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617 BAY ESPLANADE U�S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERIY INFORMATION For Insurance Company Use: A1. Building Owner's Name SWITZERTRAVEL LLC Policy Number A2. Building Street Address(including Apt.,Unit,Suite, and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number 617 BAY ESPLANADE City CLEARWATER State FL ZIP Code 33767-1617 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) PARCEL05-29-15-54756-078-0040, BLOCK 78, LOT 4, MANDALAY UNIT NO 5 REPLAT, PLAT BOOK 020, PAGE 048 A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat. 27.9862 Long. 82.8235 Horizontai Datum: ❑ NAD 1927 x 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 ONE-A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage af crawlspace or enclosure(s) 0 sq ft a) Square footage of attached garage � sq ft b) No.of permanent flood openings in the crawispace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in AB.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑Yes X No d) Engineered flood openings? ❑ Yes X No SECTION B-FLOOD INSURANCE RATE MAP(FIRMj INFORMATION B1.NFIP Community Name&Community Number 62.County Name B3.State CLEARWATER CITY OF 125096 PINELLAS FL 64. Map/Panel Number 65.Suffix 66. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s)(Zone Date EffectivelRevised Date Zone(s) . AO,use base flood depth) 12103C0102 G 08/18/2009 09/03/2003 AE 11.0 FEET B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑FIS Profile x FIRM ❑Community Determined ❑Other(Describe) 611. Indicate elevation datum used for BFE in Item 69: _NGVD 1929 X NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes x No Designation Date ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) 1. Building elevations are based on: ❑Construction Drawings' ❑Building Under Construction4 x 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,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized CITY OF CLEARWATER BM ON MH Vertical Datum NAVD 1988 Conversion/Comments NONE Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 6.19 x feet ❑meters(Puerto Rico only) b) Top of the next higher floor 15.04 x feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) NA X feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) NA X feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building NA x feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 5.23 x feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 5.89 x feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 5.23 x feet ❑meters(Puerto Rico only) structural support 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. �rrw,,,""`�,�}r.K l understand that any fa/se statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. �}-�• HL `�+``� H��• ! ,�"J XCheck here if comments are provided on back of form. Were latitude and longitude in Section A provided by a =' �G�kT IF��'�� licensed land surveyor? x Yes ❑No �V,� I{{� q�.-�\L Certifier's Name: BILL HYATT License Number: LS 4636 :r- : �B �'+ �J� :� ; STqT� � Title: PRESIDENT Company Name: KNOW IT NOW WC -..�'�!p �OF � ;.-u�,••.A1DA,,. Q` Address: 1497 MAIN STREET#321 City: DUNEDIN State: FL ZIP Code: 34698 •'..,,�//.��E��`�. Signature �� Date: 11/8/11 Telephone: 727-415-8305 ' , FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions 'IMPORT/kNT: In these spaces,copy the co�responding infortnation 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. Policy Number 617 BAY ESPLANADE City CLEARWATER State FL ZIP Code 33767-1617 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 NOT TO BE USED FOR CONSTRLiET�C7N�OR DESIGN, IS FOR FLOOD INSURANCE USE ONLY Signature ��"":��^=- Date 11/8/11 X Check here if attachments SECTION E-BUILDING E�fEVAZ10�i.INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) � � °� � � -�"�� For Zones AO and A(Without BFE),cOmplqte 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,`uss naYurat gfade,if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation inform°a4idn for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowesf adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 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❑befow 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 Address City State ZIP Code Signature Date Telephone Comments ❑Check here'rf 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. I 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-buitt lowest floor(including basement)of the building: ❑ feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth af flooding at the building site: ❑ feet ❑meters(PR)Datum G10.Community's design flood elevation ❑ feet ❑ meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here'rf attachments FEMA Form 81-31, Mar 09 Replaces all previous editions - I Building Photographs See Instructions for Item A6. I For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 617 BAY ESPLANADE City CLEARWATER State FL ZIP Code 33767-1617 CanpanyNAlCNumber 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 VievJ' and "Rear Viev�'; and, if required, "Right Side Viev�' and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. 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