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289 BAYSIDE DR r ' � Gi°°��l �/°Z�11 � < � FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 ' NATIONAL FLOOD lNSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Im ortant: Read the instructions on a es 1 -7. SECTIOiV A-PROPERTY OWNER INFORMQTION For Ins�rance Company Use: ' BUILDING OWNER'S NAb1E � Policy Number � � /L�/� /l+� BUILDING STRE T AODRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC NumbeF � CITY �/��R��' �� STA�E �L ZIP CODE P OPERT/Y DESCRIPTION(Lot and B/l-ock Numbers,Tax. P/arcej Number,Legal Description,etc.) �OT (�� 9J�S/1>P ,L�.+�Jl�/✓/S/D/J ND. � BUILDINGy.�E(e.g.',Residential,Non-residential,Addition,Accessory,etc. Use a Comments area, if necessary.) 0525�7er�TiAL LAToTUDEILONGITUDE(OPTiONAL) HORIZONTAL DATUM: SOURCE: �_�GPS(Type}: ( ## -##'-##.##" or #�.#####� (_�NAD 1927 �_�N/3D 1983 �_�USGS Quad Map �_�Other SECTION B-F1.00D INSURANCE RATE MAP(FIRM}INFORMATION 61.NFIP CObtMUNITY NAME 8 COMMUNITY Nt1MBER B2.COUN7Y NAME 63.STA7E ��-,e �� / v � �oR�a� 64.MAP AND PANEL B5.SUFFIX B6.FfRM INDEX B7.FIRM PANEL B8.FLOOD 69.BASE FIOOD ELEVATIOIV(S) NUMBER DATE EFFECTIVElREVISEQ DATE ZONE(Sj (Zone A0,use depth of flaading) o� � � I fIc" �iv ' B10.Indicate the source of the Base Flood Elsvation(BFE)data or base flood depth entered in 89. �_� FIS Profile �(FIRM J�Communiry Determined LJ Otfier(Describe): B11.Indicate the elevation datum used for the BFE in B9:�� NGVD 1929 U NAVD 1988 U Other(Describe): B12.Is the building located in a Coastal Barrier Resources System{CBRS)area or Otherwise Protected Area(OPA)? ��Yes �No Designa6on Date: SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1.Buiiding elevaticns are based on: ��Construction Drawings' ��Building Under Construction' ��'JFinished Cons�uction 'A new Elevation Certificate wiit 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 baing 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/AFI,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�Z� Conversion/Comments /��r7�J Elevation reference mark used On S/Tr poes the elevation reference mark used appear on the FIRM?; ::��Yes �No ❑ a)Top of bottom ftoor(including basemenf or enclosure) /� .Z ft.(m} m a b)Top of next higher�loor L� .��ft.(m) � �,, �t� ❑ c)Bottom of lowest honzontal structurat member(V zones only) r✓//�l. ft.(m) �� ' �� ,,� ' �m�°° �� '`;'"-. ❑ d)Attached garage(top of slab) la .�ft.(m) E� �y �°�ti „ ❑ e)Lowest efevation of machinery and/or equipment �? � � ;��,,% � �^ � - _ servicing the building(Describe in a Comments area.) f/ .�ft-(r�) E�, �✓ `— , ❑ �Lowest adjacent(finished)grade(LAG) `�.�ft.(m) z� J '�=" �.' �° � G Hi hest ad'acent finished rade NAG �.3 ft. m �� ' ,"'� '�� 9) 9 1 � )9 � ) � ) " a, '� , �. ❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade '� � N '��.,,a,�\�=� y ❑ i)Total area of ail permanent openings (flood vents)in C3.h °�°��u�� _sq.in. (sq.cm) SECTIQN D-SURVEYOR,ENGiNEER,OR ARCHITECT CERTIFlCATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by faw to certify elevation information. 1 certify that the�informa6on in Sectiorts A,8, arrd C on this cert�cate represents my 6est efforfs to interpret fhe data available. 1 urtderstand fhat any false stafement may be punisha6le by frne or imprisonmenf under 18 U.S.Gode, Sec6on 1001. CERTIFIER'S NAME �—r'�� LICENSE NUMBER �� J/� TITLE � . �+ COMPANY NAME �, � .J ADDRESS / �S CITY �_lsm�� STATE�L ZIP CODE��/�7 Gf <o SIGNATURE DATE , TELEPHONE �� /3- �-/27� FEMA Form 81-3 Janua 003 See reverse side for continuation. Rep(aces all previous editions ti IMPORTANT: In these spaces, copy the corresponding information from Section A. Forinsuranee Company Use� ' I: BUILDING ST��DDRE�Including Apt. Unit,�uit�andlor Bidg.No.)OR P.O.ROUTE ANO BOX NO. Poiicy Number ' � y ��N /� (� STATE ZIP CODE Company NAIG Numbe� � .� �..�i��='r— t '�_�2C-c=-!%1 ��•. _..............._......._. ...._.._..._. ._ _ ._ SECTION D-SURVEYQR,ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of�is Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. COMMENTS I I Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIREDj FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E 1.through E5. 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 simiiar to the building fur 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 enclosure)of the buiiding is ��4 ft.(m)�_�(in.(cmj�_�above or�_�befow (check one)the highest adiacent grade. (Use naturaf 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) U_Jin. (cm)above the highest adjacent grade. Compiete 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 l i I ft.(m)L�J 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 available,is the top of the bottom 800r elevated in accordance with the community's _ floodplain management ordinance?� �Yes ( �No � �Unk�own. The local official must certify this information in Section G. SECTiQN 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 Sec6ons A,8, C,and E are correct to the best of my know/edge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CtTY STATE ZIP CODE S�GNATURE DATE TELEPHONE COMMENTS � �Check here if attachments SECTION G-COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to admi�ister the communitys floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete the appiicable item(s)and sign below. G1. �J The inforrnation in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engireer,or architect who is authorized by state or local law to certify elevation informa6on. (Indicate the source and date of the elevation data ir. the Comments area below.) G2.��A community afficia(rompleted Section E for a building located in Zone A(without a FEMA-issued ar community-issued BFE)or Zone AO. G3. �_� ?'ne fc�lowinc�information(Items G4-G9}is provided for communiry floodpfain martagement purposes. �G4.PE?.MIT VUMBER G5. DATE PERMIT iSSUcC GE. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This pormit has been issued for: j�J New Construction LJ Substantial Improvement G8, Elevation of as-built lowest floor(including basement)of the building is: ft.(m) Datum: G9. BFE or(in Zone AO)depth of flooding at the building site is: _ft.(m) Datum: LOCAL OFFIClAL'S NFfyIE TITLE COMMUNITY NA�'�I� TELEPHONE SIGNATUR� DATE COMMENTS I_I Check here'rf attachments FEMA Form 81-31,January 2003 Replaces all previous editions , � Chaci Horne From: Richard Fisher Sent: Monday, March 01, 2004 4:24 PM To: Chad Horne Subject: Area Calculations Chad, Per the request by the City Of Clearwater for the first floor flood area of the house on 289 Bayside Drive: I have calculated this area to be 3254 SF. Rest regards, Richard Fisher VP of Design Services Windward Homes, Inc. 1