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RECTION U—COMMUNITY PrONIIIAT1ON
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FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
�p ELEVATION CERTIFICATE
Important: Read the instructions on pages 1- 7.
O.M.B. No. 3067-0077
Expires December 31, 2005
113UILDING OWNER'S NAME
Alexander C Barrett & Brandon Marion
SECTION A - PROPERTY OWNER INFORMATION
For Insurance Company
Policy Number
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
760 BAY ESPLANADE
Company NAIC Number
CITY
Clearwater Beach
STATE ZIP CODE
FI 33767
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 14, BLOCK 28, "MANDALY, PLAT BOOK 14, ON PAGES 32 - 35, PINELLAS COUNTY, FLORIDA
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Resindential
LATITUDEILONGITUDE (OPTIONAL)
( ##° - ##' - ##.##- or ##.#1140#0)
HORIZONTAL DATUM:
❑ NAD 1927 ❑ NAD 1983
SOURCE: 0 GPS (Type):
0 USGS Quad Map 0 Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMt1NffY NAME & COMMUNITY NUMBER
City of Cearwater,125096
B2. COUNTY NAM=
Pinellas
B3. STATE
FI
B4. MAP AND PANEL
B7. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUMBER
B5. SUFFIX
B6. FIRM INDEX DATE
EFFECTIVEIREVISED DATE
::. FLOOD ZONE(S)
(Zone A0, use depth of floodig)
12103C0-102
G
9-3-03
9-3-03
AE11
11.0
B10, Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM 0 Community Determined 0 Other (Describe):
B11. Indc ate the elevation datum used for the BFE in B9: 0 NGVD 1929 ® NAVD 1988 0 Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ® No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Bilking elevations are based on: 0 Construction Drawings* 0 Building Under Construction* ® Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
Building Diagram Number 8 (Select the building diagram most similarto the building for which this certificate is being completed - see pages 6 and 7. if no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations — Zones A1 -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, ARIA1 A30, AR/AH, AR/AO
Complete Items C3. -a -i below according to the builcing diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion. ,1 , , , , , sr ; , ,
Datum NAVD 88 Conversion/Comments a� (+ Ci `
Elevation reference mark used n/a Does the elevation reference mark used appear on the FIRM? 0 Yes ® No
o a) Top of bottom floor (including basement or endosure) 6. 45 ft(m) m
o b) Top of next higher floor 11 .33 ft.(m)
o c) Bottom of lowest horizontal structural member (V zones only) n/a . _ft.(m) m
o d) Attached garage (top of slab) 8. 33 ft(m)
o e) Lowest elevation of machinery and/or equipment w co
servicing the building (Describe in a Comments area) 11 .33 ft.(m)E
o f) Lowest acaoent (finished) grade (LAG) 6.33 ft.(m) z'
o g) Highest adjacent (finished) grade (HAG) 8. 0 ft.(m) 2 y
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 10
o i) Total area cf all permanent openings (flood vents) in C3.h 4600 sq. in. (sq. cm)
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 certifyelevation information.
1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interfret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIERS NAME David Graves UCENSE NUMBER LS 5392
TITLEPresident COMPANY NAME AFN Consulting, Inc.
*ADDRESS
5409 Spedaaular Bid Dr.
SIGNATURE /1
CITY STATE ZIP CODE
Wesley Chapel FL 33544
DATE/(� / TELEPHONE
( `/ 813-503-3228
FEMA Form 81-31, January 2003
See reverse side for continuation. Replaces all previous editions
MAY f 8 20N!fi
DEVELOPMENT SVCS
CITY OF (;I_FARWATER
•
•
•
rIMPORTANT: In these spaces, copy the corresponding information from Section A.
For Insurance Company Use:
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO.
760 BAY ESPLANADE
Policy Number
CITY STATE ZIP CODE
Clearwater Beach FL 33767
Company NAIC Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
illpy both sides of this Elevation Certificate for (1) community offidal, (2) insurance agent/company, and (3) building owner.
COMMENTS
❑ Check here if attachments
SECTION E E. BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
El. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (induding basement or endosure) of the building is _ ft.(m) _in.(cm) ❑ above or 0 below (check one) the highest adjacent grade. (Use
natural grade, if available).
E3. For Building Diagrams 6.8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is ft.(m) _in.(cm) above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(cm) 0 above or 0 below (check one) the highest adjacent grade. (Use
natural grade, if available).
E5. For 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?
0 Yes ❑ No 0 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, C (Items C3.h and C3.i only), 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, C, and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME
Bruce Rodgers
•DRESS
CITY
STATE ZIP CODE
SIGNATURE
DATE TELEPHONE
COMMENTS
0 Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the communiWs 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.
GI . 0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
or local 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 A0.
G3. 0 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/OCCUPANCY ISSUED
G7. This permit has been issued for. 0 New Construction 0 Substantial Improvement
G8. Elevation of as -built lowest floor (induding basement) of the building is:
G9. BFE or (in Zone AO) depth of flooding at the building site is:
- _ft•(m)
_ fl(m)
Datum:
Datum:
LOCAL OFFICIAL'S NAME
TITLE
COMMUNITY NAME
TELEPHONE
SIGNATURE
DATE
•MMENTS
0 Check here if attachments
FEMA Form 81-31, January 2003
Replaces all previous editions
•
VaaVEM
MAY 1 8 2006
DEVELOPMENT SVCS
CITY OF f:LFARWATER
•
CITY OF CLEARWATER
DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT
POST OFFICE BOX 4748, CLEARWATER, FLORIDA 33758-4748
MUNICIPAL SERVICES BUILDING, 100 SOUTH MYRTLE AVENUE, CLEARWATER, FLORIDA 33756
TELEPHONE (727) 562-4567 FAX (727) 562-4576
MEMO OF REVIEW FOR CORRECTNESS & COMPLETION
In accordance with participation in the NFIP/CRS program, all elevation certificates are required to be reviewed for correctness and completion prior to
acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of
elevation certificates.
The attached elevation certificate requires corrections by the surveyor of section(s)
The attached elevation certificate is complete and correct
_X_ Minor corrections have been made in the below marked sections by Community Official
prior to acceptance by the community
SECTION A - PROPERTY INFORMATION
For Insurance Company Use:
Al. BUILDING OWNER'S NAME
Policy Number
A2. BUILDING STREET ADDRESS (including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
Company NAIC Number
CITY: CLEARWATER STATE ZIP CODE
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 (OPTIONAL): HORIZONTAL DATUM:
(##° - ##' - #1.4#" or 14.#4414°)
0 NAD 1927 0 NAD 1983
SOURCE: 0 GPS (Type):
0 USGS Quad Map 0 Other
111/ NFIP COMMUNITY NAME & COMMUNITY NUMBER
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B2. COUNTY NAME
B3. STATE
84. MAP AND PANEL
NUMBER.
B5. SUFFIX
B6. FIRM INDEX DATE
5-17-05
B7. FIRM PANEL
EFFECTIVE/REVISED DATE
ggFLOOD ZONES
AE ()
89. BASE FLOOD ELEVATION(S)
(Zone AO, use depth of flooding)
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
0 FIS Profile
0 FIRM 0 Community Determined 0 Other (Describe)
B11. Indicate elevation datum used for BFE in B9: 0 NGVD 1929 0 NAVD 1988 0 Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ❑No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* 0 Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no
diagram accurately represents the building, provide a sketch or photograph.)
C3. 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/A0.
Complete Items C3. -a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the
BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments
area of Section D or Section G, as appropriate, to document the datum conversion.
Datum Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? 0 Yes ❑No
e)
h)
i)
Comments:
Date of Review:
Lowest elevation of machinery or equipment servicing the building (Describe in Comments area) ft. (m)
No. of permanent openings (flood vents) 1ft . above adjencent grade
Total area of all permanent openings (flood vents) in C3.h sq.in. (sq.cm)
Community Official:
Al�vation certificates shall be maintained by the community and copies with the attached memo made available by request
FRANK HIBBARD, MAYOR
GEORGE N. CRETEKOS, COUNCILMEMBER
PAUL F. GIBSON, COUNCILMEMBER
JOHN DORAN, COUNCILMEMBER
CARLEN A. PETERSEN, COUNCILMEMBER
"EQUAL EMPLOYMENT AND AFFIRMATIVE ACTION EMPLOYER"
r 40 p ) Lv 1/ o J- 7 / J - FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Important Read the instructions on pages 1- 7.
O.M.B. No. 3067-0077
Expires December 31, 2005
SECTION A - PROPERTY OWNER INFORMATION
For Insurance Company Use:
•Iexander
UILDING OWNER'S NAME
C Barrett & Brandon Marion
Policy Number
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, andior Bldg. No.) OR P.O. ROUTE AND BOX NO.
760 BAY ESPLANADE
Company NAIC Number
CITY
Clearwater Beach
STATE ZIP CODE
FI 33767
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 14, BLOCK 28, "MANDALY, PLAT BOOK 14, ON PAGES 32 - 35, PINELLAS COUNTY, FLORIDA
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Resindential
LATITUDE/LONGITUDE (OPTIONAL)
( ##° - ##' - ## ##" or ##.##iffkr) ❑ NAD 1927 ❑ NAD 1983
HORIZONTAL DATUM: SOURCE: 0 GPS (Type):
❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP COMMUNITY NAME & COMMUNITY NUMBER
City of Clearwater, 125096
B2. COUNTY NAIVE
Risks
B3. STATE
R
B4. MAP AND PANEL
B7. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUMBER
B5. SUFFIX
B6. FIRM INDEX DATE
EFFECTIVFJREVISED DATE
B8. ROOD ZONE(S)
(Zane AO, use depth of Aoodrg)
12103C0-102
G
93-03
93-03
AE11
11.0
B10. Indicate the source of the Base Rood Elevation (BFE) data or base flood depth entered in 89.
❑ FIS Profile ® FIRM 0 Community Determined ❑ Other (Desaibe):
611. Indicate the elevation datum used for the BFE in B9: ❑ NGVD 1929 ® NAVD 1988 0 Other (Descn'be):
B12. Is the buidng located in a Coastal Barrier Resources System (CBRS) area a Otherwise Protected Area (OPA)? 0 Yes ® No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Budcing elevations are based on: 0 Constriction Drauuings* ❑ Budcing Under Construction* ® Finished Construction
*A new Elevation Certificate will be required when construction of the bilking is complete.
?. Buicing Diagram Number 8 (Select the budding ciagram most similar to the bulking for which this certificate is being completed - see pages 6 and 7. If no ctagram
accurately represents the bulking, provide a sketch or photograph.)
lip Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, ARIAO
Complete Items C3. -a -i below aocordng to the bulking diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum NAVD 88 ConversionComments
Elevation reference mark used n/a Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
o a) Top of bottom floor (inducing basement or endosure) 6. 45 ft(m) i$
o b) Top of next higher floor 11.33 ft(m)
o c) Bottom of lowest horizontal structural member (V zones only) Na . _ft(m) c
o d) Attached garage (top of slab) 8. 33 ft(m)
o e) Lowest elevation d machinery and/or equipment u,
servidng the budding (Describe in a Comments area) 11 .33 ft.(m)
o f) Lowest adjacent (finished) grade (LAG) 6.33 ft(m) i y
o g) Highest actiaoent (finished) grade (HAG) 8. 0 ft(m)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 10
o i) Total area dad permanent openings (food vents) in C3.h 4600 sq. in. (sq. cm)
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 ceiti€y elevation information.
1 certify that the information in Sections A, B, and C 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 1081:
CERTIFIER'S NAME David Graves LICENSE NUMBER LS 5392
TITLEPresident COMPANY NAME AFN Consulting, Inc.
DDRESS CITY STATE ZIP CODE
9 Spectacular Bid Dr.! Wesley Chapel FL 33544
NATURE DATE TELEPHONE
...::.......�l / 813-503-3228
FEMA Form 81-31, January 2003
See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A.
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
760 BAY ESPLANADE
CITY
ClearwaterBeach
STATE
FL
ZIP CODE
33767
. For Insurance Company Use:
Policy Number
Company NAIC Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Jpy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
J
COMMENTS
❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
El. Bulling Diagram Number _(Select the bu1dng diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagrdn accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (induding basement or endosure) of the building is _ ft.(m) _in.(cm) ❑ above or 0 below (check one) the highest adjacent grade. (Use
natural grade, if available).
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) __in.(cm) above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4: The top of the platfom of machinery and/or equipment servicing the building is _ R(m) _in.(cm) ❑ above or 0 below (check one) the highest adjacent grade. (Use
natural grade, if available).
E5. For Zone AO only: If no flood depth number is avalable, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?
0 Yes 0 No 0 Unknown. The local ofhdal 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, C (Items C3.h and C3.i only), 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, C, and E are coned to the best of my knowledge.
PROPERTY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
Bruce Rodgers
',DRESS
CITY
STATE ZIP CODE
SIGNATURE
DATE TELEPHONE
COMMENTS
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The Iocal offidal who is authorized by law or ordinance to administer the community's floodplain management ordnance can complete Sections A, B, C (or E), and G of this Bevation
Certificate. Complete the applicable item(s) and sign below.
G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or archited who is authorized by state
or local law to certify elevation intonation. (Indicate the source and date of the elevation data in the Comments area below.)
G2. 0 A community official completed Section E for a bulking located in Zone A (without a FEMA -leered or community -issued BFE) or Zone AO.
G3. 0 The following information (Items G4 -G9) is provided fa community floodplan management purposes.
G4. PERMIT NUMBER
G5. DATE PERMIT ISSUED
G6. DATE CERTIFICATE OF COMPUANCE/OCCUPANCY ISSUED
G7. This permit has been issued for. 0 New Construction 0 Substantial Improvement
G8. Elevation of as -butt lowest floor (including basement) of the baking is:
G9. BFE or (in Zone AO) depth of flooding at the bulking site is:
_ft(m)
_ ft(m)
Datum:
Datum:
LOCAL OFFICIAL'S NAME
TITLE
COMMUNITY NAME
TELEPHONE
SIGNATURE
DATE
^OMMENTS
❑ Check here if attachments
FEMA Form 81-31, January 2003
Replaces all previous editions
p ao"( e) ,f 7 / a]� FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
r ELEVATION CERTIFICATE
►mportant: Read the instructions on pages 1- 7.
•UILDING OWNER'S NAME
O.M.B. No. 3067-0077
Expires December 31, 2005
SECTION A - PROPERTY OWNER INFORMATION
For Insurance Company Use:
Alexander C Barrett & Brandon Marion
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
760 BAY ESPLANADE
Policy Number
Company NAIC Number
CITY
Clearwater Beach
STATE
F1
ZIP CODE
33767
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 14, BLOCK 28, "MANDALY, PLAT BOOK 14, ON PAGES 32 - 35, PINELLAS COUNTY, FLORIDA
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Resindential
LATITUDE/LONGITUDE (OPTIONAL)
( ##° - ##' - ##.##" or ##.#t!###°)
HORIZONTAL DATUM:
❑ NAD 1927 ❑ NAD 1983
SOURCE: ❑ GPS (Type):
❑ USGS Quad Map 0 Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER
City of Clearwater, 125096
B2. COUNTY NAME
Pinellas
B3. STATE
Ft
B4. MAP AND PANEL
B7. FIRM PANEL
89. BASE FLOOD ELEVATION(S)
NUMBER
B5. SUFFIX
B6. FIRM INDEX DATE
F_FFECTIVEIREVISED DATE
BB. FLOOD ZONE(S)
(Zone AO, use depth of flooding)
12103C0-102
G
9-3-03
9-3-03
AE11
11.0
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile Z FIRM 0 Community Determined 0 Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: 0 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
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* 0 Building Under Construction' ® Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
ip2. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations — Zones Al A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1 A30, AR/AH, AR/AO
Complete Items C3. -a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum NAVD 88 Conversion/Comments
Elevation reference mak used n/a Does the elevation reference mark used appear on the FIRM? 0 Yes ® No
o a) Top of bottom floor (including basement or endosure)
o b) Top of next higher floor
o c) Bottom of lowest horizontal structural member (V zones only)
o d) Attached garage (top of slab)
o e) Lowest elevation of machinery and/or equipment
servicing the building (Describe in a Comments area)
o f) Lowest adjacent (finished) grade (LAG)
o g) Highest acacent (finished) grade (HAG)
6. 45 ft(m)
11 .33 ft.(m)
n/a . _ft.(m)
8. 33 ft(m)
11 .33 ft.(m)
6.33 ft.(m)
8. 0 ft.(m)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 10
o 1) Total area of all permanent openings (flood vents) in C3.h 4600 sq. in. (sq. an)
iu
cp
°A d
o 0
a
E c
w CO
m
E
z c
z
N
J
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 in Sections A, B, and C 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 10f1i
CERTIFIER'S NAME David Graves LICENSE NUMBER LS 5392
TITLEPresident COMPANY NAME AFN Consulting, Inc.
IPADDRESS CITY STATE ZIP CODE
5409 Spectacular Bid Dr. "} Wesley Chapel FL 33544
SIGNATURE / DATE/(6 /_! TELEPHONE
( t/ C�(p 813-503-3228
FEMA Form 81-31, January 2003
See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A
For Insurance Company Use:
!WILDING STREET ADDRESS (Including Apt, Unit. Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
70D BAY ESPLANADE
Porky Number
CITY STATE ZIP CODE Company NAIC dumber
Cliewater Beads FL 33767
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
.Qy both sides of this Elevation Certificate for (1) community offidal, (2) insurance agent/company, and (3) building owner.
COMMENTS
❑ Check here if attachments
SECTION E • BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Selection C must be completed.
E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is bang completed — see pages 6 and 7. If no diagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (induding basement or endosure) of the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(an) above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4. The top of the platform of machinery and/or equipment servidng the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).
E5. For Zone AO only: If no flood depth number is avollable, is the top of the bottom floor elevated in accordance with the communit?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, C (Items C3.h and C3.i only), 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, C, and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
Bruce Rodgers
"DRESS
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 communitys floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation
Certificate. Complete the applicable item(s) aid sign below.
G1. 0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
or local 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. 0 The following information (Items G4 -G9) is provided for community floodplain management purposes.
G4. PERMIT NUMBER
G5. DATE PERMIT ISSUED
G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED
G7. This permit -has been issued-fer: ❑ New Construction ❑SubstantiasImprovement
G8. Elevation of as -built lowest floor (induding basement) of the building is:
G9. BFE or (in Zone AO) depth of flooding at the building site is:
_t(m)
_ft.(m)
Datum:
Datum:
LOCAL OFFICIAL'S NAME
TITLE
COMMUNITY NAME
TELEPHONE
SIGNATURE
DATE
"OMMENTS
0 Check here if attachments
FEMA Form 81-31, January 2003
Replaces all previous editions
a : l - Or 7 / . 3- FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
9Y- V. Ce vtTc < <try z 0 ' 3-dp
Important: Read the instructions on pages 1- 7.
O.M.B. No. 3067-0077
Expires December 31, 2005
•UILDING OWNER'S NAME
SECTION A - PROPERTY OWNER INFORMATION
For Insurance Company Use:
Alexander C Barrett & Brandon Marion
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
760 BAY ESPLANADE
Policy Number
Company NAIC Number
CITY
Clearwater Beach
STATE
FI
ZIP CODE
33767
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 14, BLOCK 28, "MANDALY, PLAT BOOK 14, ON PAGES 32 - 35, PINELLAS COUNTY, FLORIDA
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Resindential
LATITUDE/LONGITUDE (OPTIONAL)
( ##° - itr# - ##.##' or ##.#####°)
HORIZONTAL DATUM:
❑ NAD 1927 ❑ NAD 1983
SOURCE: 0 GPS (Type):
❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER
City of Clearwater, 125096
B2 COUNTY NAME
Pinellas
B3. STATE
Fi
B4. MAP AND PANEL
NUMBER -
1210300-102
B5. SUFFIX
G
}
B6. FIRM INW DATE
03 4''47
B7. FIRM PANEL
FFECTIVEIREVISED�ATE
9-3-03 I/
68. FLOOD ZONE(S)
AE11
B9. BASE FLOOD ELEVATION(S)
(Zone AO, use depth of flooding)
11.0
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM 0 Community Determined 0 Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: ❑ NGVD 1929 ® NAVD 1988 0 Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* ® Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
. Building Diagram Numbe(8,4 building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram
accurately represents the bui • de a sketch or photograph.)
C3. Elevations—Zones A1 -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AWA, ARAE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3. -a i below according to the bulking diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation, Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum NAVD 88 Conversion/Comments
Elevation reference mark used n/a Does the elevation reference mark used appear on the FIRM? 0 Yes ® No
o a) Top of bottom floor (inducing basement or endosure) 6. 45 ft(m)
o b) Top of next higher floor 11.33 ft(m)
o c) Bottom of lowest horizontal structural member (V zones only) n/a. _ft.(m) o "
o d) Attached garage (top of slab) 8. 33 ft(m) E
o e) Lowest elevation of machinery and/or equipment
woo
servicingthe buildin Describe in a Comments area V'� 11.33 ft m N a
o f) Lowest adjacent (finished) grade (LAG) 6.33 ft.(m) z o,
o g) Highest adjacent (finished) grade (HAG) 8�m)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 10 /%k
o i) Total area of al permanent openings (flood vents) in C3.h 4600 sq. in. (sq. cm) �,/(/
.94/03
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorjed by law to cettifyielevation information.
I certify that the information in Sections A, B, and C on this certificate represents my best efforts to inter)iret the da available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 10j
CERTIFIER'S NAME David Graves LICENSE NUMBER LS 5392
TITLEPresident
fitDRESS
COMPANY NAMEAFN Consulting, Inc.
5409 Spectacular Bid Dr.
SIGNATURE
CITY STATE ZIP CODE
Wesley Chapel FL 33544
DATE 57(6,4 8EL5PHONE
813503 3228
FEMA Form 81-31, January 2003
See reverse side for continuation. Replaces all previous editions
gxaawn
MAY ti 8 zags
DEVELOPMENT SVCS
CITY OF (;I_FARWATER
•
•
IMPC:"1TANT: In these spaces, copy the corresponding information from Section A.
BUILDI, STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
„760 B' Y ESPLPa1ADE
For Insurance Company Use:
Poicy Number
CITY STATE ZIP CODE
Clearwater Beach FL 33767
CompanyNAlC Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
both sides of this Elevation Certificate for (1) community offidal, (2) insurance agent/company, and (3) building owner.
COMMENTS
❑ Check here if attachments
SECTION E • BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zane AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
El. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or endosure) of the building is _ ft(m) _in.(cm) 0 above or 0 below (check one) the highest adjacent grade. (Use
natural grade, if available).
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(an) above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(cm) 0 above or 0 below (check one) the highest adjacent grade, (Use
natural grade, if available).
E5. For 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?
0 Yes ❑ No 0 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, C (Items C3.h and C3.i only), 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, C, and E are correct to the best of my knowledge.
PROPERTY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVES NAME
Bruce Rodgers
•RESS
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 ordnance can complete Sections A, B, C (or E), and G of this Elevation
Certificate. Complete the applicable item(s) and sign below.
G1. 0 The information in Section C was taken from cther documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. 0 A community offidal completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone A0.
G3. 0 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/OCCUPANCY ISSUED
G7. This permit has been issued for. 0 New Construction 0 Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building is:
G9. BFE or (in Zone AO) depth of flooding at the building site is:
-• _ft(m)
_ft(m)
Datum:
Datum:
LOCAL OFFICIAL'S NAME
TITLE
COMMUNITY NAME
TELEPHONE'
SIGNATURE
DATE
•MENTS
0 Check here if attachments
FEMA Form 81-31, January 2003
Replaces all previous editions
•
MAY 1 8 2006
DEVELOPMENT SVCS
CITY OF ntFARWATEP
CITY OF CLEARWATER
DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT
POST OFFICE Box 4748, CLEARWATER, FLORIDA 33758-4748
MUNICIPAL SERVICES BUILDING, 100 SOUTH MYRTLE AVENUE, CLEARWATER, FLORIDA 33756
TELEPHONE (727) 562-4567 FAX (727) 562-4576
MEMO OF REVIEW FOR CORRECTNESS & COMPLETION
In accordance with participation in the NFIP/CRS program, all elevation certificates are required to be reviewed for correctness and completion prior to
acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of
elevation certificates.
The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community
The attached elevation certificate is complete and correct
_X_ Minor corrections have been made in the below marked sections by Community Official
SECTION A - PROPERTY INFORMATION
For Insurance Company Use:
Al. BUILDING OWNER'S NAME
Policy Number
A2. BUILDING STREET ADDRESS (including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
Company NAIC Number
CITY: CLEARWATER STATE ZIP CODE
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 (OPTIONAL): HORIZONTAL DATUM:
(##° - ##' - ##.##" or ##.#####°)
0 NAD 1927 0 NAD 1983
SOURCE: 0 GPS (Type):
0 USGS Quad Map 0 Other
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
ip. NFIP COMMUNITY NAME & COMMUNITY NUMBER
B2. COUNTY NAME
B3. STATE
B4. MAP AND PANEL
NUMBER5-17-05
B5. SUFFIX
B6. FIRM INDEX DATE
B7. FIRM PANEL
EFFECTIVE/REVISED DATE
gg. FLOOD ZONES)
AE
B9. BASE FLOOD ELEVATION(S)
(Zone AO, use depth of flooding)
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
0 FIS Profile 0 FIRM 0 Community Determined 0 Other (Describe)
B11. Indicate elevation datum used for BFE in B9: 0 NGVD 1929 0 NAVD 1988 0 Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ❑No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* 0 Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no
diagram accurately represents the building, provide a sketch or photograph.)
C3. 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/A0.
Complete Items C3. -a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the
BFE in Section 8, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments
area of Section D or Section G, as appropriate, to document the datum conversion.
Datum Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? 0 Yes ❑No
e) Lowest elevation of machinery or equipment servicing the building (Describe in Comments area) ft. (m)
h) No. of permanent openings (flood vents) 1ft . above adjencent grade
i) Total area of all permanent openings (flood vents) in C3.h sq.in. (sq.cm)
Comments:
Date of Review: Community Official:
All elevation certificates shall be maintained by the community and copies with the attached memo made available by request
•
FRANK HIBBARD, MAYOR
GEORGE N. CREI'EKOS, COUNCILMEMBER
PAUL F. GIBSON, COUNCILMEMBER
JOAN DORAN, COUNCILMEMBER
CAREEN A. PETERSEN, COUNCILMEMBER
"EQUAL EMPLOYMENT AND AFFIRMATIVE ACTION EMPLOYER"
DERAL EMERGENCY MANAGEMENT
OO `f i D5 -745E
NATIONAL FLOOD INSURANCE PROGRAM
CY
ELEVATION CERTIFICATE
Important: Read the insbuctions on pages 1- 7.
O.M.B. No. 3067-0077
Expires December 31, 2005
SECTION A - PROPERTY OWNER INFORMATION
For insuranceCompany any Us
BUILDING OWNER'S NAME
Alexander C Barrett & Brandon Marion
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bkig. No.) OR P.O. ROUTE AND BOX NO.
760 BAY ESPLANADE
Policy Number
Company NAIC Number
CITY
Clearwater Beath
STATE
FI
ZIP CODE
33767
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 14, BLOCK28, "MANDALY, PLAT BOOK 14, ON PAGES 32 - 35, PINELLAS COUNTY, FLORIDA
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Resindential
LATITUDE/LONGITUDE (OPTIONAL)
( ##° - ##' - ##.##" or ##.##i##f')
HORIZONTAL DATUM:
❑ NAD 1927 ❑ NAD 1983
SOURCE: 0 GPS (Type):
❑ USGS Quad Map ❑ Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Bi. NFIP COMMUNITY NAME & COMMUNITY NUMBER
City ofClew/rater, 12103C0
B2. COUNTY NAME
Pinelas
B3. STATE
Fl
B4. MAP AND PANEL
B7. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUM3ER
B5. SUFFIX
B6. FIRM INDEX DATE
EFFECTIVBREVISED DATE
B8. FLOOD ZONE(S)
(Zone AO, use depth of boding)
12103C0-102
G
9-3-03
9-3-03
AE11
10.0
B10. Indicate the source of the Base Flood Elevalion (BFE) data or base flood depth entered in B9.
0 FIS Profile E FIRM 0 Community Determined 0 Other (Desaibe):
B11. Indicate the elevation datum used for the BFE in B9: ❑ NGVD 1929 E NAVD 1988 0 Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes E No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Construction Drawings* E Building Under Construction* 0 Finished Construction
*A new Elevation Certificate will be required when construction d the building is complete.
02. Building Diagram Number 8 (Select the building diagram most similar to the building for which hs certificate is being completed - see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations—Zones A1 -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/A0
Complete Items C3. -a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in
Sed ion B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum NAVD 88 Conversion/Comments
Elevation reference mak used n/a Does the elevation reference mak used appear on the FIRM? 0 Yes E No
❑ a) Top of bottom floor (including basement or enclosure) 6. 45 ft(m) m
❑ b) Top of next higher floor 11 .33 ft(m)
❑ c) Bottom of lowest horizontal structural member (V zones only) Na . _ft.(m) m
t
❑ d) Attached garage (top of slab) 8. 33 ft(m) g
❑ e) Lowest elevation of machinery and/or equipment u,al
servicing the building (Desaibe in a Comments area) 11.33 ft(m) E W
❑ f) Lowest ac4aoaint (finished) grade (LAG) 6.33 ft.(m) m tin
❑ g) Highest adjacent (finished) grade (HAG) 8. 0 ft(m) g
❑ h) No. of pemnanent openings (flood vents) within 1 ft above adjacent grade 10
❑ i) Total area of all permanent openings (flood vents) in C3.h 4600 sq. in. (sq. an)
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.
1 certify that the information in Sections A, 8, and C 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.
CERTIFIER'S NAME David Graves LICENSE NUMBER LS 5392
TITLEPresident COMPANY NAME AFN Consulting, Inc.
• ADDRESS
5409 Spectacular Bid Dr.
SIGNATURE
CITY STATE ZIP CODE
Wesley Chapel FL 33544
7 [)ATE71D 813TEL503-30�
FEMA Form 81-31, anuary 2003
See reverse side for continuation. Replaces all previous editions
•
•
sopycl
OCT 0 7 Mffi
DEVELOPMENT SVCS
CITY OF CLEARWATER
•
6RTANT: In these spaces, copy the corresponding information from Section A
For Insurance Company Use:
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO.
760 BAY,ESPLANADE
Poky Number
CITY STATE ZIP CODE
Clearwater Beach FL 33767
Company NAIC Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
apy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
COMMENTS
❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zane A (without BFE), compete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1. Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. if no diagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (induding basement or endosure) of the building is _ ft.(m) _in.(cm) ❑ above or 0 below (check one) the highest adjacent grade. (Use
natural grade, it available).
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(am) above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(cxm) 0 above or 0 below (chek one) the highest adjacent grade. (Use
natural grade, if available).
E5. For Zone A0 only: If no flood depth number is available, is the top of the bottom foo elevated in accordance with the oommunily'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 a owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA -issued or community -
issued BFE) or Zone A0 must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
Bruce Rodgers
&DRESS
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 communitys floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation
Certificate. Complete the applicable itenn(s) and sign below.
G1. 0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. 0 A community official completed Section E fora building lasted in Zane A (without a FEMA -issued or community -issued BFE) or Zane AO.
G3. 0 The following information (Items G4 -G9) is provided for community floodplan management purposes.
G4. PERMIT NUM3ER
G5. DATE PERMIT ISSUED
G6. DATE CERTIFICATE OF COI PLIANCE/OCCUPANCY ISSUED
G7. This permit has been issued for. 0 New Construction 0 Substantial Improvement
G8. Elevation of as -built lowest floor (inducing basement) of the building is:
G9. BFE or (in Zone A0) depth of flooding at the building site is:
—• _ft(m)
ftdm)
Datum:
Datum:
LOCAL OFFICIAL'S NAME
TITLE
COMMUNITY NAME
TELEPHONE
SIGNATURE
DATE
•OMMENTS
0 Check here if attachments
FEMA Form 81-31, January 2003
Replaces all previous editions
•
t131bMay310 JO 1110
SO/1S 1N3Wd013/130
500210 130 pp
l'fRE2f611
•
05/10/2005 06:51 FAX 8139737127 AFN Consulting, Inc. �002
� ;�� �1 FEDE:RAL EMERGENCY MANAGEMEN7'AGENCY O.M.B.No.3067-0077
�
��LTIONAL FLOOD INSURANCE PROGRAM Expires December 31,2005
�y'����I - G `�� 7�S �:�EVATION CERTIFICATE
Im�ry� Read the instn�tions on a es 1•7.
SE:GTION A-PROPERTY QWNER INFORMATION Fa����;
� BUILDING OWNER'S NAME �� FdiCy Nurnber
Alexander C Bairett 8�Brandon Marion
BUILDING STREET ADDRESS(Induding Apt,Unit,Su�.e�,andlw Bldg.No.)OR P.O.ROUi'E AND BOX N0. GanpariyNAIC Number
�60 BAY ESPLANADE
C1TY STATE ZIP CODE
C�arwate�ep,ach F1 33767
PROPERTY DESCf 21PTION(Lot and Bbdc Nurnbers,l�o:Parcd Number,Legal Descxiption,etc.}
L0714,BLOCK 28,"MANDALY,PIAT BOOK 14.ON f'P,GES 32-35,PINEl.LAS COUNTY,FLORIDA
BUILDI�lG USE(e.c�.,Residemial,Non-residentiai,Additicri,Aocessory,etc. Use a CommeMS area,iF nnecesssary.}
ResindenUal
LATffUDEJI..ONqT'JDE{OPTIONAI_} HORIZONTAL DATUM: 50URCE: ❑GPS(fyper
( #!�-#1k'-##.�i#"ar �1#.�) 0 �IAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Ofher.
SECTION B•1=LOOD INSURANCE RATE MAP(FRM)II�ORMATION
B1.I�P COMuA1NITY PJANIE&CO�ANNJNfTY NLINBER .1 B2.COUNTY NAN� B3.STATE
CilydGeaiuraler,12509ii PineUas Fl
64.MAP AND PANE;_ B7.FIRM PAf�L - - � � B9.BASE FLOOD FIENATION(S)
NUuBER B5.SUFFIX B6.FIRM f�J]EX DATE EfFECTIVE62EVISED DATE B8 Z (S) (LoneAO, �11DOding)
1250960007 D —8149�t�691� � 8119lf991 AE10 10.0
B14.Irxx�r,ate the source of the Base Flood EJeva6ai(BF� cIF depfh entered in B9.
❑FlS Pro�ile �FIRM ❑Community Determined ❑Olher(Desaibe):_
B11.Indica4e the eleva�,m datum used fa U�e BFE�B9:�N(3bD 1929 �NAVD 1988 ❑Otl�(Des�be):—
B12 is the buil�ng local��d in a Coastal Barrier�Sys6em(CBRS)aiea a Othawise Protec6ed Area(OPA)? ❑Yes �No Designati�Da�e
SECTION C-811kLDING ELEVATION INFORNWTION(SURVEY REQUIRED)
C1.Buildng elevatiais 7re based on:❑Constnu�tion Drawi�' �Bu�ding Under Cor�nCCtion' ❑Fin'shed Construction
'A new Elevation Ccm��reqiired when constru��n of the bui�ing is oanplefe.
C2.Buikl�g Diagram Nu 1 the W1d'ng ciagram mosl;�irr�ar t�the buildmg fa whic,h this catifica�e is being oomple�d-see pages 6 ard 7. If rro diagrarn
��Y�5� �9,P�a ske�ch a phokccr�ph.)
C3.Elevabons-Za�es a11-A30,AE,AH,A(wifh BFE),VE,V1-1+<ICi,V(w�h BF�,AR,AWA,ARlAE,ARlA1 A30,AWAH,AR/AO
Comple�Items C3.a-i beloiw a000rc�ng to the building diagi�e�n specified in Item C2,State�e dah�m used.If Ihe dalum is d�t fiom the datum used for the BFE in
Sec.tirn B,convert tl�e datum�tha�used far�e BFE.Shoa��u�d rt�u�and dalum oonveision calculation. Use fhe space provided or tt�e Comrnenis area of
Sectlon D or SeCtior'�G,3s appropriabe,to doqxnent tl18 dah�m conversion. `��;���'�'�,',,��
D�umNAW86 CanversioNCommenfs� ,�,^ � -- ;, -
Elew�on reter�nce i�1c used nla Does the�eva�on rebererce mark used appear on lhe FIRM? ❑Yes �No ;;,- �� '
� � �. � �'
❑a)Top o�bot�om tbor(indud�ng basementaer�osure) -�f;3�te(m7 5', i � W =�� ,� '
ot o „ „p , w y/�'`?-r' ,
❑b)Top of next hir�her floor �3'$Rjm}"' //. 3 3 � � r�;.'':'
❑c)eo�om o�io��tno�nr�s�nx�x��Nwnes<�niy� nla._ft(m) �o�,; . ;, .., ,r..
0 c�Attac��ed 9aza!�e�toP oF sl�) :8, 33 ft�m) ��� � ) / '-
❑e)La�est e�va�i on of machir�e►y andla equ�xr�ent �� : �/�b � :,
servidng the I x�ik6rg(Desabe in a Corm�ents anea) 11.33 ft.(m) E� ,,.,,"��i , , :-
� C . r;_`, ' l .;,..
O�Lowest acfjace it(firi�9rdde MG) 6.33 ft(m) z��,' j;�r�{;�,�',� 2... , '
9)�� � �l 9�{ ) l ? �'���s
❑ aok;nt kn' HAG 8.0 R m � ' r; �;r,,a . ,,
❑h)No.of pertnaru wit openin9s(flood verds)wAtdn 1 ft ab7ma adjaoent grade 10 3 ` r��',r"��,��?�',,
❑i)Tohaf aiea of aN pertnar�ent operrrgs(flood v�ts)in C;i,h 46t10 sq,in.(sq.an)
SECTiON D-�S�JRVEYOR,ENGINEER,OR ARCWTECT CERTIFICATION
7his certfication is tc�be signed and sealed by a land su����yor,erxpneer,or ar�chitect authorized by law to cerfrfy elevation information.
I certrly that fhe infonnation in Sections A,B,and C on Hris cerfificate represenfs my besf eftorfs to inferpret the data available.
!understand fhat an}�/alse sfatement may be punishabk_�y fine or impnsonmenf under 18 fLS.Code,Section 1001. _
CERTiFIB7S NAME Clavid Graves UCENSE NUMBER LS5392
TITLEPresident COMPANY NAME AFN Consulting,Inc.
ADDRESS CITY STATE Z�COQE
5409 Spectaatlar 8id , Wesley Ch�el FL 33544
SIGNATINZE _ DA7E ��rU a� 1��
FEMA Form 81-31,Jr nuary 2003 . See reverse side for continuation. Replaces all previous editlons
05/10/2005 06:51 FAX 8139737127 AFN Consulting, Inc. f�003
�_�
�,MPORTAN'f: In the�te spaces,coPY the cortesponding infortnation from Sedlon A Fw tr,�,rance compa��y use:
BUIIDING STREE7 ADQR:=SS QndudhB Apt,Unl St�,andhx Bldg.lia.)OR P.O.ROUTE AND BOX N0. Pakcy Numher
760&4Y ESPU�fADI�
�� i STATE ZIPCOQE CompanyNAlCNumber
Cleeruie�rB�Ch FL 33767
SECTION D-SURVEYI�I�t,FNGII�ER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy bolh sides d ihis Elevabon CertificaFe for(1)communiry offi��:1,(2)insurance aga�NoomPanY�and(3)building amer.
COMMElVTS
' __. ----- _
❑Chedc here�aBad,ments
SECTION E-BULDING ELEVATION 11�04a;iVIATION jSURVEY NOT REQURED)FOR ZONE AO AND ZONE A(IMTHOtJT BF�
Fa Zor�e AO and Zone A(i�hout BFE�,oomple�ttems E1lhrtxrg�E:4. IFthe Elevabon Ce�tifica�e is intended fa use as s�upporting information for a LOMA or�OMR-F,
Sec�on C must be comple��.
E1.Buildhg Diagram Nixri I�_(Select Ihe buildmg diagr�n mQSt:�in�lar to the bu�'kiing kx which this ce�4ficate is being completed—see pages 6 and 7. If no diagran aocura�ety
represenfs the build�ng�Provide a skeldt a photograph.)
E2 The top of the bottom fl��or(ndud�ng basement a endoswe)oi Ihe bu��ng is _ft.(ml�indcm)❑ahove a ❑below(chedc onel the higt�est adjaoent grade- Nse
naUxaf grade,'rf avai�k�e},
E3.Fa Buidirg Diagrams li-8 with operongs(see Page�,the ne�d hN3her floor or elevated floor{elev�on b)of tlie bu�1dirg is „�it(m)_in.(cm)above the highest adjaoent
gade. Corr�plete itenr i C3h arid C3.i m frait of fam.
E4,The top ofi the platform��f machinery andla equiprnent servidnc�tl�e builc�ng is �ft.(m}_in.(an)O above or ❑�ow�c�,ec�one�me nignes�ad�acern�rad�. tuse
naturai grade,�availakVe).
E5.For Zone AO or�y: If nci flood depth n�rnberis available,is the tK�:�of the bolh�om floar e�evated in accordar�ce witli tf�e oommunit�s ftoodplain management adinance?
❑Yes ❑No [�lkiknam.The local o�iaal must artfi�lli�s ir�Orrt�n in Section G.
, SECTION F-PROPERI.f 0'WPER(OR OWMER'S REPRESENTATNE)CERTIFICATION --
rne�ny ow��ao�w,�rs�m,o�Zed re�reserna�,rewfio c«,��s�o�s�,s,c��err�c�.n and c�.�or�r)�and EforZaieA(wMhout a FEMA-is�dorcanm�n�y-
issued BFE)a Zaie AO must sign here, Tiie sfatemerds�Sed�rs A,8,C,and Eare carscK(o fhe best ofmy lamwledge,
PROPERTY OWNER'S+)R OWNER'S AUTHORIIZE�D REPRE;>�NTATfVE'S NAAdE
Bruce Rodgeis
A��� ��1' STATE ZIPCODE
SIGNATURE -- DATE TELEPHOt�E
COA�MENTS --
� ❑Chedc here�attachrnents
SECTIO�i G-COMMUNtTY INFORMATION(OPTIONAL}
The bcal a�Cial who is�tFioriaecl by ha�v or ordnanoe to administ�Ihe oarnnunil�s floodplain m�ag�r�t ad'nance can�e Sections A,B,C(a�,and G of this Eleva6on
Certlficarte, Complete the a��G�ble item(s)and si�befow.
G1.[]The infamation n��ctiat C was taken from atl�er doaxne�r�ion ihat has been signed and err�OS,qed by a�Censed swveyor,�eer,a ar�Fwtect who is authaized by state
a bcal Maw to certll y elevatim iifortna6on. (Indic�e Ihe soun�e and daGe d Uie e�lion data in the Corrur�nts area below.)
G2.[]A cormwnity oifia�l c�mpleted Sec6on E for a bu'Idirg io�Mai in Zone A(wilhout a FEMA�ssued or oanmunfty-issued 9F�a Zone A0.
G3.[]The fdb�rrg infiom��iOn(Items G4-G9)is provided fa corrUnJr�y floodpla�managerr�nt purPoses•
G4-PERMfT MJA�ER G5. DATE PERM(T'ISSUED G6.DATE CERTIFICATE OF CONPLIANCFIOCCUPANCY ISSUED
G7.mis pamic r�as been i��ued ra; ❑Mew consaucti«, ❑;uistantial knprvuerr,enc
G8.Elevation of as�ft loMn�l floa C��d'in9 basernent)af�e buikfing is: .._ft.(m) Dahim:
G9.BFE or(in Znne AO)d�o4h af floodng at the bui�irg�te is: _____.�nIm) Datum:
LOCAL OFFICIAL'S NAME l TITLE
COMNK1NffY NAME � TELEPI-IONE
SIGNATURE �ATE
COMAAENTS � -- _
� -_ ❑Chedc here if altadlmenl5
FEAAA Form 81-31,January 2003 � Replaces all previous editions
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