656 BAYWAY BLVD UNIT 3 ' . ' FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. N0. 3067-0077
. NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
� � ELEVATION CERTIFICATE
�.`t�0 3- �`k`I� Important: Read the instructions on pages 1-7. —�• �� b z°Z "�1 7. 2-
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
BAYWAY TOWNHOMES, LLC U rJ 1� 3
BUILDING STREET ADDRESS(InGuding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
� BAYWAY BOULEVARD
CITY STATE ZIP CODE
CLEARWATER FLORIDA ��67
PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tau Parcel Number,Legai Descrip6on,etc.)
Lots 15-18 Bayway Subdivision No.5 P.B.38,PGS.38-39
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or ##.#####°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE
City of Clearwater 125096 PINELLAS FLORIDA
64.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zorre A0,use depih of flooding)
125096-0007 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL11.0
B10.Indicate the source of the Base Floal Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile �FIRM ❑Community Detertnined ❑Other(Describe):
B11.Indicate the elevation datum used for the BFE in 69:❑NGVD 1929 �NAVD 1988 ❑Other(Desaibe):_
B12 Is the building located in a Coastal Bamer Resources System(CBRS)area or Othervvise Protected Area(OPA)? ❑Yes �No Designation Date_
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:❑Construction Drawings' ❑Building Under Constru�ion` �Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
�2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this cerfificate is being compleied-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,AWA,AWAE,AWA1-A30,AWAH,AWAO
Canplete 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 useci 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 Com�nents area of
3
Section D or Sec�on G,as appropnaie,to document the datum conversion. 'g�'"A.,,.,� '`�`'
Datum NAVD 1988 ConversionlComments NIA >:`i��s �� °� �
,� ,.. ,:
Elevation reference mark used NIA Does the elevation reference mark used appear on the FIRM? ❑Yes �No x , "f .s� " ; `a
o a)Top of bottom floor(induding basement or endosure) 720 . FT ft.(m) � ` :�4, ,.� _ � _ � � �
o b)Top of next higher floor 1770 FT ft.(m) f,�� +� ;`+c +� r, ;,. " � ' , ,�.
o c)Bottom of lowest horizontal structurai member(V zones only) NIA FT ft.(m) "�"`Q�,, �� • � '` � �.. � '
o d)attached garage(top of b�ock) 7.20 . FT ft.(m) ���,,: '�� � ' �+' ' .
o e)Lowest elevation of machinery andlor equipment w � '' � �'
� �;� � b� '� #�m,. . �� �
serviang the building(Describe in a Comments area) NIA . FT ft.(m) �� , '�� '� .'" `" :
o fl Lowest adjacent(finished)grade(LAG) 5.0 . FT ft.(m) �N' " �° �"�'� �"��°
�►�'�s
o g)Nighest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � ' sOfi/16/04 ° �
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � '
o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in.
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 fhat the information in Sections A,B,and C on this cerfificate represents my best efforfs fo inferpret the data available.
I undersfand that any false sfatement may be punishable by fine or rmprisonment under 18 U.S.Code,Section 1001. _
CERTIFIER'S NAME LICENSE NUMBER
BRUCE A.KLEIN PLS 5052
TITLE COMPANY NAME
.PRESIDENT KLEIN&STAUB SURVEYING,INC,
ADDRESS CITY STATE ZIP CODE
8016 Old County Road 54 New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
• 06116/04 (727)834�140
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 com�any use: � '
BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,andlor Bklg.No.)OR P.O.ROUTE AND BOX N0. Policy Number �
BAYWAY BOULEVARD
CITY STATE ZIP CODE Company NAI6 Number ' '
CLEARWATER FLORIDA 33767 "
SECTION D-SURVEYOR,ENGINEER,OR RCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agenUcompany,and(3)building owner. •
COMMENTS
N/A
❑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 E1 through E4. If the Elevation Certficate 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(including basement or endosure)of the building is _ft.(m)_in.(cm)0 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 servicing the building is _ft.(m)_in.(cm)0 above or ❑below(check one)the higtiest 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 communi�'s floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local oifiaal must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authonzed 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 conecf 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 if attachments
SECTION G-COMMUNfTY INFORMATION(OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodp6ain management ordinance can complete Sections A,B,C(or E),and G of this Eleva6on
CeRificate. Comp?ete tM applicable item(s)and sign below.
G1.�The information in Section C w�,s taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state
orlocal law to cerfify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.0 A community offiaal compl�#ed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.❑The follo,�ing informa6on(Items G4-G9)is provided for communiiy 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 Construdion ❑Substantial Improvement
G8.Elevation of as-built lowest floor(induding 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 OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE •
COMMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
___ _ __ __ __ T . ___. F..�-- . ,..,....�:��.._ ___ � � . .,�. . _
" �' d�"� _ pyt.� �� FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
• NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
� , -. ELEVATION CERTIFICATE
' Important: Read the instructions on pages 1•7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use;
BUILDING OWNER'S NAME Policy Number`
BAYWAY TOWNHOMES, LLC J�J 1T 3
BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
BAYWAY BOULEVARD (a 5 Tj p c1
C��-y STATE ZIP CADE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.)
Lots 15-18 Bayway Subdivision No.5 P.B.38,PGS.38-39
BUILDING USE(e,g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,'rf necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or #f#.�) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE
City Of CI28fW2t2f 125096 PINELLAS FLORIDA,•�
B4.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX. B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE BS.FLOOD ZONE(S) (Zone A0,use depih of flooding)
125096-0007 D AUGUST 19,1991 AUGUST 19,1991 AE EL.11A
610.Indicate the sour�e of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_
611.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Describe):
B12 Is the building located in a Coastal Bamer Resources System(CBRS)area a Otherwise Protected Area(OPA)? ❑Yes �No Designation Date_
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on;❑Constn�ction Drawings' �Building Under Construction' ❑Fnished Construction
*A new Elevation Cer6ficate wiil be required when consUuction of the building is complete.
C2.Building Diagram Number 7 (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,ARIAE,AWA1 A30,ARIAH,AR/AO
Comp�ete 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 tha��omments ar�;�of
Section D or Section G,as appropriate;to document the datum conversion. ,.�-�``O�""�r,��,
Datum NAVD 1988 ConversioNCanments NIA '� *` '3A��) ' `'rq
ElevaUon reference mark used N/A Does the elevation reference mark used appearon the FIRM? ❑Yes �No - � �.•" `'�,, v ',
o a)Top of bottom floor(induding basement or endosure) 17.70 . Fi' ft.(m) � " �;'� `^ � -`"w '• � '
o b)Top of ne�higher floor NIA . FT fl.(m) �' .�� +�� N p = 'd''�'��- `,
-� •
o c)Bottom of lowest honzontal structural member(V zones only) NIA . FT ft.(m) o o f - . ���� �� -- ,�
o d)attached garage(top of block) 720 . FT ft.(m) W�i"� `� �� ,� 't� °
o e)Lowest elevation of machinery and/or equipment ��; , �;�,�,�` � r�;
servicin g the buildin g(De§cnbe in a Comments area) NIA . FT ft.(m) E� ', • ,�y ,���� Y
o fl Lowest adj�ent(finished)grade(LAG) 5.0 . FT ft.(m) z'� ��. °•3 �� -
•/f.J�I
o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) �N {����`� 1�2/��� - '"' `
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade NIA � ' '� '���>>���.`�'°
o i)Total area of all permanent openings(flood vents)in C3.h N!A sq.in. � ;,,,
SECTION b-SURVEYOR,ENGINEER,OR ARCHRECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by Jaw to certify elevation information.
I cerfify that the information in Sections A,B,and C on this cerfificate represents my best efforfs to interpret the dafa available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1 D01.
CERTIFIER'S NAME LICENSE NUMBER '
BRUCE A.KLEW PLS 5052
TITLE COMPANY NAME
PRESIDENT KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE ' ZIP CODE
8016 Old County Ro 54 New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
� . 02/16N4 (727)834-8140
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. Fo��nsurance Corr�pany use: '
BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,andlor Bidg.No.)OR P.O.ROUTE AND BOX N0. Policy Number �
BAYWAY BOULEVARD
�� STATE ZIP CODE Company NAIC Number
CIEARWATER FLORIDA 33767
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agenUcompany,and(3)building owner.
COMMENTS
N/A
❑Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(W(THOUT BFE)
For Zone AO and Zone A(without BFE),compiete items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be compieted.
E1.Building Diagram Number_(Select the building diagram most similar to the building for which this cerfificate is being completed—see pa�es 6 and 7. if no diagram accurately
represents the building,provide a sketch or photograph.)
E2.The top of the bottom floor(indu�ing 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�,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 af form.
E4.The top of the platform of machinery and/or equipment senriang 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 available,is the top of the bottom floor elevated in accordance with the communit�s floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local official must cer6fy this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATNE)CERTIFICATION
The property owner or owners authorized representative who compietes Sections A,B,C(Items C3.h and C3.i oniy),and E for Zone A(without a FEMA�ssued or community-
issued BFE)or Zone AO must sign here. The sfatemenfs in Secfions A,B,C,and E are correct to fhe 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 if attachments
_ SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The lacal of�Cial who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Secfions A,B,C(or E),and G of this Elevation
CerGwcate. Complete tl�e applicabl@ item(s�and sign below.
G1.�The information in�ection G w�,taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state
or iocai law to certify��fion ir��rmation. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑A commw�±y offiaal compl�tE?d Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.0 The fdlowin��r�ormaafion(items G4-G9)is provided for community flootlplain management purposes.
G4.PERMff 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 af as-built lowest floor(induding 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 OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
..
. .
. `$���A.
� � �� C ITY OF C LEARWATER
� � ,� �, �
� -=. p DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT
9� � ` ` POST OFFICE BOX 474H� CI.EARWATER� Fr.o�uDn 33758-4748
�,ATE �v
MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�uDn 33756
TE�PxorrE(72� 562-4567 Fnx(72�562-4576
MEMO OF REVIEW FOR CORRECTNESS 8� 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:
A1. 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 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: SOURCE:�GPS(Type):
��°_��_�,�" ar �.�°) ❑NAD 1927 � NAD 1983 ❑ USGS Quad Map❑Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE
64.MAP AND PANEL g5.SUFFIX 66.FIRM INDEX DATE B�•FIRM PANEL gg.FLOOD ZONE(S) B9•BASE FLOOD ELEVATION(S)
NUMBER EFFECTIVE/REVISED DATE (Zone AO,use depth of flooding)
12103C-0104
610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69.
❑ FIS Profile ❑FIRM ❑Community Determined ❑Other(Describe)
611. Indicate eJevation datum used for BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe)
612. Is the buildin located in a Coastal Barrier Resources S stem CBRS area or Otherwise Protected Area OPA? ❑Yes ❑No Desi nation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: ❑Construction Drawings' ❑ Building Under Construction" ❑Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. 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/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 Conversion/Comments
Elevation reference mark used Does the eievation reference mark used appear on the FIRM? ❑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)1 ft.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:
qll e%vation certificates shall 6e aintain by the community and copies with the attachedmemo made availa6le by request
•
FwwK Htsanx[�,MAYOR
GEORGE N.CRE7'EKOS,COUNCILMEMBER JOIIN DORAN,COUNCILMEMBER
PAUL F.G[BSON,COUNCILMEMBER � CARLEN A.PE1'ERSEN,COUNCIIMEMBER
��EQUAL EMPLOYMENT AND AFFIRMATIVE ACTION EMPLOYER��