature ,�Z'� �, ,� �ate 09/08/08 Telephone 727-462-6127 Comments ❑Check here if attachments 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.and G9. 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.-G9.)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/O � � G7.This permit has been issued for: ❑ New Construction ❑Substantial Improvement � W N G8. Elevation of as-built lowest floor(including basement)of the building: _❑feet ❑meters(PR)Datum � � V Q G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum ��-] p > � `— N � Q Local Official's Name Title � .� ,-. Community Name Telephone �R W � O l`=J Si nature Date 9 � O _ Comments � tu �� O ❑Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions • , , r . Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Poiicy tvumber #69 BAY ESPLANADE City: CLEARWATER State: FLORIDA ZIP Code: 33767 CompanyNAlCNumber If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page, following. PHOTOGRAPHS TAKEN ON AUGUST 29, 2008 / �./% _ _ - � ; __ _�.. ,� ��,. �^ i�- ' t+�I , � , ,�,... � � �� `�� -''� ;;,� y' .. J�� J f '�Y� .�t'� ��/�, . .. 1 •�' . ?11 , _ :9 a, _ �!�' - f��"�.:,F�' ,;�:� u��.;: . S:', . , „ e�'y.�p��1,:�j,, . ti ` �� i al , � s s � ! �� =c�vn �'��° "�1u .«.�....« _ T � ''iy�"�� i"�: 1 Ai � �I� . . ,� � � ��yE�� <, � . . . , • � . t �, _;. , � � —.._.' �'�.�' — �� , 1 � \ � " __ .d, � 1 .�:+(<- + � , _____..�_._ _ ! \ . �. ._._ _ _ � . d- " ��\ U , ,� �' 1 _. I .,�U (�y \ �� .rv� .A.,V��'I l.\WV��1I\'.j'hila��.`F�\��\ ~y,_ t � ,� � ._ ._ . .� Front View Front View =:=_- - ,��: --___- � ----___ �� - �4 1--�J n~. Q ° w ' r� > a �M�'�� ';,�� °� � � o u' w � - ` � J � � � � U __�� _ � / _ (� tW a � '� � o� W Front View �---� o U . � • Building Photographs �I .� � Continuation Page For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number #69 BAY ESPLANADE City: CLEARWATER State: FLORIDA ZIP Code: 33767 Company�valCNumber I 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." PHOTOGRAPHS TAKEN ON AUGUST 29, 2008 _ � �, _ � , . ,_ � '��.� ��• � , .x... �� , , . _ � �.._w. . , � � �, ,� _ -------� , , �. �� . .,�. : : , . � , : �.� ' , � ,�� > 'T` � ___ Q ' :<" Fi$ s� ��.r.,, k Tyvek - �. % �..i _. -. � .�,. t �� . . . c�, + � K ,,. �A „ . ��.. � .. . .'� .. 'sie.: � n _�z�,?•'J�,_, �� °' .�, ��`��;� ,,`� .. .,: .�`\ -�. :+S`" G�. ...�y .. . ,J r�" v � .. .• �� a ..:.�._.._. __ i ,� Side View Side View