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727 BAY ESPLANADE ,'18/2009 12:23 7278222919 GEORGE F VOUNG INC PAGE 01/02 __' , _ __.......-, � ' :�' r, 4 r,�� '..`J �,;�- ; . �� ,,,,,o,F` � � U.S.Deparfinent of�ouieland Secu�ity �.-��- ^°"""' Sp0 C S�eet SW � Q �nn� Washingtoq DC 20472 MAR o �iu ..... Q.,C i�K'�N f 11,/"`�+4",� . � � _v� � ..r ' G� '� :�.d�r �i �, ��, • '•p ; '�� J.-.R.,r,.� '1 r.._._.:�3-�'��'�`a,�.._..,�.�.":�'--.�.� ',�S��V E'Je�� Y P,:,��- W-0900R Febz'uary 26, 2009 1V1�MO�.A.NAiI.N.[POR: Write Your Own(W�'O)Co�pany Princi�al Coordinators and NF� Sezvi�cuag Agent �� p�: Edward L. Cozvnor ,Acting Federal Insurance Adzrainzstxatox , National F1ood Insuraz�ce�zogxdza SUBJECT: Tza�sition Period for Revised Elevation Cer4ificate Tlae cunrez�t�iFIA Eleva�ion Cenificate:foxxn az�d i�structxoz�s(FEMA Form S 1-31)is scheduled to expire on Febrtxary 2$,2009. '�buis memo is intended to clazify'the contixxued use of the;fortn. It is anti.cipated that the revised Elevation Certi�icate wxll xecei�ve an approval from the Office of N�ax�agememt axid Budget(OMB)before tb�e exp�rat�oz�date. In the event that the approval is delayed,t,�e use of the form is automatxca��y e�te�ded�oz a month,through March 31,2009. FBMA,wi��pe�liL a`�hase-in" of tht cevzsed Elevatxoz�Certi�icate oiz a volulltary basis. Once the revised fo�xs approved by OMB,we w�ll accept cXtl�ez tb�e z�ew£o�or the old form with the expiration date o��ebzu.ary 28,2009,during a 12-month transition pez�od. T}�is voluntary trausitioz� period wi��a�low sufficient time for coordinatioza az�d tra.�uo,ivag v�a��a��ected�iFIl' stakeholders. Elevations certified on or after the last day o�tb�e transition period must be submitted on�he new Blevation Certzficate�oxzx�- � �ollowing are highlights of the pla,z�z�ed cb�az�ges to tkze�levation CertifieaCe: • In.Sec�ion A, itezx�s,A.�O az�d.A,11 are added,asking: E�gxz�eexed flood o�enings? �Yes �No � ZS�Sectlp , item C2.h is added,which reads: �,.owest adjacez�t gxade at lowest elevation of deck or stairs,including structtual suppozt ❑feet ❑meters (Puerto Rico only) (This information is�rovided if the certi�cate is beixag used to support a zequest�oz a LOMA or LOMl2.-F.) 727 BAY ESPLANADE BCP2007-01344 NEW SINGLE FAM RESIDENCE GLOECKL, KEITH Zoning: LMDR atlas#249A i/8/2009 12:23 7278222919 GEORGE F YOUNG INC PAGE 02/02 � , . . . . ' e k b r .. i �. °' 'i. TXar�sition peryd for Re'vised��evation Certificate , , � Febn�ary 26, 200.9 Page 2 • The lnstruc�.ozas fox Seci�o��for items A.S.b-c(dealing wittx"tkze cxawispace or encloswrc(s)") a�d,A,.9.b-c(dealing with"the attachcd gazagc") aze revi,sed, xu paat,to allow the k�exght of flood openings to be detezzxa.ined�rozx�tb�e iu�,tez�ox grade or floor_ The revision reads: Entex .._the nuz�bez o�pem�anent flood openings ... that are no higher tb�a�a 1.0 foot above the higher of the exterior or interio�r gxade ox floox izxazxxed�ately below the opez�iz�g. ... If the interior gradc cicvation is�used,z�ote tbuis xz�tb,e Co�,tz�e�,ts area o£ Section D. � Ins1xuctions for other sectioz�s�aave been clarified and ex�anded, as needed. • Two new Bui�d�z��]�za�rams have be�n added: 1. The new niagram 18 rs fox raised-slab-on-gz'ade ox slab-oz�-stexz�-wa.1�-w�tb�- fill single-and multiple-floox build�ix�,gs_ (Diagxa�z � f�ox�n the old Elevation Certi�icate is Dxag�raxn 1.A,oz�t1�e new Elevation Certifica�e.) 2. The new Diagzam 9 is foz'a�X bui�diz�gs(other than s�lit-level) elevated on a sub-gz�de cxaw�space_ N�ore detailed information will be included ixA�e supp�ezxae�tal pages for the Flood Insurance ,tV,tanual tkxat will be issued tollowing a.pproval o��tkze�ew�"oz�xz. Zf you have any questions regarding�Ehis znatter,please contact 1V�azy A�Chang at 202-212-4712, cc� Ve�udozs,IBI-�S,F]FNC, Government Technical Represex�tat�ve Requ'vred Rout�ix�g_ Aata�xocessing, Claixns,Unden�►rziting } . '� .`' i'( ; �.., r�(_.� ,-- , , , _ _. _ i. L� __ I ,}: 1, '.; ; ; e ,. MAR 1 8 2009 ,, ; '; �: �� '1 ��.�i�l$ . .._" ' � G��i {�r��. . • -.� .... ,.,:...,._....._.d._,._;�.....,__.��.��y..,;_.,,,.,ti � . , � ( � � � � -�-> �--� � � � --�� s � � , � ��- �� . ` 03/il/2009 16:31 7278222919 GEORGE F YOUNG INC PAGE 02/05 U.S �?,=PARyMENTOF HOMELAND SECURITY ELEVI�TION CERTIFICATE , oMB No_ ,sBO-0ooa Feqeral-�mergenLy Mansgement Agency ' � • . EXpires Februarv 28.2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. � SECTION A-PROPERTY INFORMATION '�or Irrsu�ence Comp�rry Uge: ' . � A1. Building Owner's NaFt�e KEfTH GLOECKI , ._ _. ^ ;Po�i.cy.-Number = . . ,,. ,. . . A2. Building Street Address(including Apt.,.Unit, Suite,and/or Bldg,No.)or P.O. Rnute anc�BQk No ;, �i, �;. � � .C�fr�p&n�c 1�A1G Number • 727 BAY ESPLANDE ;' _ ' 3�= ( ....'- � • : . • City CLEARWA"�ER State .Fl Z�P Cod� 33767 � f `, 1 A3. PropeRy Description(Lot and Block Numbers,Tax Parcel Number, l.egal Description etc�� .; . . , , ' LOT 7,BLOCK 35, MANpALAY � ' t �'� �'�'^ v� a:. s.� .- A4. Building Use(e.g.,Resldentlal,Non-Residential,Addition,Aocessory,atc.) RE3IDEI�f�IAL ` �� y i�� .. � ' ' ' ' q5, Latkude/Longitude:La#.[y.27 59 25.2fi Long.W 082 49 28.19 �'-'°- -•��a��t,U�1. ,:,Q NA a.927 � NAD 1983 A6. Attach at least 2 photograp6s of the buildinq if the CertiFicate is being used to obtain flood In9urdnce. A7. Bullding Diagram Number 6 A8. For a buifding with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: � a) Square fo�fage of crawl spece or enclosure(s) 165gsq ft a) Square footape of attaohed garage ' N/A sq ft b) NO,of•pem,enent flood opening9 i�the crewl apace or � b) No. of peTmapent flood openings in the attached geragB enclosur�(s)walls within 1_0 foot dbove adjacent grade 8 walls within 1.0 foot above adjacept grade g c) Total net area of Flood openings in AB.b SEE"D"sq in c) Total net area of flood openings in A9_b 0. sq in SECTIO�I B'-FLOOD INSURANCE RATE MAP(FIRM)INFpRMAT10N 81.NFIP Community Name&Communiry Number 82.Counry Name 63.State CLEARWATER 125096 PINELLAS FLORIDA B4.MeP/Pane1 Number B5.Su'fflx B6.FIRM Index 67,FIRM Panel B8.Flood' 69.Base Flood�levation(s)(Zone pate � Effective/Revised D'ate Zone(S) AO,use 6ase flood depth) 12103C0102 G 09/03/03 09/03/03 • AE 11' B10. Indicate the souroe of ttre 8ase F{ood Elevation•(BFE)data or,base flood depth entered In Item B9. ❑FIS Profile �FIRM ❑Cortimunity Det�rmined • ❑Ottier(Describe) B11. Indicate elevation datum used for BFE in Item 69: ❑NGVp 1929 �NAVD 1988 ❑Other(Describe) 872. !s the bullding(ocated in a Coaetal Barrior Reaourcea System(CBRS)a�ea or Otherwis�Grotected Area(OPA)? • DYss , �No Designation bate []CBRS ❑pPA SECTION C -BUILDINO ELEVATION INFORMATION(SURVEY REQUIRED) C1. Buflding elevations ere b�setl on: []Construction Drawings' • ❑Building under Construcdon* �Finished Construction "A new Elevation CeKificete will be r�quired when conatrucfion of the puilding is complete. C2. Elevations-Zone6 Ai-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,ARlAH,AR/AO_ Complefe Items C2.a-g below according to the building diagram specified in Item A7. . . Benchmadc Utif¢ed "F 3" Vertical Datum NAVD BS CopversloNComrrrents SEE SECT,'Q' ' Check the meesuremerit used. W a} Top of bottom flovr(induding baseme�C,crawl space,or enclo9ure fioor)_ 4.6 �feet �meters(Puerto R�o only) � b) Top of the next•higher floor . 5.1 �feet ❑meter9(Puerto Fiico ontyj Z o) Bottom of the lowest horizontal struotUl'dl member(V 2ones only) . N/A. ❑feet �meters(Puerto Ri�o oniy) d) Attached garage{top of slab) . VJLA. ❑feet ❑meters(Puerto Rico ony) Q e) lowest elevation of machinery or�qulpment servicing the building �.4 �feet ❑meters(Puerto RiGO only) J � (DeBp'ibe typa of equipment in Comments) a � f� L,owest�dJacent(finlshed)grade(LAG) 3.1 �feet ❑meters(Puerto Rico ony) (n M g) Highest adjacent(finished)grade(HAG) 4.4 �feet ❑meterB(PueRo Rico only) W � - O � SECTIOIV D-SURVEYOR,ENOINEER,QR ARCHITECT CERTIFICATION �"' 1` 7his certlficatlon is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation Q � information. I certify thai the lnforrnation on tAis Cert�cate represents my besE effo�ts to inteqoreE tlte dafa aVailable: • m N I urrdersfend thaf any False statement may be punishable by f,ne or imprisonment undar 18 U.S. Code, SecUon 4001. a � ChecK here if comments are provided on bacK ottorrtl. �y� �� ('V V ��4� � m Certifier`s Name CqTtiERINE A.POLLAK License Number 6257 �� Title PROFESSIONAL SURVEYOR&MAPPER Compeny Name GEORGE F.•YOUNG,INC. , AddteSS 299 DR.MLK JR.STREET NORTH City S�'.PETERSBURG Sfate FL zIP Gode 33701 SignatUr Date 03/13/09 Telephone 727-822-4377 � r F�MA Form 8't-31, February 2006 See reverse side for rrontinuallon. Replaces all previous editions � �03/17/2009 16:31 7278222919 GEORGE F YOUNG INC PAGE 05l05 � � ' Building Photographs Continuation Page . ` • �For Insu.r,aFlce.Company Use:: ' Building Street Addness(including Apt., Unit, Suite,and/or Bldg. No_)oC P.O. Route and Box No. Policy Numb�r . 727 BAY ESPLANDE . � ; Cjt}f CLEARWATER State Fl, ZI P Code 33767 Com}'�any NAkC Nianber."• ' > If submitking more photographs than will fit on the preceding page, affix the additional photographs befow..Identify all photographs with: date taken; �Front View"and �FZear Viewn; and, if required, °Right Side Viev� and "Left Side View." .asxdtt'F�� ' � �^-�_..;, _ � � {n� � :�" � ... ,^, . � _ �� -�� ,. -.,��, 7 1 �.1 ` Y � - ' . �:1 ' �1 i K . � . < ; . MAR ,18 2�:09.. '; �.' . �� Ci!";�!f �j, -'4 ;1%i�� c �'• � . 4'�„2'f �l•`i��7 i�'.:i�) F9 . 03/17/2009 16:31 7278222919 GEORGE F YOUNG INC PAGE 04/05 Building Photographs . See Instructions for Item A6, • � Fo�Irraurenoa Comparrj�Use: Building Street Address(including Apt, U�it,Suite, and/or Bldg. No.)or P.O.Route and Box No. Rolicy Numba� ' . � 727 BAY ESPI-ANDE " �, ' . City CLEARwa7ER State Fl ZIP Code 33767 ' ' Corn,�rryNAICNumber : 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 VievW' and "Rear Viev►r'; and, if�equired, �Right Side View" and "Left Side View_" If submitting more photographs than will fit on this page, use the Continuation Page, follawing. . � � . . ':+.r�°V '?C3^,;•:r�F�4�;� � . . . . , SJiT�,f-r ;. • . . � .Y I iI . :��' L:; , I� t` _ �-' .. ' • . 5yP"��.,w`:�rz' ��j �_�n, r_. ' �i_...� _ ,�,;. �'y," . � � ?Y�' �,� � L� L� �!^ � � ,� �� ' � .. ,�,_-....,. , !q:t�: �#� ' �'Y.,. . '. * '4. ' 4 . �,�.. . . v„ b�' t Q • .,;i:`,`�. �ts�-0'1."" � , f t� ( ,7 R^n� . `��''�"`�� '.fitl �.i' .. �i >:` . ' j . �. ' . .. �..:,,.�....,-..., �, ...�. a,.W......�...�.,...��,�,i___ _ . . FRVNT i//E�R ' . ' ' •'i,�i?�""`-;:jk��''fi�`v::��,'�,�nv aar r. . i,n,;,. cT" n+•.'� 's,i�,+kt::a , _ .• ('�''r�`.>�:.;:X,.� � 4 •ti��'�,S - y�;?°,'� .#r., ::;t �:<_::K;:,,� y �� :•;.,;.,;. Hn,e��.r•..�c.ur ' , :iW.w ls.?"r � i � I - sy ig�}� . :.��' i . , ' ';;?";'~y� .:��`'s�.�y! :z• � q .ti .;y 3.: t�i c%s`','�7,:=.b�� . �'>'�SS{ ;'�_ a c .�. s , . .,Y�ry I, . 'i V �� +. :.}.y. r�Y:•1�'.`•�i-`)1^�:: �}`'J'.�fT%��;'� �:'} '7�G •:Y.��. r�1i^• REA�1 YJIW � 03/1`7/2009 16:31 7278222919 GEORGE F YOUNG INC PAGE 03/05 ;�.. . - _ , � n� : � � . __`, • , � .. . . . _ �L� �_. I I ! �Far,,•In§tiret�ce Cot�Pany Use: IMP:JRTAI�i: In these spaces,copy the corresponding informatiorr from.Sec�o_. A �� _. Bui{ding SUeet Address•(iriciuding Apt.,Unh,Suite,and/or Bldg.No,)Or P,O.Route$nd Box No. .P..o1iGy tducsmer:•,:; •� ?27 BAY ESPLANDE ' ' �• .� ...�::� �`, -• �� ,� Ci�y CLFJ�RWATER State FL ZIP Code 33767 ,. , al�,pany NP.tE.Nirrn'ber�•• � . � .. . . .,.. ; . . ,••.. . . ,:, __ . ; .. .... .. ...... .. . . _... .. .. .. S�CTlON D=3URVEYOR,ENGINEER,b17.A H1`T� 7'�CER�IFi4J'�IE31'1�3"r�ITINUED) Copy both sides of thls Elevation Certificate for(1)community offictal,(2)insu`�ah"E��'ggraheon�pany� and{�.) � ` � er.• Commente gENCHMARK USED:"F 3"(THE NGS DATA SMEET,P1D AG0504},LOCATED NEAR THE INT�RSECTION OF KIPLING PLAZA&, NARCISSUS AVENUE,��dG A PUBLISHED,ADJUSTED�L�VATION OF 2.72 FEET(NAVD 88) AS.a)1,652 sf AB.b)EIGHT(8)T07AL VENTS AS.c)51X(6)SMART VEN7S(Reg.trademarlc)(with fixed dimensiona}�450 sl(6 VENTS(�75 ei EqCH)AND 7W0(2)GARAGE DO�R VENTS�608 si C2.a)�NCLOSURFJPARFCING AREA C2.b)ENTRY/FOYER FLOOR;FIRST FLOOR LIVING AREA= 15.9' C2.e)ELEVA�OR PIT;A!C PAD=14.9' Signature Date 03/13/09 , ❑ Chack here'rf attachments SECTION E-�UILDING ELENATION INFORMATION(SURV�Y NOT REQUIRED)FOR 20NE AO AND ZONE A(WiTHOUT BFE� For Zones AO and A(without�FE), complete Items E1-E5. H the Certificate is intended to support a LOMA or LOMR�F request,Complete Sections A,B, and C. For kems E1-E4,usa natural grade,If avallabfe. Check the measufement used. In Puerto RiGO only,enter meters- E1. Provide elevaiion information for ihe following and cheeK[ne approprSate boxes to show whether the elevation is sbove or below the hlghest adjacent grade(HAG)and fhe lowest adjacent gT&de(lAG). s)Top of bottom floor(Ineluding basement,crawl space,or enclosure)is ❑feet ❑meters �above or 0 below the HAG. . b)Top of bottom floor(including beaement,crawl space,or enclosure)is . ❑feet Q meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-8 witfi pemlanenk flood openings provided In Section A Items 8 and/ol'8(5ee pege 8 of Instructions),the ne�ct higher floor (etevatfon C2_b in the diagramsj of the buifding�S ❑feet ❑meters ❑above ar p below the HAG. E3. Attached gareg�(top of slab)is . ❑feet �meters �9bove Or ❑below the HAG. E4. Top of pldtform of machin�ry and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. Zone AO only. If no flood depth number is avai)ahle,is the top of the boitom floor elevated in accordance with tbe communiiy's floodplain m�nqgement ordinance? [�Yes ❑ No � Unknown. The local offtCial must certffy this information in Section G. SECTION F-PROP�RTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The propeRy owner or owner's authorized representative who comptetes Sections A,8,and E for Zone A(without d FEMArssued or community-issued BFE) or Zone AO must 9ign here. The sfefements in Sections A,B,and E are corrocl to the best of my knau�/edge. Property OwneC's or Owner's Authorized Representative's Name Address . City Stste �IP Code Signacure ' Date Telephone Commants Check he if a achments SECTION G -COMMUNITY INFORMATION(OPTIONAL) The tocal offlCial who is authorized by law or ordinance to administer the communky'S Floodplain management ordinanee Can Complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Cheek the measurement used in Items G8.end G8. G1.❑ The fnformation In Sectlon C was taken from other documentation that has bcen signed and sea{ed by a licr3naed aurveyar,englnear,or architect who is authorized by law to certify elevetlon SnformaEion. (Indicate the sourCe and date of the e{evation ddt2 in the Comments area befow.) G2.❑ A community official comp�eted Section E for a bullding loeat�d in Zone A(without a FEMA-issusd or community-issued BFE)or Zone AO. G3.❑ Tne fo)lowing information(Items G4.-G9.)is provided for commuhlty floodplain management purposes. G4.Pertnit Number G5. Date I'ermit Issued G6. Date Certificate Of Compliance/OCCUpancy�ssued G7.This permit has been ssued for. ❑New Construction ❑Substantial Improvement G8.Elevation of as-built lowestfloor(includin8.basement)of the building: �feet ❑meters(PR)Datum G9.BFE or(in zone AO)depth of flooding at the building site; ❑feet ❑meters(PR)Datum LocQl OfficiaYs Name T�� Commu�iqr Name Telephcna 8ignature . • Dato CommenEs � , .._�Ch�ck here if atta�m n FEMA Form 81-31, February 2006 Replace6 all previous editions � .�. � 009 16:31 7278222919 GEORGE F YOUNG INC PAGE 01/05 � ' � C � �� _ � � Geor e F. Xau�g, Inc. g Turning Vision znto Reality Since ,19,19 Architecture•.C��Aitie�ri�:�2.Environmental.Landscane Archite�ture.Pla.n,nine.Survevine.Utilities 299 Dr. Martit� Lukher King Jr: St. N. Phone : (727) 822-4377 St. Petersburg, FL 33701-3126 Fax : (�2T) 822-2919 Date: March 17,2009 Pages: 5 �ax: 461-6047 Re: 727 Bay Esplande EC To: Keith Gloecki r-.rn: Ghurchill Fnancial, LL.0 � �rom: Cathy Pollak Commettts: Q rn W � N � � � a `� � ' Z U Q z w J � � aM � If you need pages re-transmltted,please call and ask for, Bob RowleV W � � _ Q , � �- Original coPY(s) : �WILl,be mailed. ❑ WIL,L NOT b�mailed. Q O � Y o M c� This messaga is interrdetl only for the use of the individual or entity to which it iy addrease� ar�d mQy oorri�iq W N z Y � Informaban that is privileged, confidentia) alld eXempt irom dlsClpsure under applicable I$w. If the r�der of this � a � W a� message Is noc the Incended recipient,or the employae nr agent responsible tor deliver9ng tne message to tne Intencted V � O � racipient, y�u are hea�eby noUlled that any dissemination, disfi"bution of copying of thi9 oomm�ication i9 sbictly . N W J o prohibited. If you have�eCetved thls c�mmunlcatlon In e�ror,ple�se notify us immediately by telephone,and retum the � m Z C� N original message to ua at the above address via the United Stabea Po�l Servic� 'fh9nK you_ U.S.DEPAP"i MENT^�F HQMEIAND SECURITY ELEVATIQN CERTIFICATE OMB NO. 1660-000� , Federal Emergency Management Agency Expit'es FebruaN 28.2009 : Nationai Flood Insurance Program Impartant: Read the instructions on pages 1-8. ` SECTION A-PROPERTY INFORMATION For Insurance Company Use:` A1. Buiiding Owners Name KEITH GLOECKI PoliGy,Numkier'"' "''` - A2. Buiiding Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number , 727 BAY ESPLANDE . City CLEARWRTER 5tate FL ZIP Code 33767 A3. Property Description(Lot and Biock Numbers,Tax Parcel Number,Legal 0escription,etc.) LOT 7,BLOCK 35,MANDALAY A4. Buiiding Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. LatitudetLongitude:Lat.N 27 59 25.26 Long.W 082 49 28,19 Horizontal Datum: ❑NAO 1927 � NAO 1983 A6. Attach af least 2 photographs of the buiiding if the Certificate is being used to obtain flood insu�ance. ' A7. Building Diagram Number 6 � A8. For a buiiding with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: ' a) Square footage of c�awl space ar enclosure{s) SEE"D"sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawi space or b) No.of pertnanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade SEE"D" walis within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in AB.b SEE"D"sq in c) Total net area of flood apenings in A9.b 0 sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 81.NFIP Community Name 8�Community Number B2.County Name B3.State ! CLEARWATER 125096 PINE�LAS FLORIDA ' B4.Map/Panel Number B5.Su�x B6.FIRM Index B7.FIRM Panel B6.Flood 89.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 12103Cd102 G 09103/03 09lD3/d3 AE 11' � 810. 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) B11. Indicate elevation datum used for BFE in Item 89: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe) � Bt2. Is the buiiding located in a Goastal Barrier Resources System{CBRS)area or Otherwise Protected Area(OPA)? �Yes �No Designation Date ❑CBRS ❑OPA ' SECTION C-BUII.DING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Buitding elevations are based on: ❑Construction Drawings' �Building Under Construction+ ❑Finished Construction 'A new Elevation Certificate will be�equired when construction of the buiiding is compiete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V3d,V(with BFE),AR.AR/A,AR/AE,AR/A1-A3D,AR/AH,AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized "F 3" Vertical Datum NAVD 88 Conversion/Comments SEE SECT.'D' � Check the measurement used. a) Top of bottom floor(including basement,crawi space,or enclosure floor)_ 4.66 �feet ❑meters(Puerto Rico only) bj Top of the ne�d higher floor 5.08 �feet ❑meters{Puerto Rico only) c) Bottom of the lowest horizontai structural member(V Zones onty) N/A. ❑feet ❑meters(Puerto Rico only) ', d) Attached garage(top of slab) N/A. ❑feet ❑meters(Puerto Rico only) e} Lowest elevation of machinery or equipment servicing the building N/A. �feet ❑meters(Puerto Rico�only) (Describe type of equipment in Camments) ' fl Lawest adjacent(finished)grade(LAGj 4.0 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG} 4.1 �feet ❑meters(Puerta Rico only) ' SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATlON This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation ' information. l certify that fhe info�mation on this Certificate represents my best etforts ta interpret the data avai(able. l understand thaf any false statement may be punishab/e by frne or imprisonment under 18 U.S. Code,Section 1001. 0 8�2 0�0 7 T S�2 5 7 � Check here if comments are provided on back of foRn. P�a�� ; SEAL � Certifier's Name CATHERINE A.POLLAK License Number 6257 H�� l Title PROFESSIONAL SURVEYOR&MAPPER Company Name GEORGE F.YOUNG,INC. Address 299 DR.MLK JR.STREET N�RTH City ST.PETERSBURG State FL ZIP Code 33701 ! Signature ate 08120l07 Telephone 727-822-4317 �� 07-13-0304-06 FEMA Form 81-31, February 20Q6 See reverse side for continuation. Replaces all previous editions y ' ,IMPOR�TANT: !��these spaces,copy the carresponding information from Section A. For,insurar�ce Campany Use;:. . 8uiiding Street Address(including Apt.,Unit,Suite,andlor Bldg.No J or P.O.Route and Box No. -Policy Ntmnbe� 727 BAY ESPLAN�E ' ` " ''``' Ciry CLEARWATER State F� ZIP Gode 33767 Canpany NAiC Number � - SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) ; Copy both sides of this Elevation Certificate for(1)community o�cial,(2)insurance agenUcompany,and(3)building owner: Comments BENCHMRRK USED:"F 3"(THE NGS DATA SHEET,PID AG0504),LOCATED NEAR THE INTERSECTION OF KIPLING PIAZA 8 NARCISSUS AVENUE,HAVING A PUBLISHED,ADJUSTED ELEVATION OF 2.72 FEET{NAVD 88) AB.a)1,652 sf A8.b)6 VENTS BETWEEN 1.1'&2.0' ABOVE GRADE A8.c)730 sq in C2.a)ENCLOSURE/PARKING AREA C2.b}ENTRY/FDYER F�OOR;FIRST FLOdR LIVING AREA=15.72' Signature • rj `��/ �/ Date OS/20107 �f � � ❑ Check here ff attachments _ —_. , SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIREDj FOR ZONE AO AND ZONE A(w�THVU� tsrtJ � For Zones AO and A(without BFE),complete items E1-E5. if the Certificate is intended to support a LOMA or�OMR-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 adjaceM grade(HAG7 and the lowest adjacent grade{LAG). a}Top of bottom Floor(including basement,crawi space,or enciosure)is ❑feet ❑meters ❑above or�below the HAG. b)Top of bottom floor(including basement,crawl space,ar enclosure)is . ❑feet ❑meters ❑above or❑-below the LAG. E2. For Buiiding 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 C2.4 in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garege(top of slab)is . ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the buiiding is . ❑feet ❑meters ❑above or�below the HAG. E5. Zone AO only: IF na flood depth number is available,is the top of the bottom floor elevated in accordance wiih the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local o�cial must certify this information in 8ection G. i 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 fhe best of my knowledge. i 3 Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone 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 Sectio�C was taken from other documentation that has been signed and sealed by a licensed su�veyor,engineer,or architect who is authorized by law to certify elevation information. {Indicate the source and date of the elevation data in the Comme�ts 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.-G9J is provided for community floodplain management purposes. ' G4.Permit Number G5. Date PeRnit fssued 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: _0 feet ❑meters(PR)Datum G9.BFE or{in Zone AO)deptfi of flooding at the building site: ❑feet ❑meters(PR)Datum Local Official's Narne Title Communiry Name Telephone � � 5ignature Date � Comments ❑Check here'rf attachments FEMA Form 81-31,February 2006 Replaces all previous�ditions 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 Numner 727 BAY ESPlANDE Clty CLEARWATER State FL ZIP COde 33767 Company NAIC Number 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. s u ;,�`��71 i��9�yn �;1�'�"�4�l „a-�t�,9'�'��4a'�, . � � � �`�� iP _ �tv�' �a� � i�i �::�� °�� :� , � � � �i '��8 �� ` ;�, ��t, _ � � � ,� � � r . ��.' � �� .:� �a , I , p�'� "�� '�"�til�}�ui i �r' �i�'� � �� d.�` yp�� i� �4�. � �I�� (� I , � �h � �,�,„ ti ��, a�w�; � �"� �� E�i �� n i � . � �'�: �� '�' ��`IE �, � �.�,�., �� (�I��I'''I ��,��s��a��4�� 7 ,: � n'I� I� h i •6& FRONT VIEW w` t _ � . �_��-# � .... �..� � 1 1' _..... '��. i! 5=.,�Iti9lNtt .. '��. o� � ._.., ' �. _ i . � 6 Z � t ' � t "'"r 5. � � � I � �� a•• �� ,.�� , �-. � � , , � � REAR VIEW Qe �� a� � �� ,i � � ,. � � ' � � � ..a�r Z� �'.�<w�t� � . .� , � � . � '�. . � ?, i� � �",� � �� _ .4a+�� ,� . ��, ,,,,� �6� � ,;: � � � � � � '�� Building Photographs Continuation Page For Insurance Company Use: Building Street Address(inciuding Apt., Unit,Suite,andJor Bldg. No.)or P.O. Route and Box No. Poiicy Number 727 BAY ESPLANDE City CLEARWATER State FL ZIP COde 33767 CompanyNAlCNumber 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."