656 BAYWAY BLVD UNIT 4 ' ' FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
-, NATIONAL FLOOD INSURANCE PROGRAM
, , Expires December 31, 2005
� • �, ELEVATION CERTIFICATE
nyy Important: Read the instructions on pages 1-7. J s a� a z o Z '�1 7 . Z
SECTION A-PROPERTY OWNER INFORMATION For Insurance Comparry Use:
BUILDING OWNER'S NAME Policy Number
BAYWAY TOWNHOMES, LLC U N�'r �
BUILDING STREET ADDRESS(Inciuding 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 33767
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legai Desaiption,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 COMMUNffY NAME 8 COMMUNITY NUMBER 62.COUNTY NAME 63.STATE
City of Ciearwater 125096 PINELLAS FLORIDA
B4.MAP AND PANEL B7.FIRM PANEL 89.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX 66.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of iboding)
125096-0007 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0
610.Indicale the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Desaibe):_
B11.Indicate the eleva6on datum used for the BFE in 69:❑NGVD 1929 �NAVD 1988 ❑Other(Describe):
B12 Is the building located in a Coastal Bartier 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�n:�Construction Dravvings* ❑Building Under Construction� �Finished Construction
� 'A new Elevation Certificate will be required when consUuction of the building is complete.
2.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,ARIA,ARIAE,AWA1-A30,ARIAH,ARIAO
Complete items C3:a�below aarording 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
Sec6on B,convert the datum to that used for the BFE.Sho+v field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Seclion G,as appropnate,to document the datum conversion. ,� :� .�.
Datum NAVD 1988 ConversionlComments NIA , .�� , �
Elevation reference mark used N/A Does the elevation reference mark used appear on the FIRM? ❑Yes �No ���'�'�' �
o a)Top of bottom floor(induding basement or endosure) 7.20 . FT ft.(m) � ,,�a"``'-� x �k � -•�:✓ ±
o b)Top of next higher floor �770 . FT ft.(m) � � 1Lt '{a � �� b�` y*
o c)Bottom of lowest honzontal structural member(V zones only) N7A. . FT ft.(m) o o. , "y.„� � � i�
o d)attached garage(top of block) 720 . Ff ft.(m) �� -�" .�, ,� '
o e)Lowest elevation of machinery andlor equipment � � " � �' ;. ,� ,r�.
.d. ��. �
serviqng the building(Describe in a Comments area) NIA . FT ft.(m) �� �,.�' �,,'� � � •.,`f
o fl Lowest adjacent(finished)grade(LAG) 5.0 . FT ft.(m) �� , '.!,� ` ,,y'�x `
o g)Highest adjaceM(finished)grade(HAG) 5.1 . FT ft.(m) � i,��l��/1�1Q�}�,�'"
o h)No.of permanent openings(flood vents)within 1 ft.above adjaoent grade 14 " �'��
J
o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in.
SECTION D-SURVEYOR,ENGINEER,OR ARCHRECT 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 fhe information in Secfions A,8,and C on fhis cerfificate represents my best efforis fo interpret the data available.
1 understand that any false sfatement may be punishable by fine or imprisonmenf under 18 U.S.Code,Secfion 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
, 06/16/04 (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. Forinsurance Company use: ' , '
BUILDING STREETADDRESS(Induding Apt.,Unit,Suite,andlorBldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number ,,
BAYWAY BOULEVARD F ,
�� STATE ZIP CODE Company NAIC N.�nber ' �
CLEARWATER FLORIDA 33767 �
SECTION D-SURVEYOR,ENGtNEER,OR Ai�CHITECT CERTIFICATION(CONTINUED) �
Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agenticompany,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 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)0 above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if available).
E3.For Building Diagrams 6�S with openings(see page 7),the next higher floor or elevated floor(eleva6on 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 serviang the building is _ft.(m)_in.(cm)❑above or ❑below(chedc 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 floor elevated in accadance with the community's floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local offiaal must certify this ir�ormation in Section G.
SECTION F•PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owne�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 Secfions A,8,C,and E are conect 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•COMMUNITY INFORMATION(OPTIONAL)
The local offiaal who is aathonzed by lax,or ordinance to administer the community's floodplain management ordinance can complete Sec6ons A,B,C(or E),and G of this Elevation
Certificate. Complete the applicable item(s)and sign below.
G1.�The infornation m Secticm 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 Ixa law to c2rtify el�ration information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑A community offiaal r�mpleted Section E for a building located in Zone A(without a FFMA-issued or community�ssued BFE)or Zone A0.
G3.0 The foflowing informatian(ftems G4-G9)is provided fa community floodplain management purposes.
G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6.DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED
G7.This permit has been issued for:�New Construction ❑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
' FEDERAL EMERGENCY MANAGEMENT AGENCY
°���� � dy4 $Z NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
' Expires December 31, 2005
'• '��� ELEVATION CERTIFICATE
� Important: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATION For Insu�anoe Company Use:
BUILDING OWNER'S NAME Policy Number
BAYWAY TOWNHOMES, LLC /��� '�-
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Company NAIC Number
BAYWAY BOULEVARD (' '�� � ��,��
CITY STATE ZIP CODE
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,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 8 COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
City of Clearwater 125096 PINELLAS FLORIDA
64.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX . 66.FIRM INDEX DATE EFFECTIVEIREVISED DATE BS.FLOOD ZONE(S) (Zaie A0,use deptlt of flooding)
125096-0007 D AUGUST 19,1991 AUGUST 19,1991 AE EL11.0
B10.Indicate the source of the Base Flood Elevafion(BFE)data or base flood depth entered in 69.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_
611.Indicate the elevation datum used for the BFE in 69:Q NGVD 1929 �NAVD 1988 ❑Other(Describe):
B12:Is the building located in a Coastal Barrier Resour�es System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Buildng elevations are based on:�Construction Drawings* �Buiiding Under Construction' ❑Finished Construction
*A new Elevation Cer6ficate will 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,AR/AE,ARIA1-A30,AR/AH,AWAO
Complete Items C3.a�below aocording 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 c�nversion. �:r�`�
Datum NAVD1988 ConversionlComments N/A .������•�`��
a
Elevation referenc�mark used N/A Does the elevation reference mark used appearon the FIRM? ❑Yes �No �� .•_' �a ,�� � � `�<
e
o a)Topofbottomfloor(indudingbasementorendosure) 1770 . FT fl.(m) N ���,.+�•*��.,.�,� �'+i�,
o b)Top of next higherfloor N/A . FT ft.(m) � �(/ , ,�t� �` 'r�'
� � ,'�+..� � �C. � � u; °� ,�•�, r
o c)Bottom of lowest honzontal structural member(V zones only) N/A . FT ft.(m) o o% � �� � �r �,
o d)aflached garage(top of biock) 7.20 . FT ft.(m) ��; � ��h� . %�
o e)Lowest elevation of machinery andlor equiprtient W� ,r ;u ,-°< ~ «:
servicing the building(Describe in a Comments area) N/A . FT ft.(m) ��; �� �''" •,�; �- �
o fl Lowest adjacent(finished)grade(LAG) 5.0 . FT ft.(m) z'� � �� ", ��'"�` `� r4,���
o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) �� ��,, �,`'�.02/a��,�1�� •:
o h)No.of permanent openings(floai vents)within 1 ft.above adjacent grade N/A � '�,� c� ,� �
o i)Total area of all permanent openings(flood vents)in C3.h N/A 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.
1 certify that the information in Sections A,B,and C on this certificate represents my best efforfs to inferpret the data available.
1 understand that any false sfatemenf may be punishabfe by fine or imprisonment under 18 U S. Code,Section 1001.
CERTIFIER'S NAME LICENSE NUMBER '
BRUCE A.KLEIN PLS 5052
TITLE COMPANY NAME
PRESIDENT KLEIN&STAUB SURVEYING,ING
ADDRESS � CITY STATE ZIP CODE
8016 Old County Road 54 New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
� � OZ/16/04 (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. Fa�nsurance company use: '
BUILDING STREET ADDRESS(Induding Apt,Unrt,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number
BAYWAY BOULEVARD '
�m' STATE ZIP CODE Company NAiI,Number '.
CLEARWATER FLORIDA 33767
�
SECT�ON 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(WITHOUT BFE)
For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as suppoiting 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 aocurately
represents the buiiding,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
naturai grade,'rf available).
E3.For Buiiding Diagrams 6�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 plaffortn of machinery andlor equipment serviang the building is _ft.(m)_in.(cm)�above or ❑below(chedc one)the highest adjacent grade. (Use
natural grade,'rf available).
E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordan�with the communit�s floodplain management ordinance?
❑Yes ❑No ❑Unknown. The locai offiaal must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATNE)CERTIFICATION
The property owner or ownets authonzed representative who completes Seclions 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 sfafemenfs in Sections A,B,C,and E are correct to the best of my knowledge.
PROPERN OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIF CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑Check here if attachments
SECTION G-COMMUNffY INFORMATION(OPTIONAL)
The local offic�who is authorized trj iaw or orcJinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Certificate. Complete�he ap�licabie item(s)'and sign below.
G1,Q The informatian in Section C was taken trom other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state
or local!aw io cerfif�elevaio�infcxmation. (indicate the source and date of the elevation data in the Comments area below.)
G2.❑A community oifiaal can�;eted Se,c;ien E for a buiiding located in Zone A(without a FEMA-issued or community�ssued BFE)or Zone A0.
G3.❑The fd�wving infamation(l+.erns G4-G9)is provided fa 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.�New Construdion ❑Substantial Improvement
G8.Elevation af as-built lowest 800r(induding basement)of the building is: _._ft.(m) Datum:_
G9.BFE a(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
.. ,$e A'�r�
� ������ �'� C ITY OF C LEARWATER
� v ,�li, �
� =. p DEVELOPMENT &NEIGHBORHOOD SERVICES DEPARTMENT
9��� _ � POST OFFICE BOX 474H� CLEARWATER� FLO�DA 33758-4748
,qTE `��' IVIUNICIPAL SERVICES BUILDING, 100 Sou'rx MYxx'r1.E AvErruE,CLEARWATER,FLO�uDn 33756
TELEPHONE�7Z�562-4567 Fnx(72�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
e�evation 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. BUtLDING OWNER'S NAME Policy Number
A2.BUIIDWG 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):
���_��_�,�^ or ##.#####°) ❑ NAD 1927 ❑ NAD 1983 ❑USGS Quad Map 0 Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
.NFIP COMMUNITY NAME&COMMUNITY NUMBER 82.COUNTY NAME B3.STATE
B4.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER g5.SUFFIX 66.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8•FLOOD ZONE(S) �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 B9.
❑ FIS Profile ❑FIRM ❑Community Determined ❑Other(Describe)
611. Indicate elevation datum used for BFE in B9:❑ NGVD 1929 ❑NAVD 1988 ❑Other(Describe)
B12. 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-BUIIDING ELEVATION INFORMATION(SURVEY REClUIRED)
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 Ai-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,ARJAE,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 elevation 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)1ft.above adjencent grade
i) Total area of all permanent ope ings(flood vents)in C3.h sq.in.(sq.cm)
Comments: • �
Date of Review: �� Community Official:
All elevation certificates shall be maintained by he community and copies with the attachedmemo made avaifable by request
�
Fx�wx H�sanxn,MAYOR
GEORGE N.CRE'I'EKOS,COUNCILMEMBER JOI W DORAN,COUNCILMEMBER
PAUL F.GIASON,COUNCILMEMBER � Cnx►.EN A.PE'rE[ZSEtv,COUNCILMEMBER
��EQUAL EMPLOYMENT AND AFFIItMATIVE ACTION EMPLOYER��